CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 1585Introduced by Committee on Health (Assembly Members Wood (Chair), Mayes (Vice Chair), Aguiar-Curry, Bigelow, Bonta, Burke, Carrillo, Flora, and Waldron)March 11, 2021 An act to amend Section 1255.9 of the Health and Safety Code, relating to health facilities. LEGISLATIVE COUNSEL'S DIGESTAB 1585, as introduced, Committee on Health. Skilled nursing facilities: Infection Preventionists.Existing law provides for the licensure and regulation of health facilities, including skilled nursing facilities, by the State Department of Public Health. Existing law requires a skilled nursing facility to have a full-time, dedicated Infection Preventionist (IP), who is a registered nurse or licensed vocational nurse. A violation of these provisions is a misdemeanor.This bill would revise the required qualifications for the IP to require an IP to have primary professional training as a licensed nurse, medical technologist, microbiologist, epidemiologist, public health professional, or other health care related field. The bill would also require the IP to be qualified by education, training, clinical or healthcare experience, or certification, and to have completed specialized training in infection prevention and control. By expanding existing requirements, the bill would expand an existing crime, thereby imposing a state-mandated local program.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for a specified reason.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 1255.9 of the Health and Safety Code is amended to read:1255.9. (a) (1) A skilled nursing facility shall have a full-time, dedicated Infection Preventionist (IP).(2) The IP role may be filled either by one full-time IP staff member or by two staff members sharing the IP responsibilities, as long as the total time dedicated to the IP role equals at least the time of one full-time staff member.(3)The IP shall be a registered nurse or licensed vocational nurse and shall not be included in the calculation of three and one-half hours of direct patient care per day provided to skilled nursing facility residents.(3) The IP shall meet the following requirements:(A) Have primary professional training as a licensed nurse, medical technologist, microbiologist, epidemiologist, public health professional, or other health care related field.(B) Be qualified by education, training, clinical or health care experience, or certification.(C) Have completed specialized training in infection prevention and control.(4) The IP shall not be included in the calculation of three and one-half hours of direct patient care per day provided to skilled nursing facility residents.(b) A skilled nursing facility shall have a plan in place for infection prevention quality control.(c) A skilled nursing facility shall ensure all health care personnel receive infection prevention and control training on an annual basis.SEC. 2. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 1585Introduced by Committee on Health (Assembly Members Wood (Chair), Mayes (Vice Chair), Aguiar-Curry, Bigelow, Bonta, Burke, Carrillo, Flora, and Waldron)March 11, 2021 An act to amend Section 1255.9 of the Health and Safety Code, relating to health facilities. LEGISLATIVE COUNSEL'S DIGESTAB 1585, as introduced, Committee on Health. Skilled nursing facilities: Infection Preventionists.Existing law provides for the licensure and regulation of health facilities, including skilled nursing facilities, by the State Department of Public Health. Existing law requires a skilled nursing facility to have a full-time, dedicated Infection Preventionist (IP), who is a registered nurse or licensed vocational nurse. A violation of these provisions is a misdemeanor.This bill would revise the required qualifications for the IP to require an IP to have primary professional training as a licensed nurse, medical technologist, microbiologist, epidemiologist, public health professional, or other health care related field. The bill would also require the IP to be qualified by education, training, clinical or healthcare experience, or certification, and to have completed specialized training in infection prevention and control. By expanding existing requirements, the bill would expand an existing crime, thereby imposing a state-mandated local program.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for a specified reason.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 1585 Introduced by Committee on Health (Assembly Members Wood (Chair), Mayes (Vice Chair), Aguiar-Curry, Bigelow, Bonta, Burke, Carrillo, Flora, and Waldron)March 11, 2021 Introduced by Committee on Health (Assembly Members Wood (Chair), Mayes (Vice Chair), Aguiar-Curry, Bigelow, Bonta, Burke, Carrillo, Flora, and Waldron) March 11, 2021 An act to amend Section 1255.9 of the Health and Safety Code, relating to health facilities. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 1585, as introduced, Committee on Health. Skilled nursing facilities: Infection Preventionists. Existing law provides for the licensure and regulation of health facilities, including skilled nursing facilities, by the State Department of Public Health. Existing law requires a skilled nursing facility to have a full-time, dedicated Infection Preventionist (IP), who is a registered nurse or licensed vocational nurse. A violation of these provisions is a misdemeanor.This bill would revise the required qualifications for the IP to require an IP to have primary professional training as a licensed nurse, medical technologist, microbiologist, epidemiologist, public health professional, or other health care related field. The bill would also require the IP to be qualified by education, training, clinical or healthcare experience, or certification, and to have completed specialized training in infection prevention and control. By expanding existing requirements, the bill would expand an existing crime, thereby imposing a state-mandated local program.The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that no reimbursement is required by this act for a specified reason. Existing law provides for the licensure and regulation of health facilities, including skilled nursing facilities, by the State Department of Public Health. Existing law requires a skilled nursing facility to have a full-time, dedicated Infection Preventionist (IP), who is a registered nurse or licensed vocational nurse. A violation of these provisions is a misdemeanor. This bill would revise the required qualifications for the IP to require an IP to have primary professional training as a licensed nurse, medical technologist, microbiologist, epidemiologist, public health professional, or other health care related field. The bill would also require the IP to be qualified by education, training, clinical or healthcare experience, or certification, and to have completed specialized training in infection prevention and control. By expanding existing requirements, the bill would expand an existing crime, thereby imposing a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. Section 1255.9 of the Health and Safety Code is amended to read:1255.9. (a) (1) A skilled nursing facility shall have a full-time, dedicated Infection Preventionist (IP).(2) The IP role may be filled either by one full-time IP staff member or by two staff members sharing the IP responsibilities, as long as the total time dedicated to the IP role equals at least the time of one full-time staff member.(3)The IP shall be a registered nurse or licensed vocational nurse and shall not be included in the calculation of three and one-half hours of direct patient care per day provided to skilled nursing facility residents.(3) The IP shall meet the following requirements:(A) Have primary professional training as a licensed nurse, medical technologist, microbiologist, epidemiologist, public health professional, or other health care related field.(B) Be qualified by education, training, clinical or health care experience, or certification.(C) Have completed specialized training in infection prevention and control.(4) The IP shall not be included in the calculation of three and one-half hours of direct patient care per day provided to skilled nursing facility residents.(b) A skilled nursing facility shall have a plan in place for infection prevention quality control.(c) A skilled nursing facility shall ensure all health care personnel receive infection prevention and control training on an annual basis.SEC. 2. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. Section 1255.9 of the Health and Safety Code is amended to read:1255.9. (a) (1) A skilled nursing facility shall have a full-time, dedicated Infection Preventionist (IP).(2) The IP role may be filled either by one full-time IP staff member or by two staff members sharing the IP responsibilities, as long as the total time dedicated to the IP role equals at least the time of one full-time staff member.(3)The IP shall be a registered nurse or licensed vocational nurse and shall not be included in the calculation of three and one-half hours of direct patient care per day provided to skilled nursing facility residents.(3) The IP shall meet the following requirements:(A) Have primary professional training as a licensed nurse, medical technologist, microbiologist, epidemiologist, public health professional, or other health care related field.(B) Be qualified by education, training, clinical or health care experience, or certification.(C) Have completed specialized training in infection prevention and control.(4) The IP shall not be included in the calculation of three and one-half hours of direct patient care per day provided to skilled nursing facility residents.(b) A skilled nursing facility shall have a plan in place for infection prevention quality control.(c) A skilled nursing facility shall ensure all health care personnel receive infection prevention and control training on an annual basis. SECTION 1. Section 1255.9 of the Health and Safety Code is amended to read: ### SECTION 1. 1255.9. (a) (1) A skilled nursing facility shall have a full-time, dedicated Infection Preventionist (IP).(2) The IP role may be filled either by one full-time IP staff member or by two staff members sharing the IP responsibilities, as long as the total time dedicated to the IP role equals at least the time of one full-time staff member.(3)The IP shall be a registered nurse or licensed vocational nurse and shall not be included in the calculation of three and one-half hours of direct patient care per day provided to skilled nursing facility residents.(3) The IP shall meet the following requirements:(A) Have primary professional training as a licensed nurse, medical technologist, microbiologist, epidemiologist, public health professional, or other health care related field.(B) Be qualified by education, training, clinical or health care experience, or certification.(C) Have completed specialized training in infection prevention and control.(4) The IP shall not be included in the calculation of three and one-half hours of direct patient care per day provided to skilled nursing facility residents.(b) A skilled nursing facility shall have a plan in place for infection prevention quality control.(c) A skilled nursing facility shall ensure all health care personnel receive infection prevention and control training on an annual basis. 1255.9. (a) (1) A skilled nursing facility shall have a full-time, dedicated Infection Preventionist (IP).(2) The IP role may be filled either by one full-time IP staff member or by two staff members sharing the IP responsibilities, as long as the total time dedicated to the IP role equals at least the time of one full-time staff member.(3)The IP shall be a registered nurse or licensed vocational nurse and shall not be included in the calculation of three and one-half hours of direct patient care per day provided to skilled nursing facility residents.(3) The IP shall meet the following requirements:(A) Have primary professional training as a licensed nurse, medical technologist, microbiologist, epidemiologist, public health professional, or other health care related field.(B) Be qualified by education, training, clinical or health care experience, or certification.(C) Have completed specialized training in infection prevention and control.(4) The IP shall not be included in the calculation of three and one-half hours of direct patient care per day provided to skilled nursing facility residents.(b) A skilled nursing facility shall have a plan in place for infection prevention quality control.(c) A skilled nursing facility shall ensure all health care personnel receive infection prevention and control training on an annual basis. 1255.9. (a) (1) A skilled nursing facility shall have a full-time, dedicated Infection Preventionist (IP).(2) The IP role may be filled either by one full-time IP staff member or by two staff members sharing the IP responsibilities, as long as the total time dedicated to the IP role equals at least the time of one full-time staff member.(3)The IP shall be a registered nurse or licensed vocational nurse and shall not be included in the calculation of three and one-half hours of direct patient care per day provided to skilled nursing facility residents.(3) The IP shall meet the following requirements:(A) Have primary professional training as a licensed nurse, medical technologist, microbiologist, epidemiologist, public health professional, or other health care related field.(B) Be qualified by education, training, clinical or health care experience, or certification.(C) Have completed specialized training in infection prevention and control.(4) The IP shall not be included in the calculation of three and one-half hours of direct patient care per day provided to skilled nursing facility residents.(b) A skilled nursing facility shall have a plan in place for infection prevention quality control.(c) A skilled nursing facility shall ensure all health care personnel receive infection prevention and control training on an annual basis. 1255.9. (a) (1) A skilled nursing facility shall have a full-time, dedicated Infection Preventionist (IP). (2) The IP role may be filled either by one full-time IP staff member or by two staff members sharing the IP responsibilities, as long as the total time dedicated to the IP role equals at least the time of one full-time staff member. (3)The IP shall be a registered nurse or licensed vocational nurse and shall not be included in the calculation of three and one-half hours of direct patient care per day provided to skilled nursing facility residents. (3) The IP shall meet the following requirements: (A) Have primary professional training as a licensed nurse, medical technologist, microbiologist, epidemiologist, public health professional, or other health care related field. (B) Be qualified by education, training, clinical or health care experience, or certification. (C) Have completed specialized training in infection prevention and control. (4) The IP shall not be included in the calculation of three and one-half hours of direct patient care per day provided to skilled nursing facility residents. (b) A skilled nursing facility shall have a plan in place for infection prevention quality control. (c) A skilled nursing facility shall ensure all health care personnel receive infection prevention and control training on an annual basis. SEC. 2. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. SEC. 2. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. SEC. 2. No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution. ### SEC. 2.