BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 1947


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          ASSEMBLY THIRD READING


          AB  
          1947 (Chiu)


          As Amended  April 7, 2016


          Majority vote


           ------------------------------------------------------------------ 
          |Committee       |Votes|Ayes                  |Noes                |
          |                |     |                      |                    |
          |                |     |                      |                    |
          |                |     |                      |                    |
          |----------------+-----+----------------------+--------------------|
          |Health          |15-2 |Wood, Maienschein,    |Patterson,          |
          |                |     |Bonilla, Burke,       |Steinorth           |
          |                |     |Campos, Chiu,         |                    |
          |                |     |Dababneh, Gomez,      |                    |
          |                |     |                      |                    |
          |                |     |                      |                    |
          |                |     | Roger Hernández,     |                    |
          |                |     |Lackey, Olsen,        |                    |
          |                |     |Ridley-Thomas,        |                    |
          |                |     |Rodriguez, Santiago,  |                    |
          |                |     |Thurmond              |                    |
          |                |     |                      |                    |
          |----------------+-----+----------------------+--------------------|
          |Appropriations  |13-1 |Gonzalez, Bloom,      |Jones               |
          |                |     |Bonilla, Bonta,       |                    |
          |                |     |Calderon, Daly,       |                    |
          |                |     |                      |                    |
          |                |     |                      |                    |
          |                |     |Eduardo Garcia,       |                    |
          |                |     |                      |                    |








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          |                |     |                      |                    |
          |                |     |Roger Hernández,      |                    |
          |                |     |Holden, Obernolte,    |                    |
          |                |     |Quirk, Santiago,      |                    |
          |                |     |Weber                 |                    |
          |                |     |                      |                    |
          |                |     |                      |                    |
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          SUMMARY:  Requires the centralized application unit of the  
          Licensing and Certification Division in the California  
          Department of Public Health (DPH) to publish current checklists  
          and instructions on how to complete an application for a new  
          affiliate clinic license, and how to report changes to an  
          existing affiliate clinic, on the DPH Web site.  


          EXISTING LAW:  Allows a clinic corporation on behalf of a  
          primary care clinic that has held a valid, unrevoked, and  
          unsuspended license for at least the immediately preceding five  
          years, with no history of violations, to file an affiliate  
          clinic application to establish a primary care clinic at an  
          additional site, or a mobile health care unit, also known as  
          affiliate clinics.


          FISCAL EFFECT:  According to the Assembly Appropriations  
          Committee, negligible state fiscal effect.


          COMMENTS:  According to the author, the licensure process for  
          health facilities can be a complicated and time-intensive  
          process.  The author notes, in order to assist organizations  
          that operate multiple primary care clinics, which serve the  
          state's safety net population, get through this process more  
          quickly, the Legislature approved a streamlined, fast-tracked  
          affiliate primary care clinic licensure process that is intended  
          to permit clinics to open and begin serving the public as soon  








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          as possible.   


          The author states this bill simply would require DPH to publish  
          on its website an updated affiliate primary care clinic license  
          application checklist for new clinics, and a uniform checklist  
          explaining what existing licensees must do to report changes for  
          existing affiliate primary care clinics.  The author concludes  
          that this bill is aimed at ensuring that California's safety net  
          providers, such as affiliate primary care clinics, are able to  
          efficiently open up and not have to face unnecessary burdens.

          In 2015 the Legislature passed, and Governor Brown signed AB  
          1177 (Gomez), Chapter 704, Statutes of 2015, which prohibits a  
          primary care clinic, notwithstanding current regulations or any  
          other law, from being required to enter into a written transfer  
          agreement with a nearby hospital as a condition of licensure,  
          and requires DPH to repeal the regulation requiring primary care  
          clinics to enter into transfer agreements, no later than July 1,  
          2016.  However, the checklist published on DPH's Web site still  
          indicates the transfer agreement is a required element of the  
          application.  According to DPH, the Web site and clinic  
          application checklists are in the process of being updated to  
          reflect the changes, and are anticipated to be completed by the  
          end of April 2016.  DPH states that an All Facility Letter was  
          published informing clinics about the law change, and that the  
          regulations will be repealed by July 1, 2016, per the provisions  
          of AB 1177.

          Planned Parenthood Affiliates of California (PPAC) is the  
          sponsor of this bill and states that it will significantly  
          improve the licensure process by providing applicants with  
          accurate and current information about the requirements to  
          obtain an affiliate primary care clinic license.  PPAC notes  
          that DPH has not updated the affiliate primary license  
          application checklist since 2011, leaving their Web site with  
          potentially misleading and contradictory information. 










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          The California Right to Life Committee opposes this bill,  
          stating they are already very concerned about the health of  
          women who seek services in these facilities due to a previous  
          bill that changed the building code standards and that now women  
          are at double risk with the removal of the requirement for a  
          hospital transfer agreement.


          Analysis Prepared by:                                             
                          Lara Flynn / HEALTH / (916) 319-2097  FN:  
          0002696