BILL ANALYSIS Ó Senate Appropriations Committee Fiscal Summary Senator Christine Kehoe, Chair SB 100 (Price) Hearing Date: 5/26/2011 Amended: 5/3/2011 Consultant: Bob Franzoia Policy Vote: B,P&ED 9-0 _________________________________________________________________ ____ BILL SUMMARY: SB 100 would do the following: - Require the Medical Board of California (board) to adopt regulations by January 1, 2013, regarding the appropriate level of physician availability needed within clinics or other settings using laser or intense pulse light devices. - Include in the definition of outpatient setting, facilities that offer in vitro fertilization procedures, thereby requiring the board to adopt regulations. - Require the board to obtain and maintain a list of all accredited, certified, and licensed outpatient settings, and to notify the public by placing information on its Internet Web site, whether the setting is accredited or the setting's accreditation has been revoked, suspended, or placed on probation, or the setting has received a reprimand by the accreditation agency. - Require, rather than authorize, the board to evaluate the performance of an approved accreditation agency no less than every three years, or in response to complaints. - Require, rather than authorize, the board to investigate all complaints concerning a violation of licensing provisions for outpatient settings and, with respect to any complaints, or upon discovery that an outpatient setting is not in compliance, as specified, bring an action to enjoin the outpatient setting's operation. Such an action may be brought by the local district attorney. - Make other technical revisions. _________________________________________________________________ ____ Fiscal Impact (in thousands) Major Provisions 2011-12 2012-13 2013-14 Fund Outpatient facility inspections Up to $50 annually Special* * Medical Board of California Contingent Fund _________________________________________________________________ ____ > (>) Page 1 STAFF COMMENTS: SUSPENSE FILE. As noted by the policy committee, in California, cosmetic surgery can be performed by any licensed physician; from a plastic surgeon to a pediatrician. Physicians, who may or may not be trained in cosmetic procedures, are conducting procedures in settings outside of hospitals such as outpatient surgery centers and doctors' offices. Currently, there are no uniform standards for physician training related to cosmetic surgery, and the regulation of outpatient settings in which these surgeries occur need to be strengthened to ensure public safety. The board would incur minor costs related to outpatient setting accreditation for accreditation agencies and outpatient settings. Fines assessed to facilities found out of compliance likely would be minor.