2017 - 2018 Legislation
AB 62: The U.S. Department of Housing and Urban Development recently released a final rule requiring Public Housing Authorities (PHAs) to establish a policy disallowing the use of prohibited tobacco products in all indoor areas of public housing.
AB 62 requires PHAs to implement a policy, by July 30, 2018, prohibiting smoking a tobacco product, including e-cigarettes, in all public housing living units and interior areas, as well as outdoor areas within 25 feet of public housing and administrative office buildings in which public housing is located.
AB 191: This bill reflects my ongoing commitment to improve access to mental health services, especially in our rural communities. Currently mental health facilities can hold patients who are determined to be a danger to themselves or others at the facility for observation. To legally execute this “mental health hold,” a physician and either a social worker or registered nurse must evaluate the patient and sign the appropriate documents. Unfortunately, in rural communities there may be a shortage of nurses and social workers. AB 191 would add Marriage and Family Therapists and Licensed Professional Clinical Counselors to the list of professionals legally able to evaluate and sign mental health holds in addition to the physician.
AB 265: The cost of pharmaceuticals drugs has escalated year after year. Manufacturers use coupons and other discounts to promote the use of new and often expensive drugs by eliminating or reducing a patient’s out-of-pocket cost. Although reducing a patient’s out-of-pocket expenses is significant, it can inadvertently cause patients to use more expensive drugs when a less expensive one would treat their condition just as effectively. Unnecessarily using a higher priced drug will have the longer-term effect of increasing health care costs which will ultimately raise the cost of health insurance.
This bill would prohibit a drug manufacturer from offering any discount, rebate, repayment, product voucher or other reduction in an individual’s out-of-pocket expenses for any drug if a lower cost brand name or non-brand name drug is available that is therapeutically equivalent to, or interchangeable with, the drug or if the active ingredients of the drug are available without prescription at a lower cost. If there is only one drug that will work for a patient, a coupon or discount could still be utilized.
AB 275: Last year in Humboldt County several long-term care facilities threatened to close down on short notice and move its residents hundreds of miles away. To protect residents of long-term care facilities, this bill would increase the notice that facilities must provide before any changes, such as a closure, could occur. The bill would require a facility to provide 60 days’ notice to the affected residents and families and 60 days’ written notice to the State Long-Term Care Ombudsman. The bill would also strengthen requirements to medically and socially assess residents in order to prevent or reduce transfer trauma and require facilities to provide information on the availability of alternative long-term care beds in the community, and the reason for the proposed closure. This information would be reported to the state Department of Public Health which would render a decision on whether the facility could implement the planned changes.
AB 315: Pharmacy benefit managers (PBMs) were initially formed approximately 40 years ago and used by insurance plans and other payers to manage their prescription drug plans and negotiate prices with drug companies. PBMs are currently not licensed or regulated, unlike pharmaceutical manufacturers, health plans, pharmacies and pharmacists.
Following a series of mergers and acquisitions, there are three PBMs that have nearly 80 percent of the market share with revenues exceeding $270 billion. Some are also merging with drug companies and large pharmacy chains and establishing their own specialty pharmacies.
Currently there is no way to assess how PBMs are negotiating with drug companies or health plans, nor is there a way to understand how rebates and discounts are applied, and whether the process is in the best interest of the consumer. This bill would require PBMs to be licensed and regulated to better understand how their business model works and the impact their services have on increasing drug prices.
AB 362: Many small nonindustrial forest land owners in California do not have the financial resources to consistently and effectively manage their land. Forests that are not consistently well managed can quickly become environmental hazards, pose catastrophic fire risks, produce blockages in fish bearing streams and exacerbate pest infestations.
An existing program, the California Forest Improvement Program (CFIP), gives the Director of Cal Fire the authority to pay for up to 90 percent of certain forestry work on small nonindustrial forest owner’s land. Unfortunately, because the program requires the land owner to pay for all of the work up front before submitting for reimbursement to Cal Fire, the program is still out of reach for many of our smaller landowners. AB 362 would require Cal Fire to provide landowners access to the funds for the work up front, ensuring that more of our forest lands will be effectively managed.
AB 420: As the state unveils the task of regulating the entire medical and nonmedical cannabis industry, an industry that has largely operated in an unregulated market for the past two decades, there needs to be assurances that a black market does not continue to flourish. Consumers should be afforded information to quickly and easily determine a licensed medical or nonmedical cannabis business from an illegal cannabis operator.
AB 420 requires any advertisement for sale of either medical or nonmedical cannabis or cannabis products to include the state license number of the licensee on the advertisement.
AB 583: Air ambulance services provide lifesaving emergency transportation to the most critical patients directly to trauma centers. In addition, emergency helicopter air ambulance providers provide a critical link between rural health facilities and urban hospitals. Some emergency patients transported by air ambulances have no insurance, are not eligible for Medi-Cal and have no ability to pay for the service, yet because of the existing revenue source, these patients are given the same high level care as those with medical insurance. AB 583 guarantees the state will continue to fund air ambulance services, ensuring anyone in need can access these crucial services, not just those who can afford it.
AB 595: California regulators should have clear authority to scrutinize proposed changes to the health insurance market and consider the impact of mergers on consumers and purchasers, and the health system as a whole. AB 595 would require health plans and insurers seeking to merge to file a new application for licensure. In reviewing the proposed merger, state regulators would be authorized to hold a public hearing; consider the short-term and long-term benefits, if any, to consumers and purchasers; assess whether the merger adversely affects competition; consider the impact on cost, quality and health disparities; and prepare an independent health care impact statement before they make a recommendation on the proposed merger.
AB 710: Current law requires boards within the Department of Consumer Affairs (DCA) to meet at least three times each calendar year – at least once in northern California and once in southern California. Unfortunately, far too many times, board meetings do not take place in the rural parts of northern California.
AB 710 requires boards within DCA to meet at least once every other year in rural northern California. This will ensure that our rural communities have a fair opportunity to have their voices heard at board meetings.
AB 715: From 1999 to 2014, the amount of painkillers prescribed and sold has quadrupled, yet there has not been a measurable reduction in the amount of pain Americans report. Abuse of opioid medications has steadily increased in the past decade and we are now facing a crisis. AB 715 calls on the California Department of Public Health (CDPH) to review the various existing guidelines and develop statewide recommended prescribing guidelines for opioids. The bill encourages CDPH to include stakeholders from a variety of disciplines who may have participated in the development of various existing guidelines related to opioid prescribing.
AB 845: Epilepsy is a medical condition that produces seizures affecting a variety of mental and physical functions. Approximately 1 in 26 Americans will develop epilepsy at some point in their lifetime. The U.S. Food and Drug Administration (FDA) is currently reviewing at least one cannabidiol (CBD) derived therapy that shows promise for the treatment of epilepsy. Once the FDA approves this therapy, the new treatment option could be available as soon as early 2018. Even with FDA approval, individual states would need to implement changes to state scheduling laws for these therapies to become available in the state. In California, the California Uniform Controlled Substances Act would have to be amended to conform to any changes from the FDA.
AB 845 will exempt any newly approved prescription medication that contains CBD and is controlled or decontrolled under a federal rule or interim rule.
AB 911: As a dentist who practiced for almost 30 years, my practice had certain pieces of equipment, such as radiographic X-ray equipment, that caused my practice to be regulated and monitored by numerous state and federal agencies. I was recently made aware that bomb squads use tiny handheld X-ray devices to see inside suspicious packages. These devices are regulated by the FBI and California’s Department of Public Health (DPH). DPH treats them like the X-ray devices in commercial settings even though they are used in areas that are carefully cordoned off from public exposure and where law enforcement personnel wear heavily protected garments. The DPH requirements are redundant and impractical and this bill would exempt this equipment from the DPH licensing requirements.
AB 980: Too many people in California, especially in rural areas, do not have access to a broadband connection. In addition to individual residents, entire towns, including schools, hospitals, libraries and city governments, have no access. This bill would require the California Department of Transportation (Caltrans) install conduit in designated priority areas during planned road work, which can mitigate costs when cable is installed at a future date. Once the conduit is in the ground, installation costs of cable can be reduced to pennies on the dollar.
AB 1254: Currently, a cannabis cultivator who violates environmental protection laws may be penalized on a per-day violation basis when the violations occur on the land they own or lease; however, current law is silent as to whether violations are per-day when the cannabis cultivation is done without permission, i.e., in a “trespass grow” situation. Because of this anomaly in current law, otherwise-lawful cultivators are penalized more than those cultivating illegally.
In addition to those environmental violations, criminal theft of water from a river is not addressed under current law. As currently written, theft of water from a canal, ditch or reservoir can be criminally prosecuted, but not stealing water from a river.
AB 1254 establishes equitable penalties for individuals who commit environmental violations while cultivating controlled substances, regardless of whether that cultivation was lawful or unlawful. Additionally, the bill will expressly criminalize the theft of water from rivers for an unlawful purpose.
AB 1410: Beginning January 1, 2018, all licensed cannabis cultivators in California will be required to pay a tax on all harvested cannabis at a rate as follows: $9.25 per dry weight once on marijuana flower and $2.75 per dry weight once on marijuana leaves. The licensed cultivator is required to remit the cultivation tax obligation to the California Board of Equalization (BOE) after the marijuana is harvested. As the state and the BOE prepare to establish regulations to implement the new taxes mandated by Proposition 64, there needs to be careful consideration to ensure cannabis farmers are provided flexibility to help meet the new cultivation tax requirement.
AB 1410 provides an option for licensed cannabis cultivator to remit the tax obligation on the harvested cannabis through a licensed distributor after the product completes the quality assurance, inspection and testing process.
AB 1433: California’s cap-and-trade program has proven to be a powerful tool in our fight against climate change. Unfortunately, we are missing a huge part of the climate change equation. Our natural and working lands have the potential to be enormous carbon sinks, effectively reducing and reversing the damage done by greenhouse gas emissions. Only about 2 percent of the revenue from cap-and-trade is invested in natural and working lands. This lack of investment is beginning to take a toll – the 100 million dead trees in our forests is a prime example. AB 1433 would direct 20 percent of cap-and-trade revenue to natural and working lands in an effort to ensure we maintain and restore our most important resources in our fight against climate change.
AB 1470: Since 1888, the City of Willits has served as the gateway that connected travelers driving north or south on US 101 Highway from San Francisco to Eureka, California. For well over a century, Willits served as the only service area within a 20-mile radius for travelers to refill their gas tanks, grab a burger or stretch their legs. In an attempt to alleviate traffic congestion, Caltrans started the construction of a freeway bypass east of Willits. The bypass has served its intended purpose of reducing traffic congestion, but has also adversely affected the local economy – local businesses have reported a 20- to 50-percent loss in revenue.
AB 1470 is seeking to identify funds to help the local economy of Willits mitigate the immediate effects of the bypass, while also providing the city with an option to revitalize its business district.