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 ----------------------------------------------------------------- |Author: |Nguyen | |----------+------------------------------------------------------| |Version: |April 6, 2015 | ----------------------------------------------------------------- ---------------------------------------------------------------- |Urgency: |No |Fiscal: |Yes | ---------------------------------------------------------------- ----------------------------------------------------------------- |Consultant|Sarah Huchel | |: | | ----------------------------------------------------------------- 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) SB 496 (Nguyen) Page 2 of ? 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 SB 496 (Nguyen) Page 3 of ? 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 SB 496 (Nguyen) Page 4 of ? 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 SB 496 (Nguyen) Page 5 of ? 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. -- END --