caa legislative update - the-caa.org legislative update.pdf · caa bill list - as of 9/15/2017 bill...
TRANSCRIPT
CAA LEGISLATIVE UPDATESEPTEMBER 20, 2017
ROSS ELLIOTT
LEGISLATIVE STRATEGIES FOR 2017
• Presence in Sacramento
• Legislative Advocate – Chris Micheli
• Legislative & Agency Relations Committee
• CAAPAC
TRACKING AND MONITORING BILLS
• 86 bills of interest at State level
• 4 bills of interest at federal level
PROACTIVELY PROPOSED LEGISLATION
• AB 697 (Fong) - Tolls: exemption for privately owned emergency ambulances
• AB 817 (Flora) – Employment (allows employers to require monitoring of radios/pagers)
• AB 1650 (Maienschein) – Community Paramedicine (Community Paramedic authorization bill: post-discharge; DOT; hospice; and frequent 911 user)
A FEW WORDS ABOUT…
• AB 263 (Rodriguez) – EMS Workers Bill of Rights
• SB 523 (Hernandez) – Ambulance QAF – tax to increase Medi-Cal reimbursement
DEVELOPMENT OF LEGISLATIVE CONCEPTS
• Toll Roads
• Rest Period Exemption
• Community Paramedic
• Assignment of Benefits
• Civil Liability
• Fairness in Insurance
• GEMT Expansion
• Gurney Vans
• Vehicle License Fee Exemption
• Minimum Wage Exemption
BRAINSTORMING
• What changes to State law would you like to see?
• What other things have you encountered in your work that would make it easier to provider service and reduce costs, if it were changed?
CAABillList-asof9/15/2017
Bill No. Author OfficialTitle Description CAAPosition Notes Status Asof Analysis
AB 697 FongTolls:exemptionforprivatelyownedemergencyambulances
Exemptsprivateambulancesfromtollroads,bridges,etcwhenrespondingtoanemergency Sponsor
amendmentmorecloselymatchesrequirementsoffire&law
stuckinSenTransportation;inactive;2-yrbill 9/16/17
draw
AB 817 Flora Employment
AllowsEMSemployerstorequireemployeesmonitorcommunicationdevicesduringrestperiods,withoutpenalty Sponsor
Stillincommittee;beingusedasleverageonAB263.2-yrbill
re-referredtoL&ECommittee;inactive'2-yrbill 4/17/17
draw
AB 1650Maienschein
Emergencymedicalservices:communityparamedicine
CommunityParamedicauthorizationbill:post-discharge;DOT;hospice;andfrequent911 Sponsor
Authorismakingthisa2-yearbill;nextactioninSept
StuckinAssemblyAppropriations;Inactive;2-yrbill 5/23/17
draw
Bill No. Author OfficialTitle Description CAAPosition Notes Status Asof
AB 5 GonzalesEmployers:OpportunitytoWorkAct
Toreducenumberofpart-timeworkers Oppose CalChamberjobkiller stuckinApprop. 5/26/17
temporaryvictory
AB 40 SantiagoCURESdatabase:healthinformationtechnologysystem
ReducesERdoc'sbarrierstomedicalhistory
SponsoredbyCalACEP enrolled 9/15/17
AB 43 ThurmondTaxation:prisoncontracts:goodsandservices
ImposesataxonthepriviledgeofcontractingwithStateprisons
Oppose,unlessamended
CalChamberhascoalitiontooppose stuckinApprop. 5/26/17
temporaryvictory
AB 150 Mathis Disabledpersons:rights:liabilityGivesbusinessesopportunitytofixADAcomplianceproblems stuckinJudiciary 4/4/17
AB 168 Eggman Employers:salaryinformation
Prohibitsemployersfromobtainingacandidate'ssalaryhistory,untiljoboffer
Oppose(partofcoalition)
CalChamberhascoalitiontooppose enrolled 9/15/17
loss
AB 191 WoodMentalhealth:involuntarytreatment
Allowsmarriage/familytherapistandclincialcounselortoholdpatientsfor72-hourevaluation chaptered 9/1/17
AB 259 GipsonHealthcarefacilities:emergencydepartments
Changedtomed.marijuanabill;nolongerrelevanttoCAA introduced 1/31/17
AB 263 Rodriguez
Emergencymedicalservicesworkers:rightsandworkingconditions
EMSWorkersBillofRights:restperiods,violenceprotections,PTSD
seekingamendments
Chrisissubmittingourrequestedchanges
approvedbyAppro;senttoSen.RulesComm;inactive;2-yrbill 9/1/17
draw
AB 281 SalasLaborCodePrivateAttorneysGeneralActof2004:penalties.
ProvidesemployersopportunitytofixtechnicalerrorstopreventPAGAlawsuits
stuckinL&Ecommittee 5/3/17
AB 387 ThurmondMinimumwage:healthprofessionals:interns
Requiresinternsworkingtowardscertificationinanalliedhealthfieldbepaidmin.wage. Oppose
JoinedCal-Chamberledcoalitiontooppose inactive;2-yrbill 6/1/17
temporaryvictory
AB 437 Rodriguez At-riskpersons:firstresponders
Createsonlinedatabasetoassistfirstrespondersininteractingwithdisabled/at-riskpersons
seeminglyinconsequentiallanguagerevision
stuckinApprop.;inactive 5/26/17
AB 450 Chiu
Employmentregulation:immigrationworksiteenforcementactions
Prohibitsanemployerfromprovidingafederalimmigrationenforcementagentaccesstoaplaceoflaborwithoutaproperlyexecutedwarrant enrolled 9/15/17
AB 451 ArambulaHealthfacilities:emergencyservicesandcare
Requireshospitalswithpsychunitstoprovideemergencypsychcare,eveniftheydon'toperateanER addingexemptions
StuckinSen.Approp;inactive 9/1/17
AB 470 Arambula
Medi-Cal:specialtymentalhealthservices:performanceoutcomesystem
Requiresdevelopmentofperformanceoutcomesystemforadultmentalhealthservices enrolled 9/13/17
AB 477Ridley-Thomas
BehavioralHealthStakeholderAdvisoryPanel
Createsadvisorypaneltoaddresstheneedsofthispopulation
stuckinHealthCommittee 4/25/17
AB 481 Thurmond Medi-Cal:administrativeclaimingspecialallowanceforlargeschooldistricts
stuckinHealthCommittee 4/18/17
AB 545 BigelowJointpowersagreements:CountyofElDorado:nonprofithospitals
Allowanceofnon-profithospitalinElDoradoCountytobememberofJPA
SignedbyGov;becomeslaw 7/24/17
AB 561 Voepel
Salesandusetaxes:exclusion:publicsafetyfirstrespondervehicleandequipment:localpublicemployeeretirement:employercontributions
Exemptspublicagenciesfrompayingsalestaxonnewvehicles,butrequiresequalamountbepaidintoretirementsystem
changeinGovtCodesectionnumber stuckinApprop. 5/26/17
AB 579Flora,Cooper
Apprenticeship:fireprotection:firefighterpreapprenticeshipprogram
Requiresdevelopmentofastatewidefirefighterpreapprenticeshipprogramdesignedtorecruitcandidatesfromunderrepresentedgroups enrolled 9/7/17
AB 583 WoodEmergencymedicalairtransportation
Extends$4surchargeontrafficfinesfrom2018to2028,forairambulance Support
approvedbyAssmHealth stuckinApprop. 5/26/17
AB 659Ridley-Thomas Medi-Cal:reimbursementrates
createsasmechanismforMedi-Calratesforlabsandlabservicestobeadjustedevery3years enrolled 9/15/17
AB 735Maienschein
Swimmingpools:AutomatedExternalDefibrillators
requiresAEDsforpoolsthathavelifeguardsandchargeforentry
stuckinApprop.;inactive 9/1/17
AB 820 Gipson
EmergencyMedicalServicesAuthority:taskforce:transportationalternatives.(wasCommunityparamedicineprogram)
DirectsEMSAtocreateataskforcetostudyalternatedestinationsformentalhealthpatients
2-yearbill;alternatedestinationcommunityparamedicbill
stuckinHealthCommittee 4/18/17
AB 831 PattersonPersonalincomeandcorporationtaxes:credits:compliance
createstaxcreditforcostsofcompliancewithstatelawsandregulations
changesapplicabilitytomicrobusinesses;notsmallbusiness stuckinApprop. 5/26/17
AB 839 E.GarciaMedi-Cal:targetedcasemanagement
expandsdefinitionoflocalgovernmentagencytoincludetribalorganization
nowusingfederallawtodefineanapplicableentity
stuckinApprop.;inactive 9/1/17
AB 871 Santiago Emergencyservices:appropriation.$3milliiongeneralfundcostfordisasterpreparedness;SEMStraining stuckinApprop. 5/26/17
AB 896 Rodriguez EmergencyServicesInclusionoftribesindisasterpreparednessagreements spotbill
neverheardbyanycommittee 2/17/17
AB 898 Frazier
Propertytaxation:revenueallocations:EastContraCostaFireProtectionDistrict
DivertslocalpropertytaxesfrompublicschoolsandparkstoaFireJPA.;applicableonlyinContraCostaCounty
stuckinLocalGovtcommittee 4/17/17
AB 909 Steinorth Emergencyresponse:traumakits
Requiresownersofa"traumaPAK"toregisterwithLEMSA;providesliabilityimmunity
changesfromamandatedactiontoastudytobeconductedbyState stuckinApprop. 5/26/17
AB 912 ObernolteSmallbusiness:CaliforniaSmallBusinessRegulatoryFairnessAct
RequiresStatetoassistsmallbusinessesincomplyingwithregulations;allowspenaltiestobewaivedinlimitedcircumstances
ChrisseekingCAA'sposition
CalChambersupports stuckinApprop. 5/26/17
AB 913 Gray
Construction-relatedaccessibilityclaims:extremelyhigh-frequencylitigants
Requiresahigh-frequencelitigant(morethan15suitsinayear)toobtaincourt'spersmissiontosueagain. stuckinJudiciary 3/28/17
AB 937 Eggman
Requestsregardingresuscitativemeasures:resolutionofconflictingorders
Makethemostrecentlysignedhealthcaredirectivetobethecontrollingdocument StuckinSen.Health 6/1/17
AB 1008 McCartyEmploymentdiscrimination:priorcriminalhistory
Prohibitanemployerfromaskingaboutcriminalhistoryuntilconditionalofferofemployment;requiresemployertoassesstheapplicantscriminalhistory.
Oppose,withCalChamber
5/30amendseemstoexemptparamedics&EMTsfromthisbill amended;enrolled 9/15/17
loss
AB 1116 GraysonPeerSupportandCrisisReferralServicesAct
Makecommunicationbetweenfirstresponderandacrisishotlineconfidential Support
toSenatefloor;movedtoinactive;2-yrbill 9/11/17
draw
AB 1119 Limon
Developmentalandmentalhealthservices:informationandrecords:confidentiality
Allowscommunicationofpatientinfotoemergencyservicesproviders enrolled 9/8/17
AB 1148 SteinorthCommercialproperty:disclosures:disabilityaccess
Narrowsapplicabilityofdisabilityaccessrequirementsforsomecommercialbuildings stuckinJudiciary 5/10/17
AB 1204 MayesPublichealth:emergencymedicalservices spotbill
stuckinHealthCommittee 5/9/17
AB 1209GonzalesFletcher
Employers:genderpaydifferentials
If250ormoreemployees,requiresdatacollectionandreportingtoState Oppose
PartofCalChamberopposecoalition enrolled 9/13/17
loss
AB 1240 FongHealthcarecoverage:essentialhealthbenefits spotbill introduced 2/17/17
AB 1250 Jones-SawyerCountiesandcities:contractsforpersonalservices
makesitmoredifficultforcountiestocontractoutforservices(includingambulanceservices) Oppose,asof6/5
Billnowexcludeschartercities
referredtoRLScommittee;2-yrbill 9/5/17
temporaryvictory
AB 1283 RodriguezVolunteerfirefighters:federalreimbursements
Volunteerfiredeptsthatreceivefederalfundingforpersonnelcostsmustpayvolunteersatleast20%ofcompensationofafull-timefirefighter
Doesn'tthismakethempaidemployeesinsteadofvolunteers? Inactive;2-yrbill 9/5/17
AB 1353 WaldronHealthcarecoverage:essentialhealthbenefits spotbill
stuckinHealthCommittee 4/25/17
AB 1372 LevineCrisisstabilizationunits:psychiatricpatients
Expandsauthorityofcrisisstabilizationunittooffermedicalservicesforitspatients inactive;2-yrbill 9/6/17
AB 1379 Thurmond Certifiedaccessspecialistprogram enrolled 9/7/17
AB 1410 Wood AirmedicalfundingextensionExtends$4surchargeontrafficfinesfrom2018to2020,forairambulance enrolled 9/14/17
AB 1429 FongLaborCodePrivateAttorneysGeneralActof2004
CapsPAGAlawsuitpenalitesat$10,000
stuckinL&Ecommittee 3/23/17
AB 1553 GomezEconomicdevelopment:CapitalAccessLoanProgram
allowsuseofADA-compliancegrantmoniestobeusedforloanpayments enrolled 9/15/17
AB 1565 Thurmond
Workhours:overtimecompensation:executive,administrative,orprofessionalemployees.
Increasesthresholdfordefiningexemptemployees,forpurposesofovertime
Partofcoaltioninopposition inactive;2-yrbill 9/16/17
temporaryvictory
AB 1643 BontaHealthcarecoverage:blueribboncommission
CreatecommissiontoensurehealthcoverageforallCalifornians
Chrisseekingmoreinfo
CAAshouldseekseatonthispanel stuckinApprop. 5/26/17
ACA 11 Caballero
CaliforniaMiddleClassAffordableHousingandHomelessShelter:funding
Imposes0.25%salestaxonallretailsales,incluidngexcisetaxof0.25%basedonsaleprice.
referredtocommittee 8/22/17
SB 33 Dodd
Contractsforgoodsorservices:waiver:fraud,identitytheft,andwrongfuluseofpersonalidentifyinginformation.
unfairlyattackstheuseofarbitrationagreementsinconsumercontracts Neutral
CalChamberjobkiller enrolled 9/7/17
draw
SB 62 JacksonAffordableSeniorHousingActof2017
billisnowaboutaffordablehousingforseniors
NowseemsirrelevanttoCAA
WasaCalChamberjobkiller,beforeamendment
HeldinAssmApprop;inactive 9/1/17
SB 63 JacksonUnlawfulemploymentpractice:parentalleave
mandates12weeksofparentalleavetobondwithnewchild;addsprohibitionstoensureproperimplemenation CalChamberjobkiller enrolled 9/15/17
SB 158 MonningCommercialdriver’slicense:education
Deletesrequirementforformaltrainingtoobtainacommericaldriverslicense
HeldinAssmApprop;inactive 9/1/17
SB 199 HernandezTheCaliforniaHealthCareCost,Quality,andEquityAtlas
RequirescreationofanadvisorycommitteetoCHHSAgencytoaddresshealthcareaccessandequity
HeldinAssmApprop;inactive 9/1/17
SB 220 PanMedi-CalChildren’sHealthAdvisoryPanel Panelmembershiprevision
Chrisseekingmoreinfo
CAAshouldseekseatonthispanel enrolled 9/7/17
SB 302 MendozaJointpowersagencies:fireprotection:funds
requirescountyfundsdesignatedforfireprotectionbedepositedwithfireJPA
Withcurrentamend,nolongerrelevanttoCAA enrolled 9/15/17
SB 306 HertzbergRetaliationactions:complaints:administrativereview
Authorizesadditionalcourtactionsandpenalitesinadditiontoadministrativeactionsandpenalites Oppose
PartofCalChambercoalitiontooppose enrolled 9/15/17
loss
SB 347 Jackson StateRemotePilotedAircraftActEstablishesregulationsforflyingdrones;requiresliabilityinsurance inactive;2-yrbill 6/27/17
SB 359 GalgianiProfessionsandvocations:militarymedicalpersonnel
Tomaketransitionoflicensingmilitaryparamedictocivilianparamediceasier
stuckinRulesCommittee 2/23/17
SB 374 NewmanHealthinsurance:discriminatorypractices:mentalhealth
requiresinsuranceplansprovidementalhealthservicesconsistentwithfederalrequirements Chaptered 7/31/17
SB 432 Pan Emergencymedicalservices
RequireshospitalstonotifypublichealthofficerandEMScrewofpossiblediseaseexposure enrolled 9/15/17
SB 443 Hernandez
Pharmacy:emergencymedicalservicesautomateddrugdeliverysystem
AuthorizesuseofautomateddrugdispensingdevicetobeusedinEMS enrolled 9/14/17
SB 456 Pan
Medi-Calmanagedcare:federallyqualifiedhealthcentersandruralhealthclinics:servicesthatfollowthepatient
ExpandsservicesthatFQHCscanofferandbereimbursedthroughMedi-Cal suspense;inactive 9/1/17
SB 491 BradfordCivilrights:discrimination:enforcement
allowslocalentitiestoenforcestatelawtoprohibitdiscrimination enrolled 9/15/17
SB 523 Hernandez Medi-Cal ambulanceQAFbill Support enrolled 9/13/17 victory
SB 524 VidakEmploymentViolations:GoodFaithDense support
stuckinSenatecommittee 4/26/17
draw
SB 538 Monning HospitalContracts
HealthCareMarketFairnessActof2017,prohibitscontractsbetweenhospitalsandhealthcareserviceplans/insurersthat1)setpaymentratesfornonparticipatingaffiliates,2)keepthecontract’spaymentratesconfidentialfromanypayor,and3)requiresarbitrationfordisputeresolutionoverclaims.Noncompliancebecomesacrime.
oppose,aspartofcoalition
JobkillerperCalChamber
Billstalled;nowa2-yearbill 7/7/17
temporaryvictory
SB 555 MorrellRegulations:5-yearreviewandreport.
Requiresperiodicreivewoftheimpactsofregulations
ChrisseekingCAA'sposition
CalChambersupports
stuckinSenatecommittee 3/28/17
SB 562 LaraCaliforniansForAHealthyCaliforniaAct
Establishesuniversalsingle-payerhealthcaresysteminCalifornia
JobkillerperCalChamber suspense;inactive 6/1/17
SB 565 PortantinoMentalhealth:involuntarycommitment.
Requiresnotificationoffamily36hourspriortohearing chaptered 9/1/17
SB 566 McGuire
Telecommunications:Warren-911-EmergencyAssistanceAct:notificationofruraloutages
RequirestelephoneserviceprovidertonotifyOESw/in60minutesof911serviceoutage
stuckinSenatecommittee 4/6/17
SB 567 Lara Taxation MillionaireTaxAccountabiliityAct inactive;2-yrbill 6/1/17
SB 587 AtkinsEmergencyvehicles:bluewarninglights
Authorizesprobationofficerstohavebluelightsontheirvehicles enrolled 9/7/17
SB 608 Hernandez
Medi-Cal:HospitalQualityAssuranceRevenueFund:directgrants benefitspublichospitals
HeldinSenApprop;inactive;2-yrbill 9/1/17
SB 645 Roth StateDepartmentofPublicHealthambulanceimmunityforpscyhinterfacilitytransfer
CalACEPbill;spotbill
stuckinSenatecommittee 3/2/17
SB 662 Berryhill Employment:workhours spotbillstuckinSenatecommittee 3/9/17
SB 726 WienerTaxation:estate,gift,andgeneration-skippingtransfertaxes
Imposesdeath/estatetaxonestatesvaluedat$5.5millionormore. oppose
Joincoalitioninoppposition
stuckinSenatecommittee 4/20/17
temporaryvictory
SB 729 Stone Localemergencies:stateresponse
intenttoestablishstateresponsetimestoalocaldeclarationofemergency spotbill
stuckinSenatecommittee 4/5/17
SB 753 Stone Employment:mealperiods spotbillstuckinSenatecommittee 3/9/17
SB 772 LeyvaOccupationalsafetyandhealth:regulations
exemptsalloccupationalsafetyandhealthstandardsandordersfromtheimpactanalysisrequirement
Assemblyfloor;3rdreading 9/7/17
SCA 10 MoorlachPublicemployeeretirementbenefits
Requires2/3voteofpublictoincreaseanypublicagencyretirementbenefit introduced 2/17/17
HR 304 Hudson
ProtectingPatientAccesstoEmergencyMedicationsActof2017
ToamendtheControlledSubstancesActwithregardtotheprovisionofemergencymedicalservices. Support PassedbyHouse 1/9/17
victory
HR 408 KingAmericanFutureHealthcareActof2017
ToamendtheInternalRevenueCodeof1986toexpandhealthsavingsaccounts,andforotherpurposes. Introduced 1/10/17
HR 3236 NunesAmbulanceMedicareBudgetandOperationsActof2017
ImproveproviderandsuppliercostreportingofambulanceservicesundertheMedicareprogram…extendsMedicarerateadjustmentsto2023 AAASupports WaysandMeans 7/13/17
S 967 Stabenow
MedicareAmbulanceAccess,FraudPrevention,andReformActof2017
Makesurban,rural,andsuper-ruralMedicarepaymentspermanent Support Introduced 4/27/17
draw 35.0% 7victory 10.0% 2
temporaryvictory35.0% 7
89 loss 20.0% 420