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EDMUND G. BROWN JR.
Governor

State of California—Health and Human Services Agency
California Department of Public Health


AFL 17-05
February 3, 2017


TO:
Intermediate Care Facility; All Facilities; Skilled Nursing Facilities

SUBJECT:
Senate Bill (SB) 1193: Healing Arts (Chapter 484, Statutes of 2016)


​All Facilities Letter (AFL) Summary

This AFL notifies providers of the chaptering of SB 1193, that effective January 1, 2017, reinstates skilled nursing facilities’ (SNF), nursing facilities’ (NF), and intermediate care facilities’ (ICF) ability to use automated drug delivery systems (ADDS) that allow personnel to have access to multiple drugs not patient specific in their design if those systems have electronic and mechanical safeguards in place to ensure that the drugs delivered to the patient are specific to that patient. 

Facilities must obtain authorization from the California Department of Public Health’s Licensing and Certification Program (L&C) prior to using an ADDS that meets the aforementioned criteria.

Prior to January 1, 2012, HSC section 1261.6 permitted SNF, NF, and ICF personnel to access multiple drugs that are not patient specific only if an ADDS had both electronic and mechanical safeguards in place to ensure that the only drugs delivered to the patient were specific to that patient. This was initially a pilot program that sunsetted January 1, 2012. SB 1193 repeals the sunset provision, thereby reauthorizing the use of these devices in SNFs, NFs, and ICFs provided they meet all requirements.

This AFL notifies providers that effective January 1, 2017, SB 1193: Healing Arts reinstates SNFs, NFs, and ICFs ability to use ADDS that allow personnel to have access to multiple drugs not patient specific in their design if those systems have electronic and mechanical safeguards in place to ensure that the drugs delivered to the patient are specific to that patient.


Obtaining L&C Authorization to Use an ADDS Not Patient Specific in Design pursuant to Health and Safety Code (HSC) section 1261.6

Pursuant to HSC section 1261.6, facilities choosing to install an ADDS that allows personnel to have access to multiple drugs not patient specific in their design must complete the following steps to maintain compliance with ADDS statutory requirements:

Notify L&C in writing prior to using the system.

The notification submitted to the department must include, but is not limited to, information regarding system design, manufacturer make/model number (where applicable), personnel with system access, and policies and procedures covering staff training, storage, security, and the facility’s administration (intended use) of these types of systems.

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