BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 783
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          ASSEMBLY THIRD READING
          AB 783 (Hayashi)
          As Amended  April 7, 2011
          Majority vote 

           BUSINESS & PROFESSIONS    9-0                                   
           
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          |Ayes:|Hayashi, Bill Berryhill,  |     |                          |
          |     |Allen, Butler, Eng,       |     |                          |
          |     |Hagman, Hill, Ma,         |     |                          |
          |     |Nestande                  |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Adds licensed physical therapists and occupational 
          therapists to the list of healing arts practitioners who may be 
          shareholders, officers, directors or professional employees of a 
          medical corporation, podiatric medical corporation, or 
          chiropractic corporation, so long as the sum of all shares owned 
          by those licensed persons does not exceed 49% of the total 
          number of shares, and so long as the number of those licensed 
          persons owning shares in the professional corporation so 
          designated herein does not exceed the number of persons licensed 
          by the governmental agency regulating the designated 
          professional corporation.

           EXISTING LAW  :

          1)Defines a "professional corporation" as one that renders 
            professional services in a single profession, except as 
            otherwise authorized in Corporations Code, Section 13401.5.

          2)Authorizes medical corporations to permit the following 
            licensees be shareholders, officers, directors or professional 
            employees:  

             a)   Licensed doctors of podiatric medicine; 

             b)   Licensed psychologists;

             c)   Registered nurses;

             d)   Licensed optometrists;








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             e)   Licensed marriage and family therapists;

             f)   Licensed clinical social workers;

             g)   Licensed physician assistants;

             h)   Licensed chiropractors;

             i)   Licensed acupuncturists; and,

             j)   Naturopathic doctors.

          3)Authorizes podiatric medical corporations to permit the 
            following licensees be shareholders, officers, directors or 
            professional employees:  

             a)   Licensed physicians and surgeons;

             b)   Licensed psychologists;

             c)   Registered nurses;

             d)   Licensed optometrists;

             e)   Licensed chiropractors;

             f)   Licensed acupuncturists; and,

             g)   Naturopathic doctors.

          4)Authorizes chiropractic corporations to permit the following 
            licensees be shareholders, officers, directors or professional 
            employees:  

             a)   Licensed physicians and surgeons;

             b)   Licensed doctors of podiatric medicine;

             c)   Licensed psychologists;

             d)   Registered nurses;

             e)   Licensed optometrists;








                                                                  AB 783
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             f)   Licensed marriage and family therapists;

             g)   Licensed clinical social workers;

             h)   Licensed acupuncturists; and,

             i)   Naturopathic doctors.

           FISCAL EFFECT  :   Unknown.  This bill is keyed non-fiscal. 

           COMMENTS  :  According to the author's office, "AB 783 ensures 
          that physical therapists (PTs) can keep their jobs and continue 
          to practice where they are needed most.  After 21 years, the 
          California Board of Physical Therapy has reversed its policy 
          about where physical therapists can work and is threatening to 
          impose immediate, severe penalties that will jeopardize patient 
          care.  Without this bill, most physical therapists will have no 
          choice but to quit their jobs or risk losing their license.

          "Medical and podiatric medical corporations have been legally 
          employing various health professionals for years, including 
          psychologists, optometrists, chiropractors, acupuncturists, and 
          registered nurses.  This bill maintains the status quo by 
          enumerating PTs on this list."

          Since 1990, the California Board of Physical Therapy (Board) has 
          allowed physical therapists to be employed by both medical and 
          podiatric corporations and general corporations.  The Board's 
          resolution titled "Physical Therapy Corporation Ownership by a 
          Layperson" determined that the Moscone-Knox Professional 
          Corporation Act was intended to cover medicine, dentistry, and 
          law, and not physical therapy.  This resolution was rescinded on 
          November 3, 2010.  At the same time, the Board reacted to a 
          separate Legislative Counsel opinion which stated that, as the 
          law currently stands, a physical therapist may be subject to 
          discipline for providing physical therapy services as an 
          employee of a medical corporation, or any professional 
          corporation other than a naturopathic corporation.  The Board 
          then drafted a letter, threatening those physical therapists 
          employed by medical and podiatric medical corporations with the 
          choice of losing their jobs or having the Board take action 
          against their license to practice physical therapy.









                                                                  AB 783
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          There are over 15,000 physical therapists in California today, 
          with an average growth of 440 jobs each year, according to the 
          Employment Development Department.  Approximately 80% work in 
          offices of physicians and other health practitioners, hospitals, 
          home health care services and nursing care facilities.

          Physical therapists treat individuals who have been diagnosed by 
          a physician to have medical problems or other health-related 
          conditions, illnesses, or injuries that limit their ability to 
          move and perform functional activities, often consulting and 
          practicing with a variety of other professionals, such as 
          physicians, dentists, nurses, educators, social workers, 
          occupational therapists, speech-language pathologists, and 
          audiologists.  Because of this coordinated treatment, continuity 
          of care, or a long-term partnership between healthcare 
          professions and the patient, are essential.  Disrupting the 
          continuity of care can both prolong treatment and prevent 
          optimum results.

          This bill is identical to AB 1152 (Anderson) of 2010, which 
          unanimously passed out of the Assembly Business and Professions 
          Committee on July 12, 2009 and passed the Assembly Floor with a 
          vote of 75-0 on July 26, 2009.

          The Occupational Therapy Association of California and the 
          California Chiropractic Association, fearful that the 
          Legislative Counsel opinion would be expanded to prevent 
          occupational therapists from working for medical, podiatric 
          medical, and chiropractic corporations, requested to be amended 
          into the bill.


           Analysis Prepared by  :    Marina Wiant / B.,P. & C.P. / (916) 
          319-3301 


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