BILL ANALYSIS Ó AB 186 Page 1 Date of Hearing: April 30, 2013 ASSEMBLY COMMITTEE ON BUSINESS, PROFESSIONS AND CONSUMER PROTECTION Richard S. Gordon, Chair AB 186 (Maienschein) - As Amended: April 22, 2013 SUBJECT : Professions and vocations: military spouses: temporary licenses. SUMMARY : Requires boards under the Department of Consumer Affairs (DCA) to issue a 12-month temporary license to the spouse or domestic partner of a military member on active duty licensed in another state if they are eligible to have their application for a permanent license expedited. Specifically, this bill : 1)Requires the board to issue a 12-month temporary license to an applicant who is a military spouse or domestic partner while the license application is being processed, if: a) The applicant submits an affidavit attesting that the information submitted in the application is accurate; b) The applicant submits written verification from the applicant's original licensing jurisdiction stating that the applicant's license is in good standing; c) The applicant, upon the board's request, submits fingerprints for a background check; d) The applicant has not committed any act in any jurisdiction that constitutes grounds for the denial, suspension, or revocation of the professional license by the board under the Business and Professions Code (BPC) at the time the act was committed; and, e) The applicant was not disciplined by a licensing entity in another jurisdiction and is not the subject of an unresolved complaint, review procedure, or disciplinary proceeding conducted by a licensing entity in another jurisdiction. 2)Requires the temporary license to expire 12 months after issuance, upon issuance of an expedited permanent license, or AB 186 Page 2 upon denial of a permanent license, whichever occurs first. 3)Authorizes a board to conduct an investigation or criminal background check on the applicant. EXISTING LAW : 1)Generally provides for the licensing and regulation of various professions and businesses by 36 regulatory entities (23 boards, six bureaus, four committees, two programs, and one commission) within the DCA under various licensing acts within the BPC. 2)Defines a "board" as including a "bureau," "commission," "committee," "department," "division," "examining committee," "program," and "agency." (BPC 22) 3)Requires a licensing and regulatory board under the DCA to issue an expedited license to the spouse or domestic partner of a military member on active duty. (BPC 115.5) 4)Authorizes the California Board of Registering Nursing (BRN) to issue a temporary six-month license to practice professional nursing, and a temporary certificate to practice as a certified nurse midwife, certified nurse practitioner, certified public health nurse, certified clinical nurse specialist, or certified nurse anesthetist, to an individual applying for permanent licensure. The BRN may reissue a temporary six-month license or certificate to an applicant, but no more than twice to any one person. (BPC 2732.1 and 2733) 5)Authorizes the BRN to issue a six-month interim permit to a nursing school graduate applying for permanent licensure, in order to practice nursing pending the results of the required licensing examination. If the applicant passes the examination, the interim permit shall remain in effect until the BRN issues a permanent license; if the applicant fails the examination, the interim permit shall terminate upon notice by first-class mail. (BPC 2732.1) FISCAL EFFECT : Unknown COMMENTS : AB 186 Page 3 1)Purpose of this bill . This bill would require a licensing board, bureau or commission under DCA to issue a 12-month temporary license to the spouse or domestic partner of a military member on active duty if he or she is eligible to have their application for a permanent license expedited. The intent of this bill is to assist military families who are moving to California from another state by allowing military spouses and domestic partners to begin working in their professional occupations with a temporary license while they work to meet any California licensing requirements. This bill is author sponsored. 2)Author's Statement . According to the author's office, "Current law allows spouses of active duty members, who have been stationed in California from another state, to get an expedited professional license if they have a valid professional license in another state. Still, the wait time for this can be very long, and spouses can't even begin seeking employment [in their professional occupation] until their license has been approved? The unemployment rate among military spouses is estimated to be about 26% - three times the national average. AB 186 would provide military spouses who have a valid professional license in another state, an 12-month temporary license from the [appropriate licensing board under] DCA. This [bill] would allow them to immediately look for employment while taking all the necessary steps to apply [for] and receive a [permanent] license from the state." 3)Federal efforts to facilitate occupational licensure of military spouses . The U.S. Department of Treasury (Treasury Department) and the U.S. Department of Defense (DOD) issued a joint report in 2012 highlighting the impact of state occupational licensing requirements on the careers of military spouses who frequently move across state lines. Released in February 2012, the report, "Supporting our Military Families: Best Practices for Streamlining Occupational Licensing Across State Lines" revealed that approximately 35% of military spouses work in professions that require state licensure or certification and that military spouses are ten times more likely to have moved to another state in the last year compared to their civilian counterparts. 4)Professional licensure of military spouses and the effect on military re-enlistment . The Treasury Department/DOD report AB 186 Page 4 highlighted the employment problems of military spouses and the correlation to a military member's decision to remain active in the military: "More than half of all active duty military personnel are married, and 91% of employed military spouses indicated that they wanted to work and/or needed to work. Research suggests that [spousal] dissatisfaction with the ability to pursue career objectives may hinder re-enlistment. Not only are military spouses highly influential regarding re-enlistment decisions, but more than two-thirds of married service members reported that their decision to re-enlist was largely or moderately affected by their spouses' career prospects." The report issued several recommendations, including the authorization of temporary licenses for military spouses if the applicant has met state requirements. That recommendation stated, "Temporary licenses allow applicants to be employed while they fulfill all of the requirements for a permanent license, including examinations or endorsement, applications and additional fees. In developing expedited approaches that save military spouses time and money, DOD does not want to make licensure easier for military spouses to achieve at the expense of degrading their perceived value in their profession." 5)Temporary licenses . Temporary licenses are typically issued to applicants seeking permanent licensure within a professional occupation who meet some - but not yet all - of the qualifications for permanent licensure in that state. For example, applicants who hold an active professional license in another state and have passed a national licensing examination may still have educational requirements to meet in order to become licensed in California. DCA has indicated that there are few professional boards or bureaus under their jurisdiction that issue temporary licenses, but the precise number are currently unknown. 6)Expedited licensure for military spouses . AB 1904 (Block), Chapter 399, Statutes of 2012, requires boards under DCA to issue an expedited license to the spouse or domestic partner of a military member on active duty, beginning January 1, 2013. This bill attempts to take the provisions of AB 1904 further by requiring boards to issue a 12-month temporary license to the spouse or domestic partner of a military member on active duty if they are eligible to have their application AB 186 Page 5 for a permanent license expedited. 7)Questions for the Committee . The Committee may wish to consider the following issues and questions: a) Board licensing authority . Licensing boards under DCA operate semi-autonomously and have specified statutory authority to license and regulate their professions. This bill would restrict a board's discretionary authority to issue, deny, suspend, or revoke a license by automatically requiring a temporary license with full practice privileges to be granted to a specific category of individuals - military spouses and domestic partners - that is not currently offered for military members, veterans, or other civilians. This bill may also be difficult for boards to implement if they do not now issue temporary licenses, or have supplemental requirements unique to California. b) Consumer protection issues . In addition, this bill may raise consumer protection concerns if military spouses or domestic partners ultimately do not need to meet state licensure standards before practicing in this state. This would create two categories of active licensees who have full practice privileges - those who have met state licensure requirements and those who are military spouses or domestic partners who have not yet met standards. This may result in confusion among consumers, who would expect that any licensed professional has fulfilled state requirements. c) Funding for the temporary licenses . This bill does not provide a funding mechanism for the issuance of temporary licenses. The Legislature has historically approved license fees for each board, and without a statute that sets the fee for the temporary license, this would be an unfunded mandate for boards that would have to issue the temporary fee and absorb the costs. d) Conflict with boards that offer temporary licenses . Some boards, such as the BRN and the Board for Professional Engineers, Land Surveyors, and Geologists already have a process under existing law to issue temporary licenses to out-of-state applicants that expire within a specified time frame. This bill would conflict with those laws. AB 186 Page 6 e) Unclear need for this bill . Licensing boards under DCA have been required to expedite the applications of military spouse and domestic partners since January 1, 2013. It is unclear how many military spouses or domestic partners have applied for licensure and have been unable to obtain a license in a timely manner. f) Effect on processing times . The goal of this bill is to expedite licensure. However, requiring all boards to issue temporary licenses would increase the total number of licenses that would need to be processed, and could therefore delay the processing time for permanent licensure, which is contrary to the author's intent. 8)Arguments in support . According to the DOD, "Temporary licensure would allow a [military] spouse [or domestic partner] to work while additional requirements are met or [while] the license from [another] state is being validated? 27 states have already enacted such legislation? [and] 14 additional states are considering temporary licenses this legislative session. "[The DOD] appreciates any concern for protecting the public and would not want a [military] spouse [or domestic partner] to be licensed when they are unqualified or would pose a danger to those they serve. The [military] spouses [and domestic partners] we are referring to in this bill are licensed in another state. [The DOD] understands that the reason for licensing is to safeguard the public, and [the DOD] and other states believe that providing a temporary license to a military spouse [or domestic partner] who is already licensed in another state and who has had experience in that licensed occupation presents little risk to the public? "Military spouses relocate on average every two to three years. The annual percentage of the military spouse population that moves across state lines is 14.5% compared to 1.1% for civilian spouses." 9)Arguments in opposition . According to the California Nurses Association (CNA), "The BRN currently has a process in place by which it may grant 'temporary' licenses to those who are licensed in other states and who apply for [licensure by] endorsement into California as a registered nurse. An applicant must complete his or her application for AB 186 Page 7 endorsement, pay fees, submit fingerprints, and provide verification of licensure in another state as provided by the state's board of nursing or the Nursys verification system? Additionally, if granted by the BRN, a temporary RN license is valid for a period of six months. Upon expiration of that six-month period, the BRN may, under its own discretion, grant up to two additional six-month extensions." The CNA also notes that AB 186 eliminates the BRN's discretion in granting temporary licensure, provides for a less stringent temporary licensure process than that currently employed by the BRN, and that the bill's provision requiring the expiration of a temporary license after 12 months conflicts with the BRN's current [discretionary] process to extend temporary licenses beyond six months. 10)Related Legislation . SB 532 (De León) of 2013, would make a non-substantive change to the provisions of law requiring a board under the DCA to issue an expedited license to the spouse or domestic partner of a military member on active duty. 11)Previous Legislation . AB 1904 (Block), Chapter 399, Statutes of 2012, requires a board under DCA to issue an expedited license to the spouse or domestic partner of a military member on active duty. As introduced, this bill would have authorized DCA to issue a temporary license to the spouse or domestic partner of a military member on active duty. This bill was amended to remove an additional layer in the issuance of a license. REGISTERED SUPPORT / OPPOSITION : Support California Architects Board California Association for Health Services at Home Department of Defense (DOD) National Military Family Association San Diego Military Advisory Council Opposition American Association for Marriage and Family Therapy, California Division AB 186 Page 8 Board for Professional Engineers, Land Surveyors, and Geologists California Nurses Association Analysis Prepared by : Joanna Gin / B.,P. & C.P. / (916) 319-3301