BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                  SB 1215|
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                                 THIRD READING


          Bill No:  SB 1215
          Author:   Emmerson (R)
          Amended:  4/12/12
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEV. COMMITTEE  :  8-0, 4/9/12
          AYES:  Price, Emmerson, Corbett, Correa, Hernandez, Negrete 
            McLeod, Strickland, Wyland
          NO VOTE RECORDED:  Vargas

           SENATE APPROPRIATIONS COMMITTEE  :  7-0, 4/30/12
          AYES:  Kehoe, Walters, Alquist, Dutton, Lieu, Price, 
            Steinberg


           SUBJECT  :    Healing arts

           SOURCE  :     State Board of Optometry


           DIGEST  :    This bill establishes a retired license status 
          and a retired license with a volunteer service designation 
          for optometrists and defines temporary practice for 
          optometrist.  

           ANALYSIS  :    

          Existing law:  

          1. Authorizes the State Board of Optometry (Board), 
             pursuant to the Optometry Practice Act, to license and 
             regulate the practice of optometry. 
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          2. Permits licensed optometrists to be placed on inactive 
             status and be issued an inactive license or allows their 
             license to expire when they retire from practice.  
             (Business and Professions Code (BPC) � 462) 

          3. Requires an optometrist to pay a biennial fee of $425 if 
             they are issued an inactive license and specifies that 
             the holder of an inactive license shall not engage in 
             any activity for which a license is required.  (BPC � 
             462 )

          4. Exempts optometrists who have an inactive license from 
             having to comply with continuing education requirements. 
              (BPC � 462)

          5. Provides that if an optometrist has an expired license 
             and does not pay fees to the Board, their license will 
             go into delinquent status and be cancelled after three 
             years.  (BPC � 3147.6)

          6. Exempts an optometrist from notifying the Board of their 
             change of address when the optometrist is engaging in 
             temporary practice (BPC � 3070).  

          This bill:

          1. Requires the Board to issue a retired license to an 
             optometrist with a current and active license.  The 
             optometrist is required to apply for the retired license 
             and pay a fee no more than $25.

          2. Prohibits the holder of a retired license from engaging 
             in the practice of optometry.

          3. Authorizes the holder of a retired license to use only 
             certain titles and to reactivate the license upon 
             repayment of a reactivation fee which is determined by 
             the Board. 

          4. Requires the Board to issue a volunteer service 
             designation to an optometrist with a retired or current 
             and active license. 


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          5. Requires an optometrist with a retired license with a 
             volunteer service designation to be subject to renewal 
             fee requirements and completion of continuing education 
             units. 

             A.    The optometrist is required to pay a fee no more 
                than $50.00. 

             B.    The optometrist is required to complete a total of 
                50 hours of continuing education every two years in 
                order to renew his or her certificate. Thirty-five of 
                the required 
             50 hours of continuing education shall be on the 
                diagnosis, treatment, and management of ocular 
                disease. 

          6. Requires an optometrist to obtain a Statement of 
             Licensure from the Board and place it in any location 
             where the optometrist provides services.

          7. Defines temporary practice and specifies that if an 
             optometrist needs to extend the time period of temporary 
             practice, he/she must apply for a Statement of Licensure 
             from the Board.

          8. Eliminates the requirement that an optometrist provide 
             notification of address change to the Board if the 
             optometrist is only engaging in temporary practice.

           Background

           Several other boards and professions offer a "retired 
          license" designation.  The Medical Board of California 
          allows a physician and surgeon to apply for a similar 
          retired license.  A retired licensee is exempt from paying 
          the renewal fee and continuing education requirements, but 
          may not engage in medical or podiatric practice.  

          A respiratory care therapist may request the Respiratory 
          Care Board to place his/her license on a retired status.  
          The licensee is not required to renew the license or to pay 
          a renewal fee, is prohibited from practice and subject to 
          discipline if he/she engages in practice.


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          The Board of Pharmacy may issue a retired license to a 
          pharmacist whose license is not revoked, and who applies to 
          the board and pays a $30 fee.  The retired license is not 
          required to be renewed, and the retired licensee may not 
          engage in a licensed practice.  

          Architects, engineers and land surveyors may also be issued 
          retired licenses upon application to their respective 
          licensing board and payment of a fee.  Retired licenses do 
          not have to be renewed.

          The Board of Behavioral Sciences requires a retired 
          licensee to pay a one-time fee of $40 before issuing the 
          license.  They indicate that the licensee may not engage in 
          licensed practice. 

           FISCAL EFFECT  :    Appropriation:  Yes   Fiscal Com.:  Yes   
          Local:  Yes

          According to the Senate Appropriations Committee:

           Minor increase of estimated $3,750 in license fee revenue 
            to the State Optometry Fund, ongoing; assuming no change 
            in number of inactive licenses issued annually.

           Minimal costs for clarification of address notifications 
            and place of practice requirements.

           SUPPORT  :   (Verified  5/1/12)

          California Board of Optometry (source)
          California Optometric Association
          United Nurses Association/Union of Health Care 
          Professionals

           ARGUMENTS IN SUPPORT :    According to the author's office, 
          this bill will create a clear pathway for retired 
          optometrists to easily activate their license if they 
          choose to return to practice.  This bill will define 
          temporary practice as the practice of optometry at any 
          location other than the optometrist's principal place of 
          practice and limit that practice to a total period of five 
          calendar days during a 30 day period, not to exceed 36 days 
          in a calendar year.  This limit would apply to all 

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          locations where an optometrist is engaged in temporary 
          practice, not each location individually.  If an 
          optometrist needs to extend the time period of temporary 
          practice, the optometrist is required to apply for a 
          Statement of Licensure from the Board.

          According to the author's office, there are two major 
          complaints among optometrists regarding the license status 
          options available to them upon retirement.  First, renewing 
          under inactive status requires optometrists to pay the 
          renewal fee every two years when they have no intention of 
          ever practicing again.  Second, if optometrists choose to 
          not pay the fees and have their license expire, they are 
          considered delinquent until the license is cancelled after 
          three years.  Delinquency implies that the optometrist is 
          non-compliant with Board requirements, such as past due 
          fees or not fulfilling the continuing education 
          requirements.  The author's office notes that it is 
          unacceptable for optometrists to be designated as a 
          delinquent status professional and have their reputations 
          tarnished when they simply are retired. 

          The author's office indicates that by simplifying the 
          process of obtaining a retired license with volunteer 
          designation, retired optometrists will be encouraged to 
          provide volunteer services.  These volunteer services are a 
          means of increasing access to care for many underserved 
          communities.  For example, charitable organizations can 
          benefit from volunteer optometry services and the retired 
          license with volunteer status would provide these 
          organizations better access to obtain these services.


          JJA:mw  5/1/12   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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