BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 620
                                                                  Page  1

          Date of Hearing:   June 16, 2009

                   ASSEMBLY COMMITTEE ON BUSINESS AND PROFESSIONS
                                 Mary Hayashi, Chair
                 SB 620 (Wiggins) - As Introduced:  February 27, 2009

          SENATE VOTE  :   32-2
           
          SUBJECT  :   Healing arts:  osteopathic physicians and surgeons.

           SUMMARY  :   Requires a licensed osteopathic physician and surgeon  
          (DO) to report to the Osteopathic Medical Board of California  
          (OMBC) at the time of license renewal, any specialty board  
          certification and their practice status, as defined.  Permits a  
          DO to report, and the OMBC to collect, information regarding his  
          or her cultural background, and foreign language proficiency.   
          Specifically,  this bill  :   


          1)Requires a DO to report to the OMBC, at the time of license  
            renewal: 


             a)   any specialty board certification that he or she holds  
               that is issued by a member board of the American Board of  
               Medical Specialties or approved by the OMBC; and,


             b)    his or her practice status, designated as one of the  
               following:


               i)     Full-time practice in California;


               ii)    Full-time practice outside of California;


               iii)   Part-time practice in California;


               iv)    Medical administrative employment that does not  
                 include direct patient care;










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               v)     Retired; or,


               vi)    Other practice status, as may be further defined by  
                 the OMBC.


          2)Permits a DO to report to the OMBC, at the time of license  
            renewal, and requires the OMBC to collect, information  
            regarding his or her cultural background and foreign language  
            proficiency. 


          3)Permits the information collected to be placed on the OMBC's  
            Internet Web site. 


          4)Becomes operative on July 1, 2010.


           EXISTING LAW  :
          
          1)Establishes the Osteopathic Act of 1922 by voter  
            initiative to regulate the practice of osteopathic  
            medicine.  Establishes the OMBC to license, regulate and  
            discipline DOs.

          2)Requires a physician and surgeon licensed by the Medical  
            Board of California (MBC) to report at the time of  
            license renewal, any specialty board certification and  
            their practice status, as defined.  Allows a physician  
            and surgeon to report and the MBC to collect, information  
            regarding his or her cultural background and foreign  
            language proficiency.  Allows information collected to be  
            aggregated on an annual basis and reported on the MBC's  
            Internet website.

          3)Establishes the Office of Statewide Health Planning and  
            Development (OSHPD) to, among other things, analyze  
            health care infrastructure, promote a diverse and  
            competent health care workforce, and provide information  
            about health care outcomes.  

          4)Establishes the California Health Care Workforce  
            Clearinghouse Program (clearinghouse) within OSHPD to  








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            serve as the state's central source of healthcare  
            workforce and educational data.  The clearinghouse was  
            established by SB 139 (Scott), Chapter 522, Statutes of  
            2007 to serve as the central source for collection,  
            analysis, and distribution of information on the health  
            care workforce employment and educational data trends for  
            the state. 

           FISCAL EFFECT  :   Unknown

           COMMENTS  :   

           Purpose of this bill  .  According to the author's office, "This  
          bill seeks to assist the state and healthcare community to  
          address primary care physician shortage areas in the state by  
          providing information on the practice of osteopathic physicians  
          and surgeons through the form of a re-licensure survey.    

           Background  .   In 2005, the University of California authored a  
          comprehensive assessment of healthcare workforce needs which  
          recommended that state and national workforce data be reviewed  
          on a regular and systematic basis to assure that strategic  
          planning efforts are developed and aligned properly.  

          To help workforce planning, the Legislature passed AB 1586  
          (Negrete McLeod), Chapter 509, Statutes of 2001, requiring  
          physicians and surgeons to report to the MBC any specialty board  
          certification he or she holds and his or her practice status, as  
          defined, at the time of license renewal.  This only captures  
          physicians that hold M.D.s, however; D.O.s are also physicians  
          who are fully educated and licensed to practice all aspects of  
          medicine.  Thus, to gather a complete picture of the primary  
          care healthcare workforce, the number of types of practicing DOs  
          must be assessed, as well.   

           Suggested amendments  .  The committee may wish to consider the  
          following technical amendments clarifying when a D.O. reports  
          information to the OMBC.  

          On page 1, line 5, delete "license renewal" and add

          Initial licensure

          On page 2, line 15, after of, add 









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          initial licensure and

           Related legislation  .  AB 1310 (Hernandez) requires the  
          Department of Consumer Affairs (DCA) to collect information from  
          licensees of the Medical Board of California (MBC) and the Board  
          of Registered Nursing (BRN) for the purpose of healthcare  
          workforce development.  This bill is currently pending in Senate  
          Rules.    

          AB 1586 (Negrete McLeod), Chapter 509, Statutes of 2001,  
          requires physicians and surgeons to report to the MBC any  
          specialty board certification he or she holds and his or her  
          practice status, as defined, at the time of license renewal.

           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          Osteopathic Physicians and Surgeons of California (sponsor)
           
            Opposition 
           
          None on file.

           Analysis Prepared by  :    Sarah Huchel / B. & P. / (916) 319-3301