BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 174
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          Date of Hearing:   May 11, 2011

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

                   AB 174 (Monning) - As Amended:  March 21, 2011 

          Policy Committee:                              HealthVote:18-0

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

           SUMMARY  

          This bill requires health information exchange (HIE) 
          demonstration projects permitted under existing law by the 
          California Office of Health Information Integrity (CalOHII) to 
          be implemented with the full participation of health consumers 
          and organizations concerned with protecting the privacy and 
          security of patient information in the development of policies.

           FISCAL EFFECT  

          Unknown, likely minor, redirection of existing federal grant 
          funds for HIE development to ensure compliance with the 
          provisions of this bill.

           COMMENTS  

           Rationale .  According to the author, pilot projects are being 
          funded as part of a $38.8 million award under the federal 
          American Recovery and Reinvestment Act for HIE in California.  
          The pilot projects will test policies and rules, and better 
          inform the state and health care stakeholders while they attempt 
          to define HIE infrastructure over the next several years.  The 
          author indicates this bill is needed to ensure consumer 
          participation in the demonstration projects and any associated 
          regulations promulgated by CalOHII.  

           Related Legislation  .  AB 278 (Monning), Chapter 227, Statutes of 
          2010, authorized the Director of CalOHII to approve 
          demonstration projects for electronic HIE. AB 278 also gave 
          CalOHII the authority to adopt regulations to ensure all 
          approved health information exchange service participants and 
          demonstration project participants follow rules, and work within 








                                                                  AB 174
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          parameters, that are consistent for the exchange of information.

           Analysis Prepared by  :    Lisa Murawski / APPR. / (916) 319-2081