BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 245
                                                                  Page  1

          Date of Hearing:   April 14, 2009

                   ASSEMBLY COMMITTEE ON BUSINESS AND PROFESSIONS
                                 Mary Hayashi, Chair
                      AB 245 (Ma) - As Amended:  March 26, 2009
           
          SUBJECT  :   Physicians and surgeons.

           SUMMARY  :   Requires the Medical Board of California (MBC) to  
          verify information on licensed physicians and surgeons posted on  
          their Internet Web site.  Specifically,  this bill  :  

          1)Requires the MBC to remove an expunged misdemeanor or felony  
            conviction within 30 days of receiving notice of the  
            expungement.

          2)Requires the MBC to verify the accuracy of the information  
            posted regarding enforcement actions, as specified, as of  
            January 1, 2010, and must, by April 1, 2010, remove any  
            information that the MBC is unable to verify or discovers is  
            false.

          3)Prohibits the MBC, on and after January 1, 2010, from posting  
            information unless it first verifies the accuracy of that  
            information. 

          4)Requires the MBC to ensure that the biographical information  
            posted on its Internet Web site about licensed physicians and  
            surgeons is accurate.

          5)Requires the MBC to establish a process to address complaints  
            from licensed physicians and surgeons regarding inappropriate  
            information posted by the board.

          6)Subjects the MBC to liability for damages incurred by a  
            licensed physician and surgeon as a result of the MBC's  
            failure to meet veracity requirements, as specified.

           EXISTING LAW  under the Medical Practice Act:

          1)Provides for the licensure and regulation of physicians and  
            surgeons by the MBC.

          2)Requires the MBC to post certain information on the Internet  
            regarding licensed physicians and surgeons, including, but not  








                                                                  AB 245
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            limited to felony convictions, certain misdemeanor  
            convictions, and whether the licensees are in good standing.  

          3)Requires that certain information remain posted for 10 years  
            and prohibits the removal of certain other information.

           FISCAL EFFECT  :   Unknown

           COMMENTS  :   

           Purpose of this bill  .  According to the author's office,  
          "Disclosure of information by the MBC to the general public  
          regarding physician conduct is an important public safeguard.   
          However, the MBC often publishes information that is  
          inaccurate?.  When the public reads these reports on the MBC  
          website, they assume that the physician is guilty of the  
          behavior described.  This is economically disastrous for the  
          physician and can disrupt the successfully delivery of health  
          care services.

          "AB 245 would require the MBC to publish only material that has  
          been factually proven through its own investigation and final  
          adjudication." 

           Background  .   According to the MBC, many provisions of this bill  
          are already practiced, though not formalized in statute or  
          regulations.  Although there is no timing requirement, the MBC  
          asserts that they do remove expunged misdemeanor or felony  
          convictions upon notification and verification.  Similarly, the  
          MBC currently verifies all information prior to posting, and  
          removes information found incorrect when alerted.         

          Further, the MBC indicates that significant staff resources will  
          be required to verify the biographical information of their  
          125,000 physician and surgeons, as required by AB 245.  The MBC  
          already encourages its licensees to check their own information;  
          the January 2009 newsletter recommended that licensees to check  
          their profile online and provided several ways to alert the MBC  
          to any changes.      

          The sponsors of this bill, the Union of American Physicians and  
          Dentists, affiliated with the American Federation for State,  
          County and Municipal Employees, AFL-CIO (AFSCME), claim that 31  
          physician members had false reports of medical discipline  
          transmitted to the board which caused damage to their careers. 








                                                                  AB 245
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           Arguments in support.   According to the sponsor, "AFSCME has  
          always supported the right of the public to view information on  
          those individuals entrusted with services that directly affect  
          our health and lives.  This bill will ensure that all  
          information on such critical and sensitive subjects is accurate,  
          complete and accessible."

          This analysis does not comment on the liability issues imposed  
          on the MBC by this bill because that issue is within the  
          jurisdiction of the Assembly Judiciary Committee. 

           Double referred  .  This bill is double-referred to the Assembly  
          Judiciary Committee.   

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          Union of American Physicians and Dentists
          The American Federation of State, County and Municipal Employees  
          (AFSCME), AFL-CIO

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Sarah Huchel / B. & P. / (916) 319-3301