BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2300
                                                                  Page  1

          Date of Hearing:   April 13, 2010

              ASSEMBLY COMMITTEE ON BUSINESS, PROFESSIONS AND CONSUMER  
                                     PROTECTION
                                 Mary Hayashi, Chair
                   AB 2300 (Emmerson) - As Amended:  April 5, 2010
           
          SUBJECT  :   Genetic counselors.

           SUMMARY  :   Establishes a temporary license for genetic  
          counselors (TLGC).  Specifically,  this bill  :  

          1)Requires the Department of Public Health (department) to issue  
            a TLGC, valid for one year, starting July 1, 2011. 
           
          2)Authorizes an individual who has passed all the requirements  
            for licensure, as specified, except passing the certification  
            examination, to apply for a TLGC.   

          3)Permits a person holding a TLGC who fails the first available  
            certification examination to reapply, no later than 30 days  
            after the date of the examination, on a one-time basis, for an  
            additional TLGC. 

          4)States that a TLGC expires upon the occurrence of any of the  
            following events:

             a)   The issuance of a genetic counselor license;

             b)   30 days after the department is notified that an  
               applicant has failed the certification examination, or on  
               the date that the applicant applies and is granted an  
               additional temporary license, as specified; or,

             c)   The TLGC's expiration date.

          5)Requires a person holding a TLGC to work under the general  
            supervision of a licensed genetic counselor or a licensed  
            physician and surgeon.  

           EXISTING LAW  :

          1)Requires the department to establish 100 specified hereditary  
            disorder programs and to license master level genetic  
            counselors and doctoral level geneticists under the Hereditary  








                                                                 AB 2300
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            Disorders Act. 

          2)Prohibits an unlicensed person from using the title of genetic  
            counselor. 

          3)Provides for the licensing and regulation of various healing  
            arts practitioners by regulatory boards in the Department of  
            Consumer Affairs.

           FISCAL EFFECT  :   Unknown

           COMMENTS  :   

           Purpose of this bill  .  According to the author's office, "This  
          bill would create a temporary licensure provision, which would  
          allow graduates with a genetic counseling degree to work in  
          California under the supervision of a licensed genetic counselor  
          or physician until they take the certification exam."


           Background  .  The National Society of Genetic Counselors states,  
          "Genetic counselors work as members of a health care team,  
          providing information and support to families who have members  
          with birth defects or genetic disorders and to families who may  
          be at risk for a variety of inherited conditions.  They identify  
          families at risk, investigate the problem present in the family,  
          interpret information about the disorder, analyze inheritance  
          patterns and risks of recurrence and review available options  
          with the family.  Genetic counselors also provide supportive  
          counseling to families, serve as patient advocates and refer  
          individuals and families to community or state support services.  
           They serve as educators and resource people for other health  
          care professionals and for the general public.  Some counselors  
          also work in administrative capacities.  Many engage in research  
          activities related to the field of medical genetics and genetic  
          counseling." 

          There are presently over 300 genetic counselors practicing in  
          California.  

          SB 1364 (Johnston), Chapter 941, Statues of 2000, established  
          genetic counselor licensing provisions, to be implemented by  
          department regulation.  These regulations are still pending.   
          However, the enabling legislation did not provide for a  
          temporary license, which would allow genetic counselors to  








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          practice under the supervision of a licensed genetic counselor  
          or physician while they await the opportunity to take the  
          certification exam, which is offered once yearly.  Although the  
          department is currently working on regulations that include a  
          temporary license, the author argues that authorizing  
          legislation is necessary.   
              
          The Board of Registered Nursing issues interim permits for  
          applicants who have recently graduated from a registered nursing  
          program and have not taken the licensing exam.

           Previous legislation  .  SB 1364 (Johnston), Chapter 941, Statues  
          of 2000 established genetic counselor licensing provisions, to  
          be implemented by department regulation.  

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          None on file.

           Opposition 
           
          None on file.
          
          Analysis Prepared by  :    Sarah Weaver / B., P. & C.P. / (916)  
          319-3301