BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2292
                                                                  Page  1

          Date of Hearing:   April 21, 2010

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

               AB 2292 (Lowenthal) - As Introduced:  February 18, 2010 

          Policy Committee:                              Health Vote:19-0

          Urgency:     No                   State Mandated Local Program:  
          Yes    Reimbursable:              No

           SUMMARY  

          This bill prohibits ambulatory surgical clinics (ASC) (same day  
          surgery centers) from prescribing medications unless they have  
          been licensed by the California Board of Pharmacy (Board).  
          Specifically, this bill: 

          1)Defines ASC subject to licensure according to current state  
            laws pertaining to health facilities and eligibility for  
            Medicare reimbursement. 

          2)Requires the Board to conduct licensure inspections.

           FISCAL EFFECT  

          Annual fee-supported special fund costs of $200,000 for the  
          Board to conduct licensure inspections and provide oversight of  
          1,100 ASC. 

           COMMENTS  

          1)       Rationale  . This bill clarifies licensure of ASC to  
            ensure physicians are able to prescribe medication legally to  
            patients receiving outpatient surgery and diagnostic  
            procedures. This area of law has been complicated by a recent  
            legal decision, discussed below. According to the author this  
            bill ensures patient safety and access to care. In the absence  
            of the licensure framework proposed in this bill, the author  
            indicates clinics will essentially have to set up their own  
            pharmacies, which creates a number of risks and oversight  
            problems for both the provider and the regulator. 
           
          2)       Capen vs. Shewry  155 Cal. App.4th 378 in 2007 addressed  








                                                                  AB 2292
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            licensure of ASC. Prior to the Capen, DPH interpreted the  
            licensure exemption for physician-owned clinics to mean that  
            each licensed provider at the clinic had to have a share in  
            the ownership and operation of the clinic or the clinic was  
            subject to DPH licensure. 

          In Capen, a California appellate court ruled that an ASC owned,  
            in whole or in part, by physicians, was no longer eligible for  
            licensure by the Department of Public Health (DPH).  The DPH  
            therefore stopped licensing certain clinics owned by  
            physicians.  This bill addresses the regulatory gap created by  
            Capen. 

           
           
          3)       Related Legislation  . AB 1574 (Plescia) in 2008, AB 2122  
            (Plescia) in 2008, AB 543 (Plescia) in 2007, and AB 2308  
            (Plescia) in 2006 each addressed surgical clinic licensure  
            issues such as reimbursement, inspections, and patient safety.  


          AB 1574 was vetoed due to concerns the bill did not adequately  
            address the Capen decision. AB 2122 was held on the Suspense  
            File of this committee. AB 543 and AB 2308 were both vetoed  
            due to concerns about the lack of clarity of licensing  
            standards.  
           
           Analysis Prepared by  :    Mary Ader / APPR. / (916) 319-2081