California is looking to take the lead on regulating private equity deals in the health care space by introducing bill AB 3129, which requires private equity groups or hedge funds to receive the state attorney general’s approval before purchasing a health care entity. At present, California’s proposal is the most extensive state legislation that seeks to regulate health care industry transactions in the U.S. and may encourage other states to establish similar legislation.
The bill’s stated goal is to protect the public interest, preserving competitive and accessible health care for communities and the state as a whole. To achieve this goal, state attorneys general are required to consider the potential positive and negative outcomes for the public resulting from a private equity firm’s proposed purchase. Price increases, quality decreases, or the resulting decrease in accessibility or availability of health care services are potential negative effects to be considered by the state attorneys general when deciding whether to consent to a transaction. On the other hand, potential benefits from the transaction to be considered may include price decreases directly passed to patients, improvements in access or availability of services to the community, or access to capital that the local community would not receive otherwise. [cite].
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