BILL ANALYSIS                                                                                                                                                                                                    Ó



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

          AB 179 (Bonilla) - Healing arts
          
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          |Version: June 30, 2015          |Policy Vote: B., P. & E.D. 7 -  |
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          |Urgency: No                     |Mandate: No                     |
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          |Hearing Date: August 27, 2015   |Consultant: Brendan McCarthy    |
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          *********** ANALYSIS ADDENDUM - SUSPENSE FILE ***********
             The following information is revised to reflect amendments 
                     adopted by the committee on August 27, 2015


          Bill  
          Summary:  AB 179 would extend the statutory sunset on the Dental  
          Board of California until January 1, 2020 and increase the  
          statutory caps on fees assessed by the Dental Board. The bill  
          would extend the statutory sunset of the Board of Vocational  
          Nursing and Psychiatric Technicians until January 1, 2018 and  
          merge the Vocational Nurses Account and the Psychiatric  
          Technician Examiners Account. The bill would suspend the  
          practical examination requirement for licensure as a registered  
          dental assistant until July 1, 2017.


          Fiscal  
          Impact:  
           No significant costs are anticipated due to the extension of  
            the sunset on the Dental Board of California (State Dentistry  
            Fund). Current law imposes a sunset on the existence of the  







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            Dental Board as an appointed board. However, there is no  
            sunset on the larger body of law requiring licensure and  
            oversight of the practice of dentistry. If the Dental Board  
            was allowed to sunset, the overall licensing and regulatory  
            program would still exist in law.

           Significant increases in licensing fee revenues to the Dental  
            Board are possible under the bill (State Dentistry Fund). The  
            bill authorizes the Dental Board, through regulation, to raise  
            a number of licensing fees currently capped in statute. If the  
            Board were to raise the fees to the maximum level authorized  
            in the bill, additional annual revenues would be about $2.8  
            million per year for dentist licensing fees and $2.7 million  
            per year for other regulatory fees (State Dentistry Fund). The  
            actual amount of fee revenue collected by the Board will  
            depend on the actual fee levels set through regulation.

           No significant costs are anticipated due to the extension of  
            the sunset on the Board of Vocational Nursing and Psychiatric  
            Technicians (Vocational Nursing and Psychiatric Technicians  
            Fund). Current law imposes a sunset on the existence of the  
            Board of Vocational Nursing and Psychiatric Technicians as an  
            appointed board. However, there is no sunset on the larger  
            body of law requiring licensure and oversight of the practice  
            of vocational nurses or psychiatric technicians. If the Board  
            of Vocational Nursing and Psychiatric Technicians was allowed  
            to sunset, the overall licensing and regulatory program would  
            still exist in law.

           No significant fiscal impact on licensing fees is anticipated  
            due to the merger of the Vocational Nurses Account and the  
            Psychiatric Technician Examiners Account. The Board operates  
            the licensing and enforcement programs for vocational nurses  
            and psychiatric technicians as one administrative program.  
            Thus the current practice of separating licensing fees into  
            separate accounts does not reflect the Board's current  
            business practices. Merging the two accounts is not  
            anticipated to require licensing fees from one group of  
            licensees to subsidize another group of licensees.

           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  








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            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.

           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.


          Author  
          Amendments:  Suspend the practical examination requirement for  
          registered dental assistant applicants until July 1, 2017 and  
          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. [Those  
          provisions were formerly included in AB 178 (Bonilla)]. 





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