California 2009 2009-2010 Regular Session

California Assembly Bill AB1570 Amended / Bill

Filed 05/17/2010

 BILL NUMBER: AB 1570AMENDED BILL TEXT AMENDED IN SENATE MAY 17, 2010 AMENDED IN SENATE APRIL 28, 2010 AMENDED IN SENATE SEPTEMBER 2, 2009 AMENDED IN ASSEMBLY JUNE 2, 2009 AMENDED IN ASSEMBLY APRIL 16, 2009 INTRODUCED BY Assembly Member Salas MARCH 16, 2009  An act to add Section 5272.4 to the Business and Professions Code, relating to outdoor advertising.   An act to add Article 3.7 (commencing with Section 1660) to Chapter 4 of Division 2 of, and to repeal Section 1660.7 of, the Business and Professions Code, relating to dentistry.  LEGISLATIVE COUNSEL'S DIGEST AB 1570, as amended, Salas.  Outdoor advertising.   Malpractice insurance: volunteer dentists.   Under existing law, the Dental Practice Act, the Dental board of California is responsible for the licensure and regulation of dentists. Licensure fees imposed upon dentists are deposited into the State Dentistry Fund for the purposes of administering the act and are subject to appropriation by the Legislature.   This bill would create the Volunteer Insured Dentists Program, administered by the board, to provide specified malpractice insurance coverage to volunteer dentists providing uncompensated care to low-income patients pursuant to a contract with a qualified health care entity, as defined. The bill would provide unspecified funding for the program from the State Dentistry Fund for a limited period of time. The bill would require annual reports to the Legislature until January 1, 2015.   The Outdoor Advertising Act provides for the regulation by the Department of Transportation of advertising displays, as defined, within view of public highways. The act exempts from its provisions, among other things, certain advertising displays that advertise the business conducted or services rendered or goods produced or sold on the property upon which the display is placed, as specified.   This bill would exempt from the provisions of the act an advertising display located within a distance of 4,100 feet of the intersection of State Highway Route 8 and State Highway Route 111, in the County of Imperial, if specified conditions are satisfied.   This bill would make legislative findings and declarations as to the necessity of a special statute for the County of Imperial.  Vote: majority. Appropriation: no. Fiscal committee: yes. State-mandated local program: no. THE PEOPLE OF THE STATE OF CALIFORNIA DO ENACT AS FOLLOWS:  SECTION 1.   Article 3.7 (commencing with Section 1660) is added to Chapter 4 of Division 2 of the   Business and Professions Code  , to read:   Article 3.7. Volunteer Insured Dentists Program 1660. This article shall be known and may be cited as the Volunteer Insured Dentists (VID) Act, which authorizes the creation and implementation of the Volunteer Insured Dentists (VID) Program. 1660.1. For purposes of this article, the following definitions shall apply: (a) "Licensee" means a licensed dentist who is engaged in the practice of dentistry under the jurisdiction of the board. (b) "Low-income patient" means a person who is without dental coverage and whose family income does not exceed 200 percent of the federal poverty level, as defined annually by the federal Office of Management and Budget. (c) "Qualified health care entity" means a county health department or clinic owned and operated by a governmental entity. (d) "VID Program" is the Volunteer Insured Dentists Program. (e) "Voluntary service agreement" means an agreement executed pursuant to this article between the board, a licensee, and a qualified health care entity that authorizes the qualified health care entity to enter into a voluntary service contract with the licensee. (f) "Voluntary service application" means the written application developed by the board that a licensee must complete and submit in order to be considered for participation in the VID Program. (g) "Voluntary service contract" means an agreement executed pursuant to this article between a licensee and a qualified health care entity that authorizes the licensee to deliver dental services to low-income patients as an agent of the qualified health care entity on a volunteer, uncompensated basis. (h) "Volunteer dentist" means a licensee who volunteers to provide dental services, as described in Section 1660.3, to a low-income patient, with no monetary or material compensation. 1660.2. (a) A licensee who wants to provide voluntary, uncompensated care to low-income patients, but who does not have professional liability insurance that would include insurance coverage for premiums, defense, and indemnity costs for any claims arising from voluntary and uncompensated care, may submit a voluntary service application to the board for coverage under the VID Program. (b) A licensee who submits an application for a waiver of renewal licensing fees under subdivision (a) of Section 1716.1 and who also submits a voluntary service application shall be simultaneously assessed by the board for eligibility to receive professional liability insurance coverage for premiums, defense, and indemnity costs through the VID Program. (c) A licensee who has standard professional liability insurance coverage for his or her regular practice but who is not covered for volunteer service may submit a voluntary service application to participate in the VID Program. In conjunction with the voluntary service application, the licensee shall submit verification from his or her professional liability insurance carrier that voluntary, uncompensated care is not covered by his or her existing professional liability insurance policy. (d) The board shall review the voluntary service application to determine if the applicant meets the criteria for VID Program participation. These criteria shall include both of the following: (1) Holding an active license in good standing to practice dentistry in the State of California. (2) No record of disciplinary action by the board or any other regulatory board. (e) Continued eligibility for the VID Program shall be reassessed by the board during each license renewal cycle. 1660.3. (a) Licensees approved by the board for participation in the VID Program may enter into a voluntary service agreement with the board and a qualified health care entity that acknowledges the terms of the VID Program and transfers responsibility from the volunteer dentist to the state for professional liability insurance, including premiums, defense, and indemnity costs, for voluntary, uncompensated dental care that is provided in accordance with an executed and signed voluntary service contract between the volunteer dentist and the qualified health care entity and that complies with the terms of the VID Program. (b) The voluntary service contract between the volunteer dentist and the qualified health care entity shall include all of the following provisions: (1) All care provided shall be both voluntary and uncompensated and shall be provided to low-income patients. (2) Patient selection and initial referral shall be made solely by the qualified health care entity and the volunteer dentist shall accept all referred patients except as otherwise allowed by law. However, the number of patients that must be accepted may be limited by the voluntary service contract. (3) The qualified health care entity shall have access to the patient records of the volunteer dentist delivering services under the voluntary service contract. (4) The volunteer dentist shall be subject to supervision by the qualified health care entity's standard peer review process and all related laws regarding peer review, including, but not limited to, the filing of reports pursuant to Section 805. (5) The qualified health care entity shall utilize a quality assurance program to monitor services delivered by the volunteer dentist under the voluntary services contract. (6) The right to dismiss or terminate a volunteer dentist delivering services under the voluntary service contract shall be retained by the qualified health care entity. If the volunteer services contract is terminated, the qualified health care entity shall notify the VID Program in writing within five days. 1660.4. The fact that a volunteer dentist is insured under the VID Program in relation to particular dental services rendered shall not operate to change or affect the laws applicable to any claims arising from or related to those dental services. All laws applicable to a claim remain the same regardless of whether a licensee is insured through the VID Program. 1660.5. If a volunteer dentist covered by the VID Program receives notice or otherwise obtains knowledge that a claim of professional negligence has been or may be filed, the dentist shall immediately notify the VID Program or the contracted liability carrier. 1660.6. All costs for administering the VID Program, including the cost of professional liability insurance for premiums, defense, and indemnity coverage for program participants, shall be paid for from the State Dentistry Fund, in an amount not to exceed ____ dollars ($____) per year. 1660.7. (a) The board shall report annually to the Legislature summarizing the efficacy of access and treatment outcomes with respect to providing dental services for low-income patients pursuant to this article. The report shall include the numbers of injuries and deaths reported, claims statistics for all care rendered under the VID Program, including the total of all premiums paid, the number of claims made for each year of the VID Program, the amount of all indemnity payments made, the cost of defense provided, and administration costs associated with all claims made against volunteer dentists arising from voluntary and uncompensated care provided under the VID Program. (b) (1) A report to be submitted pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code. (2) Pursuant to Section 10231.5 of the Government Code, this section is repealed on January 1, 2015. 1660.8. This article shall remain operative until January 1, 2016, or until another viable source of funding is identified and adopted, whichever occurs first.   SECTION 1.   Section 5272.4 is added to the Business and Professions Code, to read: 5272.4. None of the provisions of this chapter apply to an advertising display located within a distance of 4,100 feet of the intersection of State Highway Route 8 and State Highway Route 111, in the County of Imperial, if all of the of the following conditions are met: (a) Written evidence shall be provided to the department indicating that both the owner or person in control or possession of the property upon which the advertising display is to be located and the city or county with land use jurisdiction over that property have consented to the placing of the display. (b) No other display is placed pursuant to this section. (c) Placement of the display will not necessitate the immediate trimming, pruning, topping, or removal of existing trees in order to make the display visible or to improve its visibility, unless done as part of the normal landscape maintenance activities that would have been undertaken without regard to the placement of the display. (d) The display does not cause a reduction in federal aid highway funds, as provided in Section 131 of Title 23 of the United States Code.   SEC. 2.   The Legislature finds and declares that a special law is necessary and that a general law cannot be made applicable within the meaning of Section 16 of Article IV of the California Constitution because of the unique circumstances concerning the location of the advertising display set forth in this act and the need for advertising in the County of Imperial.