SF 434 (LSB 2383XS (3) 90)

SENATE FILE 434

BY  LOFGREN

A BILL FOR

An Act relating to hospitals, ambulatory surgical centers, and health care facilities, including information and reporting requirements.
BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA:

    Section 1.  Section 135.61, Code 2023, is amended by adding the following new subsection:
   NEW SUBSECTION.  1A.  “Ambulatory surgical center” means the same as defined in section 147.163.
    Sec. 2.  Section 135.61, subsection 14, paragraph d, Code 2023, is amended to read as follows:
   d.  An outpatient ambulatory surgical facility center.
    Sec. 3.  Section 135.61, subsection 21, Code 2023, is amended by striking the subsection.
    Sec. 4.  NEW SECTION.  135.75A  Additional annual reports by hospitals, ambulatory surgical centers, and health care facilities.
   In addition to any other information and reporting required under this subchapter, the department shall require all of the following:
   1.  Hospitals and ambulatory surgical centers shall annually report all of the following to the department and to the board of medicine in a format required by the department:
   a.  Surgical, medical, anesthesia-related, or other complications from surgeries or treatment provided to patients by the hospital or ambulatory surgical center.
   b.  The type and number of each type of surgery performed in the prior calendar year.
   c.  Return visit and readmission rates related to a previous treatment or surgery, not including scheduled follow-up appointments.
   d.  Findings from surveys on patient safety culture conducted by the federal agency for healthcare research and quality for the prior calendar year.
   2.  Hospitals and ambulatory surgical centers shall provide patient education related to the top five most common surgeries performed in the state. The education materials shall be developed by the department in consultation with the board of medicine, the Iowa hospital association, and the university of Iowa hospitals and clinics.
   3.  Hospitals, ambulatory surgical centers, and health care facilities shall do all of the following:
   a.  Post information about the regulatory functions of the department and the health care professional licensing boards, including how to contact the department or licensing boards.
   b.  Provide information to patients and residents regarding the actual reimbursement received from a third party for any charges imposed on a patient or resident.
EXPLANATION
The inclusion of this explanation does not constitute agreement with
the explanation’s substance by the members of the general assembly.
   This bill relates to hospitals, ambulatory surgical centers, and health care facilities, including information and reporting requirements.
   The bill requires that in addition to any other information and reporting required under Code chapter 135, subchapter VI, relating to the health facilities council, hospitals and ambulatory surgical centers shall annually report all of the following to the department of health and human services (HHS) and to the board of medicine in a format required by HHS: surgical, medical, anesthesia-related, or other complications from surgeries or treatment provided to patients by the hospital or ambulatory surgical center; the type and number of each type of surgery performed in the prior calendar year; the return visit and readmission rates related to a previous treatment or surgery, not including scheduled follow-up appointments; and the findings from surveys on patient safety culture conducted by the federal agency for healthcare research and quality for the prior calendar year.
   The bill requires hospitals and ambulatory surgical centers to provide patient education related to the top five most common surgeries performed in the state. The education materials shall be developed by HHS in consultation with the board of medicine, the Iowa hospital association, and the university of Iowa hospitals and clinics.
   The bill requires hospitals, ambulatory surgical centers, and health care facilities to post information about the regulatory functions of HHS, the department of inspections and appeals, and health care professional licensing boards, including how to contact the departments or licensing boards; and to provide information to patients and residents regarding the actual reimbursement received from a third party for any charges imposed on a patient or resident.