BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1070
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          CONCURRENCE IN SENATE AMENDMENTS
          AB 1070 (Hill)
          As Amended  August 24, 2009
          Majority vote
           
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          |ASSEMBLY:  |48-30|(May 28, 2009)  |SENATE: |25-14|(September 4,  |
          |           |     |                |        |     |2009)          |
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           Original Committee Reference:    B. &  P.  

           SUMMARY  :  Revises reporting requirements for arbitration awards,  
          specified settlements, or civil judgments to the Medical Board  
          of California (MBC) if based on the licensee's alleged  
          negligence, error, or omission related to the practice of  
          medicine.  

           The Senate amendments  :

          1)Delete the requirement that any state entity that makes a  
            report, as specified, shall notify the licensee that the  
            report was filed with the appropriate licensing board within  
            15 days.  

          2)Require a state or local governmental agency that self-insures  
            licensees, prior to sending a report as specified, to do all  
            of the following for each licensee identified in the report:

             a)   Before deciding that a licensee will be identified,  
               provide written notice to the licensee that the agency  
               intends to submit a report in which the licensee may be  
               identified, based on his or her role in the care or  
               professional services provided to the patient that were at  
               issue in the claim or action. This notice shall describe  
               the reasons for notifying the licensee. The agency shall  
               include with this notice a reasonable opportunity for the  
               licensee to review a copy of records to be used by the  
               agency in deciding whether to identify the licensee in the  
               report;

             b)   Provide the licensee with a reasonable opportunity to  
               provide a written response to the agency and written  
               materials in support of the licensee's position. If the  
               licensee is identified in the report, the agency shall  








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               include this response and materials in the report submitted  
               to a board if requested by the licensee; and,

             c)   Provide, at least 10 days prior to the expiration of the  
               30-day reporting requirement, the licensee with the  
               opportunity to present arguments to the body that will make  
               the final decision or to that body's designee.  The body  
               shall review the care or professional services provided to  
               the patient with respect to those services at issue in the  
               claim or action and determine the licensees to be  
               identified in the report and the amount of the settlement  
               to be apportioned to the licensees.

          3)Clarify that this bill shall not be construed to modify either  
            the content of a report required under this section or the  
            timeframe for filing that report.

          4)Require the entity, person, or licensee required to file a  
            report regarding a settlement to notify the claimant that the  
            report has been sent to the respective board.  

          5)State that failure to substantially comply with the terms will  
            result in a penalty.  

          6)Clarify that any reference to an investigation by MBC shall be  
            deemed to refer to a joint investigation of the Department of  
            Justice (DOJ) and MBC under the vertical enforcement and  
            prosecution model, as specified, and sunset this section on  
            January 1, 2013. 

          7)Extend the sunset deadline on the Health Quality Enforcement  
            Section (HQES) from July 1, 2010 to January 1, 2013. 

          8)Require MBC to provide an option for a licensed physician and  
            surgeon to decline to report his or her cultural background  
            and foreign language proficiency.  

          9)Require MBC to establish and implement a plan to assist in  
            team building between its enforcement staff and the staff of  
            the HQES in order to ensure a common and consistent knowledge  
            base.  

          10)Gives jurisdiction to the HQES to prosecute proceedings  
            against licensees and applicants within the jurisdiction of  
            MBC, the California Board of Podiatric Medicine, the Board of  








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            Psychology, or any committee under the jurisdiction of MBC,  
            and to provide ongoing review of the investigative activities  
            conducted in support of those prosecutions beginning January  
            1, 2013.

          11)Extend the deadline from July 1, 2009, until March 1, 2012,  
            for MBC, in consultation with DOJ and the Department of  
            Consumer Affairs, to report and make recommendations to the  
            Governor and the Legislature on the vertical enforcement and  
            prosecution model. 

          12)Make clarifying and technical changes.  

           AS PASSED BY THE ASSEMBLY  , this bill was substantially similar  
          to the version passed by the Senate.  

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, absorbable workload to the MBC to continue oversight  
          of settlements, awards, and judgments, and to comply with the  
          reporting requirements pursuant to this bill.


           Analysis Prepared by  :    Sarah Huchel / B. & P. / (916) 319-3301  


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