BILL ANALYSIS                                                                                                                                                                                                    �



                                                                            



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                                    THIRD READING


          Bill No:  SB 1172
          Author:   Steinberg (D), et al.
          Amended:  4/23/14
          Vote:     21

           
           SENATE EDUCATION COMMITTEE  :  9-0, 4/30/14
          AYES:  Liu, Wyland, Block, Correa, Galgiani, Hancock, Hueso,  
            Huff, Monning

          SENATE APPROPRIATIONS COMMITTEE  :  7-0, 5/23/14
          AYES:  De Le�n, Walters, Gaines, Hill, Lara, Padilla, Steinberg


           SUBJECT  :    Pupil health:  vision appraisals

           SOURCE  :     Author


           DIGEST  :    This bill requires school vision appraisals to  
          include tests for near vision, and expands current requirements  
          for school nurses and teachers to observe students eyes to also  
          include observation of the appearance and behavior of student's  
          eyes, and requires observation to be continual and regular, as  
          specified.

           ANALYSIS  :    Existing law:

          1.Requires school districts to provide for the testing of the  
            sight and hearing of each student enrolled in the district.   
            The test is to be given only by: 

             A.   Duly qualified supervisors of health employed by the  
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               school district.

             B.   Certificated employees of the school district or county  
               office of education who possess the qualifications  
               prescribed by the Commission on Teacher Credentialing.

             C.   Contract with an agency duly authorized to perform those  
               services by the county superintendent of schools, under  
               guidelines established by the State Board of Education.

             D.   Accredited schools or colleges or optometry, osteopathic  
               medicine, or medicine. 

          1.Provides that non-medical certificated employees of a school  
            district or county office of education may be authorized to  
            give vision tests if the employee has one of the following  
            documents:

             A.   A statement from a qualified supervisor of health that  
               the employee has satisfactorily completed an acceptable  
               course of in-service in techniques and procedures in vision  
               testing of at least six hours, and that the employee is  
               qualified to administer vision tests to students.

             B.   A transcript from an accredited college or university  
               evidencing that the employee has successfully completed an  
               acceptable course in vision testing of at least one  
               semester unit. 

          1.Requires, upon first enrollment in an elementary school, and  
            at least every third year thereafter until the child has  
            completed grade 8, the vision of students to be appraised by  
            the school nurse or other authorized person.  The evaluation  
            must include tests for visual acuity and color vision,  
            however, color vision is to be appraised once and only on male  
            students.  Gross external observation of the child's eyes,  
            visual performance, and perception are to be done by the  
            school nurse and the classroom teacher.  The evaluation may be  
            waived if the parents present a certificate from a physician  
            and surgeon, a physician assistant or an optometrist, and  
            parents may opt-out based on religious beliefs. 

          2.Requires a report to be made to the parent when a visual or  
            other defect has been noted by the supervisor of health or  

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            his/her assistant.  
           
          This bill requires school vision appraisals to include tests for  
          near vision, and expands current requirements for school nurses  
          and teachers to observe student's eyes to also include  
          observation of the appearance and behavior of student's eyes,  
          and requires observation to be continual and regular.   
          Specifically, this bill:

          1.Adds appraisal of near vision to currently-required tests for  
            visual acuity and color vision.

          2.Adds the observation of the appearance and behavior of  
            student's eyes, and specifies that this observation is to be  
            continual and regular, to the current requirement that school  
            nurses and classroom teachers observe student's eyes, visual  
            performance, and perception.  This bill also provides that  
            observations of these eye functions may indicate vision  
            difficulties.

          3.Modifies the frequency of vision appraisals from upon first  
            enrollment and at least every third year thereafter until the  
            student has completed grade 8, to kindergarten or upon first  
            enrollment, grades 2, 5 and 8, as specified.  This bill  
            provides that a student whose first enrollment occurs in grade  
            4 or 7 is not required to be appraised in the following year.

          4.Requires the California Department of Education to adopt  
            guidelines to implement this bill, including training  
            requirements and a method of testing for near vision.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  Yes

          According to the Senate Appropriations Committee:

              Vision testing requirements:  Potentially substantial  
              reimbursable mandate to increase the number of required  
              vision tests, and the scope of those tests.

              Continual monitoring:  The requirement for "continual and  
              regular observation of the pupil's eyes" by teachers and  
              school nurses could result in significant local costs, and  
              could be an additional reimbursable mandate to the extent  

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              that costs could be proven. 


           SUPPORT  :   (Verified  5/23/14)

          American Civil Liberties Union


          PQ:nl  5/25/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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