Health facilities: outpatient care and patient assessment.
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SB 1238 — Health facilities: outpatient care and patient assessment.
Last action — From committee without further action.
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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2In Committee
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3Passed Senate
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4Passed Assembly
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5To Executive
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6Enacted
This bill died with 2013-2014 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.
Summary
Existing law requires the State Department of Public Health to license and regulate health facilities. These provisions govern, among other things, patient care provided by those facilities. A person who violates these provisions is guilty of a misdemeanor. This bill would require a licensed health care professional acting within his or her scope of practice to assess a patient for followup care following stabilization in an emergency department or postsurgical outpatient service. The bill would require an outpatient to be discharged or admitted to inpatient status after no more than 24 hours, but as soon as reasonable and medically appropriate. The bill would require that a patient be assessed and frequently reassessed for a change in condition until admission, transfer, or discharge occurs. The bill would authorize an outpatient stay of longer than 24 hours under specified circumstances, including to arrange for a safe discharge and to make arrangements to provide public social services to a patient, and would authorize the department to specify, by regulation, other circumstances under which a longer stay would be permitted. The bill would additionally require, when a patient remains in a hospital as an outpatient for longer than 24 hours, as specified, that fact to be documented in the patient's medical record, along with the condition that necessitated an outpatient stay of longer than 24 hours. The bill would also require active monitoring of care extended to a patient for a period longer than 24 hours without an admission to inpatient status, with frequent reassessment, for a change in condition and would require placement to be made as soon as medically appropriate. Because a violation of these requirements would be a misdemeanor, 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.
Bill Text
- Amended 05/07/14 - Amended Senate Current pdf May 07, 2014
- Amended 04/10/14 - Amended Senate pdf April 10, 2014
- Introduced 02/20/14 - Introduced pdf February 20, 2014
- SB1238 View text html
Action History
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From committee without further action.
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Held in committee and under submission.
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Set for hearing May 23.
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Placed on APPR. suspense file.
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Set for hearing May 19.
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Read second time and amended. Re-referred to Com. on APPR.
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From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 7. Noes 0. Page 3343.) (April 30).
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From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
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Set for hearing April 30.
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Referred to Com. on HEALTH.
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From printer. May be acted upon on or after March 23.
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Introduced. Read first time. To Com. on RLS. for assignment. To print.
Sponsors
- Hernandez · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 121 not signed on
Sponsors (1)
- Hernandez
Co-sponsors (0)
None.
Not signed on (121)
121 members have not signed on to this bill.
Show all 121 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 6 | 0 | 0 | 0 |
| Democratic | 1 | 0 | 0 | 0 |
| Total | 7 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (7)
| Member | Party | Vote |
|---|---|---|
| Hill | — | Yea |
| Walters | — | Yea |
| De León | — | Yea |
| Lara | — | Yea |
| Steinberg | — | Yea |
| Beth Gaines | — | Yea |
| Padilla, Stephen C. | Democratic | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 7 | 0 | 0 | 2 |
| Total | 7 | 0 | 0 | 2 |
| % of votes cast | 78% | 0% | 0% | 22% |
How each member voted (9)
| Member | Party | Vote |
|---|---|---|
| Beall | — | Not Voting |
| Evans | — | Yea |
| De León | — | Yea |
| Hernandez | — | Yea |
| Monning | — | Yea |
| Morrell | — | Yea |
| Nielsen | — | Not Voting |
| Wolk | — | Yea |
| DeSaulnier | — | Yea |
Subjects
Frequently asked questions
- What does SB 1238 do?
- Existing law requires the State Department of Public Health to license and regulate health facilities. These provisions govern, among other things, patient care provided by those facilities. A person who violates these provisions is guilty of a misdemeanor. This bill would require a licensed health care professional acting within his or her scope of practice to assess a patient for followup care following stabilization in an emergency department or postsurgical outpatient service. The bill would require an outpatient to be discharged or admitted to inpatient status after no more than 24 hours, but as soon as reasonable and medically appropriate. The bill would require that a patient be assessed and frequently reassessed for a change in condition until admission, transfer, or discharge occurs. The bill would authorize an outpatient stay of longer than 24 hours under specified circumstances, including to arrange for a safe discharge and to make arrangements to provide public social services to a patient, and would authorize the department to specify, by regulation, other circumstances under which a longer stay would be permitted. The bill would additionally require, when a patient remains in a hospital as an outpatient for longer than 24 hours, as specified, that fact to be documented in the patient's medical record, along with the condition that necessitated an outpatient stay of longer than 24 hours. The bill would also require active monitoring of care extended to a patient for a period longer than 24 hours without an admission to inpatient status, with frequent reassessment, for a change in condition and would require placement to be made as soon as medically appropriate. Because a violation of these requirements would be a misdemeanor, 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.
- Who sponsors SB 1238?
- SB 1238 is sponsored by Hernandez.
- What is the current status of SB 1238?
- This bill died with 2013-2014 Regular Session. It reached “In Committee” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track SB 1238?
- Track SB 1238 free on One Click Politics — get push/email alerts when it moves.
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