BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   SB 389|
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                                 THIRD READING


          Bill No:  SB 389
          Author:   Negrete McLeod (D)
          Amended:  6/1/09
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEVELOP. COMM.  :  9-0,  
            4/20/09
          AYES:  Negrete McLeod, Aanestad, Corbett, Correa, Florez,  
            Oropeza, Romero, Walters, Yee
          NO VOTE RECORDED:  Wyland

           SENATE PUBLIC SAFETY COMMITTEE  :  7-0, 4/28/09
          AYES:  Leno, Benoit, Cedillo, Hancock, Huff, Steinberg,  
            Wright

           SENATE APPROPRIATIONS COMMITTEE  :  12-0, 5/28/09
          AYES:  Kehoe, Cox, Corbett, Denham, DeSaulnier, Hancock,  
            Leno, Oropeza, Runner, Walters, Wyland, Yee
          NO VOTE RECORDED:  Wolk


          SUBJECT  :    Professions and vocations

           SOURCE  :     Author


           DIGEST  :    This bill requires all health related  
          boards under the Department of Consumers Affairs to  
          fingerprint all license applicants, or petitioners for  
          reinstatement of a revoked, surrendered, or cancelled  
          license for the purpose of conducting criminal  
          background checks; and requires, beginning January 1,  
                                                           CONTINUED





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          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.  This bill applies this fingerprinting  
          requirement to existing licensees of the other  
          non-health related licensing boards which are  
          currently subject to the general fingerprint  
          requirement for license applicants only, requires  
          licensees, as a condition of license renewal, to  
          notify the agency on the license renewal form if he or  
          she, or any member of the personnel of record of the  
          license has been convicted of a felony or misdemeanor  
          since the last license renewal.


           ANALYSIS  :    Existing law:

          1. Creates the Department of Consumer Affairs (DCA) within  
             the State and Consumer Services Agency. 

          2. Provides that DCA consists of various boards and bureaus  
             that license and regulate members of various professions  
             and vocations.

          3. Authorizes a board to deny a license on various grounds  
             including that the applicant has been convicted of a  
             crime only if the crime is substantially related to the  
             qualifications, functions or duties of the licensed  
             activity.

          4. 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.

          5. 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  







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             Federal Bureau of Investigation (FBI).

          6. 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.

          7. 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.

          8. 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.

          This bill:

          1. Additionally makes the general fingerprinting  
             requirement applicable to: 

                  A.        Dental Board of California
                  B.        Dental Hygiene Committee of California
                  C.        Professional Fiduciary Bureau
                  D.        Osteopathic Medical Board of California
                  E.        California Board of Podiatric Medicine
                  F.        State Board of Chiropractic Examiners

          2. Recasts the existing discretionary authority for a board  
             to obtain criminal history information from the DOJ and  
             FBI, to instead require the submission of fingerprint  
             images to the DOJ in order to obtain state and federal  
             criminal history information, and subsequent arrest  
             notification, as specified, which shall be disseminated  
             to that board.  

          3. Requires applicants for a license and, beginning January  







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             1, 2011, licensees who have not previously submitted  
             fingerprints, or for whom a record of the submission of  
             fingerprints no longer exists, as a condition of license  
             renewal, to complete the process necessary for a state  
             and federal level criminal offender record information  
             search, as specified.

          4. Requires licensees to certify compliance with the  
             requirement as a condition of license renewal on a form  
             provided by the agency, and subjects a licensee to  
             disciplinary action for making a false certification.   
             Failure to provide the required certification renders an  
             application for license renewal incomplete.

          5. Specifies that #2 and #3 above, as they apply to the  
             Contractors' State License Board (CSLB), only become  
             operative on the date on which an appropriation is made  
             to fund the activities to accommodate a criminal history  
             record check.  If these provisions, relative to the  
             CSLB, become operative on or before July 1, 2012, this  
             bill allows the CSLB phase in the requirements over six  
             years, as specified.

          6. Requires a licensee, as a condition of license renewal,  
             to notify the agency on the license renewal form if he  
             or she, or any member of the personnel record of the  
             licensee, has been convicted, as defined, of a felony or  
             misdemeanor since the license was last renewed, or since  
             the license was initially issued if it has not been  
             previously renewed.

           Background
           
           LA Times Investigative Series  .  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  
          on-line databases, newspaper clippings, and conducted  
          interviews with nurses and experts in several states.  The  







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          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 continue to have spotless licenses, even  
          while jailed or imprisoned.

           Flaws in the Board Screening Processes  .  The investigation  
          revealed two significant flaws in the boards' screening  
          processes:  (1) It allows a larger 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.  (2)  
          Renewal of a license every two years does not require  
          another fingerprint check nor the ability for the board to  
          ask the licensee if they had a criminal conviction since  
          their initial license or last renewal. 

           DCA Takes Action to Fingerprint Licensees  .  In response to  
          the  LA Times  articles, the DCA indicated that it was 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 on the authority of a  
          board which currently fingerprints new applicants to also  
          require fingerprints from existing licensees.

           Prior Legislation
           
          SB 1402 (Corbett, 2008) would have provided for additional  
          health related boards within DCA to provide specified  
          information to the public over the Internet including  
          enforcement actions taken against a licensee by the boards  
          and for insurers to report to the Chiropractic Board a  
          settlement or arbitration award over $2,000.  That bill was  
          vetoed by the Governor, citing the delay in passing the  
          Budget.








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          SB 136 (Figueroa, Chapter 909, Statutes of 2004), among  
          other things, required CSLB to obtain fingerprints and  
          criminal history information from applicants on the date on  
          which sufficient funds are available to CSLB and DOJ, or on  
          July 1, 2005, occurs first.

          SB 1346 (B&P Committee, Chapter 758, Statutes of 1997)  
          established the general fingerprinting authority under the  
          B&P Code.

          AB 1025 (Bass, 2007) provided that an applicant for a  
          license may not be denied licensure, or may not have the  
          license suspended or revoked, on the basis of a conviction  
          of a felony or misdemeanor if that person has obtained a  
          certificate of rehabilitation, and if the felony or  
          misdemeanor conviction has been dismissed.  The bill would  
          have established a presumption that the applicant or  
          licensee had been rehabilitated unless the Board proved  
          otherwise.  That bill was vetoed by the Governor. 

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

          According to the Senate Appropriations Committee:

                          Fiscal Impact (in thousands)

           Major Provisions                2009-10     2010-11     
           2011-12   Fund  
          New fingerprinting/criminal                   
          $8,318$14,306Special*
          background check requirement            ($7,153)($14,306)
          (revenue)
                                         2012-13
                                        $7,788
                                        ($7,153)

          Expansion of existing finger-           $598  
          $1,068Special**
          printing/criminal background
          check requirement   

                                         2012-13    unknown
                                        $532      ongoing







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          *  State Dentistry Fund, State Dental Auxiliary Fund,  
          Professional Fiduciaries Fund, Osteopathic Medical Board of  
          California Contingent Fund, Chiropractic Examiners Fund;  
          Fingerprint Fees Account, which pays for workload  
          expenditures incurred by DOJ for providing summary criminal  
          information

          ** Reflects CSLB, Contractors' License Fund) costs; other  
          Department of Consumer Affairs boards, bureaus and  
          committees costs significantly less.  The implementation  
          date for the CSLB would be delayed until sufficient funds  
          are available. 

           SUPPORT  :   (Verified  5/29/09)

          California Association of Nurse Practitioners
          California Board of Accountancy
          California Chiropractic Association
          Medical Board of California

           OPPOSITION  :    (Verified  5/29/09) (prior version)

          California Chapter of the American Fence Contractors  
          Association
          California Fence Contractors Association
          Engineering and Utility Contractors Association
          Engineering Contractors Association
          Flasher/Barricade Association
          Golden State Builders Exchanges
          Marin Builders Association
          California Medical Association
          Southern California Contractors Association
          Construction Industry Legislative Council

           ARGUMENTS IN SUPPORT  :    The Medical Board of California  
          (MBC) writes that it has been fingerprinting its licensees  
          for many years and is in the process of verifying records  
          to determine if any licensee has not been fingerprinted.   
          MBC feels that access to fingerprint records is important  
          for consumer protection and supports the authority to work  
          with DOJ to complete the fingerprinting process for all  
          licensees.  MBC believes that although current law includes  
          reporting requirements, the additional requirement for  







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          licensees to report felonies or misdemeanors at the time of  
          renewal is an additional protection for consumers.

          The California Board of Accountancy (CBA) believes the bill  
          will benefit consumers, and supports the efforts to ensure  
          that all licensees are fingerprinted and that all  
          convictions are disclosed.  CBA states that its staff is  
          currently revising its renewal form to require licensees to  
          disclose conviction and license discipline information  
          since the last renewal. 

          The California Chiropractic Association (CCA) states that  
          the Board of Chiropractic Examiners has fingerprinted all  
          new doctors of chiropractic for many years, and is now in  
          the process of promulgating regulations to ensure that no  
          licensees fall through the cracks.  CCA underscores the  
          importance of licensing boards being able to conduct  
          background checks and knowing if a licensee has committed a  
          misdemeanor or felony to ensure that public health and  
          safety is protected.

           ARGUMENTS IN OPPOSITION  :    The Engineering Contractors  
          Association, California Fence Contractors Association,  
          Marin Builders Association, Flasher/Barricade Association,  
          and California Chapter of the American Fence Contractors  
          Association are in opposition to the bill, stating that  
          there are over 300,000 licensed contractors in California,  
          and the existing live scan infrastructure could not handle  
          the volume.  They further write that unlike nurses, the  
          majority of people who go into consumers' homes are  
          employees of the contractor and would not be subject to the  
          background checks.  Additionally the concern is raised that  
          the board would "yank" the license of a contractor who had  
          been operating without a problem for numerous years when a  
          background check reveals a criminal conviction many years  
          ago.  Finally, it is argued that unlike other licensees,  
          contractors are business entities that could well have a  
          number of qualifying persons who may be living in different  
          areas of the state, this fact will add to the 300,000  
          licensee number and further exacerbate an already  
          overburdened system. 


          JA:nl  6/1/09   Senate Floor Analyses 







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                         SUPPORT/OPPOSITION:  SEE ABOVE

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