BILL ANALYSIS                                                                                                                                                                                                    �







         ----------------------------------------------------------------------- 
        |Hearing Date:June 11, 2012         |Bill No:AB                         |
        |                                   |367                                |
         ----------------------------------------------------------------------- 


                      SENATE COMMITTEE ON BUSINESS, PROFESSIONS 
                               AND ECONOMIC DEVELOPMENT
                          Senator Curren D. Price, Jr., Chair
                                           

                          Bill No:        AB 367Author:Smyth
                       As Amended:May 21, 2012  Fiscal:     Yes

        
        SUBJECT:  Board of Behavioral Sciences:  reporting.
        
        SUMMARY:  Adds the Board of Behavioral Sciences (BBS) to the list of 
        healing arts boards who are required to report to the Department of 
        Health Care Services (DHCS) information regarding a licensee who a 
        board determines is no longer eligible to practice his or her 
        profession.

        Existing law:
        
        1) Authorizes the BBS to license and regulate marriage and family 
           therapists, licensed education psychologists, clinical social 
           workers and licensed professional clinical counselors.  (Business 
           and Professions Code (BPC) �� 101.6, 4990.18, 4980.20)

        2) Requires certain healing arts boards to report to the DHCS 
           specified licensure information relating to any person whose 
           license has been revoked, suspended, surrendered or made inactive 
           by the licensee, in order to prevent state reimbursement for 
           services provided after the cancellation of a license.  (BPC � 683)

        This bill:

        1) Similar to other healing arts boards, requires the BBS to report to 
           the DHCS, within 10 working days, the name and license number of a 
           person whose license has been revoked, suspended, surrendered, made 
           inactive by the licensee or placed in another category that 
           prohibits the licensee from practicing his or her profession.

        2) Makes this requirement operative for the BBS commencing on January 





                                                                         AB 367
                                                                         Page 2



           1, 2015. 

        
        FISCAL EFFECT:  According to the Assembly Appropriations Committee 
        analysis,  dated January 19, 2012, this bill will incur minor costs to 
        the BBS to develop a reporting protocol.  Additionally, minor costs 
        are estimated for the DHCS to receive the report and ensure unlicensed 
        persons are not receiving payments from DHCS administered programs.  
        The cost of this additional workload is unlikely to exceed several 
        thousand dollars annually.

        



        COMMENTS:
        
        1.Purpose.   This bill is sponsored by the  California Association of 
          Marriage and Family Therapists  (CAMFT).  According to the Author, in 
          order to prevent providers in bad standing from being reimbursed by 
          DHCS administered programs, such as Medi-Cal and Child Health and 
          Disability Prevention, various state oversight and licensing boards 
          make reports to DHCS.  The BBS licenses Medi-Cal providers, but is 
          not required to make this report to DHCS.  Because of this 
          inadvertent lapse in oversight, the state risks spending scarce 
          public health dollars on licensees in bad standing who may 
          compromise patient care.

        2.Background. 

           a)   Enforcement Activity by the BBS.  The BBS is authorized to 
             license and regulate those professions that fall under its 
             purview.  The BBS may take disciplinary action against a licensee 
             including denial, suspension, revocation and the assessment of 
             penalties for misconduct.  Currently, those licensees who are 
             deemed to have engaged in unprofessional conduct and/or are 
             subject to disciplinary action by the BBS, have their personal 
             information listed on the BBS website via an online verification 
             system that is available to the public.  The online verification 
             system also includes any pending disciplinary actions against the 
             licensee in question.  The BBS exercises its right to provide 
             copies of public records in accordance with the Information 
             Practices Act or California Public Records Act. 

           b)   Enforcement Activity by the DHCS.   The DHCS works with health 
             care professionals, counties and health plans to provide a health 





                                                                         AB 367
                                                                         Page 3



             care safety net for low-income individuals and persons with 
             disabilities.  DHCS finances and administers a number of 
             individual health care service delivery programs, including 
             Medi-Cal, California Children's Service Program, Child Health and 
             Disability Prevention Program and the Genetically Handicapped 
             Person Program.  In addition, DHCS provides funding for hospitals 
             and clinics that service underserved populations.

           Existing law requires eight healing arts boards to report, within 
             10 working days, to DHCS, the name and license number of a person 
             whose licensed has been revoked, suspended, surrendered, made 
             inactive by the licensee or placed in another category that 
             prohibits the licensee from practicing his or her profession.  
             These boards include: 

                �         Dental Board
                �         Medical Board 
                �         Board of Psychology
                �         Board of Optometry
                �         Board of Pharmacy
                �         Osteopathic Medical Board
                �         Board of Chiropractic Examiners
                �         Board of Occupational Therapy

        1.Arguments in Support.  According to the  Sponsor  , the bill provides 
          additional consumer protections by adding the BBS to the list of 
          current licensing boards that must report to the DHCS the name and 
          license number of any licensee whose licensed has been revoked, 
          suspended, surrendered or made inactive by the licensee.  The bill 
          would prohibit such licensees from being reimbursed for Medi-Cal 
          services.

        
        SUPPORT AND OPPOSITION:
        
         Support:  

        California Association of Marriage and Family Therapists (Sponsor) 
        Board of Behavioral Sciences

         Opposition:  

        None received as of June 6, 2012.








                                                                         AB 367
                                                                         Page 4



        Consultant:Le Ondra Clark