BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2102
                                                                  Page  1

          Date of Hearing:   April 8, 2014

              ASSEMBLY COMMITTEE ON BUSINESS, PROFESSIONS AND CONSUMER  
                                     PROTECTION
                               Susan A. Bonilla, Chair
                     AB 2102 (Ting) - As Amended:  March 28, 2014
           
          SUBJECT  :   Licensees: data collection.

           SUMMARY  :   Requires the Board of Registered Nursing (BRN), the  
          Board of Vocational Nursing and Psychiatric Technicians (BVNPT),  
          the Physician Assistant Board (PAB), and the Respiratory Care  
          Board of California (RCBC) to collect demographic data on their  
          respective licensees and provide that data to the Office of  
          Statewide Health Planning and Development (OSHPD).    
          Specifically,  this bill  :  

          1)Requires BRN, BVNPT, PAB, and RCBC to annually collect all of  
            the following information on their respective licensees:

             a)   Location of practice;

             b)   Race or ethnicity;

             c)   Gender;

             d)   Languages spoken; and,

             e)   Educational background.

          2)Requires BRN, BVNPT, PAB, and RCBC to provide that data  
            annually to OSHPD in a manner directed by OSHPD that allows  
            for inclusion into the annual health care workforce report  
            provided to the Legislature, as specified. 

          3)Makes Legislative findings and declarations relative to the  
            collection of information about California's health care  
            workforce.

          4)Makes technical and clarifying changes.

           EXISTING LAW  :

          1)Requires BRN to collect and analyze workforce data from its  
            licensees for future workforce planning and produce reports at  








                                                                  AB 2102
                                                                  Page  2

            least biennially.  (Business and Professions Code Section  
            2717)

          2)Requires OSHPD to prepare an annual report to the Legislature  
            that does all of the following:

             a)   Identify education and employment trends in the health  
               care profession;

             b)   Report on the current supply and demand for health care  
               workers in California and gaps in the educational pipeline  
               producing workers in specific occupations and geographic  
               areas; and,

             c)   Recommend state policy needed to address issues of  
               workforce shortage and distribution.  (Health and Safety  
               Code Section 128052)

           FISCAL EFFECT  :   Unknown

          COMMENTS  :   

           1)Purpose of this bill  .  This bill will require BRN, BVNPT, PAB,  
            and RCBC to report demographic information on their licensees  
            to OSHPD so that OSHPD can collect more complete and  
            consistent data on California's health care workforce.  With  
            that data, policy makers will ideally be better able to  
            identify geographic areas of the state where there are  
            shortages of health care workers with cultural and linguistic  
            competencies.    This bill is sponsored by the California  
            Pan-Ethnic Health Network and the Latino Coalition for a  
            Healthy California.

           2)Author's statement  .  According to the author's office, "For  
            millions of Californians, comprehensive access to healthcare  
            depends on professionals who can provide culturally and  
            linguistically appropriate medical services. California  
            collects data on healthcare occupations, but current data is  
            insufficient for determining the state's capacity to address  
            the needs of our diverse population, in particular language  
            access. AB 2102 requires the collection and reporting of key  
            demographic data for registered nurses, nurse practitioners,  
            physician assistants, respiratory care providers, vocational  
            nurses and psychiatric technicians. This will enable the state  
            to better identify health care disparities and craft solutions  








                                                                  AB 2102
                                                                  Page  3

            to ensure comprehensive coverage and greater health care  
            access for all Californians."

           3)OSHPDs role in health care workforce data collection.   OSHPD  
            was created in 1978 to provide California with an enhanced  
            understanding of the structure and function of its healthcare  
            delivery systems.  OSHPD is the statewide leader in collecting  
            data and disseminating information about California's  
            healthcare infrastructure, promoting an equitably distributed  
            healthcare workforce, and publishing valuable information  
            about healthcare outcomes.  

            OSHPD publishes an annual report to the Legislature with  
            information on education and employment trends in the health  
            care professions, current supply and demand for health care  
            workers, and gaps in the educational pipeline producing  
            workers in specific occupations and geographic area.   
            Available information for these reports is limited, however.   
            According to the author's office, race, language capacity, and  
            gender demographic information would greatly enrich the  
            quality of OSHPD's reports and better inform policymaking.   
            While some boards, such as BRN, do collect demographic data on  
            its licensees, this bill would standardize the information  
            required to be collected and formalize its inclusion in  
            OSHPD's annual report.    

            The author's office reports that these boards were chosen  
            because the Medical Board of California and Dental Board of  
            California already collect this demographic information, and  
            the remaining boards in this bill already report some  
            information to OSHPD and represent those professionals who  
            work closely with patients.  

           4)Arguments in support  .  The Latino Coalition for a Healthy  
            California writes in support, "AB 2102 aligns with our mission  
            and builds off an existing practice to assure we collect  
            demographic data from fee-supported boards on allied health  
            professions in order to provide culturally and linguistically  
            appropriate quality care to all Californians. We are committed  
            to address[ing] workforce deficiencies for culturally and  
            linguistically specific subpopulations that have traditionally  
            faced barriers to quality care, including Spanish speaking,  
            Latino communities.

            "Expanding the collection of demographic data to include:  








                                                                  AB 2102
                                                                  Page  4

            registered nurses, nurse practitioners, physician assistants,  
            respiratory health providers, vocational nurses, and  
            psychiatric technicians is important to meet the current and  
            future needs of an increasingly diverse constituency. For  
            these reasons, we ask for your support on this important  
            measure."

           5)Previous legislation  .  AB 1140 (Thompson) (Chapter 1089,  
            Statutes of 2002) required BRN to collect and analyze  
            workforce data from its licensees for future work force  
            planning, and to produce reports on the workforce data it  
            collects at least biennially. 

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          California Pan-Ethnic Health Network (sponsor)
          Latino Coalition for a Healthy California (sponsor)
          ACLU of California 
          Asian & Pacific Islander American Health Forum
          Asian Pacific Policy & Planning Council 
          Borrego Community Health Foundation
          California Pan-Ethnic Health Network
          Greenlining Institute
          Having Our Say
          Worksite Wellness LA

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