BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                  SB 1237|
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                                 THIRD READING


          Bill No:  SB 1237
          Author:   Price (D)
          Amended:  4/30/12
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEV. COMM.  :  7-0, 4/23/12
          AYES:  Price, Emmerson, Corbett, Correa, Hernandez, 
            Strickland, Wyland
          NO VOTE RECORDED:  Negrete McLeod, Vargas

           SENATE APPROPRIATIONS COMMITTEE  :  7-0, 5/24/12
          AYES:  Kehoe, Walters, Alquist, Dutton, Lieu, Price, 
            Steinberg


           SUBJECT  :    Professions:  pharmacists and court reporter:  
          sunset dates

           SOURCE  :     Author


           DIGEST  :    This bill extends the sunset date of the 
          Pharmacy Board of California to January 1, 2017, extends 
          the sunset date for the Court Reporters Board to January 1, 
          2017, and makes other programmatic changes.

           ANALYSIS  :    

          Existing law:

          1. Licenses and regulates some 130,000 pharmacists by the 
             Pharmacy Board of California (Board) within the 
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             Department of Consumer Affairs (DCA), establishes the 
             Board which consists of 13 members, seven pharmacists 
             and six public members.  All seven professional members 
             and four public members are appointed by the Governor.  
             One public member of the Board is appointed by the 
             Senate Pro Tem and one public member is appointed by the 
             Speaker of the Assembly.  (Business and Professions Code 
             (BPC) � 4001)

          2. Makes the Board inoperative and repealed on January 1, 
             2013, unless a statute is enacted to extend the Board.  
             (BPC � 4001)

          3. Authorizes the Board to appoint an executive officer, 
             and makes that authority inoperative and repealed on 
             January 1, 2013.  (BPC � 4003)

          4. Provides that protection of the public shall be the 
             highest priority for the Board in exercising its 
             licensing, regulatory, and disciplinary functions, and 
             whenever the protection of the public is inconsistent 
             with other interests sought to be promoted, the 
             protection of the public shall be paramount.  (BPC � 
             4001.1)

          5. Licenses and regulates some 7,600 shorthand reporters by 
             the Court Reporters Board (CRB) within the DCA, 
             establishes the CRB which consists of five members, 
             three of whom are public members and two of whom are 
             holders of certificates as shorthand reporters.  (BPC � 
             8000).

          6. Established the CRB and makes it inoperative and 
             repealed on 
          January 1, 2013.  (BPC � 8000)

          7. Authorizes the CRB to appoint an executive officer, and 
             makes that authority inoperative and repealed on January 
             1, 2013.  (BPC � 8005)

          8. Provides that protection of the public shall be the 
             highest priority for the CRB in exercising its 
             licensing, regulatory, and disciplinary functions, and 
             whenever the protection of the public is inconsistent 

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             with other interests sought to be promoted, the 
             protection of the public shall be paramount.  (BPC � 
             8005.1)

          9. Authorizes the CRB to provide shorthand reporting 
             services to low income litigants in civil cases.  The 
             Transcript Reimbursement Fund shall be repealed and 
             inoperative on January, 1, 2013.  (BPC � 8030.2)  

          10.Authorizes the CRB to provide shorthand reporting 
             services to low income litigants in civil cases to 
             individuals who represent themselves.  The Transcript 
             Reimbursement Fund for Pro Se Litigants  shall be 
             repealed and inoperative on January, 1, 2013.  (BPC � 
             8030.5)

          This bill:

          1. Extends the inoperative and repeal date for the Board to 
             January 1, 2017.

          2. Extends the authority for the Board to appoint an 
             executive officer to January 1, 2017.

          3. Extends the inoperative and repeal date of the CRB to 
             January 1, 2017.

          4. Extends the authority for the CRB to appoint an 
             executive officer to January 1, 2017.

          5. Extends the inoperative and repeal date for the CRB 
             Transcript Reimbursement Fund to January 1, 2017.

          6. Extends the inoperative and repeal date for the CRB 
             Transcript Reimbursement Fund for Pro Se Litigants to 
             January 1, 2017.

          7. Makes technical corrections and conforming changes. 

           Background  

           State Board of Pharmacy  .  The Board was created by the 
          California Legislature in 1891.  The Board is responsible 
          for enforcing federal and state laws pertaining to the 

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          acquisition, storage, distribution and dispensing of 
          dangerous drugs; including controlled substances and 
          dangerous devices.  The Board has approximately 130,000 
          licensees in 17 license categories that include both 
          personal and business licenses.  As an agency that 
          regulates the individuals and businesses that dispense, 
          compound, provide, store and distribute prescription drugs 
          and devices and pharmaceutical services to the public, or 
          to other health care practitioners in compliance with state 
          and federal law, the licensing of pharmacists, pharmacies, 
          and pharmacy technicians is the primary focus of Board 
          activity, with consumer protection at the core of the 
          Board's operations.  The Board's regulatory authority, as 
          described in the Pharmacy Law, extends over individuals and 
          firms located both within and outside California, if they 
          provide services into California.

          The Board's vision, "Healthy Californians through quality 
          pharmacists care," helps guide Board activities and 
          initiatives.  The Board ensures that only those who possess 
          specified requirements are licensed, seeks removal of 
          licenses for those who do not comply with laws or maintain 
          qualifications for licensure, investigates consumer 
          complaints as well as provides a focused effort to ensure 
          consumer education and awareness.

          The Board is comprised of 13 members, seven pharmacists and 
          six public members.  All seven professional members and 
          four public members are appointed by the Governor.  One 
          public member of the Board is appointed by the Senate Pro 
          Tem and one public member is appointed by the Speaker of 
          the Assembly.  Existing law requires that at least five of 
          the seven pharmacist appointees must be actively engaged in 
          the practice of pharmacy and the Board must include at 
          least one practicing pharmacist from each of the following 
          settings:  an acute care hospital, an independent community 
          pharmacy, a chain community pharmacy, a pharmacist member 
          of a labor union that represents pharmacists, and a 
          long-term care or skilled nursing facility.  The Board 
          meets about four times per year.  All Committee meetings 
          are subject to the Bagley-Keene Open Meetings Act. 

          The Board is a special fund agency, with funding coming 
          from licensing (87%), collected fines from citations (9%) 

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          and collected cost recovery (3%).  Of the fee revenue 
          collected by the Board, 77% comes from renewals while 22% 
          comes from initial applications.  The Board has continuous 
          renewal cycles for all of its license categories except for 
          intern licenses which are not renewable.  The renewal cycle 
          is annual for facilities and designated representatives.  
          Licenses issued to pharmacists and pharmacy technicians are 
          renewed biennially.  The Board currently licenses close to 
          130,000 licensees.

          Much of the Board's work is done in committees.  Some 
          committees are standing committees, others are task force 
          or ad-hoc committees formed to examine a specific topic, 
          and then disbanded following completion of the task.  The 
          Board also has one specialized standing committee, the 
          Competency Committee, which is responsible for developing 
          the California pharmacist licensing examination.

          The Board's strategic plan establishes five standing 
          committees.  Each committee typically meets quarterly prior 
          to each Board meeting and provides a report and minutes of 
          the committee meeting during each Board meeting.  However, 
          during the past several years, to curtail travel expenses 
          and in response to staffing challenges created by 
          furloughs, the Board has reduced the number of committee 
          meetings each year. 


          The Competency Committee develops and grades the Board's 
          pharmacist licensure examination, the California Practice 
          Standards and Jurisprudence Examination for Pharmacists.  
          According to the Board, membership on this committee is 
          highly selective, professionally challenging, and 
          time-consuming.  Members meet seven times annually in 
          two-day meetings.  The Competency Committee is a 
          stand-alone committee within the auspices of the Board's 
          Licensing Committee; one Board member attends committee 
          meetings and provides updates on the status of the Board's 
          pharmacist examination during Board meetings.  This Board 
          member also serves as a liaison to the committee.

          In 2008, the Board raised all of its fees to the statutory 
          maximums via the regulation process.  Following that, the 
          Board commissioned an independent fee audit to secure 

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          recommendations on a new fee schedule that would ensure the 
          financial viability of the Board for the next five years.  
          The audit found that the Board's expenditures were 
          exceeding its revenues and that its fee structure was 
          insufficient to maintain the required 12-month reserve.  In 
          2009, the Board sponsored legislation (AB 1071, Emmerson, 
          Chapter 270, Statutes of 2009) to reset the statutory 
          minimum and maximum fee levels according the 
          recommendations in the audit.  According to the Board, this 
          was the first time such legislation was needed since 1987.  
          The Board spends approximately 59% of its budget on its 
          enforcement program, 18% on its licensing program, 15% on 
          administration, 3% on its diversion program, and 4% 
          administering examinations.  

           Court Reporters Board  .  Established in 1951, the Certified 
          Shorthand Reporters Board, now known as the Court Reporters 
          Board, regulates the court reporting profession through 
          testing, licensing, and disciplining of court reporters.  
          In California, court reporters use the title certified 
          shorthand reporter (CSR), which is a designation restricted 
          by statute to those individuals who have a Board-issued 
          license.

          In California, a person can be licensed to work as a court 
          reporter employed by state courts (official reporter) or to 
          act as a deposition officer (freelance reporter).  
          Freelance reporters can be hired as individual contractors 
          or can be hired by court reporting firms which, in turn, 
          are hired by law firms or lawyers to provide services in 
          depositions.  The laws governing deposition/freelance 
          reporters can be found in the Code of Civil Procedure 
          Section 2025, et seq.  As of January 1, 2012, there are 
          7,316 licensed CSRs in California.

          According to the CRB, licensing of CSRs is critical to the 
          proper functioning of the courts.  An accurate written 
          record of who said what in court is essential if the 
          outcome of judicial proceeding is to be accepted by the 
          litigants and the public as non-arbitrary, fair, and 
          credible.  In criminal cases, for example, courts of appeal 
          rely exclusively upon written briefs and a written 
          transcript to adjudicate the lawfulness of what occurred at 
          trial.  A conviction, and thus, in some instances the life 

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          or death of an accused, can stand or fall based entirely 
          upon what a witness said, what a lawyer said, what a juror 
          said, or what a judge said, as solely reflected in the 
          written transcript.  In civil cases, millions of dollars, 
          life-long careers, and the fate of whole business' 
          enterprises can hinge on what was said or what was not said 
          in a deposition or at trial.

          Moreover, as indicated by the CRB, the testimony in civil 
          and criminal cases is often thick with technical jargon.  A 
          medical malpractice case, where experts from both sides 
          contradict one another, can involve complex technical 
          medical terminology; criminal cases can involve scientific 
          language related to DNA identification; anti-trust cases 
          can involve diction from economic theory, and so on.  No 
          matter how obscure or technical, such jargon must be 
          accurate to-the-word and be reflected in the written 
          transcript.  Court reporters are highly trained 
          professionals who transcribe the words spoken in a wide 
          variety of official legal settings such as court hearings, 
          trials, and other litigation and in related proceedings 
          such as depositions.

          The CRB also has oversight of court reporting schools in 
          addition to having oversight over CSRs.  Although CRB 
          "recognizes" schools, there is no statutory authority for 
          licensure.  Even so, only court reporting schools 
          "recognized" by the CRB can certify students to qualify for 
          the CSR examination.  The CRB can also issue citations, and 
          fine schools not in compliance with their rules.  Also in 
          1972, the CRB's authority was expanded to give them the 
          ability to recognize court reporting schools and to set 
          minimum curriculum standards for court reporting programs.  
          Additional authorization to cite and fine schools was 
          passed by the Legislature in 2002 (BPC � 8027.5).  The CRB 
          can discipline schools up to and including removing 
          recognition.  There are currently 16 schools of court 
          reporting recognized by the CRB; eight public schools and 
          eight private schools.  Since the last Sunset Review, one 
          school has closed. 

          Until the 1960s, the CRB allowed only CSRs to own and 
          operate companies offering court reporting services.  
          However, when no statutory authority supporting that 

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          prohibition could be found, the practice ceased, and in 
          1972, CRB began registering reporting corporations.  That 
          process was rescinded by AB 2743 (Frazee, Chapter 1289, 
          Statutes of 1992) when the CRB decided that the 
          registration duplicated the filing required by the 
          Secretary of State's Office, provided no additional benefit 
          or consumer protection, and was an unnecessary expense for 
          businesses.

          The CRB's average annual operating budget over the past 
          four years has been approximately $787,000.  Of that, each 
          year by statute, $300,000 is assigned to the Transcript 
          Reimbursement Fund (TRF); a fund designated to reimburse 
          transcript costs incurred by indigent litigants.  The 
          greatest expenditure for the CRB is its enforcement 
          program, which on average represents 38% of expenditures.  
          The second highest expenditure is the examination at 30% of 
          expenditures.

          The CRB is funded almost completely by examination and 
          licensing fees collected from applicants and licensees.  
          License renewal is the CRB's largest source of revenue, 
          accounting for approximately 91% of the operating fund.  
          Another 3% comes from examination and license application 
          fees, and just under 3% is comprised of payments of 
          citations/fines.  The remaining, just over 3%, is 
          miscellaneous revenue including delinquent fees and 
          investment income.  The CRB receives no federal funding and 
          no revenue from the State's General Fund.  There is no 
          statutory mandatory reserve level for the CRB.

          The rates charged by freelance reporters and the businesses 
          that employ them are not fixed by statute.  That was not 
          the case in the past but in a compromise package with the 
          profession, the Legislature and the Governor, eliminated 
          rate regulation in 1981 and created the TRF, a special fund 
          paid for by a portion of the court reporters' licensing 
          fees.

          Prior to January 1, 1983, state courts had been allowed to 
          use noncertified reporters if they could demonstrate that a 
          certified reporter was not available.  BPC Section 8016 now 
          requires all state court reporters to be licensed as CSRs.  
          Court reporters hired prior to 1983 can still maintain an 

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          exemption to the licensing requirement.

          The CRB is composed of five members, two of whom are 
          licensed CSRs and three of whom are public members.  The 
          Governor appoints, subject to Senate confirmation, the 
          two-licensed members and one public member.  The Assembly 
          Speaker and the Senate Rules Committee each appoint a 
          public member.

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

          According to the Senate Appropriations Committee:

           Estimated annual cost of $1.23 million from the Pharmacy 
            Board Contingent Fund (1110-0767) based on the 2010-11 
            Budget Act, all costs offset by existing fees.

           Estimated annual cost of $747,000 from the Court 
            Reporters Fund (1110-0771) based on the 2010-11 Budget 
            Act, all costs offset by existing fees.

           Estimated annual cost of $176,000 from the Transcript 
            Reimbursement Fund (1110-0410) based on the 2010-11 
            Budget Act, all costs offset by existing fees.

           SUPPORT  :   (Verified  5/24/12)

          California Retailers Association
          California Society of Health-System Pharmacists
          Court Reporters Board of California
          California State Board of Pharmacy
          Healthcare Distribution Management Association


          JJA:mw  5/24/12   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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