BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 1172
                                                                  Page  1

          Date of Hearing:   August 6, 2014

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                  SB 1172 (Steinberg) - As Amended:  April 23, 2014 

          Policy Committee:                             EducationVote:6-0
                       Health                                   16-0

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

           SUMMARY  

          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 the 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  
            students' eyes, and adds this observation to the current  
            requirement that school nurses and classroom teachers observe  
            students' eyes, visual performance, and perception.

          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, and grades 2, 5 and 8.  

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

           FISCAL EFFECT  

          1)Minor, absorbable costs to CDE to update the existing vision  
            screening guide.

          2)Unknown, potentially significant reimbursable state mandated  








                                                                  SB 1172
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            costs for school districts to administer additional vision  
            screenings and to expand the scope of the screenings to  
            include near vision.

            Current law requires vision screenings to be administered upon  
            a student's enrollment, and at least every third year through  
            8th grade. For a student who enrolls in kindergarten, the  
            screening requirement would be, minimally: kindergarten, 3rd  
            grade, and 6th grade, for a total of three administrations.  
            This bill requires screenings during the kindergarten year or  
            upon first enrollment or entry in a California school, and in  
            grades 2, 5, and 8.

            According to the Commission on State Mandates (CSM), there are  
            no pending test claims nor is there a past mandate  
            determination on the current vision screening requirements.   
            This bill requires additional screenings and expands the scope  
            of screenings. It is difficult to predict whether districts  
            will file cost claims for the additional requirements of this  
            bill.  The CSM would also need to determine if the  
            requirements of the bill constitute a higher level of service.  
            For illustration, if one-third of the nearly 1,000 school  
            districts claimed the $1,000 minimum mandate, state costs  
            could be approximately $300,000.

           COMMENTS  

           1)Purpose  .  According to the author, near vision deficiencies  
            may be interfering with a child's ability to read. Research  
            has shown that third grade reading scores are highly  
            correlated with later academic success.  Some research  
            indicates that reading proficiency at the end of third grade  
            marks the transition for "learning to read" to "reading to  
            learn."  While the primary factors that led to low-level of  
            reading skills among low-income children were socioeconomic  
            factors and the studies found that preschool programs reversed  
            this trend, the lack of health care was also identified as a  
            factor.  Lack of health care could result in undiagnosed  
            vision problems. 

            This bill requires tests for visual acuity to include near  
            vision, which is recommended but not required as an additional  
            procedure in CDE's Guide for Vision Testing in California  
            Public Schools.  This bill requires the CDE to adopt  
            guidelines to implement this bill, including a method of  








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            testing for near vision.

           2)Related legislation.   AB 1840 (Campos), 2014, pending in the  
            Senate Appropriations Committee, adds a trained individual,  
            who meets specified requirements, to those who can perform  
            gross external observation of a child's eyes, visual  
            performance, and perception.  Permits a child's vision to be  
            appraised using an eye chart or any other scientifically  
            validated screening test.


           Analysis Prepared by  :    Misty Feusahrens / APPR. / (916)  
          319-2081