Rural hospitals: physician services.
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AB 648 — Rural hospitals: physician services.
Last action — From Senate committee without further action.
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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3Passed Assembly
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4Passed Senate
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5To Executive
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6Enacted
This bill died with 2009-2010 Regular Session. It reached “Passed Assembly” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.
Summary
Existing law generally provides for the licensure of health facilities, including rural general acute care hospitals, by the State Department of Public Health. Existing law requires the department to provide expert technical assistance to strategically located, high-risk rural hospitals, as defined, to assist the hospitals in carrying out an assessment of potential business and diversification of service opportunities. Existing law also requires the department to continue to provide regulatory relief when appropriate through program flexibility for such items as staffing, space, and physical plant requirements. This bill would, until January 1, 2020, establish a demonstration project authorizing a rural hospital, as defined, that meets specified conditions, to employ up to 10 physicians and surgeons at one time, except as provided, to provide medical services at the rural hospital or other health facility that the rural hospital owns or operates, and to retain all or part of the income generated by the physicians and surgeons for medical services billed and collected by the rural hospital if the physician and surgeon in whose name the charges are made approves the charges. The bill would require a rural hospital that employs a physician and surgeon pursuant to those provisions to develop and implement a policy regarding the independent medical judgment of the physician and surgeon. The bill would require these physicians and surgeons to biennially sign a specified statement. The bill would impose various duties on the department and the Medical Board of California including, not later than January 1, 2019, a requirement that the board deliver a report to the Legislature regarding the demonstration project.
Bill Text
- Amended 05/28/09 - Amended Assembly Current pdf May 28, 2009
- Amended 05/05/09 - Amended Assembly pdf May 05, 2009
- Amended 04/15/09 - Amended Assembly pdf April 15, 2009
- Introduced 02/25/09 - Introduced pdf February 25, 2009
- AB648 View text html
Action History
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From Senate committee without further action.
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In committee: Hearing postponed by committee.
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In committee: Set, second hearing. Further hearing to be set.
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In committee: Set first hearing. Failed passage. Reconsideration granted.
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Referred to Coms. on B., P. & E.D. and HEALTH.
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In Senate. Read first time. To Com. on RLS. for assignment.
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Read third time, passed, and to Senate. (Ayes 77. Noes 0. Page 1822.)
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Read third time, amended, and returned to third reading. (Page 1740.).
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Read second time. To third reading.
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From committee: Do pass. (Ayes 15. Noes 0.) (May 20).
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Re-referred to Com. on APPR.
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Read second time and amended.
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From committee: Amend, do pass as amended, and re-refer to Com. on APPR. (Ayes 18. Noes 0.) (April 28).
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From committee: Do pass, and re-refer to Com. on HEALTH. Re-referred. (Ayes 9. Noes 0.) (April 21).
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Re-referred to Com. on B. & P.
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From committee chair, with author's amendments: Amend, and re-refer to Com. on B. & P. Read second time and amended.
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Re-referred to Com. on B. & P. by unanimous consent, and then be re-referred to Com. on HEALTH
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Referred to Coms. on HEALTH and B. & P.
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From printer. May be heard in committee March 28.
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Read first time. To print.
Sponsors
- Buchanan · Cosponsor
- Chesbro · Primary
- Cox · Cosponsor
- Ducheny · Cosponsor
- Fuentes · Cosponsor
- Miller · Cosponsor
- Nielsen · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 6 co-sponsors · 115 not signed on
Sponsors (1)
- Chesbro
Co-sponsors (6)
- Buchanan
- Cox
- Ducheny
- Fuentes
- Miller
- Nielsen
Not signed on (115)
115 members have not signed on to this bill.
Show all 115 →"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 11 | 0 | 0 | 0 |
| Total | 11 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (11)
| Member | Party | Vote |
|---|---|---|
| Yee | — | Yea |
| Corbett | — | Yea |
| Negrete | — | Yea |
| McLeod | — | Yea |
| Wyland | — | Yea |
| Oropeza | — | Yea |
| Romero | — | Yea |
| Aanestad | — | Yea |
| Walters | — | Yea |
| Correa | — | Yea |
| Florez | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 5 | 4 | 0 | 2 |
| Total | 5 | 4 | 0 | 2 |
| % of votes cast | 45% | 36% | 0% | 18% |
How each member voted (11)
| Member | Party | Vote |
|---|---|---|
| Yee | — | Nay |
| Wyland | — | Nay |
| Negrete | — | Yea |
| Romero | — | Yea |
| Walters | — | Nay |
| Aanestad | — | Nay |
| McLeod | — | Yea |
| Oropeza | — | Not Voting |
| Corbett | — | Not Voting |
| Correa | — | Yea |
| Florez | — | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 83 | 0 | 0 | 3 |
| Democratic | 2 | 0 | 0 | 1 |
| Republican | 3 | 0 | 0 | 0 |
| Total | 88 | 0 | 0 | 4 |
| % of votes cast | 96% | 0% | 0% | 4% |
How each member voted (92)
| Member | Party | Vote |
|---|---|---|
| Carter | — | Yea |
| Chesbro | — | Yea |
| Conway | — | Yea |
| Cook | — | Yea |
| Bill | — | Yea |
| Tom | — | Yea |
| Eng | — | Yea |
| Evans | — | Yea |
| Fuentes | — | Yea |
| Fuller | — | Yea |
| Galgiani | — | Yea |
| Garrick | — | Yea |
| Hagman | — | Yea |
| Hall | — | Yea |
| De | — | Yea |
| La | — | Yea |
| Torre | — | Yea |
| De | — | Yea |
| Leon | — | Yea |
| Hayashi | — | Yea |
| Hernandez | — | Yea |
| Fletcher | — | Yea |
| Fong | — | Yea |
| Ammiano | — | Yea |
| Beall | — | Yea |
| Blakeslee | — | Yea |
| Coto | — | Yea |
| Duvall | — | Yea |
| Huber | — | Yea |
| Huffman | — | Yea |
| Knight | — | Yea |
| Lieu | — | Yea |
| Bonnie | — | Yea |
| Lowenthal | — | Yea |
| V. | — | Yea |
| Manuel | — | Yea |
| Perez | — | Yea |
| John | — | Yea |
| A. | — | Yea |
| Perez | — | Yea |
| Portantino | — | Yea |
| Salas | — | Yea |
| Saldana | — | Yea |
| Audra | — | Yea |
| Charles | — | Not Voting |
| Yamada | — | Yea |
| Mendoza | — | Yea |
| Monning | — | Yea |
| Nava | — | Yea |
| Nestande | — | Not Voting |
| Price | — | Yea |
| Ruskin | — | Yea |
| Silva | — | Yea |
| Smyth | — | Yea |
| Solorio | — | Yea |
| Torres | — | Yea |
| Torrico | — | Yea |
| Tran | — | Yea |
| Adams | — | Yea |
| Anderson | — | Yea |
| Bass | — | Yea |
| Block | — | Not Voting |
| Blumenfield | — | Yea |
| Brownley | — | Yea |
| Buchanan | — | Yea |
| Harkey | — | Yea |
| Hill | — | Yea |
| Jeffries | — | Yea |
| Krekorian | — | Yea |
| Logue | — | Yea |
| Ma | — | Yea |
| Miller | — | Yea |
| Nielsen | — | Yea |
| Skinner | — | Yea |
| Swanson | — | Yea |
| Torlakson | — | Yea |
| Villines | — | Yea |
| Emmerson | — | Yea |
| Feuer | — | Yea |
| Davis | — | Yea |
| DeVore | — | Yea |
| Furutani | — | Yea |
| Gilmore | — | Yea |
| Beth Gaines | — | Yea |
| Bill Berryhill | — | Yea |
| Bill Berryhill | — | Yea |
| Arambula, Joaquin | Democratic | Yea |
| Caballero, Anna M. | Democratic | Yea |
| Calderon, Lisa | Democratic | Not Voting |
| Jones, Brian W. | Republican | Yea |
| Niello, Roger W. | Republican | Yea |
| Strickland, Tony | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 18 | 0 | 0 | 1 |
| Democratic | 1 | 0 | 0 | 0 |
| Republican | 1 | 0 | 0 | 0 |
| Total | 20 | 0 | 0 | 1 |
| % of votes cast | 95% | 0% | 0% | 5% |
How each member voted (21)
| Member | Party | Vote |
|---|---|---|
| Hall | — | Yea |
| Fuentes | — | Yea |
| Harkey | — | Yea |
| Charles | — | Yea |
| De | — | Yea |
| Leon | — | Yea |
| John | — | Yea |
| A. | — | Yea |
| Perez | — | Yea |
| Audra | — | Yea |
| Duvall | — | Yea |
| Miller | — | Not Voting |
| Skinner | — | Yea |
| Solorio | — | Yea |
| Torlakson | — | Yea |
| Ammiano | — | Yea |
| Nielsen | — | Yea |
| Price | — | Yea |
| Davis | — | Yea |
| Calderon, Lisa | Democratic | Yea |
| Strickland, Tony | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 22 | 0 | 0 | 1 |
| Republican | 2 | 0 | 0 | 0 |
| Democratic | 1 | 0 | 0 | 0 |
| Total | 25 | 0 | 0 | 1 |
| % of votes cast | 96% | 0% | 0% | 4% |
How each member voted (26)
| Member | Party | Vote |
|---|---|---|
| Hall | — | Yea |
| Carter | — | Yea |
| Conway | — | Yea |
| Emmerson | — | Yea |
| Hayashi | — | Yea |
| Hernandez | — | Yea |
| De | — | Yea |
| La | — | Yea |
| Torre | — | Yea |
| De | — | Yea |
| Leon | — | Yea |
| Fletcher | — | Yea |
| Gaines | — | Yea |
| Bonnie | — | Yea |
| V. | — | Yea |
| Manuel | — | Yea |
| Perez | — | Yea |
| Salas | — | Yea |
| Audra | — | Yea |
| Block | — | Yea |
| Adams | — | Not Voting |
| Ammiano | — | Yea |
| Nava | — | Yea |
| Lowenthal, Josh | Democratic | Yea |
| Jones, Brian W. | Republican | Yea |
| Strickland, Tony | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 10 | 0 | 0 | 2 |
| Republican | 1 | 0 | 0 | 0 |
| Total | 11 | 0 | 0 | 2 |
| % of votes cast | 85% | 0% | 0% | 15% |
How each member voted (13)
| Member | Party | Vote |
|---|---|---|
| Eng | — | Yea |
| John | — | Yea |
| A. | — | Yea |
| Perez | — | Yea |
| Conway | — | Yea |
| Hayashi | — | Yea |
| Hernandez | — | Yea |
| Ruskin | — | Not Voting |
| Smyth | — | Yea |
| Nava | — | Yea |
| Price | — | Not Voting |
| Emmerson | — | Yea |
| Niello, Roger W. | Republican | Yea |
Subjects
Frequently asked questions
- What does AB 648 do?
- Existing law generally provides for the licensure of health facilities, including rural general acute care hospitals, by the State Department of Public Health. Existing law requires the department to provide expert technical assistance to strategically located, high-risk rural hospitals, as defined, to assist the hospitals in carrying out an assessment of potential business and diversification of service opportunities. Existing law also requires the department to continue to provide regulatory relief when appropriate through program flexibility for such items as staffing, space, and physical plant requirements. This bill would, until January 1, 2020, establish a demonstration project authorizing a rural hospital, as defined, that meets specified conditions, to employ up to 10 physicians and surgeons at one time, except as provided, to provide medical services at the rural hospital or other health facility that the rural hospital owns or operates, and to retain all or part of the income generated by the physicians and surgeons for medical services billed and collected by the rural hospital if the physician and surgeon in whose name the charges are made approves the charges. The bill would require a rural hospital that employs a physician and surgeon pursuant to those provisions to develop and implement a policy regarding the independent medical judgment of the physician and surgeon. The bill would require these physicians and surgeons to biennially sign a specified statement. The bill would impose various duties on the department and the Medical Board of California including, not later than January 1, 2019, a requirement that the board deliver a report to the Legislature regarding the demonstration project.
- Who sponsors AB 648?
- AB 648 is sponsored by Buchanan, Chesbro, Cox, Ducheny, Fuentes, Miller, and Nielsen.
- What is the current status of AB 648?
- This bill died with 2009-2010 Regular Session. It reached “Passed Assembly” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
- Where can I track AB 648?
- Track AB 648 free on One Click Politics — get push/email alerts when it moves.
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