Ambulatory surgical centers.
This legislative measure is anticipated to enhance patient access to cardiac procedures in a cost-effective environment. By allowing these procedures to be performed in ASCs, the bill aligns with Medicare regulations designed to support outpatient care. Notably, research suggests that utilizing ASCs for certain surgical procedures can significantly reduce healthcare costs for both Medicare and patients. The legislation aims to shift a portion of cardiac procedures from hospitals to ASCs, thus alleviating some pressure on hospital resources while ensuring that quality and safety standards remain high.
Assembly Bill 370, known as the California Outpatient Cardiology Patient Safety, Cost Reduction, and Quality Improvement Act, introduces significant updates to health facility regulations within California. The bill enables the State Department of Public Health to certify ambulatory surgical centers (ASCs) to perform elective cardiac catheterization procedures, such as percutaneous transluminal coronary angioplasty and stent placement. The certification will be limited to a maximum of 50 ASCs, with applications open until December 31, 2031. Additionally, the California Office of Statewide Health Planning and Development is mandated to report annually on the performance of certified ASCs, focusing on mortality and stroke rates.
The response to AB 370 appears largely favorable among proponents who view it as a progressive step towards improving outpatient care access while managing costs. Supporters argue that it builds upon the successes observed in similar settings and aligns with trends emphasizing lower-cost care delivery models without sacrificing quality. Conversely, while the bill has garnered substantial legislative support, concerns persist regarding the adequacy of infrastructure and safety protocols in ASCs, particularly in emergency scenarios, which may provoke scrutiny from healthcare providers and patient safety advocates.
One of the primary contentions surrounding AB 370 relates to the balance between expanded access to healthcare and the potential risks associated with performing complex procedures outside the hospital environment. Though data indicates a positive safety profile for similar procedures conducted in ASCs, some critics emphasize the absence of onsite surgical teams and facilities that hospitals typically provide. They worry that this gap could pose risks for high-risk patients or those requiring immediate post-operative care. Hence, the certification criteria and ongoing oversight of ASCs will be crucial to addressing these concerns and ensuring patient safety.