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Lobby Day 2014

CNA Legislation and Supporting Information

PATIENT BILL OF RIGHTS:

  • AB 503 (Wieckowski-Bonta) Charity Care. The bill would clearly define what constitutes charity care which must be direct provision of care to the uninsured or underinsured, not promotional activities, marketing, cost containment, or other activities more intended to generate profit. Set similar restrictions on the definition of “community benefit” programs. Improve reporting requirements for greater public transparency in how hospitals are meeting their charity care obligation, with financial penalties for hospitals that fail to meet reporting requirements.

    Fact sheet


    Support letter
  • AB 2533 (Ammiano) Patient Choice Bill. This bill aims to protect patients from these high out-of-pocket costs by expanding current balance billing protections to patients receiving any type of service from an out-of-network provider when that out-of-network service is sought because the patient is unable to obtain the service within a timely manner within a reasonable distance from their home or workplace. Additionally, the bill requires insurance companies to annually report their denial rates and their compliance with the requirements regarding referrals to non-contracting providers. The bill provides authority for the Department of Managed Health Care and Department of Insurance to penalize insurance companies who fail to comply with the standards for access to timely and local care.

    Fact sheet

    Support letter
  • SB 1269 (Beall) Observation Services Standards. This bill would limit the period of time a patient may be placed in observation to 24 hours making it consistent with time limitations imposed on other outpatient settings. It would require hospitals to obtain approval from the state to provide care in “observation units” which would have to meet the same staffing standards, including licensed nurse-to-patient ratios, as emergency rooms. Additionally, it would require hospitals to provide notice to patients that observation services are “outpatient” services and third-party reimbursement may be impacted, and require hospitals to report observation services to the Office of Statewide Health Planning and Development.

    Fact sheet

    Support letter

WORKPLACE SAFETY:

  • SB 1299 (Padilla) Workplace Violence. To address the growing problem of workplace violence in California hospitals, this bill would direct CalOSHA to develop a regulatory standard on workplace violence requiring hospitals establish workplace violence prevention plans that include strong provisions to protect health care workers and other facility personnel from aggressive and violent behavior, including interactive personnel education and training; systems to assess and improve factors that contribute to violence in the hospital, including sufficiency of security and staffing; provisions protecting an employee’s right to seek help from law enforcement; and, requirements for hospitals to document and report incidents of violence to Cal/OSHA.  The bill would also require Cal/OSHA to post a report on its website containing information regarding violent incidents at hospitals and to make recommendations on how to prevent violent incidents at hospitals.

    Fact sheet

    Support letter
  • AB 2616 (Skinner) seeks to establish a rebuttal presumption for workers’ compensation when an acute care hospital employee who provides direct patient care contracts a methicillin-resistant Staphylococcus aureus (MRSA) skin infection and presumes these ailments were contracted through employment.  AB 2616 seeks to cover MRSA skin infections and covers employees post-employment for 60 days. CNA feels strongly that registered nurses and healthcare workers must be protected after providing critical services to their communities. We believe this can best be accomplished by providing these workers with rebuttal presumption for workers’ compensation for healthcare workers who contract MRSA skin infections.

    Fact sheet


    Support letter

 

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