ASSEMBLY COMMITTEE SUBSTITUTE FOR

ASSEMBLY, No. 1176

STATE OF NEW JERSEY

219th LEGISLATURE

  ADOPTED JANUARY 27, 2020

 

 

Sponsored by:

Assemblyman   ANDREW ZWICKER

District 16 (Hunterdon, Mercer, Middlesex and Somerset)

Assemblyman   ROY FREIMAN

District 16 (Hunterdon, Mercer, Middlesex and Somerset)

Assemblywoman   VERLINA REYNOLDS-JACKSON

District 15 (Hunterdon and Mercer)

 

Co-Sponsored by:

Assemblyman Houghtaling, Assemblywoman Downey, Assemblymen Space and Wirths

 

 

 

 

SYNOPSIS

        Requires DOH to license certain qualifying hospitals to provide full service adult diagnostic cardiac catheterization, primary angioplasty, and elective angioplasty services.

 

CURRENT VERSION OF TEXT

        Substitute as adopted by the Assembly Health Committee.

 

An Act concerning hospital licensure to perform certain cardiac procedures, amending P.L.1992, c.160, and supplementing Title 26 of the Revised Statutes.

 

        Be It Enacted by the Senate and General Assembly of the State of New Jersey:

 

        1.       (New section)   As used in P.L.       , c.       (C.           ) (pending before the Legislature as this bill):

           Angioplasty    or    percutaneous coronary intervention    means the mechanical reopening of an occluded vessel in the heart or corona using a balloon-tipped catheter.

           Applicant hospital    means a general hospital that has entered into a collaboration agreement with a cardiac surgery center licensed in New Jersey.

           Application    means all information required by the commissioner of an applicant hospital to determine compliance with P.L.       , c.       (C.           ) (pending before the Legislature as this bill).

           C-PORT-E study    means the Atlantic Cardiovascular Patient Outcomes Research Team Elective Angioplasty Study clinical trial.

           Collaboration agreement    means an agreement between a licensed cardiac surgery center and a general hospital that includes:

        (1)     written protocols for enrolled patients who require transfer to, and receipt at, a cardiac surgery center   s operating room within one hour of the determination of the need for such transfer, including the emergency transfer of patients who require an intra-aortic balloon pump;

        (2)     regular consultation between the two hospitals on individual cases, including use of technology to share case information in a rapid manner; and

        (3)     evidence of adequate cardiac surgery on-call backup.

           Commissioner    means the Commissioner of Health.

           Department    means the Department of Health.

           Elective angioplasty    means an angioplasty or percutaneous coronary intervention performed on a non-emergent basis.

        "Full service adult diagnostic cardiac catheterization facility" means an acute care general hospital that provides invasive cardiac diagnostic services to adult patients without cardiac surgery backup, is equipped with laboratories, and performs at least 250 cardiac catheterizations each year.  

           Primary angioplasty    means an angioplasty or percutaneous coronary intervention performed on an acute or emergent basis.

 

        2.       (New section)   a.   An applicant hospital may apply to the commissioner for a license to provide full service adult diagnostic cardiac catheterization services.   The commissioner shall issue a license pursuant to such application to any hospital that:

        (1)     is not licensed as a cardiac surgery center;

        (2)     demonstrates the ability to provide full service adult diagnostic catheterization services consistent with national standards of care and current best practices;

        (3) commencing in the second year of licensure pursuant to this subsection, and in each year thereafter, performs at least 250 catheterizations per year, with each interventional cardiologist performing at least 50 catheterizations per year; and

        (4) meets such other requirements as the commissioner may establish by regulation including, but not limited to, participation in the department   s data collection programs and in national registries such as the National Cardiovascular Data Registry to monitor quality, outcomes, and compliance with State regulations.

        b.       An applicant hospital may apply to the commissioner for a license to provide primary angioplasty services.   The commissioner shall issue a license pursuant to such application to any hospital that:

        (1)     is not licensed as a cardiac surgery center;

        (2)     has been licensed for at least six months pursuant to subsection a. of this section to provide full service adult diagnostic catheterization services;

        (3)     demonstrates the ab