BILL ANALYSIS                                                                                                                                                                                                    




           AB 867
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 867 (Nava and Arambula)
          As Amended  August 20, 2010
          Majority vote
           
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          |ASSEMBLY:  |71-7 |(June 3, 2009)  |SENATE: |31-1 |(August 24,    |
          |           |     |                |        |     |2010)          |
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           Original Committee Reference:    HIGHER ED.  

           SUMMARY  :  Authorizes the California State University (CSU) to  
          establish a three-campus pilot program to independently award a  
          Doctor of Nursing Practice (DNP) degree, subject to the  
          following specifications:

          1)Limits the pilot program to three CSU campuses as chosen by  
            the CSU Board of Trustees and to the field of "nursing  
            practice."

          2)Specifies that enrollment and maintenance in the DNP pilot  
            program shall:

             a)   Be limited to no more than 90 Full-Time Equivalent  
               Students (FTES) at all three pilot campuses combined; 

             b)   Not alter CSU's ratio of graduate instruction to total  
               enrollment; and, 

             c)   Not diminish enrollment growth in CSU undergraduate  
               programs.

          3)Stipulates that the DNP degree shall be distinct from the  
            doctor of philosophy (Ph.D) degree offered at, or in  
            conjunction with, the University of California (UC) and shall  
            allow professionals to earn the DNP degree while working full  
            time.

          4)Requires funding to be provided through the enrollment growth  
            provided to CSU in the annual Budget Act at the agreed-upon  
            marginal cost calculation that CSU receives for graduate  
            enrollment.










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          5)Requires CSU to provide any needed startup funding from within  
            existing budgets for academic program support without  
            diminishing the quality of program support offered to CSU  
            undergraduate programs and to seek funding from private and  
            non-state sources.   

          6)Requires CSU, the Legislative Analyst's Office (LAO), and the  
            Department of Finance to jointly conduct a statewide  
            evaluation of the degree pilot program, as specified, and  
            report to the Legislature and the Governor on or before  
            January 1, 2017. 

          7)Prohibits CSU from enrolling any new students in the degree  
            pilot program after July 1, 2018, however, students who enroll  
            prior to that date will be permitted to complete their  
            coursework on or after that date.

          8)Codifies legislative intent that this authority is an  
            exception to the Master Plan for Higher Education (Master  
            Plan).

          9)Repeals this article as of July 1, 2018.

           The Senate amendments  limit this bill to a three-campus pilot  
          program, expand the reporting requirements, and sunset the pilot  
          program effective July 1, 2018.

           AS PASSED BY THE ASSEMBLY  , this bill was significantly broader,  
          allowing CSU to award the DNP degree permanently and systemwide.

           FISCAL EFFECT  :   It is the intent of the Legislature that CSU  
          seek private donations or other nonstate funds to fund startup  
          costs for the degree pilot program.

           COMMENTS  :   One of the major features of the Master Plan is the  
          differentiation of functions among the public postsecondary  
          segments, which focuses limited state resources on a few key  
          responsibilities in each of the three public sectors, as  
          follows:

          1)UC is the state's primary academic research institution and is  
            to provide undergraduate, graduate, and professional  
            education.  UC is given exclusive jurisdiction in public  
            higher education for doctoral degrees (with the exception that  









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            CSU can award joint doctorates) and for instruction in law,  
            medicine, dentistry, and veterinary medicine.

          2)CSU's primary mission is undergraduate education and graduate  
            education through the master's degree including professional  
            and teacher education.  Doctorates can be awarded jointly with  
            UC or an independent institution, with the approval of CPEC.

          3)The California Community Colleges (CCC) have the primary  
            mission of providing academic and vocational instruction for  
            older and younger students through the first two years of  
            undergraduate education.  

          In 2005, an exception to the Master Plan was approved to  
          authorize CSU to offer the doctor of education (Ed.D) degree  
          because data indicated that California lagged behind the nation  
          in Ed.D degrees per K-12 students, and UC did not offer Ed.D  
          programs [AB 724 (Scott), Chapter 269, Statutes of 2005]. 
           
          According to a June 2008 study by the California Institute for  
          Nursing & Health Care (CINHC), more baccalaureate- and  
          graduate-prepared nurses will be needed as California strives to  
          fill a forecasted shortage of 116,000 nurses by 2020.  While  
          numerous studies point to the need for more nurse educators,  
          they do not identify additional DNP programs as the primary  
          solution.  The California Board of Registered Nurses (CBRN), in  
          its 2007-08 Annual School Report, found that the most common  
          barriers to nursing program expansion were lack of clinical  
          sites and uncompetitive faculty salaries.  

          In addition to being licensed by the state as RNs, advanced  
          practice nurses are certified by the state upon completion of an  
          accredited master's program.  In October 2006, the American  
          Association of Colleges of Nursing (AACN) issued a  
          recommendation that advanced practice nurses, including nurse  
          practitioners, nurse anesthetists, midwives, and clinical nurse  
          specialists, be prepared with a professional degree beginning in  
          2015.  However, since CBRN accredits California's nursing  
          programs, it would take action on the part of the state to adopt  
          professional degree requirements for advanced practice nurses.

          According to the AACN, 86 institutions nationwide offer DNP  
          programs, and more than 50 nursing schools are considering  
          starting DNP programs.  In California, the University of San  









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          Francisco, the University of San Diego, and the Western  
          University of Health Sciences in Pomona have DNP programs; one  
          of the programs is full, and two have capacity for more  
          students.  While UC offers Ph.D degrees in nursing, it does not  
          currently offer DNPs; although, UC Irvine is considering a DNP  
          program.  


           Analysis Prepared by  :    Sandra Fried / HIGHER ED. / (916)  
          319-3960 


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