Help STOP the Harmful Self-Referral of AP Services in California
Tuesday, April 15, 2014
STOP the Harmful Self-Referral of
AP Services in
Legislature Considering Legislation to
Ban the Self-Referral of Anatomic Pathology Services
Legislative Committee Set to Hear Bill on APRIL 21!!!
California State Sen. Ed
Hernandez has introduced legislation that would prevent physicians in
California from self-referring the anatomic pathology services they
order on their patients. The legislation (SB
1215) would change the California state self-referral law’s
in-office exception to bar clinicians from billing for self-referred
anatomic pathology services as well as advanced imaging services,
radiation therapy, and physical therapy.
Current state law prohibits physicians from
referring services to entities in which they have a financial interest
to ensure that clinical decisions are not influenced by financial gain.
The In-Office Ancillary Services Exception was created with the intent
to allow providers to self-refer basic, same-day services as a
convenience to patients. However, today, the exception is being misused
and exploited to allow referring clinicians to bill for the
pathologist’s evaluation of biopsied tissues and other complex testing
that cannot be performed during the patient's office visit. As a
result, the inappropriate inclusion of these complex services is not
enhancing patient convenience, but rather driving overutilization,
increased costs, and potential patient harm. Accordingly, SB 1215 would
close the exception for these complex services, but retain the
exception for basic services that are able to be performed with results
read during the clinician office visit.
This measure is currently scheduled for a hearing
before the Senate Business, Professions, and Economic Development
Committee on Monday, April 21, 2014.
concert with the
California Society of Pathologists, strongly encourages our California
members to show their support for SB 1215, preferably
before the hearing date.
here to access our draft letter on
issue, customize it to your liking, share it with friends, and send it
to your legislators.
For more details on this issue, please see: