BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair


          AB 2214 (Monning) - Health workforce development.
          
          Amended: August 6, 2012         Policy Vote: Health 6-2
          Urgency: No                     Mandate: No
          Hearing Date: August 16, 2012                          
          Consultant: Brendan McCarthy    
          
          SUSPENSE FILE.  AS PROPOSED TO BE AMENDED.
          
          
          Bill Summary: AB 2214 requires certain licensed professionals in 
          the healthcare industry to report to the Department of Public 
          Health on the their practice status, ethnic background, and 
          language skills. The bill also establishes the Health Workforce 
          Development Council in statute and requires the Council to 
          undertake specified activities.

          Fiscal Impact: 
              The Department of Public Health will incur one-time costs 
              of about $230,000 (special funds) to modify regulations and 
              update permit notices and renewal application documents.

              The Department of Public Health will incur one-time costs 
              of about $200,000 (special funds) to update existing 
              databases and processes to capture the additional data to be 
              reported. The Department will also incur ongoing costs of 
              about $220,000 per year (special funds) to collect and 
              analyze the data.

              The California Workforce Investment Board will incur 
              ongoing costs of about $200,000 per year (federal funds) to 
              provide staff support to the Health Workforce Development 
              Council. The California Workforce Investment Board has 
              already established such a Council administratively. 
              However, putting this requirement in statute creates an 
              ongoing cost to the Board to provide staff support to the 
              Council.

          Background: Under current law, the Department of Public Health 
          licenses a variety of professionals in the healthcare industry, 
          such as radiologic technicians, nuclear medicine technologists, 
          and clinical laboratory technicians. Generally, these 








          AB 2214 (Monning)
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          professionals are required to receive an initial license and 
          annual renewals of that license. The Department's costs to 
          administer these licensing requirements are supported by fees 
          paid by licensees. 

          Current law requires dentists and dental auxiliaries (licensed 
          by the Dental Board of California) and physicians (licensed by 
          the Medical Board of California) to report information on their 
          employment and their cultural background and language skills to 
          their respective licensing agency.

          Also under current law, the California Workforce Investment 
          Board is responsible for assisting the Governor in the 
          development and improvement of California's workforce investment 
          system.

          Proposed Law: AB 2214 would make two changes to law relating to 
          health-related workforce issues.

              The bill would require certified radiologic technologists, 
              limited radiologic technology permit holders, nuclear 
              medicine technologists, and clinical laboratory licensees to 
              report to the Department of Public Health (their licensing 
              agency) on their practice status and provide information 
              about their cultural background and language skills. The 
              bill authorizes the Department to aggregate and publish the 
              collected data.
              The bill would require the California Workforce Investment 
              Board to establish the Health Workforce Development Council. 
              The bill directs the Council to develop a statewide plan for 
              health workforce development through strategic partnerships 
              and take other, specified actions to increase the state's 
              healthcare workforce. This provision of the bill would 
              sunset on January 1, 2019.

          The proposed author's amendments would make the reporting 
          requirement on licensees permissive.