BILL ANALYSIS                                                                                                                                                                                                    �



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          SENATE THIRD READING
          SB 539 (Price)
          As Amended  June 9, 2011
          Majority vote 

           SENATE VOTE  :39-0  
           
           BUSINESS & PROFESSIONS           9-0                APPROPRIATIONS 
                              17-0                            
           
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          |Ayes:|Hayashi, Bill Berryhill,  |Ayes:|Fuentes, Harkey,          |
          |     |Allen, Butler, Eng,       |     |Blumenfield, Bradford,    |
          |     |Hagman, Hill, Ma, Smyth   |     |Charles Calderon, Campos, |
          |     |                          |     |Davis, Donnelly, Gatto,   |
          |     |                          |     |Hall, Hill, Lara,         |
          |     |                          |     |Mitchell, Nielsen, Norby, |
          |     |                          |     |Solorio, Wagner           |
           ----------------------------------------------------------------- 

           SUMMARY  :   Extends the sunset date of the Board of Vocational 
          Nursing and Psychiatric Technicians (BVNPT), expands requirements 
          for employers of licensed vocation nurses (LVNs) and psychiatric 
          technicians (PTs) to report specified information to the BVNPT, 
          and makes other changes.  Specifically,  this bill  :   

          1)Extends until January 1, 2016, the sunset date of the BVNPT and 
            statutes pertaining to the BVNPT's executive officer, and 
            provides for the review of the BVNPT by the appropriate policy 
            committees of the Legislature.

          2)Replaces the terms "accredit" or "accreditation" with "approve" 
            or "approval" for purposes of vocational nursing (VN) and PT 
            schools and educational programs. 

          3)Requires employers to report resignations for cause of LVNs and 
            PTs, as specified, to the BVNPT. 

          4)Requires employment agencies and nursing registries to report to 
            the BVNPT the rejection from assignment of a LVN or PT by a 
            health facility or home health care provider due to acts that 
            would be cause for suspension or termination, as specified.

          5)Provides that the term "employer," for purposes of specified 
            reporting to the BVNPT, also includes employment agencies and 







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            nursing registries. 

          6)Requires the BVNPT to inspect or review all schools of VN and PT 
            for purposes of approval or determining compliance with 
            prescribed standards.

          7)Makes other technical, non-substantive and conforming changes.

           FISCAL EFFECT  :   According to Assembly Appropriations Committee:

          1)Minor, absorbable costs to the BVNPT to receive and review an 
            unknown number of additional reports of involuntary termination 
            of employment.  

          2)Approximately $14 million (special fund) annually in regulatory 
            costs will continue to be incurred as a result of extending the 
            sunset on the BVNPT. Under current law, the BVNPT's operations 
            would sunset on January 1, 2012.

          COMMENTS  :   The BVNPT regulates, and enforces the laws related to, 
          the practice of LVNs and PTs in California.  There are about 
          119,000 LVNs and 13,300 PTs in the state.  The BVNPT also 
          accredits and approves VN and PT schools and educational programs. 
           This bill includes a number of provisions to continue or enhance 
          the BVNPT's mission to protect the public.

          The BVNPT is scheduled to sunset on January 1, 2012.  This bill 
          extends the sunset date of the BVNPT until January 1, 2016. 

          Current law states that an accredited school of vocational nursing 
          is one that has been approved by the BVNPT.  The use of the term 
          "accredited" to refer to BVNPT program approval can cause 
          confusion, given the general application of that term to 
          educational institutions.  In California there may be schools not 
          accredited by a national accrediting body that receive BVNPT 
          accreditation (approval) for programs offered.   Similarly, there 
          may be schools approved by the Board of Private Postsecondary 
          Education, but whose VN or PT program may not receive BVNPT 
          accreditation.   Students may not understand the difference 
          between accreditation in the traditional, educational sense of the 
          word and application of the term to BVNPT approved schools.   
          Unaccredited schools offering programs accredited by BVNPT may 
          advertise or promote their "accreditation," misleading students 
          and potentially leaving them at a serious disadvantage if they are 
          not able to successfully transfer academic credits.   Potential 







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          participants in VN or PT training programs are required to answer 
          whether they graduated from an accredited school on their 
          licensing exam.  Students may not know if a school is accredited, 
          even if it operates a BVNPT accredited VN or PT training program.  
          This bill clears up this confusion by replacing the terms 
          "accredit" or "accreditation" with "approve" or "approval" for 
          purposes of VN and PT schools and educational programs.

          Current law requires that employers of LVNs and PTs report to the 
          BVNPT the suspension or termination for cause of employed LVNs or 
          PTs.  According to the BVNPT, many licensees are permitted to 
          submit resignations in lieu of suspension or termination from 
          employment.  Employers are not required to report these types of 
          resignations.  When this occurs, the licensee is able to work for 
          an unsuspecting hospital, nursing or convalescent home, or other 
          healthcare facility because no negative employment history exists. 
           Frequently, the licensees continue to commit similar acts of 
          misconduct, which jeopardizes consumer protection.  This bill adds 
          resignations for cause to the list of employee status actions that 
          employers must report to the BVNPT.

          The BVNPT indicates that existing law is unclear if employment 
          agencies and registries are required to report to the BVNPT a 
          licensee who was rejected from assignment at a health facility or 
          for home health care due to acts that would normally be cause for 
          suspension or termination.  BVNPT points out that it is necessary 
          to require employment agencies and registries to report licensees 
          who are "rejected" for cause as well as suspended, terminated or 
          resigned in lieu of suspension or termination for cause.  This 
          bill requires employment agencies and nursing registries to report 
          to the BVNPT the rejection from assignment of a LVN or PT by a 
          health facility or home health care provider due to acts that 
          would be cause for suspension or termination.  This bill also 
          provides that the term "employer," for purposes reporting to the 
          BVNPT, also includes employment agencies and nursing registries.


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


                                                                  FN: 0002209










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