BILL ANALYSIS Ó SB 993 Page 1 Date of Hearing: August 6, 2014 ASSEMBLY COMMITTEE ON APPROPRIATIONS Mike Gatto, Chair SB 993 (Mitchell) - As Amended: July 2, 2014 Policy Committee: Business and Professions Vote: 14-0 Urgency: No State Mandated Local Program: Yes Reimbursable: No SUMMARY This bill changes provisions related to dietetic technicians, registered (DTRs) and registered dietitians (RDs). Specifically, this bill: 1)Modifies educational and training requirements for a DTR. 2)Authorizes an RD to perform additional duties, including performing nutritional assessments and initiating nutritional interventions pursuant to a licensed health care facility's approved nutrition screening policy and procedure 3)Makes additional minor changes to the practice authorizations for a DTR and RD, as specified. FISCAL EFFECT Potential minor and absorbable fiscal impact to the Licensing and Certification Division within the Department of Public Health (DPH) to revise policies governing the activities of RDs and DTRs in health facilities regulated by DPH. COMMENTS 1)Purpose . This bill updates educational, title protection, and practice provisions for DTRs and RDs to align more closely with the practice environment. This bill is sponsored by the California Dietetic Association. 2)Background . RDs provide dietetic and nutrition services. The majority of RDs work in the treatment and prevention of SB 993 Page 2 disease through the practice of evidence-based medical nutrition therapy, often in hospitals and other healthcare facilities. State law provides title protection and a non-exclusionary scope of practice, but does not establish licensure requirements. DPH recognizes public or private agencies or institutions that are qualified to administer exams and offer programs, but does not oversee or license RDs. The Commission on Dietetic Registration, a national organization, currently awards RD, DTR, and related specialty credentials. Analysis Prepared by : Lisa Murawski / APPR. / (916) 319-2081