BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                     AB 483


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          Date of Hearing:  April 21, 2015


                   ASSEMBLY COMMITTEE ON BUSINESS AND PROFESSIONS


                                Susan Bonilla, Chair


          AB 483  
          (Patterson) - As Amended April 9, 2015


          SUBJECT:  Healing arts:  initial license fees:  proration.


          SUMMARY:  Requires 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.


          EXISTING LAW:


          1)Provides for the regulation and licensure of various  
            professions and vocations by boards within the Department of  
            Consumer Affairs (DCA). (Business and Professions Code (BPC)  
            §§ 100-11506)
          2)Establishes fees for initial licenses, initial temporary and  
            permanent licenses, and original licenses for various  
            professions and vocations, as follows: 


             a)   Requires the Dental Board of California (DBC) to  
               establish the charges and fees for dentists and prohibits  
               the initial license fee and the renewal fee from exceeding  
               five hundred twenty-five dollars ($525). (BPC §1724)
             b)   Requires the Dental Hygiene Committee of California to  








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               establish licensing fees for dental hygienists, prohibits  
               the initial license fee from exceeding two hundred fifty  
               dollars ($250), and provides that a dental hygienist  
               license, unless specifically excepted, expires at 12  
               midnight on the last day of the month of the legal birth  
               date of the licensee during the second year of a two-year  
               term, if not renewed. (BPC §§ 1935, 1944)


             c)   Requires the Medical Board of California (MBC) to  
               establish the application and license fee for a physician  
               and surgeon, prohibits the initial license fee and the  
               biennial renewal fee from exceeding seven hundred ninety  
               dollars ($790), and provides that all physician and  
               surgeon's certificates expire at 12 midnight on the last  
               day of the birth month of the licensee during the second  
               year of a two-year term, if not renewed, and requires the  
               Division of Licensing to establish regulatory procedures  
               for the administration of a birth date renewal program.  
               (BPC §§ 2423, 2435, 2456.1)


             d)   Prohibits the initial temporary license fee and the fee  
               for renewal of a temporary license for hearing aid  
               dispenser licensees from exceeding one hundred dollars  
               ($100) and the initial permanent license fee and the fee  
               for renewal of a permanent license from exceeding two  
               hundred eighty dollars ($280), and provides that all  
               licenses expire at 12 midnight of the last date of the  
               birth month of the licensee during the second year of a  
               two-year term, if not renewed. (BPC §§ 2535, 2538.57)


             e)   Requires the California Board of Occupational Therapy  
               (BOT) to establish the initial license and renewal fee for  
               an occupational therapist and limits the fee to one hundred  
               fifty dollars ($150) per year; and provides that any  
               license is subject to renewal as prescribed by the BOT.  
               (BPC §§ 2570.10, 2570.16)








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             f)   Provides that licenses for physical therapists expire at  
               12 midnight on the last date of the birth month of the  
               licensee during the second year of a two-year term, if not  
               renewed, and prohibits the Physical Therapy Board of  
               California (PTB) from establishing a license fee that  
               exceeds one hundred fifty dollars ($150). (BPC §§ 2644,  
               2688)


             g)   Requires the California Veterinary Medical Board (VMB)  
               to set an initial license fee for veterinarians not to  
               exceed five hundred dollars ($500), and to set the initial  
               fee for veterinary technicians not to exceed three hundred  
               fifty dollars ($350), except that, if the license is issued  
               less than one year before the date on which it will expire,  
               then the fee shall be set by the VMB at not more than one  
               hundred seventy-five dollars ($175). (BPC §§ 4842.5, 4905)


             h)   Requires the VMB to establish procedures for the  
               administration of the birth date renewal program, including  
               the establishment of a pro rata formula for the payments of  
               fees, and provides that all licenses and registrations  
               expire at 12 midnight on the last date of the birth month  
               of the registrant during the second year of a two-year  
               term, if not renewed. (BPC § 4900)


             i)   Provides that the initial license fee for an  
               acupuncturist not exceed three hundred twenty five dollars  
               ($325), provides that licenses shall expire on the last day  
               of the birth month of the licensee during the second year  
               of a two-year term, if not renewed, and requires the  
               California Acupuncture Board (CAB) to establish and  
               administer a birth date renewal program. (BPC §§ 4965,  
               4970)









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             j)   Requires the California Architecture Board to fix the  
               initial license fee for an architect that is equal to the  
               renewal fee in effect at the time the license is issued,  
               and provides that license shall expire at 12 midnight on  
               the last day of the birth month of the license holder in  
               each odd-numbered year following the issuance or renewal of  
               the license. (BPC §§ 5600, 5604)


          THIS BILL:


          1)Requires that the fees imposed for an initial license, an  
            initial temporary or permanent license, an original license,  
            or a renewal be prorated on a monthly basis for the following  
            licenses:
             a)   Dentist;
             b)   Dental hygienist;


             c)   Physician and surgeon;


             d)   Osteopathic physician and surgeon;


             e)   Hearing aid dispenser;


             f)   Occupational therapist or occupational therapy  
               assistant;


             g)   Physical therapist;


             h)   Registered veterinary technician;









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             i)   Veterinarian;


             j)   Acupuncturist; and,


             aa)  Architect.


          2)Makes other minor and technical changes. 
          FISCAL EFFECT:  Unknown. This bill is keyed fiscal by the  
          Legislative Counsel.


          COMMENTS:


          1)Purpose.  This bill is author sponsored.  According to the  
            author, "[This bill] will decrease financial burdens on  
            newly-licensed professionals in our state.  Current law in  
            California states that initial licenses for certain  
            professions? expire on the last day of a licensee's birth  
            month on the second year of their second term." 
            For example, a constituent in my district? was notified that  
            her brand-new license expired in three weeks, due to her birth  
            date, and that she had to pay a full $160 renewal fee.  This  
            occurred only a few months after she paid $575 for her state  
            exam and application and $100 for her initial license.


            Various licensing agencies have tried to remedy this issue,  
            but this piecemeal approach still means that licensees in some  
            professions pay far more than is appropriate for the duration  
            of their initial license.  [This bill] would standardize  
            initial licensing fees across state-licensed professions that  
            follow a birth month renewal policy.  [This bill] makes a  
            common-sense change to a policy that can adversely affect  
            young professionals who are just starting out in their  








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            careers."


          2)Background.  Many of the boards within the DCA have  
            implemented a birth date renewal program to calculate license  
            expiration dates.  Under the program, a license expires on the  
            licensee's birth date or on the last day of the licensee's  
            birth month on the second year of a two-year renewal term.  
            For many boards, licensees submit applications for licensure  
            at the same time (e.g. because of the timing of exams).  This  
            causes boards to have a large number of applications for  
            initial licenses during peak times.  As a result, many boards  
            now renew licenses based on birth date, rather than the date  
            the license was issued, which helps prevent the boards from  
            processing large numbers of applications or renewals at one  
            time.  Depending on the board, the initial license period can  
            vary from a few months up to 24 months, depending on the  
            applicant's birth month.


            Existing License Fee Pro Rata Formulas.  Currently, there are  
            boards that use an initial license fee pro rata formula. The  
            California Board of Psychology (BOP) and the VMB are required  
            by statute to establish a birth date renewal program that  
            includes a pro rata formula for the payment of fees.  The CAB  
            voluntarily established a pro rata formula through regulation.  



            The BOP was initially included in this bill but requested to  
            be excluded from this bill because AB 773 (Baker), of this  
            legislative session, would revise the licensure renewal  
            program for psychologists to a two-year renewal program based  
            on application date.


            The VMB uses a yearly pro rata formula.  For a license that is  
            valid for less than one year, a licensee pays half the initial  
            license fee.  For a license that is valid between one to two  








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            years, a licensee pays the full fee.  


            The CAB has used a formula for an initial license that pro  
            rates fees on a monthly basis.  According to the CAB, its pro  
            rata formula has been in place for over a decade and continues  
            to operate well.  While there are boards that currently use  
            pro rata formulas, this bill would create a consistent system  
            for all the boards. 


          3)Current Related Legislation.  AB 773 (Baker) of the current  
            legislative session, will change the expiration date of a  
            psychologist's license from the licensee's birthdate to  
            two-years after the date of issuance.  STATUS: This bill is  
            pending in the Assembly Appropriations Committee.
          4)Prior Related Legislation.  AB 1758 (Patterson), would have  
            required that the fee for an initial temporary or permanent  
            license or an original license be prorated on a monthly basis.  
            It was amended in appropriations to authorize a board or  
            committee to impose an additional fee to cover the reasonable  
            costs of issuing an initial or original license that expires  
            in less than 12 months. NOTE: This bill was held in the Senate  
            Appropriations Committee.


          ARGUMENTS IN SUPPORT: 


          The California Physical Therapy Association writes in support,  
          "By charging licensees a pro-rated amount of the licensure fee  
          based on how many month have elapsed between initial license  
          issuance and their birth date renewal, AB 483 will even the  
          playing field for licensees in professions that must comply with  
          the birth month renewal policy." 


          The Fresno Chamber of Commerce writes in support, "The [BPC]  
          links license renewals for numerous professions? to birth dates  








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          instead of license issuance dates. For many professionals, their  
          license may expire only a few months after they first receive  
          it, forcing them to spend hundreds of extra dollars."


          ARGUMENTS IN OPPOSITION:


          None on file.


          IMPLEMENTATION ISSUE:


          The DCA anticipates that implementing pro rata formulas will  
          have an impact on BreEZe, the new information technology program  
          created to assist regulatory boards in licensing and other  
          pertinent functions.  However, the DCA is unsure of what the  
          impact will be and it is currently looking into the issue. 


          REGISTERED SUPPORT:





          California Physical Therapy Association


          Fresno Chamber of Commerce


          2 Individuals




          REGISTERED OPPOSITION:








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          None on file.




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