BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  SB 541
                                                                  Page  1

          Date of Hearing:   June 28, 2011

              ASSEMBLY COMMITTEE ON BUSINESS, PROFESSIONS AND CONSUMER 
                                     PROTECTION
                                 Mary Hayashi, Chair
                     SB 541 (Price) - As Amended:  June 21, 2011

           SENATE VOTE  :   39-0
           
          SUBJECT  :   Regulatory boards: expert consultants.

           SUMMARY  :   Authorizes any board within the Department of 
          Consumer Affairs (DCA), the State Board of Chiropractic 
          Examiners, and the Osteopathic Medical Board to enter an 
          agreement with an expert consultant.  Specifically,  this bill  :   


          1)Authorizes any board within the DCA, the State Board of 
            Chiropractic Examiners, and the Osteopathic Medical Board to 
            enter an agreement with an expert consultant to do any of the 
            following:

             a)   Provide an expert opinion on enforcement-related 
               matters, including providing testimony at an administrative 
               hearing;

             b)   Assist the board as a subject matter expert in 
               examination development, examination validation, or 
               occupational analyses; or,

             c)   Evaluate the mental or physical health of a licensee or 
               an applicant for a license as may be necessary to protect 
               the public health and safety.

          1)Specifies that an executed contract between a board and an 
            expert consultant shall be exempt from the State Contract Act.

          2)Requires each board to establish policies and procedures for 
            the selection and use of these consultants.

          3)Specifies that these provisions shall not be construed to 
            expand the scope of practice of an expert consultant.

          4)Is an urgency measure.









                                                                  SB 541
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           EXISTING LAW  

          1)Licenses and regulates various professions and businesses by 
            23 boards, 4 committees, 7 bureaus, and 1 commission within 
            the DCA.

          2)Licenses and regulates chiropractors by State Board of 
            Chiropractic Examiners. 

          3)Licenses and regulates osteopathic physicians and surgeons by 
            the Osteopathic Medical Board.

          4)Establishes standards relating to personal service contracts 
            in state employment.

           FISCAL EFFECT  :   Unknown

           COMMENTS  :   

           Purpose of the bill  .  According to the author's office, "On 
          November 10, 2010, the DCA issued a memo which stated that all 
          boards and bureaus must enter into a formal consulting services 
          contract with each expert consultant they use to provide an 
          opinion in an enforcement matter.  Going through the formal 
          contracting process in order to utilize the services of an 
          expert consultant would create an enormous backlog for both DCA 
          and for each board and would significantly impact the time 
          required to complete the initial review and investigate 
          complaints filed with boards.  This process would severely limit 
          a board's ability to take disciplinary actions against licensees 
          and result in tremendous case delays and could also mean cases 
          would be lost due to the statute of limitations expiring.

          "SB 541 would allow the boards and bureaus to essentially 
          continue the existing practices they have had in place to use 
          exert reviewers."

           Background  .  DCA boards and bureaus regularly enlist the 
          expertise of their own licensees to assist with evaluating 
          investigative documents, applications, educational and 
          examination materials.  Rather than placing these "subject 
          matter experts" on payroll, they are hired as consultants on an 
          as-needed basis and are paid an hourly fee.

          For years, these consultants were not required to enter into 








                                                                  SB 541
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          formal contract agreements, which can be laborious, cumbersome 
          and time-consuming to execute.  The boards and bureaus operated 
          with customized agreements that did not require the review or 
          approval of oversight entities.  This process allowed the boards 
          and bureaus to select a consultant and get them started on the 
          services in a matter of days, rather than weeks or months.  
          However, on November 10, 2010, DCA issued a memorandum 
          instructing the boards and bureaus that they are now required to 
          enter into formal consulting services contracts that follow all 
          guidelines, procedures, and rules governed by the State 
          Contracting Manual and the California Public Contract Code.

          The memo states that DCA recognized the potential for delays in 
          obtaining consulting services and indicated that a rollout plan 
          will be developed to minimize the impact to licensing and 
          enforcement units.  Difficulties in identifying, hiring and 
          training subject matter experts were also identified as a 
          problem and a reason for delays in completing enforcement cases 
          by DCA's Consumer Protection Enforcement Initiative in June 
          2010.  For example, during the past calendar year, the Medical 
          Board of California (MBC) referred approximately 2,900 cases to 
          expert consultants pertaining the initial or triage review to 
          determine the need to move the case forward for investigation.  
          The MBC utilized 281 expert consultants in one quarter to review 
          completed investigations.  Under the new DCA policy, the MBC 
          would be required to go through the contracting process for each 
          expert consultant, even if the expert only reviews one case.  
          The contract would need to be approved before the MBC could 
          utilize the expert's services and the MBC would have to encumber 
          the funding for the expert consultant once the contract is 
          approved.

           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          Medical Board of California (co-sponsor)
          Contractors State License Board (co-sponsor)
          Board of Barbering and Cosmetology
          Board of Behavioral Sciences
          Board of Optometry
          Board of Pharmacy
          Board of Podiatric Medicine
          Board of Psychology
          Board of Registered Nursing








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          Board of Vocational Nursing and Psychiatric Technicians
          California Board of Accountancy
          California State Pipe Trades Council
          Court Reporters Board of California
          Dental Board of California
          International Brotherhood of Electrical Workers
          Physician Assistant Committee
          Respiratory Care Board of California
          State Board of Guide Dogs for the Blind
          Western States Council of Sheet Metal Workers
           
            Opposition 
           
          None on file.

           Analysis Prepared by  :    Marina Wiant / B.,P. & C.P. / (916) 
          319-3301