BILL ANALYSIS                                                                                                                                                                                                    



                                                                       


           ------------------------------------------------------------ 
          |SENATE RULES COMMITTEE            |                   SB 724|
          |Office of Senate Floor Analyses   |                         |
          |1020 N Street, Suite 524          |                         |
          |(916) 445-6614         Fax: (916) |                         |
          |327-4478                          |                         |
           ------------------------------------------------------------ 
           
                                         
                                 THIRD READING


          Bill No:  SB 724
          Author:   Senate Business and Professions Committee
          Amended:  As introduced
          Vote:     27

           
           SENATE BUSINESS & PROFESSIONS COMMITTEE  :  4-0, 4/2/01
          AYES:  Figueroa, Machado, O'Connell, Polanco

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8


           SUBJECT  :    Healing arts

           SOURCE  :     Author


           DIGEST  :    This bill makes changes to the regulation of  
          various health care professionals, including licensed  
          educational psychologists, licensed clinical social  
          workers, marriage and family therapists, dentists,  
          physicians and surgeons, pharmacists, vocational nurses and  
          psychiatric technicians.

           ANALYSIS  :    This measure, one of three annual omnibus  
          bills, is intended to attend to various housekeeping items  
          for health care regulatory programs and licensees.  The  
          bill attempts to do this by either (1) updating statutes to  
          reflect various changes to programs within the State  
          Department of Consumer Affairs over the past year; (2)  
          attending to code maintenance by doing technical clean-up  
          and deleting obsolete references, or (3) improving the  
          administration of the various boards by clearing up  
          ambiguity or enhancing enforcement authority.
                                                           CONTINUED





                                                                SB 724
                                                                Page  
          2

          
          Specifically, this bill:

          1.Makes the following changes pertaining to the Board of  
            Behavioral Sciences:

             A.   Adds a qualifying degree title that conforms to the  
               current marriage and family therapist license title.

             B.   Broadens the board's authority to approve  
               qualifying degree programs.

             C.   Specifies that a degree program must be a single,  
               integrated program that is designed to train marriage  
               and family therapists.

             D.   Eliminates references to degrees that are no longer  
               granted.

             E.   Requires registered marriage and family therapist  
               interns and associate clinical social workers,  
               applying for renewal, to notify the board if they have  
               been convicted of a crime since their last renewal.

             F.   Clarifies that the registration of unlicensed  
               marriage and family therapist interns shall not be  
               renewed or reinstated beyond the timeframe identified  
               in law.

             G.   Clearly identifies a timeframe during which the  
               board will accept a passing score on the California  
               written examination.

             H.   Deletes an inaccurate reference to registrant  
               status for licensed educational psychologists.

             I.   Clarifies the current prohibition against licensed  
               clinical social workers having sexual relations with  
               patients by specifying that such conduct is prohibited  
               within two years following the termination of therapy.

             J.   Corrects inaccurate code references.

             K.   Repeals an obsolete section of law regarding the  







                                                                SB 724
                                                                Page  
          3

               rights of a visually impaired person in relation to  
               education and licensure as a licensed clinical social  
               worker.

             L.   Broadens the board's authority to deny a license to  
               applicants who are subject to an order of registration  
               pursuant to Section 290 of the penal code. ["Megan's  
               Law"]

             M.   Clearly identifies all the educational requirements  
               for licensure as a licensed clinical social worker.

             N.   Deletes obsolete language referencing experience  
               gained toward requirements for registration as an  
               associate clinical social worker.

             O.   Deletes language that could be misconstrued to mean  
               that an associate clinical social worker must be an  
               employee of their supervisor.

             P.   Deletes obsolete language regarding a report  
               already submitted to the Legislature.

             Q.   Deletes the requirement that a supervisor submit  
               evidence of satisfactorily completing supervised  
               experience gained by an associate clinical social  
               worker.

             R.   Clearly outlines the actual number of hours of  
               experience that must be accrued for face-to-face  
               psychotherapy.

             S.   Clarifies that the supervisor of an associate  
               clinical social worker in a private practice setting  
               must also regularly conduct business in this setting.

             T.   Specifies that all associate clinical social  
               workers, regardless of whether they have accrued their  
               experience toward licensure, must continue to receive  
               a minimum of one hour of supervision each week until  
               licensed.

          2.Makes the following changes pertaining to the Dental  
            Board:







                                                                SB 724
                                                                Page  
          4


             A.   Repeals the provision allowing certification in  
               oral conscious sedation for minor patients by  
               documentation.

             B.   Modifies the provisions governing the board's  
               examining committee.

             C.   Provides for a disabled inactive status and reduced  
               license fee for any licensee who can demonstrate, to  
               the satisfaction of the board, that they are unable to  
               practice dentistry due to a disability.

             D.   Repeals the sunset dates of various general  
               anesthesia provisions.

          3.Makes the following changes pertaining to the Medical  
            Board:

             A.   Clarifies that the two-year exemption from  
               licensure as a physician and surgeon during  
               postgraduate training is cancelled and participation  
               in the program must cease if the board's Division of  
               Licensing denies the individual's application for  
               licensure.

             B.   Clarifies that the two-year exemption from  
               licensure for physicians and surgeons who are  
               recruited to practice in state and county institutions  
               is not allowed without the approval of the board's  
               Division of Licensing.

             C.   Repeals an unnecessary requirement relative to  
               providing documentation of specified coursework prior  
               to entering medical school.

             D.   Repeals an obsolete reference to verification of  
               citizenship in relation to applicants for a physician  
               and surgeon's certificate.

             E.   Codifies a current practice of referring applicants  
               for a psychiatric evaluation or an oral clinical  
               competency examination when there is clear and  
               convincing evidence in the applicant's background that  







                                                                SB 724
                                                                Page  
          5

               a condition has affected the individual's ability to  
               practice safely or has resulted in disciplinary  
               action.

             F.   Clarifies and specifies that certain reports shall  
               include the name and license number of the responsible  
               physician and surgeon.

          4.Makes the following changes pertaining to the Board of  
            Pharmacy:

             A.   Deletes an obsolete reference to medical device  
               retailers.

             B.   Provides that "manufacturer" shall not mean a  
               pharmacy that, at the patient's request, repackages a  
               drug previously dispensed to the patient or the  
               patient's agent pursuant to a prescription.

             C.   Reinstates an inadvertently repealed provision that  
               authorizes the board to specify in regulation that  
               certain dangerous devices may only be dispensed in a  
               pharmacy.

             D.   Authorizes the board to issue a temporary permit to  
               a pharmacy in certain limited instances.

             E.   Deletes obsolete language providing an exception to  
               the registration requirements for pharmacy  
               technicians.

             F.   Corrects a reference to an erroneous type of  
               license.

             G.   Deletes an incorrect reference to dispensing of  
               prescriptions.

             H.   Simplifies existing law, which requires  
               out-of-state entities distributing dangerous drugs or  
               dangerous devices on a wholesale basis in California  
               to be licensed by the board as a wholesaler.

             I.   Eliminates an obsolete provision regarding the  
               processing fee for remodeling plans and inspecting a  







                                                                SB 724
                                                                Page  
          6

               remodeled pharmacy.

          5.Makes the following change pertaining to the  
            Speech-Language Pathology and Audiology Board:  Extends  
            the sunset date for the board.

          6.Makes the following change pertaining to the Board of  
            Vocational Nursing and Psychiatric Technicians:  Extends  
            the period of time required for petitioners to wait prior  
            to applying for reinstatement of a license, modification  
            of probation, or termination of probation.

           FISCAL EFFECT  :    Appropriation:  Yes   Fiscal Com.:  Yes    
          Local:  Yes

           SUPPORT  :   (Verified  4/23/01)

          Board of Behavioral Sciences
          Board of Pharmacy
          Board of Vocational Nursing and Psychiatric Technicians
          California Academy of Audiology
          California Association of Marriage and Family Therapists
          Dental Board of California


          CP:kb  4/23/01   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

                                ****  END  ****