Bill Text: CA SB212 | 2009-2010 | Regular Session | Amended

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

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Bill Title: Pupil health: communicable diseases.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Vetoed) 2010-01-19 - Stricken from Senate file. [SB212 Detail]

Download: California-2009-SB212-Amended.html

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BILL NUMBER: SB 212	AMENDED
	BILL TEXT

	AMENDED IN SENATE  MARCH 26, 2009

INTRODUCED BY   Senator Florez

                        FEBRUARY 23, 2009

    An act to amend Section 1288.55 of the Health and Safety
Code, relating to health care facilities.   An act to
amend Sections 17578 and 17579 of, and to add Section 33134 to, the
Education Code, relating to school safety. 


	LEGISLATIVE COUNSEL'S DIGEST


   SB 212, as amended, Florez.  Health facilities:
infections.   Pupil health: communicable diseases. 

   (1) Existing law requires the governing board of each school
district maintaining a high school to provide for the annual
cleaning, sterilization, and necessary repair of football equipment
of their schools and requires that all football equipment actually
worn by pupils to be cleaned and sterilized at least once a year.
 
   This bill would require the governing board of each school
district maintaining a high school to provide for the annual cleaning
and sterilization of wrestling equipment and would specify that
wrestling equipment used multiple years may be cleaned and sterilized
as specified by the Superintendent of Public Instruction and the
State Board of Education. The Superintendent and state board would be
required to develop and approve, respectively, information and
guidelines on the prevention of communicable diseases at schoolsites.
The information and guidelines would be required to address, at a
minimum, the maintenance of locker rooms, athletic equipment, and
synthetic ground covers used for athletic fields and ways to minimize
the spread of methicillin resistant Staphylococcus aureus and
meningococcal disease. The Superintendent would be required to post
the information and guidelines on the department's Internet Web site.
By requiring school districts to annually clean and sterilize
wrestling equipment, the bill would impose a state-mandated local
program.  
   (2) 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, if the Commission on State Mandates
determines that the bill contains costs mandated by the state,
reimbursement for those costs shall be made pursuant to these
statutory provisions.  
   Existing law provides for the licensure and regulation of health
facilities by the State Department of Public Health. A violation of
these provisions is a crime.  
   Existing law requires health facilities to report to the
department and the federal Centers for Disease Control and Prevention
specified infections. Existing law also requires the department to
develop and implement various Internet-based reporting systems, as
prescribed.  
   This bill would make technical, nonsubstantive changes to these
provisions. 
   Vote: majority. Appropriation: no. Fiscal committee:  no
  yes  . State-mandated local program:  no
  yes  .


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

   SECTION 1.    Section 17578 of the  
Education Code   is amended to read: 
   17578.  The governing board of each district maintaining a high
school shall provide for the annual cleaning  , 
 and  sterilizing  ,   of football and
wrestling equipment  and  t   he  necessary
repair of football equipment of their respective schools pursuant to
Sections 17579 and 17580.
   SEC. 2.    Section 17579 of the   Education
Code   is amended to read: 
   17579.   (a)    All football equipment actually
worn by pupils shall be cleaned and sterilized at least once a year.
Football equipment used in spring training shall be cleaned and
sterilized before it is used in the succeeding fall term. 
   (b) Wrestling equipment used multiple years may be cleaned and
sterilized as specified by the Superintendent and the state board
pursuant to Section 33134. 
   SEC. 3.    Section 33134 is added to the  
Education Code   , to read:  
   33134.  The Superintendent shall develop information and
guidelines regarding the prevention of communicable diseases at
schoolsites and submit the information and guidelines to the state
board for its approval. The information and guidelines, at a minimum,
shall address the maintenance of locker rooms, athletic equipment,
and synthetic ground covers used for athletic fields and ways to
minimize the spread of methicillin resistant Staphylococcus aureus
and meningococcal disease. The Superintendent shall post the approved
guidelines on the department's Internet Web site. 
   SEC. 4.    If the Commission on State Mandates
determines that this act contains costs mandated by the state,
reimbursement to local agencies and school districts for those costs
shall be made pursuant to Part 7 (commencing with Section 17500) of
Division 4 of Title 2 of the Government Code.  
  SECTION 1.    Section 1288.55 of the Health and
Safety Code is amended to read:
   1288.55.  (a) (1) A health facility, as defined in paragraph (3)
of subdivision (a) of Section 1255.8, shall quarterly report all
cases of health-care-associated MRSA bloodstream infection,
health-care-associated clostridium difficile infection, and
health-care-associated Vancomycin-resistant enterococcal bloodstream
infection, and the number of inpatient days.
   (2) A health facility shall report quarterly to the department all
central line associated bloodstream infections and the total central
line days.
   (3) A health facility shall report quarterly to the department all
health-care-associated surgical site infections of deep or organ
space surgical sites, health-care-associated infections of orthopedic
surgical sites, cardiac surgical sites, and gastrointestinal
surgical sites designated as clean and clean-contaminated, and the
number of surgeries involving deep or organ space, and orthopedic,
cardiac, and gastrointestinal surgeries designated clean and
clean-contaminated.
   (b) The department's licensing and certification program shall do
all of the following:
   (1) Commencing January 1, 2011, post on the department's Internet
Web site information regarding the incidence rate of
health-care-acquired central line associated bloodstream infections
acquired at each health facility in California, including information
on the number of inpatient days.
   (2) Commencing January 1, 2012, post on the department's Internet
Web site information regarding the incidence rate of deep or organ
space surgical site infections, orthopedic, cardiac, and
gastrointestinal surgical procedures designated as clean and
clean-contaminated, acquired at each health facility in California,
including information on the number of inpatient days.
   (3) No later than January 1, 2011, post on the department's
Internet Web site information regarding the incidence rate of
health-care-associated MRSA bloodstream infection,
health-care-associated clostridium difficile infection, and
health-care-associated Vancomycin-resistant enterococcal bloodstream
infection, at each health facility in California, including
information on the number of inpatient days.
   (c) Any information reported publicly as required under this
section shall meet all of the following requirements:
   (1) The department shall follow a risk adjustment process that is
consistent with the federal Centers for Disease Control and
Prevention's National Healthcare Safety Network (NHSN), or its
successor, risk adjustment, and use its definitions, unless the
department adopts, by regulation, a fair and equitable risk
adjustment process that is consistent with the recommendations of the
Healthcare Associated Infection Advisory Committee (HAI-AC),
established pursuant to Section 1288.5, or its successor.
   (2) For purposes of reporting, as required in subdivisions (a) and
(b), an infection shall be reported using the NHSN definitions
unless the department accepts the recommendation of the HAI-AC or its
successor.
   (3) If the federal Centers for Disease Control and Prevention do
not use a public reporting model for specific health-care-acquired
infections, then the department shall base its public reporting of
incidence rate on the number of inpatient days for infection
reporting, or the number of specified device days for relevant
device-related infections, and the number of specified surgeries
conducted for surgical site infection reporting, unless the
department adopts a public reporting model that is consistent with
recommendations of the HAI-AC or its successor.
   (d) Health facilities that report data pursuant to the system
shall report this data to the NHSN and the department, as
appropriate.