BILL ANALYSIS Ó AB 1886 Page 1 CONCURRENCE IN SENATE AMENDMENTS AB 1886 (Eggman) As Amended June 26, 2014 Majority vote ----------------------------------------------------------------- |ASSEMBLY: |50-25|(May 29, 2014) |SENATE: |30-3 |(August 7, | | | | | | |2014) | ----------------------------------------------------------------- Original Committee Reference: B., P. & C.P. SUMMARY : Recasts and revises current law regarding the Internet posting of physician and surgeon licensee information. Specifically, this bill : 1)Recasts and revises current law regarding Internet posting of physician and surgeon licensee information. 2)Requires the following disciplinary information regarding a licensee to be posted on the Medical Board of California (MBC) Web site for as long as that information is public: a) A revocation, suspension, probation, surrender of a license by the licensee in relation to a disciplinary action or investigation, or other equivalent action taken against the licensee by MBC or a board of another state or jurisdiction, as specified; b) A malpractice judgment or arbitration award; and, c) Any misdemeanor conviction that results in a disciplinary action or an accusation that is not subsequently withdrawn or dismissed. 3)Require the posting of citations issued in the last three years that have not been resolved or appealed within 30 days, and citations issued within the last three years that have been resolved by payment of the administrative fine or compliance with the order of abatement. 4)Require that settlement information from the last five years, rather than the last 10 years, be posted as specified. The Senate amendments : AB 1886 Page 2 1)Specify that the MBC shall post information on current and former licensees. 2)Require MBC to post whether a licensee is presently in good standing. 3)Make technical changes. FISCAL EFFECT : According to the Senate Appropriations Committee, pursuant to Senate Rule 28.8, negligible state costs. COMMENTS : 1)Purpose of this bill. This bill recasts and revises current law regarding Internet posting of physician and surgeon licensee information. This bill will require MBC to post indefinitely on its Web site certain data related to physician and surgeon discipline (a revocation, suspension, probation, surrender of a license by the licensee in relation to a disciplinary action or investigation, or other equivalent action taken against the licensee by MBC or a board of another state or jurisdiction) that is currently taken down after 10 years, reduces the amount of time from 10 years to three years for posting of citation information, and reduces the amount of time from ten years to five years for posting settlement information. This bill is sponsored by MBC. 2)Ongoing removal of public disciplinary records from MBC Web site. Current law was amended in 2003 to require MBC to remove certain public information from its Web site after 10 years, and MBC began removing these documents in 2013. On January 1, 2013, MBC had to remove approximately 6,900 records from its Web site due to the 10-year limit, and continues to remove 30 to 40 records per month, which equates to 350 to 400 records per year. MBC will return the applicable records to its Web site should this bill be enacted. 3)Differences in disclosure between public records and the MBC Web site. The approach taken by this bill is echoed in recommendations from MBC's 2013 Sunset Review report, in which Senate staff recommended that the 10-year posting requirement AB 1886 Page 3 be removed "in order to ensure transparency to the public." The California Research Bureau also recommended this change in their 2008 report, Physician Misconduct and Public Disclosure Practices at the Medical Board of California. Although MBC posts disclaimers about the availability and extent of information on its Web site, consumers may reasonably believe that the MBC Web site presents all the publicly available information on a physician and surgeon's license. As a result, consumers may be misled into believing - incorrectly - that some physicians have no record of discipline. This bill would help rectify that discrepancy by putting more - but not all - public disciplinary information online. This bill, in conjunction with current law, would require information posted for all current and former licensees as follows: a) The following disciplinary information will be posted for as long as the information is public: i) A revocation, suspension, probation, surrender of a license by the licensee in relation to a disciplinary action or investigation, or other equivalent action taken against the licensee by MBC or a board of another state or jurisdiction, as specified; ii) A malpractice judgment or arbitration award; iii) Any misdemeanor conviction that results in a disciplinary action or an accusation that is not subsequently withdrawn or dismissed; iv) Whether or not a licensee is presently in good standing; v) Any felony convictions; and, vi) Any hospital disciplinary actions that resulted in the termination or revocation of a licensee's hospital staff privileges for a medical disciplinary cause or reason, and information about additional explanatory or exculpatory information submitted by the licensee, as specified. AB 1886 Page 4 b) The following would remain posted for as long as licensee is subject to them: i) Current accusations filed by the Attorney General, including those on appeal; ii) Temporary restraining orders; and, iii) Interim restraining orders. c) The following information would be posted as follows: i) Licensees would have a grace period of 30 days to resolve a citation, and citations issued within three years would be posted. ii) A public letter of reprimand would be removed after 10 years. iii) A licensee's current American Board of Medical Specialties certification or MBC equivalent, as certified by MBC, and approved postgraduate training. iv) Settlement information would be posted for five years, instead of 10, as specified. d) This bill no longer requires MBC to determine and post whether a licensee is in "good standing." Analysis Prepared by : Sarah Huchel / B., P. & C.P. / (916) 319-3301 FN: 0004502