BILL ANALYSIS                                                                                                                                                                                                    Ó



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

          SB 466 (Hill) - Nursing:  Board of Registered Nursing
          
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          |Version: April 30, 2015         |Policy Vote: B., P. & E.D. 9 -  |
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          |Urgency: No                     |Mandate: No                     |
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          |Hearing Date: May 28, 2015      |Consultant: Brendan McCarthy    |
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          SUSPENSE FILE.



          


          Bill  
          Summary:  SB 466 would require the Director of Consumer Affairs  
          to appoint a board enforcement monitor to monitor and evaluate  
          the enforcement program under the Board of Registered Nursing.  
          The bill would require changes to the current requirements for  
          crediting nursing education and experience acquired in the  
          military.


          Fiscal Impact (as approved on May 28,  
          2015):  
           One-time costs of about $350,000 over three years, to contract  
            for an enforcement program monitor (Board of Registered  
            Nursing Fund).

           Ongoing costs of about $400,000 per year for evaluations of  







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            educational standards (Board of Registered Nursing Fund). 


          Background:  Under current law, the Board of Registered Nursing licenses  
          and enforces licensing requirements for the practice of nursing.  
          Under current law, the Board is required to establish education  
          and training requirements for nurses, including requirements for  
          applicants who have received nursing training and experience in  
          the military.
          Current law sunsets the statutory authority for the Board of  
          Registered Nursing at the end of 2015. (This statutory sunset  
          applies only the Board itself. The current statutory provisions  
          governing the practice of nursing, in general, do not have a  
          statutory sunset.)




          Proposed Law:  
            SB 466 would require the Director of Consumer Affairs to  
          appoint a board enforcement monitor to monitor and evaluate the  
          enforcement program under the Board of Registered Nursing. The  
          enforcement monitor would have no authority over disciplinary  
          actions by the Board.
          The bill would require changes to the current requirements for  
          crediting nursing education and experience acquired in the  
          military. Specifically, the bill would delete an existing  
          provision law that requires the Board to evaluate the education  
          and training records submitted by an applicant who served in the  
          military. The bill would require the Board deny the application  
          for approval of any nursing school that does not award credit  
          for related military service by the use of examinations. The  
          bill would require the Board to develop regulations by January  
          1, 2017, requiring schools to have a process for evaluating  
          military experience.







          Related  
          Legislation:  








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           AB 705 (Blumenfeld, 2013) would have required the Board of  
            Registered Nursing to develop regulations regarding military  
            training and experience that is transferable to coursework  
            required for licensure by a registered nurse. That bill was  
            held in the Assembly Appropriations Committee.
           SB 26 (Figueroa, Statutes of 2001) required an enforcement  
            monitor for the Dental Board for a period of two years.


          Staff  
          Comments:  Current law sunsets the existence of the Board of  
          Registered Nursing on January 1, 2016. This bill does not extend  
          that sunset date. However, the remainder of the Nursing Practice  
          Act does not have a statutory sunset. If the Board is allowed to  
          sunset at the end of 2015, the existing licensing and regulatory  
          requirements would remain in place. At the end of 2011, the  
          Board was eliminated due to an un-extended sunset. (SB 538,  
          Price, 2011) would have extended the sunset date. That bill was  
          vetoed by Governor Brown due to issues relating to the  
          establishment of peace officer positions within the Board. The  
          Board was subsequently reconstituted in February 2012 pursuant  
          to SB 98 (Committee on Budget, Statutes of 2012).


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