BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 501
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 501 (Emmerson)
          As Amended  July 13, 2009
          Majority vote
           
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          |ASSEMBLY:  |80-0 |(May 28, 2009)  |SENATE: |35-0 |(August 17,    |
          |           |     |                |        |     |2009)          |
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           Original Committee Reference:    B. & P.  

           SUMMARY  :  Permits the Medical Board of California (MBC) to issue  
          a limited license to an applicant for a physician and surgeon's  
          license, sets the terms of use for the titles "Dr." and "M.D.,"  
          makes changes to the physician and surgeon license fee cap and  
          to the Contingent Fund (fund), and requests a financial audit of  
          the MBC.

           The Senate amendments  :

          1)Delete the requirement that an applicant for a physician's and  
            surgeon's license sign under penalty of perjury an agreement  
            in which the applicant agrees to limit his or her practice, as  
            specified.

          2)State that any person who knowingly provides false information  
            in the agreement will be subject to any sanctions available to  
            the board.

          3)Replace the Bureau of State Audits with the Office of State  
            Audits and Evaluations (Office) within the Department of  
            Finance as the party responsible for commencing a preliminary  
            review of MBC's financial status, and requires the office  
            shall make the results of this review available upon request.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee:

          1)No direct fiscal impact to authorize counselors meeting  
            specified oversight, training, and supervisory requirements to  
            conduct rapid HIV testing via skin punctures.

          2)Minor savings to the extent rapid skin tests become less  
            administratively burdensome and costly to employers who are  








                                                                  AB 501
                                                                  Page  2

            required to provide approximately $2,500 in training per  
            employee to meet current phlebotomy training requirements.

          3)Minor savings in testing costs to the extent this bill results  
            in a shift from a more expensive oral swab test ($12) to a  
            less expensive skin puncture test ($7).  Due to recent budget  
            cuts, the statewide budget for HIV testing has been reduced  
            from $10.4 million to $9.8 million. This bill helps ensure  
            more people are tested with fewer resources.

          4)Major potential savings per 10 infections prevented. $3  
            million in public savings will accrue to the extent this bill  
            results in informing 10 additional HIV-positive individuals of  
            their status who would otherwise not be tested.  This estimate  
            assumes a $300,000 cumulative lifetime savings per individual  
            as quantified by research.  Research indicates many HIV  
            positive individuals, once informed of their status, make  
            behavior changes that reduce transmission of the virus.

           AS PASSED BY THE ASSEMBLY  , this bill was substantially similar  
          to the version passed by the Senate. 
           
          Analysis Prepared by  :    Sarah Huchel / B. & P. / (916) 319-3301  



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