BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    ACR 131


                                                                     Page 1





          Date of Hearing:  March 29, 2016


                   ASSEMBLY COMMITTEE ON BUSINESS AND PROFESSIONS


                                  Rudy Salas, Chair


          ACR 131  
          (Patterson) - As Introduced February 2, 2016


          SUBJECT:  Professions and vocations:  licensing fees:  equity.


          SUMMARY:  Encourages the Department of Consumer Affairs (DCA)  
          and its licensing entities to create policies that promote  
          fairness and equity to guarantee that each licensee pays a fair  
          amount, especially in regards to initial and ongoing license  
          fees.


          EXISTING LAW:


          1)Provides for the regulation and licensure of various  
            professions and vocations by licensing entities within the DCA  
            and establishes fees and schedules for licensing and renewals.  
            (Business and Professions Code (BPC) §§ 100-11506)
          THIS RESOLUTION:


          2)Declares that existing law provides for the licensure and  
            regulation of various professions and vocations by boards,  
            bureaus, and committees within the DCA, including, among  
            others, accountants, acupuncturists, architects, athletes,  
            automotive mechanics, barbers and cosmologists, chiropractors,  
            contractors, court reporters, dental hygienists, dentists,  








                                                                    ACR 131


                                                                     Page 2





            doctors, engineers, fiduciaries, marriage and family  
            therapists, nurses, optometrists, osteopathic physicians and  
            surgeons, pharmacists, physical therapists, physician  
            assistants, private schools, private guards and other  
            security-related jobs, psychologists, realtors, respiratory  
            care practitioners, speech pathologists, social workers, and  
            veterinarians.


          3)Declares that the mission of many of the boards, bureaus, and  
            committees within the DCA is to protect people and promote the  
            health and safety of Californians by licensing and regulating  
            various professions and vocations.


          4)Declares that hardworking individuals must often complete  
            hundreds of hours of professional training requirements,  
            including, but not limited to, education, schooling,  
            internships, or other requirements, to meet professional  
            licensing standards in order to be licensed by the State of  
            California and pursue their profession.


          5)Declares that existing law establishes fees for initial  
            licenses, initial temporary and permanent licenses, and  
            original licenses for those various professions and vocations.


          6)Declares that licensees may spend up to hundreds of dollars  
            for their initial license and pay thousands of dollars to the  
            State of California over their career to maintain their  
            license, not including the thousands of dollars licensees may  
            pay to put themselves through training or educational programs  
            to gain the skills needed for a given profession.


          7)Declares that existing law requires that licenses issued to  
            certain licensees expire at 12 a.m. on either the last day of  
            the birth month of the licensee or at 12 a.m. of the legal  








                                                                    ACR 131


                                                                     Page 3





            birth date of the licensee during the second year of a  
            two-year term if not renewed, yet fails to provide licensees  
            the opportunity to prorate their initial licensing fee to the  
            specific amount of time actually licensed.


          8)Declares that the Governor supports an equitable licensing fee  
            policy that would prorate license fees based on how many  
            months have elapsed between the initial issuance of a license  
            and the time of renewal, as stated in his message upon vetoing  
            Assembly Bill 483 (Patterson) of 2015, which was unanimously  
            passed by the Senate and passed the Assembly with a vote of  
            78-0.


          9)Declares that the Legislature recognizes the important and  
            valuable services that those licensees provide to the state.


          10)Resolves that the Legislature encourages the DCA and its  
            boards, bureaus, and commissions to create policies that  
            promote fairness and equity to guarantee that each licensee  
            pays a fair amount, especially in regards to initial and  
            ongoing license fees.


          11)Resolves that the Chief Clerk of the Assembly transmit copies  
            of the resolution to the author for appropriate distribution.


          FISCAL EFFECT:  Unknown.  This bill is keyed fiscal by the  
          Legislative Counsel. 


          COMMENTS:


          Purpose.  This resolution is author sponsored. According to the  
          author, "[this resolution] recognizes the many professionals in  








                                                                    ACR 131


                                                                     Page 4





          the state of California that provide a variety of services to  
          Californians ranging from [barbering] and cosmetology to fields  
          of medicine.  Licensed professions bring valuable services and  
          are also economic drivers within our state.  [This resolution]  
          expresses that it is the goal and intent of the Legislature to  
          direct government entities in establishing policies that make it  
          fairer for newly licensed Californian's to enter the workforce."


          Background.  Under existing law, many professional licensing  
          entities under the DCA have either a biennial (two-year) renewal  
          schedule or a biennial renewal schedule that varies based on a  
          licensee's birthdate.  Under the pure biennial renewal schedule,  
          the renewal date is two years from the date the license is  
          issued.  For example, if a licensee is issued a license on  
          January 15, 2016, the license would expire on January 15, 2018.   



          However, this can result in workload issues.  For many of the  
          entities, applicants tend to submit applications at the same  
          time because of the timing of exams and training programs.  This  
          results in licensing entities receiving a large number of  
          applications for initial licenses during peak times.  This means  
          those entities under a biennial renewal schedule will also  
          process a large number of renewals at one time.  


          As a result, many licensing practice acts have been amended to  
          require entities to stagger the renewals by using licensee birth  
          dates.  Under typical birth date renewal programs, licenses  
          expire on the last day of the licensee's birth month during the  
          second year of the biennial term.  However, this means the  
          initial license period can vary from between 12 months to 24  
          months, depending on how close the applicant's birth month is to  
          the issuance date.  


          For example, if a licensee is issued a license on February 1,  








                                                                    ACR 131


                                                                     Page 5





          2016 and the licensee's birthday is in January, then the license  
          will expire January 30, 2018, a full 24 months.  However, if the  
          licensee's birthday is in February, then the license will expire  
          February 30, 2017, the minimum of 12 months.  This is because  
          two years from February 30, 2016 would be February 30, 2018.   
          However, since the issuance date was February 1, 2016, the  
          result would be a 25 month license period that exceeds the  
          biennial term.


          Therefore, under a birth month renewal program, there are  
          instances were some licensees have an initial license period  
          that is shorter than other licensees but still pay the full  
          initial license fee and renewal fee.  While additional renewal  
          periods inevitably extend to a full two-year cycle, some  
          entities report that licensees find that it is unfair for those  
          licensees with shorter initial license periods to have to pay a  
          full renewal fee. 


          Potential Solutions.  The issue of some licensees paying a full  
          renewal or initial license fee when their initial license period  
          is not as long as other licensees has at least a few potential  
          solutions, for example: 1) using a pro rata formula to decrease  
          either the initial license fee or the renewal fee based on the  
          length of the licensee's initial license period; 2) switching  
          back to a biennial renewal schedule; or 3) adjusting the initial  
          application period, such as putting a limit on the number of  
          initial applications allowed per week. 


          However, each solution has strengths and draw backs.  Using a  
          pro rata formula has the benefit of ensuring each licensee is  
          paying a fee that directly correlates to the actual initial  
          license period, eliminating inequities between licensees.  It  
          also continues to accommodate the administrative workloads of  
          the entities.  However, the licensing entities under the DCA are  
          special fund agencies, meaning that they receive no  
          appropriations from the general fund and are funded solely  








                                                                    ACR 131


                                                                     Page 6





          through licensing and enforcement fees.  This means that a pro  
          rata formula could have an impact on revenues.  


          Alternatively, switching back to a biennial renewal schedule  
          would again cause the large peaks in renewal processing.   
          Although some entities report that the peaks have leveled out  
          over time, it may still impact administrative workload.  


          Given that the underlying purpose of the birth month renewal  
          program was to stagger the timing of renewals, other solutions  
          might include adjustments to the timing of initial applications.  
           This might include authorizing entities to limit the number of  
          applications accepted during a specified time period or to  
          provide temporary, limited licenses while licensees wait for  
          their birth month.   The downside to these mechanisms is that  
          they may have a negative impact on waiting applicants.  


          Since each licensing entity is unique, the benefit and burden of  
          each solution would have to be contemplated by the individual  
          entity and its stakeholders.


          Authority to Adjust Fees.  Under existing law, it is not clear  
          whether licensing entities under the DCA can promulgate  
          regulations to pro rate or collect variable fees without the  
          statutory authority to do so.  For example, BPC § 2435 provides  
          that the biennial renewal fee for a physician and surgeon's  
          license "shall be fixed by the Medical Board of California (MBC)  
          consistent with this section and shall not exceed seven hundred  
          ninety dollars ($790)."  The term "fixed" could be interpreted  
          to mean that the MBC cannot vary the fee between licensees. 


          Even if the MBC's or other entities' practice act could be  
          interpreted to allow additional renewal formulas, context  
          suggests otherwise-there are entities that have explicit  








                                                                    ACR 131


                                                                     Page 7





          statutory authority to use pro rata formulas, including the MBC  
          when approving physician and surgeon supervisors of physician  
          assistants (PAs).  BPC § 3522 provides that the MBC "shall  
          establish a cyclical renewal program, including, but not limited  
          to, the establishment of a system of staggered expiration dates  
          for approvals and a pro rata formula for the payment of renewal  
          fees by physician and surgeon supervisors."  Therefore, MBC has  
          the specific authority to establish a pro rata formula for that  
          specific class of licensee.  This suggests that, since similar  
          language is lacking for other licensees, the MBC's authority is  
          limited by the statute.


          Similarly, BPC § 3523 provides that the Physician Assistant  
          Board (PAB) "shall establish by regulation procedures for the  
          administration of a birthdate renewal program, including, but  
          not limited to, the establishment of a system of staggered  
          license expiration dates and a pro rata formula for the payment  
          of renewal fees by PAs affected by the implementation of the  
          program."  


          Further, all entities appear to be required to prorate initial  
          license fees in certain situations.  BPC § 134 provides that  
          "[w]hen the term of any license issued by any agency in the  
          department exceeds one year, initial license fees for licenses  
          which are issued during a current license term shall be prorated  
          on a yearly basis."


          Therefore, since there are instances of specific statutory  
          authority for entities to establish pro rata formulas, it is not  
          clear that entities without similar statutory language can  
          promulgate regulations establishing alternative fee formulas  
          without a statutory change.


          Impact of BreEZe.  In 2013, the DCA implemented the BreEZe  
          program, an online information technology program created to  








                                                                    ACR 131


                                                                     Page 8





          assist licensing entities with licensing and other pertinent  
          functions.  Last year, the DCA anticipated that implementing a  
          pro rata formula would be impacted by the DCA BreEZe program.   
          During prior sunset review hearings, many entities under the DCA  
          noted that BreEZe can be inflexible. Therefore, it is unclear  
          whether BreEZe can be easily modified to accommodate new renewal  
          formulas in addition to other changes entities might need. 


          Prior Related Legislation.  AB 773 (Baker), Chapter 336,  
          Statutes of 2015, switched psychology license renewals from a  
          birth month renewal to a biennial renewal program.


          AB 483 (Patterson) of 2015 would have required that the fees for  
          an initial license, an initial temporary or permanent license,  
          an original license, or a renewal for specified regulatory  
          entities, be prorated on a monthly basis.  NOTE: This bill was  
          vetoed by Governor Brown because an equitable licensing fee  
          policy "can be crafted more carefully and thoughtfully through  
          regulation."


          AB 1758 (Patterson) of 2014 would have required that the fee for  
          an initial temporary or permanent license or an original license  
          be prorated on a monthly basis and authorized the licensing  
          entities to impose an additional fee to cover the reasonable  
          costs of issuing an initial or original license that expires in  
          less than 12 months.  NOTE: This bill was held in the Senate  
          Appropriations Committee.


          SB 1236 (Price), Chapter 332, Statutes of 2012, among other  
          things, required the MBC to establish a pro rata formula for the  
          payment of renewal fees by physician and surgeon supervisors of  
          PAs and required the PAB to establish a pro rata formula for the  
          payment of renewal fees by PAs.










                                                                    ACR 131


                                                                     Page 9







          Analysis Prepared by:Vincent Chee / B. & P. / (916) 319-3301