BILL ANALYSIS                                                                                                                                                                                                    



                                                                  ACR 99
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          ACR 99 (Swanson)
          As Amended July 1, 2008
          Majority vote
           
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          |ASSEMBLY:  |45-30|(April 14,      |SENATE: |23-12|(July 2, 2008) |
          |           |     |2008)           |        |     |               |
           ----------------------------------------------------------------- 
            
           Original Committee Reference:    ED.  
           
          SUMMARY  :  Urges school districts to take the steps necessary to  
          increase school nurse salaries.

           The Senate amendments  delete the provision urging school  
          districts to increase school nurse salaries to a level  
          comparable of salaries of nurses employed by hospitals and  
          clinics.  

           EXISTING LAW  declares that:

          1)It is the intent of the Legislature that the governing board  
            of each school district and county superintendent of schools  
            maintain fundamental school health services at a level that is  
            adequate to: 

             a)   Preserve pupils' ability to learn;

             b)   Fulfill existing state requirements and policies  
               regarding pupils' health; and, 

             c)   Contain health care costs through preventive programs  
               and education.

          2)The provision of these services may be in jeopardy due to the  
            current caseloads in the public schools, and that failure to  
            maintain adequate health services will result in pupils'  
            poorer health and ability to learn.

           AS PASSED BY THE ASSEMBLY  , this resolution was substantively  
          similar to the version approved by the Senate.

           FISCAL EFFECT  :  This resolution is keyed non-fiscal.









                                                                  ACR 99
                                                                  Page  2

           COMMENTS  :  There has been a long standing shortage of school  
          nurses in California.  According to Children Now and the "2008  
          California Report Card on the State of the State's Children,"  
          the shortage of school nurses in California has produced a  
          student to nurse ratio of 4000:1, whereas the federal standard  
          is one school nurse per 750 students.  The report also notes  
          that in 15 California counties, there are no school nurses at  
          all.

          According to the sponsor, there was, and continues to be, a rise  
          in chronic and acute illness in students, a rise in number of  
          special needs students, and a rise in need for school nurses to  
          supervise the provision of their care or to actually provide it.  
           At the same time, there is a general nursing shortage.  Nurses  
          are paid more in acute care setting than they are in schools.   
          Caseloads are atrocious in schools, school nurses are stressed,  
          overworked, underpaid, and there is no job security, a school  
          nurse cannot be tenured, could be laid off at any time, and is  
          usually the first to be cut in school district budgets.  School  
          nurses are leaving for retirement.  It is difficult to recruit  
          for the position of a school nurse when the potential applicant  
          pool is forced to take a pay cut for the job.  According to the  
          author, school nurses are paid a salary of approximately $20,000  
          less than nurses employed by hospitals or clinics.  

          According to the author, with over 1,000 school districts,  
          located in many disparate areas in the state, there are  
          districts that have great difficulty attracting school nurses.   
          This resolution seeks to encourage and empower school districts  
          to look into alternatives to putting the school nurse on the  
          same salary schedule as the other certificated staff in a school  
          district, if it will aid them in obtaining the services of a  
          school nurse. 

          According to the Commission on Teacher Credentialing, on  
          average, 225 School Nurse credentials were granted annually  
          between 2001-02 and 2005-06.  As seen in the table below,  
          however, the number decreased 35% between 2001-02 and 2003-04  
          (272 to 176, respectively) and then increased 39% between  
          2003-04 and 2005-06 to 245.  Despite the increase over the past  
          two years, the numbers have not reached the 2001-02 level and  
          overall show a declining trend of about 10%.

                   Number of Credentials Issued for School Nurses
          








                                                                  ACR 99
                                                                  Page  3

           -------------------------------------------------------------- 
          |        |2001-02 |2002-03 |2003-04 |2004-05 |2005-06 | 5-year |
          |        |        |        |        |        |        | change |
          |        |        |        |        |        |        |  (%)   |
          |--------+--------+--------+--------+--------+--------+--------|
          | Totals |  272   |  222   |  176   |  214   |  245   |-9.9%   |
          |        |        |        |        |        |        |        |
           -------------------------------------------------------------- 
          Source:  Commission on Teacher Credentialing.

           
          Analysis Prepared by  :    Chelsea Kelley / ED. / (916) 319-2087 


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