BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 139
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          SENATE THIRD READING
          SB 139 (Scott)
          As Amended August 20, 2007
          Majority vote 

           SENATE VOTE  :34-2  
           
           Health              17-0         Higher EdUCATION   7-0           

           
           ----------------------------------------------------------------- 
          |Ayes:|Dymally, Nakanishi,       |Ayes:|Portantino, Horton,       |
          |     |Price, Berg,    De La     |     |Arambula, Beall, Cook,    |
          |     |Torre, De Leon, Emmerson, |     |Galgiani, Ruskin          |
          |     |Gaines, Hancock, Hayashi, |     |                          |
          |     |Hernandez, Huff, Jones,   |     |                          |
          |     |Lieber, Ma, Salas,        |     |                          |
          |     |Strickland                |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           APPROPRIATIONS      17-0         
           
           -------------------------------- 
          |Ayes:|Leno, Walters, Caballero, |
          |     |Davis, DeSaulnier,        |
          |     |Emmerson, Huffman,        |
          |     |Karnette, Krekorian, La   |
          |     |Malfa, Lieu, Ma,          |
          |     |Nakanishi, Nava,          |
          |     |Sharon Runner, Solorio,   |
          |     |De Leon                   |
          |     |                          |
           -------------------------------- 
           SUMMARY  :  Establishes the Health Care Workforce Clearinghouse  
          (Clearinghouse) within the Office of Statewide Health Planning  
          and Development (OSHPD) to serve as the central source of health  
          care workforce and educational data in the state.  Makes other  
          changes relating to nursing education and student loans.   
          Specifically,  this bill  :   

          1)Requires the Clearinghouse to be responsible for the  
            collection, analysis, and distribution of information on the  
            educational and employment trends for health care occupations  
            in the state.  Requires the activities of the Clearinghouse to  








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            be funded by appropriations made from the California Health  
            Data and Planning Fund (Fund), as specified.

          2)Requires OSHPD to work with the Employment Development  
            Department's (EDD) Labor Market Division, state licensing  
            boards, and state higher education entities to collect, to the  
            extent available, data regarding the current supply,  
            geographical distribution, and diversity of health care  
            workers (including data on race, ethnicity and language  
            spoken), the current and forecasted demand for health care  
            workers, and the educational capacity to produce trained,  
            certified, and licensed health care workers, as specified.

          3)Requires OSHPD to prepare an annual report to the Legislature  
            that identifies education and employment trends in the health  
            care profession, reports on the current supply and demand of  
            health care workers in California and on gaps in the  
            educational system that is producing workers in specific  
            occupations within different geographic areas, and recommend  
            state policy to address issues of workforce shortage and  
            distribution. 

          4)Prohibits a campus of the California State University (CSU) or  
            the California Community Colleges (CCC) that operates a  
            registered nursing (RN) program from requiring a student who  
            has been admitted to an RN program and who has already earned  
            a baccalaureate degree from an accredited institution to  
            complete general education requirements, and instead requires  
            that student to complete only the coursework that is necessary  
            to prepare him or her for licensing as an RN.

          5)Allows any college, university or other entity that operates  
            an accredited RN program to require any prospective student to  
            provide criminal clearance, as specified, prior to enrollment.

          6)Allows a person who is currently employed as an RN in a  
            state-operated 24-hour facility to be eligible to enter into  
            an agreement for loan assumption under the State Nursing  
            Assumption Program of Loans for Education (SNAPLE) Nursing  
            Faculty but not for SNAPLE State Facilities program  
            (SNAPLE-SF).

          7)Clarifies that if a natural disaster prevents a participant  
            from completing a year of work required under SNAPLE-SF, the  








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            loan assumption agreement is extended for the amount of time  
            equal to the period between interruptions of employment in a  
            state facility to the resumption of employment.  Prohibits the  
            Student Aid Commission from making further payments under the  
            loan assumption agreement until specified employment  
            requirements have been satisfied.

          8)Limits to 3% the amount to be used for statewide  
            administration, program development, program evaluation, and  
            program accountability under the Nursing Enrollment Growth and  
            Retention Program (NEGRP).

          9)Allows any community college district, regardless of whether  
            it participates in the NEGRP, to use any diagnostic assessment  
            tool that is commonly used in RN programs.  Authorizes a  
            community college district to use additional multicriteria  
            screening measures if after using an approved assessment tool,  
            a community college district determines that the number of  
            applicants to its RN program exceeds its capacity.

          10) States that funding for the nursing enrollment expansion  
            programs be funded within the general enrollment growth  
            funding that is traditionally provided to the CSU during the  
            annual state budget process.

          11)Makes other minor, technical and clarifying changes.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, special fund costs of $83,000 in 2007-08, $832,000 in  
          2008-09, $1.3 million in 2009-10, and $1.6 million annually  
          thereafter to OSHPD from the Fund for the creation and  
          maintenance of the Clearinghouse.

           COMMENTS  :  According to the author, this bill is a follow-up and  
          clean-up to SB 1309 (Scott), Chapter 837, Statutes of 2006.  The  
          author indicates that SB 1309 was comprehensive legislation  
          designed to address the nursing shortage in California.

          SB 1309 enacted an array of initiatives and established new  
          nursing education programs, including an expansion of existing  
          loan assumption benefits for RNs, a new loan assumption program  
          under SNAPLE, a new program of grants to attract and retain CCC  
          nursing instructors, a new program for enrollment growth and  
          retention of CCC nursing students, a new regional system for  








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          matching students and clinical placements, exemptions from  
          existing CCC employment laws, and new nursing enrollment targets  
          for the CSU and the University of California.

          California is experiencing a severe nursing shortage.  According  
          to EDD, California has an annual shortage of 9,900 RNs and this  
          number is expected to increase over the next five to ten years.   
          The Health Resources and Services Administration's National  
          Center for Health Workforce Analysis projects that California  
          will need an estimated 47,600 RNs by 2010, and will reach  
          116,600 by 2020.  The California Board of Registered Nursing  
          reports that nearly 60% of qualified applicants are turned away  
          from nursing programs each year, due to barriers such as a lack  
          of clinical education sites, limited classroom space, and a lack  
          of qualified faculty.


           Analysis Prepared by  :  M. Anne Powell / HEALTH / (916) 319-2097 


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