BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2148
                                                                  Page  1

          Date of Hearing:   May 28, 2010

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

                     AB 2148 (Tran) - As Amended:  May 18, 2010 

          Policy Committee:                              Revenue and  
          Taxation     Vote:                            9-0

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              

           SUMMARY  

          This bill provides, for tax years 2011 through 2015, a personal  
          income tax deduction to physicians that provide free medical  
          services in clinic or hospital settings.  Specifically, the  
          bill:

          1)Allows an income tax deduction equal to the value of qualified  
            medical services (determined based on the usual, reasonable,  
            and customary standards described in the California Code of  
            Regulations), up to a maximum of $1,500 per year.

          2)Specifies that the deduction would be allowed in computing  
            adjusted gross income. This means that it would be available  
            to both those itemizing deductions and those taking the  
            standard deduction, and it would not be phased out at higher  
            income levels (as are most itemized deductions.)

          3)Defines "qualified medical services" to mean medical services  
            provided free of charge at a local community clinic, and  
            emergency medical services provided free of charge in a  
            emergency department of a general acute care hospital.

           FISCAL EFFECT

           The bill will result in General Fund revenue losses of about $1  
          million in 2011-12, and $800,000 the subsequent three years.

           COMMENTS  :   

           1)Purpose  . According to the author, the bill is intended to  
            provide incentives for doctors to bring their knowledge and  








                                                                  AB 2148
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            expertise to meet the needs of underserved populations in  
            California communities.

           2)Background  . Existing personal income tax law provides for  
            various itemized deductions from adjusted gross income in  
            computing taxable income. These include a deduction for  
            charitable contributions made by a taxpayer.  Allowable  
            deductions consist of donations of cash and tangible property,  
            as well as certain expenses incurred in rendering charitable  
            services. However, the value of services provided for  
            charitable causes is not deductible. 
           
          3)Issue  . Assuming a physician is in the  9.55% marginal tax  
            rate, the $1,500 maximum deduction will be worth about $143 in  
            state tax savings - and net savings of $93 when the offsetting  
            increase in federal liabilities is included.  While a nice  
            gesture to physicians providing free medical services, the  
            small amount will provide an extremely limited financial  
            incentive for doctors to contribute additional hours. Instead  
            it will result in modest tax savings to those who would have  
            contributed the services anyway - but collectively at a  
            significant cost to the state.


          A  nalysis Prepared by  :    Brad Williams / APPR. / (916) 319-2081