BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 548
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          CONCURRENCE IN SENATE AMENDMENTS
          AB 548 (Salas)
          As Amended  May 21, 2014
          Majority vote
           
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          |ASSEMBLY:  |76-0 |(January 30,    |SENATE: |35-0 |(July 3, 2014) |
          |           |     |2014)           |        |     |               |
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           Original Committee Reference:    HIGHER ED.  

           SUMMARY  :  Extends the sunset on the California Community College  
          (CCC) districts' associate degree nursing (ADN) programs  
          admissions process until January 1, 2020; and, requires the CCC  
          Chancellor to submit a report on or before March 1, 2015, and  
          annually thereafter to the Governor and the Legislature that  
          examines and includes, but is not necessarily limited to,  
          specified information on nursing students admitted through the  
          multicriteria screening process.  

           The Senate amendments  :

          1)Add a sunset of January 1, 2020, to the ADN programs  
            admissions process.

          2)Require the CCC Chancellor to submit a report on or before  
            March 1, 2015, and on or before each March 1 thereafter, to  
            the Governor and the Legislature that examines and includes,  
            but is not necessarily limited to, both of the following:

             a)   The participation, retention, and completion rates in  
               community college ADN programs of students admitted through  
               a multicriteria screening process, as specified,  
               disaggregated by the age, gender, ethnicity, and the  
               language spoken at the home of those students; and, 

             b)   Information on the annual impact, if any, the  
               Seymour-Campbell Student Success Act had on the  
               matriculation services for students admitted through the  
               multicriteria screening process.

           EXISTING LAW  :

          1)Allows CCC districts to use any diagnostic assessment tools  








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            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  
            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 Senate Appropriations  
          Committee, pursuant to Senate Rule 28.8, negligible state costs.

           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."  

          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  








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          the research or rely on lottery or other non-evaluative  
          mechanisms.  Lotteries and wait lists were instituted;  
          completion rates fell.

          The CCC Chancellor's Office (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 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).  Assembly Member Berryhill introduced AB  
          1559 (Chapter 712, Statutes of 2007), 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).









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          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.

          Nursing shortage.  The United States 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 United States 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.

          Prior and related legislation:

          1)AB 1559 (Berryhill), see above for description.

          2)SB 1309 (Scott), Chapter 837, Statutes of 2006, enacted a wide  
            range of responses to the nursing shortage, including  
            authorizing grants to CCC districts to expand enrollment,  
            provide diagnostic assessments, developing and offering  
            pre-entry coursework to prospective nursing students, and  
            requiring colleges with attrition rates above 15% to use  
            nationally validated assessment tools that determine the  








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            likelihood of success in order to qualify for funds.

          3)AB 2177 (Jackson) of 2004, which required CCC ADN programs to  
            implement merit-based admissions and incorporated the four  
            validated factors in the CCCCO study, stalled in the Assembly.

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


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