BILL ANALYSIS                                                                                                                                                                                                    �



                                                                            



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          |SENATE RULES COMMITTEE            |                       SB 1246|
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                                    THIRD READING


          Bill No:  SB 1246
          Author:   Lieu (D), et al.
          Amended:  4/23/14
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECONOMIC DEVELOP. COMM  :  9-0, 4/28/14
          AYES:  Lieu, Wyland, Berryhill, Block, Corbett, Galgiani,  
            Hernandez, Hill, Padilla

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


          SUBJECT  :    California Acupuncture Board

           SOURCE  :     Author


           DIGEST  :    This bill extends the sunset date for the California  
          Acupuncture Board (CAB) until January 1, 2017; authorizes the  
          CAB to employ personnel until January 1, 2017; specifies that  
          any executive officer appointed on or after January 1, 2015,  
          shall not have served as an executive officer for the CAB prior  
          to January 1, 2015; and requires educational and training  
          programs to be accredited by the Accreditation Commission for  
          Acupuncture and Oriental Medicine (ACAOM) commencing January 1,  
          2017. 

           ANALYSIS  :    

          Existing law:

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          1.Provides for the licensure and regulation of the practice of  
            acupuncture by the CAB within the Department of Consumer  
            Affairs (DCA).

          2.Establishes the CAB until January 1, 2015 and renders the CAB  
            subject to review by the appropriate policy committees of the  
            Legislature. 

          3.Permits the CAB, with the approval of the Director of DCA, to  
            employ personnel and appoint an executive officer until  
            January 1, 2015. 

          4.Authorizes the CAB to establish standards for the approval of  
            schools and colleges offering education and training in the  
            practice of acupuncture, including standards for the faculty  
            in those schools and colleges and tutorial programs.

          5.Allows the CAB to charge a fee for the inspection or  
            re-inspection of a school or college of acupuncture for  
            purposes of approval and permits the CAB to recover the direct  
            costs incurred by the CAB in conducting the inspection and  
            evaluation of the school or college. 

          This bill:

          1.Extends the CAB until January 1, 2017. 

          2.Extends the CAB's authority, with the approval of the Director  
            of DCA, to employ personnel until January 1, 2017. 

          3.Specifies that the CAB, with the approval of the Director of  
            DCA, may appoint an executive officer on or after January 1,  
            2015. 

          4.Further specifies that the executive officer shall not have  
            served as the executive officer of the CAB at any time prior  
            to January 1, 2015. 

          5.Defines "approved educational and training programs" as a  
            program approved by the CAB until January 1, 2017.

          6.Repeals the CAB's authority to establish standards for the  
            approved educational and training programs and charge fees for  
            the approval of schools or colleges commencing January 1,  

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            2017. 

          7.Requires that approved educational and training programs be  
            accredited by the Accreditation Commission for Acupuncture and  
            Oriental Medicine commencing January 1, 2017. 

           
          Background
           
          This bill is one of six "sunset review bills" authored by the  
          Chair of the Senate Business, Professions and Economic  
          Development (BPED) Committee.  This bill provides for the CAB to  
          be reviewed by the appropriate policy committees of the  
          Legislature, and makes legislative changes regarding the CAB  
          recommended in the Committee's Background Paper.

          In 2014, the Senate BPED Committee and the Assembly Business,  
          Professions and Consumer Protection Committee conducted joint  
          oversight hearings to review nine regulatory entities:  Bureau  
          of Automotive Repair; Bureau of Home Furnishings and Thermal  
          Insulation; Bureau for Private Postsecondary Education;  
          California Massage Therapy Certification program; CAB;  
          California Tax Preparer program; Dental Hygiene Committee of  
          California; Professional Fiduciaries Bureau; and the Structural  
          Pest Control Board.  

          The Committees began their review of the aforementioned  
          licensing agencies in March and conducted two days of hearings.   
          This bill, and the accompanying sunset bills, are intended to  
          implement legislative changes as recommended in the Committee's  
          Background Papers prepared for each bureau and program reviewed  
          for this year.

          Note:For a summary of the issues and recommendations of the CAB,  
               refer to the Senate BPED Committee analysis of April 28,  
               2014.

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

          According to the Senate Appropriations Committee:

           Ongoing costs of about $3.2 million per year to support the  
            CAB's licensing activities, supported by licensing fees  

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            (Acupuncture Fund).

           Minor reduction in costs and revenues after January 1, 2017,  
            due to the elimination of the CAB's authority to approve  
            educational programs (Acupuncture Fund).

           Unknown increase in licensing costs (and fee revenues) due to  
            increased applications for licensure (Acupuncture Fund).  By  
            changing the process for accrediting schools by the CAB, it is  
            possible that an increased number of individuals would meet  
            the state's licensing requirement to have graduated from an  
            accredited school.  This could increase the number of  
            applicants for licensure.

           SUPPORT  :   (Verified  5/23/14)

          Atlantic Institute of Oriental Medicine
          American College of Traditional Chinese Medicine
          California State Oriental Medical Association
          Council of Colleges of Acupuncture and Oriental Medicine
          Five Branches University
          National Certification Commission for Acupuncture and Oriental  
          Medicine
          National College of Natural Medicine
          Oregon College of Oriental Medicine
          Pacific College of Oriental Medicine
          South Baylo University
          Southern California University of Health Sciences
          Southwest Acupuncture College
          University of East-West Medicine
          Yo San University of Traditional Chinese Medicine

           ARGUMENTS IN SUPPORT  :    The Council of Colleges of Acupuncture  
          and Oriental Medicine writes, "The Council's member colleges,  
          all of which have been approved in accordance with ACAOM's  
          national accreditation standards, believe that the quality of  
          acupuncture education for students, patient safety, and consumer  
          protection are best maintained by acupuncture educational  
          institutions participating in an accreditation process with a  
          USDE recognized accreditor such as ACAOM.  Accreditation  
          protects patients, students, and the profession by ensuring that  
          graduates are well qualified as entry-level practitioners able  
          to sit for licensing and certification exams." 


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          The National Certification Commission for Acupuncture and  
          Oriental Medicine points out that nationwide, every state with  
          an acupuncture practice act requires ACAOM accredited education-  
          the sole outlier is California.

          Five Branches University writes, "Our university [is concerned]  
          about the continuing failure of the CAB to address the useful  
          recommendations of the Senate Committee?we would like to see a  
          responsible Acupuncture Board in California that meets the same  
          rigorous requirements of other health profession Boards [which]  
          require accreditation of schools."

          The American College of Traditional Chinese Medicine writes,  
          "The purpose of this letter is to offer our continued strong  
          support for the incorporation of accreditation by an accreditor  
          recognized by the United States Department of Accreditation?We  
          support the mission of the CAB to 'protect, benefit and inform  
          the people of California by exercising the licensing, regulatory  
          and enforcement mandates of the Acupuncture Licensure Act.'  We  
          feel that incorporation of accreditation?will strengthen the  
          ability of the CAB to meet its mission."


          MW:nk  5/23/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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