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 ----------------------------------------------------------------- |Author: |Patterson | |----------+------------------------------------------------------| |Version: |June 13, 2016 | ----------------------------------------------------------------- ---------------------------------------------------------------- |Urgency: | |Fiscal: |Yes | ---------------------------------------------------------------- ----------------------------------------------------------------- |Consultant|Bill Gage | |: | | ----------------------------------------------------------------- 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 ACR 131 (Patterson) Page 2 of ? 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. ACR 131 (Patterson) Page 3 of ? 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 ACR 131 (Patterson) Page 4 of ? 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. ACR 131 (Patterson) Page 5 of ? 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 ACR 131 (Patterson) Page 6 of ? 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. ACR 131 (Patterson) Page 7 of ? 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 ACR 131 (Patterson) Page 8 of ? 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. ACR 131 (Patterson) Page 9 of ? -- END --