BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2386
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          CONCURRENCE IN SENATE AMENDMENTS
          AB 2386 (Gilmore and Cook)
          As Amended May 28, 2010
          Majority vote
           
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          |ASSEMBLY:  |75-0 |(May 13, 2010)  |SENATE: |34-0 |(July 1, 2010) |
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           Original Committee Reference:    HEALTH  

           SUMMARY  :  Allows a hospital to enter into an agreement with the  
          Armed Forces of the United States (Armed Forces) to authorize a  
          physician, surgeon, physician assistant, or registered nurse  
          (health care professional) to provide medical care in the  
          hospital under specified circumstances.

           The Senate amendments  require a physician and surgeon, physician  
          assistant, or registered nurse:

          1)Who is authorized to practice medicine pursuant to this bill  
            to disclose, while working, on a name tag in at least 18-point  
            type, his or her name and license status, his or her state of  
            licensure, and a statement that he or she is a member of the  
            Armed Forces.

          2)Who enters into an agreement with a hospital pursuant to this  
            bill, to register with the board that licenses his or her  
            respective health care profession in this state on a form  
            provided by that board.

           AS PASSED BY THE ASSEMBLY  , this bill authorized a hospital to  
          enter in an agreement with the Armed Forces to authorize a  
          health care professional to provide medical care in the hospital  
          if the health care professional holds a valid license in good  
          standing to provide medical care in the District of Columbia or  
          any state or territory of the United States; the medical care  
          would be provided as part of a training or educational program  
          designed to improve the combat readiness of the health care  
          professional; and the agreement complies with specified federal  
          law, guidelines, and regulations.  Stated that if a hospital  
          chooses to enter into an agreement specified above, no board  
          that licenses health care professionals may require the  
          specified health care professional to obtain or maintain any  
          license to practice his or her profession or provide services in  
          California.  Stated that the provisions of this bill will become  








                                                                  AB 2386
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          inoperative as of January 1, 2016.  

           FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee, pursuant to Senate Rule 28.8, negligible state costs.

           COMMENTS  :  According to the author, this bill would provide the  
          statutory framework to allow military health care professionals  
          to improve their skills prior to being deployed to war.  The  
          author states that a similar successful model was achieved in  
          Nevada in 2009, in which a program was created at the UMC Trauma  
          Center near Nellis Air Force Base.  The program was very popular  
          and mutually beneficial to the hospital because the Air Force  
          was able to provide fully-trained and certified physicians free  
          of charge.  In 2009, the Nevada State Legislature passed Senate  
          Bill 302, which is similar to this bill.  Senate Bill 302  
          authorized a hospital to enter into an agreement with the Armed  
          Forces to allow a medical officer to provide medical care in the  
          hospital under specified conditions.  

           Analysis Prepared by  :    Martin Radosevich / HEALTH / (916)  
          319-2097                                               FN:   
          0005181