BILL ANALYSIS                                                                                                                                                                                                    







                      SENATE COMMITTEE ON PUBLIC SAFETY
                             Senator Mark Leno, Chair                S
                             2009-2010 Regular Session               B

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          SB 389 (Negrete McLeod)                                     
          As Introduced February 26, 2009 
          Hearing date:  April 28, 2009
          Business and Professions Code
          MK:br

                               PROFESSIONS AND VOCATIONS  

                                       HISTORY

          Source:  Author

          Prior Legislation: SB 1402 (Corbett) - vetoed, 2008
                       SB 136 (Figueroa) - Ch. 909, Stats. 2004
                       SB 1346 (B&P Committee) - Ch. 758, Stats. 1997

          Support: Medical Board of California; California Board of  
                   Accountancy; California Chiropractic Association

          Opposition:California Medical Association; Contractors State  
                   License Board; Golden State Builders Exchanges;  
                   Engineering & Utility Contractors Association;  
                   Engineering Contractors' Association; Marin Builders'  
                   Association; Flasher/Barricade Association; California  
                   Chapter of the American Fence Contractors' Association;  
                   Southern California Contractors Association


                                         KEY ISSUE
           
          SHOULD THE LAW REQUIRE THAT SPECIFIED LICENSEES BE REQUIRED TO GET A  
          CRIMINAL BACKGROUND CHECK BEFORE RECEIVING OR RENEWING A LICENSE?





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                                                    SB 389 (Negrete McLeod)
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                                       PURPOSE

          The purpose of this bill is to require applicants for specified  
          licenses to have a criminal background check completed before a  
          license is granted or renewed.

           Existing law  creates the Department of Consumer Affairs (DCA)  
          within the State and Consumer Services Agency.

           Existing law  provides that DCA consists of various boards and  
          bureaus that license and regulate members of various professions  
          and vocations.

           Existing law  authorizes a board to suspend or revoke a  
          license on various grounds including that the licensee has  
          been convicted of a crime, if the crime is substantially  
          related to the qualifications, functions or duties of the  
          licensed activity.  (Business and Professions Code  480.)

           Existing law  requires the clerk of the court to report to the  
          respective health board any judgment by a court that a licensee  
          has committed a crime, or is liable for any death or personal  
          injury resulting in a judgment for an amount in excess of  
          $30,000.  (Business and Professions Code  803.)

           Existing law  requires city attorneys and district attorneys to  
          report to a health board any filings charging a felony and the  
          clerk of the court shall report a conviction of a crime within  
          48 hours after the conviction, and to also transmit any felony  
          preliminary hearing transcript or probation report on a licensee  
          to the respective health board.  (Business and Profession Code   
          803.5.)

           Existing law  requires a physician and surgeon, osteopathic  
          physician and surgeon, and a doctor of podiatric medicine to  
          self-report to the licensing board any charge of a misdemeanor  
          or felony within 30 days, and provides that failure to report  
          this information is subject to a $5,000 fine for non-reporting.   
          (Business and Professions Code  802.1.)




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                                                    SB 389 (Negrete McLeod)
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           Existing law  pursuant to a general provision of the Business and  
          Professions Code, requires the licensing applicants of specified  
          boards to submit a full set of fingerprints for the purposes of  
          conducting criminal history record checks, and authorizes the  
          licensing boards to obtain and receive, at its discretion,  
          criminal history information from the Department of Justice  
          (DOJ) and the Federal Bureau of Investigation (FBI).  The boards  
          subject to this requirement are:

              a)       California Board of Accountancy
              b)       Athletic Commission
              c)       Board of Behavioral Sciences
              d)       Court Reporters Board
              e)       Board of Guide Dogs for the Blind
              f)       Board of Pharmacy
              g)       Board of Registered Nursing
              h)       Veterinary Medical Board
              i)       Registered Veterinary Technician Committee
              j)       Board of Vocational Nursing and Psychiatric  
              Technicians
              aa)      Respiratory Care Board
              bb)      Hearing Aid Dispensers Advisory Commission
              cc)      Physical Therapy Board
              dd)      Physician Assistant Committee
              ee)      Speech-Language Pathology and Audiology Board
              ff)      Medical Board of California
              gg)      Board of Optometry
              hh)      Acupuncture Board
              ii)      Cemetery and Funeral Bureau
              jj)      Bureau of Security and Investigative Services
              aaa)     Division of Investigation
              bbb)     Board of Psychology
              ccc)     Board of Occupational Therapy
              ddd)     Structural Pest Control Board
              eee)     Contractors State License Board
              fff)     Bureau of Naturopathic Medicine

           This bill  adds the following to those licensing applicants and  
          mandates that in addition to those listed above they will be  




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                                                    SB 389 (Negrete McLeod)
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          required to get a criminal background check:

                 Dental Board of California
                 Dental Hygiene Committee of California
                 Professional Fiduciaries Bureau
                 California Board of Podiatric Medicine
                 Osteopathic Medical Board of California
                 State Board of Chiropractic Examiners

           This bill  provides that each agency shall direct applicants for  
          a license to submit to the DOJ fingerprint images and related  
          information required by the DOJ for purposes of obtaining  
          information as to the existence and content of the state or  
          federal record.  The agency shall request subsequent arrest  
          information from the DOJ.

           This bill  would require a person who has not previously  
          submitted fingerprints to submit them as a condition of license  
          renewal.

           This bill  provides that a licensee shall as a condition of  
          license renewal, certify on the renewal application that he or  
          she has successfully completed a state and federal level  
          criminal background check.

           This bill  provides that each agency shall direct licensees to  
          submit to the DOJ fingerprint images and related information  
          required by the DOJ for the purpose of obtaining information as  
          to the existence and content of a state or federal record.

           This bill  provides that an agency may waive the requirements of  
          this section if the license is inactive or retired or if the  
          licensee is actively serving in the military.

           This bill  provides that if the licensee is a business entity,  
          each agency shall by regulation determine which owners,  
          officers, directors, shareholders, members, agents, employees  
          etc. who are representatives of the business entity are required  
          to submit finger prints.





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                                                    SB 389 (Negrete McLeod)
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           This bill  provides that the specified agencies shall require as  
          a condition of renewal to notify the board on the license  
          renewal form if he or she has been convicted of a felony or  
          misdemeanor since his or her last renewal.
                                          
                    RECEIVERSHIP/OVERCROWDING CRISIS AGGRAVATION
          
          California continues to face a severe prison overcrowding  
          crisis.  The Department of Corrections and Rehabilitation (CDCR)  
          currently has about 170,000 inmates under its jurisdiction.  Due  
          to a lack of traditional housing space available, the department  
          houses roughly 15,000 inmates in gyms and dayrooms.   
          California's prison population has increased by 125% (an average  
          of 4% annually) over the past 20 years, growing from 76,000  
          inmates to 171,000 inmates, far outpacing the state's population  
          growth rate for the age cohort with the highest risk of  
          incarceration.<1>

          In December of 2006 plaintiffs in two federal lawsuits against  
          CDCR sought a court-ordered limit on the prison population  
          pursuant to the federal Prison Litigation Reform Act.  On  
          February 9, 2009, the three-judge federal court panel issued a  
          tentative ruling that included the following conclusions with  
          respect to overcrowding:

               No party contests that California's prisons are  
               overcrowded, however measured, and whether considered  
               in comparison to prisons in other states or jails  
               within this state.  There are simply too many  
               prisoners for the existing capacity.  The Governor,  
               the principal defendant, declared a state of emergency  
               in 2006 because of the "severe overcrowding" in  
               California's prisons, which has caused "substantial  
               ----------------------
          <1>  "Between 1987 and 2007, California's population of ages 15  
          through 44 - the age cohort with the highest risk for  
          incarceration - grew by an average of less than 1% annually,  
          which is a pace much slower than the growth in prison  
          admissions."  (2009-2010 Budget Analysis Series, Judicial and  
          Criminal Justice, Legislative Analyst's Office (January 30,  
          2009).)



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                                                    SB 389 (Negrete McLeod)
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               risk to the health and safety of the men and women who  
               work inside these prisons and the inmates housed in  
               them."  . . .  A state appellate court upheld the  
               Governor's proclamation, holding that the evidence  
               supported the existence of conditions of "extreme  
               peril to the safety of persons and property."  
               (citation omitted)  The Governor's declaration of the  
               state of emergency remains in effect to this day.

               . . .  the evidence is compelling that there is no  
               relief other than a prisoner release order that will  
               remedy the unconstitutional prison conditions.

               . . .

               Although the evidence may be less than perfectly  
               clear, it appears to the Court that in order to  
               alleviate the constitutional violations California's  
               inmate population must be reduced to at most 120% to  
               145% of design capacity, with some institutions or  
               clinical programs at or below 100%.  We caution the  
               parties, however, that these are not firm figures and  
               that the Court reserves the right - until its final  
               ruling - to determine that a higher or lower figure is  
               appropriate in general or in particular types of  
               facilities.

               . . .

               Under the PLRA, any prisoner release order that we  
               issue will be narrowly drawn, extend no further than  
               necessary to correct the violation of constitutional  
               rights, and be the least intrusive means necessary to  
               correct the violation of those rights.  For this  
               reason, it is our present intention to adopt an order  
               requiring the State to develop a plan to reduce the  
               prison population to 120% or 145% of the prison's  
               design capacity (or somewhere in between) within a  






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                                                    SB 389 (Negrete McLeod)
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               period of two or three years.<2>

          The final outcome of the panel's tentative decision, as well as  
          any appeal that may be in response to the panel's final  
          decision, is unknown at the time of this writing.

           This bill  does not appear to aggravate the prison overcrowding  
          crisis outlined above.

                                      COMMENTS

          1.  Need for This Bill

           According to the author:

              In the fall of 2008, the Los Angeles Times published  
              several articles which focused on nurses and licensed  
              vocational nurses who had prior criminal convictions and  
              were still licensed by the California Board of  
              Registered Nursing (BRN) and the Board of Vocational  
              Nursing and Psychiatric Technicians (BVNPT).  The LA  
              Times investigation in a joint effort with the nonprofit  
              investigative reporting agency Pro Publica, reviewed  
              nursing board files and court pleadings, consulted  
              online databases, newspaper clippings, and conducted  
              interviews with nurses and experts in several states.   
              The articles reported finding 115 cases in which the  
              board didn't seek to revoke or restrict licenses until  
              nurses had had three or more criminal convictions.   
              Twenty-five nurses had at least five convictions.  In  
              some cases, nurses with felony records continued to have  
              spotless license records, even while jailed or  
              imprisoned.

              -----------------------
          <2>  Three Judge Court Tentative Ruling, Coleman v.  
          Schwarzenegger, Plata v. Schwarzenegger, in the United States  
          District Courts for the Eastern District of California and the  
          Northern District of California United States District Court  
          composed of three judges pursuant to Section 2284, Title 28  
          United States Code (Feb. 9, 2009).



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                                                    SB 389 (Negrete McLeod)
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              The investigation revealed two significant flaws in the  
              boards' screening processes:

                First, it allows a large portion of the 343,000  
                active registered nurses to escape scrutiny.  In  
                1990 the BRN began to fingerprint applicants,  
                but the law was not retroactive so about 146,000  
                were never fingerprinted.

                Second, renewal of a license every two years  
                does not require another fingerprint check or  
                the ability for the board to ask the licensee if  
                they had a criminal conviction since their  
                initial license or last renewal.

              In response to these articles, the DCA indicated that it  
              is taking swift action to provide additional consumer  
              protections by making sure that all health related  
              boards implement a plan to obtain fingerprints from all  
              licensees regardless of when they were first licensed.   
              Both the BRN and the BVNPT have already adopted  
              emergency regulations to require the fingerprinting of  
              existing licensees, and the other licensing boards that  
              do not already have this requirement have begun the  
              rulemaking process to do so.  This bill establishes  
              statutory affirmation of this authority and removes any  
              ambiguity that may exist about the authority of a board  
              which currently fingerprints new applicants to also  
              require fingerprints from existing licensees.

              In addition, existing law requires the clerk of the  
              court to report to the respective health board any  
              judgment by a court that a licensee has committed a  
              crime, or is liable for any death or personal injury  
              resulting in a judgment for an amount in excess of  
              $30,000 (BPC  803).  Further, city attorneys and  
              district attorneys must report to a health board any  
              filings charging a felony and the clerk of the court  
              must report a conviction of a crime within 48 hours of  




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                                                    SB 389 (Negrete McLeod)
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              the conviction ( 803.5), and the clerk must transmit  
              any felony preliminary hearing transcript or probation  
              report on a licensee to the respective health board (  
              803.6).  There is no assurance that health boards are  
              consistently receiving this information and there  
              appears to be lax reporting by prosecuting attorneys and  
              the courts to the health boards in complying with these  
              reporting requirements.

              Regarding health care practitioners self-reporting of a  
              charge of a misdemeanor or felony, the B&P Code only  
              requires a physician and surgeon or doctor of podiatric  
              medicine to report this information and can be fined  
              $5,000 for non-reporting (BPC  802.1).  All licensees  
              should be required to report convictions to the board  
              that licenses and regulates them.

              This bill would require all health related boards under  
              the Department of Consumers Affairs to fingerprint all  
              license applicants for the purpose of conducting  
              criminal background checks; and requires, beginning  
              January 1, 2011, all licensees who have not previously  
              submitted fingerprints, or for whom a record of the  
              submission of fingerprints no longer exists, to submit  
              fingerprints for these purposes, prior to license  
              renewal.  Under the bill, the requirement to fingerprint  
              existing licensees would apply not only to health  
              related boards but also to the other licensing boards  
              subject to the general fingerprint requirement of B&P  
              Code  144.  The bill further requires a licensee, as a  
              condition of license renewal, to notify the board or  
              bureau on the license renewal form if he or she has been  
              convicted of a felony or misdemeanor since the last  
              license renewal.

          2.  Background Check for Licensees  

          This bill is intended to take care of "flaws" in the criminal  
          background check requirements for specified licensees that were  
          raised by the Los Angeles Times article.  It mandates that the  




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                                                    SB 389 (Negrete McLeod)
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          current licensing boards who may obtain criminal background  
          checks for potential licensees get the background checks and  
          adds six new boards to this requirement.  It also mandates that  
          the boards get subsequent arrest information.

              a.     Mandate

              While many boards are currently authorized to background  
              check their potential licensees, this bill would mandate the  
              background checks upon licensure or renewal.  The bill also  
              requires the boards to request subsequent arrest information  
              on those background checks, something not all the boards  
              currently get.

              b.     Additional boards

              In addition to those boards already permitted to get  
              background checks, this bill adds the following boards to  
              the new mandate:
                         Dental Board of California
                         Dental Hygiene Committee of California
                         Professional Fiduciaries Bureau
                         California Board of Podiatric Medicine
                         Osteopathic Medical Board of California
                         State Board of Chiropractic Examiners

              c.     Self-certification regarding past background check

              This bill provides that when a person is up for a license  
              renewal they shall self certify that he or she has already  
              had a criminal background check or submitted fingerprints.   
              This is not really workable because even if a person submits  
              fingerprints it does not mean a background check was  
              completed.  For example, there could have been a problem  
              with the fingerprints submitted.  Nor does it mean the  
              person's background check cleared without problems.  A  
              person could also be confused because he or she may have had  
              a background check for another purpose, such as for their  
              child's school, being a scout leader etc., and may not  
              understand that such background checks do not cross to other  




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              areas.  It is the boards who should have a record of past  
              checks, which apparently is part of the existing problem;  
              consistent records have not been kept.  In the future, with  
              the subsequent arrest notification in place the boards  
              should have no problem knowing whether a person has had  
              incidents subsequent to their licensure.  Having a person  
              self-certify is not the correct solution to any problem that  
              may exist.

          WILL SELF-CERTIFICATION BY THE LICENSEE WORK?

              d.     Background check for renewal

              This bill will require a background check for a person who  
              has not previously been background checked or who cannot  
              prove he or she has had a background check.  This would  
              apply whether a person has been licensed for one year or for  
              40 years.  The CMA expresses concern that this requirement  
              could cause some physicians to retire instead of having to  
              resubmit prints.  They suggest that boards that have done  
              background checks be exempted from this requirement.   
              Another approach could be to allow boards to grandfather in  
              licensees who have had clean licenses for a specified period  
              of time.  This would also cut down on the costs associated  
              with rechecking all the licensees.



















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           SHOULD LICENSEES BE REQUIRED TO BE BACKGROUND CHECKED ON  
           RENEWAL NO MATTER HOW LONG THEY HAVE BEEN LICENSED?

              e.     Contractors

              The Southern California Contractors Association notes that  
              contractors are different than other licensees because they  
              are the business owners and they would be required to be  
              background checked while their employees who do the work  
              would not.  They argue that contractors' licenses should be  
              treated differently.

           SHOULD ALL LICENSEES BE TREATED THE SAME?

          3.  Author's Response to Opposition and Concerns  

          According to the author:

              The author is willing to work with concerned parties  
              in order to address their concerns in such a way that  
              consumers can be best protected.  The author  
                        understands the current fiscal realities in the state  
              for all parties involved and is interested in  
              ultimately implementing a bill which will protect  
              important consumer interests and at the same time be  
              reasonable and workable for licensees as well as for  
              agencies.  The most important part of the bill is to  
              assure that DOJ has fingerprints on file for all  
              licensees so that if future crimes are committed,  
              then the boards and bureaus are informed in a timely  
              manner so they can take appropriate action.  Absence  
              of fingerprints on file with DOJ leaves open the  
              opportunity for licensees of this state to continue  
              their trade or practice even after committing serious  
              crimes and endangering consumers.

          4.  DOJ Amendments  

          The DOJ would like the author to make the following amendments  




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                                                    SB 389 (Negrete McLeod)
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          to make the bill accurate for their purposes:

          On page 3, lines 29-30 and page 4, lines 29-30 delete "state or  
          federal criminal record" and insert "record of state or federal  
          convictions and state or federal arrests and also information as  
          to the existence and content of a record of state or federal  
          arrests for which the Department of Justice establishes that the  
          person is free on bail or on his or her recognizance pending  
          trial or appeal."



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