BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 122
                                                                  Page  1

          Date of Hearing:   August 8, 2012

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

                     SB 122 (Price) - As Amended:  July 2, 2012 

          Policy Committee:                             Business and 
          Professions  Vote:                            9-0

          Urgency:     No                   State Mandated Local Program: 
          No     Reimbursable:              No

           SUMMARY  

          This bill makes a number of changes to law pertaining to the 
          California Board of Registered Nursing (BRN) and the California 
          Massage Therapy Council (CAMTC).  These changes include:

          1)Subjects a school of nursing or a new nursing program seeking 
            approval by the BRN to the following fee schedule:

             a)   A fee of $5,000 for approval of a nursing program.

             b)   A fee of $3,500 for continuing approval of a nursing 
               program established after January 1, 2013.

             c)   A fee of $500 for processing authorization of a 
               substantive change to an approval of a school of nursing.

          2)Deletes provisions requiring a school of nursing that is not 
            affiliated with an institution of higher education to make an 
            agreement with such an institution for purposes of awarding 
            nursing degrees and instead authorizes the BRN to grant 
            approval to these institutions to grant nursing degrees.

          3)Requires the BRN to issue a cease and desist order to a school 
            of nursing not approved by the BRN and to notify the BPPE and 
            the Attorney General of such a school.  Makes it 
            unprofessional conduct for any registered nurse (RN) to 
            violate or attempt to violate or to assist or abet the 
            violation of this provision.

          4)Requires meetings of the BRN to be held in northern and 
            southern California.








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          5)Requires the BRN to have a memorandum of understanding with 
            the Bureau for Private Postsecondary Education (BPPE) to 
            delineate the powers of the BRN and the BPPE as related to 
            schools of nursing and the powers of the BPPE to protect the 
            interest of students attending institutions governed by the 
            Private Postsecondary Education (PPE) Act of 2009.

          6)Authorizes a law enforcement agency or local government agency 
            with responsibility for regulating massage or massage 
            business, upon request of the CAMTC, to provide information to 
            the CAMTC concerning an applicant or certificate holder, 

          7)Allows the CAMTC to immediately suspend the certificate of a 
            certificate holder upon receipt of clear and convincing 
            evidence that the holder has committed an act punishable as a 
            sexually related crime or felony.  

          8)Provides the holder of a suspended certificate the right to a 
            hearing within 30 days, and requires the CAMTC to 
            notification, as specified.

          9)Specifies that business license fees charged to a massage 
            business or establishment can be no higher than the lowest fee 
            that is applied to other individuals and businesses providing 
            professional services, as specified.

          10)Numerous other minor provisions related to massage therapy 
            educational requirements, standards for certification, and 
            enforcement of law and standards by local jurisdictions, law 
            enforcement, and CAMTC. 

           FISCAL EFFECT  

          1)One-time IT costs of $10,000 to the BRN to begin collecting 
            nursing program approval and renewal fee revenue.

          2)Increased workload related to approval and regulation of 
            nursing schools of $100,000 annually, offset by increased 
            revenue in the same amount to the BRN special fund.

          3)Potential increased staff costs to the Department of Justice 
            of $80,000 (charged to the BRN special fund) for approximately 
            0.5 Deputy Attorney Generals to enforce or defend the BRN's 
            ability to issue cease and desist letters. These costs can 








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            vary depending upon the number and complexity of cases.

          4)Potential minor, absorbable increased enforcement costs to 
            CAMTC.  

           COMMENTS  

           Rationale  . The author indicates recent legislative sunset review 
          of BRN activities has highlighted the need for improvements to 
          the nursing school approval process.  He believes that the 
          following changes will provide improvements to the BRN's nursing 
          school approval process by: (1) Granting complete authority over 
          the approval of nursing schools to the BRN rather than requiring 
          a duplicative process under the BPPE, and to offset costs of the 
          BRN in both approving and regulating nursing schools; and (2) 
          Providing the BRN with the ability to issue a cease and desist 
          order to a school of nursing which has not been approved (or has 
          been disapproved) by the BRN and requiring the BRN to inform the 
          Attorney General of a school which continues to operate 
          illegally.  The measure will also make some other clarifying and 
          technical changes regarding the nursing school approval process 
          and to meetings of the BRN.

          The author indicates the CAMTC is the sponsor of the massage 
          therapy-related provisions. Many of these changes are based on 
          requests from cities to toughen or clarify statute related to 
          law enforcement, such as authorizing law enforcement or a local 
          government agency to provide information to CAMTC regarding a 
          certificate holder or applicant.

           Analysis Prepared by  :    Lisa Murawski / APPR. / (916) 319-2081