BILL ANALYSIS                                                                                                                                                                                                    







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        |Hearing Date:May 3, 2010           |Bill No:SB                         |
        |                                   |999                                |
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                      SENATE COMMITTEE ON BUSINESS, PROFESSIONS 
                               AND ECONOMIC DEVELOPMENT
                         Senator Gloria Negrete McLeod, Chair

                         Bill No:        SB 999Author:Walters
                  As Introduced: February 9, 2010         Fiscal: No

        
        SUBJECT:    Healing arts:  occupational therapy. 
        
        SUMMARY:  Prohibits the public members of the California Board of  
        Occupational Therapy from being licensees of any other healing arts  
        board.  

        Existing law:
        
        1) Establishes the Occupational Therapy Practice Act to be  
           administered by the California Board of Occupational Therapy  
           (Board) to regulate the practice of occupational therapists.

        2) States that the Board shall comprise the following members:

             a)     Three occupational therapists who have practiced  
               occupational therapy for five years.

             b)     One occupational therapy assistant who shall have assisted  
               in the practice of occupational therapy for five years.

             c)     Three public members who shall not be licentiates of the  
               board or of the Board of Chiropractic Examiners or the Board of  
               Osteopathic Medicine.

        3) States that the Governor shall appoint the three occupational  
           therapists and one occupational therapy assistant, and the  
           Governor, Speaker of the Assembly and Senate Rules Committee each  
           appoint one of the three public members.

        4) Requires all members of the Board to be residents of California and  
           requires the public board members to be non-occupational therapists  





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           or occupational therapy assistants.

        5) Sunsets the Board on January 1, 2014.

        6) Makes other technical, non-substantive, clarifying changes.

        This bill prohibits any of the three public members of the Board from  
        being licensees of any other healing arts board and would make  
        technical, non-substantive, clarifying changes.

        
        FISCAL EFFECT:  None.  This bill has been keyed "nonfiscal" by  
        Legislative Counsel.

        
        COMMENTS:
        
        1. Purpose.  The  California Board of Occupational Therapy  (Board) is  
           the Sponsor of this measure.  The Board states that it is comprised  
           of practitioner members and public members, who, among other  
           things, make disciplinary decisions regarding practitioners and set  
           policy for the occupational therapy profession.  The Board points  
           out that the practitioner members provide the knowledge, education  
           and experience of the occupational therapy profession, without  
           being advocates for the profession.  Although current law prohibits  
           chiropractors or osteopathic medical doctors from serving as public  
           members, this exclusion is not broad enough.  The Board indicates  
           that public members provide a balance to the Board's practitioner  
           members by providing valuable public input into the public policy  
           decisions made by the Board.  While input from all healthcare  
           providers is valuable to the decision-making process, it is not  
           necessary for other health care practitioners to serve as public  
           members of this Board.  It is necessary for public members to truly  
           represent the public and not another health profession.  Health  
           care professionals have education, knowledge, and experience in  
           their respective health care professions (e.g., physical  
           therapists, registered nurses, licensed clinical social workers,  
           etc.) and from this will inherently be advocates of their  
           respective profession.  Health care professionals may find it  
           difficult when providing input to separate their "public member  
           perspective" from their "daily working hat" when voting as a public  
           member of the Board.  Moreover, because of the closeness of  
           practitioners in many workplace settings (e.g., acute care  
           hospital, rehabilitation clinics, skilled nursing facilities, adult  
           day health care, developmental regional centers, elementary  
           schools, etc.), the similar scopes of practice, or over-lapping  





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           scopes of practice, (and sometimes workplace-competition for the  
           available reimbursement dollars), the Board believes it is  
           imperative that the public member be a representative of the  
            public  , and not be a member of another health care profession.

        2. Background.   SB 1046  (Murray) Chapter 697, Statutes of 2000,  
           enacted the Occupational Therapy Practice Act that created the  
           Board to license and regulate occupational therapists and  
           occupational therapy assistants.  SB 1046 also included provisions  
           delineating the make-up of the Board, including the three public  
           members that must be appointed.


        SUPPORT AND OPPOSITION:
        
         Support:  

        California Board of Occupational Therapy (Sponsor)
        Occupational Therapy Association of California

         Opposition:  

        None on file as of April 26, 2010



        Consultant:Rosielyn Pulmano