BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 548
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          ASSEMBLY THIRD READING
          AB 548 (Salas)
          As Amended  January 7, 2014
          Majority vote 

           HIGHER EDUCATION    13-0        APPROPRIATIONS      16-0        
           
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          |Ayes:|Williams, Chávez, Bloom,  |Ayes:|Gatto, Bigelow, Allen,    |
          |     |Fong, Fox, Jones-Sawyer,  |     |Bocanegra, Bradford, Ian  |
          |     |Levine, Linder,           |     |Calderon, Campos, Eggman, |
          |     |Dickinson, Olsen,         |     |Gomez, Holden, Linder,    |
          |     |Quirk-Silva, Weber, Wilk  |     |Pan, Quirk,               |
          |     |                          |     |Ridley-Thomas, Wagner,    |
          |     |                          |     |Weber                     |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Removes the sunset on the California Community College  
          (CCC) districts' associate degree nursing (ADN) programs  
          admissions process and specifies that CCC districts using this  
          multicriteria screening process for ADN admissions must continue  
          to report annually to the CCC Chancellor's Office (CCCCO).

           EXISTING LAW  :

          1)Allows CCC districts to use any diagnostic assessment tools  
            that are commonly used in registered nursing programs and  
            approved by the CCC Chancellor and, if, after using an  
            approved diagnostic tool, the CCC registered nursing program  
            determines that the number of applicants to the program  
            exceeds its capacity, the program is authorized to use  
            additional multicriteria screening measures.  Current law also  
            allows a CCC district to a) exclude an applicant to a  
            registered nursing program if the applicant is not a resident  
            of that district or has not completed prerequisite courses in  
            that district; and, b) implement policies, procedures, and  
            systems, including, but not limited to, priority registration  
            systems, that have the effect of excluding an applicant or  
            student who is not a resident of that district from a  
            registered nursing program of that district (Education Code  
            (EC) Section 78261.3). 

          2)Requires CCC districts to adopt and implement merit-based  








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            admissions policies for nursing programs if, for any academic  
            term, there are more applicants seeking enrollment in that  
            program than may reasonably be accommodated (EC Section  
            78261.5).

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, costs for this bill would be minor ongoing absorbable  
          costs for the CCCCO to receive and summarize reports provided by  
          the districts.

           COMMENTS  :  Need for the bill.  According to the author,  
          California continues to suffer from a serious nursing shortage.   
          The author states, "There are many individuals seeking admission  
          to our [CCC] nursing programs and yet, approximately 12,000  
          applicants are turned away every year due to a lack of space."  

          Background.  CCC ADN program admissions.  In the early 1990s, a  
          controversy arose over merit-based or competitive admissions to  
          ADN programs.  The Mexican-American Legal Defense and Education  
          Fund (MALDEF) threatened a lawsuit because students of color  
          were being disproportionately denied admission to impacted  
          programs.  In the negotiations that ensued, MALDEF agreed not to  
          bring suit, and the CCC Board of Governors (BOG) agreed to  
          develop program admissions criteria that would be validated as  
          relevant to future performance.  BOG regulations in the  
          mid-1990s prohibited ADN programs from using evaluative  
          mechanisms---usually grade point average (GPA)---unless the  
          district could validate its practices in a complex research  
          initiative, a requirement that proved too difficult for colleges  
          without sufficient research staff.  CCC districts were told to  
          undertake the research or rely on lottery or other  
          non-evaluative mechanisms.  Lotteries and wait lists were  
          instituted; completion rates fell.

          The CCCCO then began a project (as a district grant) to research  
          a full range of variables, seeking those that would be  
          statistically correlated with nursing program student success in  
          the hopes of finding six colleges for which validation could be  
          achieved.  In 2002, the CCCCO announced results, finding that  
          four factors best predict student success in completing nursing  
          programs:  Overall college GPA, English GPA, Core Biology GPA  
          (Anatomy, Physiology, Microbiology), and Core Biology course  
          repetitions.  (Students with fewer repetitions have a higher  
          probability of success.)  CCC districts were then advised in an  








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          October 2002 memo that they could begin using these criteria,  
          but in order to do so, local research must first be performed,  
          "If the decision is made to adopt the measures as a  
          prerequisite, and to set cut scores that will result in defined  
          program completion rates, then districts must analyze and  
          monitor the possibility of disproportionate impact on particular  
          groups of students defined in terms of race, ethnicity, gender,  
          age, or disability."  

          The districts were also warned, "It is appropriate to consider  
          potential risks of implementing this research. The adoption of  
          the prerequisite measures and the implementation of the  
          composite formula could result in rationing access.  Unless the  
          implementation of these measures is done carefully according to  
          the guidelines discussed later in this memo, it could conflict  
          with the requirement for open access."

          At that time, the CCCCO acknowledged the severity of the nursing  
          shortage and asserted to its ADN program directors, "The biggest  
          part of the solution is in increasing the number of spaces; the  
          lesser part of the solution is in improving success rates."

          AB 1559 (Berryhill), Chapter 712, Statutes of 2007.  Assembly  
          Member Berryhill introduced AB 1559 15 years after the  
          controversy first erupted.  AB 1559 sought to address the fact  
          that some CCC districts had been left with "non-evaluative"  
          mechanisms, that is, a lottery or a waiting list because they  
          simply had not found the resources to comply with the  
          resource-intensive rules promulgated by the CCCCO (as described  
          above).

          The provisions implemented by AB 1559 contain a sunset clause  
          that EC Section 78261.5 (as described above in the current law  
          section of this analysis) shall remain in effect only until  
          January 1, 2016, and as of that date will be repealed, unless a  
          later enacted statute, that is enacted before January 1, 2016,  
          deletes or extends that date.

          To note, this bill seeks to delete the sunset date of January 1,  
          2016, because, according to the CCCCO, of the CCC campuses  
          implementing AB 1559, there has been an average decrease in  
          attrition rates of 13.25% and depending on the campus, either an  
          increase in student diversity or no known changes to student  
          diversity.  








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          Nursing shortage.  The U.S. Department of Health and Human  
          Services has projected that by 2015, 400,000 new nurses will be  
          needed just to fill the vacancies left by retirees.   
          Additionally, by 2020, the U. S. Bureau of Labor Statistics  
          predicts that it will be short between 800,000 and one million  
          new and replacement nurses, including being short close to  
          117,000 in California alone.

          According to a recent study by the University of California, San  
          Francisco, the supply and demand for nurses in California varies  
          by region.  The report found that the Inland Empire region is  
          experiencing the hardest difficulties in their ability to hire  
          trained nurses.  However, the San Francisco Bay region is  
          expected to have the largest regional decrease in overall hiring  
          of trained nurses.  Additionally, the report found that many new  
          nurses in California are finding it more and more challenging to  
          find hospital nursing jobs.

          Based on a 2011 presentation to the Legislature by the  
          Legislative Analyst's Office (LAO), it was recommended that the  
          Legislature should implement additional measures to reduce CCC  
          attrition rates.  During this same presentation, the LAO also  
          opined that despite recent efforts to expand access to nursing  
          programs, the number of applicants to CCC nursing programs far  
          exceeds available slots.  To note, the LAO found that the CCC is  
          able to accommodate less than 30% of their applications.

           
          Analysis Prepared by  :    Jeanice Warden / HIGHER ED. / (916)  
          319-3960 


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