BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                            



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                                    THIRD READING


          Bill No:  AB 1153
          Author:   Eggman (D), et al.
          Amended:  8/6/14 in Senate
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEVEL. COMMITTEE  :  6-1, 6/23/14
          AYES:  Lieu, Wyland, Corbett, Galgiani, Hernandez, Hill
          NOES:  Berryhill
          NO VOTE RECORDED:  Block, Torres

           SENATE APPROPRIATIONS COMMITTEE  :  7-0, 8/11/14
          AYES:  De León, Walters, Gaines, Hill, Lara, Padilla, Steinberg

           ASSEMBLY FLOOR  :  72-2, 1/27/14 - See last page for vote


           SUBJECT  :    Barbering and cosmetology

           SOURCE  :     Coalition for Advanced Skincare and Education


           DIGEST  :    This bill modifies the scope of practice of  
          cosmetology and skin care.

           ANALYSIS  :    

          Existing law:

           1. Establishes the Barbering and Cosmetology Act (Act), which  
             provides for the licensure and regulation of barbers and  
             cosmetologists, including the practice of skin care by  
             licensed estheticians, by the Board of Barbering and  
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             Cosmetology (BBC).

           2. Establishes requirements that applicants for a cosmetology,  
             esthetician, barbering, manicurist and electrologist license  
             must meet in order to sit for the licensure examination.  

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

          This bill:

          1. Requires the BBC to encourage licensees to continue to  
             develop their skills in the appropriate application and use  
             of evolving industry techniques, products and equipment by  
             recognizing industry certifications that meet appropriate  
             standards approved by the BBC.

          2. Adds to the practice of cosmetology by specifying that it  
             includes:

             A.    Giving facials or the practice of exfoliating or  
                beautifying the face, scalp, neck, or upper part of the  
                human body by use of "esthetic devices", hands, cosmetic  
                preparations, antiseptics, lotions, tonics or creams that  
                do not result in ablating or destroying live tissue.   
                Specifies that "esthetic devices" include, but are not  
                limited to, steamers, mechanical brushes, and high  
                frequency, galvanic current, vacuum and spray, light  
                emitting diode, and skin analysis equipment.  Requires  
                that esthetic devices be operated in accordance with the  
                manufacturer's written instructions.  Requires esthetic  
                devices to be intended for improving the appearance of the  
                skin, and not be designed to ablate or destroy live  
                tissue.

             B.    Performing superficial exfoliation procedures on the  
                nonliving upmost layers of the skin (epidermis) on the  
                face and body using commercially available products, in  
                accordance with the manufacturer's written instructions  

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                including, but not limited to:

                (1)      Manual scrubs including mechanical brush use  
                   which includes application of a cosmetic product with  
                   mild abrasive ingredients that remove dead skin  
                   cells.

                (2)      Superficial chemical exfoliation of the  
                   epidermis.

                (3)      Enzyme or herbal exfoliation of the epidermis.

                (4)      Extraction with a nonneedle extraction tool  
                   which includes the manual removal of comedones  
                   (blackheads) and other surface impurities with the  
                   use of fingers or sterile swabs.

                (5)      Mechanical exfoliation devices such as  
                   microdermabrasion.

          3. Clarifies that the practice of cosmetology includes removing  
             superfluous hair from the body of any person by the use of  
             tweezers, sugaring, nonprescription chemicals, waxing or  
             mechanical means.

          4. Adds to the practice of cosmetology by authorizing the  
             application of eyelashes to any person.

          5. Specifies that the practice of skin care includes:

             A.    Giving facials or the practice of massaging,  
                stimulating, exfoliating, cleansing or beautifying the  
                face, scalp, neck or body by use of hands, esthetic  
                devices (as described above), cosmetic preparations,  
                antiseptics, lotions, tonics, or creams that do not result  
                in ablating or destroying live tissue.

             B.    Performing superficial exfoliation procedures on the  
                nonliving upmost layers of the skin (epidermis) on the  
                face and body using commercially available products as  
                described above.

             C.    Removing superfluous hair from the body as described  
                above.

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             D.    Applying eyelashes to any person.

          6. Clarifies that this bill does do not confer authority to  
             practice medicine or surgery, including but not limited to  
             the use of radiographs, the furnishing of drugs or invasive  
             devices, supervising medical personnel or diagnosing injury,  
             illness, or disease.

          7. Grants title protection to estheticians by stating that a  
             person who is not licensed as an esthetician in this state  
             shall not represent himself/herself as an esthetician.

          8. Makes other technical and clarifying changes.

          9. Requires the BBC to recognize the advanced practice of  
             esthetics by certifying a master esthetician who has  
             completed a 1,200-hour BBC-approved program in advanced  
             esthetics; provides that an individual enrolling in a  
             1,200-hour master esthetician course who has completed the  
             600-hour esthetician course from a BBC-approved school is  
             only required to obtain the additional 600 hours of practical  
             and technical training not received in the initial 600-hour  
             esthetician course.  Requires the additional practical and  
             technical training to be approved by the BBC.

          10.Specifies that it is an unfair business practice for any  
             person to hold oneself out or use the title of "master  
             esthetician" or any other term, such as "licensed,"  
             "registered," or "CME," that implies or suggests that the  
             person is certified as a master esthetician without meeting  
             the requirement specified in #9 above.

          11.Provides that a master esthetician certification fee shall be  
             no more than $40.

           Background
           
           BBC and regulation of estheticians  .  The Act regulates the  
          practice of barbering, cosmetology and electrolysis.  Title  
          protection is provided for the use of the term "cosmetologist"  
          and "barber."  The Act also regulates the specialty branches  
          within the practice of cosmetology of skin care and nail care.   
          Those exempt from the Act are generally (1) those involved in  

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          the health care field who, within their own scope of practice,  
          may perform particular procedures which would constitute the  
          practice of barbering or cosmetology; (2) commissioned officers  
          in the military service, or their attendants, when engaged in  
          the actual performance of their official duties; (3) persons  
          employed in the movie, television, theatrical, or radio  
          business; (4) persons not receiving compensation and done  
          outside of a licensed establishment; (5) persons who are  
          demonstrating, recommending or selling hair, skin or nail  
          products; and (6) students performing services on the public  
          while enrolled in an approved school.  

          BBC ensures that applicants for licensure have completed the  
          necessary training and passed the written and practical (hands  
          on) components of an examination.  Examinations require that the  
          individual demonstrate that they possess the knowledge and  
          skills required to perform within the scope of their discipline  
          while protecting the public's health and safety. 

          Estheticians have been licensed in California since 1978.   
          According to BBC, 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, or upper part of the human body  
          (shoulders and up) by use of cosmetic preparations, antiseptics,  
          tonics, lotions or creams.  There are at least 60,000 licensed  
          estheticians in California.  To be a licensed esthetician, a  
          person must complete the 10th grade or the equivalent, complete  
          600 hours of training at a BBC-approved school or have practiced  
          skin care for a specified period of time, and pass a written and  
          practical examination.  Esthetician licenses are renewed every  
          other year and licensees are not required to obtain continuing  
          education.  Estheticians are not allowed to provide skin  
          piercing or laser treatments, administer medicine, or remove  
          skin tags or moles.
           
          FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  Yes


          According to the Senate Appropriations Committee:


           Unknown one-time costs, likely less than $150,000, to adopt  

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            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 BBC, any additional enforcement costs will be  
            minor and absorbable.  (Barbering and Cosmetology Contingent  
            Fund)

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

           SUPPORT  :   (Verified  8/12/14)

          Coalition for Advanced Skincare and Education (source)
          Milan Institute of Cosmetology
          Pivot Point International
          Professional Beauty Federation of California
          Skin Inc. Magazine
          Spa Remedies LLC

           OPPOSITION  :    (Verified  8/12/14)

          California Society of Dermatology and Dermatologic Surgery
           ARGUMENTS IN SUPPORT  :    According to the author, the  
          professional spa industry has significantly gown in California  
          since the inception of the esthetician licensing program.  The  
          author asserts that "numerous California doctors and  
          dermatologists have added estheticians to their staff to elevate  
          serve offerings to clients.  In fact, clients regularly visit  
          their offices for esthetic services, and, with the expert  
          consultation of an esthetician, they are referred to the doctor  
          for advanced medical services that the nurses and doctors  
          perform."  The author adds that "both medi-spas and luxury spas  
          expect their estheticians to be educated in a variety of  
          specialized services and procedures."  

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           ARGUMENTS IN OPPOSITION  :    No letter on file.  
           

           ASSEMBLY FLOOR  :  72-2, 1/27/14
          AYES:  Achadjian, Alejo, Allen, Ammiano, Atkins, Bigelow, Bloom,  
            Bocanegra, Bonilla, Bonta, Bradford, Brown, Buchanan, Ian  
            Calderon, Campos, Chau, Chávez, Chesbro, Conway, Cooley,  
            Dababneh, Dahle, Daly, Dickinson, Eggman, Fong, Fox, Frazier,  
            Beth Gaines, Garcia, Gatto, Gomez, Gonzalez, Gordon, Gorell,  
            Grove, Hagman, Hall, Harkey, Roger Hernández, Holden, Jones,  
            Jones-Sawyer, Levine, Linder, Lowenthal, Maienschein, Medina,  
            Mullin, Muratsuchi, Nazarian, Olsen, Pan, Patterson, Perea,  
            Quirk, Quirk-Silva, Rendon, Ridley-Thomas, Rodriguez, Salas,  
            Skinner, Stone, Ting, Wagner, Waldron, Weber, Wieckowski,  
            Wilk, Williams, Yamada, John A. Pérez
          NOES:  Donnelly, Morrell
          NO VOTE RECORDED:  Gray, Logue, Mansoor, Melendez, Nestande, V.  
            Manuel Pérez


          MW:d:n  8/12/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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