Assembly Bill No. 1411 CHAPTER 386 An act to add Chapter 14 (commencing with Section 1797.8) to Division 2 of the Health and Safety Code, relating to health care facilities. [ Approved by Governor September 30, 2017. Filed with Secretary of State September 30, 2017. ] LEGISLATIVE COUNSEL'S DIGESTAB 1411, Cristina Garcia. Health care facilities: rehabilitation innovation centers.Existing law provides for the licensure and regulation of specialty clinics, including rehabilitation clinics. Existing law defines a rehabilitation clinic as a clinic that, in addition to providing medical services directly, also provides physical rehabilitation services for patients who remain less than 24 hours. Existing law requires a rehabilitation clinic to provide at least 2 of certain specified rehabilitation services, including, among others, physical therapy and occupational therapy.This bill would define a rehabilitation innovation center as a not-for-profit or government-owned rehabilitation facility that meets specified criteria.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NO Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. This act shall be known and may be cited as the Preserving Rehabilitation Innovation Centers Act of 2017.SEC. 2. The Legislature finds and declares all of the following:(a) In the United States, there are an estimated 1,181 inpatient rehabilitation facilities. Among these facilities is a small group of inpatient rehabilitation institutions that are contributing to the future of rehabilitation care medicine, as well as to patient recovery, scientific innovation, and quality of life.(b) This unique category of inpatient rehabilitation institutions treats the most complex patient conditions, such as traumatic brain injury, stroke, spinal cord injury, childhood disease, burns, and wartime injuries.(c) These leading inpatient rehabilitation institutions are all not-for-profit or government-owned institutions and serve a high volume of Medicare or Medicaid beneficiaries.(d) These leading inpatient rehabilitation institutions have been recognized by the federal government for their contributions to cutting-edge research to develop solutions that enhance quality of care, improve patient outcomes, and reduce health care costs.(e) These leading inpatient rehabilitation institutions help to improve the practice and standard of rehabilitation medicine across the nation in urban, suburban, and rural communities by training physicians, medical students, and other clinicians, and providing care to patients from all 50 states.(f) It is vital that these leading inpatient rehabilitation institutions are supported so they can continue to lead the nations efforts to advance integrated, multidisciplinary rehabilitation research; provide cutting-edge medical care to the most complex rehabilitation patients; serve as education and training facilities for the physicians, nurses, and other health professionals who serve rehabilitation patients; ensure Medicare and Medicaid beneficiaries receive state-of-the-art, high-quality rehabilitation care by developing and disseminating best practices and advancing the quality of care utilized by post-acute providers in all 50 states; and support other inpatient rehabilitation institutions in rural areas to help ensure access to quality post-acute care for patients living in these communities.SEC. 3. Chapter 14 (commencing with Section 1797.8) is added to Division 2 of the Health and Safety Code, to read: CHAPTER 14. Rehabilitation Innovation Centers1797.8. For purposes of this chapter, rehabilitation innovation center means a not-for-profit or government-owned rehabilitation facility that meets all of the following:(a) Is classified as a not-for-profit entity or as a government-owned institution under the Centers for Medicare and Medicaid Services Provider of Services file.(b) Holds at least one federal rehabilitation research and training designation for research projects on traumatic brain injury, spinal cord injury, or stroke rehabilitation research from the Rehabilitation Research and Training Centers, the Rehabilitation Engineering Research Center, or the Model Spinal Cord Injury Systems at the National Institute on Disability, Independent Living, and Rehabilitation Research at the federal Department of Health and Human Services.(c) Has at least 200 Medi-Cal discharges per year. Assembly Bill No. 1411 CHAPTER 386 An act to add Chapter 14 (commencing with Section 1797.8) to Division 2 of the Health and Safety Code, relating to health care facilities. [ Approved by Governor September 30, 2017. Filed with Secretary of State September 30, 2017. ] LEGISLATIVE COUNSEL'S DIGESTAB 1411, Cristina Garcia. Health care facilities: rehabilitation innovation centers.Existing law provides for the licensure and regulation of specialty clinics, including rehabilitation clinics. Existing law defines a rehabilitation clinic as a clinic that, in addition to providing medical services directly, also provides physical rehabilitation services for patients who remain less than 24 hours. Existing law requires a rehabilitation clinic to provide at least 2 of certain specified rehabilitation services, including, among others, physical therapy and occupational therapy.This bill would define a rehabilitation innovation center as a not-for-profit or government-owned rehabilitation facility that meets specified criteria.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NO Local Program: NO Assembly Bill No. 1411 CHAPTER 386 An act to add Chapter 14 (commencing with Section 1797.8) to Division 2 of the Health and Safety Code, relating to health care facilities. [ Approved by Governor September 30, 2017. Filed with Secretary of State September 30, 2017. ] LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 1411, Cristina Garcia. Health care facilities: rehabilitation innovation centers. Existing law provides for the licensure and regulation of specialty clinics, including rehabilitation clinics. Existing law defines a rehabilitation clinic as a clinic that, in addition to providing medical services directly, also provides physical rehabilitation services for patients who remain less than 24 hours. Existing law requires a rehabilitation clinic to provide at least 2 of certain specified rehabilitation services, including, among others, physical therapy and occupational therapy.This bill would define a rehabilitation innovation center as a not-for-profit or government-owned rehabilitation facility that meets specified criteria. Existing law provides for the licensure and regulation of specialty clinics, including rehabilitation clinics. Existing law defines a rehabilitation clinic as a clinic that, in addition to providing medical services directly, also provides physical rehabilitation services for patients who remain less than 24 hours. Existing law requires a rehabilitation clinic to provide at least 2 of certain specified rehabilitation services, including, among others, physical therapy and occupational therapy. This bill would define a rehabilitation innovation center as a not-for-profit or government-owned rehabilitation facility that meets specified criteria. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. This act shall be known and may be cited as the Preserving Rehabilitation Innovation Centers Act of 2017.SEC. 2. The Legislature finds and declares all of the following:(a) In the United States, there are an estimated 1,181 inpatient rehabilitation facilities. Among these facilities is a small group of inpatient rehabilitation institutions that are contributing to the future of rehabilitation care medicine, as well as to patient recovery, scientific innovation, and quality of life.(b) This unique category of inpatient rehabilitation institutions treats the most complex patient conditions, such as traumatic brain injury, stroke, spinal cord injury, childhood disease, burns, and wartime injuries.(c) These leading inpatient rehabilitation institutions are all not-for-profit or government-owned institutions and serve a high volume of Medicare or Medicaid beneficiaries.(d) These leading inpatient rehabilitation institutions have been recognized by the federal government for their contributions to cutting-edge research to develop solutions that enhance quality of care, improve patient outcomes, and reduce health care costs.(e) These leading inpatient rehabilitation institutions help to improve the practice and standard of rehabilitation medicine across the nation in urban, suburban, and rural communities by training physicians, medical students, and other clinicians, and providing care to patients from all 50 states.(f) It is vital that these leading inpatient rehabilitation institutions are supported so they can continue to lead the nations efforts to advance integrated, multidisciplinary rehabilitation research; provide cutting-edge medical care to the most complex rehabilitation patients; serve as education and training facilities for the physicians, nurses, and other health professionals who serve rehabilitation patients; ensure Medicare and Medicaid beneficiaries receive state-of-the-art, high-quality rehabilitation care by developing and disseminating best practices and advancing the quality of care utilized by post-acute providers in all 50 states; and support other inpatient rehabilitation institutions in rural areas to help ensure access to quality post-acute care for patients living in these communities.SEC. 3. Chapter 14 (commencing with Section 1797.8) is added to Division 2 of the Health and Safety Code, to read: CHAPTER 14. Rehabilitation Innovation Centers1797.8. For purposes of this chapter, rehabilitation innovation center means a not-for-profit or government-owned rehabilitation facility that meets all of the following:(a) Is classified as a not-for-profit entity or as a government-owned institution under the Centers for Medicare and Medicaid Services Provider of Services file.(b) Holds at least one federal rehabilitation research and training designation for research projects on traumatic brain injury, spinal cord injury, or stroke rehabilitation research from the Rehabilitation Research and Training Centers, the Rehabilitation Engineering Research Center, or the Model Spinal Cord Injury Systems at the National Institute on Disability, Independent Living, and Rehabilitation Research at the federal Department of Health and Human Services.(c) Has at least 200 Medi-Cal discharges per year. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. This act shall be known and may be cited as the Preserving Rehabilitation Innovation Centers Act of 2017. SECTION 1. This act shall be known and may be cited as the Preserving Rehabilitation Innovation Centers Act of 2017. ### SECTION 1. SEC. 2. The Legislature finds and declares all of the following:(a) In the United States, there are an estimated 1,181 inpatient rehabilitation facilities. Among these facilities is a small group of inpatient rehabilitation institutions that are contributing to the future of rehabilitation care medicine, as well as to patient recovery, scientific innovation, and quality of life.(b) This unique category of inpatient rehabilitation institutions treats the most complex patient conditions, such as traumatic brain injury, stroke, spinal cord injury, childhood disease, burns, and wartime injuries.(c) These leading inpatient rehabilitation institutions are all not-for-profit or government-owned institutions and serve a high volume of Medicare or Medicaid beneficiaries.(d) These leading inpatient rehabilitation institutions have been recognized by the federal government for their contributions to cutting-edge research to develop solutions that enhance quality of care, improve patient outcomes, and reduce health care costs.(e) These leading inpatient rehabilitation institutions help to improve the practice and standard of rehabilitation medicine across the nation in urban, suburban, and rural communities by training physicians, medical students, and other clinicians, and providing care to patients from all 50 states.(f) It is vital that these leading inpatient rehabilitation institutions are supported so they can continue to lead the nations efforts to advance integrated, multidisciplinary rehabilitation research; provide cutting-edge medical care to the most complex rehabilitation patients; serve as education and training facilities for the physicians, nurses, and other health professionals who serve rehabilitation patients; ensure Medicare and Medicaid beneficiaries receive state-of-the-art, high-quality rehabilitation care by developing and disseminating best practices and advancing the quality of care utilized by post-acute providers in all 50 states; and support other inpatient rehabilitation institutions in rural areas to help ensure access to quality post-acute care for patients living in these communities. SEC. 2. The Legislature finds and declares all of the following:(a) In the United States, there are an estimated 1,181 inpatient rehabilitation facilities. Among these facilities is a small group of inpatient rehabilitation institutions that are contributing to the future of rehabilitation care medicine, as well as to patient recovery, scientific innovation, and quality of life.(b) This unique category of inpatient rehabilitation institutions treats the most complex patient conditions, such as traumatic brain injury, stroke, spinal cord injury, childhood disease, burns, and wartime injuries.(c) These leading inpatient rehabilitation institutions are all not-for-profit or government-owned institutions and serve a high volume of Medicare or Medicaid beneficiaries.(d) These leading inpatient rehabilitation institutions have been recognized by the federal government for their contributions to cutting-edge research to develop solutions that enhance quality of care, improve patient outcomes, and reduce health care costs.(e) These leading inpatient rehabilitation institutions help to improve the practice and standard of rehabilitation medicine across the nation in urban, suburban, and rural communities by training physicians, medical students, and other clinicians, and providing care to patients from all 50 states.(f) It is vital that these leading inpatient rehabilitation institutions are supported so they can continue to lead the nations efforts to advance integrated, multidisciplinary rehabilitation research; provide cutting-edge medical care to the most complex rehabilitation patients; serve as education and training facilities for the physicians, nurses, and other health professionals who serve rehabilitation patients; ensure Medicare and Medicaid beneficiaries receive state-of-the-art, high-quality rehabilitation care by developing and disseminating best practices and advancing the quality of care utilized by post-acute providers in all 50 states; and support other inpatient rehabilitation institutions in rural areas to help ensure access to quality post-acute care for patients living in these communities. SEC. 2. The Legislature finds and declares all of the following: ### SEC. 2. (a) In the United States, there are an estimated 1,181 inpatient rehabilitation facilities. Among these facilities is a small group of inpatient rehabilitation institutions that are contributing to the future of rehabilitation care medicine, as well as to patient recovery, scientific innovation, and quality of life. (b) This unique category of inpatient rehabilitation institutions treats the most complex patient conditions, such as traumatic brain injury, stroke, spinal cord injury, childhood disease, burns, and wartime injuries. (c) These leading inpatient rehabilitation institutions are all not-for-profit or government-owned institutions and serve a high volume of Medicare or Medicaid beneficiaries. (d) These leading inpatient rehabilitation institutions have been recognized by the federal government for their contributions to cutting-edge research to develop solutions that enhance quality of care, improve patient outcomes, and reduce health care costs. (e) These leading inpatient rehabilitation institutions help to improve the practice and standard of rehabilitation medicine across the nation in urban, suburban, and rural communities by training physicians, medical students, and other clinicians, and providing care to patients from all 50 states. (f) It is vital that these leading inpatient rehabilitation institutions are supported so they can continue to lead the nations efforts to advance integrated, multidisciplinary rehabilitation research; provide cutting-edge medical care to the most complex rehabilitation patients; serve as education and training facilities for the physicians, nurses, and other health professionals who serve rehabilitation patients; ensure Medicare and Medicaid beneficiaries receive state-of-the-art, high-quality rehabilitation care by developing and disseminating best practices and advancing the quality of care utilized by post-acute providers in all 50 states; and support other inpatient rehabilitation institutions in rural areas to help ensure access to quality post-acute care for patients living in these communities. SEC. 3. Chapter 14 (commencing with Section 1797.8) is added to Division 2 of the Health and Safety Code, to read: CHAPTER 14. Rehabilitation Innovation Centers1797.8. For purposes of this chapter, rehabilitation innovation center means a not-for-profit or government-owned rehabilitation facility that meets all of the following:(a) Is classified as a not-for-profit entity or as a government-owned institution under the Centers for Medicare and Medicaid Services Provider of Services file.(b) Holds at least one federal rehabilitation research and training designation for research projects on traumatic brain injury, spinal cord injury, or stroke rehabilitation research from the Rehabilitation Research and Training Centers, the Rehabilitation Engineering Research Center, or the Model Spinal Cord Injury Systems at the National Institute on Disability, Independent Living, and Rehabilitation Research at the federal Department of Health and Human Services.(c) Has at least 200 Medi-Cal discharges per year. SEC. 3. Chapter 14 (commencing with Section 1797.8) is added to Division 2 of the Health and Safety Code, to read: ### SEC. 3. CHAPTER 14. Rehabilitation Innovation Centers1797.8. For purposes of this chapter, rehabilitation innovation center means a not-for-profit or government-owned rehabilitation facility that meets all of the following:(a) Is classified as a not-for-profit entity or as a government-owned institution under the Centers for Medicare and Medicaid Services Provider of Services file.(b) Holds at least one federal rehabilitation research and training designation for research projects on traumatic brain injury, spinal cord injury, or stroke rehabilitation research from the Rehabilitation Research and Training Centers, the Rehabilitation Engineering Research Center, or the Model Spinal Cord Injury Systems at the National Institute on Disability, Independent Living, and Rehabilitation Research at the federal Department of Health and Human Services.(c) Has at least 200 Medi-Cal discharges per year. CHAPTER 14. Rehabilitation Innovation Centers1797.8. For purposes of this chapter, rehabilitation innovation center means a not-for-profit or government-owned rehabilitation facility that meets all of the following:(a) Is classified as a not-for-profit entity or as a government-owned institution under the Centers for Medicare and Medicaid Services Provider of Services file.(b) Holds at least one federal rehabilitation research and training designation for research projects on traumatic brain injury, spinal cord injury, or stroke rehabilitation research from the Rehabilitation Research and Training Centers, the Rehabilitation Engineering Research Center, or the Model Spinal Cord Injury Systems at the National Institute on Disability, Independent Living, and Rehabilitation Research at the federal Department of Health and Human Services.(c) Has at least 200 Medi-Cal discharges per year. CHAPTER 14. Rehabilitation Innovation Centers CHAPTER 14. Rehabilitation Innovation Centers 1797.8. For purposes of this chapter, rehabilitation innovation center means a not-for-profit or government-owned rehabilitation facility that meets all of the following:(a) Is classified as a not-for-profit entity or as a government-owned institution under the Centers for Medicare and Medicaid Services Provider of Services file.(b) Holds at least one federal rehabilitation research and training designation for research projects on traumatic brain injury, spinal cord injury, or stroke rehabilitation research from the Rehabilitation Research and Training Centers, the Rehabilitation Engineering Research Center, or the Model Spinal Cord Injury Systems at the National Institute on Disability, Independent Living, and Rehabilitation Research at the federal Department of Health and Human Services.(c) Has at least 200 Medi-Cal discharges per year. 1797.8. For purposes of this chapter, rehabilitation innovation center means a not-for-profit or government-owned rehabilitation facility that meets all of the following: (a) Is classified as a not-for-profit entity or as a government-owned institution under the Centers for Medicare and Medicaid Services Provider of Services file. (b) Holds at least one federal rehabilitation research and training designation for research projects on traumatic brain injury, spinal cord injury, or stroke rehabilitation research from the Rehabilitation Research and Training Centers, the Rehabilitation Engineering Research Center, or the Model Spinal Cord Injury Systems at the National Institute on Disability, Independent Living, and Rehabilitation Research at the federal Department of Health and Human Services. (c) Has at least 200 Medi-Cal discharges per year.