BILL ANALYSIS Ó AB 1947 Page 1 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, | | | | | | | AB 1947 Page 2 | | | | | | | |Roger Hernández, | | | | |Holden, Obernolte, | | | | |Quirk, Santiago, | | | | |Weber | | | | | | | | | | | | ------------------------------------------------------------------ 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 AB 1947 Page 3 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. AB 1947 Page 4 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