Report 2009-043 Recommendations and Responses in 2013-041

Report 2009-043: Board of Pilot Commissioners for the Bays of San Francisco, San Pablo and Suisun: It Needs to Develop Procedures and Controls Over Its Operations and Finances to Ensure That It Complies With Legal Requirements

Department Number of Years Reported As Not Fully Implemented Total Recommendations to Department Not Implemented After One Year Not Implemented as of 2012-041 Response Not Implemented as of Most Recent Response
Board of Pilot Commissioners for the Bays of San Francisco, San Pablo and Suisun 3 27 7 2 2

Recommendation To: Pilot Commissioners for the Bays of San Francisco, San Pablo and Suisun, Board of

To ensure that it consistently adheres to requirements in state law when licensing pilots, the board should establish and implement a procedure for approving and monitoring board-appointed physicians.

Response

A 101-page study entitled, "Pilot Fitness Study for the Board of Pilot Commissioners for the Bays of San Francisco, San Pablo, and Suisun," prepared by Dr. Robert Kosnik, MD of the University of California, San Francisco Medical Center, was delivered to the Board on May 26, 2011. The Board formally accepted the study on that day. The study provides 20 recommendations, most of which were adopted by the Board. These recommendations, once put into regulation, make substantial changes to Board procedures for pilot fitness determinations, including establishment of a two-physician fitness determination in a clinic setting.

The Board directed its Pilot Fitness Committee and Rules and Regulations Committee jointly to begin a series of public workshops that addressed the full range of recommendations from the study. The first workshop was held on July 19, 2011.

The Board had planned to commence administrative rulemaking to facilitate establishment and implementation of a procedure for approving and monitoring Board-appointed physicians in November 2012, followed by a competitive procurement for Board physician services. The public workshops took longer than anticipated and a draft of the proposed regulation entered formal public comment period on July 26, 2013. The 45- day public comment period ended on September 9, 2013, with one comment received and responded to in the "Final Statement of Reasons".

The final regulation is expected to be submitted to the Office of Administrative Law by the end of October 2013 (currently clearing the Department of Finance). An additional appropriation may be required in order for the Board to implement these changes by contracting with a clinic or medical group. Please see attached draft regulation.


Recommendation To: Pilot Commissioners for the Bays of San Francisco, San Pablo and Suisun, Board of

To ensure that its expenditures are appropriate, the board should competitively bid contracts with physicians who perform physical examinations of pilots.

Response

A 101-page study entitled, "Pilot Fitness Study for the Board of Pilot Commissioners for the Bays of San Francisco, San Pablo, and Suisun," prepared by Dr. Robert Kosnik, MD of the University of California, San Francisco Medical Center, was delivered to the Board on May 26, 2011. The Board formally accepted the study on that day. The study provides 20 recommendations, most of which were adopted by the Board. These recommendations, once put into regulation, make substantial changes to Board procedures for pilot fitness determinations, including establishment of a two-physician fitness determination in a clinic setting.

The Board directed its Pilot Fitness Committee and Rules and Regulations Committee jointly to begin a series of public workshops that addressed the full range of recommendations from the study. The first workshop was held on July 19, 2011.

The Board had planned to commence administrative rulemaking to facilitate establishment and implementation of a procedure for approving and monitoring Board-appointed physicians in November 2012, followed by a competitive procurement for Board physician services. The public workshops took longer than anticipated and a draft of the proposed regulation entered formal public comment period on July 26, 2013. The 45- day public comment period ended on September 9, 2013, with one comment received and responded to in the "Final Statement of Reasons".

The final regulation is expected to be submitted to the Office of Administrative Law by the end of October 2013 (currently clearing the Department of Finance). An additional appropriation may be required in order for the Board to implement these changes by contracting with a clinic or medical group. Please see attached draft regulation.


Current Status of Recommendations

All Recommendations in 2013-041