CAPA Legislative Update

CAPA is constantly monitoring and taking action on legislation that can affect PA Practice here in California. Below is a quick update on two bills on which CAPA recently took action.

On Friday, July 20, the Governor signed SB 997, Monning. Health care service plans: physician to enrollee ratios. SB 997 was a necessary step to ensure that CAPA’s 2013 sponsored bill, SB 494, was not repealed (sunsetted) on January 1, 2019. On January 1, 2014, SB 494 was enacted to expand the definition of a Primary Care Provider to include PAs and NPs. In addition, the bill allowed a health plan to increase the number of patients assigned to a primary care physician, based on the use of one or more PAs or NPs.

As a result of SB 494, for the past four years health plans have increased provider access for patients and have improved compliance with timely access laws. SB 997 ensures this can continue.

On August 16, 2018, the bill AB 3110 was held under submission, meaning it is dead. CAPA’s work to oppose the bill, along with the organizations listed below, was instrumental in stopping the bill from becoming law.

AB 3110 (Mullin) Athletic Trainers, as introduced, did not define what injuries or conditions can be treated by an athletic trainer, such as limiting the practice to the musculoskeletal system which is frequently inflicted with athletic injuries. Nor did the bill require the athletic trainer to refer a patient to another healthcare practitioner for the purpose of having a medical condition diagnosed or limit the practice settings to student-athletes, athletes or athletic settings. Without limiting this scope of practice, this bill created ambiguity about practice parameters and settings which may have allowed athletic trainers to assess and treat any medical condition or injury arising from an athletic injury in endless settings.
We recognize the important role of athletic trainers on the athletic healthcare team. However, AB 3110 as introduced (and through several amendments) created an uncertain and broad scope of practice, leaving several concerns for CAPA as related to patient care.