BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1886
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          ASSEMBLY THIRD READING
          AB 1886 (Eggman)
          As Amended  April 22, 2014
          Majority vote 

           BUSINESS & PROFESSIONS          9-4                  
          APPROPRIATIONS      11-5        
           
           ----------------------------------------------------------------- 
          |Ayes:|Bonilla, Bocanegra,       |Ayes:|Gatto, Bocanegra,         |
          |     |Campos, Dickinson,        |     |Bradford,                 |
          |     |Eggman, Holden, Mullin,   |     |Ian Calderon, Campos,     |
          |     |Skinner, Ting             |     |Eggman, Gomez, Holden,    |
          |     |                          |     |Quirk,                    |
          |     |                          |     |Ridley-Thomas, Weber      |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Jones, Hagman,            |Nays:|Bigelow, Donnelly, Jones, |
          |     |Maienschein, Wilk         |     |Linder, Wagner            |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           
          SUMMARY  :  Removes time limitations for Web site posting of  
          specified public disciplinary information about licensees of the  
          Medical Board of California (MBC).  Specifically,  this bill  will  
          require the following disciplinary information regarding a  
          licensee to be posted on MBC's Web site for as long as that  
          information is public:

          1)A revocation, suspension, probation, or limitation on  
            practice, as specified; 

          2)A malpractice judgment or arbitration award reported to MBC  
            after January 1, 1993;   

          3)Discipline from a board of another state or jurisdiction; and,

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            action or an accusation that is not subsequently withdrawn or  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

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, minor and absorbable costs to MBC to retain and  
          display data for a longer time period.








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           COMMENTS  :   

          1)Purpose of this bill.  This bill will require MBC to post  
            indefinitely on its Web site certain public data related to  
            physician and surgeon discipline (such as suspensions and  
            probation, malpractice judgments, discipline from other  
            states, and certain misdemeanor convictions) that is currently  
            taken down after ten years.  This bill is sponsored by MBC.

          2)Ongoing removal of public disciplinary records from MBC Web  
            site.  Current law was amended in 2003 to require MBC to  
            remove certain public information from its Web site after 10  
            years, and MBC began removing these documents in 2013. 

            On January 1, 2013, MBC had to remove approximately 6,900  
            records from its Web site due to the 10-year limit, and  
            continues to remove 30-40 records per month, which equates to  
            350-400 records per year. 

            MBC will return the applicable records to its Web site should  
            this bill be enacted. 
                
           3)Differences in disclosure between public records and the MBC  
            Web site.  The approach taken by this bill is echoed in  
            recommendations from MBC's 2013 Sunset Review report, in which  
            Senate staff recommended that the 10-year posting requirement  
            be removed "in order to ensure transparency to the public."   
            The California Research Bureau also recommended this change in  
            their 2008 report, "Physician Misconduct and Public Disclosure  
            Practices at the Medical Board of California."      

            Although MBC posts disclaimers about the availability and  
            extent of information on its Web site, consumers may  
            reasonably believe that the MBC Web site presents all the  
            publicly available information on a physician and surgeon's  
            license.  As a result, consumers may be misled into believing  
            - incorrectly - that some physicians have no record of  
            discipline. This bill would help rectify that discrepancy by  
            putting more - but not all - public disciplinary information  
            online. 

            The MBC Web site does currently list information on felony  
            convictions, with no expiration date.  However, a user would  








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            have to know this information is available and scroll to the  
            bottom of the page to find it.  

            This bill, in conjunction with other current law, would  
            require the following information to be posted for as long as  
            that information is public:

             a)   A revocation, suspension, probation, or limitation on  
               practice, as specified; 

             b)   A malpractice judgment or arbitration award reported to  
               MBC after January 1, 1993;   

             c)   Discipline from a board of another state or  
               jurisdiction; 

             d)   Any misdemeanor conviction that results in a  
               disciplinary action or an accusation that is not  
               subsequently withdrawn or dismissed;

             e)   Whether a licensee is in good standing;

             f)   Any felony convictions reported to MBC after January 3,  
               1991; and,

             g)   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, and  
               information about additional explanatory or exculpatory  
               information submitted by the licensee, as specified.  

            The following information would continue to be removed after  
            10 years:

             a)   Whether a license is subject to a temporary restraining  
               order or interim suspension order;

             b)   A public letter of reprimand; and,

             c)   Current accusations filed by the Attorney General,  
               including those on appeal. 

           
          Analysis Prepared by  :    Sarah Huchel / B., P. & C.P. / (916)  








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          319-3301                                               FN:  
          0003337