Bill Text: CA AB574 | 2015-2016 | Regular Session | Amended

California Assembly Bill 574 (Prior Session Legislation)

Bill Title: General acute care hospitals: cardiovascular surgical teams.

Spectrum: Partisan Bill (Republican 1-0)

Status: (Failed) 2016-02-01 - From committee: Filed with the Chief Clerk pursuant to Joint Rule 56. [AB574 Detail]

Download: California-2015-AB574-Amended.html

BILL NUMBER: AB 574	AMENDED
	BILL TEXT

	AMENDED IN ASSEMBLY  MARCH 26, 2015

INTRODUCED BY   Assembly Member Patterson

                        FEBRUARY 24, 2015

   An act  to amend Section 1255.5 of the Health and Safety
Code, relating to health facilities   to add Section
1255.4 to the Health and Safety Code, relating to health facilities
 .



	LEGISLATIVE COUNSEL'S DIGEST


   AB 574, as amended, Patterson. General acute care hospitals:
 cardiac catheterization.   cardiovascular
surgical teams.  
   Existing law provides for the licensure and regulation of health
facilities, including general acute care hospitals, administered by
the State Department of Public Health. Existing law authorizes the
department to approve, as prescribed, a general acute care hospital
to offer cardiac surgery and cardiac catheterization services, as
defined, if specified requirements are met. A violation of these
provisions is a crime.  
   This bill would require a surgical team for the performance of
cardiovascular operative procedures that require extracorporeal
bypass to consist of a minimum of 2 surgeons. Because a violation of
this requirement would be a crime, the 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.  
   Existing law provides for the licensure and regulation of health
facilities, including general acute care hospitals, administered by
the State Department of Public Health. Existing law authorizes the
department to approve, as prescribed, a general acute care hospital
to offer cardiac surgery and cardiac catheterization services, as
defined, if specified requirements are met. A violation of these
provisions is a crime.  
   This bill would make technical, nonsubstantive changes to those
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 1255.4 is added to the 
 Health and Safety Code   , to read:  
   1255.4.  A surgical team for the performance of cardiovascular
operative procedures that require extracorporeal bypass shall consist
of a minimum of two surgeons. 
   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.  
  SECTION 1.    Section 1255.5 of the Health and
Safety Code is amended to read:
   1255.5.  For purposes of Section 1255, the following definitions
apply:
   (a) "Cardiac catheterization" includes an intravascular insertion
of a catheter into the heart for the primary definition and diagnosis
of an anatomic cardiac lesion. For the purposes of this definition,
the insertion of a Swan-Ganz thermodilution cardiac output catheter,
a venous line, and a temporary pacemaking electrode catheter are
excluded.
   (b) "Cardiac surgery" means surgery on the heart or great vessels
requiring a thoracotomy and extracorporeal circulation.
   (c) "Cardiovascular surgery service" means a program of a general
acute care hospital that has the capability of performing cardiac
catheterizations and cardiac surgery as defined in this section.
Under no circumstances shall there exist in a general acute care
hospital a cardiac surgery service without a cardiac catheterization
laboratory service.
   (d) "Cardiac catheterization laboratory service" means a program
of a general acute care hospital that has the capability of
performing cardiac catheterization. Cardiac catheterization
laboratory service does not include pediatric cardiac catheterization
laboratory service.
   (e) "Pediatric cardiac surgery service" means a program of a
general acute care hospital that has the capability of performing
cardiac catheterization and cardiac surgery, as defined in this
section, for the diagnosis and treatment of congenital defects in
children. Cardiac catheterization for pediatric patients shall be
performed only in a general acute care hospital that has the
capability to perform cardiac surgery on pediatric patients.
   (f) "Intensive care newborn nursery services" means the provision
of comprehensive and intensive care for all contingencies of the
newborn infant, including intensive, intermediate, and continuing
care. Policies, procedures, and space requirements for intensive,
intermediate, and continuing care services shall be based upon the
standards and recommendations of the American Academy of Pediatrics
Guidelines for Perinatal Care, 1983.