BILL ANALYSIS                                                                                                                                                                                                    �



                                                                            



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          |SENATE RULES COMMITTEE            |                        SB 670|
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                                 UNFINISHED BUSINESS


          Bill No:  SB 670
          Author:   Steinberg (D)
          Amended:  9/11/13
          Vote:     21

           
          SENATE BUSINESS, PROF. & ECON. DEV. COMM.  :  8-0, 4/15/13
          AYES:  Price, Block, Corbett, Galgiani, Hernandez, Hill,  
            Padilla, Yee
          NO VOTE RECORDED:  Emmerson, Wyland

           SENATE APPROPRIATIONS COMMITTEE  :  7-0, 4/29/13
          AYES:  De Le�n, Walters, Gaines, Hill, Lara, Padilla, Steinberg

           SENATE FLOOR  :  35-3, 5/29/13
          AYES:  Beall, Berryhill, Block, Calderon, Cannella, Corbett,  
            Correa, De Le�n, DeSaulnier, Emmerson, Evans, Gaines,  
            Galgiani, Hancock, Hernandez, Hill, Hueso, Jackson, Knight,  
            Lara, Leno, Lieu, Liu, Monning, Nielsen, Padilla, Pavley,  
            Price, Roth, Steinberg, Torres, Walters, Wolk, Wright, Yee
          NOES:  Anderson, Fuller, Wyland
          NO VOTE RECORDED:  Huff, Vacancy

           ASSEMBLY FLOOR  :  Not available


           SUBJECT  :    Physicians and surgeons:  drug prescribing  
          privileges:  investigation

           SOURCE  :     Author


           DIGEST  :    This bill permits the Medical Board of California  
                                                                CONTINUED





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          (MBC) to inspect and copy a deceased patient's medical records,  
          clarifies language relating to unprofessional conduct, and  
          permits an interim suspension order (ISO) to place restrictions  
          on a physician's prescribing privileges, as specified.

           Assembly Amendments  delete provisions of the bill that imposed  
          limitations on a physician's prescribing privileges; revise the  
          definition of "unprofessional conduct;" authorize the MBC to  
          inspect and copy the medical records of a deceased patient, as  
          specified; and make technical and clarifying changes.  
           
           ANALYSIS  :    

          Existing law:

          1. Licenses and regulates physicians and surgeons under the  
             Medical Practice Act (MPA) by the MBC and states that the  
             protection of the public is the highest priority of the MBC  
             in exercising its functions.
           
          2. Authorizes investigators and representatives of the MBC,  
             among others, to inquire into any alleged violation of the  
             MPA or any other federal or state law, regulation, or rule  
             relevant to the practice of medicine or podiatric medicine,  
             and to inspect documents relevant to those investigations,  
             including the inspection and copying of any document relevant  
             to an investigation where patient consent is given.  

          3. Provides for the professional review of specified healing  
             arts licentiates (as a physician and surgeon, doctor of  
             podiatric medicine, clinical psychologist, marriage and  
             family therapist, clinical social worker, or dentist) by a  
             peer review body, as defined.

          4. Requires a coroner to make a report to the MBC, among other  
             specified entities, when he/she receives information that  
             indicates that a death may be the result of a physician and  
             surgeon's, podiatrist's, or physician assistant's gross  
             negligence or incompetence.  

          5. Requires the MBC to take action against any licensee who is  
             charged with unprofessional conduct.  Unprofessional conduct  
             is defined to include, among other things, the repeated  
             failure by a licensee who is the subject of an MBC  







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             investigation, in the absence of good cause, to attend and  
             participate in an interview scheduled by the mutual agreement  
             of the licensee and the MBC. 

          6. Establishes, under the Administrative Procedure Act (APA),  
             within the Office of Administrative Hearings a Medical  
             Quality Hearing Panel to conduct adjudicative hearings and  
             proceedings relative to licensees of the MBC under the terms  
             and conditions set forth in the APA, except as provided in  
             the MPA.  

          7. Authorizes an administrative law judge (ALJ) of the Medical  
             Quality Hearing Panel to issue an ISO suspending a license,  
             or imposing drug testing, continuing education, supervision  
             of procedures, or other licensee restrictions.   

          8. Requires that the burden and standards of proof to obtain an  
             ISO shall be those applicable to a preliminary injunction  
             under Code of Civil Procedure Section 527.  

          This bill:

           1. Permits MBC to inspect and copy the medical records of a  
             deceased patient, in any investigation that involves the  
             death of that patient, without the authorization of the  
             beneficiary or personal representative of the deceased  
             patient, or a court order solely for the purpose of  
             determining the extent to which the death was the result of  
             the physician and surgeon's conduct in violation of the MPA,  
             if MBC provides a written request to the physician and  
             surgeon that includes a declaration that MBC has been  
             unsuccessful in locating or contacting the deceased patient's  
             beneficiary or personal representative after reasonable  
             efforts. 

           2. Prohibits MBC from inspecting a deceased patient's medical  
             records without a court order when the beneficiary or  
             personal representative of the deceased patient has been  
             located and contacted, but has refused to consent to MBC  
             inspecting and copying the medical records. 

           3. Makes legislative findings and declarations that the  
             authority created in MBC to inspect a deceased's records  
             according to this bill, and a physician and surgeon's  







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             compliance with that request, are consistent with the public  
             interest and benefit activities of the federal Health  
             Insurance Portability and Accountability Act. 

           4. States that the repeated failure by a physician and surgeon  
             who is the subject of an investigation by MBC, in the absence  
             of good cause, to attend and participate in an interview  
             scheduled by MBC is unprofessional conduct. 

           5. Permits an ALJ of the Medical Quality Hearing Panel to issue  
             an ISO limiting the authority of a physician and surgeon to  
             prescribe, furnish, administer or dispense controlled  
             substances. 

           6. Makes clarifying and technical changes. 

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

           SUPPORT  :   (Verified  9/11/13)

          Center for Public Interest Law
          California Academy of Family Physicians
          Osteopathic Physicians and Surgeons of California
          California Medical Association

          MW:k  9/12/13   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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