BILL ANALYSIS Ó SB 484 Page 1 SENATE THIRD READING SB 484 (Rubio) As Amended July 11, 2011 Majority vote SENATE VOTE :34-4 JUDICIARY 7-1 HEALTH 10-3 ----------------------------------------------------------------- |Ayes:|Feuer, Wagner, Atkins, |Ayes:|Monning, Atkins, Bonilla, | | |Dickinson, Huber, | |Eng, Gordon, Hayashi, | | |Monning, Wieckowski | |Bonnie Lowenthal, Pan, V. | | | | |Manuel Pèrez, Williams | | | | | | |-----+--------------------------+-----+--------------------------| |Nays:|Beth Gaines |Nays:|Ammiano, Mitchell, | | | | |Nestande | ----------------------------------------------------------------- APPROPRIATIONS 17-0 ----------------------------------------------------------------- |Ayes:|Fuentes, Harkey, | | | | |Blumenfield, Bradford, | | | | |Charles Calderon, Campos, | | | | |Davis, Donnelly, Gatto, | | | | |Hall, Hill, Lara, | | | | |Mitchell, Nielsen, Norby, | | | | |Solorio, Wagner | | | |-----+--------------------------+-----+--------------------------| | | | | | ----------------------------------------------------------------- SUMMARY : Authorizes the Legislative Analyst's Office (LAO) to have the same access to the California Department of Corrections and Rehabilitation (CDCR) health services contracts that the Joint Legislature Audit Committee (JLAC) and the Bureau of State Audits (BSA) have under existing law. Specifically, this bill provides that, notwithstanding any restrictions imposed by law, CDCR records relating to health care services contracts, or any amendments thereto, shall be open to inspection to the LAO, and that the LAO shall maintain the confidentiality of any contract and amendment until the contract or amendment is fully open to inspection by the public. SB 484 Page 2 EXISTING LAW : 1)Requires, under the California Public Records Act, that all public agency documents be disclosed to the public, unless a specific statutory exemption applies. 2)Provides that, notwithstanding any restrictions imposed by law, that CDCR records relating to health care services contracts, or any amendments, shall be open to inspection to JLAC and BSA, and that JLAC and BSA shall maintain the confidentiality of any contract and amendment until the contract or amendment is fully open to inspection by the public. 3)Requires CDCR to consult with the California Medical Assistance Commission (CMAC) to assist the department in planning and negotiating contracts for the purpose of health care services and negotiating with providers. FISCAL EFFECT : According to the Assembly Appropriations Committee, negligible fiscal impact. COMMENTS : Although the Public Records Act (PRA) generally requires that all public records should be open for public inspection, it permits a number of exceptions. Under existing law, the PRA limits access to the records of CDCR that relate to its health care services contracts. Information that reveals the process of negotiations are not subject to disclosure for one year after execution of the contract, and information that relates to payment rates are not subject to disclosure for three years after execution. The purpose of this restriction is to protect the competitive nature of the bidding process. Notwithstanding these restrictions, contracts are immediately open to inspection by JLAC and BSA, so long as confidentiality is maintained until the contracts would generally be available to the public. This bill gives the LAO the same access to contracts, subject to the same confidentiality requirement. According to the author, the LAO will use this information for purposes of analyzing CDCR's budget needs. According to the author, "Prison health care costs are currently skyrocketing. The non-partisan LAO found 'dramatic increase in spending on adult prison health care: from $1.2 billion in 2005-2006 to $2.5 billion in 2008-2009.' Last year, California SB 484 Page 3 spent an average of $16,000 per inmate (170,000 total) on health care services. The LAO directly attributes the growing health care costs to greater usage of contract medical services. Despite the growing costs in prison health care, the LAO and the Legislature are kept in the dark about exactly how much is being spent on health contracts because all health care contracts and records under the Department of Corrections and Rehabilitation are exempt from the Public Records Act." Analysis Prepared by : Thomas Clark / JUD. / (916) 319-2334 FN: 0001922