BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 1127
                                                                  Page  1

          Date of Hearing:   May 4, 2011

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

                   AB 1127 (Brownley) - As Amended:  April 4, 2011 

          Policy Committee:                              Business and 
          Professions  Vote:                            8-0

          Urgency:     No                   State Mandated Local Program: 
          Yes    Reimbursable:              No

           SUMMARY  

          This bill makes it unprofessional conduct for a physician and 
          surgeon who is the subject of an investigation by the Medical 
          Board of California (MBC) to repeatedly fail, in the absence of 
          good cause, to attend and participate in an interview scheduled 
          by the mutual agreement of the physician and surgeon and the 
          Board.

           FISCAL EFFECT  

          Potential minor cost savings from a reduction in administrative 
          duties related to the failure of physicians to appear for 
          interviews at the scheduled time, to the extent that this bill 
          deters physicians from failing to appear.

           COMMENTS  

           1)Rationale  . According to the Medical Board of California, the 
            sponsor of this bill, the board's investigation of a complaint 
            against a physician begins with a physician interview. The 
            repeated failure of some physicians to appear before the board 
            for the initial interview has resulted in waste of 
            administrative resources, including the issuance of subpoenas 
            in some cases, and long case processing times that can exceed 
            a year.  By deeming the failure to appear "unprofessional 
            conduct," for which the board can take action against a 
            licensee, this bill aims to deter physicians from failing to 
            appear before the board.  

           2)Background  .  Current law authorizes the Medical Board of 
            California to enforce disciplinary and criminal provisions 








                                                                  AB 1127
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            related to the practice of medicine in order to protect the 
            public. If a complaint is judged serious enough to warrant an 
            investigation, an investigator from the board and a Deputy 
            Attorney General are assigned to the case and the board 
            launches a formal investigation.  The average time to close a 
            case from the time of the initial complaint has exceeded 250 
            days in recent years.  According to recent reports from the 
            board, several factors can contribute to long case processing 
            times, including delays in receiving medical records, delays 
            in obtaining medical expert opinions, and delays in physician 
            interviews. 

           Analysis Prepared by  :    Lisa Murawski / APPR. / (916) 319-2081