BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 2744


                                                                    Page  1





          Date of Hearing:  May 4, 2016


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                               Lorena Gonzalez, Chair


          AB  
          2744 (Gordon) - As Amended April 11, 2016


           ----------------------------------------------------------------- 
          |Policy       |Business and Professions       |Vote:|16 - 0       |
          |Committee:   |                               |     |             |
          |             |                               |     |             |
          |             |                               |     |             |
          |-------------+-------------------------------+-----+-------------|
          |             |                               |     |             |
          |             |                               |     |             |
          |             |                               |     |             |
          |-------------+-------------------------------+-----+-------------|
          |             |                               |     |             |
          |             |                               |     |             |
          |             |                               |     |             |
           ----------------------------------------------------------------- 


          Urgency:  No  State Mandated Local Program:  NoReimbursable:  No


          SUMMARY:


          This bill provides that payment or receipt of consideration for  
          advertising for prepaid services offered by a licensed healing  
          arts practitioner, subject to certain exclusions, does not  
          constitute a referral of those services, and specifies that if  








                                                                    AB 2744


                                                                    Page  2





          the prepaid service is not appropriate for the purchaser, the  
          licensee must provide a full price refund to the purchaser, as  
          specified.


          FISCAL EFFECT:


          Any costs to healing arts boards within the Department of  
          Consumer Affairs are expected to be minor and absorbable.


          COMMENTS:


          1)Purpose. This bill seeks to clarify that the purchase of  
            professional services from licensed healing arts professionals  
            through an online advertising website (like LivingSocial or  
            Groupon) does not constitute an impermissible referral for  
            those services from the online advertisement originator.  This  
            bill is sponsored by the Internet Association and has no  
            opposition.
          2)Background. Under existing law, BPC Section 650(a), a licensed  
            healing arts professional may not accept any type of  
            compensation for referring an individual to any other person  
            for services.  This prohibition on the payment of a healthcare  
            provider for a referral of services was intended to protect  
            patients and consumers from providers receiving payments or  
            "kickbacks" for sending patients to certain providers.   
            Anti-kickback laws were enacted to help ensure that healthcare  
            decisions are made in the best interest of the consumer.  In  
            California, a violation of the no-referral laws by a licensee  
            is unprofessional conduct and cause for disciplinary action.  


            Examples of advertised healthcare-related services commonly  
            purchased through an Internet platform include laser toenail  
            fungus removal, nonsurgical facelifts, spider vein treatments,  
            counseling, and integrative manual therapy sessions. There is  








                                                                    AB 2744


                                                                    Page  3





            a pending Attorney General (AG) opinion on the question of  
            whether a healthcare professional may offer online discounts  
            for their services through a third-party internet marketer.   
            The opinion request, 13-1203, is currently pending completion  
            in the AG's office.  This bill is intended to clarify the  
            practice of offering services through third-party internet  
            marketer is not a patient referral. 


          Analysis Prepared by:Lisa Murawski / APPR. / (916)  
          319-2081