BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  SB 305
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          Date of Hearing:   June 25, 2013

              ASSEMBLY COMMITTEE ON BUSINESS, PROFESSIONS AND CONSUMER  
                                     PROTECTION
                              Richard S. Gordon, Chair
                     SB 305 (Price) - As Amended:  June 19, 2013

           SENATE VOTE  :   37-0
           
          SUBJECT  :   Healing arts: boards.

           SUMMARY  :   Extends until January 1, 2018 the sunset dates for  
          the provisions establishing the Naturopathic Medicine Committee  
          (NMC), the Speech-Language Pathology and Audiology and Hearing  
          Aid Dispensers Board (SLPHADB), The Board of Occupational  
          Therapy (BOT), the Physical Therapy Board of California (PTB),  
          the Board of Optometry (OB), and the Respiratory Care Board of  
          California (RCB) which are regulated by the Department of  
          Consumer Affairs (DCA); extends the term of the executive  
          officers of the PTB, SLPHADB, RCB, and the OB; specifies that  
          any board, committee or bureau regulated by DCA is authorized to  
          receive specified criminal records needed to complete an  
          application for licensure; exempts certain individuals  
          performing pulmonary tests in specified hospitals in Los Angeles  
          County from certain licensure requirements; and subjects  
          specified boards to review by the appropriate legislative policy  
          committees, as specified.    Specifically,  this bill  :   

          1)Specifies that any board under DCA is authorized to receive  
            from a local or state agency certified records of all arrests  
            and convictions, certified records regarding probation, and  
            any and all other related documentation needed to complete an  
            applicant or licensee investigation and further specifies that  
            a local or state agency may provide those records upon  
            request. 

          2)Requires that the powers and duties of the Board of  
            Chiropractic Examiners (BCE) is subject to review by the  
            appropriate policy committees of the Legislature, and further  
            requires that the review of the BCE be performed as if the  
            provisions of the BCE were scheduled to be repealed as of  
            January 1, 2018.

          3)Requires that the powers and duties of the Osteopathic Medical  
            Board (OMB) be subject to review by the appropriate policy  








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            committees of the Legislature, and further requires that the  
            review of the OMB be performed as if the provisions of the OMB  
            were scheduled to be repealed as of January 1, 2018.

          4)Extends until January 1, 2018, the provisions establishing the  
            NMC.

          5)Extends until January 1, 2018 the provisions establishing the  
            SLPAHADB and subjects the SLPAHADB to review by the  
            appropriate policy committees of the Legislature.

          6)Extends until January 1, 2018 the authority of the SLPAHADB to  
            appoint an executive officer.

          7)Specifies that the SLPAHADB may refuse to issue, suspend,  
            revoke, or impose terms and conditions upon the license of any  
            licensee for the violation of a term or condition of a  
            probationary order of a license issued by the SLPAHADB as  
            specified.

          8)Extends until January 1, 2018, the provisions establishing the  
            BOT and subjects the BOT to review by the appropriate policy  
            committees of the Legislature. 

          9)Extends until January 1, 2018, the provisions establishing the  
            PTB.

          10)Extends until January 1, 2018, the authority of the PTB to  
            appoint an executive officer.

          11)Extends until January 1, 2018 the provisions establishing the  
            OB and subjects the OB to review by the appropriate policy  
            committees of the Legislature.

          12)Extends until January 1, 2018, the authority of the OB to  
            appoint an executive officer.

          13)Extends until January 1, 2018, the provisions establishing  
            the RCB and subjects the RCB to review by the appropriate  
            policy committees of the Legislature. 

          14)Allows the performance of pulmonary function testing by  
            persons who are currently employed by Los Angeles County  
            hospitals and have performed pulmonary function testing for at  
            least 15 years to operate as respiratory care therapists  








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            without licensure, as specified.

          15)Makes finding and declarations pertaining to the special law  
            necessary to because of the unique circumstances relating to  
            persons who are currently employed by Los Angeles County  
            hospitals and have performed pulmonary function testing for at  
            least 15 years. 

          16)Makes other technical and clarifying provisions. 

           EXISTING LAW  

          1)Requires a board, bureau or program within DCA to require an  
            applicant for licensure to furnish a full set of fingerprints  
            in order to conduct a criminal history record check. (Business  
            and Professions Code (BPC) Section 144)

          2)Authorizes the BCE, as established, to license chiropractors.  
            (BPC 1000 et seq.) 

          3)Provides for the licensure and regulation of osteopathic  
            physicians and surgeons by the OMB.  (BPC 2450)

          4)Establishes the NMC within the OMB of California and repeals  
            the provisions pertaining to the NMC on January 1, 2014.  
            (BPC2450.3)

          5)Specifies that the repeal of the NMC is subject to review by  
            the appropriate policy committee of the Legislature.  
            (BPC2450.3)

          6)Establishes the SLPAHADB within DCA and provides the SLPAHADB  
            with licensing, regulatory and disciplinary functions and  
            repeals those provisions January 1, 2014. (BCP 2531)

          7)Authorizes the SLPAHADB to employ an executive officer as  
            specified, and repeals that authority on January 1, 2014. (BPC  
            2531.75)

          8)Establishes the Occupational Therapy Practice Act and provides  
            the BOT with licensing, regulatory and disciplinary functions  
            as specified and repeals those provisions on January 1, 2014.  
            (BPC 2570 et seq.)

          9)Establishes the Physical Therapy Practice Act and provides the  








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            PTB with licensing, regulatory and disciplinary functions as  
            specified and repeals those provisions on January 1, 2014.  
            (BPC 2600 et seq.)

          10)Authorizes the PTB to employ an executive officer as  
            specified, and repeals that authority on January 1, 2014. (BPC  
            2607.5)

          11)Establishes the Optometry Practice Act and provides the OB  
            with licensure and regulation of optometrists as specified,  
            and repeals those provisions on January 1, 2014. (BPC 3000 et  
            seq.)

          12)Authorizes the OB to employ an executive officer as  
            specified, and repeals that authority on January 1, 2014. (BPC  
            2607.5)

          13)Establishes the RCB and provides it with licensing,  
            regulating and disciplinary functions as specified and repeals  
            those provisions on January 1, 2014. (BPC 3710; 3710.1)

          14)Authorizes the RCB to employ an executive officer as  
            specified, and repeals that authority on January 1, 2014. (BPC  
            2607.5)

          15)Specifies that activities not covered by the Respiratory Care  
            Act are as follows:

             a)   The performance of respiratory care that is an integral  
               part of the program of study by students enrolled in  
               approved respiratory therapy training programs;

             b)   Self-care by the patient or the gratuitous care by a  
               friend or member of the family who does not represent or  
               hold himself or herself out to be a respiratory care  
               practitioner licensed under the provisions of this chapter;

             c)   The respiratory care practitioner performing advances in  
               the art and techniques of respiratory care learned through  
               formal or specialized training;

             d)   The performance of respiratory care in an emergency  
               situation by paramedical personnel who have been formally  
               trained in these modalities and are duly licensed under the  
               provisions of an act pertaining to their specialty;








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             e)   Respiratory care services in case of an emergency, which  
               includes an epidemic or public disaster;

             f)   Persons engaging in cardiopulmonary research;


             g)   Formally trained licensees and staff of child day care  
               facilities administering inhaled medication to a child as  
               specified; or,

             h)   The performance by a person employed by a home medical  
               device retail facility or by a home health agency licensed  
               by the State Department of Health Services of specific,  
               limited, and basic respiratory care or respiratory care  
               related services that have been authorized by the RCB.  
               (BPC3765)

           FISCAL EFFECT  :   Unknown

           COMMENTS  :   

           1)Purpose of this bill  .  This bill is one of four "sunset bills"  
            to extend the operational authority of a variety of boards,  
            bureaus and committees regulated by DCA.  This bill extends  
            the sunset date until January 1, 2018 for the continuing  
            operation of the NMC, the RCB, the SLPAHADB, the PTB, the BOT,  
            and the OB which are all scheduled to be repealed on January  
            1, 2014.  In addition, this bill extends the terms of the  
            executive officers of the RCB, the PTB, the SLPAHADB, and the  
            BOT.  This bill also requires the BCE and the OMB to be  
            subject to a review by the appropriate policy committees of  
            the Legislature in 2018.  Finally, this bill provides a  
            licensure exemption for certain individuals performing  
            specified pulmonary function testing and clarifies the  
            authority of the boards, bureaus, and committees regulated by  
            DCA to obtain certain records from a local or state agency.    
            This bill is author sponsored.
           
          2)Author's statement  .  According to the author, "Unless  
            legislation is carried this year to extend the sunset dates  
            for the [NMC], the [RCB], the [BOT], the [PTB], the SLPAHADB  
            and the [OB], they will be repealed on January 1, 2014.   
            Because they were created via initiative act, the [OMB] and  
            the [BCE] do not have a sunset date. This bill will specify  








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            that as of January 1, 2018, these two boards will be reviewed  
            consistent with other healing arts boards under the DCA that  
            are subject to a 4 year sunset review period.

            This bill will exempt certain employees from going through the  
            laborious process of becoming certified respiratory therapists  
            when they have been safely and reliably performing services  
            for over 15 years.  This bill specifies that any board under  
            the [DCA] is authorized to receive  certified records from a  
            local or state agency of all arrests and convictions,  
            certified records regarding probation, and any and all other  
            related documentation needed to complete an applicant or  
            licensee investigation.  Also specifies that a local or state  
            agency is authorized to provide those records to the board  
            upon receipt of such a request."

           3)Oversight Hearings and Sunset Review of Licensing Boards of  
            DCA  .  In March 2013, the Assembly Business, Professions and  
            Consumer Protection Committee and the Senate Business  
            Professions, and Economic Development (BPED) Committee  
            conducted a joint-oversight hearing to review 14 regulatory  
            boards within DCA.  The Committees began its review of these  
            licensing agencies in March and conducted three days of  
            hearings.  This bill, like the accompanying sunset bills, is  
            intended to implement legislative changes as recommended in  
            the background reports authored by the Senate BPED Committee  
            for all of the agencies reviewed by the Committees this year.

           4)Sunset review process  .  The sunset review process provides a  
            formal opportunity and mechanism for the DCA, the Legislature,  
            the boards and bureaus, interested parties and stakeholders to  
            discuss the performance of the boards, bureaus and committees  
            and make recommendations for improvements. This is performed  
            on a standard four-year cycle and was mandated by SB 2036  
            (McCorquodale, Chapter 908, Statutes of 1994).  The  
            legislation pertaining to this bill is based on specific  
            issues raised and addressed in the reports released by the  
            BPED committee.  

          5)Board of Chiropractic Examiners  .  The BCE is responsible for  
            regulating the practice of licensed chiropractors in  
            California. The BCE was created through an initiative measure  
            approved on November 7, 1922. Through its enforcement program,  
            the BCE disciplines licensees who violate the laws and  
            regulations governing the practice of chiropractic.  In FY  








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            2010/11, the BCE had a license base of 13,810 active and 1272  
            inactive licenses.  The BCE also oversees 19 chiropractic  
            schools and colleges located throughout the United States and  
            Canada.

            Although there were several issues raised during the sunset  
            review hearing regarding the BCE including, reciprocity for  
            out-of-state licensees, complying with the Administrative  
            Procedures Act (APA) and ensuring that BCE is tracking and  
            maintaining accurate consumer satisfaction survey data, the  
            only issue that could not be addressed administratively is the  
            requirement that the BCE be reviewed by the appropriate policy  
            committees of the Legislature in four years.  This bill  
            requires the BCE to be reviewed by the appropriate committee  
            of the Legislature to ensure that BCE continues its mission to  
            regulate licensed chiropractors and address any administrative  
            issues that were raised during the sunset hearing that merit  
            further review. 

           6)Osteopathic Medical Board  .  The OMB was established in 1922  
            when the Osteopathic Initiative Act (Act) was passed by  
            electorate. In 1962, another initiative was passed providing  
            the Legislature the authority to amend the Act.  To date, the  
            only restriction on the Legislature's power is that it may not  
            fully repeal the Act unless the number of licensed osteopathic  
            physicians (DOs) falls below 40.  In 2002, the OMB volunteered  
            to be included under the umbrella of the DCA.  As one of the  
            regulatory entities within the DCA, the OMB is charged with  
            the licensing and regulation of DOs.  The Board's statutes and  
            regulations set forth the requirements for licensure and  
            provide the OMB the authority to discipline a licensee.

            During the sunset review hearing, there were several issues  
            raised by the Committees to be addressed by the OMB, including  
            the OMB's operating without a Code of Ethics, licensure  
            portability procedures for service members, posting meeting  
            materials to the OMB's Web site, and other programmatic  
            issues.  The only issue that could not be addressed  
            administratively is the requirement that the OMB be reviewed  
            by the appropriate policy committee of the Legislature in four  
            years.  This bill requires the OMB to be reviewed by the  
            appropriate committees of the Legislature to ensure the OMB  
            continues its mission to regulate licensed DOs and address any  
            administrative issues that were raised during the sunset  
            hearing that merit further review.








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           7)Naturopathic Medicine Committee  .  The Bureau of Naturopathic  
            Medicine was established by the Legislature under DCA, and  
            began licensing NDs in January 2005.  The Bureau became the  
            NMC under the OMB in October 2009.  The NMC is designed as a  
            resource for California consumers who choose NDs for their  
            healthcare.  Currently, there are approximately 437 active NDs  
            licensed in California.  

            During the sunset review hearing, there were several issues  
            raised by the Committee to be addressed by the NMC including,  
            the NMC's staffing issues, licensure portability procedures  
            for service members, and posting meeting materials to the  
            NMC's Web site.  The only issue that could not be addressed  
            administratively is the requirement that the NMC be reviewed  
            by the appropriate policy committees of the Legislature again  
            in four years, and extends the sunset date until January 1,  
            2018.  This bill requires the NMC to be reviewed by the  
            appropriate committees of the Legislature to ensure the NMC  
            continues its mission to regulate NDs and address any  
            administrative issues that were raised during the sunset  
            hearing that merit further review.

           8)The Speech-Language Pathology and Audiology and Hearing Aid  
            Dispensers Board  .  The SLPAHADB regulates the professions of  
            speech-language pathology, audiology, and hearing aid  
            dispensing.  Each profession is separate and distinct, and has  
            its own scope of practice and licensing requirements. AB 1535  
            (Jones) (Chapter 309, Statues of 2009), merged the Hearing Aid  
            Dispensers Bureau and the Speech-Language Pathology and  
            Audiology Board into the current board. 

            The current law which authorizes the SLPAHADB to license and  
            regulate speech-language pathologists, audiologist,  
            dispensing audiologists, hearing aid dispenser,  
            speech-language pathology assistants, and speech-language  
            pathology/audiology aides is set to expire on January 1,  
            2014.  In order to maintain regulation of the professions  
            currently operating under the jurisdiction of the SLPAHADB,  
            this bill extends the provisions of law until January 1,  
            2018, and subjects it to review by the appropriate policy  
            committees of the Legislature.  In addition, this bill  
            extends the SLPHADB's authority to appoint an executive  
            officer until January 1, 2018.  









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           9)California Board of Occupational Therapy  .  The BOT was  
            established by SB 1046 (Murray), (Chapter 697, Statutes of  
            2000).  The BOT became operational in 2001 and remains  
            responsible for the licensure and regulation of occupational  
            therapists and occupational therapy assistants in California.  
             The occupational therapy profession in California was  
            regulated by a title act dating back to 1977 that prohibited  
            individuals from using the professional titles "occupational  
            therapist" and "occupational therapy assistant" without  
            appropriate professional training. 

            During the sunset review hearing, there were several issues  
            raised to be addressed by the BOT, including publishing  
            citations, licensure portability procedures for service  
            members, and poor consumer satisfaction.  The only issue that  
            could not be addressed administratively is the requirement  
            that the BOT be reviewed by the appropriate policy committees  
            of the Legislature.  In order to maintain regulation of the  
            professions currently operating under the jurisdiction of the  
            BOT, this bill extends the sunset date for the BOT until  
            January 1, 2018, and subjects it to a review of the  
            appropriate policy committees of the Legislature.  

           10)Physical Therapy Board of California  .  The Physical Therapy  
            Practice Act was established in 1953.  A "practice act"  
            safeguards the public by regulating a defined scope of  
            practice vs. a "title act" which merely restricts action to  
            revoking a title with no restriction of practice.  A PT may  
            evaluate, plan treatment, instruct and consult, but may not  
            diagnose.  There are currently 26,000 licensed PTs in  
            California. 

            During the sunset review hearing, there were several issues  
            raised by the Committee to be addressed by the PTBC.  In  
            order to effectively address the specific issues of the PTB  
            raised during the sunset review process, SB 198 (Price) of  
            2013 was introduced to reorganize, revise, recast and update  
            the Physical Therapy Practice Act.  SB 198 will be heard by  
            the Assembly, Business Professions and Consumer Protection.  

            This bill specifically addresses the sunset of the PTB only.   
            In order to maintain the current regulation of the Act, this  
            bill extends the provisions of law pertaining to the  
            operation of the PTB until January 1, 2018, and subjects it  
            to a new review of the appropriate policy committees of the  








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            Legislature.  In addition, this bill extends the provision  
            allowing the PTBC to appoint an executive officer until  
            January 1, 2018.

           11)California State Board of Optometry  .   The OB is responsible  
            for the regulatory oversight of approximately 9,000  
            optometrists, the largest population of optometrists in the  
            United States.  On March 20, 1903, California became the  
            third state to pass a law recognizing the profession of  
            optometry, and regulating its practice. In 1913, a new  
            Optometry Practice Act was enacted creating the Board,  
            defining its duties and powers, and prescribing a penalty for  
            a violation of the Act.

            During the sunset review hearing, there were several issues  
            raised by the Committees to be addressed by the OB, including  
            license portability issues for service members.  In order to  
            maintain regulation of the OB, this bill extends the  
            provisions of law pertaining to the operation of the OB until  
            January 1, 2018, and subjects it to a new review of the  
            appropriate policy committees of the Legislature.  In  
            addition, this bill extends the provision allowing the OB to  
            appoint an executive officer until January 1, 2018.

           12)Respiratory Care Board  .  The RCB was originally established  
            as the Respiratory Care Examining Committee, which was  
            created by the Legislature in 1982 to protect individuals  
            from the unqualified practice of respiratory care.  The RCB  
            regulates a single category of health care workers -  
            respiratory care practitioners (RCPs).  RCPs are specialized  
            health care workers who practice under the supervision of  
            medical directors and are involved in the prevention,  
            diagnosis, treatment, management, and rehabilitation of  
            problems affecting the heart and lungs and other disorders,  
            as well as providing diagnostic, educational, and  
            rehabilitation services.  RCPs provide treatment for patients  
                                              who have breathing difficulties and care for those who are  
            dependent upon life support and cannot breathe on their own.  
            RCPs treat patients with acute and chronic diseases,  
            including Chronic Obstructive Pulmonary Disease, trauma  
            victims, and surgery patients.  
             
             During the sunset review process, there were several important  
            issues raised to address concerns pertaining to the RCB and  
            its licensees, including the ability to obtain local agency  








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            records regarding criminal history reports, pulmonary function  
            technologists and the extension of the laws pertaining to the  
            RCB.  This bill attempts to address those issues by allowing  
            specified access to background information as consistent with  
            other entities regulated by DCA, and further allows a certain  
            group of pulmonary function technologists in Los Angeles  
            County to be except from the licensure requirements of RCPs.  

           13)Exemption from licensure requirements for Pulmonary Function  
            Technologists  .  When the RCB was instituted, several  
            unlicensed individuals, including those who solely performed  
            pulmonary function tests were grandfathered and issued a  
            license as a RCP.  However, the requirement to be  
            grandfathered was not communicated to certain individuals  
            performing pulmonary function testing who were employed at  
            certain Los Angeles County safety-net hospitals.  As a result,  
            these employees continued to practice for several years  
            without knowledge that their practice was illegal.  In the  
            late 1990's the RCB was made aware of the issue and it was  
            reviewed during the 2002 sunset review of the RCB.  At that  
            time, the Joint Legislative and Sunset Review Committee asked  
            the RCB to examine the issue of unlicensed professionals who  
            were performing pulmonary function tests.  The RCB attempted  
            to seek legislation to exempt certain pulmonary function  
            testing from being regulated.  However, the RCB was unable to  
            obtain the appropriate approval to pursue legislation.  
             
             In an effort to find a solution that has been overlooked for a  
            number of years, this bill would exempt these skilled  
            professionals who have performed pulmonary function testing  
            for over 15 years, and should have previously been a part of  
            the grandfathering provisions, from the current licensure  
            requirements of the RCB.  In addition, the RCB agreed to  
            continue examining the issue of regulating all unlicensed  
            professionals in its 2013 strategic plan.  This bill exempts  
            those very specific individuals from licensure requirements in  
            order to continue providing respiratory care services and  
            pulmonary function testing by specified individuals who are  
            currently employed at Los Angeles County Hospitals. 

            The current law which authorizes the RCB to license and  
            regulate RCPs is set to repeal on January 1, 2014.  In order  
            to maintain regulation of the professions currently operating  
            under the jurisdiction of the RCB, this bill extends these  
            provisions of law until January 1, 2018, RCB and subjects it  








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            to a new review of the appropriate policy committees of the  
            Legislature.  In addition, this bill extends the RCB's  
            authority to appoint an executive officer until January 1,  
            2018.  

           14)Obtaining Local Agency Records  .  It is customary for most  
            boards and bureaus to obtain complete arrest, conviction and  
            other related documentation as part of an applicant's or  
            licensee's disciplinary investigation.  As such, boards rely  
            on various authorities and local law enforcement agencies to  
            provide documentation.  There have been instances where some  
            entities have been refused access to records due to clear lack  
            of authority to obtain records without approval by the  
            individual in question.  This situation can cause delays in  
            investigations and can even potentially prevent the  
            appropriate disciplinary action.  This bill provides  
            additional clarity for such boards within DCA to obtain the  
            appropriate records needed for licensure or disciplinary  
            investigation.

           15)Related legislation  .  SB 198 (Price) of 2013 reorganizes,  
             revises, recasts and updates the Physical Therapy Practice  
             Act.  This bill is pending in the Assembly Business,  
             Professions and Consumer Protection Committee. 
              
              SB 304 (Price) of 2013 makes various changes to the Medical  
             Practice Act and to the Medical Board of California.  This  
             bill is pending in the Assembly Business, Professions and  
             Consumer Protection Committee.

             SB 306 (Price) of 2013 would have extended until January 1,  
             2018, the provisions establishing the State Board of  
             Chiropractic Examiners, Speech Language Pathology and  
             Audiology and Hearing Aid Dispensers Board the Physical  
             Therapy Board of California and the California Board of  
             Occupational Therapy and extends the terms of the executive  
             officers of the Physical Therapy Board of California and the  
             Speech Language Pathology and Audiology and Hearing Aid  
             Dispensers Board.  This bill was amended to address an  
             unrelated topic and its provisions were added to this bill. 
            
             SB 307 (Price) of 2013 extends, until January 1, 2018, the  
             term of the Veterinary Medicine Board, which provides for the  
             licensure and registration of veterinarians and registered  
             veterinary technicians and the regulation of the practice of  








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             veterinary medicine by the Veterinary Medical Board.  This  
             bill was held on the Senate Floor. 

             SB 308 (Price) 2013 extends, until January 1, 2018, the term  
             of the Interior Design Law and specifies that a certified  
             interior use a written contract when contracting to provide  
             interior design services to a client.  It also extends, until  
             January 1, 2018, the State Board of Guide Dogs for the Blind  
             and extends an arbitration procedure for the purpose of  
             resolving disputes between a guide dog user and a licensed  
             guide dog school.  This bill extends until January 1, 2018,  
             the State Board of Barbering and Cosmetology and requires a  
             school to be approved by the board before it is approved by  
             the Bureau for Private Postsecondary Education.  Finally,  
             this bill would also authorize the board to revoke, suspend,  
             or deny its approval of a school on specified grounds.  This  
             bill is pending in the Assembly Business, Professions and  
             Consumer Protection Committee.

             SB 309 (Price) of 2013 extends the term of the State Athletic  
             Commission, which is responsible for licensing and regulating  
             boxing, kickboxing, and martial arts matches and is required  
             to appoint an executive officer until January 1, 2018.  This  
             bill is pending in the Assembly Arts, Entertainment, Sports,  
             Tourism and Internet Media Committee.

           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          California Naturopathic Doctors Association
          California Optometric Association
          California State Board of Optometry
          National Board of Examiners in Optometry
          Naturopathic Medicine Committee
          Osteopathic Physicians and Surgeons of California 
          Physical Therapy Board of California
          SEIU California
           
            Opposition 
           
          None on file.

           Analysis Prepared by  :    Elissa Silva / B.,P. & C.P. / (916)  
          319-3301 








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