BILL ANALYSIS                                                                                                                                                                                                    Ó




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de León, Chair


          AB 1153 (Eggman) - Barbering and Cosmetology: master  
          estheticians.
          
          Amended: August 6, 2014         Policy Vote: BP&ED 6-1
          Urgency: No                     Mandate: Yes
          Hearing Date: August 14, 2014                           
          Consultant: Mark McKenzie       
          
          This bill does not meet the criteria for referral to the  
          Suspense File. 

          
          Bill Summary: AB 1153 would require the Board of Barbering and  
          Cosmetology (BBC) to certify a skin care professional who has  
          completed a 1,200 hour board-approved program in advanced  
          esthetics as a master esthetician.  The bill would also provide  
          title protection to estheticians and master estheticians by  
          prohibiting a person from representing himself or herself as an  
          esthetician or master esthetician without being licensed or  
          certified by the BBC, as specified.

          Fiscal Impact: 
              Unknown one-time costs, likely less than $150,000, to adopt  
              regulations that define parameters for a board-approved  
              training program, certification of master estheticians, and  
              establishing a certification fee.  (Barbering and  
              Cosmetology Contingent Fund)

              Minor BBC costs of about $20,000 to establish a new  
              certification type in the BreEZe IT system.  (Barbering and  
              Cosmetology Contingent Fund)

           According to the BBC, any additional enforcement costs would  
            be minor and absorbable. (Barbering and Cosmetology Contingent  
            Fund)

           Unknown fee revenues related to certification of master  
            estheticians.  Fee revenues would depend upon the number of  
            applicants and the level of fees established by the BBC.  
            (Barbering and Cosmetology Contingent Fund)

          Background: Existing law, the Barbering and Cosmetology Act,  








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          provides for the licensure and regulation of barbers and  
          cosmetologists, including the practice of skin care by licensed  
          estheticians.  Esthetics 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, arms, or upper part of the human  
          body (from the shoulders and up) by use of cosmetic  
          preparations, antiseptics, tonics, lotions, or creams.  In order  
          to meet the requirements for licensure, an applicant must pay  
          application and examination fees, pass the examination, and meet  
          specified qualifications, including completion of an approved  
          600-hour skin care course of instruction that meets the  
          curriculum requirements established by the BBC.  There are  
          currently over 60,000 licensed estheticians in California.

          Proposed Law: AB 1153 would make the following changes to the  
          Barbering and Cosmetology Act:
                 Revise the scope of practice related to skin care  
               professionals and prescribe various processes and  
               procedures that would fall within the practice of an  
               esthetician.  
                 Establish a certification title for master estheticians  
               who have completed a 1,200 hour board-approved program of  
               training in advanced esthetics.  Completion of a 600-hour  
               esthetician course from a board-approved school would count  
               towards the 1,200 hour program for advanced esthetics.  
                 Authorize the BBC to establish a master esthetician  
               certification fee of up to $40.
                 Provide title protection for estheticians and master  
               estheticians by prohibiting someone from representing  
               himself or herself as an esthetician or master esthetician  
               unless the person is licensed or certified by the BBC.   

          Staff Comments: The BBC was unable to provide an estimate of  
          workload associated with adopting regulations to establish  
          criteria for approving coursework for practical and technical  
          training in advanced esthetics, or for establishing  
          certification fees for master estheticians.  Staff estimates  
          these costs are not likely to exceed $150,000. 

          Staff notes that amendments to the bill since the policy  
          committee hearing appear to expand the scope of practice of an  
          esthetician that could be perceived as interfering with the  
          scope of practice of massage therapy and dermatology.  For  








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          example, the bill was recently amended to authorize exfoliation  
          procedures that affect the entire epidermis, rather than the  
          stratum corneum (very top layers of the skin).  The bill was  
          also amended to allow an esthetician to perform certain  
          procedures and practices, including massage, on the entire body,  
          rather than the "upper part of the body." 

          The bill also creates a new crime mandate by creating title  
          protection for estheticians and master estheticians.  Pursuant  
          to the CA Constitution, mandates that create new crimes are not  
          state-reimbursable.