BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                      



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          |SENATE RULES COMMITTEE            |                  SB 1575|
          |Office of Senate Floor Analyses   |                         |
          |1020 N Street, Suite 524          |                         |
          |(916) 651-1520         Fax: (916) |                         |
          |327-4478                          |                         |
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                                 THIRD READING


          Bill No:  SB 1575
          Author:   Senate Business, Professions and Economic 
                    Development Committee
          Amended:  4/16/12
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEVEL. COMM.  :  7-0, 4/23/12
          AYES:  Price, Emmerson, Corbett, Correa, Hernandez, 
            Strickland, Wyland
          NO VOTE RECORDED:  Negrete McLeod, Vargas
           
          SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8


          SUBJECT  :    Professions and vocations

           SOURCE  :     Author


           DIGEST  :    This bill makes several non-controversial minor, 
          non-substantive or technical changes to various provisions 
          pertaining to the health-related regulatory Boards of the 
          Department of Consumer Affairs (DCA).

           ANALYSIS  :    Existing law provides for the licensing and 
          regulation of various professions and businesses by some 23 
          boards, four committees, eight bureaus, and one commission 
          within the DCA under various Business and Professions Code 
          (BPC) licensing acts.  Each licensing act specifies that 
          protection of the public shall be the highest priority of 
          the Boards or Bureaus in exercising its licensing, 
          regulatory and disciplinary functions.
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          This bill:

          1. Makes the following changes relating to the Respiratory 
             Care Board: 

             A.    Includes illegal possession of drug paraphernalia 
                as grounds to take disciplinary action.  (BPC Section 
                3750(a))

             B.    Includes substandard care or negligence in the 
                capacity as a respiratory care practitioner (RCP) or 
                any capacity responsible for the care of another.  
                (BPC Section 3750(p))

             C.    Specifies that the person providing supervision to 
                a RCP must hold an unrestricted license.  (BPC 
                Section 3742)

             D.    Ensures that all boards and bureaus can obtain 
                certified criminal records necessary to complete an 
                applicant or licensee investigation.  (BPC Section 
                144.5)

          2. Makes the following changes relating to the Board of 
             Behavioral Sciences:  

             A.    Adds (licensed professional clinical counselors 
                (LPCCs) to the list of groups licensed by the Board.  
                (BPC Section 4980.34)

             B.    Requires the California law and professional 
                ethics course to be 18 hours in length.  (BPC Section 
                4980.78)

             C.    Requires an 18 hour course in California law and 
                professional ethics if the applicant has completed a 
                two quarter unit or semester semester unit course 
                that does not meet the requirements as specified.  
                (BPC Section 4980.8)

             D.    Clarifies that if an applicant has previously 
                passed the standard written examination, but not the 
                clinical vignette examination, then under the 

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                examination restructure, he/she would need to pass 
                the new clinical examination.  However, he/she would 
                not need to take the new California Law and Ethics 
                Examination because the previously passed standard 
                written examination had already fulfilled this 
                requirement.  (BPC Section 4980.398, Section 
                4980.399, Section 4992.07 and Section 4992.09)

             E.    References the fingerprinting requirement in 
                regulations.  (BPC Section 4984.4 Ýmarriage and 
                family therapists], Section 4989.42 Ýeducational 
                psychologists], Section 4996.6 (Licensed Clinical 
                Social Workers) and Section 4999.106 (LPCCs))

             F.    References the Licensed Marriage and Family 
                Therapist Act.  (BPC Section 4980.04 and Section 
                4999.22)

             G.    Deletes an obsolete reference to the 18 hour 
                California law and ethics course requirement as these 
                sections already specify that the applicant must meet 
                the requirements of BPC Section 4999.32 (e) which 
                requires the same course.  (BPC Section 4999.57, 
                Section 4999.58 and Section 4999.59)

             H.    Specifies that the course content of the 
                California law and ethics course must contain the 
                elements that were previously listed in BPC Section 
                4999.57, Section 4999.58 and Section 4999.59.  (BPC 
                Section 4999.32 (e) (6))  

             I.    Replaces the term "Health Insurance Portability 
                and Accountability Act" with the clause "state and 
                federal laws related to confidentiality of patient 
                health information."  (BPC Section 4999.57, Section 
                4999.58, Section 4999.59 and Section 4999.32)

             J.    Clarifies that a professional clinical counselors 
                (PCC) intern must renew annually in order to retain 
                their intern status.  (BPC Section 4999.45 (d)) 

             K.    Deletes an obsolete reference in BPC Section 
                4999.45(e) which requires a PCC intern to cease 
                employment after six years unless he/she obtains a 

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                new intern registration as subsections (d) and (f) 
                already cover this requirement.

             L.    Adds language ensuring conformity with existing 
                laws regarding substance abuse, supervision and 
                inclusion of LPCCs.  (BPC Section 4999.90)

             M.    Adds a provision stating that it is unprofessional 
                conduct for an LPCC applicant or registrant to 
                violate the law regarding patient access to his/her 
                records.  (BPC Section 4999.90)

             N.    Removes the fee established in subsection (h) of 
                LPCC code.  (BPC Section 4999.120)

             O.    Specifies the type of supervision that is required 
                for credited experience.  (BPC Section 4980.43(c))

             P.    Adds LPCCs to the list of supervisors.  (BPC 
                Section 4980.44 and 4980.48)

             Q.    Removes the reference to Health Insurance 
                Portability and Accountability Act and replaces it 
                with the clause:  "state and federal laws related to 
                confidentiality of patient health information."  (BPC 
                Section 4980.78, 4980.80, and 4999.62)

             R.    Defines the terms "clinical setting" and 
                "community mental health setting."  (BPC Section 
                4999.46(b)(5))

             S.    Deletes the requirement that LPCCs who obtained 
                their license through grand parenting, and who were 
                not already licensed by the Board as an licensed 
                marriage and family therapist or licensed clinical 
                social workers, must complete 18 hours of annual 
                continuing education.  If this provision is deleted, 
                these licensees would be required to show completion 
                of 36 hours of continuing education every two years 
                upon license renewal, as is required of all other 
                LPCCs.  (BPC Section 4999.76)

          3. Makes the following changes relating to the Board of 
             Optometry:

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             A.    Amends language to explicitly state "graduate of a 
                foreign university" instead of "person" when 
                referring to who is eligible to sit for the 
                examinations for a certificate of registration as an 
                optometrist.  (BPC Section 3057.5)

          4. Makes the following changes relating to the Medical 
             Board:

             A.    Clarifies existing law to make it clear that the 
                Board has jurisdiction over all licenses it issues 
                regardless of the type of license.  (BPC Section 
                2220)

             B.    Adds language, similar to that in existing law for 
                physicians, which will create a retired license 
                status for licensed midwives.  (BPC Section 2518)

             C.    Makes technical code maintenance changes.  (BPC 
                Section 2064)

             D.    Clarifies that clinical training should be 
                included as a way an applicant may have spent time in 
                a postgraduate training program, in order to qualify 
                an applicant to have the period of validity for the 
                United States Medical Licensing Examination scores 
                extended.  (BPC Section 2184)

             E.    Uses the term "neonate" in place of "infant" to 
                describe a newborn in the first four weeks of life.  
                (BPC Section 2516)

             F.    Allows physicians the choice to be sent renewal 
                and delinquency notices via electronic mail.  (BPC 
                Section 2021 and Section 2424)

          5. Makes the following changes relating to the Board of 
             Psychology:
                
             A.    Makes technical changes to the BPC Section 2904.5 
                dealing with telehealth services.

          6. Makes the following changes relating to the Board of 

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             Pharmacy:

             A.    Streamlines the processing of applicants for the 
                pharmacist licensure examination, and ensures that 
                applicants who submit verification of intern hours 
                worked from another state board of pharmacy have met 
                the California requirements.  (BPC Section 4209(a))

             B.    Ensures that final disciplinary action taken on a 
                licensee's record, even if that license is cancelled, 
                is documented.  (BPC Section 4300.1)

          7. Makes the following changes relating to the Dental 
             Hygiene Committee of California (DHCC):

             A.    Authorizes the DHCC to obtain and keep required 
                employment records.  (BPC Section 1902.2(a))

             B.    Deletes BPC Section 1909.5 pertaining to 
                supervision and coursework as the requirements are 
                now obsolete. 

             C.    Clarifies that a licensee that changes his/her 
                physical address and electronic mail information is 
                required to report this to the DHCC.  (BPC Section 
                1934)

             D.    Deletes obsolete language as the State Dental 
                Auxiliary Fund no longer exists.  (BPC Section 1945)

             E.    Clarifies that this section applies to dental 
                hygiene.  Makes changes to technical terminology such 
                as: "radiograms" to "radiographs."  Clarifies that 
                the DHCC is to determine permitting standards.  
                Conforms to Dental Board language regarding failure 
                to follow infection control guidelines.  (BPC Section 
                1950.5)

             F.    Applies existing unprofessional conduct language 
                relating to dentists to dental hygienists.  (BPC 
                Section 1958.1 (a))

          8. Makes the following changes relating to the California 
             Massage Therapy Council (CAMTC):

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             A.    Allows for the investigation of a person who has 
                substantial authority over the operation of the 
                establishment including hiring and firing of 
                certified massage professionals.  (BPC Section 
                4600(e))

             B.    Provides clarifying language to prevent someone 
                from qualifying without any massage training by 
                passing one of the examinations that require no proof 
                of education.  (BPC Section 4601(c)(2)(B)) 

             C.    The U.S. Department of Education has issued new 
                rules for recognizing school credits issued.  
                Currently, the CAMTC converts credits to hours but 
                some states have recognized in rules that they will 
                accept both.  Two schools have suggested that the 
                CAMTC do the same to avoid confusion regarding 
                student financial aid.  (BPC Section 4601(b) (1)(B) 
                and BPC Section 4601 (c)(2)(A))

             D.    Standardizes practices for suspended or revoked 
                certifications and licenses.  (BPC Section 4601(h))

             E.    Indicates that a city, county or city and county 
                may charge a massage business or establishment a 
                business licensing fee providing that the fee be no 
                higher than the fee that is uniformly applied to all 
                other individuals and businesses providing 
                professional services.  (BPC Section 4612 (b)(3))

             F.    Clarifies relevant information for a business 
                license application.  (BPC Section  4612(b)(7))

             G.    Clarifies that an owner or operator of a massage 
                business or establishment who is certified shall be 
                responsible for the conduct of all employees or 
                independent contractors working on the premises of 
                the business.  (BPC Section 4612 (c))

             H.    Specifies what a background check of an owner of a 
                massage establishment may include as well as actions 
                taken against the establishment if the background 
                check results in a relevant finding.  (BPC Section 

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                4612 (e))

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes   
          Local:  Yes

           SUPPORT  :   (Verified  5/8/12)

          Medical Board of California


          JJA:kc  5/8/12   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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