BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                            



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                                 UNFINISHED BUSINESS


          Bill No:  SB 821
          Author:   Senate Business, Professions and Economic Development  
          Committee 
          Amended:  8/22/13
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEVELOP. COMM.  :  10-0, 4/29/13
          AYES:  Price, Emmerson, Block, Corbett, Galgiani, Hernandez,  
            Hill, Padilla, Wyland, Yee

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8

           SENATE FLOOR  :  39-0, 5/28/13 (Consent)
          AYES:  Anderson, Beall, Berryhill, Block, Calderon, Cannella,  
            Corbett, Correa, De León, DeSaulnier, Emmerson, Evans, Fuller,  
            Gaines, Galgiani, Hancock, Hernandez, Hill, Hueso, Huff,  
            Jackson, Knight, Lara, Leno, Lieu, Liu, Monning, Nielsen,  
            Padilla, Pavley, Price, Roth, Steinberg, Torres, Walters,  
            Wolk, Wright, Wyland, Yee
          NO VOTE RECORDED:  Vacancy

           ASSEMBLY FLOOR  :  77-0, 8/26/13 - See last page for vote


           SUBJECT  :    Healing arts:  boards

           SOURCE  :     Author


           DIGEST  :    This bill makes several technical and  
          noncontroversial changes to provisions within the Business and  
          Professions Code (BPC) related to the regulation of the Dental  
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          Board of California (DBC), California Board of Optometry (CBO),  
          Board of Behavioral Sciences (BBS), and Board of Pharmacy (BOP),  
          as well as dental hygienists regulated under the Welfare and  
          Institutions Code, as specified.

           Assembly Amendments  (1) delete the provision specifying that the  
          use, application and integration of specified coursework and  
          experience may be a part of the definition of professional  
          clinical counseling principles and methods; (2) add the direct  
          counseling of couples or families to the 1,750 hours of direct  
          counseling currently required of licensed professional clinical  
          counselor (LPCC) applicants, as specified; and (3) make other  
          minor technical changes.

           ANALYSIS  :    

          Existing law:

          1. Makes the following provisions relating to the BBS:

             A.    Describes the qualifying degree program required to  
                obtain licensure as a licensed marriage and family  
                therapist (LMFT) or an LPCC, if the applicant began  
                graduate study after August 1, 2012.  

             B.    Allows LMFT, licensed clinical social worker (LCSW),  
                and LPCC applicants to gain experience hours as a W-2  
                employee or a volunteer.  

             C.    Specifies examination eligibility requirements for  
                out-of-state LMFT and LPCC licensees.

             D.    States that the delinquent renewal fee for a license is  
                $75 for licensed educational psychologists (LEPs).

             E.    States that LCSW applicants and interns must always be  
                under the supervision of a supervisor who is responsible  
                to the BBS for compliance with all laws and regulations.  

             F.    Allows an LPCC applicant to count up to 250 hours of  
                experience providing crisis counseling over the telephone.  


             G.    Outlines the requirements for direct supervisor contact  

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                for professional clinical counselor (PCC) interns. 

             H.    Defines the practice of clinical social work and the  
                practice of professional clinical counseling.

          2. Provides that the DBC shall have and use a seal bearing the  
             name "Board of Dental Examiners of California."

          3. Makes the following provisions relating to the Dental Hygiene  
             Committee of California (DHC):

             A.    Specifies that no person other than a registered dental  
                hygienist, registered dental hygienist in alternative  
                functions practice, registered dental hygienist in  
                extended functions or a licensed dentist may engage in the  
                practice of dental hygiene or perform dental hygiene  
                procedures on patients.

             B.    Specifies that a registered dental hygienist in  
                alternative practice may operate one mobile dental hygiene  
                clinic registered as a dental hygiene office or facility,  
                as specified.

          4. Makes the following provisions relating to the CBO:

             A.    Authorizes the CBO to grant or refuse to grant  
                certificates of registration, as specified, and may revoke  
                or suspend the certificate of registration of any  
                optometrist for any cause, as specified. 

             B.    Authorizes the CBO to make and promulgate rules and  
                regulations governing the procedures of the CBO, the  
                admission of applicants for examination for optometrists  
                and the practice of optometry. 

             C.    Specifies that it is unlawful for a person to engage in  
                the practice of optometry or to display a sign or in any  
                other way to advertise or hold himself/herself out as an  
                optometrist without having first obtained a certificate of  
                registration. 

          5. Makes the following provisions relating to the BOP: 

             A.    Permits the BOP to issue a license to a designated  

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                representative to provide sufficient and qualified  
                supervision in a wholesaler or veterinary food-animal  
                drug retailer and specifies that the designated  
                representative shall protect the public health and  
                safety in the handling, storage, and shipment of  
                dangerous drugs and dangerous devices in the wholesaler  
                of veterinary food-animal drug retailer. 

             B.    Specifies the minimum requirements necessary to apply  
                for a designated representative license, for purpose of  
                the pharmacy law.  

             C.    Specifies that the BOP may not issue more than one  
                site license to a single premise except to issue a  
                veterinary food-animal drug retailer license to a  
                wholesaler or to issue a license to compound sterile  
                injectable drugs to a pharmacy, as specified. 

          This bill makes the following provisions relating to the:

           BBS
           
          1. Specifies that the qualifying degree program required to  
             obtain licensure as an LMFT or an LPCC must include a minimum  
             of seven contact hours of training or coursework in child  
             abuse assessment and reporting as specified.

          2. Revises the operative date for specified requirements for  
             licensure as an LMFT from January 1, 2014 to January 1, 2016.

          3. Clarifies that the delinquent renewal fee for an LEP shall be  
             a maximum amount of $75.

          4. Extends the operational date of specified requirements for  
             licensure as an LCSW from January 1, 2014 to January 1, 2016.

          5. Clarifies that the use, application and integration of  
             specified social work coursework and experience shall be  
             considered a part of the application of social work  
             principles and methods.

          6. Requires all applicants for licensure as an LCSW to be at all  
             times under the supervision of a supervisor who shall be  
             responsible for ensuring that the extent, kind, and quality  

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             of counseling performed is consistent with the training and  
             experience of the person being supervised, and who shall be  
             responsible to the BBS for compliance with all laws, rules,  
             and regulations governing the practice of clinical social  
             work.

          7. Adds the direct counseling of couples or families to the  
             1,750 hours of direct counseling currently required of LPCC  
             applicants, as specified. 

          8. Allows an applicant for LPCC licensure to obtain up to 375  
             hours of experience providing personal psychotherapy, crisis  
             counseling or other counseling services via telehealth, as  
             specified.

          9. Specifies that PCC interns are not required to have direct  
             supervision for attendance at workshops, seminars, training  
             sessions or conferences.  

          10.Extends the operational and repeal dates for specified  
             requirements for licensure as an LPCC from January 1, 2014 to  
             January, 1 2016.

           DBC
           
          11.Revises the seal utilized by the DBC from "Board of Dental  
             Examiners of California" to the "Dental Board of California."

           DHC
           
          12.Specifies that all dental hygiene services provided by a  
             registered dental hygienist in extended functions, and a  
             registered dental hygienist in alternative practice as  
             specified, may be covered as long as they are within the  
             scope of the Denti-Cal benefits as specified, and the  
             services are provided by a registered dental hygienist in  
             extended functions or registered dental hygienist in  
             alternative practice.

           CBO
           
          13.Clarifies that in the context of optometry, the preferred  
             name for a license is "optometrist license" and the preferred  
             name for certifications is "optometrist certification(s)."

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           BOP
           
          14.Defines the term "correctional pharmacy" to mean a pharmacy,  
             licensed by the BOP, located within a state correctional  
             facility for the purpose of providing pharmaceutical care to  
             inmates of the state correctional facility.

          15.Specifies that one year of paid work experience in a licensed  
             pharmacy or with a drug wholesaler, drug distributor, or drug  
             manufacturer as specified, meets a requirement for a  
             designated representative license in a wholesaler or  
             veterinary food-animal drug retailer.

          16.Revises the BOP's authority to not issue more than one site  
             license to a single premise except as follows:

             A.    To issue a veterinary food-animal drug retailer  
                license to a wholesaler, as specified;

             B.    To issue a license to compound sterile injectable  
                drugs to a pharmacy, as specified; and

             C.   To issue a centralized hospital packaging license, as  
             specified.

          This bill makes other technical and clarifying changes.
           
          Comments
           
          According to the author, "This bill is one of the annual Omnibus  
          Committee bills authored by the Senate Business, Professions and  
          Economic Development Committee which consolidates a number of  
          non-controversial provisions related to various regulatory  
          programs and professions governed by the BPC.  Consolidating the  
          provisions in one bill is designed to relieve the various  
          licensing boards, bureaus and professions from the necessity and  
          burden of having separate measures for a number of  
          non-controversial revisions.  Many of the provisions of this  
          bill are minor, technical and updating changes, while other  
          provisions are substantive consensus changes intended to improve  
          the ability of various licensing programs and other entities to  
          efficiently and effectively administer their respective laws."


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           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

          ASSEMBLY FLOOR  :  77-0, 8/26/13
          AYES:  Achadjian, Alejo, Allen, Ammiano, Atkins, Bigelow, Bloom,  
            Bocanegra, Bonilla, Bonta, Bradford, Brown, Buchanan, Ian  
            Calderon, Campos, Chau, Chávez, Chesbro, Conway, Cooley,  
            Dahle, Daly, Dickinson, Eggman, Fong, Fox, Frazier, Beth  
            Gaines, Garcia, Gatto, Gomez, Gonzalez, Gordon, Gorell, Gray,  
            Grove, Hagman, Hall, Harkey, Roger Hernández, Holden, Jones,  
            Jones-Sawyer, Levine, Linder, Logue, Lowenthal, Maienschein,  
            Mansoor, Medina, Melendez, Mitchell, Morrell, Mullin,  
            Muratsuchi, Nazarian, Nestande, Olsen, Pan, Patterson, Perea,  
            V. Manuel Pérez, Quirk, Quirk-Silva, Rendon, Salas, 
          Skinner, Stone, Ting, Wagner, Waldron, Weber, Wieckowski, Wilk,  
            Williams, Yamada, John A. Pérez
          NO VOTE RECORDED:  Donnelly, Vacancy, Vacancy


          MW:d  8/28/13   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  NONE RECEIVED

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