BILL ANALYSIS Ó Senate Appropriations Committee Fiscal Summary Senator Kevin de León, Chair SB 1384 (Mitchell) - Certified nurse assistants. Amended: April 30, 2014 Policy Vote: Health 7-1 Urgency: No Mandate: No Hearing Date: May 12, 2014 Consultant: Brendan McCarthy This bill meets the criteria for referral to the Suspense File. Bill Summary: SB 1384 would eliminate the requirement that the Department of Public Health deny an application for a certificate to be a certified nurse assistant based on a conviction for specified offenses. The bill would impose a presumption of rehabilitation, provided certain conditions are met, reducing the Department's ability to use discretion when determining whether to deny a certificate for criminal convictions related to the applicant's qualification to be a certified nurse assistant. Fiscal Impact: Potential one-time costs up to $150,000 to revise existing regulations (Licensing and Certification Program Fund). Unknown increase in staff costs to review applications for a certificate (Licensing and Certification Program Fund). While the bill would eliminate the mandatory denial of a certificate for specified offenses, the Department would still have the ability to use discretion to deny an application for conviction of a crime related to the duties of a certified nurse assistant. Workload for the Department to review such cases is expected to increase because additional scrutiny will be needed by the Department to determine whether the circumstances of a conviction are sufficient to rebut the presumption of rehabilitation included in the bill. In addition, the current automatic denial of an application based on specified convictions most likely discourages potential applicants with criminal convictions. Therefore, removal of the requirement for automatic denial will very likely increase the number of applicants with criminal convictions. Background: Under current law, the Department of Public Health SB 1384 (Mitchell) Page 1 certifies nurse assistants. Certified nurse assistants typically work in nursing homes or hospitals, providing direct patient care under the supervision of a licensed vocational nurse or registered nurse. Under current law, the Department is required to reject an application or revoke a certificate for specified criminal convictions such as murder, robbery, elder abuse, theft, and other offenses. A certification can be issued if the applicant has received a certificate of rehabilitation, the conviction was for a misdemeanor that has been dismissed, the person had previously disclosed his or her convictions to the Department and the Department determined that the conviction does not disqualify the person from certification, or the person was convicted of a misdemeanor and has not had a subsequent conviction for five years. In addition, under current law, the Department has discretion to deny an application under certain circumstances (for example the conviction for a crime substantially related to the duties of a certified nurse assistant without demonstrating rehabilitation). Proposed Law: SB 1384 would eliminate the requirement that the Department of Public Health deny an application for a certificate to be a certified nurse assistant based on a conviction for specified offenses. The bill would impose a presumption of rehabilitation, provided certain conditions are met, reducing the Department's ability to use discretion when determining whether to deny a certificate for criminal convictions related to the applicant's qualification to be a certified nurse assistant. Related Legislation: AB 1689 (Conway) would require the Department of Public Health to post on its internet site a registry of certified nurse assistants with information about the certification status. That bill is pending in the Assembly Health Committee. SB 1384 (Mitchell) Page 2