BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de Le�n, Chair


          SB 1384 (Mitchell) - Certified nurse assistants.
          
          Amended: April 30, 2014         Policy Vote: Health 7-1
          Urgency: No                     Mandate: No
          Hearing Date: May 23, 2014      Consultant: Brendan McCarthy
          
          SUSPENSE FILE. AS AMENDED.
          
          
          Bill Summary: SB 1384 would eliminate the requirement that the  
          Department of Public Health deny an application for a  
          certificate to be a certified nurse assistant based on a  
          conviction for specified offenses. The bill would impose a  
          presumption of rehabilitation, provided certain conditions are  
          met, reducing the Department's ability to use discretion when  
          determining whether to deny a certificate for criminal  
          convictions related to the applicant's qualification to be a  
          certified nurse assistant.

          Fiscal Impact (as approved on May 23, 2014): 
              Potential one-time costs up to $150,000 to revise existing  
              regulations (Licensing and Certification Program Fund).

              Unknown increase in staff costs to review applications for  
              a certificate (Licensing and Certification Program Fund).  
              While the bill would eliminate the mandatory denial of a  
              certificate for specified offenses, the Department would  
              still have the ability to use discretion to deny an  
              application for conviction of a crime related to the duties  
              of a certified nurse assistant. In addition, the current  
              automatic denial of an application based on specified  
              convictions most likely discourages potential applicants  
              with criminal convictions. Therefore, removal of the  
              requirement for automatic denial will very likely increase  
              the number of applicants with criminal convictions.

          Background: Under current law, the Department of Public Health  
          certifies nurse assistants. Certified nurse assistants typically  
          work in nursing homes or hospitals, providing direct patient  
          care under the supervision of a licensed vocational nurse or  
          registered nurse.









          SB 1384 (Mitchell)
          Page 1


          Under current law, the Department is required to reject an  
          application or revoke a certificate for specified criminal  
          convictions such as murder, robbery, elder abuse, theft, and  
          other offenses. A certification can be issued if the applicant  
          has received a certificate of rehabilitation, the conviction was  
          for a misdemeanor that has been dismissed, the person had  
          previously disclosed his or her convictions to the Department  
          and the Department determined that the conviction does not  
          disqualify the person from certification, or the person was  
          convicted of a misdemeanor and has not had a subsequent  
          conviction for five years. In addition, under current law, the  
          Department has discretion to deny an application under certain  
          circumstances (for example the conviction for a crime  
          substantially related to the duties of a certified nurse  
          assistant without demonstrating rehabilitation).

          Proposed Law: SB 1384 would eliminate the requirement that the  
          Department of Public Health deny an application for a  
          certificate to be a certified nurse assistant based on a  
          conviction for specified offenses. 

          The bill would impose a presumption of rehabilitation, provided  
          certain conditions are met, reducing the Department's ability to  
          use discretion when determining whether to deny a certificate  
          for criminal convictions related to the applicant's  
          qualification to be a certified nurse assistant.

          Related Legislation: AB 1689 (Conway) would require the  
          Department of Public Health to post on its internet site a  
          registry of certified nurse assistants with information about  
          the certification status. That bill is pending in the Assembly  
          Health Committee.


          Committee amendments: delete the presumption of rehabilitation  
          and allow discretionary review by the Department.