BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2183
                                                                  Page  1

          Date of Hearing:   May 7, 2014

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                  AB 2183 (Bocanegra) - As Amended:  April 29, 2014 

          Policy Committee:                              Business and  
          Professions  Vote:                            9-1

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

           SUMMARY  

          This bill requires the Board of Registered Nursing (BRN) to take  
          specified actions and issue regulations that address equivalency  
          of education for those already working as a nurse outside the  
          state, and clarify whether and to what extent prior professional  
          experience may be applied for purposes of meeting licensure  
          requirements.

           FISCAL EFFECT  

          One-time costs of $300,000 to $400,000 for BRN to develop  
          regulations and evaluate applications according to new criteria,  
          and ongoing costs to BRN of $200,000 (BRN Fund).  
           
          COMMENTS  

           1)Purpose  .  According to the author, it is unclear by what  
            criteria the BRN determines whether to approve or deny an  
            application for licensure when the applicant completed  
            instruction out of state. Additionally, it is difficult to  
            tell what BRN considers equivalent course instruction when  
            determining whether to license an out-of-state applicant.   
            This bill seeks to require BRN to clarify course equivalency  
            and to prescribe by regulation whether, and in what amounts,  
            professional experience counts toward licensure.

           2)Background  .  Existing law authorizes the BRN to issue a  
            license to individuals who are licensed in a state with  
            requirements for licensing or registration equal to or higher  
            than those in California, and requires potential licensees to  
            meet minimum educational requirements that are at least  








                                                                  AB 2183
                                                                  Page  2

            equivalent to California's standards.   Current law also  
            states BRN must require approved schools to give student  
            applicants credit for previous education, and the opportunity  
            to obtain credit for other acquired knowledge.  Presumably,  
            this should accommodate professional experience.  BRN,  
            however, does not require schools to give applicants credit  
            for professional experience, but delegates the option to  
            schools. BRN does not believe any approved schools give  
            applicants credit for professional experience.  Thus, unless  
            students gain education through schools meeting exact  
            California standards, it appears they do not qualify for  
            nursing licenses, potentially posing a barrier for nurses who  
            wish to practice in California.

           3)Support  . The Association of California Healthcare Districts  
            supports this bill, citing difficulty filling nursing  
            vacancies in rural areas and their belief this would grow the  
            workforce.

           4)Opposition  . The California Nurses Association opposes this  
            bill, indicating their belief it undermines current licensure  
            requirements.   
          Analysis Prepared by  :    Lisa Murawski / APPR. / (916) 319-2081