BILL ANALYSIS                                                                                                                                                                                                    Ó



          SENATE COMMITTEE ON
          BUSINESS, PROFESSIONS AND ECONOMIC DEVELOPMENT
                              Senator Jerry Hill, Chair
                                2015 - 2016  Regular 

          Bill No:            ACR 131         Hearing Date:    June 20,  
          2016
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          |Author:   |Patterson                                             |
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          |Version:  |June 13, 2016                                         |
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          |Urgency:  |                       |Fiscal:    |Yes              |
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          |Consultant|Bill Gage                                             |
          |:         |                                                      |
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            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 the boards, bureaus and other  
             licensing entities within the DCA and establishes fees and  
             schedules for initial licensure and renewal of licenses. 
          (Business and Professions Code (BPC) §§ 100-11506)
          2) Provides that when the term of any license issued by any  
             agency within DCA exceeds one year, initial license fees for  
             licenses which are issued during a current license term shall  
             be prorated on a yearly basis.  (BPC § 134)

          3) Provides that notwithstanding any other provision within the  
             BPC, each board within the DCA shall, in cooperation with the  
             Director of the DCA, establish such license periods and  
             renewal dates for all licenses in such manner as best to  
             distribute the renewal work of all boards throughout each  
             year and permit the most efficient, and economical use of  
             personnel and equipment.  (BPC § 152.6)

          4) Provides to the extent practicable, provision shall be made  







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             for the proration or other adjustment of fees in such manner  
             that no person shall be required to pay a greater or lesser  
             fee than he would have been required to pay if the change in  
             license periods or renewal dates had not occurred.  (Id.)

          This resolution:

          1)Declares that existing law provides for the licensure and  
             regulation of various professions and vocations by boards,  
             bureaus, and committees within the DCA.
          2)Declares that the mission of many of the licensing entities is  
             to protect people and promote the health and safety of  
             Californians through the licensing programs.


          3)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.


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


          5)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.


          6)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  
             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.








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          7)Declares that the Legislature 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 AB 483 of 2015-16  
             Regular Session, which was unanimously passed by the Senate  
             and passed by the Assembly with a vote of 78-0.


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


          9)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 regard to initial and  
             ongoing license fees.


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



          FISCAL  
          EFFECT:  This bill is keyed "fiscal" by the Legislative Counsel.  
            According to the Assembly Appropriations Committee analysis  
          dated April 13, 2016, DCA has identified five programs that  
          issue licenses based on birth months but do not prorate fees,  
          resulting in some licensees having an initial licensure period  
          of just over one year, with others having up to a full two years  
          for the same fee.  According to the analysis, should DCA  
          implement changes likely recommended as a result of this  
          resolution, there would be reduced fee revenues of $686,000 to  
          the Medical Board of California, unknown reduced fee revenues,  
          likely exceeding $650,000, to the Board of Registered Nursing,  
          unknown reduced fee revenues, likely less than $100,000, to the  
          Board of Pharmacy, reduced fee revenues of approximately $22,000  
          to the Dental Hygiene Committee and minor and absorbable costs  
          to the Board of Chiropractic Examiners.  The analysis notes that  
          this bill would also result in absorbable costs of approximately  
          $50,000 to DCA to implement necessary IT changes as well as  








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          minor and absorbable costs to the impacted boards to change  
          business processes, forms, and materials.
          

          COMMENTS:
          
          1. Purpose.  This resolution is sponsored by the Author.   
             According to the Author, this resolution recognizes the many  
             professionals in 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.

          The Author further states that current law requires that some  
             license expire on either the last day of the birth month of  
             the licensee or at 12:00 am on the birth date of the licensee  
             during the second year of a two year term.  Professionals  
             affected by this rule include architects, acupuncturists,  
             dental hygienists, dentists, occupational therapists,  
             osteopathic physicians and surgeons, registered veterinary  
             technicians and veterinarians.  Other licenses have different  
             policies that are equitable to each licensee such as a two  
             year licensure from the initial date of licensure with a  
             renewal every two years from that date.  As indicated by the  
             Author, "the problem with this current birth month system is  
             that some professionals are required to renew their licenses  
             within just a few months or even weeks after it has been  
             issued to them.  This is unfair because they are forced to  
             pay the same amount as somebody who has had their license for  
             an entire 1-2 year term."

          2. 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. 









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          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,  
             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. 

          3. Potential Changes to Fee Structure.  There are a few  
             potential changes which could be made so that some licensees  
             would not have to pay a full renewal or initial license fee  
             when their initial license period is not as long as other  
             licensees: 1) use 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) switch back to a  
             biennial renewal schedule; or, 3) adjust the initial  








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             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  
             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 change to its fee structure would have to be  
             contemplated by the individual entity and its stakeholders.

          4. Would Licensing Entities Have to Seek 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. 









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          Even if the MBC's authority could be interpreted to allow  
             additional renewal formulas, context suggests otherwise-there  
             are entities that have explicit 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.
          
          5. Impact on BreEZe Program.  In 2013, the DCA implemented the  
             BreEZe program, an online information technology program  
             created to 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  








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             modified to accommodate new renewal formulas in addition to  
             other changes entities might need. 

          6. Prior 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.   
             (  Status  : 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.  (  Status  : 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.

          7. Technical Amendment.  To assure consistency in the use of the  
             term "committees" rather than use of the term "commissions,"  
             which describes the agencies and entities within the DCA,  
             make the following change:

          On page 3, line 12, strike "commissions" and insert instead  
             "  committees  "


          SUPPORT AND OPPOSITION:
          
           Support:  None on file as of June 14, 2016.

           Opposition:  None on file as of June 14, 2016.









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