BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   AB 403|
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                                 THIRD READING


          Bill No:  AB 403
          Author:   Fuller (R)
          Amended:  03/25/09 in Assembly
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEV. COMM.  :  7-0, 6/8/09
          AYES:  Negrete McLeod, Aanestad, Corbett, Correa, Romero,  
            Walters, Yee
          NO VOTE RECORDED:  Wyland, Florez, Oropeza
           
          SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8

           ASSEMBLY FLOOR  :  79-0, 5/4/09 (Consent) - See last page for  
            vote


           SUBJECT  :    Dental hygienists:  examinations and licensure

           SOURCE  :     California Dental Hygienists Association


           DIGEST  :    This bill revises the examination requirements  
          for registered dental hygienists.

           ANALYSIS  :    

          Existing law:

          1. Establishes the Dental Hygiene Committee of California  
             (Committee) within the Dental Board of California to  
             regulate the practice of registered dental hygienists  
             (RDHs).
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          2. Requires, effective July 1, 2009, the Committee to  
             license an RDH who satisfies all of the following:

             A.    Completion of an educational program for RDHs,  
                approved by the Committee, accredited by the  
                Commission on Dental Accreditation, and conducted by  
                a degree-granting, postsecondary institution.

             B.    Satisfactory performance on a clinical examination  
                and an examination in California law and ethics as  
                prescribed by the Committee.

             C.    Satisfactory completion of a national written  
                dental hygiene examination approved by the Committee.

          This bill:

          1. Revises the state clinical examination requirement for  
             licensure of an RDH to include completion of the dental  
             hygiene examination given by the Western Regional  
             Examining Board (WREB) or any other clinical dental  
             hygiene examination approved by the Committee.

          2. Clarifies that satisfactory completion of an examination  
             offered by the National Dental Hygiene Board satisfies  
             the national testing examination requirement for  
             licensure.

          3. Makes other technical, nonsubstantive changes.

           Background  

          Current law requires that a dental hygienist must complete  
          an educational program for RDHs, pass a clinical  
          examination and an examination in California law and  
          ethics, and complete a national written dental hygiene  
          examination as approved by the Committee.  This bill  
          revises the clinical examination requirements to give  
          dental hygienists the option of completing an examination  
          offered by WREB or any other clinical dental hygiene  
          examination as approved by the Committee.  According to its  
          website, WREB is a national dental and dental hygiene  
          testing agency.  California is currently in the minority of  







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          states that does not recognize regional testing  
          examinations for dental hygienists, and the bill's sponsor  
          argues that by accepting WREB in addition to the state  
          exam, it increases the portability and opportunities for  
          dental hygienists.  The bill's sponsor points out that  
          Oregon, Arizona, Montana, Colorado, Idaho, Alaska, New  
          Mexico, Texas, Oklahoma, Washington, Wyoming, Missouri, and  
          Kansas use WREB to administer their dental hygiene clinical  
          examination. 

           Prior legislation  .  SB 1865 (Aanestad), Chapter 670,  
          Statutes of 2004, allowed applicants of dental licensure in  
          California to take written examinations administered by  
          WREB.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

           SUPPORT  :   (Verified  6/23/09)

          California Dental Hygienists Association (source)
          California Dental Association
          Department of Consumer Affairs

           ARGUMENTS IN SUPPORT  :    According to the bill's sponsor,  
          the California Dental Hygienists Association, this bill  
          gives dental hygienists, consistent with the national trend  
          and the contemporary manner of licensure, the option of  
          taking the WREB clinical examination instead of the  
          California examination to fulfill the clinical part of  
          licensure requirement.  It states that this bill does not  
          get rid of the California examination for those who choose  
          to take it.  It gives dental hygienists the opportunity to  
          take the more widely accepted WREB, which increases the  
          portability for hygienists wanting to enter the state of  
          California to practice and those desiring to move  
          elsewhere.  The California Dental Hygienists Association  
          argues that there is always a need for hygiene services,  
          especially in the rural underserved communities of  
          California, including skilled nursing facilities and  
          clinics. 


           ASSEMBLY FLOOR  : 







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          AYES:  Adams, Ammiano, Anderson, Arambula, Beall, Bill  
            Berryhill, Tom Berryhill, Blakeslee, Block, Blumenfield,  
            Brownley, Buchanan, Caballero, Charles Calderon, Carter,  
            Chesbro, Conway, Cook, Coto, Davis, De La Torre, De Leon,  
            DeVore, Duvall, Emmerson, Eng, Evans, Feuer, Fletcher,  
            Fong, Fuentes, Fuller, Furutani, Gaines, Galgiani,  
            Garrick, Gilmore, Hagman, Hall, Harkey, Hayashi,  
            Hernandez, Hill, Huber, Jeffries, Jones, Knight,  
            Krekorian, Lieu, Logue, Bonnie Lowenthal, Ma, Mendoza,  
            Miller, Monning, Nava, Nestande, Niello, Nielsen, John A.  
            Perez, V. Manuel Perez, Portantino, Price, Ruskin, Salas,  
            Saldana, Silva, Skinner, Smyth, Solorio, Audra  
            Strickland, Swanson, Torlakson, Torres, Torrico, Tran,  
            Villines, Yamada, Bass
          NO VOTE RECORDED:  Huffman


          JJA:mw  6/23/09   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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