BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1785
                                                                  Page  1

          Date of Hearing:   April 20, 2010

                            ASSEMBLY COMMITTEE ON HEALTH
                              William W. Monning, Chair
                   AB 1785 (Galgiani) - As Amended:  April 5, 2010
           
          SUBJECT  :  Corrections: telemedicine systems.

           SUMMARY  :  Requires the California Department of Corrections and  
          Rehabilitation (CDCR) to maintain a statewide telemedicine  
          services program, requires an operational telemedicine program  
          at each institution, and expands existing telemedicine services  
          and encounters.   Specifically,  this bill  :  

          1)States the intent of the Legislature to require CDCR to  
            implement and maintain telemedicine in state prisons, and  
            makes specified legislative findings and declarations  
            regarding the benefits of telemedicine to reduce costs and  
            improve quality and delivery of health care in prisons.  

          2)Requires CDCR to do all of the following:

             a)   Maintain a statewide telemedicine services program, and  
               require each institution to maintain a program as well;

             b)   Expand services and encounters currently delivered by  
               telemedicine in CDCR prisons, and require each prison to  
               use telemedicine for medical consultations when authorized  
               by utilization management; and,

             c)   Expand the use of existing external telemedicine sources  
               and establish and maintain an information technology  
               support infrastructure to enable timely tracking and  
               reporting of telemedicine services.  

           EXISTING LAW  :

          1)Establishes the Telemedicine Development Act for purposes of  
            overcoming significant barriers to access to health services  
            in medically underserved rural and urban areas and defines  
            telemedicine as the practice of health care delivery,  
            diagnosis, consultation, treatment, transfer of medical data,  
            and education using interactive, video, or data  
            communications.  









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          2)Defines, in the Medical Practice Act, telemedicine as the  
            practice of health care delivery, diagnosis, consultation,  
            treatment, transfer of medical data, and education using  
            interactive audio, video or data communications.

          3)Allows the use of telemedicine in the Medi-Cal Program, when  
            those services would be otherwise covered by the program when  
            appropriate, and when the contact between the health care  
            provider and the patient is real time or near real time.

          4)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,  
            optometry, or dermatology, where the physician at the distant  
            site reviews the medical information without the patient being  
            present in real time and allows these telemedicine services to  
            be reimbursed under the Medi-Cal Program.  Existing law  
            provides a sunset date of January 1, 2013 for these  
            provisions.

          5)States the intent of the Legislature that CDCR operate in the  
            most cost-effective and efficient manner when purchasing  
            health care services for inmates.  

           FISCAL EFFECT  :   This bill has not been analyzed by a fiscal  
          committee.

           COMMENTS  :

           1)PURPOSE OF THE BILL .  According to the author, this bill,  
            which is sponsored by the federal Receiver, will ensure that  
            the progress made in expanding telemedicine in California's  
            prisons will continue.  The author states that expanding  
            telemedicine services will further benefit the state by  
            avoiding medical guarding and transportation costs associated  
            with transporting inmates off-site to receive medical  
            services, and reducing staff physician and psychiatric  
            vacancies in remote locations.   

           2)BACKGROUND  .  The California HealthCare Foundation defines  
            telemedicine as the use of telecommunications and information  
            technologies to provide health care services remotely.  
            Equipment such as exam cameras, monitors, and electronic  
            stethoscopes allow physicians to treat patients without  








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            meeting them face-to-face.  Telemedicine is most commonly used  
            by psychiatrists and specialists such as dermatologists and  
            orthopedists to conduct initial and follow-up consultations.   
            It is particularly beneficial for patients who live in rural  
            areas throughout the state.  

          CDCR currently provides health care to approximately 167,000  
            inmates in the form of primary care and specialty services,  
            which are generally provided by CDCR staff or contract staff,  
            and medical specialty care, which is provided in prisons by  
            health care staff during regularly scheduled clinics.  Inmates  
            who need other medical specialty care are transported to  
            outside facilities, which requires transportation and staffing  
            costs to escort the patients.  Recently, inmates have received  
            medical and mental health treatment through telemedicine.    

          3)TELEMEDICINE IN CALIFORNIA PRISONS  .  According to its  
            "Analysis of the 2006-07 Budget Bill" the Legislative  
            Analysts' Office (LAO) states that California's telemedicine  
            program began in 1997, with a pilot program for mental health  
            inmates (typically inmates with schizophrenia and bipolar  
            disorder) at Pelican Bay State Prison.  The pilot program  
            improved inmates' access to mental health care and CDCR later  
            decided to expand the program to other prisons.   Correctional  
            facilities have found telemedicine to be particularly  
            beneficial for the delivery of medicine, as it enhances public  
            safety and reduces costs by allowing inmates to receive  
            treatment inside prison rather than being transported to  
            off-site medical facilities.  Additionally, telemedicine  
            enables correctional systems to expand provider networks and  
            lower contract costs with physicians.  CDCR's telemedicine  
            program is currently administered by the Office of  
            Telemedicine Services, which is a unit of the Division of  
            Correctional Health Care Services.  According to CDCR,  
            telemedicine saves roughly $850 in transportation and medical  
            guarding costs for each outside medical visit that is avoided  
            because of the technology.   
          In its analysis, the LAO found that CDCR is not maximizing the  
            benefits of telemedicine.  Based on CDCR's own assessments,  
            increased use of telemedicine could further reduce the number  
            of outside medical visits by as much as 20,000 per year, which  
            would save up to $17 million annually in transportation and  
            guarding costs.  The LAO found that telemedicine was  
            underutilized because CDCR does not require prison health care  
            staff to utilize telemedicine and it only offers a limited  








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            number of medical specialties.  In order to improve the  
            utilization of telemedicine, the LAO recommended requiring  
            prisons to use the telemedicine program for all medical  
            consultations that are appropriate for telemedicine, and that  
            CDCR establish guidelines concerning the conditions under  
            which telemedicine should be used.  
           
          4)FEDERAL RECEIVER FOR CDCR  .  In February 2006, the U.S.  
            District Court for Northern California appointed a Receiver to  
            control the delivery of medical services for prisoners in  
            California.  The receivership is the result of a class action  
            law suit in 2001,  Plata v. Schwarzenegger  (N.D. Cal. Oct. 3,  
            2005) No. C01-1351 THE, that found the medical care in  
            California's 33 adult prisons violates the Eighth Amendment of  
            the U.S. Constitution, which forbids cruel and unusual  
            punishment.  The court found that on average an inmate died  
            needlessly every six to seven days due to inadequate medical  
            care.  The Receiver is charged with taking over the operations  
            of the state's prison medical care system and bringing it up  
            to constitutional levels.  

          One of the Receiver's stated goals is to expand and improve  
            telemedicine capabilities.  In its most recent tri-annual  
            progress report, dated January 2010, the Receiver notes that  
            telemedicine staffing and governance continues to improve.   
            The Receiver has hired two new additional staff to schedule  
            specialty services and is recruiting for a Health Program  
            Manager and is expanding telemedicine services to six  
            institutions (North Kern State Prison, Kern Valley State  
            Prison, Richard J. Donovan Correctional Facility, Centinela  
            State Prison, California State Prison at Corcoran, and  
            Substance Abuse Treatment Facility).  Currently, the Receiver  
            is in the process of collecting statistics to measure progress  
            in increasing telemedicine encounters while reducing off-site  
            specialty services encounters.  The Receiver anticipates  
            completing the six-institution initiative and a phased rollout  
            of increased telemedicine services statewide by the next  
            reporting period.    
           
          5)ARGUMENTS IN SUPPORT  .  The federal Receiver, who is sponsoring  
            this bill, states that this bill will result in significant  
            cost avoidance and savings, improve public safety, and improve  
            medical care for inmate-patients.  SEIU Local 1000 states that  
            telemedicine is already in use at Salinas Valley State Prison  
            and the Central California Women's Facility where Radiology  








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            Technicians report great success with the consultation system  
            available through telemedicine.  
           
          6)CONCERNS WITH LEGISLATION  .  The Union of American Physicians  
            and Dentists (UAPD), AFL-CIO expressed concerns about the  
            scope of the legislation and its implications for civil  
            service primary care physicians.  UAPD states that this bill  
            is silent on the issue of how telemedicine will interface with  
            existing medical and healthcare personnel working at  
            correctional institutions.  In a recent report, the LAO  
            recommended the expansion and use of telemedicine for  
            specialty care and psychiatry.  As a result, UAPD would like  
            to make clear in the bill that telemedicine will only be  
            expanded where medically appropriate.  


           
          7)RELATED LEGISLATION  .

             a)   AB 1817 (Arambula), which is sponsored by the federal  
               Receiver, would require CDCR to maintain a statewide  
               utilization management program, ensure that each adult  
               prison employ the same program, and annually report to the  
               Legislature, as specified.  AB 1817 is set to be heard in  
               the Assembly Committee on Health on April 20, 2010. 

             b)   AB 2747 (Lowenthal), which is sponsored by the federal  
               Receiver, would require CDCR to maintain and operate a  
               comprehensive pharmacy services program for those  
               facilities under its jurisdiction, that incorporates a  
               statewide pharmacy administration system, as specified.  AB  
               2747 is set to be heard in the Assembly Committee on Health  
               on April 20, 2010.

           8)PREVIOUS LEGISLATION  .

             a)   AB 1289 (Galgiani) of 2009 would require CDCR to  
               establish guidelines and performance targets for the prison  
               telemedicine program and to require prisons to use  
               telemedicine for all medical consultations that are  
               appropriate for telemedicine.  AB 1289 died on the Assembly  
               Appropriations Committee Suspense File.  

             b)   AB 175 (Galgiani) Chapter 175, Statutes of 2009,  
               expands, for the purposes of Medi-Cal reimbursement, until  








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               January 1, 2013, the definition of "teleophthalmology and  
               teledermatology by store and forward" to include services  
               of a licensed optometrist.

           9)POLICY CONCERNS  .  This bill requires that CDCR expand services  
            and encounters without defining clear goals and requiring  
            legislative oversight.  The author should establish clear  
            goals and anticipated dates for completing each stated goal,  
            and require CDCR to report its progress to the Legislature.   
            Additionally, the author should clarify that CDCR should only  
            use telemedicine when it is medically appropriate and never at  
            the risk of the patient's health and safety.    

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          California Prison Health Care Services (sponsor)
          California State Sheriffs' Association
          Crime Victims United of California
          Association for Los Angeles Deputy Sheriffs
          Riverside Sheriffs' Association
          Service Employees International Union, Local 1000

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Martin Radosevich / HEALTH / (916)  
          319-2097