It means reference assignment.
There are two differences between = and =&.
First, = does not create reference sets:
$a = 1;
$b = $a;
$a = 5; //$b is still 1
On the other hand, the =& operator does create reference sets:
$a = 1;
$b = &$a;
$a = 5; //$b is also 5
Second, = changes the value of all variables in the reference set, while &= breaks the reference set. Compare the example before with this:
$a = 1;
$b = &$a;
$c = 5;
$a = &$c; //$a is 5, $b is 1