California 2019-2020 Regular Session

California Assembly Bill AB204

Introduced
1/14/19  
Introduced
1/14/19  
Refer
2/4/19  
Refer
2/4/19  
Report Pass
3/20/19  
Report Pass
3/20/19  
Refer
3/20/19  
Refer
4/10/19  
Refer
4/10/19  
Report Pass
5/16/19  
Engrossed
5/23/19  
Refer
5/24/19  
Refer
5/24/19  
Refer
6/6/19  
Refer
6/6/19  
Report Pass
6/28/19  
Refer
6/28/19  
Refer
6/28/19  
Report Pass
7/10/19  
Report Pass
7/10/19  
Refer
7/10/19  
Refer
7/10/19  
Refer
8/12/19  
Report Pass
8/30/19  
Report Pass
8/30/19  
Enrolled
9/10/19  
Enrolled
9/10/19  
Chaptered
10/7/19  
Passed
10/7/19  

Caption

Hospitals: community benefits plan reporting.

Impact

The bill significantly impacts state laws surrounding healthcare delivery and accountability. By requiring hospitals to publicly disclose their community benefit contributions and the machinery behind their assessments, it aims to ensure that the social obligations of these not-for-profit institutions are met. The revised definitions within the law clarify what constitutes community benefits, inadvertently ensuring that activities done for marketing purposes are excluded, thereby maintaining the integrity of the definitions. This aspect is particularly pivotal for enhancing accountability in how hospitals allocate resources towards community health.

Summary

Assembly Bill No. 204, known as the community benefits plan reporting act, aims to enforce stricter compliance and transparency requirements on private not-for-profit hospitals regarding their community benefit plans. The bill mandates that hospitals adopt, update, and submit annual community benefits plans to the Office of Statewide Health Planning and Development. These plans must detail the hospitals' contribution to community needs, including providing services for vulnerable populations. The legislation emphasizes accountability by allowing the state to impose fines of up to $5,000 on hospitals that fail to comply with the reporting requirements.

Sentiment

General sentiment around AB 204 appears to be supportive among those advocating for community health improvements, as it addresses transparency and accountability. Legislators and healthcare advocates asserting that hospitals have a social responsibility to serve their communities view the mandatory reporting requirements as a positive step forward. However, there are concerns voiced by some hospital administrators regarding the burdensome nature of the reporting requirements, fearing that it could divert resources away from patient care or lead to penalties without a fair allowance for extensions.

Contention

One notable point of contention arises from rural hospitals, which may struggle to meet the stringent requirements outlined in AB 204 due to resource limitations. They worry that the definition revisions might exclude essential programs that currently benefit their communities. Conversely, supporters argue that the bill will lead to more focused and meaningful community benefits by ensuring that resources are not misallocated to less impactful programs. There is further debate about whether the imposed fines would create an undue hardship on hospitals already facing economic pressures.

Companion Bills

No companion bills found.

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