BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 213
                                                                  Page  1

          Date of Hearing:   May 15, 2013

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                    AB 213 (Logue) - As Amended:  April 18, 2013 

          Policy Committee:                              Business,  
          Professions and Consumer Affairs              Vote: 13-0
                        Veterans Affairs                        8-0

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              No

           SUMMARY  

          This bill requires, by January 1, 2015, the Department of Public  
          Health (DPH) and healing arts boards within the Department of  
          Consumer Affairs (DCA boards) to undertake activities intended  
          to facilitate the transition of military veterans to civilian  
          careers as health care professionals.  Specifically, this bill:

          1)Requires DPH to accept education, training, and practical  
            experience completed in the military, as specified, toward  
            licensure or certification, if DPH determines the education,  
            training, or experience is equivalent to DPH's standards.

          2)Applies to the following professions regulated by DPH: a)  
            medical laboratory technicians; b) clinical laboratory  
            scientists; c) radiologic technologists; d) nuclear medicine  
            technologists; 
            e) certified nurse assistants; f) certified home health aides;  
            g) certified hemodialysis technicians; and h) nursing home  
            administrators.

          3)Requires DPH and DCA boards, that accredit or approve schools  
            offering course credit for licensure requirements, to require  
            schools seeking accreditation or approval to submit proof of  
            the school's procedures to evaluate an applicant's military  
            education, training, and experience toward completion of an  
            education program that would qualify the applicant for  
            licensure if the school determines that the education,  
            training or practice experience is equivalent to the DPH or  
            DCA board's standard, as specified.









                                                                  AB 213
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          4)Requires the Department of Veterans Affairs (DVA), California  
            State University (CSU) and California Community Colleges (CCC)  
            to provide technical assistance to DPH and DCA for determining  
            equivalency between education, training, and experience of an  
            applicant and DPH or DCS board standards, and for obtaining  
            state, federal, or private funds for implementation.

           FISCAL EFFECT

           1)One-time and ongoing costs, to DPH and DCA boards, to review  
            existing military and school programs for equivalency, develop  
            a process to ensure compliance by schools, and review  
            compliance.  Initial costs are in the range of $500,000 to DPH  
            and $100,000 to DCA boards, with ongoing costs decreasing but  
            remaining significant.  

          2)Minor, absorbable costs to DVA, CSU and CCC, to provide  
            technical assistance to DPH and DCA.

          3)State costs could be offset if private or federal funds are  
            available for implementation.

           COMMENTS  

           1)Rationale  . According to the author, this bill facilitate the  
            transition of veterans with healthcare education, training,  
            and practical experience into civilian employment as  
            healthcare professionals.

           2)Background  . Because of similarities in training and experience  
            compared to their civilian counterparts, individuals with  
            military training and experience in health care may be  
            well-positioned to meet the state's health care needs upon  
            their separation from service. Both DCA and DPH were required  
            to submit a report to the Legislature in October 2012  
            detailing how professional licensure programs under their  
            respective jurisdictions address military experience. The  
            results suggest that while DCA boards generally have  
            sufficient authority to accept military service towards  
            licensure, DPH may not. 
           
          3)Related Legislation  . AB 704 (Blumenfield) requires the  
            Emergency Medical Services Authority (EMSA) to develop and  
            adopt regulations to accept education, training, and practical  
            experience completed by an applicant with military experience  








                                                                  AB 213
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            toward the qualifications and requirements for EMT-I  
            certification, EMT-II certification, or EMT-P licensure, as  
            specified.  AB 704 passed out of the Assembly and is pending  
            in the Senate.   

            AB 705 (Blumenfield) requires the Board of Registered Nursing  
            to adopt regulations that identify military coursework,  
            training, and experience equivalent or transferable to  
            coursework required for licensure by the board.  AB 705 is  
            pending on this committee's Suspense File.
           
            AB 1057 (Medina) requires all DCA boards (not just the healing  
            arts boards) to ask each applicant for licensure about  
            military experience.  AB 1057 passed out of the Assembly and  
            is pending in the Senate.

           4)Previous Legislation  . AB 1976 (Logue) of 2012 was  
            substantially similar to this bill.  AB 1976 was held in this  
            committee.

            AB 1932 (Cook) of 2012 would have required DCA boards to issue  
            a written report to DVA by January 1, 2014 detailing the  
            methods for evaluating the education, training, and experience  
            obtained by applicants in military service and whether that  
            education, training, and experience is applicable to the  
            boards' requirements for licensure.  AB 1932 passed out of the  
            Assembly but was never referred out of Senate Rules Committee.
           
           Analysis Prepared by  :    Debra Roth / APPR. / (916) 319-2081