BILL ANALYSIS                                                                                                                                                                                                    Ó




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de León, Chair


          SB 218 (Yee) - Healing arts.
          
          Amended: May 13, 2013           Policy Vote: B&P 6-1
          Urgency: No                     Mandate: Yes
          Hearing Date: May 20, 2013      Consultant: Brendan McCarthy
          
          This bill meets the criteria for referral to the Suspense File.
          
          
          Bill Summary: SB 218 would establish the California Traditional  
          Chinese Medicine Traumatology Committee and require the  
          Committee to issue certificates to practice as a Traditional  
          Chinese Medicine Traumatologist to applicants who meet specified  
          criteria.

          Fiscal Impact: 
              One-time costs of about $300,000 to develop program  
              criteria, update licensing systems, develop an examination  
              for applicants, and adopt regulations. (Acupuncture Fund).

              Ongoing costs between $150,000 and $200,000 per year to  
              review certificate applications and provide support to the  
              new Committee (Acupuncture Fund).

              Unknown fee revenues (Acupuncture Fund).

          Background: Under current law, the California Acupuncture Board  
          licenses and regulates the acupuncture profession in the state.

          Proposed Law: SB 218 would establish the California Traditional  
          Chinese Medicine Traumatology Committee within the California  
          Acupuncture Board.

          The bill would require the Committee to issue certificates to  
          practice as a Traditional Chinese Medicine Traumatologist to  
          applicants who meet specified criteria.

          In order to receive a certificate, an applicant would have to  
          meet one of three criteria, including the passage of an  
          examination, ten years' experience as an apprentice (prior to  
          2014), or ten years of clinical experience.









          SB 218 (Yee)
          Page 1


          The bill would require applicant's to pay an application fee (in  
          an amount set by the Acupuncture Board, not to exceed an amount  
          currently unspecified in the bill) and renewal fees and other  
          fees (also unspecified in the bill).

          The bill makes it a misdemeanor to practice traumatology or hold  
          one's self out as being a certified traumatologist without a  
          certificate.

          Related Legislation: 
              SB 1488 (Yee, 2012) would have established the California  
              Traditional Chinese Medicine Traumatology Council as a  
              non-profit organization to provide for the certification and  
              regulation of the practice of traditional Chinese medicine  
              traumatology. That bill failed passage in the Assembly  
              Business, Professions and Consumer Protection Committee.
              SB 628 (Yee, 2011) would have changed the name of the  
              California Acupuncture Board to the "Traditional Chinese  
              Medicine Board" and would have included traumatology in the  
              authorized activities of a licensed acupuncturist. That bill  
              failed passage in the Assembly Business, Professions and  
              Consumer Protection Committee.

          Staff Comments: The bill authorizes the Committee to collect  
          fees for the issuance of a certificate. The California  
          Acupuncture Board estimates there are about 150 practitioners of  
          traumatology in the state. Given the small number of potential  
          applicants, it is unlikely that fees would be able to support  
          the program created under this bill. Most of the cost to  
          implement the bill would likely be paid from license fees paid  
          by acupuncturists.

          The only costs that may be incurred by a local agency relate to  
          crimes and infractions. Under the California Constitution, such  
          costs are not reimbursable by the state.