BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 2561
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          ASSEMBLY THIRD READING
          AB 2561 (Roger Hernández)
          As Amended  April 26, 2012
          Majority vote

           BUSINESS & PROFESSIONS      9-0 APPROPRIATIONS      16-1        
           
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          |Ayes:|Hayashi, Bill Berryhill,  |Ayes:|Fuentes, Harkey,          |
          |     |Allen, Butler, Eng,       |     |Blumenfield, Bradford,    |
          |     |Hagman, Hill, Ma, Smyth   |     |Charles Calderon, Campos, |
          |     |                          |     |Davis, Gatto, Hall, Hill, |
          |     |                          |     |Lara, Mitchell, Nielsen,  |
          |     |                          |     |Norby, Solorio, Wagner    |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |Nays:|Donnelly                  |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 

           SUMMARY  :  Establishes a title act for certified surgical 
          technologists.  Specifically,  this bill  :  

          1)Establishes the Certified Surgical Technologist Act and makes 
            it unlawful for a person to use the title "certified surgical 
            technologist" in this state unless the person: 

             a)   Has successfully completed a nationally accredited 
               educational program for surgical technologists, or a 
               training program for surgical technology provided by the 
               United States (U.S.) Army, Navy, Air Force, Marine Corps, 
               Coast Guard or Public Health Service; and,

             b)   Holds and maintains certification as a surgical 
               technologist by the National Board of Surgical Technology 
               and Surgical Assisting (NBSTSA) or its successor, or 
               another nationally accredited surgical technologist 
               credentialing organization.

          2)Provides that violations of the above provision are not 
            subject to a misdemeanor or enforcement thereof.

          3)Defines "certified surgical technologist" to mean a person who 
            practices surgical technology, and who has successfully 








                                                                  AB 2561
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            completed a nationally accredited educational program for 
            surgical technologists and holds and maintains certification 
            as a surgical technologist by any of the entities described 
            above.

          4)Defines "surgical technology" to mean surgical patient care, 
            and outlines the specific activities that constitute surgical 
            patient care.

          5)Specifies that this bill does not:  repeal, modify, or amend 
            any existing law relating to the supervision of surgical 
            technologists, nor shall it be construed to do so; prohibit or 
            limit any healing arts licensee described in this division 
            from performing a task or function within the scope of the 
            healing art licensee's license, nor shall it be construed as 
            such; or, apply to licensed registered nurses, licensed 
            vocational nurses, or an individual employed by a health care 
            facility whose primary functions include the cleaning or 
            sterilization of supplies, instruments, equipment, or 
            operating rooms.



           FISCAL EFFECT  :  According to Assembly Appropriations Committee:

          1)Negligible direct state costs.  

          2)Previous versions of this bill established registration fees, 
            a Surgical Technologist Fund, and oversight by a Certified 
            Surgical Technologist Committee within the Medical Board of 
            California for purposes of this title act.  Recent amendments 
            removed these provisions.  This bill no longer specifies a 
            role for an oversight and enforcement entity or fee 
            collection; however, putting this title protection in statute 
            could result in pressure to establish state oversight.  Such 
            oversight could cost in the range of $200,000-$500,000 per 
            year.     

           COMMENTS  :  According to the author, "Presently, surgical 
          technologists are the only health care professionals engaged in 
          surgical suite activity without recognition of their profession 
          and the attendant standards of care which their work in such 
          settings warrant?As surgical site infections (SSI) have been 
          found to be the second most common hospital-acquired infections 








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          in the United States (U.S.), a key purpose of the bill is to 
          encourage the education, training and utilization of certified 
          surgical technologists in California, given their work in 
          surgical settings to prevent SSI."

          Surgical technologists, also known as "scrub techs," "surgical 
          technicians," or "operating room technicians," are allied health 
          professionals who work under the supervision of a surgeon.  They 
          provide surgical care to patients ensuring that invasive 
          surgical procedures are being carried out safely and 
          effectively.  They ensure the operating room environment is safe 
          and that equipment is working properly.  They also make sure 
          that surgical procedures are performed under conditions that 
          maximize patient safety. 

          Surgical technologists must possess a high school diploma (or 
          equivalent) and complete an accredited surgical technology 
          training program.  In California, the Commission on 
          Accreditation of Allied Health Education Programs and the 
          Accrediting Bureau of Health Education School accredits surgical 
          technology programs offered by community colleges, vocational 
          schools, universities, hospitals, and the military.  Training 
          programs typically last from 12 to 24 months and lead to a 
          certificate, diploma, or associate degree. 

          In California, the number of surgical technologists is expected 
          to grow much faster than the average growth rate for all 
          occupations.  Jobs for surgical technologists are expected to 
          increase by 29.2%, or 2,600 jobs, between 2008 and 2018.
           

          Analysis Prepared by  :    Angela Mapp / B.,P. & C.P. / (916) 
          319-3301 


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