AB 89 — Revises provisions relating to surgical centers for ambulatory patients. (BDR 40-364)

(ReprintedAssembly withBill amendmentsNo. adopted on April 20, 2017) FIRST REPRINT A.B.

8989–Committee Aon SSEMBLYHealth BILLand NOHuman .Services CHAPTER..........

89–COMMITTEE ON H EALTH AND H UMAN SERVICES (O NB EHALF OF THE LEGISLATIVE C OMMITTEE ON H EALTH CARE ) PREFILED JANUARY 30, 2017 ____________ Referred to Committee on Health and Human Services SUMMARY—Revises provisions relating to surgical centers for ambulatory patients.

(BDR 40-364) FISCAL NOTE:

EfEffect on the State:

Yes.

May have Fiscal Impact.

~ EXPLANATION – Matter in bolded italics is new;

matter between brackets [omitted material] is material to be omitted.

Existing law requires the Department of Health and Human Services to establish and maintain a program to increase public awareness of health care information concerning hospitals and surgical centers for ambulatory patients.

(NRS 439A.200-439A.290) Pursuant to the program, the Department is required to collect, maintain and provide certain information concerning the charges imposed 439A.240,and 439A.250)quality Additionally,of existingcare law:provided by surgical centers for ambulatory patients.

(1)(NRS requires439A.240, the439A.250) DepartmentAdditionally, toexisting notifylaw: a surgical center for ambulatory patients each time the center fails to provide required information or provides incomplete or inaccurate information;

and(1) (2)requires authorizes the Department to imposerequired ainformation civilor penaltyprovides ofincomplete notor moreinaccurate thaninformation; $20,000 for each such violation.

(NRSand 439A.250,(2) 439A.310)provide Existingauthorizes law requires the Department to suspendimpose certaina ofcivil itspenalty programsof ornot 439A.280)more Inthan such$20,000 circumstances,for sectioneach 2such ofviolation. this bill prohibits the Department.

(NRS from439A.250, suspending439A.310) programsExisting andlaw dutiesrequires relatingthe Department to thesuspend collectioncertain andof disseminationits ofprograms informationor relatingduties toif surgicalit centersdetermines forthat ambulatorysufficient patients.money is not available to carry them out.

-(NRS *AB89_R1*439A.280) –In such circumstances, section 2 –of this bill prohibits the Department information relating to surgical centers for ambulatory patients.d dissemination of Section 3.6 of this bill requires the Division of Public and Behavioral Health of the Department to submit a quarterly report to the Legislature concerning information submitted to the Division by a surgical center for ambulatory patients relating to the discharge location of its patients.

EXPLANATION – Matter in bolded italics is new;

matter between brackets [omitted material] is material to be omitted.

- 79th Session (2017) – 2 – 2.

3.grant or other source of money for the purpose of carrying out the provisions of NRS 439A.200 to 439A.290, inclusive.

The Department may accept any gift, donation, bequest, grant or other source of money for the purpose of carrying out the provisions of NRS 439A.200 to 439A.290, inclusive.

and (b) Compares the discharge location of patients of surgical centers for ambulatory patients in different geographical regions of this2.is State;Submit the quarterly report prepared pursuant to subsection 1 to the Director of the Legislative Counsel Bureau for transmittal to the Legislature.

and - *AB89_R1* – 3 – 2.

Submit the quarterly report prepared pursuant to subsection 1 to the Director of the Legislative Counsel Bureau for transmittal to the Legislature.

449.441 The provisions of NRS 449.435 to 449.448, inclusive, and sections 3.3 and 3.6 of this act do not apply to an office of a physician or a facility that provides health care, other than a medical facility, if the office of a physician or the facility only administers a medication to a patient to relieve the patient’s anxiety or pain and if - 79th Session (2017) – 3 – the medication is not given in a dosage that is sufficient to induce in a patient a controlled state of depressed consciousness or unconsciousness similar to general anesthesia, deep sedation or conscious sedation.

Sec.449.447 N1.

6.

NRS 449.447 is hereby amended to read as follows:

449.447 1.

If a surgical center for ambulatory patients violates the provisions of NRS 449.435 to 449.448, inclusive, and sections 3.3 and 3.6 of this act, or the regulations adopted pursuant thereto, or fails to correct a deficiency indicated in a report pursuant to NRS 449.446, the Division may impose administrative sanctions pursuantpursuantS to NRS 449.163.

- *AB89_R1* – 4 – Sec.

- 79th Session (2017) – 4 – (1) License to operate a surgical center for ambulatory patients.

(f)prescribed Prescribeby theNRS criteria449.447, forincluding, thewithout impositionlimitation:sanction of(1) eachSetting sanctionforth prescribedthe bycircumstances NRSand 449.447,manner including,in withoutwhich limitation:a sanction applies;

(1) Setting forth the circumstances and manner in which a sanction applies;

H~~~~~ 17 - *AB89_R1*79th Session (2017)