BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 175
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 175 (Galgiani)
          As Amended  June 24, 2009
          Majority vote
           
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          |ASSEMBLY:  |77-0 |(May 21, 2009)  |SENATE: |40-0 |(September 4,  |
          |           |     |                |        |     |2009)          |
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           Original Committee Reference:   HEALTH  

           SUMMARY  :  Expands, for the purposes of Medi-Cal reimbursement,  
          until January 1, 2013, the definition of "teleophthalmology and  
          teledermatology by store and forward" to include services of a  
          licensed optometrist.

           The Senate amendments  clarify a reference to a consulting of an  
          ophthalmologist or other physician and surgeon.

           EXISTING LAW  :  

          1)Defines, for the purposes of Medi-Cal, "teleophthalmology and  
            teledermatology by store and forward" as transmission of  
            medical information to be reviewed at a later time and at a  
            distant site by a physician who is trained in ophthalmology or  
            dermatology, where the physician at the distant site reviews  
            the medical information without the patient being present in  
            real time.

          2)Prohibits health plans and insurers, including Medi-Cal, from  
            requiring face-to-face contact for services appropriately  
            provided through telemedicine.

           AS PASSED BY THE ASSEMBLY  , this bill was substantially similar  
          to the version passed by the Senate. 
           
          FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee, this bill will increase General Fund costs by $36,000  
          to $102,000 in fiscal year (FY) 2009-10; $75,000 to $237,000 in  
          FY 2010-11; and, $86,000 to $270,000 in FY 2011-12.  This bill  
          would increase federal funds costs by $53,000 to $167,000 in FY  
          2009-10; $96,000 to $302,000 in FY 2010-11; and, $86,000 to  
          $270,000 in FY 2011-12.  









                                                                  AB 175
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           Analysis Prepared by  :    Allegra Kim / HEALTH / (916) 319-2097 

                                                                            
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