BILL ANALYSIS                                                                                                                                                                                                    Ó



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          CONCURRENCE IN SENATE AMENDMENTS


          AB  
          2317 (Mullin)


          As Amended  June 29, 2016


          Majority vote


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          Original Committee Reference:  HIGHER ED.


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


          The Senate amendments remove references to obsolete funding  
          mechanisms and make other technical changes.


          EXISTING LAW:  


          1)Provides that the primary mission of the CSU 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.   
            Specifies that, in setting forth the missions and functions of  








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            California's public and independent institutions of higher  
            education that, among other things, the 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 (Education Code (EC) 66010.4).
          2)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  
            Section 66040, et seq.).


          3)Authorizes the CSU, until January 1, 2019, to offer the Doctor  
            of Physical Therapy (D.P.T.) degree; and, specifies that the  
            D.P.T. degree programs at the CSU shall be focused 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  
            (CAPTE) (EC Section 66042, et seq.).


          4)Authorizes the CSU, until January 1, 2019, to offer the Doctor  
            of Nursing Practice (DNP) degree programs at up to three  
            campuses chosen by the CSU Trustees; specifies that the CSU  
            shall not enroll any new students in the DNP degree programs  
            on or after July 1, 2018; 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  
            Section 89281, et seq.).


          FISCAL EFFECT:  According to the Senate Appropriations  
          Committee, no significant fiscal impact to the state.  As with  
          any new degree program proposed by a campus, it is a local  
          campus decision to seek approval from CSU Chancellor's Office to  
          offer new programs.  Legislation is needed in this instance  
          because the new program is a doctorate degree.  If a campus  
          chooses to provide an Au.D. degree program, funding would  
          largely come from a new tuition fee for the program as well as  
          funding from within existing campus resource allocations,  
          including state General Fund.








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          COMMENTS:  Role of audiologists and shortfall.  Audiologists are  
          health care professionals who provide diagnostic and  
          rehabilitation care for individuals of all ages who have hearing  
          and balance disorders.  


          According to the California Academy of Audiology (CAA), the  
          Newborn Screening Program typically identifies 1,200 infants per  
          year with severe hearing disabilities in need of treatment.   
          Additionally, a rapidly growing aging population with identified  
          hearing challenges, requiring the treatment of audiologists  
          exists.  However, there is a significant shortage of licensed  
          audiologists in the state.  According to CAA, approximately  
          1,600 licensed audiologists reside in California; it appears  
          there is an inadequate in-state pipeline.  According to the  
          Speech-Language Pathology and Audiology and Hearing Aid  
          Dispensers Board (SLPAHADB) of California, by 2030, it is  
          estimated that California will need approximately 750 more  
          audiologists in order to keep up with the need of the state's  
          hearing impaired.  


          Changing standards for audiologists.  For many years, the entry  
          level degree audiologists needed in order to practice, was a  
          Master of Science degree.  However, in 1991, experts and  
          academicians nationally called for a change in the entry level  
          degree in audiology to be that of a clinical doctorate or the  
          Au.D.  The California licensing requirements for audiologists  
          changed in 2008 to mandate that audiology applicants who  
          graduated from an audiology training program after January 1,  
          2008, must hold an Au.D. degree from an approved institution.


          The new national accreditation standards for audiology caused  
          the CSU, with many campuses offering Master of Science degree  
          programs in audiology, to close their programs.


          Au.D. degree programs.  San Diego State University (SDSU) and UC  
          San Diego are the only public universities to offer a joint  








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          Au.D. degree program.  According to SLPAHADB, from 2007-08 and  
          2013-14 academic years, the joint program awarded a total of 61  
          audiology degrees.


          The University of the Pacific (UOP), a non-profit private  
          postsecondary institution of higher learning, launched the first  
          private Au.D. degree program in the state, in Fall 2015.  To  
          note, UOP expects to admit approximately 20 - 22 students per  
          year.


          Purpose for this measure.  According to the author, in order to  
          keep pace with the increasing demand and need for audiologists,  
          this measure allows the CSU to award the Au.D. independently  
          from doctoral degree programs offered at the UC.  The author  
          contends that, "Au.D. programs provided by CSU will likely  
          provide more affordable programs that will draw the much-needed  
          student diversity required of today's hearing health care  
          providers."


          Scope of the CSU.  While it is not the norm for the CSU to be  
          authorized to offer doctoral degrees, as outlined in the  
          "Existing Law" section of this analysis, the Legislature has  
          allowed the CSU to offer professional doctoral degrees that have  
          sought to fulfill a specific needed role for the state, and not  
          typically offered by the UC.  


          Analysis Prepared by:                                             
                          Jeanice Warden / HIGHER ED. / (916) 319-3960   
          FN: 0003613

















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