BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                   SB 628|
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                              UNFINISHED BUSINESS


          Bill No:  SB 628
          Author:   Yee (D)
          Amended:  8/6/11
          Vote:     21

           
          PRIOR VOTES NOT RELEVANT

           ASSEMBLY FLOOR  :  59-16, 8/22/12 - See last page for vote


           SUBJECT  :    Acupuncture

           SOURCE  :     Author


           DIGEST  :    This bill makes it unprofessional conduct for an 
          acupuncturist to use the title of Doctor or use the 
          abbreviation Dr. in connection with the practice of 
          acupuncture unless he/she holds a license authorizing that 
          use or a specified degree.

           Assembly Amendments  delete the Senate version of the bill, 
          which required the California Acupuncture Board to issue a 
          certificate to practice as a traditional Chinese Medicine 
          traumatologist as specified, and instead and the current 
          language.

           ANALYSIS  :    

           Existing law  :

          1. Establishes the California Acupuncture Board (Board) 
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             within the Department of Consumer Affairs (DCA), which 
             licenses and regulates the acupuncture profession 
             pursuant to the Acupuncture Licensure Act. 

          2. Defines an acupuncturist as an individual who has been 
             licensed to practice acupuncture pursuant to the 
             Acupuncture Licensure Act.  Defines acupuncture as the 
             stimulation of a certain point  or points on or near the 
             surface of the body by the insertion of needles to 
             prevent or modify the perception of pain or to normalize 
             physiological functions, including pain control, for the 
             treatment of certain diseases or dysfunctions of the 
             body and includes the techniques of electroacupuncture, 
             cupping, and moxibustion. 

          3. States that the Board shall issue a license to practice 
             acupuncture to any person who applies and meets 
             specified requirements:

          This bill states that it is unprofessional conduct for an 
          acupuncturist to use the title "Doctor" or "Dr." in the 
          following instances:

          1. In connection with the practice of acupuncture unless 
             he/she holds a license authorizing its use, or an earned 
             doctorate degree from an accredited, approved, or 
             authorized educational institution under the California 
             Private Postsecondary Education Act of 2009 in 
             acupuncture, oriental medicine, a biological science, or 
             field otherwise related to the practice of an 
             acupuncturist authorized in the Acupuncture Licensure 
             Act.

          2. Without indicating the type of license or degree which 
             authorizes its use.

           Background
           
          According to the National Institutes of Health's (NIH) 
          National Center for Complementary and Alternative Medicine 
          (Center)," traditional Chinese Medicine (TCM) originated in 
          ancient China and has evolved over thousands of years.  TCM 
          practitioners use herbs, and other methods to treat a wide 
          range of conditions.  In the United States, TCM is 

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          considered part of complementary and alternative medicine.  
          Herbal remedies and acupuncture are the treatments most 
          commonly used by TCM practitioners.  Other TCM practices 
          include cupping, mind-body therapy and dietary therapy.  
          Although TCM is used by the American public, scientific 
          evidence of its effectiveness is, for the most part, 
          limited.  Acupuncture has the largest body of evidence and 
          is considered safe if practiced correctly."  In 1996, the 
          United States Food and Drug Administration approved 
          acupuncture needles for use by licensed practitioners.  The 
          FDA requirements stipulate that the needles must be 
          sterile, nontoxic, and labeled for single use by qualified 
          practitioners only.  In the past two decades, acupuncture's 
          popularity has grown in the United States.  According to 
          the 2002 National Health Interview Survey, the largest and 
          most comprehensive survey of complementary and alternative 
          medicine, an estimated 8.2 million adults have used 
          acupuncture. 

          According to the Board, there are currently 10,271 licensed 
          acupuncturists and 19 approved acupuncture schools in 
          California.  The Acupuncture Licensure Act defines 
          acupuncture as the stimulation of a certain point or points 
          on or near the surface of the body by the insertion of 
          needles to prevent or modify the perception of pain or to 
          normalize physiological functions, including pain control, 
          for the treatment of certain diseases or dysfunctions of 
          the body and includes the techniques of electroacupuncture, 
          cupping, and moxibustion.  The Act provides that an 
          acupuncturist's license authorizes the holder to engage in 
          the practice of acupuncture and to perform or prescribe the 
          use of Asian massage, acupressure, breathing techniques, 
          exercise, heat, cold, magnets, nutrition, diet, herbs, 
          plant, animal, and mineral products, and dietary 
          supplements to promote, maintain, and restore health.  The 
          Act further provides an applicant for acupuncture licensure 
          to furnish evidence of completion of an educational and 
          training program approved by the Board or a tutorial 
          program in the practice of acupuncture that is approved by 
          the Board.  Students entering programs on or after January 
          1, 2005 are required to fulfill a minimum of 3,000 hours of 
          study pertaining to the practice of acupuncture.  
          Additionally, an applicant must pass a written examination 
          administered by the Board, and complete a clinical 

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          internship training program, as specified.

           Comments  

          According to the author's office, this bill provides a way 
          for traumatologists to become certified.  Traumatology is 
          one of the modalities that constitute TCM.  Before China 
          systemized their health care system, individuals acquired 
          their mastery of traumatology through a master-apprentice 
          relationship.  These practitioners learned from a master 
          through hands-on training.  Although highly skilled, it is 
          extremely difficult for these practitioners to obtain proof 
          of their training to qualify for the existing requirements 
          for licensure.

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

          According to the Assembly Appropriations Committee, 
          negligible state fiscal effect.

           SUPPORT  :   (Verified  8/22/12)

          Asian Pacific Islander Causes
          California Acupuncture Medical Association 
          California Acupuncture Oriental Medicine Association
          California Communities United Institute
          California TCM University Alumni Association
          CAN Medical Group Inc.
          Korean Herb Research Association
          New Life Healing Center
          North American Oriental & Western Medicine Academy


           ASSEMBLY FLOOR  :  59-16, 8/22/12
          AYES:  Achadjian, Alejo, Allen, Ammiano, Atkins, Beall, 
            Bill Berryhill, Block, Blumenfield, Bonilla, Bradford, 
            Brownley, Buchanan, Butler, Campos, Carter, Cedillo, 
            Chesbro, Davis, Dickinson, Eng, Feuer, Fletcher, Fong, 
            Fuentes, Furutani, Galgiani, Gatto, Gordon, Hagman, Hall, 
            Harkey, Hayashi, Hill, Huber, Hueso, Huffman, Lara, 
            Bonnie Lowenthal, Ma, Mendoza, Mitchell, Monning, 
            Nestande, Nielsen, Norby, Pan, Perea, V. Manuel P�rez, 
            Portantino, Skinner, Smyth, Solorio, Swanson, Torres, 

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            Wieckowski, Williams, Yamada, John A. P�rez
          NOES:  Conway, Donnelly, Beth Gaines, Garrick, Grove, 
            Halderman, Jeffries, Jones, Knight, Logue, Mansoor, 
            Miller, Morrell, Olsen, Silva, Wagner
          NO VOTE RECORDED:  Charles Calderon, Cook, Gorell, Roger 
            Hern�ndez, Valadao


          JJA:d   8/22/12   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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