BILL ANALYSIS                                                                                                                                                                                                    �







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        |Hearing Date:June 23, 2014         |Bill No:AB                         |
        |                                   |1758                               |
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                      SENATE COMMITTEE ON BUSINESS, PROFESSIONS 
                               AND ECONOMIC DEVELOPMENT
                              Senator Ted W. Lieu, Chair
                                           

                        Bill No:        AB 1758Author:Patterson
                         As Amended:May 27, 2014  Fiscal: Yes

        
        SUBJECT:  Healing arts: initial license fees: proration. 
        
        SUMMARY:  Requires that the fee for an initial temporary or permanent  
        license or an original license be prorated on a monthly basis and  
        authorizes a board or committee to impose an additional fee to cover  
        the reasonable costs of issuing an initial or original license that  
        expires in less than 12 months.  Limits the total amount of the  
        prorated fee and the additional fee imposed for an initial or original  
        license, that expires in less than 12 months, to half of the fee for  
        an initial or original license. 

        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, 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)






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        4)Requires the application and license fee for a physician and surgeon  
          to be fixed by the Medical Board of California, 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 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 California 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 of California 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 California  
          Board of Psychology 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 California Veterinary Medical Board of (VMB) to set an  
          initial license fee for veterinarians not to exceed five hundred  
          dollars ($500), and to set the initial fee for veterinary  





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          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)

        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 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)  

        This bill:

        1) Authorizes specified boards/committees under the Department of  
           Consumer Affairs to impose an additional fee, sufficient to cover  
           the reasonable costs of issuing a license, if the board/committee  
           makes a determination in writing that the prorated fee for the  
           initial license is insufficient to cover the reasonable costs of  
           issuing the license and that the additional fee is necessary to  
           cover those costs.  The total amount of the prorated initial  
           license fee and any additional fee imposed by the board/committee  
           for an initial license that expires in less than 12 months shall  
           not exceed:

                a)        $225 dollars for the Dental Board of California;

                b)        $125 dollars for the Dental Hygiene Committee of  





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                  California;

                c)        $395 for the Medical Board of California;

                d)        $50 for the initial temporary license and $140 for  
                  the initial permanent license fee for the Speech-Language,  
                  Pathology, Audiology and Hearing Aid Dispensers Board;

                e)        $140 for the permanent license fee and $75 for the  
                  initial and renewal license fees for the Occupational  
                  Therapy Board of California;

                f)        $75 for the Physical Therapy Board of California;

                g)        One half of the licensure fee for the California  
                  Board of Psychology;

                h)        $175 for the initial registration fee for the  
                  California registered veterinary technician examination and  
                  $250 for the initial license for the California Veterinary  
                  Medicine Board;

                i)        $162.50 for the California Acupuncture Board; and,

                j)        One half of the licensure fee for the California  
                  Architecture Board.


        FISCAL EFFECT:  This measure has been keyed "fiscal" by Legislative  
        Counsel.  According to the Assembly Committee on Appropriations  
        analysis dated May 7, 2014, the bill will result in:

        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  





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          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)."

        COMMENTS:
        
        1.Purpose.  This bill is sponsored by the  Author  .  According to the  
          Author, "By basing license expiration and renewal on a licensee's  
          birth month, California law requires certain licensees to renew  
          their license based on their date of birth rather than when they  
          were first issued the license.  While this policy was put in place  
          to expedite license issuance, it can have an adverse financial  
          effect on licensees who may have to pay the complete license  
          issuance fee and then pay a full renewal fee once their birth month  
          occurs after they are first licensed, even if only a few months have  
          elapsed in between issuance and renew.  Because of this renewal  
          policy, some licenses may last almost a full 2-year licensing term,  
          while others may only last for a couple of months, yet the licensees  
          in each case would pay the same initial license fee." 

        2.Background.  

           a)   Birth Date Renewal Program.  Many regulatory entities under  
             the DCA have implemented a birth date renewal program.  Under  
             this program, a licensee's license expires on the licensee's  
             birth date or on the last day of the licensee's birth month on  
             the second year of a two-year renewal term.  This program was  
             conceptualized as many licensees apply for licensure at the same  
             time resulting in the boards being flooded with applications for  
             initial licenses during peak times.  As a result, most boards  
             renew licenses based on birth date, rather than the date the  
             license was issued, which alleviates the boards/committees from  
             an influx in processing applications or renewals.  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. 

           b)   DCA Regulatory Entities That Utilize Pro Rata License Fee  
             Formulas.  Some regulatory entities, including the Dental Board  
             of California (DBC), California Board of Psychology, and  
             California Veterinary Medicine Board (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 pro-rate initial  





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             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, the California  
             Acupuncture Board 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 the California  
             Acupuncture Board, 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.  


        3.Arguments in Support.  The Chancellor of the  State Center Community  
          College District   and the Superintendent at  Central Unified School  
          District  similarly write in support, "As the Chancellor?I know how  
          hard it can be for former vocational education students to afford  
          their initial payment for their license in their chosen field.  The  
          being said, I urge you to support 
        AB 1758." 

          The  California Veterinary Medical Association  supports the bill and  
          writes, "AB 1758 allows for relief from compounding costs associated  
          with licensing fees.  This common sense measure is of particular  
          benefit to the students graduating from our two veterinary colleges  
          in California who are already burdened with an average of $100,000  
          of veterinary school debt." 

          The  Fresno Chamber of Commerce  supports the bill and shares concerns  
          about current law, "Expiration on the licensee's birth month is a  
          policy?that can require some people to renew earlier than others,  
          therefore paying more.  For example, a constituent of the 23rd  
          district got her dental hygienist's license in August of 2013,  
          paying a $100 eligibility fee.  Just two months later, in October,  
          she was required to pay an $80 renewal fee because her birthday  





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          falls in October."

        4.Suggested Author's Amendment.  In 1997, the Council for Private  
          Postsecondary and Vocational Education changed its name to the  
          Bureau for Private Postsecondary Vocational Education.  In 2010, the  
          name was changed again to the Bureau for Private Postsecondary  
          Education.  In order to reflect the updated name and any other  
          future name change for the BPPE, the following technical amendment  
          is suggested:

           Page 4, lines 36 and 37: "(11) The fee for each review of courses  
           required for licensure that are not accredited by a  
           committee-approved agency, the  Bureau   Council  for Private  
           Postsecondary  and Vocational  Education  or its successor  , or the  
           Chancellor's Office of the California Community Colleges shall not  
           exceed three hundred dollars ($300)." 


        SUPPORT AND OPPOSITION:
        
         Support:  

        State Center Community College District
        Central Unified School District
        California Veterinary Medical Association
        The Fresno Chamber of Commerce
        5 individuals

         Opposition:
         
        None received as of June 18, 2014.



        Consultant:Le Ondra Clark, Ph.D.