BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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                                 THIRD READING


          Bill No:  AB 2570
          Author:   Hill (D), et al.
          Amended:  8/6/12 in Senate
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEV. COMM.  :  6-1, 6/18/12
          AYES:  Price, Corbett, Correa, Hernandez, Negrete McLeod, 
            Vargas
          NOES:  Strickland
          NO VOTE RECORDED:  Emmerson, Wyland

           SENATE JUDICIARY COMMITTEE  :  4-0, 7/3/12
          AYES:  Evans, Blakeslee, Corbett, Leno
          NO VOTE RECORDED:  Harman

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8
          
          ASSEMBLY FLOOR  :  42-24, 5/25/12 - See last page for vote


           SUBJECT  :    Licensees:  settlement agreements

           SOURCE  :     Author


           DIGEST  :    This bill prohibits licensees of any board, 
          bureau or program under the Department of Consumer Affairs 
          (DCA) from including any regulatory gag clause in civil 
          settlement agreements.

           ANALYSIS  :    

                                                           CONTINUED





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          Existing law:

          1. Establishes the DCA, which oversees more than 36 boards, 
             bureaus, committees, and a commission, and other 
             programs that regulate more than 100 businesses and 240 
             professional categories, including doctors, nurses, 
             dentists, engineers, architects, contractors, 
             cosmetologists and automotive repair facilities, and 
             other diverse industries.  These regulatory entities 
             license, register, or certify more than 2.5 million 
             professionals and health care practitioners, investigate 
             complaints, and discipline violators.  They also 
             establish the minimum qualifications and levels of 
             competency for licensure.

          2. Establishes the Medical Board of California (MBC) within 
             DCA to regulate and license physicians and surgeons and 
             certain allied health care professionals, as specified.

          3. Prohibits a physician and surgeon from including, or 
             permitting to include the following in a civil dispute 
             settlement agreement:  (a) a provision that prohibits 
             another party to the dispute from contacting or 
             cooperating with the MBC; (b) a provision that prohibits 
             another party to the dispute from filing a complaint 
             with the MBC; and, (c) a provision that requires another 
             party to the dispute to withdraw a complaint he or she 
             has filed with the MBC.  Specifies that such provisions 
             are void as against public policy and that their 
             violation is subject to disciplinary action by the MBC.  
             (Business and Professions Code (BPC) Section 2220.7)

          4. Creates the State Bar Act and establishes the State Bar 
             of California (State Bar) which regulates the 
             professional conduct and education of the state's 
             attorneys, over 170,000 state bar members, and provides 
             for the investigation of complaints where formal 
             allegation of misconduct are pursued, and to discipline 
             or recommend suspension or disbarment to the California 
             Supreme Court of attorneys found to have committed acts 
             of professional misconduct or who have been convicted of 
             serious crimes.  For lesser offenses, public or private 
             reprovals may be issued.








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          5. Provides that it is a cause for suspension, disbarment, 
             or other discipline for an attorney to agree or seek 
             agreement that the professional misconduct or the terms 
             of a settlement of a claim for professional misconduct 
             is not to be reported to the State Bar, or to agree or 
             seek agreement that the plaintiff shall withdraw a 
             disciplinary complaint or not cooperate with an 
             investigation or prosecution conducted by the State Bar. 
              These provisions apply to an attorney who is a party or 
             who is acting as an attorney for a party.  (BPC Section 
             6090.5)

          This bill:

          1. Provides that no licensee who is regulated by a board, 
             bureau, or program within DCA, nor an entity or person 
             acting as an authorized agent of a licensee, shall 
             include or permit to be included a provision in an 
             agreement to settle a civil dispute, whether the 
             agreement is made before or after the commencement of a 
             civil action, that prohibits the other party in that 
             dispute from contacting, filing a complaint with, or 
             cooperating with the DCA, board, bureau, or program 
             within the DCA that regulates the licensee, or that 
             requires the other party to withdraw a complaint from 
             the DCA, board, bureau, or program within the DCA that 
             regulates the licensee.

          2. Specifies that a provision of the nature as described 
             above is void as against public policy, and any licensee 
             who includes or permits to be included a provision of 
             that nature in a settlement agreement is subject to 
             disciplinary action by the board, bureau, or program.

          3. Provides that any board, bureau, or program within the 
             DCA that takes disciplinary action against a licensee or 
             licensees based on a complaint or report that has also 
             been the subject of a civil action, and that has been 
             settled for monetary damages providing for full and 
             final satisfaction of the parties, may not require its 
             licensee or licensees to pay any additional sums to the 
             benefit of any plaintiff in the civil action.

          4. Specifies that the term "board" means the board in which 







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             the administration of the above provisions are vested, 
             and unless otherwise expressly provided, shall include 
             bureau, commission, committee, department, division, 
             examining committee, program, and agency, and specifies 
             that "license" includes certificate, registration, or 
             other means to engage in a business or profession.

          5. Allows, upon granting a petition filed by a licensee or 
             authorized agent of a licensee, a board, bureau, or 
             program within the DCA, based upon evidence and legal 
             authorities cited in the petition, adopt a regulation 
             that does both of the following:

             A.    Identifies a code section or jury instruction in a 
                civil cause of action that has no relevance to the 
                board's, bureau's, or program's enforcement 
                responsibilities such that an agreement to settle 
                such a cause of action based on that code section or 
                jury instruction otherwise prohibited by this bill 
                will not impair the board's, bureau's, or program's 
                duty to protect the public.

             B.    Exempts agreements to settle such a cause of 
                action from the requirements of this bill.

          6. Specifies this bill does not apply to a physician or 
             surgeon.  Physicians and surgeons are currently 
             prohibited from including regulatory gag orders in civil 
             settlements.  (See existing law #3 above)

          7. Clarifies that nothing in this bill shall be construed 
             as limiting the discretion of a board, bureau, or 
             program within the DCA to decline to grant a petition or 
             adopt a regulation, nor shall it be construed as 
             prohibiting a licensee from including in an agreement to 
             settle a civil dispute any provision that is otherwise 
             not prohibited.

           Background
           
          A regulatory gag clause requires a plaintiff to agree, as a 
          condition of a malpractice or misconduct settlement with 
          the licensee, to the inclusion of a provision prohibiting 
          the plaintiff from contacting or cooperating with the 







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          defendant's regulator (or requiring the plaintiff to 
          withdraw a pending complaint before that regulator).

          Statutory precedents exist for banning gag clauses.  
          Existing law bans the use of regulatory gag clauses by 
          attorneys.  Lawyers licensed by the State Bar may be 
          disciplined if they attempt to stop the reporting of 
          misconduct or a related settlement, force withdrawal of a 
          complaint, force withdrawal of cooperation with the State 
          Bar, or seal the record of a civil action to preclude 
          regulatory review.

          Existing law also prohibits a physician or surgeon from 
          including, or permitting to be included, a provision within 
          a civil settlement that prohibits another party to the 
          dispute from contacting, cooperating, filing a complaint, 
          or requiring the withdrawal of a complaint, with MBC.

          Legal precedents also exist for banning gag clauses.  At 
          least three court cases demonstrate a compelling public 
          interest in voiding regulatory gag clauses so that the 
          regulator can best protect the public from harm.  The most 
          important of these is the Cariveau v. Halferty decision 
          from August of 2000.  In it, the Appeals Court held that a 
          securities broker cannot prohibit customers from reporting 
          misconduct to regulatory authorities by including a 
          "confidentiality clause" prohibiting the plaintiff from 
          contacting the defendant's regulator in a civil settlement 
          agreement.  The Court wrote, "The only interest appellant 
          identifies in support of the contract term is the general 
          public policy in favor of promoting the settlement of 
          disputes.  Refusing to enforce the confidentiality clause 
          does not affect the settlement of the dispute, but merely 
          declines assistance to �the agent's] concealment of her 
          wrongdoing.  The inclusion of a restrictive confidentiality 
          clause in the Forbearance Agreement is not only directly 
          connected to �the agent's] misconduct, but is an instance 
          of misconduct in itself.  To countenance this agreement 
          would encourage future violators to hide their misdeeds in 
          a secret agreement free from the light of regulatory 
          scrutiny."

          The second case is a 1998 Superior Court case:  Medical 
          Board of California v. Dr. Udani.  In this case, a 







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          physician who had entered into a confidential malpractice 
          settlement with a patient tried to forbid MBC from 
          accessing information on the case.  The court voided the 
          confidentiality agreement, writing, "First, it runs counter 
          to the public policy of openness of judicial proceedings.  
          Second, and perhaps more important, the Medical Board has a 
          high responsibility to protect the public against errant 
          physicians, to keep the public informed when there are 
          problems with physicians, and to investigate and discipline 
          physicians when appropriate.  This secret settlement runs 
          counter to this overriding public policy."

          The third case is known as the Mary R. decision (Mary R. v. 
          B&R Corporation) from November 1983.  In it, the Appeals 
          Court struck down a gag clause and sealed court records in 
          a case where a physician had molested a minor.  The Court 
          wrote, "The stipulated order of confidentiality is contrary 
          to public policy, contrary to the ideal that full and 
          impartial justice shall be secured in every matter and 
          designed to secrete the evidence in the case from the very 
          public agency charged with the responsibility of policing 
          the medical profession.  We believe it clearly improper to 
          subvert public policy by shielding the doctor from 
          governmental investigation designed to protect the public 
          from misconduct within the medical profession similar to an 
          agreement to conceal judicial proceedings and to obstruct 
          justice."

          These precedent setting cases suggest that regulatory gag 
          clauses are already illegal even though not explicitly 
          prohibited by statute.  However, it appears gag clauses can 
          be voided only through legal action, costing investigators 
          additional time and expense even if a victim agrees to 
          cooperate.  Furthermore, that action could be taken only if 
          the regulator finds out about the case through a third 
          party.

          This bill extends prohibitions against regulatory gag 
          clauses to all DCA licensees.  This bill also authorizes 
          the appropriate board or bureau to discipline a licensee 
          who was a party to such an agreement.  The form and degree 
          of discipline would be determined by the individual 
          regulatory agency.








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          This bill also provides that a professional licensee who is 
          subject to a disciplinary action by their regulatory entity 
          based on a complaint or report that has also been the 
          subject of a civil action, which has been settled for 
          monetary damages providing for full and final satisfaction 
          of the parties, will not be required by their regulatory 
          entity to pay any additional sums to the benefit of any 
          plaintiff in the civil action.

          This bill applies to all of the licensed professions and 
          vocations under the DCA, which contains more than 36 
          boards, bureaus, commissions and divisions, most of which 
          oversee licensed professions such as physicians, 
          accountants, contractors, professional engineers, nurses, 
          and counselors. 

          A regulatory gag clause is not to be confused with secret 
          settlements, which are agreements that make certain types 
          of information in a settlement agreement confidential and 
          preclude that information from being introduced as evidence 
          in a court action.  Prohibiting regulatory gag clauses does 
          not prohibit, or affect, the ability of parties to a civil 
          action to agree to a secret settlement, regardless of 
          whether or not either party is required to hold a 
          professional license issued by DCA.  Prohibiting regulatory 
          gag clauses merely prohibits professionals licensed by DCA 
          from hiding activities related to their license from DCA.  
          They will still enjoy whatever benefits and privileges are 
          available to them through the use of secret settlements.

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

           SUPPORT  :   (Verified  8/9/12)

          Board of Behavioral Sciences
          California Public Interest Research Group 
          Center for Public Interest Law
          Consumer Federation of California
          Consumers for Auto Reliability and Safety
          Medical Board of California
          Physical Therapy Board of California

           OPPOSITION  :    (Verified  8/8/12)







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          American Council of Engineering Companies
          Board of Pharmacy
          California Board of Accountancy

           ARGUMENTS IN SUPPORT  :    According to the Center for Public 
          Interest Law: 

             Regulatory gag clauses cause many serious problems - 
             both for the agency that is being deprived of 
             information about its own licensees (which is 
             particularly critical problem in this era of hiring 
             freezes, position losses, and budget cuts) and for the 
             unsuspecting consumer who continues to be exposed to 
             unscrupulous and/or incompetent state licensees because 
             their regulators cannot take appropriate disciplinary 
             action against them - the very antithesis of the purpose 
             of regulatory agencies.  Three sound public policies 
             underlie the concept in AB 2570:

                   Regulated licensees should not be able to 
                unilaterally deprive their own regulators of 
                information about their own misconduct committed in 
                the course and scope of the regulated business.

                   Concealment from the regulator should not be "on 
                the table" during civil settlement negotiations.  The 
                civil tort system and the administrative process have 
                very different purposes.  An outcome in one system 
                (civil) should not necessarily dictate the outcome in 
                the other (regulatory).  Agencies should not be 
                deprived of the discretion to investigate complaints.

                   An injured consumer should not be put in the 
                position of having to decide between two competing 
                incentives:  "I should take the money and run" vs. 
                "I'd really like to help prevent what happened to me 
                from happening to others."

           ARGUMENTS IN OPPOSITION :    The Board of Pharmacy states:

             Assembly Bill 2570 would accomplish two objectives.  
             First, the measure would prohibit a licensee, as 
             specified, from including or permitting to be included 







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             in an agreement to settle a civil dispute, a provision 
             that would prohibit the other party from filing a 
             complaint with, or cooperating with the board (i.e.. gag 
             clause), or from requiring the other party to withdraw a 
             complaint from the board - and that such a provision 
             would subject the licensee to disciplinary action.  The 
             board supports this provision.

             Subdivision (b), however, would prohibit the Board from 
             requiring a licensee to pay restitution if a civil 
             settlement included a monetary settlement.  Such a 
             prohibition could interfere with the board's discretion 
             to order restitution, and it is unclear how far such a 
             prohibition would extend.  The board opposes this 
             provision.  
           

           ASSEMBLY FLOOR  :  42-24, 5/25/12
          AYES:  Alejo, Allen, Ammiano, Beall, Block, Blumenfield, 
            Bonilla, Bradford, Brownley, Butler, Campos, Carter, 
            Chesbro, Davis, Dickinson, Eng, Feuer, Fong, Fuentes, 
            Furutani, Gatto, Gordon, Hayashi, Roger Hern�ndez, Hill, 
            Hueso, Huffman, Lara, Bonnie Lowenthal, Mitchell, 
            Monning, Pan, V. Manuel P�rez, Portantino, Skinner, 
            Solorio, Swanson, Torres, Wieckowski, Williams, Yamada, 
            John A. P�rez
          NOES:  Achadjian, Conway, Cook, Donnelly, Beth Gaines, 
            Garrick, Gorell, Hagman, Halderman, Harkey, Huber, 
            Jeffries, Jones, Logue, Mansoor, Miller, Morrell, 
            Nestande, Nielsen, Norby, Olsen, Smyth, Valadao, Wagner
          NO VOTE RECORDED:  Atkins, Bill Berryhill, Buchanan, 
            Charles Calderon, Cedillo, Fletcher, Galgiani, Grove, 
            Hall, Knight, Ma, Mendoza, Perea, Silva


          JJA:k  8/9/12   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

                                ****  END  ****











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