BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                     SB 675  


                                                                    Page  1





          Date of Hearing:  August 19, 2015


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                                 Jimmy Gomez, Chair


          SB 675  
          (Liu) - As Amended July 16, 2015


           ----------------------------------------------------------------- 
          |Policy       |Health                         |Vote:|19 - 0       |
          |Committee:   |                               |     |             |
          |             |                               |     |             |
          |             |                               |     |             |
          |-------------+-------------------------------+-----+-------------|
          |             |                               |     |             |
          |             |                               |     |             |
          |             |                               |     |             |
          |-------------+-------------------------------+-----+-------------|
          |             |                               |     |             |
          |             |                               |     |             |
          |             |                               |     |             |
           ----------------------------------------------------------------- 


          Urgency:  No  State Mandated Local Program:  YesReimbursable:   
          No


          SUMMARY:


          This bill establishes requirements related to family caregivers  
          of patients being discharged from a hospital.  Specifically,  
          this bill requires a hospital to: 








                                                                     SB 675  


                                                                    Page  2







          1)Provide each patient, as part of the discharge planning  
            process, an opportunity to identify a family caregiver who may  
            assist in post hospital care.


          2)Provide an opportunity for the patient and his or her family  
            caregiver to engage in the discharge planning process.


          3)Ensure that discharge planning is appropriate to the condition  
            and acuity of the patient and the location to where the  
            patient will be discharged.


          FISCAL EFFECT:


          Minor and absorbable costs to the California Department of  
          Public Health (CDPH) to verify hospital compliance (Licensing  
          and Certification Fund).


          COMMENTS:


          1)Purpose. According to the author, unpaid family caregivers  
            provide the majority of long-term care (LTC) support for their  
            loved ones, yet the health and LTC system is slow to recognize  
            them as partners. This bill is intended to formally recognize  
            family caregivers and ensure they get information and support  
            they need to successfully care for their loved ones  
            post-discharge. 


          2)Background.  According to the Select Committee on Aging and  
            Long-Term Care's 2014 report, A Shattered System:  Reforming  
            Long Term Care in California, one of the critical areas  








                                                                     SB 675  


                                                                    Page  3





            needing reform is hospital-to-home transitions.  This bill is  
            consistent with the report's recommendations to enact  
            legislation requiring hospitals to provide greater recognition  
            to, and support for, caregivers.


          3)Related Legislation. ACR 38 (Brown), pending on the Senate  
            Appropriations Committee suspense file, establishes a task  
            force on family caregiving with twenty members appointed by  
            the Senate and Assembly.  It also requires the task force to  
            consider issues relating to family caregivers and report to  
            the Legislature on those issues no later than July 1, 2018.  


          Analysis Prepared by:Lisa Murawski / APPR. / (916) 319-2081