BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   AB 171|
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                                 THIRD READING


          Bill No:  AB 171
          Author:   Jones (D)
          Amended:  7/15/09 in Senate
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEVELOP. COMM  :  7-0, 6/8/09
          AYES:  Negrete McLeod, Aanestad, Corbett, Correa, Romero,  
            Walters, Yee
          NO VOTE RECORDED:  Wyland, Florez, Oropeza

           SENATE JUDICIARY COMMITTEE  :  4-0, 6/23/09
          AYES:  Corbett, Florez, Leno, Walters
          NO VOTE RECORDED:  Harman

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8 

           ASSEMBLY FLOOR  :  78-0, 5/11/09 - See last page for vote


           SUBJECT  :    Dental services:  credit

           SOURCE  :     Western Center on Law and Poverty


           DIGEST  :    This bill prohibits a person providing dental  
          services, or an employee or agent of that person, from  
          charging treatment or costs to an open-end credit, that is  
          extended by a third party and that is arranged for or  
          established in a dental office, before the date upon which  
          the treatment is rendered or costs are incurred, without  
          first providing the patient a list of the treatment and  
          services to be rendered, the estimated costs of the  
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          treatment and services, and which treatment and services  
          are being charged in advance of rendering or incurring of  
          costs, and ensuring that the patient has received a  
          treatment plan, as required.  In addition this bill  
          requires a written notice to be signed by a patient before  
          any credit is extended or arranged.

           ANALYSIS  :    Existing law:

           1.   Prohibits unfair methods of competition and unfair or  
               deceptive acts or practices in the sale or lease of  
               goods or services.  Allows a consumer who suffers any  
               damage as a result of unfair methods of competition  
               and unfair or deceptive acts or practices to bring an  
               action to recover damages, as specified. 

           2.   Establishes the Medi-Cal program, administered by the  
               Department of Health Care Services, which provides  
               comprehensive health benefits to low-income children,  
               their parents or caretaker relatives, pregnant women,  
               elderly, blind or disabled persons, nursing home  
               residents, and refugees who meet specified eligibility  
               criteria.

           3.   Establishes the Knox-Keene Health Care Service Plan  
               Act of 1975 to regulate and license health care  
               service plans and specialized plans by the Department  
               of Managed Health Care.

           4.   Provides for the regulation of health insurers by the  
               Department of Insurance.

          This bill:

           1.   Prohibits a person providing dental services, or an  
               employee or agent of a dentist, from charging  
               treatment or costs to an open-end credit, that is  
               extended by a third party and that is arranged for or  
               established in a dental office before the date upon  
               which the treatment is rendered or costs are incurred  
               without first providing the patient a list of the  
               treatment and services to be rendered, the estimated  
               costs of the treatment and services, and which  
               treatment and services are being charged in advance of  







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               rendering or incurring of costs, and ensuring that the  
               patient has received a treatment plan, as required.   

           2.   Requires a dentist to, within 15 business days of a  
               patient's request, refund to the lender any payment  
               received through a credit extended by a third part  
               that is arranged for or established in a dental office  
               for treatment that has not been rendered or costs that  
               have not been incurred. 

           3.   Prohibits a dentist, or an employee or agent of that  
               dentist, from arranging for or establishing credit  
               extended by a third party for a patient without first  
               providing a written notice on one page in at least  
               14-point type and obtain a signature from the patient.  
               Specifies the written notice that must be provided.

           4.   Requires a dentist to give a patient a written  
               treatment plan prior to arranging for or establishing  
               credit extended by a third party.  Requires the  
               written treatment plan to include each anticipated  
               service to be provided, and the estimated cost of each  
               service.  States that if a patient is covered by a  
               private or government dental benefit plan or dental  
               insurance, from which the dentist takes assignment of  
               benefits, the treatment plan must indicate the  
               patient's private or government-estimated share of  
               cost for each service.  States that if the dentist  
               does not take assignment of benefits from a patient's  
               dental benefit plan or insurance, the treatment plan  
               must indicate that the treatment may or may not be  
               covered by a patient's dental benefit or insurance  
               plan, and that the patient has the right to confirm  
               dental benefit or insurance information from the  
               patient's plan, insurer, or employer before beginning  
               treatment.

           5.   Prohibits a dentist, an employee or agent of that  
               dentist, from arranging for, or establishing credit  
               extended by a third party for a patient with whom the  
               dentist, or an employee or agent of that dentist,  
               communicates primarily in language other than English  
               that is one of the Medi-Cal threshold languages,  
               unless the written notice information required in item  







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               #3) above is also provided in that language.

           6.   Prohibits a dentist, or an employee or agent of that  
               dentist from arranging for or establishing credit that  
               is extended by a third party for a patient who has  
               been administered or is under the influence of general  
               anesthesia, conscious sedation, or nitrous oxide.

           7.   Allows a patient who suffers any damage as a result  
               of the use or employment by any person of a method,  
               act, or practice that willfully violates provisions of  
               this bill to seek relief under the Consumer Legal  
               Remedies Act.

           8.   States that the rights, remedies and penalties  
               established by this bill are cumulative and does  
               supersede the rights, remedies or penalties  
               established under other laws.

           9.   Defines open-end credit as credit extended by a  
               creditor under a plan in which the creditor reasonably  
               contemplates repeated transactions, the creditor may  
               impose a finance charge from time to time on an  
               outstanding unpaid balance, and the amount of credit  
               that may be extended to the debtor during the term of  
               the plan (up to any limit set by the creditor) is  
               generally made available to the extent that any  
               outstanding balance is repaid.  Defines patient to  
               include the patient's parent or other legal  
               representative.

           10.  Requires a staff-model dental health care service  
               plan that arranges for or establishes credit extended  
               by a third party, to establish and comply with  
               policies and procedures that ensure that its dentists,  
               employees and agents, and employees of agents of its  
               dentists comply with this bill.

           11.  Requires a staff-model dental health care service  
               plan that arranges for or establishes credit extended  
               by a third party, to establish and comply with  
               policies and procedures that ensure that, within 15  
               business days of an enrollee's request, the plan  
               refunds to a lender any payment received through that  







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               credit for treatment that has not been rendered or  
               costs that have not been incurred. 

           12.  Requires a staff-model dental health care service  
               plan that directly extends credit or establishes a  
               payment plan shall, at a minimum, establish and comply  
               with policies and procedures that ensure that, within  
               15 business days of an enrollee's request, the plan  
               refunds to the enrollee any payment received through  
               that credit or payment plan for treatment that has not  
               been rendered or costs that have not been incurred.

           13.  Defines the following terms: 

               A.     Staff-model dental health care service plan"  
                 means a specialized health care service plan that  
                 contracts to provide coverage for dental care  
                 services and retains dentists as employees to care  
                 for its enrollees.

               B.     Enrollee includes, but is not limited to, an  
                 enrollee's parent or other legal representative.

           Background
           
          Background information provided by the sponsor to the  
          Senate Business, Professions and Economic Development  
          Committee, including newspaper articles, indicates that the  
          practice of hospitals, medical, and dental offices  
          arranging credit for their patients started proliferating  
          with the growth of the uninsured and underinsured  
          population.  Typically, the practice involves a patient who  
          has a medical or dental condition that is not covered by a  
          health or dental plan or policy, and the medical or dental  
          provider or its employee or agent arranges a credit or loan  
          for the patient to assist in paying for the services.   
          According to a November 2007 Business Week article entitled  
          "Fresh Pain for the Uninsured," financial institutions such  
          as General Electric, U.S. Bancorp, Capital One, and  
          Citigroup are examples of medical creditors.  General  
          Electric owns Care Credit, and according to Care Credit's  
          website, it has 6 million customers and is marketed to  
          dentists, plastic surgeons, and some hospitals.  U.S. Bank,  
          a U.S. Bancorp unit, finances about $2 million in patient  







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          debt per month through a medical-benefit firm, charging  
          most customers annual interest of 13.5 percent, and as much  
          as 24 percent on late bills.  The article points out that  
          many patients across the country do not realize their  
          medical debts are being shifted to credit card companies by  
          their providers.  

           Prior Legislation
           
          SB 1633 (Kuehl, 2008) is similar to the provisions of this  
          bill and would have prohibited a person providing dental  
          services, or an employee or agent of that person, from  
          charging to a line of credit or other extension of credit,  
          or accept payment from loan funds for services that the  
          patient, client, or customer has not yet received.   
          Governor Schwarzenegger summarily vetoed SB 1633 because of  
          the budget crisis.   

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  Yes

           SUPPORT  :   (Verified  7/15/09)

          Western Center on Law and Poverty (source) 
          American Federation of State, County, and Municipal  
          Employees
          Asian Pacific American Legal Center of Southern California
          California Dental Association
          California Immigrant Policy Center
          California Primary Care Association
          California Rural Legal Assistance
          Congress of California Seniors
          Consumers Union
          Having Our Say
          Health Access California
          Health Rights Hotline
          Neighborhood Legal Services of Los Angeles County

           ARGUMENTS IN SUPPORT  :    According to the Western Center on  
          Law and Poverty, healthcare providers are increasingly  
          offering to facilitate their patients' ability to obtain  
          loans to pay for medical services.  They state that its  
          office received numerous complaints from low-income  
          consumers who have fallen victim to credit cards for dental  







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          care without appropriate protections.  They also point out  
          that this bill does not intend to prohibit dentists from  
          arranging credit cards or loans for their patients but aims  
          to protect low-income consumers from unfair practices in  
          the marketing of dental credit cards and loans.  They  
          indicate this bill is important especially in the current  
          environment where low-income consumers are facing  
          foreclosures, check cashing abuses, and other forms of  
          predatory lending.


           ASSEMBLY FLOOR  : 
          AYES:  Adams, Ammiano, Anderson, Arambula, Beall, Bill  
            Berryhill, Tom Berryhill, Blakeslee, Block, Blumenfield,  
            Brownley, Buchanan, Caballero, Charles Calderon, Carter,  
            Chesbro, Conway, Cook, Coto, Davis, De La Torre, De Leon,  
            DeVore, Emmerson, Eng, Evans, Feuer, Fletcher, Fong,  
            Fuentes, Fuller, Furutani, Gaines, Galgiani, Garrick,  
            Gilmore, Hagman, Hall, Harkey, Hayashi, Hernandez, Hill,  
            Huber, Huffman, Jeffries, Jones, Knight, Krekorian, Lieu,  
            Logue, Bonnie Lowenthal, Ma, Mendoza, Miller, Monning,  
            Nava, Nestande, Niello, Nielsen, John A. Perez, V. Manuel  
            Perez, Portantino, Price, Ruskin, Salas, Saldana, Silva,  
            Skinner, Smyth, Solorio, Audra Strickland, Swanson,  
            Torlakson, Torres, Torrico, Tran, Villines, Bass
          NO VOTE RECORDED:  Duvall, Yamada


          JA:nl  7/15/09   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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