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www.CAHSAH.org
JULY 2015
cahsah®
BULLETIN
OIG Issues Special
Fraud Alert on Physician Compensation Arrangements
HEAR What Members and Non-Members are SAYING about CAHSAH!
$115.4 BILLION BUDGET$32 BILLION FOR HEALTH CARE PROGRAMS$18 BILLION FOR MEDI-CAL
State Budget Update
Hello everyone, half the year has passed us and we have all faced a tough couple of month in our industry. We have had to once again educate our legislators on why some of the bills that are being put forward were not viable to our industry and to the state. With that said, our job is not done yet. There are bills that have passed out of their house of origin and have the potential of affecting our industry CAHSAH will be reaching out to you to help in meeting with your local legislative offices to continue the conversations. I wish you all a safe and wonderful 4th of July and please be safe.
Respectfully,
Alejandro Saldana
CAHSAH Board Chair
BY ALEJANDRO SALDANA, CAHSAH CHAIR
Chair’s Message
3CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME
4CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME
in this issue
The CAHSAH® Bulletin is published by CAHSAHand supported by Heffernan Insurance Brokers
Managing Editor & CAHSAH President Dean Chalios
California Association for Health Services at Home3780 Rosin Court, Suite 190 Sacramento, CA 95834Telephone: (916) 641-5795 Fax: (916) 641-5881 www.cahsah.org
For advertising, please call 916-641-5795
CAHSAH does not necessarily endorse any of the products, services or meetings advertised in the Bulletin. CAHSAH also does not endorse the opinions, products or services of guest authors in the Bulletin.
Copyright © 2015 California Association for Health Services at Home. All rights reserved.
Chair’s Message................................................ 3
OIG Issues Special Fraud Alert on Physician Compensation Arrangements...................................................... 7
Legislative Update........................................... 9
Weekly News Updates............................. 10
Ask Mary.................................................................... 11
Hear What Members Are Saying.. 12
Membership Spotlight................................... 13
Education Calendar........................................ 15
Federal Bill Tracker........................................... 16
State Bill Tracker.................................................. 17
5CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME
Dean Chalios - President(916) 641-5795, ext. 118
Michele Lander - Director of Operations(916) 641-5795, ext. 129
Jessica Roenspie - Meeting & Event Planner(916) 641-5795, ext. 117
Marissa Pickard - Communications & Marketing Specialist(916) 641-5795, ext. 127
Jeannie Yang - Education Assistant/Registrar(916) 641-5795, ext. 113
Sandy Bertoux - Director - Finance and Membership(916) 641-5795, ext. 111
Ryan Moore - Director of MIS(916) 641-5795, ext. 132
Kristine Fitzpatrick - Controller/Human Resources Manager(916) 641-5795, ext. 115
Braden Oparowski - Director of Policy, Advocacy and Public Affairs
(916) 641-5795, ext. 123
Mary Adorno - Legislative Specialist(916) 641-5795, ext. 124
cahsah staff
6CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME
OIG Issues Special Fraud Alert on Physician Compensation ArrangementsBy Elzabeth E. Hogue, Esq.
5. The compensation paid to physicians over the term of the agreement is set in advance, is consistent with fair market value in arms-length transactions and is not determined in a manner that takes into account the volume or value of any referrals or business otherwise generated between the parties.
6. The services performed serve a commercially reasonable business purpose.
If all of these criteria are met, physicians and providers to which they make referrals are within the applicable safe harbor.
Providers whose services are defined as designated health services (DHS) must also meet the requirements of the contractual exception under Stark. DHS includes home health and HME services, among others. Hospice is not DHS. The requirements of this exception are basically the same as the safe harbor described above except that if the agreement is terminated in less than one (1) year, the parties may not enter into another agreement until a year after the agreement was effective.
In addition, some states have requirements that providers must meet in order to make payments to referring physicians. While these statutes vary from state to state, compliance with these so-called “mini Stark laws” is also essential.
There are many pitfalls for providers and physicians with regard to payments from providers to physicians who make referrals to them. Now is the time to dot the “i’s” and cross the “t’s” to get it right!
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On June 9, 2015, the Office of Inspector General (OIG) of the U.S. Department of Health and Human Services, the primary enforcer of fraud and abuse prohibitions, issued a Special Fraud Alert entitled “Fraud Alert: Physician Compensation Arrangements May Result in Significant Liability.” In this Special Fraud Alert, the OIG encourages physicians to carefully consider the terms and conditions of medical directorships and other compensation arrangements with providers to which they make referrals before entering into them.
Specifically, the OIG stated that the following are violations of the anti-kickback statute:
• Payments to physicians that take into account the volume or value of referrals from physicians to providers who make them;
• Payments are in excess of fair market value for the services performed by physicians;
• Physicians who did not actually perform the services required by agreements with providers to which they make referrals; or
• Relieving physicians of expenses they would otherwise have incurred.
The OIG has clearly fired a warning shot over the bows of providers! Now is the time to get it right!
What does getting it right mean? At a minimum, providers should meet all of the requirements of the personal services and management contract safe harbor or exception under the federal anti-kickback statute.
This exception or “safe harbor” says that illegal remuneration does not include payments made by providers who receive referrals to physicians who make referrals as compensation for services provided by them, as long as all of the following standards are met:
1. The agreement is set out in writing and signed by both parties.
2. The agreement specifies the services to be provided by the physician.
3. The agreement must indicate whether physicians will provide services on a part-time basis for the term of the agreement and the charge for such services.
4. The term of the agreement is for not less than one year.
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9CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME
State Budget UpdateCalifornia legislators and Governor Jerry Brown reached a $115.4 billion budget deal that has several health care implications. Overall, the budget allocates nearly $32 billion for health care programs, including about $18 billion for Medi-Cal, Under the budget deal, the state beginning in May 2016 would extend Medi-Cal coverage to about 170,000 undocumented immigrant children under age 19. The expansion is projected to cost $40 million in the next fiscal year and about $132 million annually following implementation.
The budget deal also includes $226 million to restore for one year a 7% pay cut In-Home Supportive Services providers and includes provisions to fund Medi-Cal dental services. But the Governor rejected a provision set forth by the Legislature that would have increased Medi-Cal provider reimbursement rates by 5% for those providers who received a 10% reimbursement cut in 2011 (Home Health and Hospice were excluded from that initial 10% cut). The Governor cited concerns about costs to implement increases across-the-board for all Medi-Cal providers.
However, Governor Brown has announced that two special legislative sessions will be held sometime this Fall to address additional funding concerns related to the budget, one of which will address Medi-Cal reimbursements.
AB 1400 (Santiago) PRIORITY BIL LAB 1400 is scheduled to be heard on July 14th in the Senate Human Services Committee. CAHSAH is strongly opposed to this bill as it would require that 85% of all revenue in excess of $7 million billed to Regional Centers for respite care be designated to pay for wages and wage related expenses for caregivers leaving only 15% of that revenue available for all other costs.
CAHSAH has worked with the author to secure amendment language to exclude from the provisions of the bill respite care employer of record arrangements. Nevertheless, we continue to urge all our members to contact their legislators asking them to oppose this bill. Please continue to look for CAHSAH Action Alerts on this vital measure.
AB 465 (Hernandez) PRIORITY BIL L AB 465 has passed out of the Senate Judiciary Committee and moves to the Senate Floor. CAHSAH strongly opposes this bill which would render mandatory arbitration agreements no longer enforceable. Please contact your Senator and urge them to vote “No” on this bill.
AB 637 (Campos) PRIORITY BIL LAB 637 has moved to the Senate Floor. If passed, this bill would allow nurse practitioners and licensed physician assistants to create and sign Physician Orders for Life Sustaining Treatment (POLST) forms. CAHSAH has taken a “Support” position on this priority bill because it is an important step forward in ensuring that terminally ill patients receive the type of end-of-life care options they desire.
SB 3 (L eno) PRIORITY BIL LSB 3 is scheduled to be heard in the Assembly Labor and Employment Committee on Wednesday, July 8. If enacted, this measure would increase the minimum wage and link yearly increases to the Consumer Price Index as follows: $11 on January 1, 2016, $13 on July 1, 2017, and yearly increases to the Consumer Price Index after January 1, 2019. CAHSAH is strongly opposed to this measure and urges all members to educate their legislator on the importance of keeping home care accessible and affordable by opposing this measure.
AB 782 (Dababneh) PRIORITY BIL LAB 782 (Dababneh), the Domestic Referral Agency (DRA) licensure bill, was held on the Assembly Appropriations Committee Suspense File and is; therefore, dead for this year. CAHSAH vehemently opposed this measure because it created a licensure structure for these domestic referral agencies without sufficient consumer protection language. Thank you to all CAHSAH members for your hard work that led to this significant outcome.
State Issues Medi-Cal Checkwrite Hold
FDA Announces Warning on the Drug Blincyto
Home Care Licensure Stakeholder Webinar
Last Friday, the Home Care Services Bureau conducted another Home Care Services Consumer Protection Act Stakeholder’s Meeting to discuss the statutory requirements and logistics of California’s AB 1217, the Home Care Licensure Act. Over 300 participants registered for this webinar.
Click here for the full article.
Home Health Medicare Quality Assessment Reporting
The Centers for Medicare & Medicaid Services (CMS) hosted a Special Open Door Forum on home health quality assessment reporting that is part of the “pay for reporting” requirement.
Click here for the full article.
Medicare Home Health Pricer
Change Request (CR) 9198 has been released by the Center for Medicare and Medicaid Services (CMS) and instructs the Medicare claims processing contractor on several changes planned for the home health Pricer.
Click here for the full article.
10CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME
Weekly News Updates for JuneCMS Issues Face-to-Face Probe
CMS has issued its plan for review of the home health face-to-face encounter requirement and plans to initiate a “Probe and Educate Review” process beginning October 1, 2015. These reviews will impact claims with a “from” date beginning 8/1/2015.
CMS will conduct pre-payment reviews of home health claims for episodes beginning on or after August 1, 2015. CMS contractors will conduct these reviews using a Probe and Educate strategy through an end date to be determined. The purpose of this Probe and Educate process is to ensure that home health agencies understand the new patient certification requirements. Because home health episodes have a 60-day certification, CMS anticipates the first documentation requests will be sent on or about October 1, 2015.
CMS plans to provide additional details and information on the Probe and Educate process at this website http://www.cms.gov/Research-Statistics-Data-and-Systems/Monitoring-Programs/Medicare-FFS-Compliance-Programs/Medical-Review/Home_Health_Medical_Review_Update.html
New Medicare HCPCS Codes
Change Request 9192, issued by the Center for Medicare and Medicaid Services (CMS) provides the quarterly update of Healthcare Common Procedure Coding System (HCPCS) codes used for home health consolidated billing.
The Department of Health Care Services has just announced that Medi-Cal providers will see checkwrites scheduled for the end of fiscal year 2014 – 2015 delayed until the start of fiscal year 2015 – 2016.
The FDA has issued a warning about serious risks with the drug Blincyto. This warning is being distributed to all health care provider associations, including home health associations. Blincyto is prescribed for the acute lymphoblastic leukemia(ALL). Details are here.
Medicare Hospice Item Set
AB 782 - DRA Licensure Dead
The Center for Medicare and Medicaid Services (CMS) held a training call for the revised Hospice Item Set (HIS) Manual. The revised manual, version 1.02, is effective June 28, 2015, and it includes HIS definition clarifications as well as some revised guidance.
As reported via the E-Alert that was sent, we are pleased to report that AB 782 (Dababneh), the DRA licensure bill, has been held on the Assembly Appropriations Committee suspense file and is therefore dead for the year.
Click here for the full article. Click here for the full article.
Click here for the full article.
Click here for the full article.
Click here for the full article.
Weekly News Updates for JuneDepartment of Public Health Prohibits On-Line Training for Home Health Aides
During CAHSAH’s regular quarterly meeting with the Department of Public Health’s Licensing and Certification Division we sought clarification about the use of on-line training for continuing education for a certified home health aide (CHHA) to renew their certification. Several home health agencies had questioned why the CHHA renewal form indicates that on-line training is not allowed when aides previously had submitted continuing education courses that were on-line. The Department indicated that on-line training for aides has always been prohibited because there are no statutes which allow on-line training but they did not previously have this instruction on the renewal form. The change was made on the renewal forms to ensure that aides were aware of the statutes. The Department further elaborated that in 2005 statutes (Health & Safety Code, Section 1337.6) were added to allow only certified nurse assistants to use on-line training. However, at the time the statutes were amended to allow certified nurse assistants to complete training on-line they did not include certified home health aides.
CAHSAH is developing a strategy to address this issue either through regulation or legislation.
All continuing education courses for CNAs and CHHAs must be provided by a Department approved continuing education provider to be counted toward the certification renewal requirements. Questions regarding this issue may be directed to CAHSAH’s Legislative Specialist, Mary Adorno at [email protected] or at (916) 641-5795 extension: 124
Q: How does an employer determine the rate of compensation when an employee utilizes their sick leave benefit under the new AB 1522 law if the employee has multiple rates of pay and receives overtime compensation?
A: Under the current statute which falls under Labor Code, Section 246, if an employee works at different rates of pay the employer must average the wages by dividing total wages (Do NOT include any overtime compensation) by total hours worked for the prior 90 days.
Mary AdornoCAHSAH’s Legislative Specialist
ASK MARY
CAHSAH Welcomes New Policy DirectorCAHSAH is pleased to announce the hire of our new Policy Director, Braden Oparowski, who recently joined the CAHSAH staff. For the past several years, Braden has been a senior policy manager with the California Department of Health Care Services and most recently headed up the Department’s implementation of the federal Affordable Care Act. In that capacity, he reported directly to the Department director, led a team of Department policy managers and analysts to write the policy and legislation to implement the Act, and was responsible for successfully shepherding that implementation legislative package through the Assembly and Senate and to the Governor for his signature. We are excited about Braden joining the CAHSAH team and urge you all to welcome him to our industry and our association. Braden can be reached at (916) 641-5795 extension 123 or [email protected].
CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME
HITTING THE MARK!
IMPORTANT FUNCTIONS of an association - -
Does CAHSAH Hit the Mark?
Training and professional development X Technical and clinical information X Timely updates X Peer interaction opportunities X Create standards of practice X
Target your goals and take advantage of your
CAHSAH membership!
CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME
HITTING THE MARK!
IMPORTANT FUNCTIONS of an association - -
Does CAHSAH Hit the Mark?
Training and professional development X Technical and clinical information X Timely updates X Peer interaction opportunities X Create standards of practice X
Target your goals and take advantage of your
CAHSAH membership!
CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME
HITTING THE MARK!
IMPORTANT FUNCTIONS of an association - -
Does CAHSAH Hit the Mark?
Training and professional development X Technical and clinical information X Timely updates X Peer interaction opportunities X Create standards of practice X
Target your goals and take advantage of your
CAHSAH membership!
12CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME
Hear What Members Are Saying!
Attendees of the 2015 Annual Conference and Home Care Expo, both members and non-members, stopped by the CAHSAH booth to give heart felt testimonials about their experiences with CAHSAH.
Click here to view more testimonials.
CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME
HITTING THE MARK!
IMPORTANT FUNCTIONS of an association - -
Does CAHSAH Hit the Mark?
Training and professional development X Technical and clinical information X Timely updates X Peer interaction opportunities X Create standards of practice X
Target your goals and take advantage of your
CAHSAH membership!
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13CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOMECALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME
SAVE $$, SAVE TIME, Interested?
Participate in CAHSAH Group Purchasing programs. You at least owe it to yourself and your agency to explore your options. Take advantage of products and vendors that
have been vetted by fellow CAHSAH members.
CONTACT CAHSAH GROUP PURCHASING VENDORS DIRECTLY!
Heffernan Insurance Brokers (800) 234-6787Workers’ Compensation & Liability Insurance
Provista (888) 538-4662National Supply Chain
SingleSource Services (800) 713-3412Background Screening
OTHER PROGRAM DISCOUNTS AVAILABLE TO CAHSAH MEMBERS:• Accreditation Commission for Health Care (ACHC)
(919) 785-3011
• Community Health Accreditation Program (CHAP)(800) 656-3656
Membership Spotlight
CONCIERGE PROGRAMEvery month we are adding more and more members to our list of Concierges – those who welcome new members to CAHSAH. This month we want to recognize the following: Torey Battuello, The HomeCare Source Stacie Dollar, Around the Clock Care Sandra Harrington, Adventist Health Holli Bennett, A Caring Heart Home CareThank you for your participation in this important endeavor!
Want to GET INVOLVED? But TIME IS LIMITED?Learn how you can become a CAHSAH Concierge with Minimal Time Commitment.
Contact Sandy Bertoux, [email protected]
ONLINE RESOURCE GUIDE AND DIRECTORY
REMINDER – you are able to access the Online Resource Guide and Directory via a mobile device. Access to the site is available to everyone; give it a try!
http://mobile.cahsah.org
Note: As with any online capability, the listings are only as good as the information provided. Take this opportunity to make sure that your organization’s data is up to date.
new ICD-10 Coding for Home Health workshopSeptember 10-11 • Ontario
September 15-16 • Sacramento
Register Now
HOME CARE AND HOSPICEADMINISTRATOR CERTIFICATE PROGRAMS
July 14-16 | Las Vegas, NV
Register 2 or more people online and receive $20 off each registration!
This intense 3 day training program will bring any level administrator to their maximum potential. These programs are led by top industry professionals and encompass everything that a true leader should master.
The goal of the Home Care & Hospice Administrator Certificate Program is to provide a supportive learning environment for administrators and senior managers. These programs will strengthen your competencies to position your organization for success and help you integrate the complexities of quality, compliance, financial management, and strategic performance. These programs are designed to accommodate all sections of home care, from private pay to home care and hospice agencies.
Do not miss out on your opportunity to take the next step in your career! Sign up today.
Click here to learn more about the programs, speakers, or to register now.
15CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME
EDUCATIONALEvents Calendar
July 2015
9 ICD-10 for Hospice Workshop Ontario, CA10 ICD-10 for Hospice Workshop Sacramento, CA
14-16 Home Care Administrator Las Vegas, NV Certificate Program 17 NBHHC® Home Care Administrator Las Vegas, NV Certificate EXAM 14-16 Hospice Administrator Certificate Program Las Vegas, NV17 NBHHC® Hospice Administrator Certificate EXAM Las Vegas, NV
September 2015 10-11 ICD-10 Coding for Home Health Workshop Ontario, CA15-16 ICD-10 Coding for Home Health Workshop Sacramento, CA
October 2015
1 ADR Home Health Workshop Sacramento, CA1 ADR Hospice Workshop Sacramento, CA2 ADR Home Health Workshop Ontario, CA2 ADR Hospice Workshop Ontario, CA
8 Private Duty Legal Landscape Workshop Sacramento, CA9 Private Duty Legal Landscape Workshop Ontario, CA
15-16 Home Health Start-Up Program Las Vegas, NV15-16 Hospice Start-Up Program Las Vegas, NV15-16 Private Duty Start-Up Program Las Vegas, NV
view full education calendar
Federal Bill Tracker
Bill Number Description LocationH.R. 30
Rep. Todd Young (R-IN)
Save American Workers Act of 2015: Amends the Internal Revenue Code to change the definition of “full-time employee” for purposes of the employer mandate to provide minimum essential health care coverage under the Patient Protection and Affordable Care Act from an employee who is employed on average at least 30 hours of service a week to an employee who is employed on average at least 40 hours of service a week
Passed the House and is pending a hearing in the Senate Finance Committee
H.R. 290Rep. James Renacci
(R-OH)
Creating Access to Rehabilitation for Every Senior (CARES) Act of 2015: Amends title XVIII of the Social Security Act to eliminate the 3-day prior hospitalization requirement for Medicare coverage of skilled nursing facility services in qualified skilled nursing facilities, and for other purposes.
Pending hearing in the House Ways and Means Committee
H.R. 294Rep. Jeff Miller
(R-FL)
Long-Term Care Veterans Choice Act: Amends title 38, United States Code, to authorize the Secretary of Veterans Affairs to enter into contracts and agreements for the transfer of veterans to non-Department medical foster homes for certain veterans who are unable to live independently.
Passed the House and is pending a hearing in the Senate Veterans Affairs Committee
H.R. 440Rep. Charles Boustany, Jr.
(R-LA)
Helping Individuals Regain Employment Act: would ensure that long-term unemployed individuals are not taken into account for purposes of the employer health care coverage mandate.
Pending hearing in the House Ways and Means Committee
H.R. 1342Rep. Greg Walden
(R-OR)
S.578Senator Susan Collins
(R-ME)
Home Health Improvement Act: would allow advanced practice nurses and physician assistants to sign a Medicare home health plan of care.
Pending hearing in the House Ways and Means Committee and Senate Finance Committee
H.R. 2208Rep. Tom Reed
(R-NY) and
Rep. Mike Thompson (D-CA)
Hospice CARE Act: would refine the hospice face-to-face encounter requirements by allowing PAs (and other appropriate clinical staff) to conduct the hospice face-to-face encounter and would also allow hospices up to seven days following admission to hospice care to perform the face-to-face encounter when exceptional circumstances occur.
Pending hearing in the House Ways and Means Committee
S. 183Senator John Barrasso
(R-WY)
Jobs and Premium Protection Act: Would repeal the annual fee on health insurance providers enacted by the Patient Protection and Affordable Care Act.
Pending hearing in the Senate Finance Committee
S. 192Senator Lamar
Alexander (R-TN)
Older Americans Act: Creates a consumer-friendly tool to assist older persons and their families in choosing home and community-based services with an emphasis on protecting the health, safety, welfare, and rights of older persons; and makes available programs for training in the prevention of abuse, neglect, and exploitation and provision of services that address elder justice and exploitation of older persons.
Pending hearing in the Senate Health, Education, Labor & Pensions Committee
16CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME
Bill Number Description Position LocationAB 366
Asm. Rob Bonta Medi-Cal Provider Reimbursement Rates: Would repeal implementation of prior year Medi-Cal rate reductions and increase provider payment rates for specified outpatient health care providers up to Medicare payment levels.
Support Passed the Assembly Appropriations Committee with major amendments that make it a rate study bill.
AB 465Asm. Roger Hernandez
Contracts against public policy: Would render mandatory arbitration agreements no longer enforceable.
Oppose Moved to the Senate Floor. May be heard at any time.
AB 637Asm. Nora Campos
Physician Orders for Life Sustaining Treatment (POLST) Form: Would expand the list of authorized practitioners who may create and sign a Physicians Orders for Live Sustaining Treatment (POLST) form to include nurse practitioners and physician assistants.
Support Moved to the Senate Floor. May be heard at any time.
AB 782 Asm. Matthew
Dababneh
DRA Licensure: Would create a new licensure category under the Department of Social Services to license Employment Agencies that refer independent home care aides to consumers. This bill is identical to AB 1863 which failed passage last year.
Oppose Died on the Assembly Appropriations Committee Suspense File.
AB 1400 Asm. Miguel Santiago
Developmental Services-Regional Centers: Would require all regional center contracts or agreements with service providers that provide in-home respite services to expressly require that at least 85% of regional center funds be spent on direct service expenditures, as defined.
Oppose Scheduled to be heard in the Senate Human Services Committee on July 14.
SB 3Sen. Mark Leno
Minimum wage: Would increase the minimum wage, on and after January 1, 2016, to not less than $11 per hour, and on and after July 1, 2017, to not less than $13 per hour and require, commencing January 1, 2019, and link automatic adjustment of the minimum wage to the California Consumer Price Index.
Oppose Scheduled to be heard in the Assembly Labor and Employment Committee on July 8.
SB 243Sen. Ed Hernandez
Medi-Cal Provider Reimbursement Rates: Would repeal implementation of prior year Medi-Cal rate reductions and increase provider payment rates for specified outpatient health care providers up to Medicare payment levels.
Support Died on the Senate Appropriations Committee Suspense File.
SB 390 Sen. Pat Bates
Home Health Skilled Nursing Services: Would remove the Title 22 requirement that specifies registered nurses and licensed vocational nurses shall have one year of prior professional nursing experience before being eligible for employment with a licensed home health agency and adds new requirements that a skills and competency training program be completed which includes at least 80 hours of clinical orientation, didactic, simulation, and hands-on training in the patient’s home.
Support if Amended
Hearing was cancelled at the request of the author. The Department of Public Health and the author are working on a solution.
State Bill Tracker
17CALIFORNIA ASSOCIATION FOR HEALTH SERVICES AT HOME
