BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   AB 995|
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                                 THIRD READING


          Bill No:  AB 995
          Author:   Block (D)
          Amended:  7/13/09 in Senate
          Vote:     21

           
           SENATE HEALTH COMMITTEE  :  10-0, 7/15/09
          AYES:  Alquist, Strickland, Aanestad, Cedillo, Cox,  
            DeSaulnier, Leno, Negrete McLeod, Pavley, Wolk
          NO VOTE RECORDED:  Maldonado

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8

           ASSEMBLY FLOOR  :  Not relevant


           SUBJECT  :    Tissue bank licensing

           SOURCE  :     Author


           DIGEST  :    This bill adds to the list of licensure  
          exceptions relative to tissue banks, the storage of a human  
          cell, tissue, or cellular- or tissue- based product that is  
          either a medical device or a biologic product, as defined,  
          by licensed physician or podiatrist acting within the scope  
          of his/her license and practicing in a lawful practice  
          setting, as specified.  The bill also requires, to be  
          eligible for this exemption, that the entity where the  
          physician or podiatrist practices notify the department of  
          specified information.

           ANALYSIS  :    
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          Existing law:

          1. Requires the Department of Public Health (DPH) to  
             license and regulate tissue banks and gives DPH the  
             authority to revoke or suspend the license of any tissue  
             bank that violates licensing standards pertaining to  
             tissue banks.

          2. Defines "tissue" as any human cell, group of cells,  
             tissue or organ including the cornea, sclera, or  
             vitreous humor and other segments of, or the whole eye,  
             bones, skin, arteries, sperm, blood, other fluids, and  
             any other portion of a human body.

          3. Requires DPH to adopt, on or before July 1, 2004,  
             regulations governing licensed tissue banks engaged in  
             the collection of human musculoskeletal tissue, skin,  
             and veins for transplantation in humans.  Requires the  
             regulations to be substantially based on accreditation  
             standards issued by tissue bank trade associations, as  
             specified.

          4. Requires regulations for tissue banks to include minimum  
             standards related to preservation, storage, and handling  
             of tissue; equipment, methods, and personnel  
             qualifications of tissue banks; and testing of donors,  
             as specified.

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

           SUPPORT  :   (Verified  8/19/09)

          California Podiatric Medical Association
          Advanced BioHealing, Inc.
          Organogenesis, Inc.


           ARGUMENTS IN SUPPORT  :    DPH, the sponsor of this bill,  
          states that due to rapid changes in tissue banking  
          technology, it has been unable to promulgate standards for  
          tissue banks.  DPH argues that the AATB standards that  
          tissue banks would have to meet under this bill are updated  







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          on a routine basis, reflect the latest technological  
          advances, and are nationally recognized as accepted  
          standards for safety.  DPH further argues that adopting the  
          AATB standards, combined with an expedited process for  
          adopting changes to the standards and new authority to levy  
          monetary penalties for licensing violations, will allow it  
          to take more effective enforcement action.

          The AATB states that it publishes the only authoritative  
          industry standards for tissue banks, and that it has been  
          the driving force behind the development of standards for  
          human tissue by federal and state authorities.  In  
          particular, AATB states that its standards are the most  
          detailed and comprehensive standards for tissue banking in  
          the world and have served as the template for FDAs  
          regulations, as well other state and international  
          standards.  AATB argues that, although California tissue  
          banks are licensed by the state and registered with the  
          FDA, requiring the banks to additionally meet AATB  
          standards will provide an added measure of protection for  
          consumers.


          CTW:DLW:do  8/19/09   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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