BILL ANALYSIS                                                                                                                                                                                                    Ó






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          |SENATE RULES COMMITTEE            |                        AB 483|
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                                   THIRD READING 


          Bill No:  AB 483
          Author:   Patterson (R), et al.
          Amended:  9/2/15 in Senate
          Vote:     21  

           SENATE BUS, PROF. & ECON. DEV. COMMITTEE:  8-0, 6/29/15
           AYES:  Hill, Bates, Block, Galgiani, Hernandez, Jackson,  
            Mendoza, Wieckowski
           NO VOTE RECORDED:  Berryhill

           SENATE APPROPRIATIONS COMMITTEE:  7-0, 8/17/15
           AYES:  Lara, Bates, Beall, Hill, Leyva, Mendoza, Nielsen

           ASSEMBLY FLOOR:  78-0, 6/2/15 - See last page for vote

           SUBJECT:   Healing arts:  initial license fees:  proration


          SOURCE:    Author

          DIGEST:   This bill prorates the initial license fee on a  
          monthly basis, beginning July 1, 2017, for a dentist, registered  
          dental hygienist, registered dental hygienist in alternative  
          practice, registered dental hygienist in extended functions,  
          osteopathic physician and surgeon, occupational therapist,  
          registered veterinary technician, veterinarian, acupuncturist,  
          and architect. 

          Senate Floor Amendments of 9/2/15 delay implementation until  
          July 1, 2017 and add double-joining language to avoid chaptering  
          issues with SB 800 (Committee on Business, Professions and  
          Economic Development) and AB 179 (Bonilla). 









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          ANALYSIS:
               
          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) 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 $525. (BPC  
             §1724)

           3) Specifies that dental licenses expire at 12 midnight on the  
             legal birth date of a licentiate of the DBC during the second  
             year of a two-year term if not renewed.  (BPC § 1715)

           4) Requires the DBC to establish procedures for the  
             administration of the birth date renewal program, including,  
             but not limited to, the establishment of a pro rata formula  
             for the payment of fees by licentiates affected by the  
             implementation of such program and the establishment of a  
             system of staggered license expiration dates such that a  
             relatively equal number of licenses expire annually.  (BPC §  
             1715)

           5) Prorates the initial license fee for a dentist. (Title 16  
             California Code of Regulations § 1021)

           6) Requires the Dental Hygiene Committee of California (DHCC)  
             to establish licensing fees for dental hygienists, prohibits  
             the initial license fee from exceeding $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)

           7) Requires the Osteopathic Medical Board of California (OMBC)  
             to establish fees for a biennial license fee to not exceed  
             $400, and requires the OMBC to set a biennial license fee in  
             an amount less than the full amount for applicants who  
             indicate in writing that he or she does not intend to  
             practice during the renewal period.  (BPC § 2455)







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           8) States that all osteopathic physicians' and surgeons'  
             certificates expire at midnight on the last day of the birth  
             month of the licensee during the second year of a two-year  
             term if not renewed on or before that day.  (BPC § 2456.1)

           9) 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 $150 per year,  
             and provides that any license is subject to renewal as  
             prescribed by the BOT.  (BPC §§ 2570.10, 2570.16)

           10)Requires the California Veterinary Medical Board (VMB) to  
             set an initial license fee for veterinarians not to exceed  
             $500, and to set the initial fee for veterinary technicians  
             not to exceed $350; if a license is issued less than one year  
             before the date on which it will expire, the fee is half of  
             the original amount.  (BPC §§ 4842.5, 4905)

           11)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)

           12)Provides that the initial license fee for an acupuncturist  
             not exceed $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)

           13)Requires the CAB 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 prorates the initial license or registration fee on a  
          monthly basis, beginning July 1, 2017, for a dentist, registered  







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          dental hygienist, registered dental hygienist in alternative  
          practice, registered dental hygienist in extended functions,  
          osteopathic physician and surgeon, occupational therapist,  
          registered veterinary technician, veterinarian, acupuncturist,  
          and architect.

          Background
          
          Birthdate renewal system.  This bill is designed to rationalize  
          the fees paid through the birthdate renewal system, a renewal  
          cycle employed by many DCA boards.  

          The birth date renewal system issues licenses for a period of  
          time ranging between 12 and 24 months depending on the  
          licensee's birth month.  If, for example, a licensee has a  
          February birth date and his or her license is issued in March  
          2014, the license will expire at midnight on February 28, 2016.   
          If, however, a licensee has a March birthday and his or her  
          license is issued in March 2014, the license will expire at  
          midnight on March 31, 2015. 

          In these examples, the license in the first scenario will expire  
          after nearly two years, but in the second scenario, the license  
          will expire after 12 months and five days.  Despite the varying  
          expiration dates, both licensees pay the same initial license  
          fee.  

          This bill will require DCA boards to prorate the initial license  
          fee on a monthly basis beginning July 1, 2017, so that licensees  
          do not pay the full fee amount if they are not receiving a full  
          two years of licensure.  

          Concerns regarding the regulatory boards.  While this bill makes  
          practical sense in theory, it has not received the full support  
          of the regulated community its provisions impact.  Professional  
          licensees have expressed support through their associations, the  
          California Association for Health Services at Home (unclear  
          which professions in this bill fall within its membership) and  
          the California Veterinary Medical Association.  However, no DCA  
          boards have submitted support letters, and the DHCC has voted to  
          oppose this bill.    

          It has been indicated by boards with a birthdate renewal system  
          that changing to a prorated system would be problematic  







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          logistically and financially.  DHCC indicates that they would  
          have to reprogram their licensing system, BreEZe, at substantial  
          cost, and it would lose revenue currently relied upon due to the  
          birth date system.   

          FISCAL EFFECT:   Appropriation:    No          Fiscal  
          Com.:YesLocal:   No

          According to the Senate Appropriations Committee:

           Minor administrative costs to revise regulations and update  
            forms and procedures for collecting initial license fees by  
            several boards and committees within DCA Affairs (various  
            special funds).

           One-time costs of about $140,000 for information technology  
            upgrades to the computer system used to process license  
            applications (various special funds).

           Ongoing revenue loss of about $120,000 per year in reduced  
            licensing fees (various special funds). The following boards  
            and committees would experience reduced license fee revenues:  
            Architects Board ($16,000), DHCC ($19,000), OMBC ($10,000),  
            Physical Therapy Board ($29,000), VMB ($76,000).


          SUPPORT:   (Verified9/2/215)


          California Association for Health Services at Home
          California Veterinary Medical Association
          Fresno Chamber of Commerce
          Numerous individuals


          OPPOSITION:   (Verified9/2/15)


          Dental Hygiene Committee of California


          ARGUMENTS IN SUPPORT:     The California Veterinary Medical  
          Association writes, "AB 483 allows for relief from compounding  
          costs associated with licensing fees when an applicant finds  







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          that they will be required to pay a renewal fee soon after their  
          initial licensing, due only to the unique timing of their birth  
          date.  This common sense measure is of particular benefit to the  
          students graduating from our two veterinary colleges in  
          California, who are already burdened with an average of $100,000  
          of veterinary school debt.  By allowing these applicants to  
          pro-rate their licensing fees, [this bill] gives those who are  
          starting out in the profession a bit more time to get their  
          financial footing."  The California Association for Health  
          Services at Home and the Fresno Chamber of Commerce all agree  
          this bill will bring fairness to the licensing fee system.

          ARGUMENTS IN OPPOSITION:The DHCC writes in opposition to this  
          bill, noting that it voted at its May 3, 2015 meeting to take an  
          oppose position on 
          AB 483, as amended on April 9, 2015.  "The DHCC supports the  
          Author's efforts to decrease financial burdens on newly-licensed  
          professionals in our state, however, AB 483 would place a  
          significant financial burden on one of the DHCC's main revenue  
          sources and fund condition at this time.

          "The DHCC is currently in Release 2 of the Department of  
          Consumer Affairs' BreEZe online system and the DHCC's existing  
          licensing process has already been programmed into BreEZe.   
          Adding the ability to prorate the original licensing fee on a  
          monthly basis would require additional programming expenses and  
          expensive change orders to the system.


          "In addition, the Committee would stand to lose revenue if this  
          bill were to pass, due to the proration of the $100 original  
          license fee.  The DHCC would need to pursue a fee increase to  
          the original licensing fee equivalent to the current renewal fee  
          of $160 (a $60 increase) to replace the lost revenue from having  
          to prorate the fee (the original license fee has a statutory  
          maximum of $250).  Due to the significant fiscal impact of this  
          bill and the DHCC's inability to absorb these costs at this  
          time, the DHCC respectfully opposes AB 483."

          ASSEMBLY FLOOR:  78-0, 6/2/15
          AYES:  Achadjian, Alejo, Travis Allen, Baker, Bigelow, Bloom,  
            Bonilla, Bonta, Brough, Brown, Burke, Calderon, Campos, Chang,  
            Chau, Chiu, Chu, Cooley, Cooper, Dababneh, Dahle, Daly, Dodd,  
            Eggman, Frazier, Beth Gaines, Gallagher, Cristina Garcia,  







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            Eduardo Garcia, Gatto, Gipson, Gomez, Gonzalez, Gordon, Gray,  
            Hadley, Harper, Roger Hernández, Holden, Irwin, Jones,  
            Jones-Sawyer, Kim, Lackey, Levine, Linder, Lopez, Low,  
            Maienschein, Mathis, Mayes, McCarty, Medina, Melendez, Mullin,  
            Nazarian, Obernolte, O'Donnell, Olsen, Patterson, Perea,  
            Quirk, Rendon, Ridley-Thomas, Rodriguez, Salas, Santiago,  
            Steinorth, Mark Stone, Thurmond, Ting, Wagner, Waldron, Weber,  
            Wilk, Williams, Wood, Atkins
          NO VOTE RECORDED:  Chávez, Grove

          Prepared by:Sarah Huchel / B., P. & E.D. / (916) 651-4104
          9/3/15 14:32:32


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