BILL ANALYSIS                                                                                                                                                                                                    Ó



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          Date of Hearing:   April 23, 2013

              ASSEMBLY COMMITTEE ON BUSINESS, PROFESSIONS AND CONSUMER  
                                     PROTECTION
                              Richard S. Gordon, Chair
                    AB 1153 (Eggman) - As Amended:  April 16, 2013
           
          SUBJECT  :   Master esthetician: license.

           SUMMARY  :   Allows the Board of Barbering and Cosmetology (Board)  
          to offer a master esthetician skin care license and establishes  
          the educational and practical requirements for the examination  
          application.   Specifically,  this bill  :  

          1)States that persons not licensed as a master esthetician shall  
            not represent themselves as a master esthetician. 

          2)Requires the Board to admit as an applicant for the master  
            esthetician licensure examination any person who has applied  
            to the Board,  has paid the application examination fee, and  
            who is qualified as follows:

             a)   Is not less than 17 years of age;

             b)   Has completed the 10th grade or its equivalent;

             c)   Is not subject to denial, as specified; and, 

             d)   Has done at least one of the following:

               i)     Completed a course in advanced skin care as  
                 specified, from a school approved by the Board;

               ii)    Earned a national or international diploma or  
                 certification in advanced or master esthetics that is  
                 recognized by the Board; or,

               iii)   Holds a current esthetician's license and either  
                 provides satisfactory evidence that he or she has worked  
                 as an esthetician for a minimum of 2000 client contact  
                 hours, at least 500 hours of which consisted of  
                 supervised advanced skin care treatments, or completed  
                 continuing education coursework in advanced skin care  
                 that complies with requirements established by the Board  
                 and demonstrates that he or she has worked as a master  








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                 esthetician for a period of time established by the  
                 Board, as specified.

          1)Specifies that an advanced skin care course established by a  
            school shall consist of not less than 1200 hours of practical  
            training and technical instruction in accordance with a  
            curriculum established by Board regulation, and clarifies that  
            the advanced skin care course is not a requirement of  
            obtaining an esthetician license.

          2)Specifies that the master esthetician application and  
            examination fee shall be the actual cost for the Board to  
            develop, purchase, grade and administer the examination. 

          3)Specifies that the esthetician or master esthetician initial  
            license fee shall not be more than $40.

          4)Makes other technical and clarifying changes. 

          5)States that no reimbursement is required by this bill pursuant  
            to Section 6 of Article XIIIB of the California Constitution  
            because the only costs that may be incurred by a local agency  
            or a school district will be incurred because this bill  
            creates a new crime or infraction, eliminates a crime or  
            infraction, or changes the penalty for a crime or infraction  
            within the meaning of Section 17556 of the Government Code, or  
            changes the definition of a crime within the meaning of  
            Section 6 of Article XIIIB of the California Constitution.

           EXISTING LAW  

          1)Establishes the Barbering and Cosmetology Act, which provides  
            for the licensure and regulation of barbers and  
            cosmetologists, including the practice of skin care by  
            licensed estheticians, by the Board in the Department of  
            Consumer Affairs. (Business and Professions Code (BPC) Section  
            7316)

          2)Establishes the specified requirements that applicants for a  
            cosmetology, esthetician, barbering, manicurist and  
            electrologist license must meet in order to sit for the  
            licensure examination.  (BPC 7321, 7321.5, 7324, 7326, 7330)

          3)Requires an applicant for an esthetician license to complete  
            an application, pay an application and examination fee, pass  








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            the examination, and meet other educational and practice  
            qualifications such as the completion of an approved skin care  
            course of instruction that includes no less than 600 hours of  
            practical training and technical instruction that accords with  
            the curriculum established by the Board.  (BPC 7324)  

           FISCAL EFFECT  :   Unknown

           COMMENTS  :   

           1)Purpose of this bill  .  This bill provides current or  
            prospective esthetician licensees with the option to obtain a  
            master esthetician skin care license.  The master esthetician  
            designation will require an applicant to acquire an additional  
            600 hours of skin care training in addition to the 600 hour  
            coursework requirement for the esthetician license.  The  
            additional designation will allow an individual to better  
            advertise their advanced technical training and experience to  
            consumers.  This bill is sponsored by the Associated Skin Care  
            Professionals.

           2)Author's statement  .  According to the author, "The bill seeks  
            to address a need for more specialized training and licensure  
            for Estheticians.  Both Medical Spas and Luxury Spas expect  
            their Estheticians to be specialized in advanced treatments to  
            provide clients with more services and procedures.  Technology  
            advancements in this area have created the need for more  
            specialized estheticians, which will also provide added  
            consumer protections.  This advanced training would not expand  
            the scope of an esthetician, but instead provide additional  
            training and expertise within the current scope [of practice].  
             The training curriculum and licensure would fall under the  
            purview of the [Board], as it does with the current  
            esthetician [licensing] program."

           3)Licensure requirements  .  Esthetics in California is the  
            practice of giving facials, applying makeup, eyelash  
            application, hair removal (by tweezing or waxing), and  
            providing skin care.  It also includes beautifying the face,  
            neck, or upper part of the human body (shoulders and up) by  
            use of cosmetic preparations, antiseptics, tonics, lotions or  
            creams.  There are more than, 55,000 licensed estheticians in  
            California.  

          To be a licensed esthetician, a person must complete the 10th  








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            grade or the equivalent, complete 600 hours of training at a  
            Board-approved school, complete an apprenticeship program or  
            have practiced skin care for a specified period of time, and  
            pass a written and practical examination.  The two-part  
            examination process is administered and scored on the same  
            day, and once the applicant passes both exams, the license is  
            issued immediately at the facility.  
             
             Esthetician licenses are renewed annually and licensees are  
            not required to obtain continuing education.  Estheticians are  
            not allowed to provide skin piercing, laser treatments,  
            administer medicine, or remove skin tags or moles.  This bill  
            does not expand the current scope of practice for licensed  
            estheticians in California.  

            California currently provides reciprocity for individuals who  
            are licensed outside of California.  A license may be granted  
            to an out-of-state applicant who submits a completed  
            application, proof of a current license issued by another  
            state, is in good standing, has been active for three of the  
            last five years and has no disqualifying criminal record or  
            been subject to disciplinary action during that time.  This  
            bill includes a provision to offer an advanced esthetician  
            license to an individual who is licensed out-of-state.  

            Currently, Utah and Virginia offer a two-tier master  
            esthetician licensing program comprised of 1200 hours of  
            study, similar to the provisions of this bill.  

           4)Educational curriculum for estheticians  .  Part of the  
            curriculum for an esthetician license includes coursework in  
            manual, electrical and chemical facials, health and safety,  
            disinfection and sanitation and training in specified hair  
            removal, make-up and eyebrow beautification.  The additional  
            600 hours of training could include coursework in cellulite  
            treatments, oxygen infusion therapy and treatments, advanced  
            anatomy, physiology and microbiology, microdermabrasion,  
            advanced waxing, advanced anti-aging and acne care, or others  
            as specifically approved through the Board's school and  
            curriculum approval process. 

          There are a number of schools in California that offer  
            coursework for the esthetician license.  In order for a school  
            to offer an advanced skincare course, the school would need to  
            obtain approval of the new curriculum and course content from  








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            the both the Bureau for Private Postsecondary Education (BPPE)  
            and the Board.  It is unclear how many approved schools in  
            California offering coursework for an esthetician license  
            would offer the advanced coursework as well.  Additionally, it  
            is unclear how long it would take the Board and BPPE to  
            approve a school's new or additional curriculum for the master  
            esthetician coursework.  

           5)Examination issues  .  This bill implies that an applicant for a  
            master esthetician license would be required to pass a new  
            examination in addition to completing 600 additional hours of  
            coursework.  This bill does not address the testing format or  
            procedures that would be utilized.  The current esthetician  
            licensing examination is administered by the Board and is  
            based on a widely-used national examination developed by the  
            National-Interstate Council of State Boards of Cosmetology  
            (NIC).  According to the NIC Web site, the NIC offers a master  
            esthetician license, but this bill does not specify if the NIC  
            tests would be used for the master esthetician license in  
            California.  

           6)Questions for the Committee  .  Notably, the master esthetician  
            designation created by this bill does not contain any  
            additional testing mechanism - it is largely recognition of a  
            specified number of hours in practice.  This raises a question  
            about precedent setting, in that other professions may seek  
            master designations under their own particular licenses.  It  
            also raises a question about consumer expectations, and  
            whether or not consumers would expect a master's designation  
            to communicate tested competency rather than simply addition  
            hours worked.  

           7)Technical amendment  .  The author may wish to clarify the  
            provision relating to individuals who have taken additional  
            coursework in advanced skin care, and delete an unnecessary  
            reference to continuing education.
            
               On page 3, line 39, after the word "completed" strike  
               "continuing education" and insert "additional"

           8)Arguments in support  .  The Associated Skin Care Professionals  
            write in support, "As part of an effort to upgrade protection  
            for consumers receiving skin care [and] esthetic services,  
            this bill would create an advanced education and licensure  
            pathway for a master esthetician license in California.  With  








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            [the] diverse array of practice types, treatment alternatives,  
            and setting varieties, a consumer is challenged to compare  
            provider capabilities with their only tool being a check to  
            see whether a provider possesses such a basic esthetician  
            license."  

          9)Related legislation  .  SB 689 (Price) of 2013 makes technical,  
            non-substantive changes to current provisions in the Barbering  
            and Cosmetology Act.  SB 689 is pending the Senate Rules  
            Committee. 

            SB 308 (Price) of 2013 extends the provisions for the  
            licensure and regulation of the Board of Barbering and  
            Cosmetology, among others, as specified until January 1, 2018.  
             SB 308 is pending in the Senate Business, Professions and  
            Economic Development Committee 

           10)Previous legislation  .  AB 1754 (Mendoza) of 2012 would have  
            provided for the voluntary certification of makeup artists,  
            and would have defined the practice of makeup artistry to  
            include applying makeup, prosthetics, lash and brow tinting,  
            application of false eyelashes, and skin protection.  AB 1754  
            was held in the Assembly Business, Professions and Consumer  
            Protection Committee. 


           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          Associated Skin Care Professionals (sponsor)
          Bellus Academy
          Milan Institute of Cosmetology
          Mosaic Marketing Partners, LLC

           Opposition 
           
          None on file. 
           
          Analysis Prepared by  :    Elissa Silva / B.,P. & C.P. / (916)  
          319-3301 












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