BILL ANALYSIS                                                                                                                                                                                                    



                                                                       


           ------------------------------------------------------------ 
          |SENATE RULES COMMITTEE            |                  AB 1616|
          |Office of Senate Floor Analyses   |                         |
          |1020 N Street, Suite 524          |                         |
          |(916) 445-6614         Fax: (916) |                         |
          |327-4478                          |                         |
           ------------------------------------------------------------ 
           
                                         
                                 THIRD READING


          Bill No:  AB 1616
          Author:   Wright (D), et al
          Amended:  7/18/01 in Senate
          Vote:     21

           
           SENATE BUSINESS & PROFESSIONS COMMITTEE  :  6-0, 7/9/01
          AYES:  Figueroa, Johannessen, Machado, Morrow, Murray,  
            O'Connell

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8

           ASSEMBLY FLOOR  :  70-1, 5/29/01 - See last page for vote


           SUBJECT  :    Healing arts:  disciplinary actions

          SOURCE  :     Medical Board of California


           DIGEST  :    This bill extends the statutes of limitations  
          for accusations against specified licensed health care  
          professionals to ten years after the alleged act or  
          omission occurs, when the accusation involves allegations  
          of sexual misconduct.

           ANALYSIS  :    

           Existing Law

           1.Licenses and regulates physicians through the Medical  
            Board of California (MBC), psychologists through the  
            Board of Psychology (BOP), clinical social workers and  
            marriage and family therapist through the Board of  
                                                           CONTINUED





                                                               AB 1616
                                                                Page  
          2

            Behavioral Sciences (BBS), and respiratory care  
            practitioners through the Respiratory Care Board (RCB)

          2.Establishes a statute of limitations for accusations  
            filed against licensees of the above boards, whereby  
            accusations must be filed within three years after the  
            regulatory board discovers the act or omission alleged as  
            the ground for disciplinary action, or within seven years  
            after the act or omission occurs, whichever occurs first.

          3.Requires the seven-year period of the statutes of  
            limitations for licensees of BOP, BBS, and RCB when the  
            alleged act or omission involves a minor, to be tolled  
            until the minor reaches the age of majority.  The MBC  
            statute of limitations  does not contain this provision.

          This bill:

          1.Tolls the limitations period (#2 above) when necessary  
            documents are unavailable due to a criminal  
            investigation.

          2.Requires accusations filed against licensees of MBC, BOP,  
            BBS, or RCB alleging sexual misconduct to be filed within  
            three years after the regulatory board discovers the act  
            or omission alleged as the ground for disciplinary  
            action, or within 10 years after the alleged act or  
            omission occurs, whichever occurs first.

          3.Requires the limitations period for accusations against  
            licensees of MBC, when the alleged act or omission  
            involves a minor, to be tolled until the minor reaches  
            the age of majority.

          4.Applies to complaints alleging sexual misconduct received  
            on or after January 1, 2002.

           Comments
           
           Purpose  .  According to the author's office, this bill will  
          lengthen the time that several boards in the State  
          Department of Consumer Affairs have to investigate sexual  
          misconduct cases and make a determination as to  
          disciplinary action.







                                                               AB 1616
                                                                Page  
          3


           Background  .  According to MBC, the sponsor of this bill,  
          during the period between August 1998 and February 2000,  
          MBC was unable, due to the statute of limitations, to  
          investigate 163 complaints, 36 of which had allegations the  
          MBC considered urgent or of high priority.  Seven of these  
          36 urgent or high priority cases involved allegations of  
          sexual misconduct.  The MBC states that it has implemented  
          processes to find out about complaints more quickly, but  
          the victim does not often discuss sexual misconduct until  
          years after an occurrence.  The MBC cites a case that  
          contained allegations of sexual abuse of a minor child.   
          According to the MBC, the sexual abuse began in the late  
          1980s and continued until about 1992.  In September of  
          1999, the local District Attorney issued an arrest warrant,  
          and the physician was arrested in October of 1999.  The MBC  
          received this information in September of 1999, and when  
          the enforcement staff reviewed the case they learned that  
          the sexual acts against the victim ended in early 1992.   
          Due to the statute of limitations, these egregious acts  
          could not be investigated or charged.  The MBC states that  
          it will only be able to take action should the physician be  
          convicted.  In the interim, the physician can practice  
          medicine unfettered while presenting a clear and present  
          danger to his patients.

           Legislative History  .  Prior to 1998, there was no statute  
          of limitations restricting regulatory boards from taking  
          action against physicians or any other health care  
          provider.  AB 2719 (Gallegos), Chapter 301, Statutes of  
          1998, established a statute of limitations of three years  
          from when the MBC discovers the conduct, or seven years  
          from when the conduct occurred, which ever occurs first.   
          According to the Assembly Health Committee analysis of  AB  
          2719, the author of that bill stated that the intent was to  
          expedite investigations by the MBC regarding accusations  
          against physicians.  The author's office stated that a  
          statute of limitations was needed to ensure that the MBC  
          investigates and resolves disciplinary cases in a timely  
          manner.  AB 2719 took effect on August 17, 1998, as an  
          urgency statute.

          The following year, SB 809 (O'Connell), Chapter 459,  
          Statutes of 1999, was enacted establishing similar statutes  







                                                               AB 1616
                                                                Page  
          4

          of limitations for accusations brought against licensees of  
          the BBS, the BOP, and the RCB.  However, the statute of  
          limitations for these three boards requires that, if the  
          alleged act or omission involves a minor, the seven-year  
          limitations period is tolled until the minor reaches the  
          age of majority.  The statute of limitations for the MBC  
          does not include this provision.

           Related Legislation

           SB 26 (Figueroa), of this year, revises the statute of  
          limitations for the RCB.  SB 26 is currently on the Senate  
          Unfinished Business File.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

           SUPPORT  :   (Verified  8/20/01)

          Medical Board of California (source)
          Board of Behavioral Sciences
          Board of Psychology 
          National Organization for Women
          California Attorney General

           OPPOSITION  :    (Verified  8/20/01)

          Union of American Physicians and Dentists
          California Association of Marriage and Family Therapists

           ARGUMENTS IN SUPPORT  :    Proponents contend that this bill  
          will strengthen existing law and provide for better  
          oversight in the enforcement programs of these boards.   
          Further, supporters believe that an extension of the  
          statute of limitations is a vital component of ensuring  
          that victims of sexual misconduct receive the justice they  
          deserve.

           ARGUMENTS IN OPPOSITION  :    The Union of American  
          Physicians and Dentists opposes this bill, stating that  
          sexual misconduct deserves prosecution within the framework  
          of existing law.  
           








                                                               AB 1616
                                                                Page  
          5

           ASSEMBLY FLOOR  : 
          AYES:  Alquist, Aroner, Ashburn, Bogh, Calderon,  
            Canciamilla, Cardenas, Cardoza, Cedillo, Chavez, Chu,  
            Cogdill, Cohn, Correa, Cox, Daucher, Diaz, Dickerson,  
            Dutra, Firebaugh, Frommer, Goldberg, Harman, Havice,  
            Hollingsworth, Horton, Jackson, Keeley, Kehoe, Kelley,  
            Koretz, Leach, Leonard, Leslie, Liu, Longville,  
            Lowenthal, Maddox, Maldonado, Matthews, Migden, Mountjoy,  
            Nakano, Nation, Negrete McLeod, Oropeza, Robert Pacheco,  
            Rod Pacheco, Papan, Pavley, Pescetti, Reyes, Richman,  
            Runner, Salinas, Shelley, Simitian, Steinberg,  
            Strickland, Strom-Martin, Thomson, Vargas, Washington,  
            Wayne, Wesson, Wiggins, Wright, Wyland, Wyman, Zettel
          NOES: Aanestad


          CP:cm  8/22/01   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

                                ****  END  ****