BILL ANALYSIS                                                                                                                                                                                                    Ó



          SENATE COMMITTEE ON APPROPRIATIONS
                             Senator Ricardo Lara, Chair
                            2015 - 2016  Regular  Session

          AB 178 (Bonilla) - Board of Vocational Nursing and Psychiatric  
          Technicians of the State of California:  executive officer:   
          enforcement program monitor
          
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          |Version: June 24, 2015          |Policy Vote: B., P. & E.D. 7 -  |
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          |Urgency: Yes                    |Mandate: Yes                    |
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          |Hearing Date: July 13, 2015     |Consultant: Brendan McCarthy    |
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          This bill meets the criteria for referral to the Suspense File.

          Bill  
          Summary:  AB 178 would suspend the practical examination  
          requirement for licensure as a registered dental assistant until  
          July 1, 2017. The bill would require the Director of Consumer  
          Affairs to appoint an enforcement program monitor over the  
          licensing enforcement program of the Board of Vocational Nursing  
          and Psychiatric Technicians.


          Fiscal  
          Impact:  
           One-time costs of $140,000 to change the information  
            technology systems used by the Dental Board of California to  
            accommodate the suspension of the practical examination (State  
            Dentistry Fund). The cost to modify information technology  
            systems includes changes to the system currently in use by the  
            Dental Board and updates to the BreEZe system, which the  
            Dental Board will begin using to process licensing  
            applications and renewals in 2016.







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           No significant additional costs are anticipated to review the  
            current practical examination in use by the Dental Board, as  
            the Board has already begun this process.

           Annual costs of about $180,000 per year to support the  
            Executive Officer position at the Board of Vocational Nursing  
            and Psychiatric Technicians, including salary, benefits, and  
            overhead costs (Vocational Nursing and Psychiatric Technicians  
            Fund). Current law sunsets the statutory authority for the  
            Executive Officer position on January 1, 2016. This bill  
            extends the authority to employ this position until January 1,  
            2018.

           Total costs of about $350,000 over three fiscal years to  
            employ an enforcement program monitor over the enforcement  
            program at the Board of Vocational Nursing and Psychiatric  
            Technicians (Vocational Nursing and Psychiatric Technicians  
            Fund).


          Background:  Under current law, applicants for licensure as a registered  
          dental assistant must meet specified educational requirements  
          and work experience as a dental assistant. In addition,  
          applicants must pass both a written and practical examination  
          administered by the Dental Board of California.  In August of  
          2014, the Dental board recalibrated the practical examination.  
          Subsequent to that change, the pass rate for applicants dropped  
          from over 80% in recent years to between 19% and 38% over the  
          last several exam cycles. The Dental Board is currently in the  
          process of pursuing an occupational analysis to validate the  
          practical exam (to ensure that the practical examination  
          accurately tests the skills gained during practical work  
          experience and are necessary for the practice of dental  
          assistance.)
          The Board of Vocational Nursing and Psychiatric Technicians  
          underwent a sunset review by the Legislature in 2014. Through  
          that process, serious issues were raised about the Board's  
          enforcement of its licensing requirements.




          Proposed Law:  








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            AB 178 would suspend the practical examination requirement for  
          licensure as a registered dental assistant until July 1, 2017.  
          The bill would require the Director of Consumer Affairs to  
          appoint an enforcement program monitor over the licensing  
          enforcement program of the Board of Vocational Nursing and  
          Psychiatric Technicians.
          Specific provisions of this bill would:
                 Suspend the practical examination requirement for  
               registered dental assistant applicants until July 1, 2017;
                 Require the Dental Board of California to conduct a  
               review of the necessity of requiring a practical  
               examination as part of the licensing process for registered  
               dental assistants;
                 Extend the sunset on the statutory authority for the  
               Board of Vocational Nursing and Psychiatric Technicians to  
               employ an Executive Officer to January 1, 2018;
                 Delete the requirement that the Executive Officer by a  
               licensed vocational nurse, licensed professional nurse, or  
               licensed psychiatric technician;
                 Require the Director of Consumer Affairs to appoint an  
               enforcement program monitor over the Board of Vocational  
               Nursing and Psychiatric Technicians no later than October  
               1, 2015;
                 Require the enforcement program monitor to be in place  
               for no more than two years;
                 Require a report from the enforcement program monitor to  
               the Legislature;
                 Sunset the authority for the enforcement program monitor  
               on January 1, 2018;
                 Require the Board of Vocational Nursing and Psychiatric  
               Technicians to review and report on the Board's staffing  
               resources.

          This bill is an urgency measure.


          Related  
          Legislation:  AB 179 (Bonilla and Hill) would extend the  
          operation of the Dental Board of California until January 1,  
          2020 and would extend the operation of the Board of Vocational  
          Nursing and Psychiatric Technicians until January 1, 2018. That  
          bill will be heard in this committee.










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