BILL ANALYSIS                                                                                                                                                                                                    �







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        |Hearing Date:June 6, 2011          |Bill No:AB                         |
        |                                   |1267                               |
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                      SENATE COMMITTEE ON BUSINESS, PROFESSIONS 
                               AND ECONOMIC DEVELOPMENT
                          Senator Curren D. Price, Jr., Chair
                                           

                        Bill No:        AB 1267Author:Halderman
                     As Amended:April 12, 2011          Fiscal:Yes

        
        SUBJECT:  Medicine.
        
        SUMMARY:  Requires a physician and surgeon's certificate to be 
        automatically placed on inactive status during any period of 
        incarceration after a misdemeanor conviction.  

        Existing law:
        
        1) Establishes the Medical Practice Act, administered by the Medical 
           Board of California (MBC), to license and regulate the practice of 
           physicians and surgeons.

        2) Requires the automatic suspension of a physician and surgeon's 
           certificate during any time that the holder of the certificate is 
           incarcerated after conviction of a felony, regardless of whether 
           the conviction has been appealed.  Requires the MBC, immediately 
           upon receipt of the certified copy of the record of conviction, to 
           determine whether the certificate of the physician and surgeon has 
           been automatically suspended by virtue of his or her incarceration, 
           and if so, the duration of that suspension.  Requires the MBC to 
           notify the physician and surgeon of the license suspension and of 
           his or her right to elect to have the issue of penalty heard, as 
           provided.  (Business & Professions Code (BPC) � 2236.1)

        3) Requires the MBC to disclose on the Internet specified information 
           in its possession, custody, or control regarding licensed 
           physicians and surgeons, including: any felony convictions reported 
           to the MBC after January 3, 1991; or, any misdemeanor conviction 
           that results in a disciplinary action or an accusation that is not 
           subsequently withdrawn or dismissed.  (BPC � 2027)





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        4) Establishes the intent of the Legislature to establish an inactive 
           category of health professionals' licensure.  Indicates that 
           inactive licenses or certificates are intended to allow a person 
           who has a certificate or license in one of the healing arts, but 
           who is not actively engaged in the practice of his or her 
           profession, to maintain licensure or certification in a 
           nonpracticing status (BPC � 700).  Requires each healing arts 
           board, as specified, to issue, upon application and payment of the 
           normal renewal fee, an inactive license or certificate to a current 
           holder of an active license or certificate whose license or 
           certificate is not suspended, revoked, or otherwise punitively 
           restricted by that board (BPC � 701).  Prohibits a holder of an 
           inactive healing arts license or certificate from engaging in any 
           activity for which an active license or certificate is required.  
           (BPC � 702)

        This bill:

        1) Requires, notwithstanding any other provision of law, a physician 
           and surgeon's certificate to be automatically placed on inactive 
           status during any period of time that the holder of the certificate 
           is incarcerated after conviction of a misdemeanor.  

        2) Requires the reason for the inactive status, described in #1) 
           above, to be disclosed on MBC's Internet Website.  

        FISCAL EFFECT:  According to the Assembly Appropriations Committee, 
        negligible state fiscal impact.

        COMMENTS:
        
        1. Purpose.  The  Medical Board of California  is the Sponsor of this 
           measure.  According to the MBC, there is nothing that currently 
           prohibits physicians and surgeons who are incarcerated for 
           misdemeanors from practicing medicine while incarcerated.  The MBC 
           believes that physicians should not be practicing medicine while 
           incarcerated, and that consumers have a right to know if their 
           physician is incarcerated.  MBC points out that this bill will 
           protect California consumers by not allowing physicians and 
           surgeons who are incarcerated to practice medicine, and by allowing 
           for greater transparency by providing this information on the MBC's 
           Internet Website.  Additionally, the  Author  points out that a real 
           problem exists when a physician is able to practice medicine from 
           behind bars, especially as it pertains to their ability to write 
           prescriptions.  Inactivating the physician's license effectively 





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           addresses the inherent conflict of interest in prescribing drugs 
           and performing other medical services while incarcerated.    

        2. Background.  The Medical Practice Act provides for the automatic 
           suspension of a physician and surgeon's certificate during any time 
           that a physician and surgeon is incarcerated after the conviction 
           of a felony, regardless of whether the conviction has been 
           appealed.  This felony conviction is disclosed on the MBC's 
           Internet Website.  Although misdemeanor convictions that result in 
           a disciplinary action or an accusation that is not subsequently 
           withdrawn or dismissed are posted on MBC's Internet Website, the 
           MBC indicates it has 
        become concerned with the ability of physicians to continue practicing 
           while incarcerated for a misdemeanor.  In one case example, a 
           physician charged for battery and specified sex acts was convicted 
           of a misdemeanor and sentenced to 36 months of probation requiring 
           120 days in jail and registration as a sex offender.  The initial 
           charge/arrest in the case involved the physician's conduct with a 
           patient.  While the Board is pursuing revocation of the license, 
           current law allowed the licensee to continue practicing medicine.  
           In another case, a physician convicted of misdemeanor battery was 
           sentenced to 36 months of probation and prohibited from being alone 
           with any female other than a spouse or family member.  No 
           restrictions are in place other than those imposed by the court.  
           In a third example, a physician was arrested for excessive 
           prescribing and for prescribing to an addict.  While in jail after 
           the arrest, the physician continued to prescribe controlled 
           substances to jail personnel and inmates.  Jail personnel contacted 
           the MBC and the physician agreed to surrender his license.  There 
           is no public record of the physician's actions while incarcerated.  
           This bill would automatically place a physician and surgeon who is 
           incarcerated for a misdemeanor on inactive status for the duration 
           of the incarceration and allow disclosure of the reason for the 
           inactive status on the board's Internet Website.
        
        SUPPORT AND OPPOSITION:
        
         Support:  

        Medical Board of California (sponsor)

         Opposition:  

        None on file as of May 31, 2011







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        Consultant:Rosielyn Pulmano