BILL ANALYSIS                                                                                                                                                                                                    Ó



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

          AB 599 (Bonilla) - Clinical laboratories:  cytotechnologists
          
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          |Version: May 28, 2015           |Policy Vote: B., P. & E.D. 9 -  |
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          |Urgency: No                     |Mandate: No                     |
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          |Hearing Date: June 22, 2015     |Consultant: Brendan McCarthy    |
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          This bill does not meet the criteria for referral to the  
          Suspense File.


          


          Bill  
          Summary:  AB 599 would expand the scope of practice for  
          cytotechnologists by allowing a licensed cytotechnologist to  
          perform all tests and procedures pertaining to cytology, under  
          the supervision of a laboratory director.


          Fiscal  
          Impact:  
           One-time costs of about $120,000 per year for two years to  
            develop and adopt regulations regarding training standards and  
            the scope of practice for cytotechnologists by the Department  
            of Public Health (Clinical Laboratory Improvement Fund). Those  
            costs will be covered by licensing fee revenues.

           Minor ongoing costs to license cytotechnologists and enforce  







          AB 599 (Bonilla)                                       Page 1 of  
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            the revised standards by the Department of Public Health  
            (Clinical Laboratory Improvement Fund).


          Background:  Under current law, the Department of Public Health licenses  
          clinical laboratories and certain occupations associated with  
          clinical laboratories, including cytotechnologists.  
          Cytotechnologists perform processing and review of microscopic  
          samples to determine pathology. Current law limits the scope of  
          practice for cytotechnologists to the examination of cytological  
          slides. Since the adoption of current statutory requirements,  
          technology in the area of cytotechnology has evolved and there  
          are non-slide based tests and techniques taught in  
          cytotechnology training programs. Concerns have been raised by  
          the author and others that current statutory limitations on the  
          practice of cytotechnology are causing trained cytologists to  
          leave the state to practice in other states where they can  
          utilize all of their training.


          Proposed Law:  
            AB 599 would expand the scope of practice for  
          cytotechnologists by allowing a licensed cytotechnologist to  
          perform all tests and procedures pertaining to cytology, under  
          the supervision of a laboratory director.


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