BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1758
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          Date of Hearing:   April 22, 2014

              ASSEMBLY COMMITTEE ON BUSINESS, PROFESSIONS AND CONSUMER  
                                     PROTECTION
                               Susan A. Bonilla, Chair
                   AB 1758 (Patterson) - As Amended:  April 3, 2014
           
          SUBJECT  :   Healing arts: initial license fees: proration.

           SUMMARY  :   Requires the initial license fee for the following  
          licensing categories to be prorated on a monthly basis:  
          dentists; dental hygienists; physicians and surgeons; hearing  
          aid dispensers; occupational therapists; physical therapists;  
          psychologists; veterinary technicians; veterinarians;  
          acupuncturists; and architects.

           EXISTING LAW  

          1)Establishes the Department of Consumer Affairs (DCA), which is  
            comprised of various boards and bureaus.  (Business and  
            Professions Code Section (BPC) 100 et seq.)

          2)Requires the amount of charges and fees for dentists to be  
            established by the Dental Board of California (DBC), and  
            prohibits the initial license fee and the renewal fee from  
            exceeding four hundred fifty dollars ($450).  (BPC 1724)

          3)Requires the Dental Hygiene Committee of California to  
            establish by resolution licensing fees for dental hygienists,  
            prohibits the initial license fee from exceeding two hundred  
            fifty dollars ($250), and provides that a dental hygienist  
            license, unless specifically excepted, expires at 12 midnight  
            on the last day of the month of the legal birth date of the  
            licensee during the second year of a two-year term, if not  
            renewed.  (BPC 1935, 1944)

          4)Requires the application and license fee for a physician and  
            surgeon to be fixed by the Medical Board of California (MBC),  
            and prohibits the initial license fee and the biennial renewal  
            fee from exceeding seven hundred ninety dollars ($790),  
            provides that all physician and surgeon's certificates expire  
            at 12 midnight on the last day of the birth month of the  
            licensee during the second year of a two-year term, if not  
            renewed, and requires the Division of Licensing to establish  
            regulatory procedures for the administration of a birth date  








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            renewal program.  (BPC 2423, 2435, 2456.1)

          5)Prohibits the initial temporary license fee and the fee for  
            renewal of a temporary license for hearing aid dispenser  
            licensees from exceeding one hundred dollars ($100) and the  
            initial permanent license fee and the fee for renewal of a  
            permanent license from exceeding two hundred eighty dollars  
            ($280), and provides that all licenses expire at 12 midnight  
            of the last date of the birth month of the licensee during the  
            second year of a two-year term, if not renewed.  (BPC 2535,  
            2538.57)

          6)Requires the Board of Occupational Therapy (BOT) to establish  
            the initial license and renewal fee for an occupational  
            therapist and limits the fee to one hundred fifty dollars  
            ($150) per year, and provides that any license is subject to  
            renewal as prescribed by the BOT.  (BPC 2570.10, 2570.16)

          7)Provides that licenses for physical therapists expire at 12  
            midnight on the last date of the birth month of the licensee  
            during the second year of a two-year term, if not renewed, and  
            prohibits the Physical Therapy Board from establishing a  
            license fee that exceeds one hundred fifty dollars ($150).   
            (BPC 2644, 2688)

          8)Provides that licenses for psychologists expire at 12 midnight  
            on the last date of the birth month of the licensee during the  
            second year of a two-year term, if not renewed, and requires  
            the Board of Psychology (BOP) to establish an initial license  
            fee that is an amount equal to the renewal fee in effect on  
            the last regular renewal date before the date on which the  
            license is issued and to establish by regulation procedures  
            for the administration of the birth date renewal program,  
            including the establishment of a pro rata formula for the  
            payments of fees.  (BPC 2982, 2987)

          9)Requires the Veterinary Medical Board (VMB) to set an initial  
            license fee for veterinarians not to exceed five hundred  
            dollars ($500), and to set the initial fee for veterinary  
            technicians not to exceed three hundred fifty dollars ($350),  
            except that, if the license is issued less than one year  
            before the date on which it will expire, then the fee shall be  
            set by the board at not more than one hundred seventy-five  
            dollars ($175).  (BPC 4842.5, 4905)









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          10)Requires VMB to establish by regulation procedures for the  
            administration of the birth date renewal program, including  
            the establishment of a pro rata formula for the payments of  
            fees, and provides that all licenses and registrations expire  
            at 12 midnight on the last date of the birth month of the  
            registrant during the second year of a two-year term, if not  
            renewed.  (BPC 4900)

          11)Provides that the initial license fee for an acupuncturist  
            not exceed three hundred twenty five dollars ($325), provides  
            that licenses shall expire on the last day of the birth month  
            of the licensee during the second year of a two-year term, if  
            not renewed, and requires the California Acupuncture Board  
            (CAB) to establish and administer a birth date renewal  
            program.  (BPC 4965, 4970)

          12)Requires the California Architecture Board to fix the initial  
            license fee for an architect that is equal to the renewal fee  
            in effect at the time the license is issued, and provides that  
            license shall expire at 12 midnight on the last day of the  
            birth month of the license holder in each odd-numbered year  
            following the issuance or renewal of the license.  (BPC 5600,  
            5604)  

           FISCAL EFFECT  :   Unknown

           COMMENTS :   

           1)Purpose of the bill  .  This bill would require initial  
            licensing fees for specified healing arts practitioners and  
            architects to be prorated on a monthly basis, to ensure that  
            licensees are charged fees in a fair manner and are not  
            disadvantaged based on their birth month.  This bill is  
            author-sponsored.    

           2)Author's statement  .  According to the author, "Various  
            sections of the [BPC] state that licenses for acupuncturists,  
            dentists, dental assistants, dental hygienists, podiatrists,  
            dispensing opticians, osteopathic physicians and surgeons,  
            speech-language pathologists and audiologists, psychologists,  
            physician assistants, and veterinary technicians and  
            veterinarians expire at 12 midnight on the last day of the  
            licensee's birth month on the second year of their second  
            term.  These licenses, with some exceptions, are required to  
            pay a full two-year renewal fee when this date occurs after  








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            they first receive their licenses.  In some cases, if a  
            licensee's birthday falls even one month after initial  
            licensure, that licensee is liable to pay a full renewal fee  
            even if they have just paid to receive their license?For  
            professionals just starting out, full two-year renewal fees  
            that must be paid so soon after licensure present a financial  
            hardship." 

           3)Birth date renewal program  .  Many boards and bureaus under DCA  
            operate a birth date renewal program, which is a program in  
            which the license expires on the birth date of the licensee or  
            the last date of the birth month of the licensee on the second  
            year of a two-year term, if not renewed.  As many licensees  
            apply for licensure at the same time, perhaps because they  
            graduate from schools during specific times of the year,  
            boards may be hit with a flood of applications for initial  
            licenses during those peak times.  Instead of basing license  
            renewals on the date of issuance of the initial license, which  
            would result in the boards facing the same influx of  
            applications year after year, most boards renew licenses based  
            on birth date, rather than the date the license was issued,  
            which allows the boards to spread out that work throughout the  
            year.  

          Under the birth date renewal program, an initial license period  
            can vary from just a few months up to 24 months, depending on  
            the applicant's birth month.  For example, if an applicant was  
            born in January and applied for a license in January 2014,  
            that initial license would typically expire in the birth month  
            of the second year term, or January 2015.  That license would  
            be effective for roughly 12 months.  However, if that  
            applicant was born in December, that license would be  
            effective for nearly two years.  On the other hand, if that  
            applicant who was born in January applied in December 2014,  
            that license might only be effective for two months.  In all  
            of these cases, the licensee would be paying the full initial  
            fee amount, regardless of how long their initial license was  
            in effect.  This bill would address this inconsistency by  
            requiring licenses to be prorated on a monthly basis.

           4)Boards that currently use pro rata license fee formulas  .  Some  
            boards, including the DBC, BOP, and VMB, are required by  
            statute to establish a birth date renewal program that  
            includes the establishment of a pro rata formula for the  
            payment of fees.  Of those boards, both the DBC and the VMB  








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            pro-rate initial license fees.  

          The VMB has a yearly pro rata formula in place, under which a  
            license that is valid for less than one year pays half the  
            initial license fee, and a license that is valid between one  
            to two years pays the full license fee.  The DBC has a monthly  
            pro rata formula and provides an initial license fee chart to  
            an applicant that specifies what his or her initial licensee  
            fee will be based on how many months the license will be in  
            effect.  Once those applications are processed, the license  
            fees are manually put into the system, which has already been  
            configured to meet DBC's needs.  

          Other boards have adopted, either formally or informally, a pro  
            rata formula for initial licenses.  For example, CAB has  
            adopted in regulations a formula that prorates initial license  
            fees on a monthly basis and that has been in place for over a  
            decade.  According to CAB, its pro rata formula has been  
            operating well and has long been integrated into their  
            licensing program, and has not received complaints relating to  
            calculation of those fees from licensees.  Because CAB is  
            included in this bill, this bill would codify their existing  
            practices. 

           5)Potential challenges to implementing a pro rata formula  .   
            There are two potential challenges to implementing a pro rata  
            formula for license fees: the cost of implementing the  
            formula, and the time it would take to implement the formula  
            and to process applications.  

          Licensing programs that do not pro-rate initial license fees on  
            a monthly basis would have to modify their fee schedules and  
            licensing programs, which may require changes to database  
            systems in order to accommodate new fee amounts and additional  
            changes to ensure that DCA's new BreEZe system would be able  
            to accommodate these new fee amounts.  Boards may also have to  
            adjust their budgets to reflect a decline in licensing  
            revenues based on reduced fees.  

          In addition, changes to cashiering functions, whether those  
            cashiering functions are performed by DCA or performed  
            in-house by a board, and changes to other licensing procedures  
            may be required.  As such, the amount of time it takes to  
            process an application may increase if an applicant is more  
            likely to submit the wrong fee amount using a pro rata formula  








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            than under the old fee schedule.      

          However, because some boards, such as CAB and DBC, have already  
            successfully implemented initial license fee formulas that are  
            prorated on a monthly basis, other boards may look to these  
            existing programs for guidance, which may reduce the time and  
            resources required to implement a pro rata formula.  

           6)Previous legislation  .  SB 2014 (Machado) of 2002, would have  
            directed the MBC to prorate its annual licensing fees in cases  
            where the initial licensure period is less than two years, and  
            deleted an obsolete oral examination fee authority.  That bill  
            was held in the Senate Appropriations Committee. 

          SB 1045 (Murray) of 2000 would have directed the MBC to prorate  
            its annual licensing fees in cases where the initial licensure  
            period is less than two years.  That bill was held in the  
            Senate.  

          SB 663 (Maddy), Chapter 626, Statutes of 1992, authorized the  
            VMB to adopt regulations for the waiver or refund of initial  
            registration fees if the registration is issued less than 45  
            days before it will expire.
           
           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
          
          None on file.

           Opposition 
           
          None on file. 
           
          Analysis Prepared by  :    Eunie Linden / B.,P. & C.P. / (916)  
          319-3301