BILL ANALYSIS                                                                                                                                                                                                    Ó



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          Date of Hearing:  April 28, 2015


                   ASSEMBLY COMMITTEE ON BUSINESS AND PROFESSIONS


                                Susan Bonilla, Chair


          AB 178  
          (Bonilla) - As Amended April 22, 2015


          SUBJECT:  Board of Vocational Nursing and Psychiatric  
          Technicians of the State of California.


          SUMMARY:  Removes the requirement that the executive officer of  
          the Board of Vocational Nursing and Psychiatric Technicians  
          (BVNPT) be a licensed vocational nurse, registered nurse, or  
          psychiatric technician, requires the director of the Department  
          of Consumer Affairs (DCA) to appoint an enforcement program  
          monitor (monitor) no later than October 1, 2015, and requires  
          the DCA's internal audit unit to review the BVNPT's staffing  
          resources needs and requirements


          EXISTING LAW:


          1)Provides for the licensure and regulation of vocational nurses  
            and psychiatric technicians by the BVNPT and extends the  
            operation of the BVNPT until January 1, 2016.  (Business and  
            Professions Code (BPC) § 2840-2895.5)


          2)Requires the BVNPT, among other things, to appoint an  
            executive officer and requires the executive officer to be a  
            licensed vocational nurse, registered nurse, or psychiatric  








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            technician.  (BPC § 2847)


          THIS BILL:


          3)Removes the requirement that the executive officer be a  
            licensed vocational nurse, registered nurse, or psychiatric  
            technician. 
          4)Requires the director of the DCA to appoint the monitor no  
            later than October 1, 2015. 


          5)Requires the monitor to monitor and evaluate the vocational  
            nursing and psychiatric technician system and procedures for a  
            period of no more than 2 years, as specified. 


          6)Requires the monitor to submit a report of his or her findings  
            and conclusions to the Legislature, the DCA, and the BVNPT by  
            April 1, 2016, subsequent reports by October 1, 2016, and  
            February 1, 2017, and a final report by August 1, 2017. 


          7)Requires the BVNPT and its staff to cooperate with the  
            monitor. 


          8)Requires the DCA's internal audit unit to review the BVNPT's  
            staffing resources needs and requirements, and require the  
            Director of the DCA to provide the Legislature with a copy of  
            the review no later than October 1, 2016. 


          9)Repeals the provisions on January 1, 2018. 


          10)States that no reimbursement is required by this act for a  
            specified reason.








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


          COMMENTS:


          11)Purpose.  This bill is one of five author-sponsored sunset  
            bills.  According to the author, "This bill is necessary to  
            ensure that consumers continue to be protected through the  
            ongoing licensure and regulation of the [BVNPT]."
          12)Background.  The BVNPT is responsible for administering the  
            laws related to the education, practice and discipline of  
            Licensed Vocational Nurses (LVNs) and Psychiatric Technicians  
            (PTs). The LVN program was established in 1951 and the PT  
            program was established in 1959. The PT Certification Program  
            was placed under this Board's jurisdiction due to the unique  
            mental health and nursing care functions performed by PTs.


          The Board oversees two distinct licensure programs, each with  
            separate statutes, regulations, budget authority, curriculum  
            requirements, examinations, and staff.  Specifically, the  
            Board regulates the practice of approximately 129,515 LVNs and  
            13,469 PTs, the largest groups of LVNs and PTs in the nation.   
            The Board also approves 182 VN Programs and 17 PT Programs in  
            the State of California.


          Joint Oversight Hearings and Sunset Review of DCA Licensing  
            Boards.  In March of 2015, the Assembly Business and  
            Professions Committee and the Senate Business, Professions and  
            Economic Development Committee (Committees) conducted multiple  
            joint oversight hearings to review 10 regulatory boards and  
            other entities within the DCA.  This and other sunset bills  
            are intended to implement legislative changes recommended in  
            the respective background reports drafted by the Committees  








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            for all of the agencies reviewed this year.


          The Sunset Review Process.  The Sunset Review Oversight process  
            provides a formal mechanism for the DCA; the Legislature; the  
            regulatory boards, bureaus and committees; interested parties;  
            and stakeholders to make recommendations for improvements to  
            the authority of consumer protection boards and bureaus. This  
            is performed on a standard four-year cycle and was mandated by  
            SB 2036 (McCorquodale), Chapter 908, Statutes of 1994.  Each  
            eligible agency is required to submit to the Committees a  
            report covering the entire period since last reviewed that  
            includes, among other things, the purpose and necessity of the  
            agency and any recommendations of the agency for changes or  
            reorganization in order to better fulfill its purpose.  During  
            the Sunset Review Oversight hearings, the Committees take  
            public testimony and evaluate the eligible agency prior to the  
            date the agency is scheduled to be repealed.  An eligible  
            agency is allowed to sunset unless the Legislature enacts a  
            law to extend, consolidate, or reorganize the eligible agency.  
             The legislation pertaining to this bill was based on specific  
            issues raised and addressed in the background report prepared  
            by the Assembly Business and Professions Committee.  


          Continued Management of the BVNPT.  Since the inception of the  
            Sunset Review Oversight process, there have been occasions  
            when the operations of a licensing entity are called into  
            question and require additional scrutiny.  This is typically  
            in response to information that is presented to the  
            Legislature that warrants further investigation. The Committee  
            staff believes that this is the case with the BVNPT Board.  As  
            a result, this bill will enlist the support of the DCA's  
            Internal Audit Office and the DOI for immediate intervention.  
            In addition, it will also place an enforcement monitor within  
            the BVNPT to observe the activities for two years.


          13)Prior Related Legislation. SB 539 (Price), Chapter 338,  








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            Statutes of 2011, among other things, extended the operation  
            of the BVNPT until January 1, 2016, specified that the BVNPT  
            would be subject to review by the appropriate policy  
            committees of the Legislature.


          AMENDMENTS:


          1)In order for the provisions of this bill to go into effect  
            immediately, an urgency clause is needed. As such, the author  
            should add the following:


              Add language to declare the bill an urgency measure that  
            should take effect immediately.


          2)Dental Board of California amendments: 


               BPC Section 1752.1: Add subdivision (i):  (i) This section  
               shall become operative on July 1, 2017. 


           3)BPC Section 1752.1: 





          In paragraph (1) of subdivision (a), delete:  and practical  


              In paragraph (2) of subdivision (a), delete:  and practical  


               Add subdivision (i):  (i) The board shall, in consultation  
               with the Office of Professional Examination Services,  








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               conduct a review to determine whether a practical  
               examination is necessary to demonstrate competency of  
               registered dental assistants, and if so, how this  
               examination should be developed and administered.  The  
               board shall submit its review and determination to the  
               appropriate policy committees of the Legislature by July 1,  
               2017. 


                Add subdivision (j):  (j) This section shall become  
               inoperative on July 1, 2017, and as of January 1, 2018, is  
               repealed, unless a later enacted statute, that becomes  
               operative on or before January 1, 2018, deletes or extends  
               the dates on which it becomes inoperative and is repealed.


           4)BPC Section 1752.3: Add subdivision (c):  (c) This section  
            shall become operative on July 1, 2017.


             


          5)BPC Section 1752.3: delete this section. 







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















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