Amended IN Senate August 22, 2023 Amended IN Assembly March 23, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1369Introduced by Assembly Member Bauer-KahanFebruary 17, 2023An act to add Section 2052.5 to the Business and Professions Code, relating to healing arts. LEGISLATIVE COUNSEL'S DIGESTAB 1369, as amended, Bauer-Kahan. Out-of-state physicians and surgeons: telehealth: license exemption.Existing law, the Medical Practice Act, establishes the Medical Board of California within the Department of Consumer Affairs and sets forth its powers and duties relating to the licensure and regulation of the practice of medicine by physicians and surgeons. Existing law generally prohibits the practice of medicine without a physicians and surgeons certificate issued by the board.Existing law authorizes a health care provider to deliver health care via telehealth to a patient pursuant to specified protocols and conditions. Existing law defines telehealth telehealth as the delivery of health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patients health care, and that telehealth includes synchronous interactions and asynchronous store and forward transfers.Under this bill, a person licensed as a physician and surgeon in another state, as specified, who does not possess a certificate issued by the board would be authorized to deliver health care via telehealth to a an eligible patient who, among other requirements, has a disease or condition that is immediately life-threatening. an immediately life-threatening disease or condition, as specified.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. Section 2052.5 is added to the Business and Professions Code, to read:2052.5. (a) For purposes of this section, the following definitions apply:(1) Eligible patient means a person who meets all of the following requirements:(A) Has a disease or condition that is immediately life-threatening. an immediately life-threatening disease or condition as defined in Section 111548.1 of the Health and Safety Code.(B) Has given written informed consent for, or, if the person lacks the capacity to consent, their legally authorized representative has given written informed consent on their behalf for, both of the following:(i) The use of an eligible out-of-state physician and surgeons telehealth health care services.(ii) The release of certified medical records to their primary physician and surgeon by the out-of-state physician.(B)(C) Has not been accepted to participate in the clinical trial nearest to their home for the immediately life-threatening disease or condition identified in subparagraph (A) within one week of completion of the clinical trial application process, or, in the medical judgment of a physician and surgeon described in subparagraph (C), paragraph (3), it is unreasonable for the patient to participate in that clinical trial due to the patients current condition and stage of disease.(C)(D) Has documentation from their primary physician and surgeon and a consulting physician and surgeon attesting that they meet the requirements in subparagraphs (A) and (B). (A), (B), and (C). The primary physician and surgeon may withdraw the documentation if there is a substantial change in the patients mental capacity to make informed decisions for their own care unless their legally authorized representative has given written informed consent on their behalf.(2) Eligible out-of-state physician and surgeon means a person who is licensed as a physician and surgeon in another state that uses criteria substantially similar to the criteria used by the Medical Board of California. in good standing with no history of prior discipline, and whose medical expertise is that of the eligible patients illness.(3) Primary physician and surgeon means a physician and surgeon licensed under the Medical Practice Act (Chapter 5 (commencing with Section 2000)) or an osteopathic physician and surgeon licensed under the Osteopathic Act (Article 21 (commencing with Section 2450)).(3)(4) Telehealth has the same meaning as provided in Section 2290.5.(b) Notwithstanding any other law, an eligible out-of-state physician and surgeon may practice medicine in the state if the practice is limited to delivering health care via telehealth to an eligible patient.
Amended IN Senate August 22, 2023 Amended IN Assembly March 23, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1369Introduced by Assembly Member Bauer-KahanFebruary 17, 2023An act to add Section 2052.5 to the Business and Professions Code, relating to healing arts. LEGISLATIVE COUNSEL'S DIGESTAB 1369, as amended, Bauer-Kahan. Out-of-state physicians and surgeons: telehealth: license exemption.Existing law, the Medical Practice Act, establishes the Medical Board of California within the Department of Consumer Affairs and sets forth its powers and duties relating to the licensure and regulation of the practice of medicine by physicians and surgeons. Existing law generally prohibits the practice of medicine without a physicians and surgeons certificate issued by the board.Existing law authorizes a health care provider to deliver health care via telehealth to a patient pursuant to specified protocols and conditions. Existing law defines telehealth telehealth as the delivery of health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patients health care, and that telehealth includes synchronous interactions and asynchronous store and forward transfers.Under this bill, a person licensed as a physician and surgeon in another state, as specified, who does not possess a certificate issued by the board would be authorized to deliver health care via telehealth to a an eligible patient who, among other requirements, has a disease or condition that is immediately life-threatening. an immediately life-threatening disease or condition, as specified.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
Amended IN Senate August 22, 2023 Amended IN Assembly March 23, 2023
Amended IN Senate August 22, 2023
Amended IN Assembly March 23, 2023
CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION
Assembly Bill
No. 1369
Introduced by Assembly Member Bauer-KahanFebruary 17, 2023
Introduced by Assembly Member Bauer-Kahan
February 17, 2023
An act to add Section 2052.5 to the Business and Professions Code, relating to healing arts.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
AB 1369, as amended, Bauer-Kahan. Out-of-state physicians and surgeons: telehealth: license exemption.
Existing law, the Medical Practice Act, establishes the Medical Board of California within the Department of Consumer Affairs and sets forth its powers and duties relating to the licensure and regulation of the practice of medicine by physicians and surgeons. Existing law generally prohibits the practice of medicine without a physicians and surgeons certificate issued by the board.Existing law authorizes a health care provider to deliver health care via telehealth to a patient pursuant to specified protocols and conditions. Existing law defines telehealth telehealth as the delivery of health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patients health care, and that telehealth includes synchronous interactions and asynchronous store and forward transfers.Under this bill, a person licensed as a physician and surgeon in another state, as specified, who does not possess a certificate issued by the board would be authorized to deliver health care via telehealth to a an eligible patient who, among other requirements, has a disease or condition that is immediately life-threatening. an immediately life-threatening disease or condition, as specified.
Existing law, the Medical Practice Act, establishes the Medical Board of California within the Department of Consumer Affairs and sets forth its powers and duties relating to the licensure and regulation of the practice of medicine by physicians and surgeons. Existing law generally prohibits the practice of medicine without a physicians and surgeons certificate issued by the board.
Existing law authorizes a health care provider to deliver health care via telehealth to a patient pursuant to specified protocols and conditions. Existing law defines telehealth telehealth as the delivery of health care services and public health via information and communication technologies to facilitate the diagnosis, consultation, treatment, education, care management, and self-management of a patients health care, and that telehealth includes synchronous interactions and asynchronous store and forward transfers.
Under this bill, a person licensed as a physician and surgeon in another state, as specified, who does not possess a certificate issued by the board would be authorized to deliver health care via telehealth to a an eligible patient who, among other requirements, has a disease or condition that is immediately life-threatening. an immediately life-threatening disease or condition, as specified.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. Section 2052.5 is added to the Business and Professions Code, to read:2052.5. (a) For purposes of this section, the following definitions apply:(1) Eligible patient means a person who meets all of the following requirements:(A) Has a disease or condition that is immediately life-threatening. an immediately life-threatening disease or condition as defined in Section 111548.1 of the Health and Safety Code.(B) Has given written informed consent for, or, if the person lacks the capacity to consent, their legally authorized representative has given written informed consent on their behalf for, both of the following:(i) The use of an eligible out-of-state physician and surgeons telehealth health care services.(ii) The release of certified medical records to their primary physician and surgeon by the out-of-state physician.(B)(C) Has not been accepted to participate in the clinical trial nearest to their home for the immediately life-threatening disease or condition identified in subparagraph (A) within one week of completion of the clinical trial application process, or, in the medical judgment of a physician and surgeon described in subparagraph (C), paragraph (3), it is unreasonable for the patient to participate in that clinical trial due to the patients current condition and stage of disease.(C)(D) Has documentation from their primary physician and surgeon and a consulting physician and surgeon attesting that they meet the requirements in subparagraphs (A) and (B). (A), (B), and (C). The primary physician and surgeon may withdraw the documentation if there is a substantial change in the patients mental capacity to make informed decisions for their own care unless their legally authorized representative has given written informed consent on their behalf.(2) Eligible out-of-state physician and surgeon means a person who is licensed as a physician and surgeon in another state that uses criteria substantially similar to the criteria used by the Medical Board of California. in good standing with no history of prior discipline, and whose medical expertise is that of the eligible patients illness.(3) Primary physician and surgeon means a physician and surgeon licensed under the Medical Practice Act (Chapter 5 (commencing with Section 2000)) or an osteopathic physician and surgeon licensed under the Osteopathic Act (Article 21 (commencing with Section 2450)).(3)(4) Telehealth has the same meaning as provided in Section 2290.5.(b) Notwithstanding any other law, an eligible out-of-state physician and surgeon may practice medicine in the state if the practice is limited to delivering health care via telehealth to an eligible patient.
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. Section 2052.5 is added to the Business and Professions Code, to read:2052.5. (a) For purposes of this section, the following definitions apply:(1) Eligible patient means a person who meets all of the following requirements:(A) Has a disease or condition that is immediately life-threatening. an immediately life-threatening disease or condition as defined in Section 111548.1 of the Health and Safety Code.(B) Has given written informed consent for, or, if the person lacks the capacity to consent, their legally authorized representative has given written informed consent on their behalf for, both of the following:(i) The use of an eligible out-of-state physician and surgeons telehealth health care services.(ii) The release of certified medical records to their primary physician and surgeon by the out-of-state physician.(B)(C) Has not been accepted to participate in the clinical trial nearest to their home for the immediately life-threatening disease or condition identified in subparagraph (A) within one week of completion of the clinical trial application process, or, in the medical judgment of a physician and surgeon described in subparagraph (C), paragraph (3), it is unreasonable for the patient to participate in that clinical trial due to the patients current condition and stage of disease.(C)(D) Has documentation from their primary physician and surgeon and a consulting physician and surgeon attesting that they meet the requirements in subparagraphs (A) and (B). (A), (B), and (C). The primary physician and surgeon may withdraw the documentation if there is a substantial change in the patients mental capacity to make informed decisions for their own care unless their legally authorized representative has given written informed consent on their behalf.(2) Eligible out-of-state physician and surgeon means a person who is licensed as a physician and surgeon in another state that uses criteria substantially similar to the criteria used by the Medical Board of California. in good standing with no history of prior discipline, and whose medical expertise is that of the eligible patients illness.(3) Primary physician and surgeon means a physician and surgeon licensed under the Medical Practice Act (Chapter 5 (commencing with Section 2000)) or an osteopathic physician and surgeon licensed under the Osteopathic Act (Article 21 (commencing with Section 2450)).(3)(4) Telehealth has the same meaning as provided in Section 2290.5.(b) Notwithstanding any other law, an eligible out-of-state physician and surgeon may practice medicine in the state if the practice is limited to delivering health care via telehealth to an eligible patient.
SECTION 1. Section 2052.5 is added to the Business and Professions Code, to read:
### SECTION 1.
2052.5. (a) For purposes of this section, the following definitions apply:(1) Eligible patient means a person who meets all of the following requirements:(A) Has a disease or condition that is immediately life-threatening. an immediately life-threatening disease or condition as defined in Section 111548.1 of the Health and Safety Code.(B) Has given written informed consent for, or, if the person lacks the capacity to consent, their legally authorized representative has given written informed consent on their behalf for, both of the following:(i) The use of an eligible out-of-state physician and surgeons telehealth health care services.(ii) The release of certified medical records to their primary physician and surgeon by the out-of-state physician.(B)(C) Has not been accepted to participate in the clinical trial nearest to their home for the immediately life-threatening disease or condition identified in subparagraph (A) within one week of completion of the clinical trial application process, or, in the medical judgment of a physician and surgeon described in subparagraph (C), paragraph (3), it is unreasonable for the patient to participate in that clinical trial due to the patients current condition and stage of disease.(C)(D) Has documentation from their primary physician and surgeon and a consulting physician and surgeon attesting that they meet the requirements in subparagraphs (A) and (B). (A), (B), and (C). The primary physician and surgeon may withdraw the documentation if there is a substantial change in the patients mental capacity to make informed decisions for their own care unless their legally authorized representative has given written informed consent on their behalf.(2) Eligible out-of-state physician and surgeon means a person who is licensed as a physician and surgeon in another state that uses criteria substantially similar to the criteria used by the Medical Board of California. in good standing with no history of prior discipline, and whose medical expertise is that of the eligible patients illness.(3) Primary physician and surgeon means a physician and surgeon licensed under the Medical Practice Act (Chapter 5 (commencing with Section 2000)) or an osteopathic physician and surgeon licensed under the Osteopathic Act (Article 21 (commencing with Section 2450)).(3)(4) Telehealth has the same meaning as provided in Section 2290.5.(b) Notwithstanding any other law, an eligible out-of-state physician and surgeon may practice medicine in the state if the practice is limited to delivering health care via telehealth to an eligible patient.
2052.5. (a) For purposes of this section, the following definitions apply:(1) Eligible patient means a person who meets all of the following requirements:(A) Has a disease or condition that is immediately life-threatening. an immediately life-threatening disease or condition as defined in Section 111548.1 of the Health and Safety Code.(B) Has given written informed consent for, or, if the person lacks the capacity to consent, their legally authorized representative has given written informed consent on their behalf for, both of the following:(i) The use of an eligible out-of-state physician and surgeons telehealth health care services.(ii) The release of certified medical records to their primary physician and surgeon by the out-of-state physician.(B)(C) Has not been accepted to participate in the clinical trial nearest to their home for the immediately life-threatening disease or condition identified in subparagraph (A) within one week of completion of the clinical trial application process, or, in the medical judgment of a physician and surgeon described in subparagraph (C), paragraph (3), it is unreasonable for the patient to participate in that clinical trial due to the patients current condition and stage of disease.(C)(D) Has documentation from their primary physician and surgeon and a consulting physician and surgeon attesting that they meet the requirements in subparagraphs (A) and (B). (A), (B), and (C). The primary physician and surgeon may withdraw the documentation if there is a substantial change in the patients mental capacity to make informed decisions for their own care unless their legally authorized representative has given written informed consent on their behalf.(2) Eligible out-of-state physician and surgeon means a person who is licensed as a physician and surgeon in another state that uses criteria substantially similar to the criteria used by the Medical Board of California. in good standing with no history of prior discipline, and whose medical expertise is that of the eligible patients illness.(3) Primary physician and surgeon means a physician and surgeon licensed under the Medical Practice Act (Chapter 5 (commencing with Section 2000)) or an osteopathic physician and surgeon licensed under the Osteopathic Act (Article 21 (commencing with Section 2450)).(3)(4) Telehealth has the same meaning as provided in Section 2290.5.(b) Notwithstanding any other law, an eligible out-of-state physician and surgeon may practice medicine in the state if the practice is limited to delivering health care via telehealth to an eligible patient.
2052.5. (a) For purposes of this section, the following definitions apply:(1) Eligible patient means a person who meets all of the following requirements:(A) Has a disease or condition that is immediately life-threatening. an immediately life-threatening disease or condition as defined in Section 111548.1 of the Health and Safety Code.(B) Has given written informed consent for, or, if the person lacks the capacity to consent, their legally authorized representative has given written informed consent on their behalf for, both of the following:(i) The use of an eligible out-of-state physician and surgeons telehealth health care services.(ii) The release of certified medical records to their primary physician and surgeon by the out-of-state physician.(B)(C) Has not been accepted to participate in the clinical trial nearest to their home for the immediately life-threatening disease or condition identified in subparagraph (A) within one week of completion of the clinical trial application process, or, in the medical judgment of a physician and surgeon described in subparagraph (C), paragraph (3), it is unreasonable for the patient to participate in that clinical trial due to the patients current condition and stage of disease.(C)(D) Has documentation from their primary physician and surgeon and a consulting physician and surgeon attesting that they meet the requirements in subparagraphs (A) and (B). (A), (B), and (C). The primary physician and surgeon may withdraw the documentation if there is a substantial change in the patients mental capacity to make informed decisions for their own care unless their legally authorized representative has given written informed consent on their behalf.(2) Eligible out-of-state physician and surgeon means a person who is licensed as a physician and surgeon in another state that uses criteria substantially similar to the criteria used by the Medical Board of California. in good standing with no history of prior discipline, and whose medical expertise is that of the eligible patients illness.(3) Primary physician and surgeon means a physician and surgeon licensed under the Medical Practice Act (Chapter 5 (commencing with Section 2000)) or an osteopathic physician and surgeon licensed under the Osteopathic Act (Article 21 (commencing with Section 2450)).(3)(4) Telehealth has the same meaning as provided in Section 2290.5.(b) Notwithstanding any other law, an eligible out-of-state physician and surgeon may practice medicine in the state if the practice is limited to delivering health care via telehealth to an eligible patient.
2052.5. (a) For purposes of this section, the following definitions apply:
(1) Eligible patient means a person who meets all of the following requirements:
(A) Has a disease or condition that is immediately life-threatening. an immediately life-threatening disease or condition as defined in Section 111548.1 of the Health and Safety Code.
(B) Has given written informed consent for, or, if the person lacks the capacity to consent, their legally authorized representative has given written informed consent on their behalf for, both of the following:
(i) The use of an eligible out-of-state physician and surgeons telehealth health care services.
(ii) The release of certified medical records to their primary physician and surgeon by the out-of-state physician.
(B)
(C) Has not been accepted to participate in the clinical trial nearest to their home for the immediately life-threatening disease or condition identified in subparagraph (A) within one week of completion of the clinical trial application process, or, in the medical judgment of a physician and surgeon described in subparagraph (C), paragraph (3), it is unreasonable for the patient to participate in that clinical trial due to the patients current condition and stage of disease.
(C)
(D) Has documentation from their primary physician and surgeon and a consulting physician and surgeon attesting that they meet the requirements in subparagraphs (A) and (B). (A), (B), and (C). The primary physician and surgeon may withdraw the documentation if there is a substantial change in the patients mental capacity to make informed decisions for their own care unless their legally authorized representative has given written informed consent on their behalf.
(2) Eligible out-of-state physician and surgeon means a person who is licensed as a physician and surgeon in another state that uses criteria substantially similar to the criteria used by the Medical Board of California. in good standing with no history of prior discipline, and whose medical expertise is that of the eligible patients illness.
(3) Primary physician and surgeon means a physician and surgeon licensed under the Medical Practice Act (Chapter 5 (commencing with Section 2000)) or an osteopathic physician and surgeon licensed under the Osteopathic Act (Article 21 (commencing with Section 2450)).
(3)
(4) Telehealth has the same meaning as provided in Section 2290.5.
(b) Notwithstanding any other law, an eligible out-of-state physician and surgeon may practice medicine in the state if the practice is limited to delivering health care via telehealth to an eligible patient.