California 2025-2026 Regular Session

California Assembly Bill AB1196 Compare Versions

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1-Amended IN Assembly March 17, 2025 CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION Assembly Bill No. 1196Introduced by Assembly Member GallagherFebruary 21, 2025An act to amend Section 1317 of add Section 1255.4 to the Health and Safety Code, relating to health facilities.LEGISLATIVE COUNSEL'S DIGESTAB 1196, as amended, Gallagher. Health facilities: emergency services. cardiac surgery.Existing law provides for the licensure and regulation of health facilities, including general acute care hospitals, by the State Department of Public Health. Existing law requires a health facility that maintains and operates an emergency department to provide emergency services and care to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, if the facility has appropriate facilities and qualified personnel available to provide the services or care. authorizes a general acute care hospital to be approved to offer special services, including, among others, cardiac surgery. Existing regulation requires, when a general acute care hospital is providing cardiovascular operative service, that a minimum of 3 surgeons constitute a surgical team if the procedure requires extracorporeal bypass. Violation of these provisions is a crime.This bill would make technical, nonsubstantive changes to these provisions. instead require, when a general acute care hospital is performing cardiac surgery, that the surgical team for all cardiovascular operative procedures that require extracorporeal bypass consist of a minimum of one surgeon and 2 additional individuals, each of whom is either a physicians assistant or a registered nurse that meets specified requirements. The bill would require the department, on or before January 1, 2027, to amend its regulations to be consistent with these provisions. By changing the definition of a crime, this bill would impose 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: NOYES Local Program: NOYES Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 1255.4 is added to the Health and Safety Code, to read:1255.4. (a) When a general acute care hospital is performing cardiac surgery, a minimum of one surgeon who meets the requirements of Section 70435(b)(1) of Title 22 of the California Code of Regulations, and two additional individuals, each of whom is either a physicians assistant or a registered nurse that meets the requirements established in Sections 70706 and 70706.1 of Title 22 of the California Code of Regulations, shall constitute a surgical team for the performance of all cardiovascular operative procedures that require extracorporeal bypass.(b) On or before January 1, 2027, the department shall amend its regulations to be consistent with this section.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.SECTION 1.Section 1317 of the Health and Safety Code is amended to read:1317.(a)Emergency services and care shall be provided to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, at any health facility licensed under this chapter that maintains and operates an emergency department to provide emergency services to the public if the health facility has appropriate facilities and qualified personnel available to provide the services or care.(b)The provision of emergency services and care shall not be based upon, or affected by, the persons ethnicity, citizenship, age, preexisting medical condition, insurance status, economic status, ability to pay for medical services, or any other characteristic listed or defined in subdivision (b) or (e) of Section 51 of the Civil Code, except to the extent that a circumstance such as age, sex, preexisting medical condition, or physical or mental disability is medically significant to the provision of appropriate medical care to the patient.(c)A health facility, its employees, or a any physician and surgeon, dentist, clinical psychologist, or podiatrist shall not be liable in an action arising out of a refusal to render emergency services or care if the refusal is based on the determination, exercising reasonable care, that the person is not suffering from an emergency medical condition, or that the health facility does not have the appropriate facilities or qualified personnel available to render those services.(d)Emergency services and care shall be rendered without first questioning the patient or any other person as to their ability to pay. However, the patient or their legally responsible relative or guardian shall execute an agreement to pay or otherwise supply insurance or credit information promptly after the services are rendered.(e)If a health facility subject to this chapter does not maintain an emergency department, its employees shall nevertheless exercise reasonable care to determine whether an emergency exists and shall direct the persons seeking emergency care to a nearby facility that can render the needed services, and shall assist the persons seeking emergency care in obtaining the services, including transportation services, in every way reasonable under the circumstances.(f)A general acute care hospital or acute psychiatric hospital shall not require a person who voluntarily seeks care to be in custody pursuant to Section 5150 of the Welfare and Institutions Code as a condition of accepting a transfer of that person after their written consent for treatment and transfer is documented or in the absence of evidence of probable cause for detention, as defined in Section 5150.05 of the Welfare and Institutions Code.(g)An act or omission of a rescue team established by a health facility licensed under this chapter, or operated by the federal or state government, a county, or by the Regents of the University of California, done or omitted while attempting to resuscitate a person who is in immediate danger of loss of life shall not impose any liability upon the health facility, the officers, members of the staff, nurses, or employees of the health facility, including, but not limited to, the members of the rescue team, or upon the federal or state government or a county, if good faith is exercised.(h)Rescue team, as used in this section, means a special group of physicians and surgeons, nurses, and employees of a health facility who have been trained in cardiopulmonary resuscitation and have been designated by the health facility to attempt, in cases of emergency, to resuscitate a person who is in immediate danger of loss of life.(i)This section does not relieve a health facility of any duty otherwise imposed by law upon the health facility for the designation and training of members of a rescue team or for the provision or maintenance of equipment to be used by a rescue team.
1+CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION Assembly Bill No. 1196Introduced by Assembly Member GallagherFebruary 21, 2025 An act to amend Section 1317 of the Health and Safety Code, relating to health facilities.LEGISLATIVE COUNSEL'S DIGESTAB 1196, as introduced, Gallagher. Health facilities: emergency services.Existing law provides for the licensure and regulation of health facilities, including hospitals, by the State Department of Public Health. Existing law requires a health facility that maintains and operates an emergency department to provide emergency services and care to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, if the facility has appropriate facilities and qualified personnel available to provide the services or care. Violation of these provisions is a crime.This bill would make technical, nonsubstantive changes to these provisions.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. Section 1317 of the Health and Safety Code is amended to read:1317. (a) Emergency services and care shall be provided to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, at any health facility licensed under this chapter that maintains and operates an emergency department to provide emergency services to the public when if the health facility has appropriate facilities and qualified personnel available to provide the services or care.(b) In no event shall the The provision of emergency services and care shall not be based upon, or affected by, the persons ethnicity, citizenship, age, preexisting medical condition, insurance status, economic status, ability to pay for medical services, or any other characteristic listed or defined in subdivision (b) or (e) of Section 51 of the Civil Code, except to the extent that a circumstance such as age, sex, preexisting medical condition, or physical or mental disability is medically significant to the provision of appropriate medical care to the patient.(c) Neither the A health facility, its employees, nor or a any physician and surgeon, dentist, clinical psychologist, or podiatrist shall not be liable in any an action arising out of a refusal to render emergency services or care if the refusal is based on the determination, exercising reasonable care, that the person is not suffering from an emergency medical condition, or that the health facility does not have the appropriate facilities or qualified personnel available to render those services.(d) Emergency services and care shall be rendered without first questioning the patient or any other person as to his or her their ability to pay therefor. pay. However, the patient or his or her their legally responsible relative or guardian shall execute an agreement to pay therefor or otherwise supply insurance or credit information promptly after the services are rendered.(e) If a health facility subject to this chapter does not maintain an emergency department, its employees shall nevertheless exercise reasonable care to determine whether an emergency exists and shall direct the persons seeking emergency care to a nearby facility that can render the needed services, and shall assist the persons seeking emergency care in obtaining the services, including transportation services, in every way reasonable under the circumstances.(f) A general acute care hospital or acute psychiatric hospital shall not require a person who voluntarily seeks care to be in custody pursuant to Section 5150 of the Welfare and Institutions Code as a condition of accepting a transfer of that person after his or her their written consent for treatment and transfer is documented or in the absence of evidence of probable cause for detention, as defined in Section 5150.05 of the Welfare and Institutions Code.(g) An act or omission of a rescue team established by a health facility licensed under this chapter, or operated by the federal or state government, a county, or by the Regents of the University of California, done or omitted while attempting to resuscitate a person who is in immediate danger of loss of life shall not impose any liability upon the health facility, the officers, members of the staff, nurses, or employees of the health facility, including, but not limited to, the members of the rescue team, or upon the federal or state government or a county, if good faith is exercised.(h) Rescue team, as used in this section, means a special group of physicians and surgeons, nurses, and employees of a health facility who have been trained in cardiopulmonary resuscitation and have been designated by the health facility to attempt, in cases of emergency, to resuscitate persons who are a person who is in immediate danger of loss of life.(i) This section does not relieve a health facility of any duty otherwise imposed by law upon the health facility for the designation and training of members of a rescue team or for the provision or maintenance of equipment to be used by a rescue team.
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3- Amended IN Assembly March 17, 2025 CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION Assembly Bill No. 1196Introduced by Assembly Member GallagherFebruary 21, 2025An act to amend Section 1317 of add Section 1255.4 to the Health and Safety Code, relating to health facilities.LEGISLATIVE COUNSEL'S DIGESTAB 1196, as amended, Gallagher. Health facilities: emergency services. cardiac surgery.Existing law provides for the licensure and regulation of health facilities, including general acute care hospitals, by the State Department of Public Health. Existing law requires a health facility that maintains and operates an emergency department to provide emergency services and care to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, if the facility has appropriate facilities and qualified personnel available to provide the services or care. authorizes a general acute care hospital to be approved to offer special services, including, among others, cardiac surgery. Existing regulation requires, when a general acute care hospital is providing cardiovascular operative service, that a minimum of 3 surgeons constitute a surgical team if the procedure requires extracorporeal bypass. Violation of these provisions is a crime.This bill would make technical, nonsubstantive changes to these provisions. instead require, when a general acute care hospital is performing cardiac surgery, that the surgical team for all cardiovascular operative procedures that require extracorporeal bypass consist of a minimum of one surgeon and 2 additional individuals, each of whom is either a physicians assistant or a registered nurse that meets specified requirements. The bill would require the department, on or before January 1, 2027, to amend its regulations to be consistent with these provisions. By changing the definition of a crime, this bill would impose 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: NOYES Local Program: NOYES
3+ CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION Assembly Bill No. 1196Introduced by Assembly Member GallagherFebruary 21, 2025 An act to amend Section 1317 of the Health and Safety Code, relating to health facilities.LEGISLATIVE COUNSEL'S DIGESTAB 1196, as introduced, Gallagher. Health facilities: emergency services.Existing law provides for the licensure and regulation of health facilities, including hospitals, by the State Department of Public Health. Existing law requires a health facility that maintains and operates an emergency department to provide emergency services and care to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, if the facility has appropriate facilities and qualified personnel available to provide the services or care. Violation of these provisions is a crime.This bill would make technical, nonsubstantive changes to these provisions.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: NO Local Program: NO
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5- Amended IN Assembly March 17, 2025
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7-Amended IN Assembly March 17, 2025
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99 CALIFORNIA LEGISLATURE 20252026 REGULAR SESSION
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1111 Assembly Bill
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1313 No. 1196
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1515 Introduced by Assembly Member GallagherFebruary 21, 2025
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1717 Introduced by Assembly Member Gallagher
1818 February 21, 2025
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20-An act to amend Section 1317 of add Section 1255.4 to the Health and Safety Code, relating to health facilities.
20+ An act to amend Section 1317 of the Health and Safety Code, relating to health facilities.
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2222 LEGISLATIVE COUNSEL'S DIGEST
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2424 ## LEGISLATIVE COUNSEL'S DIGEST
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26-AB 1196, as amended, Gallagher. Health facilities: emergency services. cardiac surgery.
26+AB 1196, as introduced, Gallagher. Health facilities: emergency services.
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28-Existing law provides for the licensure and regulation of health facilities, including general acute care hospitals, by the State Department of Public Health. Existing law requires a health facility that maintains and operates an emergency department to provide emergency services and care to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, if the facility has appropriate facilities and qualified personnel available to provide the services or care. authorizes a general acute care hospital to be approved to offer special services, including, among others, cardiac surgery. Existing regulation requires, when a general acute care hospital is providing cardiovascular operative service, that a minimum of 3 surgeons constitute a surgical team if the procedure requires extracorporeal bypass. Violation of these provisions is a crime.This bill would make technical, nonsubstantive changes to these provisions. instead require, when a general acute care hospital is performing cardiac surgery, that the surgical team for all cardiovascular operative procedures that require extracorporeal bypass consist of a minimum of one surgeon and 2 additional individuals, each of whom is either a physicians assistant or a registered nurse that meets specified requirements. The bill would require the department, on or before January 1, 2027, to amend its regulations to be consistent with these provisions. By changing the definition of a crime, this bill would impose 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.
28+Existing law provides for the licensure and regulation of health facilities, including hospitals, by the State Department of Public Health. Existing law requires a health facility that maintains and operates an emergency department to provide emergency services and care to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, if the facility has appropriate facilities and qualified personnel available to provide the services or care. Violation of these provisions is a crime.This bill would make technical, nonsubstantive changes to these provisions.
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30-Existing law provides for the licensure and regulation of health facilities, including general acute care hospitals, by the State Department of Public Health. Existing law requires a health facility that maintains and operates an emergency department to provide emergency services and care to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, if the facility has appropriate facilities and qualified personnel available to provide the services or care. authorizes a general acute care hospital to be approved to offer special services, including, among others, cardiac surgery. Existing regulation requires, when a general acute care hospital is providing cardiovascular operative service, that a minimum of 3 surgeons constitute a surgical team if the procedure requires extracorporeal bypass. Violation of these provisions is a crime.
30+Existing law provides for the licensure and regulation of health facilities, including hospitals, by the State Department of Public Health. Existing law requires a health facility that maintains and operates an emergency department to provide emergency services and care to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, if the facility has appropriate facilities and qualified personnel available to provide the services or care. Violation of these provisions is a crime.
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32-This bill would make technical, nonsubstantive changes to these provisions. instead require, when a general acute care hospital is performing cardiac surgery, that the surgical team for all cardiovascular operative procedures that require extracorporeal bypass consist of a minimum of one surgeon and 2 additional individuals, each of whom is either a physicians assistant or a registered nurse that meets specified requirements. The bill would require the department, on or before January 1, 2027, to amend its regulations to be consistent with these provisions. By changing the definition of a crime, this bill would impose a state-mandated local program.
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34-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.
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36-This bill would provide that no reimbursement is required by this act for a specified reason.
32+This bill would make technical, nonsubstantive changes to these provisions.
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3834 ## Digest Key
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4036 ## Bill Text
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42-The people of the State of California do enact as follows:SECTION 1. Section 1255.4 is added to the Health and Safety Code, to read:1255.4. (a) When a general acute care hospital is performing cardiac surgery, a minimum of one surgeon who meets the requirements of Section 70435(b)(1) of Title 22 of the California Code of Regulations, and two additional individuals, each of whom is either a physicians assistant or a registered nurse that meets the requirements established in Sections 70706 and 70706.1 of Title 22 of the California Code of Regulations, shall constitute a surgical team for the performance of all cardiovascular operative procedures that require extracorporeal bypass.(b) On or before January 1, 2027, the department shall amend its regulations to be consistent with this section.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.SECTION 1.Section 1317 of the Health and Safety Code is amended to read:1317.(a)Emergency services and care shall be provided to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, at any health facility licensed under this chapter that maintains and operates an emergency department to provide emergency services to the public if the health facility has appropriate facilities and qualified personnel available to provide the services or care.(b)The provision of emergency services and care shall not be based upon, or affected by, the persons ethnicity, citizenship, age, preexisting medical condition, insurance status, economic status, ability to pay for medical services, or any other characteristic listed or defined in subdivision (b) or (e) of Section 51 of the Civil Code, except to the extent that a circumstance such as age, sex, preexisting medical condition, or physical or mental disability is medically significant to the provision of appropriate medical care to the patient.(c)A health facility, its employees, or a any physician and surgeon, dentist, clinical psychologist, or podiatrist shall not be liable in an action arising out of a refusal to render emergency services or care if the refusal is based on the determination, exercising reasonable care, that the person is not suffering from an emergency medical condition, or that the health facility does not have the appropriate facilities or qualified personnel available to render those services.(d)Emergency services and care shall be rendered without first questioning the patient or any other person as to their ability to pay. However, the patient or their legally responsible relative or guardian shall execute an agreement to pay or otherwise supply insurance or credit information promptly after the services are rendered.(e)If a health facility subject to this chapter does not maintain an emergency department, its employees shall nevertheless exercise reasonable care to determine whether an emergency exists and shall direct the persons seeking emergency care to a nearby facility that can render the needed services, and shall assist the persons seeking emergency care in obtaining the services, including transportation services, in every way reasonable under the circumstances.(f)A general acute care hospital or acute psychiatric hospital shall not require a person who voluntarily seeks care to be in custody pursuant to Section 5150 of the Welfare and Institutions Code as a condition of accepting a transfer of that person after their written consent for treatment and transfer is documented or in the absence of evidence of probable cause for detention, as defined in Section 5150.05 of the Welfare and Institutions Code.(g)An act or omission of a rescue team established by a health facility licensed under this chapter, or operated by the federal or state government, a county, or by the Regents of the University of California, done or omitted while attempting to resuscitate a person who is in immediate danger of loss of life shall not impose any liability upon the health facility, the officers, members of the staff, nurses, or employees of the health facility, including, but not limited to, the members of the rescue team, or upon the federal or state government or a county, if good faith is exercised.(h)Rescue team, as used in this section, means a special group of physicians and surgeons, nurses, and employees of a health facility who have been trained in cardiopulmonary resuscitation and have been designated by the health facility to attempt, in cases of emergency, to resuscitate a person who is in immediate danger of loss of life.(i)This section does not relieve a health facility of any duty otherwise imposed by law upon the health facility for the designation and training of members of a rescue team or for the provision or maintenance of equipment to be used by a rescue team.
38+The people of the State of California do enact as follows:SECTION 1. Section 1317 of the Health and Safety Code is amended to read:1317. (a) Emergency services and care shall be provided to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, at any health facility licensed under this chapter that maintains and operates an emergency department to provide emergency services to the public when if the health facility has appropriate facilities and qualified personnel available to provide the services or care.(b) In no event shall the The provision of emergency services and care shall not be based upon, or affected by, the persons ethnicity, citizenship, age, preexisting medical condition, insurance status, economic status, ability to pay for medical services, or any other characteristic listed or defined in subdivision (b) or (e) of Section 51 of the Civil Code, except to the extent that a circumstance such as age, sex, preexisting medical condition, or physical or mental disability is medically significant to the provision of appropriate medical care to the patient.(c) Neither the A health facility, its employees, nor or a any physician and surgeon, dentist, clinical psychologist, or podiatrist shall not be liable in any an action arising out of a refusal to render emergency services or care if the refusal is based on the determination, exercising reasonable care, that the person is not suffering from an emergency medical condition, or that the health facility does not have the appropriate facilities or qualified personnel available to render those services.(d) Emergency services and care shall be rendered without first questioning the patient or any other person as to his or her their ability to pay therefor. pay. However, the patient or his or her their legally responsible relative or guardian shall execute an agreement to pay therefor or otherwise supply insurance or credit information promptly after the services are rendered.(e) If a health facility subject to this chapter does not maintain an emergency department, its employees shall nevertheless exercise reasonable care to determine whether an emergency exists and shall direct the persons seeking emergency care to a nearby facility that can render the needed services, and shall assist the persons seeking emergency care in obtaining the services, including transportation services, in every way reasonable under the circumstances.(f) A general acute care hospital or acute psychiatric hospital shall not require a person who voluntarily seeks care to be in custody pursuant to Section 5150 of the Welfare and Institutions Code as a condition of accepting a transfer of that person after his or her their written consent for treatment and transfer is documented or in the absence of evidence of probable cause for detention, as defined in Section 5150.05 of the Welfare and Institutions Code.(g) An act or omission of a rescue team established by a health facility licensed under this chapter, or operated by the federal or state government, a county, or by the Regents of the University of California, done or omitted while attempting to resuscitate a person who is in immediate danger of loss of life shall not impose any liability upon the health facility, the officers, members of the staff, nurses, or employees of the health facility, including, but not limited to, the members of the rescue team, or upon the federal or state government or a county, if good faith is exercised.(h) Rescue team, as used in this section, means a special group of physicians and surgeons, nurses, and employees of a health facility who have been trained in cardiopulmonary resuscitation and have been designated by the health facility to attempt, in cases of emergency, to resuscitate persons who are a person who is in immediate danger of loss of life.(i) This section does not relieve a health facility of any duty otherwise imposed by law upon the health facility for the designation and training of members of a rescue team or for the provision or maintenance of equipment to be used by a rescue team.
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4440 The people of the State of California do enact as follows:
4541
4642 ## The people of the State of California do enact as follows:
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48-SECTION 1. Section 1255.4 is added to the Health and Safety Code, to read:1255.4. (a) When a general acute care hospital is performing cardiac surgery, a minimum of one surgeon who meets the requirements of Section 70435(b)(1) of Title 22 of the California Code of Regulations, and two additional individuals, each of whom is either a physicians assistant or a registered nurse that meets the requirements established in Sections 70706 and 70706.1 of Title 22 of the California Code of Regulations, shall constitute a surgical team for the performance of all cardiovascular operative procedures that require extracorporeal bypass.(b) On or before January 1, 2027, the department shall amend its regulations to be consistent with this section.
44+SECTION 1. Section 1317 of the Health and Safety Code is amended to read:1317. (a) Emergency services and care shall be provided to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, at any health facility licensed under this chapter that maintains and operates an emergency department to provide emergency services to the public when if the health facility has appropriate facilities and qualified personnel available to provide the services or care.(b) In no event shall the The provision of emergency services and care shall not be based upon, or affected by, the persons ethnicity, citizenship, age, preexisting medical condition, insurance status, economic status, ability to pay for medical services, or any other characteristic listed or defined in subdivision (b) or (e) of Section 51 of the Civil Code, except to the extent that a circumstance such as age, sex, preexisting medical condition, or physical or mental disability is medically significant to the provision of appropriate medical care to the patient.(c) Neither the A health facility, its employees, nor or a any physician and surgeon, dentist, clinical psychologist, or podiatrist shall not be liable in any an action arising out of a refusal to render emergency services or care if the refusal is based on the determination, exercising reasonable care, that the person is not suffering from an emergency medical condition, or that the health facility does not have the appropriate facilities or qualified personnel available to render those services.(d) Emergency services and care shall be rendered without first questioning the patient or any other person as to his or her their ability to pay therefor. pay. However, the patient or his or her their legally responsible relative or guardian shall execute an agreement to pay therefor or otherwise supply insurance or credit information promptly after the services are rendered.(e) If a health facility subject to this chapter does not maintain an emergency department, its employees shall nevertheless exercise reasonable care to determine whether an emergency exists and shall direct the persons seeking emergency care to a nearby facility that can render the needed services, and shall assist the persons seeking emergency care in obtaining the services, including transportation services, in every way reasonable under the circumstances.(f) A general acute care hospital or acute psychiatric hospital shall not require a person who voluntarily seeks care to be in custody pursuant to Section 5150 of the Welfare and Institutions Code as a condition of accepting a transfer of that person after his or her their written consent for treatment and transfer is documented or in the absence of evidence of probable cause for detention, as defined in Section 5150.05 of the Welfare and Institutions Code.(g) An act or omission of a rescue team established by a health facility licensed under this chapter, or operated by the federal or state government, a county, or by the Regents of the University of California, done or omitted while attempting to resuscitate a person who is in immediate danger of loss of life shall not impose any liability upon the health facility, the officers, members of the staff, nurses, or employees of the health facility, including, but not limited to, the members of the rescue team, or upon the federal or state government or a county, if good faith is exercised.(h) Rescue team, as used in this section, means a special group of physicians and surgeons, nurses, and employees of a health facility who have been trained in cardiopulmonary resuscitation and have been designated by the health facility to attempt, in cases of emergency, to resuscitate persons who are a person who is in immediate danger of loss of life.(i) This section does not relieve a health facility of any duty otherwise imposed by law upon the health facility for the designation and training of members of a rescue team or for the provision or maintenance of equipment to be used by a rescue team.
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50-SECTION 1. Section 1255.4 is added to the Health and Safety Code, to read:
46+SECTION 1. Section 1317 of the Health and Safety Code is amended to read:
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5248 ### SECTION 1.
5349
54-1255.4. (a) When a general acute care hospital is performing cardiac surgery, a minimum of one surgeon who meets the requirements of Section 70435(b)(1) of Title 22 of the California Code of Regulations, and two additional individuals, each of whom is either a physicians assistant or a registered nurse that meets the requirements established in Sections 70706 and 70706.1 of Title 22 of the California Code of Regulations, shall constitute a surgical team for the performance of all cardiovascular operative procedures that require extracorporeal bypass.(b) On or before January 1, 2027, the department shall amend its regulations to be consistent with this section.
50+1317. (a) Emergency services and care shall be provided to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, at any health facility licensed under this chapter that maintains and operates an emergency department to provide emergency services to the public when if the health facility has appropriate facilities and qualified personnel available to provide the services or care.(b) In no event shall the The provision of emergency services and care shall not be based upon, or affected by, the persons ethnicity, citizenship, age, preexisting medical condition, insurance status, economic status, ability to pay for medical services, or any other characteristic listed or defined in subdivision (b) or (e) of Section 51 of the Civil Code, except to the extent that a circumstance such as age, sex, preexisting medical condition, or physical or mental disability is medically significant to the provision of appropriate medical care to the patient.(c) Neither the A health facility, its employees, nor or a any physician and surgeon, dentist, clinical psychologist, or podiatrist shall not be liable in any an action arising out of a refusal to render emergency services or care if the refusal is based on the determination, exercising reasonable care, that the person is not suffering from an emergency medical condition, or that the health facility does not have the appropriate facilities or qualified personnel available to render those services.(d) Emergency services and care shall be rendered without first questioning the patient or any other person as to his or her their ability to pay therefor. pay. However, the patient or his or her their legally responsible relative or guardian shall execute an agreement to pay therefor or otherwise supply insurance or credit information promptly after the services are rendered.(e) If a health facility subject to this chapter does not maintain an emergency department, its employees shall nevertheless exercise reasonable care to determine whether an emergency exists and shall direct the persons seeking emergency care to a nearby facility that can render the needed services, and shall assist the persons seeking emergency care in obtaining the services, including transportation services, in every way reasonable under the circumstances.(f) A general acute care hospital or acute psychiatric hospital shall not require a person who voluntarily seeks care to be in custody pursuant to Section 5150 of the Welfare and Institutions Code as a condition of accepting a transfer of that person after his or her their written consent for treatment and transfer is documented or in the absence of evidence of probable cause for detention, as defined in Section 5150.05 of the Welfare and Institutions Code.(g) An act or omission of a rescue team established by a health facility licensed under this chapter, or operated by the federal or state government, a county, or by the Regents of the University of California, done or omitted while attempting to resuscitate a person who is in immediate danger of loss of life shall not impose any liability upon the health facility, the officers, members of the staff, nurses, or employees of the health facility, including, but not limited to, the members of the rescue team, or upon the federal or state government or a county, if good faith is exercised.(h) Rescue team, as used in this section, means a special group of physicians and surgeons, nurses, and employees of a health facility who have been trained in cardiopulmonary resuscitation and have been designated by the health facility to attempt, in cases of emergency, to resuscitate persons who are a person who is in immediate danger of loss of life.(i) This section does not relieve a health facility of any duty otherwise imposed by law upon the health facility for the designation and training of members of a rescue team or for the provision or maintenance of equipment to be used by a rescue team.
5551
56-1255.4. (a) When a general acute care hospital is performing cardiac surgery, a minimum of one surgeon who meets the requirements of Section 70435(b)(1) of Title 22 of the California Code of Regulations, and two additional individuals, each of whom is either a physicians assistant or a registered nurse that meets the requirements established in Sections 70706 and 70706.1 of Title 22 of the California Code of Regulations, shall constitute a surgical team for the performance of all cardiovascular operative procedures that require extracorporeal bypass.(b) On or before January 1, 2027, the department shall amend its regulations to be consistent with this section.
52+1317. (a) Emergency services and care shall be provided to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, at any health facility licensed under this chapter that maintains and operates an emergency department to provide emergency services to the public when if the health facility has appropriate facilities and qualified personnel available to provide the services or care.(b) In no event shall the The provision of emergency services and care shall not be based upon, or affected by, the persons ethnicity, citizenship, age, preexisting medical condition, insurance status, economic status, ability to pay for medical services, or any other characteristic listed or defined in subdivision (b) or (e) of Section 51 of the Civil Code, except to the extent that a circumstance such as age, sex, preexisting medical condition, or physical or mental disability is medically significant to the provision of appropriate medical care to the patient.(c) Neither the A health facility, its employees, nor or a any physician and surgeon, dentist, clinical psychologist, or podiatrist shall not be liable in any an action arising out of a refusal to render emergency services or care if the refusal is based on the determination, exercising reasonable care, that the person is not suffering from an emergency medical condition, or that the health facility does not have the appropriate facilities or qualified personnel available to render those services.(d) Emergency services and care shall be rendered without first questioning the patient or any other person as to his or her their ability to pay therefor. pay. However, the patient or his or her their legally responsible relative or guardian shall execute an agreement to pay therefor or otherwise supply insurance or credit information promptly after the services are rendered.(e) If a health facility subject to this chapter does not maintain an emergency department, its employees shall nevertheless exercise reasonable care to determine whether an emergency exists and shall direct the persons seeking emergency care to a nearby facility that can render the needed services, and shall assist the persons seeking emergency care in obtaining the services, including transportation services, in every way reasonable under the circumstances.(f) A general acute care hospital or acute psychiatric hospital shall not require a person who voluntarily seeks care to be in custody pursuant to Section 5150 of the Welfare and Institutions Code as a condition of accepting a transfer of that person after his or her their written consent for treatment and transfer is documented or in the absence of evidence of probable cause for detention, as defined in Section 5150.05 of the Welfare and Institutions Code.(g) An act or omission of a rescue team established by a health facility licensed under this chapter, or operated by the federal or state government, a county, or by the Regents of the University of California, done or omitted while attempting to resuscitate a person who is in immediate danger of loss of life shall not impose any liability upon the health facility, the officers, members of the staff, nurses, or employees of the health facility, including, but not limited to, the members of the rescue team, or upon the federal or state government or a county, if good faith is exercised.(h) Rescue team, as used in this section, means a special group of physicians and surgeons, nurses, and employees of a health facility who have been trained in cardiopulmonary resuscitation and have been designated by the health facility to attempt, in cases of emergency, to resuscitate persons who are a person who is in immediate danger of loss of life.(i) This section does not relieve a health facility of any duty otherwise imposed by law upon the health facility for the designation and training of members of a rescue team or for the provision or maintenance of equipment to be used by a rescue team.
5753
58-1255.4. (a) When a general acute care hospital is performing cardiac surgery, a minimum of one surgeon who meets the requirements of Section 70435(b)(1) of Title 22 of the California Code of Regulations, and two additional individuals, each of whom is either a physicians assistant or a registered nurse that meets the requirements established in Sections 70706 and 70706.1 of Title 22 of the California Code of Regulations, shall constitute a surgical team for the performance of all cardiovascular operative procedures that require extracorporeal bypass.(b) On or before January 1, 2027, the department shall amend its regulations to be consistent with this section.
54+1317. (a) Emergency services and care shall be provided to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, at any health facility licensed under this chapter that maintains and operates an emergency department to provide emergency services to the public when if the health facility has appropriate facilities and qualified personnel available to provide the services or care.(b) In no event shall the The provision of emergency services and care shall not be based upon, or affected by, the persons ethnicity, citizenship, age, preexisting medical condition, insurance status, economic status, ability to pay for medical services, or any other characteristic listed or defined in subdivision (b) or (e) of Section 51 of the Civil Code, except to the extent that a circumstance such as age, sex, preexisting medical condition, or physical or mental disability is medically significant to the provision of appropriate medical care to the patient.(c) Neither the A health facility, its employees, nor or a any physician and surgeon, dentist, clinical psychologist, or podiatrist shall not be liable in any an action arising out of a refusal to render emergency services or care if the refusal is based on the determination, exercising reasonable care, that the person is not suffering from an emergency medical condition, or that the health facility does not have the appropriate facilities or qualified personnel available to render those services.(d) Emergency services and care shall be rendered without first questioning the patient or any other person as to his or her their ability to pay therefor. pay. However, the patient or his or her their legally responsible relative or guardian shall execute an agreement to pay therefor or otherwise supply insurance or credit information promptly after the services are rendered.(e) If a health facility subject to this chapter does not maintain an emergency department, its employees shall nevertheless exercise reasonable care to determine whether an emergency exists and shall direct the persons seeking emergency care to a nearby facility that can render the needed services, and shall assist the persons seeking emergency care in obtaining the services, including transportation services, in every way reasonable under the circumstances.(f) A general acute care hospital or acute psychiatric hospital shall not require a person who voluntarily seeks care to be in custody pursuant to Section 5150 of the Welfare and Institutions Code as a condition of accepting a transfer of that person after his or her their written consent for treatment and transfer is documented or in the absence of evidence of probable cause for detention, as defined in Section 5150.05 of the Welfare and Institutions Code.(g) An act or omission of a rescue team established by a health facility licensed under this chapter, or operated by the federal or state government, a county, or by the Regents of the University of California, done or omitted while attempting to resuscitate a person who is in immediate danger of loss of life shall not impose any liability upon the health facility, the officers, members of the staff, nurses, or employees of the health facility, including, but not limited to, the members of the rescue team, or upon the federal or state government or a county, if good faith is exercised.(h) Rescue team, as used in this section, means a special group of physicians and surgeons, nurses, and employees of a health facility who have been trained in cardiopulmonary resuscitation and have been designated by the health facility to attempt, in cases of emergency, to resuscitate persons who are a person who is in immediate danger of loss of life.(i) This section does not relieve a health facility of any duty otherwise imposed by law upon the health facility for the designation and training of members of a rescue team or for the provision or maintenance of equipment to be used by a rescue team.
5955
6056
6157
62-1255.4. (a) When a general acute care hospital is performing cardiac surgery, a minimum of one surgeon who meets the requirements of Section 70435(b)(1) of Title 22 of the California Code of Regulations, and two additional individuals, each of whom is either a physicians assistant or a registered nurse that meets the requirements established in Sections 70706 and 70706.1 of Title 22 of the California Code of Regulations, shall constitute a surgical team for the performance of all cardiovascular operative procedures that require extracorporeal bypass.
58+1317. (a) Emergency services and care shall be provided to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, at any health facility licensed under this chapter that maintains and operates an emergency department to provide emergency services to the public when if the health facility has appropriate facilities and qualified personnel available to provide the services or care.
6359
64-(b) On or before January 1, 2027, the department shall amend its regulations to be consistent with this section.
60+(b) In no event shall the The provision of emergency services and care shall not be based upon, or affected by, the persons ethnicity, citizenship, age, preexisting medical condition, insurance status, economic status, ability to pay for medical services, or any other characteristic listed or defined in subdivision (b) or (e) of Section 51 of the Civil Code, except to the extent that a circumstance such as age, sex, preexisting medical condition, or physical or mental disability is medically significant to the provision of appropriate medical care to the patient.
6561
66-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.
62+(c) Neither the A health facility, its employees, nor or a any physician and surgeon, dentist, clinical psychologist, or podiatrist shall not be liable in any an action arising out of a refusal to render emergency services or care if the refusal is based on the determination, exercising reasonable care, that the person is not suffering from an emergency medical condition, or that the health facility does not have the appropriate facilities or qualified personnel available to render those services.
6763
68-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.
69-
70-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.
71-
72-### SEC. 2.
73-
74-
75-
76-
77-
78-(a)Emergency services and care shall be provided to any person requesting the services or care, or for whom services or care is requested, for any condition in which the person is in danger of loss of life, or serious injury or illness, at any health facility licensed under this chapter that maintains and operates an emergency department to provide emergency services to the public if the health facility has appropriate facilities and qualified personnel available to provide the services or care.
79-
80-
81-
82-(b)The provision of emergency services and care shall not be based upon, or affected by, the persons ethnicity, citizenship, age, preexisting medical condition, insurance status, economic status, ability to pay for medical services, or any other characteristic listed or defined in subdivision (b) or (e) of Section 51 of the Civil Code, except to the extent that a circumstance such as age, sex, preexisting medical condition, or physical or mental disability is medically significant to the provision of appropriate medical care to the patient.
83-
84-
85-
86-(c)A health facility, its employees, or a any physician and surgeon, dentist, clinical psychologist, or podiatrist shall not be liable in an action arising out of a refusal to render emergency services or care if the refusal is based on the determination, exercising reasonable care, that the person is not suffering from an emergency medical condition, or that the health facility does not have the appropriate facilities or qualified personnel available to render those services.
87-
88-
89-
90-(d)Emergency services and care shall be rendered without first questioning the patient or any other person as to their ability to pay. However, the patient or their legally responsible relative or guardian shall execute an agreement to pay or otherwise supply insurance or credit information promptly after the services are rendered.
91-
92-
64+(d) Emergency services and care shall be rendered without first questioning the patient or any other person as to his or her their ability to pay therefor. pay. However, the patient or his or her their legally responsible relative or guardian shall execute an agreement to pay therefor or otherwise supply insurance or credit information promptly after the services are rendered.
9365
9466 (e) If a health facility subject to this chapter does not maintain an emergency department, its employees shall nevertheless exercise reasonable care to determine whether an emergency exists and shall direct the persons seeking emergency care to a nearby facility that can render the needed services, and shall assist the persons seeking emergency care in obtaining the services, including transportation services, in every way reasonable under the circumstances.
9567
96-
97-
98-(f)A general acute care hospital or acute psychiatric hospital shall not require a person who voluntarily seeks care to be in custody pursuant to Section 5150 of the Welfare and Institutions Code as a condition of accepting a transfer of that person after their written consent for treatment and transfer is documented or in the absence of evidence of probable cause for detention, as defined in Section 5150.05 of the Welfare and Institutions Code.
99-
100-
68+(f) A general acute care hospital or acute psychiatric hospital shall not require a person who voluntarily seeks care to be in custody pursuant to Section 5150 of the Welfare and Institutions Code as a condition of accepting a transfer of that person after his or her their written consent for treatment and transfer is documented or in the absence of evidence of probable cause for detention, as defined in Section 5150.05 of the Welfare and Institutions Code.
10169
10270 (g) An act or omission of a rescue team established by a health facility licensed under this chapter, or operated by the federal or state government, a county, or by the Regents of the University of California, done or omitted while attempting to resuscitate a person who is in immediate danger of loss of life shall not impose any liability upon the health facility, the officers, members of the staff, nurses, or employees of the health facility, including, but not limited to, the members of the rescue team, or upon the federal or state government or a county, if good faith is exercised.
10371
104-
105-
106-(h)Rescue team, as used in this section, means a special group of physicians and surgeons, nurses, and employees of a health facility who have been trained in cardiopulmonary resuscitation and have been designated by the health facility to attempt, in cases of emergency, to resuscitate a person who is in immediate danger of loss of life.
107-
108-
72+(h) Rescue team, as used in this section, means a special group of physicians and surgeons, nurses, and employees of a health facility who have been trained in cardiopulmonary resuscitation and have been designated by the health facility to attempt, in cases of emergency, to resuscitate persons who are a person who is in immediate danger of loss of life.
10973
11074 (i) This section does not relieve a health facility of any duty otherwise imposed by law upon the health facility for the designation and training of members of a rescue team or for the provision or maintenance of equipment to be used by a rescue team.