BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 1886
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 1886 (Eggman)
          As Amended  June 26, 2014
          Majority vote
           
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          |ASSEMBLY:  |50-25|(May 29, 2014)  |SENATE: |30-3 |(August 7,     |
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           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               subsequently withdrawn or dismissed.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  :








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          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  








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            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.  








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             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