BILL ANALYSIS Senate Appropriations Committee Fiscal Summary Senator Christine Kehoe, Chair 1524 (Hayashi) Hearing Date: 8/2/2010 Amended: 6/29/2010 Consultant: Bob Franzoia Policy Vote: B,P&ED 6-1 _________________________________________________________________ ____ BILL SUMMARY: AB 1524 would abolish the clinical and written examination administered by the Dental Board of California (board) and instead implement a portfolio examination of an applicant's dental competence while the applicant is enrolled in a dental school program at a board-approved dental school. This bill would require this examination to utilize uniform standards of clinical experiences and competencies. At the end of that dental school program, the bill would require the passage of a final assessment of the applicant's portfolio, subject to certification by his or her dean and payment of a $350 fee. This bill would require the board to adopt regulations to implement the portfolio examination, to oversee the portfolio examination and final assessment process, and to biennially review each dental school with regard to the standardization of the portfolio examination. The board, as part of the ongoing implementation of the portfolio examination, would be required, by December 1, 2016, to review the examination to ensure compliance with certain requirements applicable to all board examinations under the department's jurisdiction. The examination would cease to be an option for applicants if the board determines the examination fails to meet those requirements. This bill would require the board to submit its review and certification or determination to the Legislature, by December 1, 2016. _________________________________________________________________ ____ Fiscal Impact (in thousands) Major Provisions 2010-11 2011-12 2012-13 Fund Develop of portfolio $100 -$150 Special* examination Implement portfolio $175-$210** annually, fullySpecial* examination assessments offset by certification fee * State Dentistry Fund ** Estimated 500 to 600 assessments _________________________________________________________________ ____ STAFF COMMENTS: A portfolio examination is a performance examination which assesses candidates' skills in commonly encountered clinical examinations. It includes components of clinical examination administered by the examining entity with the candidates' performance measured according to the information provided in the competency evaluation conducted in the schools by clinical faculty within the program. The University of California Schools of Dentistry state that there are a number of flaws in the current clinical and written examination administered by the board, including potential lapses in quality of care for patients as test subjects, pressure induced critical errors by candidates which may not occur in a normal setting and licensure based on the passage of a single experience examination. The schools note that the portfolio examination proposed by this bill is a much better method for evaluating clinical competency.