BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1758
                                                                  Page  1

          Date of Hearing:   May 7, 2014

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                  AB 1758 (Patterson) - As Amended:  April 3, 2014 

          Policy Committee:                              Business and  
          Professions  Vote:                            14-0

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              No

           SUMMARY  

          This bill 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.

           FISCAL EFFECT  

          1)Significant revenue loss to affected boards attributable to  
            lower average initial licensure fees.  Staff analysis shows  
            the Medical Board of California (MBC), for example, would  
            receive an average of $428 per initial license as opposed to  
            $790 under the status quo.  Given over 5,300 initial licenses  
            are issued annually, this revenue loss would equal nearly $2  
            million annually (Contingent Fund of the Medical Board of  
            California).  Other boards would be similarly affected.  The  
            revenue loss would not be great in proportion to annual  
            expenditures-for example, for the MBC, the revenue loss  
            represents 3.5% of annual expenditures of $60 million.   
            However, it would increase fiscal pressure on boards to raise  
            fees.  In some cases, fees are already set at their statutory  
            maximums.         

          2)Minor and absorbable costs to affected licensing boards  
            associated with changing cashiering procedures, form and  
            materials (various special funds).

          3)$140,000 in Information Technology expenditures due to  
            licensing system modifications. (various special funds).








                                                                  AB 1758
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           COMMENTS  

           1)Purpose  .  This bill requires 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)Birth Date Renewal Program  .  Many boards and bureaus under  
            Department of Consumer Affairs (DCA) operate a birth date  
            renewal program. 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 addresses this inconsistency by  
            requiring licenses to be prorated on a monthly basis.

           3)Previous Legislation  .  

             a)   SB 2014 (Machado) of 2002 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.

             b)   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  








                                                                  AB 1758
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               was held in the Senate.  

             c)   SB 663 (Maddy), Chapter 626, Statutes of 1992,  
               authorized the Veterinary Medical Board (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.

           1)Staff Comments  .  As currently drafted, this bill may result in  
            a mismatch between fees and workload.  Initial licensure and  
            renewal fees are generally set separately in statute.   
            Workload associated with initial licensure may be greater that  
            than that associated with renewal, as the initial verification  
            of education and experience can be more labor-intensive.  The  
            fee for initial licensure must support initial licensure  
            workload as well as ongoing oversight workload for the period  
            of the license. Some level of proration appears reasonable,  
            but in some cases where the initial licensures will only be in  
            effect for a short period of time, fees prorated on a monthly  
            basis may not be adequate to cover the workload costs of  
            initial licensure.  Initial licensure requires a set amount of  
            workload regardless of the length of the license.  

            For example, if the license would only be in effect for two  
            months, the MBC would only be able to charge $66 for an  
            initial medical license-even though that amount likely would  
            not cover the staff workload associated with establishing an  
            individual qualifies for a medical license.  Staff suggests  
            modifying this bill to remove the requirement that the  
            proration occur  on a monthly basis  in order to ensure the  
            workload costs of initial licensure can be supported by the  
            prorated fee level.  

           Analysis Prepared by  :    Lisa Murawski / APPR. / (916) 319-2081