BILL ANALYSIS Ó AB 2193 Page 1 ASSEMBLY THIRD READING AB 2193 (Salas) As Amended April 5, 2016 Majority vote ------------------------------------------------------------------ |Committee |Votes|Ayes |Noes | | | | | | | | | | | | | | | | |----------------+-----+----------------------+--------------------| |Business & |16-0 |Salas, Brough, Baker, | | |Professions | |Bloom, Campos, | | | | |Chávez, Dahle, Dodd, | | | | |Eggman, Gatto, Gomez, | | | | |Holden, Jones, | | | | |Mullin, Ting, Wood | | | | | | | |----------------+-----+----------------------+--------------------| |Appropriations |20-0 |Gonzalez, Bigelow, | | | | |Bloom, Bonilla, | | | | |Bonta, Calderon, | | | | |Chang, Daly, Eggman, | | | | |Gallagher, Eduardo | | | | |Garcia, Roger | | | | |Hernández, Holden, | | | | |Jones, Obernolte, | | | | |Quirk, Santiago, | | | | |Wagner, Weber, Wood | | | | | | | | | | | | AB 2193 Page 2 ------------------------------------------------------------------ SUMMARY: Extends the operation of the Board of Podiatric Medicine (BPM), the operation of the Physician Assistant Board (PAB), and the PAB's authority to appoint an executive officer until January 1, 2021. FISCAL EFFECT: According to the Assembly Appropriations Committee: 1)Cost of approximately $1.5 million per year, for four additional calendar years, to continue the operation of the BPM beyond the current January 1, 2017 sunset (Board of Podiatric Medicine Fund). 2)Cost of approximately $1.6 million per year, for four additional calendar years, to continue the operation of the PAB beyond the current January 1, 2017 sunset (Physician Assistant Fund). COMMENTS: Purpose. Unless legislation is carried this year to extend the sunset dates for the BPM and the PAB, they will be repealed on January 1, 2017. The legislative changes reflected in this bill are solutions to issues raised in the Assembly Committee on Business and Professions' staff Background Paper and during the sunset review hearing held on March 9, 2016. In addition, this bill will extend the BPM and PAB's authority to appoint an executive officer. Background. In March of 2016, the Senate Business and AB 2193 Page 3 Professions Committee and the Assembly Business and Professions Committee (Committees) conducted several joint oversight hearings to review 11 regulatory entities, including the BPM and the PAB. This bill and the accompanying sunset bills are intended to implement legislative changes as recommended by the committee staff Background Papers prepared for each entity reviewed. Continued Regulation of Physician Assistants by the PAB. The PAB is one of the several licensing entities under the Department of Consumer Affairs (DCA). The PAB licenses and regulates physician assistants (PAs). PAs provide health care services under the supervision of a physician and surgeon. PA functions include performing diagnostic, therapeutic, preventive, and health maintenance services. Currently, the PAB has over 10,000 licensed PAs. The PAB was last reviewed by the Committees in 2012. Since its last review, the PAB has shown a commitment to improve its overall efficiency and effectiveness, and has worked cooperatively with the Legislature and the Committees to bring about necessary changes. Therefore, this bill extends the sunset date of the PAB for four years so that the Legislature may once again review whether the issues and recommendations the Background Paper addressed. Continued Regulation of Doctors of Podiatric Medicine by the BPM. The BPM is also one of several licensing entities under the DCA. The BPM licenses and regulates doctors of podiatric medicine (DPMs). In the Medical Practice Act, a license to practice podiatric medicine is called a "certificate," but it is indistinguishable from other professional licenses. It is a misdemeanor to practice podiatric medicine or use the title DPM, podiatrist, or similar designation without a license. AB 2193 Page 4 The Practice Act defines "podiatric medicine" as all medical treatment of the foot, ankle, and tendons that insert into the foot, including diagnosis, surgery, and the nonsurgical treatment of the muscles and tendons of the leg governing the functions of the foot. Therefore, a DPM's scope of practice is similar to that of a physician and surgeon who specializes in the foot and ankle. However, unlike a physician and surgeon, whose scope is only limited by the licensee's own area of competence, a DPM's scope is limited by the license to the foot and ankle. The BPM licenses approximately 2,000 DPMs. On average, it issues 106 licenses each year and renews on average 1,106 licenses each year. Since its last review, the BPM has also shown a commitment to its mission and a willingness to work with the Legislature to improve consumer protection. Therefore, this bill extends the BPM sunset date to January 1, 2021 so that the Legislature may once again review whether the issues and recommendations the Background Paper addressed. Analysis Prepared by: Vincent Chee / B. & P. / (916) 319-3301 FN: 0003152 AB 2193 Page 5