BILL ANALYSIS Ó AB 483 Page 1 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 AB 483 Page 2 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) AB 483 Page 3 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) AB 483 Page 4 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; AB 483 Page 5 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 AB 483 Page 6 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 AB 483 Page 7 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 AB 483 Page 8 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: AB 483 Page 9 None on file. Analysis Prepared by:Vincent Chee / B. & P. / (916) 319-3301