BILL ANALYSIS                                                                                                                                                                                                    Ó



          SENATE COMMITTEE ON
          BUSINESS, PROFESSIONS AND ECONOMIC DEVELOPMENT
                              Senator Jerry Hill, Chair
                                2015 - 2016  Regular 

          Bill No:            SB 496          Hearing Date:    April 6,  
          2015
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          |Author:   |Nguyen                                                |
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          |Version:  |April 6, 2015                                         |
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          |Urgency:  |No                     |Fiscal:    |Yes              |
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          |Consultant|Sarah Huchel                                          |
          |:         |                                                      |
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              Subject:  Optometry:  graduates of a foreign university:   
                                    examinations.


          SUMMARY:  Expands and specifies requirements for a graduate of a foreign  
           university to be eligible for California licensure.  

          Existing law:
          
          1) Establishes the Optometry Practice Act, which regulates the  
             practice of optometry.  (Business and Professions Code (BPC)  
             Section 3000)

          2) Requires the State Board of Optometry (Board) to promulgate  
             regulations establishing educational and examination  
             requirements.  (BPC § 3041.2)

          3) Requires the Board to permit a graduate of a foreign  
             university who meets all of the following requirements to  
             take the examinations for an optometrist license:

             a)   Is over 18 years of age.

             b)   Is not subject to denial of a license because of a  
               crime, as specified.

             c)   Has a degree as a doctor of optometry issued by a  
               university located outside of the United States.  (BPC §  
               3057.5)







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          1) Establishes eligibility requirements for licensure.  (BPC §§  
             3046, 3056, 3057) 

          2) States that foreign graduate applicants who meet the  
             statutory requirements shall be admitted to the optometry  
             examination upon furnishing satisfactory evidence that the  
             course of instruction completed is reasonably equivalent to  
             the course of instruction given by a school accredited by the  
             Board; provided, however, that an applicant who is unable to  
             furnish satisfactory evidence of equivalency may take those  
             courses or subjects, in an accredited school or in another  
             program of instruction acceptable to the Board, which would  
             remedy areas of deficiency.  
          (Title 16, California Code of Regulations Section 1530.1). 
            
          This bill:

          1) Requires the Board to accept either of the following degrees,  
             in addition to existing requirements, as qualifying  
             educational experience for a foreign graduate to take the  
             optometry license examination:

             a)   A degree from a school of optometry program located  
               outside of the United States that has a minimum of a four  
               year or equivalent curriculum leading to an optometry  
               license in the country where the program is located. 

             b)   A degree from a school of medicine located outside of  
               the United States and the applicant has completed the  
               necessary requirements to practice in the field of  
               ophthalmology in the country where the school of medicine  
               is located.

          1) Requires a graduate of a foreign university seeking  
             California licensure to do the following:

             a)   Submit an application to the Board to obtain a letter of  
               sponsorship.

             b)   Pay a license application fee.

             c)   Provide to the Board any supporting documents in English  
               requested to establish that the educational requirements  








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               have been met. 

          1) Requires a graduate of a foreign university to obtain an  
             evaluation of his or her official school transcript by an  
             education evaluation service approved by the Board, and  
             requires the Board to determine whether the applicant has met  
             the educational requirements.

          2) Permits the Board to establish alternative education  
             requirements to ensure public health and safety even if the  
             foreign graduate meets the degree requirements. 

          3) Requires the Board to issue a letter of sponsorship, or its  
             equivalent, required by the National Board of Examiners in  
             Optometry or its equivalent, to permit a graduate of a  
             foreign university to take all examinations required for  
             licensure.  This letter of sponsorship shall expire two years  
             from the date of issuance.


          4) Permits the Board to issue a license to practice optometry to  
             a person who meets the following requirements: 


             a)   Has obtained permission to take the examination for an  
               optometrist license based on his or her foreign graduate  
               education. 


             b)   Is not subject to license denial of a license, as  
               specified.


             c)   Has met the requirements to be issued a certificate to  
               use therapeutic pharmaceutical agents, as specified.


             d)   Has provided all information requested by the Board.


             e)   Has submitted a license application and paid the fee. 


             f)   Has no physical or mental impairment related to drugs or  








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               alcohol and has not been found mentally incompetent by a  
               licensed psychologist or licensed psychiatrist.  


          1) States that a license issued to a foreign graduate expires  
             and may be renewed in the same manner as other licenses.


          
          FISCAL  
          EFFECT:  Unknown.  This bill is keyed "fiscal" by Legislative  
          Counsel. 

          
          COMMENTS:
          
          1. Purpose.  This bill is sponsored by the California Board of  
             Optometry  .  This bill resolves the dilemma that foreign  
             graduates are eligible to take the optometry licensing  
             examination but have no ability to become licensed in  
             California.  This bill also provides additional educational  
             pathways for license eligibility.
               
          2. Background.  Optometrists must complete a four year Doctor of  
             Optometry degree program meeting California educational  
             requirements and pass the National Board of Examiners in  
             Optometry (NBEO) examination to be eligible for California  
             licensure.  The Board also has license pathways for  
             individuals who are licensed in other states.  However, while  
             California offers a means for foreign graduates to sit for  
             the NBEO, there is no pathway for a license to practice.  

             According to the Author's office, although procedures  
             allowing foreign graduates to sit for the examination have  
             been in place since 1987, there has never been cause to  
             revisit the licensing provisions because there have been no  
             individuals with the appropriate educational background who  
             passed the exam.  Recent events have caused the Board to  
             reconsider this issue and sponsor this bill.

             In addition to providing a licensure pathway, this bill  
             expands the educational options for foreign graduates.   
             According to the Author, other countries may not issue a  
             doctorate degree to practicing optometrists because their  








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             educational programs issue certification as masters or  
             bachelors.  This bill establishes eligibility for individuals  
             who attend four-year schools of optometry or schools of  
             medicine outside of the United States.    

          3. Arguments in Support.  The  California State Board of  
             Optometry  writes, "Currently, foreign graduates qualified to  
             practice optometry abroad lack a pathway to legally practice  
             optometry in the state of California.  Current law only  
             authorizes the Board to issue a letter of sponsorship to a  
             foreign graduate interested in taking the NBEO.  The problem  
             is once the candidate takes and passes the test they leave  
             California to practice elsewhere.  

             "The requirements for licensure proposed are similar to the  
             requirements for new U.S. Graduates and out-of-state  
             graduates.  SB 496 is necessary to close the loophole that  
             allows foreign optometrists to receive a sponsor letter, but  
             not practice in California."

          4. Current Related Legislation.   SB 349  (Bates, 2015)  
             establishes a regulatory framework for mobile optometric  
             facilities.   
          

          SUPPORT AND OPPOSITION:
          
           Support:  

          California State Board of Optometry (Sponsor)

           Opposition:  

          None received as of March 31, 2015.

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