Bill Text: CA SB1311 | 2013-2014 | Regular Session | Amended

NOTE: There are more recent revisions of this legislation. Read Latest Draft

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Bill Title: Hospitals: antimicrobial stewardship.

Spectrum: Partisan Bill (Democrat 2-0)

Status: (Passed) 2014-09-29 - Chaptered by Secretary of State. Chapter 843, Statutes of 2014. [SB1311 Detail]

Download: California-2013-SB1311-Amended.html

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BILL NUMBER: SB 1311	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  AUGUST 7, 2014
	AMENDED IN ASSEMBLY  JUNE 26, 2014
	AMENDED IN ASSEMBLY  JUNE 4, 2014
	AMENDED IN SENATE  APRIL 10, 2014

INTRODUCED BY   Senator Hill
   (Coauthor: Assembly Member Mullin)

                        FEBRUARY 21, 2014

   An act to add Section 1288.85 to the Health and Safety Code,
relating to health facilities.


	LEGISLATIVE COUNSEL'S DIGEST


   SB 1311, as amended, Hill. Hospitals: antimicrobial stewardship.
   Existing law provides for the licensure and inspection of health
facilities, including general acute care hospitals, by the State
Department of Public Health. Existing law requires a general acute
care hospital to develop a process for evaluating the judicious use
of antibiotics, the result of which is required to be monitored by
appropriate representatives and committees involved in quality
improvement activities. Under existing law, a violation of the
provisions governing health facilities constitutes a misdemeanor
punishable by a fine not to exceed $1,000, by imprisonment in a
county jail, or by both that fine and imprisonment.
   This bill would require all general acute care hospitals, as
defined, to adopt and implement, by July 1, 2015, an antimicrobial
stewardship policy in accordance with guidelines established by the
federal government and professional organizations and that includes a
process to evaluate the judicious use of antibiotics, as specified.
The bill would require a general acute care hospital to develop a
physician supervised multidisciplinary antimicrobial stewardship
committee, subcommittee, or workgroup, and to appoint at least one
physician or pharmacist to that committee, subcommittee, or workgroup
who is knowledgeable about antimicrobial stewardship through prior
training or attendance at continuing education programs. The bill
would also require a general acute care hospital to report
antimicrobial stewardship program activities to each appropriate
hospital committee undertaking clinical quality improvement
activities.  This bill would also require the department to
report to the Legislature on hospital compliance with the above
provisions no later than January 1, 2018, as specified. 
   By expanding the scope of an existing crime, this bill would
impose a state-mandated local program.
   The California Constitution requires the state to reimburse local
agencies and school districts for certain costs mandated by the
state. Statutory provisions establish procedures for making that
reimbursement.
   This bill would provide that no reimbursement is required by this
act for a specified reason.
   Vote: majority. Appropriation: no. Fiscal committee: yes.
State-mandated local program: yes.


THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:

  SECTION 1.  Section 1288.85 is added to the Health and Safety Code,
immediately following Section 1288.8, to read:
   1288.85.   (a)    Each general
acute care hospital, as defined in subdivision (a) of Section 1250,
shall do all of the following by July 1, 2015: 
   (1) 
    (a)  Adopt and implement an antimicrobial stewardship
policy in accordance with guidelines established by the federal
government and professional organizations. This policy shall include
a process to evaluate the judicious use of antibiotics in accordance
with paragraph (3) of subdivision (a) of Section 1288.8. 
   (2) 
    (b)  Develop a physician supervised multidisciplinary
antimicrobial stewardship committee, subcommittee, or workgroup.

   (3) 
    (c)  Appoint to the physician supervised
multidisciplinary antimicrobial stewardship committee, subcommittee,
or workgroup, at least one physician or pharmacist who is
knowledgeable about the subject of antimicrobial stewardship through
prior training or attendance at continuing education programs,
including programs offered by the federal Centers for Disease Control
and Prevention, the Society for Healthcare Epidemiology of America,
or similar recognized professional organizations. 
   (4) 
    (d)  Report antimicrobial stewardship program activities
to each appropriate hospital committee undertaking clinical quality
improvement activities. 
   (b) The department shall report to the Legislature on compliance
with this section no later than January 1, 2018.  
   (c) (1) The requirement for submitting a report imposed under
subdivision (b) is inoperative on January 1, 2019, pursuant to
Section 10231.5 of the Government Code.  
   (2) A report submitted pursuant to subdivision (b) shall be
submitted in compliance with Section 9795 of the Government Code.

  SEC. 2.  No reimbursement is required by this act pursuant to
Section 6 of Article XIII B of the California Constitution because
the only costs that may be incurred by a local agency or school
district will be incurred because this act creates a new crime or
infraction, eliminates a crime or infraction, or changes the penalty
for a crime or infraction, within the meaning of Section 17556 of the
Government Code, or changes the definition of a crime within the
meaning of Section 6 of Article XIII B of the California
Constitution.