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EDMUND G. BROWN JR.
Governor

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


AFL 16-17
December 22, 2016


TO:
Primary Care Clinics

SUBJECT:
Assembly Bill (AB) 2053 – Primary Care Clinic Consolidated Licensure

AUTHORITY:      Health and Safety Code section 1212


All Facilities Letter (AFL) Summary

This AFL informs all licensed primary care clinics (PCCs) of the chaptering of AB 2053 (Chapter 639, Statutes of 2016), which requires the California Department of Public Health (CDPH) to issue a consolidated license to an existing PCC or affiliate clinic, following the review and approval of written notification of a clinic’s intent to add additional physical plants that will be maintained and operated on separate premises.

Effective January 1, 2017, AB 2053 (Chapter 639, Statutes of 2016) establishes consolidated licensure for PCCs, allowing eligible clinics to add additional physical plants to their current license maintained and operated on separate premises. A PCC or affiliate clinic may add additional locations that are no more than one-half mile from the licensed clinic adding the additional physical plant.

Upon application for and renewal of a consolidated license, a licensing fee is required for each additional physical plant approved on the license.

CDPH’s Compliance Requirements:

AB 2053 requires CDPH to issue a single license for a PCC or affiliate clinic following review of the written notification of the clinic’s intent to add additional physical plants and submission of a license fee. The notice must demonstrate compliance with the following criteria:

  • there is a single governing body for all the facilities maintained and operated by the licensee;
  • there is a single administration for all the facilities maintained and operated by the licensee;
  • there is a single medical director for all the facilities maintained and operated by the licensee, with a single set of bylaws, rules, and regulations;
  • the new physical plant meets minimum construction standards for adequacy of safety, pursuant to OSHPD 3 requirements;
  • the new physical plant meets fire clearance standards.

Written Notice Requirements:

The written notice must include the following information to assist CDPH’s review and approval of the additional clinic location:

  • the name and address of the licensee’s corporation administrative office, including the name and contact information for the corporation’s chief executive officer and executive director;
  • the name and address of, and the hours of operation and services provided by, the additional physical plant;
  • a copy of documentation confirming the corporation’s authority to control the additional physical plant.

CDPH has 30 days to review, approve and or deny the request to amend the license following submission of a notice containing all required information.

The information in this AFL is a brief summary of the provisions of AB 2053. Facilities are responsible for following all applicable laws. CDPH’s failure to expressly notify facilities of statutory or regulatory requirements does not relieve facilities of their responsibility for following all laws and regulations. Facilities should refer to the full text of all applicable sections of the Health and Safety Code.

If you have any questions regarding this AFL, please contact the Centralized Applications Unit (CAU) by phone at (916) 552-8632 or by email at CAU@cdph.ca.gov.

 

Sincerely,

Original signed by Scott Vivona for

Jean Iacino
Deputy Director

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