BILL ANALYSIS Ó
SB 464
Page 1
Date of Hearing: July 15, 2015
ASSEMBLY COMMITTEE ON APPROPRIATIONS
Jimmy Gomez, Chair
SB 464
(Hernandez) - As Amended May 22, 2015
-----------------------------------------------------------------
|Policy |Business and Professions |Vote:|14 - 0 |
|Committee: | | | |
| | | | |
| | | | |
|-------------+-------------------------------+-----+-------------|
| | | | |
| | | | |
| | | | |
|-------------+-------------------------------+-----+-------------|
| | | | |
| | | | |
| | | | |
-----------------------------------------------------------------
Urgency: No State Mandated Local Program: NoReimbursable: No
SUMMARY:
This bill clarifies health care practitioners can use patient
self-screening tools that will identify patient risk factors for
the use of self-administered hormonal contraceptives, for
purposes of furnishing self-administered hormonal contraceptives
SB 464
Page 2
to the patient.
FISCAL EFFECT:
Negligible costs to affected professional licensing boards
within the Department of Consumer Affairs.
COMMENTS:
1)Purpose. According to the author, hormonal contraception has
been proven safe and effective at preventing pregnancy, and
the American College of Obstetricians and Gynecologists
recently recommended that women should self-screen for
contraindications using a checklist, in order to increase
their access to hormonal contraceptives. The author further
states existing law is unclear as to whether self-screening
tools can be used to transmit relevant medical and family
history information from a patient to her provider. The author
believes enabling the use of self-screening tools will allow
healthcare providers to make greater use of existing and
developing technology, and will increase access to oral
contraception. This bill is sponsored by Planned Parenthood
Affiliates of California.
2)Background. Health care professionals specified in this bill,
including a physician, a registered nurse (RN), a certified
nurse-midwife (CNM), a nurse practitioner (NP), a physician
assistant (PA), or a pharmacist are allowed to furnish
self-administered hormonal contraceptives in accordance with
existing law for each practitioner. In order to screen
patients to ensure hormonal contraceptives are appropriate,
certain data elements must be collected. This bill simply
clarifies it is acceptable to collect this data from patient
SB 464
Page 3
self-screening tools, for purposes of furnishing
self-administered hormonal contraceptives.
3)Prior Legislation. SB 493 (Hernandez), Chapter 469, Statutes
of 2013, among other things, authorized a pharmacist to
furnish self-administered hormonal contraception in accordance
with standardized procedures and protocols, which require the
patient to use a self-screening tool to identify patient risk
factors for contraceptives.
Analysis Prepared by:Lisa Murawski / APPR. / (916)
319-2081