Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care. Existing law requires a health care service plan contract that includes terms requiring binding arbitration for dispute settlement to provide a specified disclosure to subscribers or enrollees. Existing law, the California Arbitration Act, provides a statutory framework for the enforcement of contractual arbitration under California law. Existing law establishes standards for arbitration, and requires a court to vacate an arbitration award if it makes certain findings. This bill would require the Attorney General to oversee compliance by health care service plans with specified provisions regulating the use of binding arbitration to settle disputes. The bill would authorize the Attorney General to require reports from health care service plans for this purpose. The bill would also require the Attorney General to notify the director of the department of any corrective action taken pursuant to these provisions.
(1) The Dental Practice Act establishes the Dental Board of California to license and regulate the practice of dentistry. Existing law requires the board to license and regulate dental auxiliaries, including, among others, dental assistants, as defined, and sets forth duties and functions that those dental auxiliaries are authorized to perform. Existing law requires an unlicensed dental assistant not enrolled in a board-approved program for registered dental assisting or an alternative dental assisting program to complete an infection control certification course, as specified. In this regard, existing law allows the unlicensed dental assistant to complete a board-approved 8-hour course, with 6 hours being didactic instruction and 2 hours being laboratory instruction, as specified. This bill would allow an unlicensed dental assistant to complete the Dental Assisting National Board's Infection Control examination instead of completing an infection control course. The bill would also revise the requirements for those infection control courses to allow an unlicensed dental assistant to complete one of specified courses approved by the board or a course with at least 4 hours of didactic instruction and at least 2 hours of laboratory instruction using video or a series of video training tools, as specified. Existing law makes the employer of a dental assistant responsible for ensuring that the dental assistant has successfully completed a board-approved 8-hour course in infection control before performing any basic supportive dental procedures involving potential exposure to blood, saliva, or other potentially infectious material. This bill would instead require the employer to ensure the dental assistant has successfully completed a course or examination in infection control, as described above, before performing those procedures. (2) Existing law establishes the Licensed Physicians from Mexico Program under which the Medical Board of California is required to issue a physician and surgeon's license to a licensed physician from Mexico who meets specific education, language, experience, and other requirements. Existing law limits the number of program applicants and the dates they may apply. This bill would make changes to those application deadlines, requiring applicants for the program to submit an application to the board between October 1, 2025, and July 1, 2026, and authorizing the board to accept up to 15 applications after July 1, 2026, and before January 1, 2028. (3) The Veterinary Medicine Practice Act establishes the California Veterinary Medical Board to license and regulate veterinarians, veterinarian technicians, and the practice of veterinary medicine. Under existing law, the board is composed of 9 members, of which 4 are licensed veterinarians, 2 are registered veterinary technicians, and 3 are public members. Existing law requires the Governor to appoint the 4 veterinarian members, one registered veterinary technician member, and one public member to the board. Under existing law, the Senate Committee on Rules and the Speaker of the Assembly each appoint a public member. The act also specifies the educational requirements, among other requirements, to become a registered veterinary technician. This bill would require the Governor to appoint the additional registered veterinary technician member to the board and would make nonsubstantive changes to provisions relating to the board. The bill would modify the educational requirements to become a registered veterinary technician to include education accredited by a California public school, as specified. (4) The Private Investigator Act provides for the licensure and regulation of private investigators by the Director of Consumer Affairs and requires an agreement to provide a service under the act to be in writing and contain, among other things, the approximate start and completion dates of the work to be provided. Under this bill, a master agreement for frequently contracted services over a specified period of time would be exempt from the above-described requirement to include the approximate start and completion dates of the work, if the agreement includes the beginning and termination dates. (5) This bill would declare that it is to take effect immediately as an urgency statute.
Existing law defines a request regarding resuscitative measures to mean a written document, signed by an individual with capacity or legally recognized health care decisionmaker and the individual's physician that directs a health care provider regarding resuscitative measures, as prescribed. Existing law includes a prehospital "do not resuscitate" form, as developed by the Emergency Medical Services Authority or other substantially similar form, and Physician Orders for Life Sustaining Treatment form (POLST form) , as approved by the Emergency Medical Services Authority as requests regarding resuscitative measures. This bill would replace the term "Physician Orders for Life Sustaining Treatment" with "POLST," or "Portable Orders Listing Scope of Treatment." The bill would authorize a request regarding resuscitative measures to be entered into by an individual with capacity or a health care agent, conservator with health care decisionmaking authority, or surrogate, as defined, and a physician, nurse practitioner, or physician assistant, as specified. The bill would specify that a request regarding resuscitative measures is entirely voluntary and the provision of care or admission to a facility cannot be conditioned on completion of or refusal to complete a POLST or prehospital "do not resuscitate" order. Existing law prescribes requirements for forms for requests regarding resuscitative measures, including, among other things, that the form be signed by the executing parties. The bill would specify that an electronic signature, as defined, is sufficient for any signature required for a request regarding resuscitative measures. Under this bill, a request regarding resuscitative measures executed in another state or jurisdiction that complies with the laws of that state or jurisdiction or the laws of California is considered valid and enforceable in California to the same extent as a request regarding resuscitative measures validly executed in California. The bill would specify that, in the absence of knowledge to the contrary, a physician or other health care provider may presume that a request regarding resuscitative measures, whether executed in another state or jurisdiction or in California, is valid and unrevoked. The bill would make conforming changes.
Existing law, the Respiratory Care Practice Act, establishes the Respiratory Care Board of California to license and regulate respiratory care practitioners. Existing law authorizes the board to employ an executive office, as specified. Existing law establishes fees for license and examination requirements for respiratory care practitioners, including an initial license fee of no more than $300 and a license renewal fee at $230, as specified. Existing law authorizes the board to increase the license renewal fee, by regulation, to no more than $330. Existing law repeals the existence of the board and the authority for employment of an executive officer on January 1, 2027. This bill would extend the operation of the existence of the board and the executive officer to January 1, 2031, and would delete the initial license fee provision. The bill would increase the license renewal fee to $330 and would authorize the board to increase the license renewal fee, by regulation, to $375. Existing law establishes requirements for licensure as a respiratory care practitioner and generally prohibits an applicant for licensure from being licensed without first successfully passing the National Board for Respiratory Care's Therapist Multiple-Choice Examination, at the cut-off level required to qualify for the Clinical Simulation Examination, and the Clinical Simulation Examination, or any succeeding examinations. This bill would revise the above provision to instead prohibit an applicant from being licensed under these provisions without first successfully passing the National Board for Respiratory Care's Respiratory Therapy Examination, at the cut-off level required to qualify for the Registered Respiratory Therapist credential, or any succeeding examinations. Existing law authorizes the board to order the denial, suspension, or revocation of, or the imposition of probationary conditions upon, a license of a respiratory care practitioner for certain specified acts, including the commission of any fraudulent, dishonest, or corrupt act that is substantially related to the qualifications, functions, or duties of a licensee. Existing law further requires the board to revoke or suspend a license for the conviction of a crime that is substantially related to the qualifications, functions, or duties of a licensee. Existing law deems a crime involving sexual misconduct or attempted sexual misconduct, regardless of whether committed with a patient, to be a substantially related crime and requires the board to revoke a license for sexual contact with a patient or for the commission of, or conviction for, a sex offense, as defined. This bill would additionally require the board to suspend the license of a respiratory care practitioner convicted of specified felonies, regardless of whether the offense was committed in the course of practice, and notwithstanding any other provision. The bill would require the board to revoke the license if the specified conviction becomes final. The bill would authorize the board to decline to impose or to set aside a suspension in the interest of justice and would require the board to rescind a license suspension or revocation if the conviction is overturned, as provided. The bill would authorize a licensee to request a hearing to determine the appropriate level of discipline and would prohibit an administrative law judge from considering expert testimony regarding whether the conviction is substantially related to the practice of respiratory care. The Respiratory Care Practice Act authorizes the board to promulgate regulations defining specified levels of respiratory care, with each requiring a greater degree of training or skill to perform. Existing law specifies the lowest level as basic services, which are tasks or services that do not require a respiratory assessment and only require manual, technical skills, or data collection. Existing law, the Vocational Nursing Practice Act, limits a licensed vocational nurse to basic respiratory tasks and services, as prescribed. Existing law exempts from the Respiratory Care Practice Act specified tasks performed by a licensed vocational nurse. In this regard, existing law authorizes a licensed vocational nurse to perform respiratory tasks and services under specified circumstances that vary depending on the task or service, the nurse's training, demonstrated competency, and employer, and the setting in which the task or service is performed, as provided. Specifically, existing law authorizes a licensed vocational nurse who is employed by a home health agency to perform respiratory tasks and services identified by the board if, on or before January 1, 2028, the licensed vocational nurse has completed patient-specific training satisfactory to their employer, and, on and after that date, the licensed vocational nurse has completed that training in accordance with guidelines promulgated by the board, in collaboration with the Board of Vocational Nursing and Psychiatric Technicians of the State of California. This bill would expand the respiratory tasks and services a licensed vocational nurse is authorized to perform. In this regard, the bill would remove the above requirement that a licensed vocational nurse be employed by a home health agency to perform respiratory tasks and services identified by the board, and would, instead, authorize a licensed vocational nurse to perform these services in expanded settings, including, among others, congregate living health facilities, group homes, and adult residential facilities. The bill would authorize a licensed vocational nurse to perform certain suctioning tasks, as specified. Existing law specifies that the Respiratory Care Practice Act is not intended to limit, preclude, or otherwise interfere with the practice of other licensed personnel carrying out authorized and customary duties and functions. This bill would provide that certain activities are not considered to be practicing respiratory care, including documenting observations and gathering and reporting data to another health care provider, as specified.
Existing law, the Community Assistance, Recovery, and Empowerment (CARE) Act, authorizes specified adult persons to petition a civil court to create a voluntary CARE agreement or a court-ordered CARE plan and implement services, to be provided by county behavioral health agencies, to provide behavioral health care, including stabilization medication, housing, and other enumerated services, to adults who are currently experiencing a severe mental illness and have a diagnosis identified in the disorder class schizophrenia and other psychotic disorders, and who meet other specified criteria. Existing law authorizes specified individuals to file a petition to commence the CARE process, including, but not limited to, a spouse, parent, sibling, child, grandparent, or an individual who stands in loco parentis to the respondent. Existing law requires the court to issue an order relieving the original petitioner if the petitioner is someone other than the director of a county behavioral health agency or their designee and appoint the director or their designee as the successor petitioner. Existing law requires the original petitioner to have specified rights to notice of proceedings if the petitioner is a parent or specified family member or the person with whom the respondent resides. Existing law authorizes the court to allow the original petitioner to participate in the respondent's CARE proceedings to the extent the respondent consents. This bill would authorize the original petitioner to provide specified information regarding the respondent, including the respondent's condition, treatment history, and housing status. The bill would require the CARE team to review specified parts of the provided information, including that relevant to the respondent's care and treatment, and would authorize the court to consider that information in evaluating the respondent's progress and compliance, among other things. The bill would specify that the respondent's consent is not required to receive this information from the original petitioner and that submission of this information does not confer party status on the original petitioner or create a right to direct treatment decisions, obtain discovery, access confidential records, receive protected health information, attend confidential proceedings, or otherwise participate in the proceedings without the respondent's consent, except as expressly provided by law.
Existing law, the Speech-Language Pathologists and Audiologists and Hearing Aid Dispensers Licensure Act, until January 1, 2027, establishes the Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board within the Department of Consumer Affairs for the licensure and regulation of speech-language pathologists, speech-language pathology aides, speech-language pathology assistants, audiologists, dispensing audiologists, and hearing aid dispensers. Existing law, until January 1, 2027, authorizes the board to appoint a person designated as the executive officer to perform duties delegated by the board and vested in them in the act. Existing law makes a violation of the act a misdemeanor. This bill would extend the operation of the board and authorization to appoint an executive officer until January 1, 2031. Existing law specifies that a person holds themselves out to the public as a speech-language pathologist or audiologist by using specified titles. This bill would specify a person also holds themselves out to the public as a speech-language pathologist or audiologist by using a business name with those titles. Existing law requires a supervising speech-language pathologist or supervising audiologist to submit to the board a description of the proposed professional responsibilities of an applicant who is issued a temporary license as a speech-language pathologist or audiologist, as applicable, working under their supervision. This bill would delete that requirement. Existing law requires a speech-language pathologist or audiologist supervising speech-language pathology or audiology aides to register with the board the name of each aide working under their supervision. This bill would prohibit a speech-language pathology or audiology aide from advertising or representing that they hold a license as a speech-language pathologist, speech-language pathology assistant, or audiologist. The bill would prohibit a speech-language pathology or audiology aide, a professional experience license holder, or a speech-language pathology assistant from being the sole proprietor of, or managing or independently operating, a business that engages in the practice of speech-language pathology or audiology. Existing law grants to the board the full authority to investigate and evaluate each applicant applying for a license to practice speech-language pathology or audiology, to determine the admission of the applicant to the examination, or to issue a license. Existing law requires the board to perform all examination functions, to determine the subject matter and scope of the examinations, and to keep recordings of any oral examination for at least 2 years. This bill would delete those provisions and would instead require an applicant to pass an examination approved by the board, which may be conducted by the board or by an organization specified by the board. Existing law requires the board to issue, suspend, and revoke licenses and approvals to practice speech-language pathology and audiology. This bill would also require the board to issue, suspend, and revoke registrations, and would make various provisions in the act applicable to registrants, including requiring registrants to pay a fee not to exceed $25 for issuance of a registration status. Existing law establishes requirements for licensure as a speech-language pathologist or audiologist, including possession of at least a master's degree in speech-language pathology or audiology from an educational institution approved by the board or qualifications deemed equivalent by the board. This bill would expand the list of degrees that would satisfy that requirement to include at least a master's degree in communication disorders, communication sciences and disorders, communicative disorders, or speech, language, or hearing sciences. Existing law, until January 1, 2027, deems a person who holds one of specified clinical competence certificates issued by certain entities to have met certain educational and experience requirements for licensure as a speech-language pathologist or audiologist, as specified. This bill would extend the operation of that provision until January 1, 2031. Existing law establishes continuing education requirements for licensees and requires continuing professional development services to be obtained from accredited institutions of higher learning or organizations approved as continuing education providers, as specified. This bill would revise the list of authorized continuing education providers to include organizations approved as continuing education providers by the California Academy of Audiology, the California Speech-Language-Hearing Association, or the American Medical Association, and continuing professional development services obtained by a federal, state, or local governmental entity. This bill would require the board, upon payment of a $75 fee, to issue a retired license to a licensed speech-language pathologist, speech-language pathology assistant, audiologist, hearing aid dispenser, or dispensing audiologist who holds a license that is current and active or a license that is inactive, and the license is not suspended, revoked, surrendered, or subject to disciplinary action, as specified, subject to satisfaction of specified requirements. Existing law authorizes the board to suspend, revoke, or impose terms and conditions upon the license of any licensee for specified acts, including violating or attempting to violate any provisions of the act. This bill would make those provisions applicable to registrants. Existing law authorizes a person whose license has been revoked or suspended, or who has been placed on probation, to petition the board for reinstatement or modification of penalty, as specified. This bill would make those provisions applicable to a person whose license has been surrendered, as specified. Existing law requires the board to adopt regulations, in collaboration with the State Department of Education, the Commission on Teacher Credentialing, and the Advisory Commission on Special Education, that set forth standards and requirements for the adequate supervision of speech-language pathology assistants, including minimum continuing professional development requirements. This bill would prohibit coursework from a master's degree that would qualify an applicant for licensure as a speech-language pathologist from being used, as specified, to satisfy those continuing professional development requirements. Existing law establishes educational requirements for applicants for approval as a speech-language pathology assistant, and specifies that a person who has successfully graduated from a board-approved bachelor's degree program in speech-language pathology or communication disorders is deemed to have satisfied those requirements. This bill would expand the list of degrees that would satisfy those requirements to include a bachelor's degree in communication disorders, speech-language and hearing sciences, communication sciences and disorders, or communicative disorders. Existing law prohibits provisions regulating hearing aid dispensers from being construed to limit the use of a speech aide or other personnel employed by a public school working under the supervision of a speech-language pathologist. This bill would specify that construction applies so long as the speech aide or other personnel is not performing the responsibilities, duties, and functions of a speech-language pathology assistant. This bill would prohibit a person who is not registered as a speech-language pathology assistant from using the title "SLP assistant" or the letters "SLPA," and would prohibit a speech-language pathology assistant from advertising or otherwise representing that they hold a license as a speech-language pathologist. Existing law authorizes hearing aids to be sold by catalog or direct mail, subject to satisfaction of specified requirements. The bill would authorize hearing aids to be sold online. Existing law makes it unlawful for an individual to engage in the practice of fitting or selling hearing aids without a license, except as specified. This bill would specify that some of those provisions apply to hearing aid dispensers instead of licensees, and would change some of those provisions so they apply to an address or addresses instead of a place of business. Relative to the regulation of hearing aid dispensers, existing law requires a licensee to apply for and procure a duplicate license if the licensee maintains more than one place of business, as specified. Existing law authorizes a hearing aid dispenser to engage on a temporary basis in the practice of fitting or selling hearing aids at the primary or branch location of another licensee's business without obtaining a duplicate license if certain requirements are satisfied. This bill would instead require a hearing aid dispenser engaged in the practice of fitting or selling hearing aids at more than one place of business to apply for and procure a branch office license, as specified. The bill would define "temporary basis" for purposes of the provisions described above. Existing law imposes certain restrictions and requirements on licensed hearing aid dispensers related to the scope of their duties, including prohibiting a licensed hearing aid dispenser from selling a hearing aid to a person 16 years of age or younger, except as specified, and exempts from those restrictions and requirements a licensed dispensing audiologist, as specified. This bill would expand the list of restrictions and requirements applicable to licensed hearing aid dispensers that licensed dispensing audiologists are exempt from to include, among other things, provisions prohibiting a licensed hearing aid dispenser from making or seeking referrals for testing, fitting, or dispensing of hearing aids in connection with the conduction of hearing screenings, as specified. Existing law establishes a fee of $100 for an initial temporary license, and a fee of $100 for renewal of a temporary license for hearing aid dispensers. This bill would instead establish that fee for an initial temporary or trainee licensee, and a fee of $100 for renewal of a trainee license. The bill would revise and recast certain provisions related to temporary licenses. The bill would also change some provisions related to hearing aid dispensers so they apply to an address or addresses instead of a place of business. Existing law provides for the licensure and regulation of dispensing audiologists by the board. This bill would revise and recast certain of those provisions and would require a dispensing audiologist to submit documentation to the board that they have satisfied specified continuing education requirements. The bill would provide that a dispensing audiologist license expires on its assigned renewal date, unless licensee applies to the board for renewal, as specified, and would establish requirements for the renewal of an expired license. The bill would specify that a suspended dispensing audiologist license is subject to expiration and shall be renewed, as provided, but renewal does not entitle the holder of the license to engaging in the fitting or selling of hearing aids until it is reinstated. The bill would specify that a license that has been revoked is subject to expiration and shall not be renewed, and would establish requirements for reinstatement. Existing law prohibits a licensed audiologist from selling hearing aids to a person 16 years of age or younger, except if specified conditions are satisfied. This bill would delete that provision. Existing law defines certain terms for the purposes of the Act, including, among others, "hearing aid dispenser" to mean a person engaged in the practice of fitting or selling hearing aids to an individual with impaired hearing. The bill would make other definitional, technical, and conforming changes, including defining "hearing aid dispenser" as a person who is issued a permanent license pursuant to these provisions, revising the definitions of "license" and "licensee." By imposing additional requirements and prohibitions on persons subject to the act, a violation of which is a crime, the bill would expand the scope of a crime thereby imposing a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.
(1) Existing law, the Nursing Practice Act, establishes the Board of Registered Nursing within the Department of Consumer Affairs, until January 1, 2027, and sets forth its powers and duties regarding the licensure and regulation of registered nurses. Existing law creates the Board of Registered Nursing Fund and makes all moneys in the fund available upon appropriation by the Legislature. A violation of the act is a crime. Existing law requires the board, until January 1, 2027, to appoint an executive officer to perform the duties delegated by the board and to be responsible to the board for the accomplishment of those duties, as specified. Existing law requires the board, for the purpose of transacting its business, to meet at least once every 3 months, at times and places it designates by resolution, and requires those meetings to be held in northern and southern California. This bill would extend those dates until January 1, 2031. The bill would remove the above-described location requirements for meetings held by the board, and, instead, require the board to meet at least once every 3 months in locations that are, to the extent practicable, geographically diverse. (2) Existing law specifies that an approved school of nursing, or an approved nursing program, is one that, among other things, gives a course of instruction approved by the board, as specified. Existing law requires the board to prepare and maintain a list of approved schools of nursing whose graduates are eligible to apply for a license to practice nursing, as provided. Existing law requires the board, through its executive officer, to inspect all schools of nursing in the state at the times the board deems necessary, as specified. This bill would require the board to make the list of approved schools of nursing available on its internet website. The bill would require the inspection criteria to be consistent with the 2020 Nursing Education Approval Guidelines established by the National Council of State Boards of Nursing, or its successor, as specified. Existing law requires an approved school of nursing or a nursing program to meet a minimum of 500 direct patient care clinical hours in a board-approved clinical setting, as specified, and requires additional clinical hours required by the program for nursing education preparation in each nursing area as specified by the board to be identified and documented in the curriculum plan for each area. The bill would require any clinical practice hours that are not required to be in direct patient care and are provided using simulation experiences to be based on the best practices published by, among other specified entities, the International Nursing Association for Clinical Simulation and Learning, or based on any equivalent standards approved by the board. Existing law authorizes the director of an approved nursing program, until the end of the 2023–24 academic year, or whenever the Governor declares a state of emergency for a county in which an agency or facility used by an approved nursing program for direct patient care clinical practice is no longer available, to submit to a board nursing education consultant requests to, among other things, allow the program to reduce the required number of direct patient care hours to, among other requirements, 50% in geriatrics and medical-surgical, if certain conditions are met. Existing law prohibits the approval of that request after the 2023–24 academic year and makes an approved request expire at the end of that year. This bill would, instead, authorize a director to submit requests for the approved nursing program to reduce the required number of direct patient care hours to 200 hours in medical-surgical, as specified, if certain conditions are met. The bill would remove the prohibition of the approval of that request after the 2023–24 year and the provision making any an approved request expire at the end of that year. If the board requires the approval of the faculty or directors, as specified, existing law authorizes the board to approve an individual to serve as a member of the faculty, director, or assistant director of an approved school of nursing or nursing program. Existing law makes an individual approval valid for 5 years and authorizes an individual approval to be renewed if the individual demonstrates to the board that they continue to meet the requirements established by the board for faculty, directors, and assistant directors of an approved school of nursing or nursing program. This bill would, instead, make only an individual faculty approval valid for 5 years and authorize only an individual faculty approval to be renewed if the individual demonstrates to the board that they continue to meet the requirements established by the board for faculty of an approved school of nursing or nursing program. If an applicant for approval has a faculty position and does not meet a requirement established by the board for a different position, existing law authorizes the board to accept a remediation plan submitted by an approved school of nursing or nursing program to help the applicant meet the requirement, and if the board accepts the plan, to approve the applicant to instruct in theory under the mentorship and supervision of the content expert identified in the plan for up to one year. If an applicant for approval as an assistant director or director does not have a faculty position and does not meet a requirement established by the board for a different position, the bill would authorize the board to accept a remediation plan submitted by an approved school of nursing or nursing program to help the applicant meet the requirement, and if the board accepts the plan, to approve the applicant to serve in the role of the assistant director under the mentorship of a board-approved director or assistant director while completing the remediation plan for up to one year, as specified. (3) Existing law defines the practice of nursing to include specified activities, including the administration of medications ordered by a physician and surgeon, dentist, podiatrist, or clinical psychologist, as specified. This bill would expand the definition of the practice of nursing to include the administration of medications ordered by a nurse practitioner or certified nurse midwife and the administration of medications as directed by an advanced practice registered nurse to the extent allowable by the advanced practice registered nurse's scope of practice. (4) Existing law requires the board to issue a license as a registered nurse to each applicant who passes the examination and meets all other licensing requirements. Existing law requires all examinations to be written, but authorizes exams in the discretion of the board to be supplemented by an oral or practical examination in subjects the board determines. This bill would remove the requirement that all examinations be written, and the authorization for exams to be supplemented by an oral or practical examination in subjects the board determines. Existing law authorizes a registered nurse under current investigation by the board to request entry into an intervention program by contacting the board. Existing law requires each registered nurse who requests participation in an intervention program to agree to cooperate with the rehabilitation program designed by the intervention evaluation committee and approved by the program manager, as defined. This bill would require the committee, in developing the rehabilitation program, to determine whether a participant is required to practice nursing prior to completion of the program. Existing law requires each person renewing their license as a registered nurse to submit proof satisfactory to the board that, during the preceding 2-year period, they have been informed of the developments in the registered nurse field or in any special area of practice engaged in by the licensee, occurring since the last renewal thereof, either by pursuing a course or courses of continuing education in the registered nurse field or relevant to the practice of the licensee, as specified, or by other means deemed equivalent by the board. This bill would, beginning January 1, 2029, require the board to require each licensee to submit the above-described proof at the time of renewal and require the proof to include, but not be limited to, documentation verifying the completion of the continuing education requirements during the preceding renewal period or the preceding 2 years. Existing law authorizes a registered nurse whose license has been revoked or suspended or who has been placed on probation to petition the board for reinstatement or modification of penalty, as specified, subject to specified time periods. This bill would specify that no minimum time period applies if the registered nurse has had their license revoked by default for failure to submit a notice of defense. (5) Existing law requires the board to issue a certificate to practice nurse-midwifery to a person licensed as a registered nurse who meets specified qualifications. Existing law authorizes a certified nurse-midwife to attend cases of low-risk pregnancy and childbirth and to provide certain types of care, including prenatal care. Existing law generally authorizes a certified nurse-midwife to furnish drugs or devices incidentally to the provision of, among other things, the care and services described above. Existing law makes the furnishing or ordering of drugs or devices by a certified nurse-midwife conditional on the issuance by the board of a number to the applicant who has successfully completed certain requirements. Existing law authorizes the board to issue a furnishing number upon initial application and, if approved by the board, prohibits requiring the applicant from having to make a separate application. Existing law authorizes the board to charge an applicant a fee to cover all necessary costs to implement these provisions that is no more than $1,500 for an initial application or $1,000 for a renewal application, and to charge a penalty fee for failure to renew a furnishing number within the prescribed time that is no more than $500. This bill would authorize the board to also issue a furnishing number described above upon renewal application, and would remove the authorization for the board to charge a penalty fee for failure to renew a furnishing number within the prescribed time. The bill would specify that the initial application and renewal application are those for a certificate to practice nurse-midwifery. (6) Existing law, the Nurse Anesthetists Act, which is part of the Nursing Practice Act, requires the board to issue a certificate to practice nurse anesthesia to a person licensed as a registered nurse who meets specified qualifications. Existing law fixes the amounts of fees in connection with the issuance of certificates of nurse anesthetists, including that the fee to be paid upon the filing of an application for a certificate is fixed by the board at not less than $500 and no more than $1,500. This bill would remove the minimum fee amount for the above-described fees. (7) Existing law requires, on and after January 1, 2008, an applicant for initial qualification or certification as a nurse practitioner who has not been qualified or certified as a nurse practitioner in California or any other state to meet certain requirements, including holding a valid and active registered nursing license. Existing law generally authorizes a nurse practitioner to furnish drugs or devices when certain conditions are met, including that the nurse practitioner is functioning pursuant to standardized procedure, as defined, or protocol, as specified. Existing law makes the furnishing or ordering of drugs or devices by a nurse practitioner conditional on the issuance by the board of a number to an applicant who has successfully completed certain requirements. Existing law authorizes the board to issue a furnishing number upon initial application and, if approved by the board, prohibits requiring the applicant from having to make a separate application. Existing law authorizes the board to charge an applicant a fee to cover all necessary costs to implement these provisions that is no more than $1,500 for an initial application or $1,000 for a renewal application, and to charge a penalty fee for failure to renew a furnishing number within the prescribed time that is no more than $500. This bill would authorize the board to also issue a furnishing number described above upon renewal application, and would remove the authorization for the board to charge a penalty fee for failure to renew a furnishing number within the prescribed time. The bill would specify that the initial application and renewal application are those for the qualification or certification as a nurse practitioner. Existing law authorizes a nurse practitioner to perform certain functions, including conducting an advanced assessment, without standardized procedures in accordance with their education and training, as specified, if the nurse practitioner meets certain requirements, including that they have completed a transition to practice in California of a minimum of 3 full-time equivalent years of practice or 4600 hours, as specified. This bill would also authorize the completion of a transition to practice in another state, as described above, for purposes of that requirement. For purposes of a transition to practice completed in another state, the bill would require the board to, among other things, on or before January 1, 2028, identify states where practice experience would meet or exceed the requirements under specified provisions if obtained in this state. (8) Existing law requires a registered nurse applying to be a clinical nurse specialist for the evaluation of their qualifications to use that title to pay a nonrefundable fee of not less than $500 but not exceeding $1,500, and requires a fee to be paid for a temporary certificate to practice as a clinical nurse special to be not less than $30 but no more than $50. Existing law requires a biennial renewal fee to be paid upon submission of an application to renew the clinical nurse specialist certificate, and to be established by the board at no less than $150 and not more than $1,000. Existing law requires the penalty fee for failure to renew a certificate within the prescribed time to be 50% of the renewal fee in effect on the date of the renewal of the license to be not less than $75 and no more than $500. This bill would delete the minimum fee amounts prescribed above. (9) The bill would also make various nonsubstantive changes to various nursing related provisions.
Existing law establishes, within the California Health and Human Services Agency, the State Department of Public Health, which has authority over various programs promoting public health, including the California Tobacco Control Program. Existing law requires the department to, among other things, establish a program on tobacco use and health to reduce tobacco use in California by conducting health education interventions and behavior change programs at the state level, in the community, and other nonschool settings. Existing law also requires the department to conduct statewide surveillance of tobacco-related behaviors, knowledge, and attitudes and evaluate the department's local and state tobacco control programs. Under existing law, the department funds the Kick It California program, which is a tobacco cessation program. Existing law, the California Cigarette and Tobacco Products Licensing Act of 2003, provides for the licensure by the California Department of Tax and Fee Administration of manufacturers, distributors, wholesalers, importers, and retailers of cigarette or tobacco products that are engaged in business in California. The act authorizes the department to suspend or revoke a retailer's license or impose a civil penalty for a violation of the act's provisions and requires all moneys collected under the act to be deposited in the Cigarette and Tobacco Products Compliance Fund to be available for expenditure, upon appropriation by the Legislature, for specified uses. Existing law requires a retailer to conspicuously display its license to engage in the sale of cigarettes or tobacco products at each retail location in a manner visible to the public. This bill would require the State Department of Public Health, no later than July 1, 2027, to make available signage to raise lung cancer screening awareness, as specified, which would include, among other things, eligibility criteria for lung cancer screening and the toll-free telephone number of the Kick It California tobacco cessation program. The bill would require the sign to be available at no cost on the department's internet website. The bill would require, beginning January 1, 2028, a retailer, as defined, to conspicuously display the signage at each retail location. The bill would make a retailer who violates that requirement liable for a civil penalty of $500 for each offense at a retail location and would require those penalties to be deposited into the Cigarette and Tobacco Products Compliance Fund.
Existing law, until January 1, 2028, and to the extent funds are made available for these purposes, requires the State Department of Public Health to establish a system for the collection of information determining the incidence and prevalence of neurodegenerative diseases, including, but not limited to, amyotrophic lateral sclerosis (ALS) , also known as Lou Gehrig's disease. Existing law requires a hospital, facility, physician and surgeon, or other health care provider diagnosing or providing treatment to a patient for a neurodegenerative disease to report each case of a neurodegenerative disease to the department, as prescribed. Existing law requires the department to designate the specified neurodegenerative diseases required to be reported in the state or any part of the state. Existing law specifies that for this purpose, "neurodegenerative disease" may include, but need not be limited to, Alzheimer's disease, multiple sclerosis, and Huntington's disease. This bill would require the department to establish a system for the collection of information determining the incidence and prevalence of frontotemporal degeneration (FTD) . This bill would specify that "neurodegenerative disease" may also include other dementias. The bill would extend the requirements of these provisions until January 1, 2032.
Existing law requires the California Health and Human Services Agency (CHHSA) to enter into partnerships resulting in the production of generic prescription drugs, including at least one form of insulin made available at production and dispensing costs, if one does not already exist in the market. Existing law additionally authorizes CHHSA to enter into partnerships to increase competition, lower prices, and address supply shortages for generic or brand name drugs to address emerging health concerns. This bill, the Preventive Treatment Health Care Act, would authorize CHHSA to enter into partnerships, if needed and subject to an appropriation, to increase competition, lower prices, and address supply shortages for at least one glucagon-like peptide-1 (GLP-1) antiobesity medication approved by the United States Food and Drug Administration (FDA) . The bill would require CHHSA to establish distribution partners, if needed, and make its best effort to negotiate pricing at or lower than the cost to Medi-Cal beneficiaries in 2025.
