BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                   AB 536|
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                                 THIRD READING


          Bill No:  AB 536
          Author:   Ma (D)
          Amended:  6/14/11 in Senate
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEV. COMM.  :  8-0, 6/20/11
          AYES:  Price, Emmerson, Corbett, Hernandez, Negrete McLeod, 
            Vargas, Walters, Wyland
          NO VOTE RECORDED:  Correa

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8

           ASSEMBLY FLOOR  :  66-6, 5/12/11 - See last page for vote


           SUBJECT  :    Physicians and surgeons

           SOURCE  :     Union of American Physicians and Dentists


           DIGEST  :    This bill requires the Medical Board of 
          California (MBC), upon receipt of a certified copy of an 
          expungement order from a licensee, to post notification of 
          the expungement order and the date of the expungement on 
          MBC's Internet Web site within six months.

           ANALYSIS  :    

           Existing law  :

          1. Requires the MBC, along with other specified health care 
             licensing boards, to create and maintain a central file 
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             of the names of all persons who hold a license, 
             certificate, or similar authority.  Requires the central 
             file to be created and maintained to provide an 
             individual historical record for each licensee and must 
             include specified information including the following:  
             any conviction of a crime, any judgment or settlement in 
             excess of $3,000, any public complaints as specified, 
             and any disciplinary information, as specified.

          2. States that the content of the central file that is not 
             public record under any other provision of law is 
             confidential and allows a licensee to submit any 
             exculpatory or explanatory statements or other 
             information to be included in the central file.

          3. Requires the MBC to post on the Internet specified 
             information regarding licensed physicians, including 
             information relating to the following: 

             A.    Status of a license, whether or not a licensee 
                is in good standing, as specified.

             B.    Prior discipline, as specified.

             C.    Any felony convictions reported to the MBC after 
                January 3, 1991.

             D.    All current accusations filed by the Attorney 
                General.

             E.    Any malpractice judgment or arbitration award 
                reported to the MBC on or after January 1, 1993.

             F.    Any hospital disciplinary actions that resulted 
                in the termination or revocation of a licensee's 
                hospital staff privileges for a medical 
                disciplinary cause or reason.

             G.    Any misdemeanor conviction that results in a 
                disciplinary action or an accusation that is not 
                subsequently withdrawn or dismissed.

             H.    Appropriate disclaimers and explanatory 
                statements to accompany the above information, 

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                including an explanation of what types of 
                information are not disclosed.  

             I.    States that the disclaimers and statements be 
                developed by the MBC and adopted by regulation.

             J.    Any enforcement action taken against a licensee 
                including temporary restraining orders, interim 
                suspension orders, civil judgments and all 
                settlements.

          4. Specifies what information may be posted on MBC's 
             Internet Web site for a period of ten years, including 
             all information on the status of a license.  States that 
             information relating to all felony convictions and any 
             hospital disciplinary actions that resulted in the 
             termination or revocation of a licensee's hospital staff 
             privileges for a medical disciplinary cause or reason 
             shall not be removed from posting on the MBC's Internet 
             Web site.

          5. Provides that in any case in which a defendant has 
             fulfilled the conditions of probation for the entire 
             period of probation, or has been discharged prior to the 
             termination of the period of probation, or in any other 
             case in which a court, in its discretion and in the 
             interest of justice, determines that a defendant should 
             be granted a relief, as specified, the defendant shall, 
             at any time after the termination of the period of 
             probation, if he/she is not then serving a sentence for 
             any offense, on probation for any offense, or charged 
             with the commission of any offense, be permitted by the 
             court to withdraw his/her plea of guilty or plea of nolo 
             contendere and enter a plea of not guilty, or if he/she 
             has convicted after a plea of not guilty, the court 
             shall set aside the verdict of guilty, and the court 
             shall dismiss the accusations or information against the 
             defendant, as specified, and shall be released from all 
             penalties and disabilities resulting from the offense of 
             which he/she has been convicted.

          This bill requires the MBC, upon receipt of a certified 
          copy of an expungement order from a licensee, to post 
          notification of the expungement order and the date of the 

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          expungement on MBC's Internet Web site within six months.  

           Comments
           
           Posting of Information on the MBC Internet Web site  .  AB 
          103 (Figueroa), Chapter 359, Statutes of 1997, requires the 
          MBC to post on the Internet specified information regarding 
          physicians and surgeons.  The information to be posted 
          includes information on the status of the license, prior 
          discipline, all current accusations filed by the Attorney 
          General, felony convictions, any hospital disciplinary 
          actions, and misdemeanor convictions that result in a 
          disciplinary action or an accusation that is not 
          subsequently withdrawn or dismissed.  Most of the 
          information that is required to be disclosed is posted on 
          the Internet Web site for a period of 10 years except for 
          felony convictions and hospital disciplinary actions.  This 
          bill, for specified misdemeanor convictions that are posted 
          on the Internet, requires the MBC, upon receipt of a 
          certified copy of an expungement order from a licensee, to 
          also post a notification of the expungement order and the 
          date of the expungement.

           Expungement of Records  .  The Penal Code allows misdemeanor 
          and felony convictions to be expunged if the defendant was 
          only given a sentence of probation, rather than state 
          imprisonment.  Under the Penal Code, if a defendant has 
          fulfilled the conditions of probation, or has been 
          discharged from probation, and if the court determines that 
          a relief should be granted, the defendant at any time after 
          the termination of the period of probation, if he/she is 
          not serving a sentence for any offense, as specified, is 
          authorized to withdraw his/her plea of guilty or plea of 
          nolo contendere and enter a plea of not guilty.  In such 
          instance, the court sets aside the verdict of guilty and 
          dismisses the accusations or information against the 
          defendant and releases the defendant from all penalties and 
          disabilities resulting from the offense of which he/she has 
          been convicted.  

          However, in any subsequent prosecution of the defendant for 
          any other offense, the prior conviction may be pleaded and 
          proved and shall have the same effect as if probation had 
          not been granted or the accusation or information 

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          dismissed.  The order shall state, and the probationer 
          shall be informed, that the order does not relieve a person 
          from the obligation to disclose the conviction in response 
          to any direct question contained in any questionnaire or 
          application for public office, for licensure by any state 
          or local agency, as specified.  As such, even if this bill 
          becomes law, a licensee of the MBC, the Osteopathic Medical 
          Board and the California Board of Podiatric Medicine must 
          disclose the conviction for purposes of licensure.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes   
          Local:  No

           SUPPORT  :   (Verified  7/11/11)

          Union of American Physicians and Dentists (source)
          American Federation of State, County and Municipal 
          Employees
          California Medical Association

           OPPOSITION  :    (Verified  7/11/11)

          Center for Public Interest Law
          Medical Board of California 

           ARGUMENTS IN SUPPORT  :    According to the Union of American 
          Physicians and Dentists, the sponsor of this bill, "the 
          disclosure of information by the MBC to the general public 
          regarding physician conduct is an important public 
          safeguard.  However, the MBC often publishes information 
          that is inaccurate such as criminal misdemeanors or felony 
          convictions that have been legally expunged.  This is 
          economically disastrous for the physician and can disrupt 
          the successful delivery of health care services."


           ASSEMBLY FLOOR  : 
          AYES: Achadjian, Alejo, Allen, Ammiano, Atkins, Beall, Bill 
            Berryhill, Block, Blumenfield, Bonilla, Bradford, 
            Brownley, Buchanan, Butler, Charles Calderon, Campos, 
            Carter, Chesbro, Cook, Davis, Dickinson, Eng, Feuer, 
            Fletcher, Fong, Fuentes, Furutani, Beth Gaines, Galgiani, 
            Gatto, Gordon, Grove, Halderman, Hall, Hayashi, Roger 
            Hern�ndez, Hill, Huber, Hueso, Huffman, Jeffries, Jones, 

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            Knight, Lara, Bonnie Lowenthal, Mendoza, Mitchell, 
            Monning, Nestande, Nielsen, Norby, Olsen, Pan, Perea, V. 
            Manuel P�rez, Silva, Skinner, Smyth, Solorio, Swanson, 
            Valadao, Wagner, Wieckowski, Williams, Yamada, John A. 
            P�rez
          NOES: Conway, Donnelly, Hagman, Harkey, Logue, Morrell
          NO VOTE RECORDED: Cedillo, Garrick, Gorell, Ma, Mansoor, 
            Miller, Portantino, Torres


          JJA:do  7/11/11   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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