Assigned to HEA & APPROP                                                                                            FOR COMMITTEE

 

 


 

ARIZONA STATE SENATE

Phoenix, Arizona

 

FACT SHEET FOR S.B. 1311

 

health care institutions; licensure

 

Purpose

 

Makes numerous changes to the health care institution statutes and authorizes the Department of Health Services (DHS) to use monies generated from fines levied against certain health care institutions for the relocation of residents from closed facilities and to maintain a facility pending closure or correct facility deficiencies.

 

Background

 

DHS is responsible for protecting the public’s health, safety and welfare through licensing and regulating facilities that provide health care services.  These duties are carried out by the Division of Assurance and Licensure Services (ALS), which is responsible for providing accurate and accessible information to the public regarding the quality of facilities.  Currently, DHS licenses 3,239 health care institutions, including assisted living facilities, behavioral health facilities, child care facilities, long-term care facilities and medical facilities.

 

In 1999, the Office of the Auditor General (OAG), in a performance audit of ALS, recommended strengthening DHS’ enforcement authority by increasing civil fine amounts and expanding the use of civil fines against providers.  Additionally, the OAG recommended requiring all licensed health care providers to post the availability of regulatory information and make this information available in an area readily accessible to all consumers.  S.B. 1311 implements the OAG recommendations by increasing civil penalties for violations of regulations for health care institutions and requiring institutions to post a notice identifying where inspection reports are available for public review.

 

Additionally, DHS has the statutory authority to pay for: relocation costs of nursing care institution residents to other facilities, maintenance of operation of a facility pending correction of the deficiencies or closure and reimbursement of residents for personal monies lost at nursing care institutions (A.R.S. 36-431.02).  The funds used to pay these costs come from federally established civil fines levied against nursing care institutions.  Fines levied against other health care institutions are established at the state level and are transferred into the state general fund.  Currently, when a health care institution, other than a nursing care institution, is closed, residents are relocated to other facilities, which absorb the relocation costs.  S.B. 1311 redirects fines levied against health care institutions, other than nursing care institutions, from the state general fund to DHS to defray the costs associated with relocating residents or patients of certain types of health care institutions that are closed or pending closure.

 


According to DHS, the amount of civil fines collected from health care institutions, excluding nursing care institutions, during FY 1999-2000 was approximately $91,000.  For the current fiscal year, DHS has collected approximately $64,000 in civil fines from health care institutions, excluding nursing care institutions.

 

Provisions

 

1.      Establishes the health care institution emergency revolving fund in DHS and authorizes DHS to use fund monies to transfer or relocate residents or patients from closing or closed facilities, run a facility pending closure or correct facility deficiencies.

 

2.      Specifies fund monies are exempt from lapsing and are continuously appropriated.

 

3.      Defines “licensed capacity".

 

4.      Clarifies all fees collected from health care institutions are nonrefundable.

 

5.      Clarifies fees are due for initial licensure and licensure renewal.

 

6.      Exempts adult foster care residential settings and state agencies that operate a licensed health care institution from licensure fee requirements.

 

7.      Requires a licensed health care institution to maintain DHS inspection reports at the institution and conspicuously post a notice identifying where the reports are available for review.

 

8.      Stipulates inspection reports are subject to statutory confidentiality requirements relating to hospital and surgical center utilization reviews, peer reviews and patient treatment records and communications.

 

9.      Outlines the criteria DHS must consider in determining a civil penalty against a health care institution.

 

10.  Increases, from $300 to $500, the maximum civil penalty DHS may assess against a health care institution.

 

11.  Contains numerous conforming and technical changes.

 

12.  Provides for a general effective date.

 

 

Prepared by Senate Staff

February 2, 2001