BILL ANALYSIS                                                                                                                                                                                                    Ó



          SENATE COMMITTEE ON EDUCATION
                              Senator Carol Liu, Chair
                                2015 - 2016  Regular 

          Bill No:             AB 2317             
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          |Author:    |Mullin                                               |
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          |Version:   |February 18, 2016                       Hearing      |
          |           |Date:     June 8, 2016                               |
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          |Urgency:   |No                     |Fiscal:     |Yes             |
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          |Consultant:|Olgalilia Ramirez                                    |
          |           |                                                     |
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          Subject:  California State University:  Doctor of Audiology  
          degrees


            SUMMARY
          
          This bill authorizes the California State University (CSU) to  
          award a Doctor of Audiology degree (Au.D) and establishes  
          constraints on the funding and fees for these degrees.

            BACKGROUND
          
          Existing law:

             1)   Provides that the primary mission of the California  
               State University is undergraduate and graduate instruction  
               through the master's degree, but authorizes the CSU to  
               offer joint doctoral degrees with the University of  
               California (UC), or with one or more independent  
               institutions of higher education, only as specified.   
               (Education Code § 66010.4)

             2)   In setting forth the missions and functions of  
               California's public and independent institutions of higher  
               education provides, among other things, that UC has the  
               sole authority in public higher education to award the  
               doctoral degree in all fields of learning, except that it  
               may agree with the CSU to award joint doctoral degrees in  
               selected fields.  (EC § 66010.4)








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             3)   Authorizes the CSU to independently award the Doctor of  
               Education (Ed.D) degree focused solely on preparing  
               administrative leaders for California public K-14 schools.   
               (EC § 66040, et seq.)

             4)   Authorizes the CSU, until January 1, 2019, to offer the  
               Doctor of Physical Therapy (D.P.T.) degree focused solely  
               on preparing physical therapists to provide health care  
               services, and shall be consistent with meeting the  
               requirements of the Commission on Accreditation in Physical  
               Therapy Education. (EC § 66402, et seq.)

             5)   Authorizes the CSU, until January 1, 2019, to offer the  
               Doctor of Nursing Practice degree programs at up to three  
               campuses chosen by the CSU Trustees and requires the CSU to  
               provide data, as specified, by July 1, 2016, to the  
               Legislative Analyst's Office (LAO), in order for the LAO to  
               prepare a report to the Legislature on or before January 1,  
               2017.  (EC § 89281, et seq.)

                

            ANALYSIS
          
          1)   Finds and declares the following intent of the Legislature:

               a)        Since its adoption in 1960, the Master Plan for  
               Higher Education has 
               served to create the largest and most distinguished higher  
          education 
               system in the nation.  A key component of the Master Plan  
          for Higher 
               Education is the differentiation of mission and function,  
          whereby doctoral 
               and identified professional programs are limited to the  
          University of 
               California (UC), with the provision that the California  
          State University 
               (CSU) can provide doctoral education in joint doctoral  
          programs with the 
               UC and independent California colleges and universities.   
          The 
               differentiation of function has allowed California to  
          provide universal 








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               access to postsecondary education while preserving quality;  
          and,

               b)        Because of the need to prepare and educate  
               increased numbers of 
                    audiologists, the State of California is granting the  
                    CSU authority to offer the Doctor of Audiology degree  
                    (Au.D) degree as an exception to the differentiation  
                    of function in graduate education that assigns sole  
                    authority among the California higher education  
                    segments to the UC for awarding doctoral degrees  
                    independently.  This exception to the Master Plan for  
                    Higher Education recognizes the distinctive strengths  
                    and respective missions of the CSU and the UC.

          2)   Authorizes the CSU to award a Au.D degree, notwithstanding  
               the Masterplan and its differentiation of mission and  
               function, in order to meet specified audiology needs in  
               California, subject to compliance with the following  
               conditions:

               a)        Limits the authority to award doctorate to the  
               discipline of audiology.

               b)        Requires that the amount of state full-time  
               equivalent student (FTES) 
                    funding per student be at the agreed upon marginal  
                    cost calculation that the CSU receives and further:

                    i)             Requires that FTES funding for the new  
                  students in these programs
                         come from within the CSU's agreed upon enrollment  
                    levels in the
                         annual Budget Act.

                    ii)            Prohibits enrollment in these programs  
                  from altering the ratio of
                         graduate instruction to total enrollment and  
                         diminishing the growth of enrollment of  
                         undergraduate programs.

               c)        Caps the fess that may be charged students in  
               these programs at the rate 
                    charged for students in state-supported Au.D programs  








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               at the UC 
                    (including joint programs of the CSU and UC).

               d)        Requires that the degree be focused on preparing  
               audiologist to provide 
                    health care services, and that it be consistent with  
                    meeting the requirements of the Council on Academic  
                    Accreditation in Audiology and Speech Language  
                    Pathology.

          STAFF COMMENTS
          
          1)   Need for the bill.   According to the California Academy of  
               Audiology, there are approximately 1,600 audiologists in  
               the state which falls short of the number needed to provide  
               services for the increasing number of California's with  
               hearing and balance disorders. The author asserts that,  
               "Doctor of Audiology degree (Au.D) programs provided by the  
               California State University (CSU) will likely provide more  
               affordable programs that will draw the much -needed student  
               diversity required of today's hearing health care  
               providers." This bill seeks to address a shortage of  
               licensed audiologist in the state by authorizing CSU to  
               award Au.D independently from doctoral degree programs  
               offered at UC.

          2)   Existing authorization.  Notwithstanding the Masterplan for  
               Higher Education, which designates the University of  
               California the only California public postsecondary  
               education segment authorized to award a doctoral degree,  
               current law authorizes the CSU to independently award three  
               professional doctoral degrees which include the Doctor of  
               Education, Doctor of Physical Therapy and Doctor of  
               Nursing. This bill would expand the type of professional  
               doctoral degrees CSU is authorized to award. 
          
          3)   Slippery slope.  In 2001, the American Speech-Language  
               Hearing Association (ASHA), a national professional  
               organization representing audiologists and also the  
               accrediting body for professional preparation programs in  
               audiology, speech and language pathology, mandated that  
               beginning in 2007 audiologists would be required to earn a  
               doctorate to attain professional certification. Schools  
               that did not offer a doctorate in audiology would lose  








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               their accreditation.  At the time, the CSU offered five  
               master's level audiology programs and one joint doctoral  
               program between San Diego State University (SDSU) and UC  
               San Diego (UCSD). To date, the SDSU/UCSD joint degree is  
               the only public program in the state.
               
               Staff notes that it was not CSU or an independent  
               accrediting or educational evaluating organization that  
               mandated the change in the program. Rather, it is a private  
               professional association that, at present, is the sole  
               accrediting agency and sole provider of individual  
               certification and the national licensing exam. 

               Should a single private agency, in essence, dictate the  
               programs that California public colleges must offer?  
               Shouldn't the institutions play a role in determining what  
               their educational standards should be? How many other  
               private professional agencies will follow suit? 

          4)   What is the Au.D?  According to the American Academy of  
               Audiology, an Au.D is a clinically based, professional  
               doctoral degree, for purposes of clinical practice in this  
               field and as such is distinguished from the doctoral  
               program (PhD) that is research based. This bill  
               specifically authorizes CSU to offer an Au.D degree focused  
               on preparing audiologists to provide health care services.

          5)   Why not a joint degree?  Under current law, the California  
               State University (CSU) is authorized to offer joint degrees  
               with either the University of California (UC) or private  
               higher education institutions. Arguably, under this  
               authority, the need to offer the Doctor of Audiology degree  
               (Au.D) program could be met by expanding the type of  
               partnership that exists between San Diego State University  
               (SDSU) and UC San Diego (UCSD).  On its own, UC does not  
               offer Audiology degrees. It appears that at one point in  
               time additional joint programs were in the works but  
               derailed as a consequence of the 2008 recession. 

          Rather than authorizing CSU to offer its own Au.D, would it make  
          more sense to encourage CSU to first attempt to establish a  
          joint degree before offering its own program? 

          6)   California's audiology programs. There are two Au.D  








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               programs in the state, one offered by SDSU/UCSD and the  
               other by the University of the Pacific (UoP) a non-profit  
               postsecondary institution. In 2014-2015 the joint SDSU/UCSD  
               program awarded a total of 8 audiology degrees (reflects  
               the 3-year average rate). The UoP recently launched its  
               program in the fall of 2015 and is expected to admit 20-22  
               students annually. 

          7)   Workforce trends.  According to the U.S. Bureau of Labor  
               Statistics, the need for Audiologists is expected to  
               increase due to the growth in the aging population. It also  
               appears that California's new born hearing screening  
               program, which offers parents of infants delivered in  
               California the opportunity to have their baby's hearing  
               screened, has also increased the demand for audiologist in  
               the state. According to the Labor Market Information  
               Division (LMID) of the California Employment Development  
               Department, in California, the demand for audiologists is  
               ranked among faster growing occupations in the state with  
               jobs expected to increase by 30 percent (300 jobs) between  
               2012-2022. In addition, the LMID reports that the median  
               annual salary for Audiologist in California in 2015 was  
               $86,900 ($42.34 hourly).  Does the need for audiologist  
               outweigh concerns about adhering to the principles of the  
               Masterplan or concerns about catering to the interests of  
               private professional organizations? 

            SUPPORT
          
          California Academy of Audiology
          Hearing Healthcare Providers California (HHP)
          Numerous individuals
          Speech-Language Pathology and Audiology and Hearing Aid  
          Dispensers Board
          The Graduate College of Education at San Francisco State  
          University

            OPPOSITION
           
           None received.

                                      -- END --
          









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