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California A.B. 1174 - Allied Health Credentialing Issues

08/04/2014

Sponsor: Assemblymember Raul Bocanegra (D)

Summary: Current version (6/25/2014): Stipulates that the no later than January 1, 2018, the Dental Board is to promulgate regulations to establish requirements for courses of instruction for the procedures authorized to be performed by a registered dental assistant in extended functions pursuant to this measure using the competency-based training protocols established by the Health Workforce Pilot Project (HWPP) No. 172 through the Office of Health Planning and Development.

Specifies that the Board is to submit regulatory language pursuant to approval of courses of instruction for the Interim Therapeutic Restoration to the committee for the purpose of promulgating regulations for registered dental hygienists and registered dental hygienists in alternative practice. Provides that the language submitted by the Board shall mirror the instructional requirements for the registered dental assistant in extended functions. Specifies that any subsequent amendments to the regulations that are promulgated by the board for the Interim Therapeutic Restoration course curriculum shall be submitted to the Dental Hygiene Committee.

Provides that the fee for each review or approval of course requirements for licensure or procedures that require additional training that are not accredited by a committee-approved agency shall not exceed $750.

Current version (6/25/2014): http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_1151-1200/ab_1174_bill_20140702_amended_sen_v94.pdf

Amended version (5/21/2014): http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_1151-1200/ab_1174_bill_20140521_amended_sen_v95.pdf

Amended version (1/6/2014): http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_1151-1200/ab_1174_bill_20140106_amended_asm_v96.pdf

Amended version (4/9/2013): http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_1151-1200/ab_1174_bill_20130409_amended_asm_v97.pdf

Amended version (3/21/2013): http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_1151-1200/ab_1174_bill_20130321_amended_asm_v98.pdf

Introduced version: http://www.leginfo.ca.gov/pub/13-14/bill/asm/ab_1151-1200/ab_1174_bill_20130222_introduced.pdf

Status: Introduced 2/22/2013. Amended by author; referred to Committee on Business, Professions and Consumer Protection 3/21/2013. Amended by author; referred to Committee on Business, Professions and Consumer Protection 4/9/2013. Hearing held 4/16/2013. Passed Committee on Business, Professions and Consumer Protection; referred to Committee on Health 4/16/2013. Hearing canceled 4/30/2013. Failed to pass chamber of origin 5/31/2013. Amended by author; referred to Committee on Business, Professions and Consumer Protection 1/6/2014. Hearing held; passed Committee on Health; referred to Committee on Appropriations 1/14/2014. Hearing held; passed Committee on Appropriations 1/23/2014. Passed Assembly 1/27/2014. Referred to Senate Committee on Business Profession and Economic Development 2/6/2014. Amended by author; referred to Committee on Business, Profession and Economic Development 5/21/2014. Hearing postponed 6/9/2014. Hearing held; passed Committee on Business, Professions and Economic Development; referred to Committee on Rules 6/16/2014. Re-referred to Committee on Health 6/18/2014. Hearing held; passed Committee on Health as amended; referred to Committee on Appropriations 6/25/2014. Hearing scheduled 8/4/2014.

Outlook: The Committee on Appropriations hearing will be open to the public. Public testimony will be accepted. Written testimony should be submitted in advance of the scheduled hearing. A vote is at the discretion of the committee chair.

This measure passed the Committee on Health, 8-0-1. During the hearing the Committee adopted an amendment, which limits the fee for each review or approval of course requirements for licensure or procedures that require additional training that are not accredited to $750.

The California Academy of Physician Assistants; California Coverage and Health Initiatives; California Primary Care Association; California School Health Centers Association; California Primary Care Association; Children Now; Children's Defense Fund – California; Connecting to Care; Community Clinic Association of Los Angeles County; Golden Gate Regional Center; Los Angeles Trust for Children's Health; Shasta Community Health Center; Maternal and Child Health Access; Open Door Community Health Centers; Oral Health Access Council; The Children's Partnership; PICO California; United Ways of California; Venice Family Clinic; Westside Children's Center; and Worksite Wellness LA support this measure.

The California Dental Hygienists’ Association oppose this measure. The Dental Hygiene Committee of California oppose this measure unless it is amended. The Dental Hygiene Committee of California raised several concerns, including opposing "additional training for registered dental hygienists (RDH) and registered dental hygienists in alternative practice (RDHAP) to determine which radiograph to perform, as this is already a part of all RDH education and training."

This measure passed the Committee on Business, Professions and Economic Development, 8-0-1.

The author amended this measure out of committee. The May 21 amendment removes the provision that authorized a registered dental assistant who has completed a specified educational program to determine which radiographs to perform.

This measure passed the Assembly, 76-0-4.

According to the author, "A three year demonstration, directed by the Pacific Center for Special Care at the University of the Pacific School of Dentistry, has established the ability of the Virtual Dental Home (VDH) system to reach underserved children in Head Start centers and schools, people with disabilities in residential care facilities, seniors in nursing homes, and others who do not access dental care in the traditional office and clinic-based delivery system.

"A.B. 1174 expands the existing VDH system, as authorized through a Health Workforce Pilot Program (HWPP), under the Office of Statewide Health Planning and Development (OSHPD), and allows these systems to be used statewide. This bill incorporates the prevention and early intervention duties authorized by the HWPP into the scope of practice of allied dental personnel. It will also create parity between telehealth-facilitated diagnostic and preventive dental services and traditional in-person services by allowing telehealth-enabled teams to be able to bill the Medi-Cal program for providing dental care to enrolled individuals."

The author is a member of the majority party. Democrats control both chambers of the Legislature as well as the office of the Governor.

Effective Date: January 1, 2015

*Information provided by www.stateside.com