Existing law establishes the California State University, under the administration of the Trustees of the California State University; the University of California, under the administration of the Regents of the University of California; the California Community Colleges, under the administration of the Board of Governors of the California Community Colleges; and independent institutions of higher education as the 4 segments of postsecondary education in this state.

Existing law establishes the Strong Workforce Program, which provides funding to career technical education regional consortia made up of community college districts. Existing law requires the Office of the California Community Colleges to report to the Legislature specified data relating to the program.

This bill would require, beginning in 2019 and in each year thereafter, the chancellor to also report, for each community college program that offers a certificate or degree related to allied health professionals, specified information, including the number of students participating in the clinical training and the license number or employer identification number of each clinical training site, delineated by program and occupation, with multiyear implementation for the reporting.

Existing law, the California Private Postsecondary Education Act of 2009, requires an institution that is subject to the acts provisions to submit an annual report to the Bureau for Private Postsecondary Education under penalty of perjury, signed by a responsible corporate officer, by July 1 of each year, or another date designated by the bureau, that includes specified information for educational programs offered in the reporting period.

This bill would, by 2019, and in each year thereafter, require each institution approved by the bureau, offering a certificate or degree related to allied health professionals that requires clinical training, to annually report specified information, including the number of students participating in the clinical training, and the license or employer identification number of each clinical training site, delineated by program and occupation, with multiyear implementation for the reporting. By expanding the crime of perjury, the bill would impose 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.

Existing law establishes the California State University, under the administration of the Trustees of the California State University; the University of California, under the administration of the Regents of the University of California; the California Community Colleges, under the administration of the Board of Governors of the California Community Colleges; and independent institutions of higher education as the 4 segments of postsecondary education in this state.

Existing law establishes the Strong Workforce Program, which provides funding to career technical education regional consortia made up of community college districts. Existing law requires the Office of the California Community Colleges to report to the Legislature specified data relating to the program.

This bill would require, beginning in 2019 and in each year thereafter, the chancellor to also report, for each community college program that offers a certificate or degree related to allied health professionals, specified information, including the number of students participating in the clinical training and the license number or employer identification number of each clinical training site, delineated by program and occupation, with multiyear implementation for the reporting.

Existing law, the California Private Postsecondary Education Act of 2009, requires an institution that is subject to the acts provisions to submit an annual report to the Bureau for Private Postsecondary Education under penalty of perjury, signed by a responsible corporate officer, by July 1 of each year, or another date designated by the bureau, that includes specified information for educational programs offered in the reporting period.

This bill would, by 2019, and in each year thereafter, require each institution approved by the bureau, offering a certificate or degree related to allied health professionals that requires clinical training, to annually report specified information, including the number of students participating in the clinical training, and the license or employer identification number of each clinical training site, delineated by program and occupation, with multiyear implementation for the reporting. By expanding the crime of perjury, the bill would impose 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.

Existing law establishes the California State University, under the administration of the Trustees of the California State University; the University of California, under the administration of the Regents of the University of California; the California Community Colleges, under the administration of the Board of Governors of the California Community Colleges; and independent institutions of higher education as the 4 segments of postsecondary education in this state.

Existing law establishes the Strong Workforce Program, which provides funding to career technical education regional consortia made up of community college districts. Existing law requires the Office of the California Community Colleges to report to the Legislature specified data relating to the program.

This bill would require, beginning in 2019 and in each year thereafter, the chancellor to also report, for each community college program that offers a certificate or degree related to allied health professionals, specified information relating to information, including the number of students participating in the clinical training, training and the license number or employer identification number of each clinical training site, delineated by program and occupation, with multiyear implementation for the reporting.

Existing law, the California Private Postsecondary Education Act of 2009, requires an institution that is subject to the acts provisions to submit an annual report to the Bureau for Private Postsecondary Education under penalty of perjury, signed by a responsible corporate officer, by July 1 of each year, or another date designated by the bureau, that includes specified information for educational programs offered in the reporting period.

This bill would, beginning in by 2019, and in each year thereafter, require each private postsecondary education institution with a program approved by the bureau, offering a certificate or degree related to allied health professionals that requires clinical training, to annually report specified information, including the number of students participating in the clinical training, and the license or employer identification number of each clinical training site, delineated by program and occupation, with multiyear implementation for the reporting. By expanding the crime of perjury, the bill would impose 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.

Existing law establishes the California State University, under the administration of the Trustees of the California State University; the University of California, under the administration of the Regents of the University of California; the California Community Colleges, under the administration of the Board of Governors of the California Community Colleges; and independent institutions of higher education as the 4 segments of postsecondary education in this state.

Existing law establishes the California State University, under the administration of the Trustees of the California State University; the University of California, under the administration of the Regents of the University of California; the California Community Colleges, under the administration of the Board of Governors of the California Community Colleges; and independent institutions of higher education as the 4 segments of postsecondary education in this state.

Existing law requires the Chancellor of the California Community Colleges to submit an annual report to the Legislature, the Governor, the Department of Finance, and the Legislative Analyst for the purpose of evaluating the achievement of educational outcomes for each community college district. Existing law requires a private postsecondary institution to provide a prospective student, prior to enrollment, with a School Performance Fact Sheet containing specified information relating to the educational program.

This bill would require, beginning in 2019 and in each year thereafter, the chancellor to include in the annual report, for each community college program that offers certificates or degrees related to allied health professionals that require clinical training, specified information relating to clinical training for those certificates or degrees. The bill would require, beginning in 2019 and in each year thereafter, each private postsecondary institution with a program offering those certificates or degrees to include that same information in the School Performance Fact Sheet. The bill would also require the California State University, and request the University of California, to report that same information to the Legislature, beginning in 2019 and in each year thereafter, for all programs offering those certificates or degrees.

Existing law establishes the California State University, under the administration of the Trustees of the California State University; the University of California, under the administration of the Regents of the University of California; the California Community Colleges, under the administration of the Board of Governors of the California Community Colleges; and independent institutions of higher education as the 4 segments of postsecondary education in this state.

Existing law requires the Chancellor of the California Community Colleges to submit an annual report to the Legislature, the Governor, the Department of Finance, and the Legislative Analyst for the purpose of evaluating the achievement of educational outcomes for each community college district. Existing law requires a private postsecondary institution to provide a prospective student, prior to enrollment, with a School Performance Fact Sheet containing specified information relating to the educational program.

This bill would require, beginning in 2019 and in each year thereafter, the chancellor to include in the annual report, for each community college program that offers certificates or degrees related to allied health professionals that require clinical training, specified information relating to clinical training for those certificates or degrees. The bill would require, beginning in 2019 and in each year thereafter, each private postsecondary institution with a program offering those certificates or degrees to include that same information in the School Performance Fact Sheet. The bill would also require the California State University, and request the University of California, to report that same information to the Legislature, beginning in 2019 and in each year thereafter, for all programs offering those certificates or degrees.

 UNFINISHED BUSINESS  

Bill No: SB 1348

Author:

Amended: 8/24/18

Vote:

SENATE EDUCATION COMMITTEE: 5-1, 4/4/18

AYES: Allen, Wilk, Galgiani, Leyva, Pan

NOES: Vidak

SENATE APPROPRIATIONS COMMITTEE: 5-2, 5/25/18

AYES: Lara, Beall, Bradford, Hill, Wiener

NOES: Bates, Nielsen

SENATE FLOOR: 27-11, 5/29/18

AYES: Allen, Atkins, Beall, Bradford, Cannella, De León, Dodd, Galgiani, Glazer, Hernandez, Hertzberg, Hill, Hueso, Jackson, Lara, Leyva, McGuire, Mitchell, Monning, Newman, Pan, Portantino, Roth, Skinner, Stern, Wieckowski, Wiener

NOES: Anderson, Bates, Fuller, Gaines, Moorlach, Morrell, Nguyen, Nielsen, Stone, Vidak, Wilk

NO VOTE RECORDED: Berryhill

ASSEMBLY FLOOR: 55-24, 8/30/18 - See last page for vote

SUBJECT:

SOURCE: Author

DIGEST:

This bill requires the California Community College (CCC) Chancellor's Office (CCCCO) to report to the Legislature in an existing annual report, and a private postsecondary institution to report in its annual compliance report, specified information related to programs that offer certificates or degrees relating to allied health professionals that require clinical training.

Assembly Amendments

1) phase-in reporting requirements; 2) eliminate certain reporting elements; 3) move private postsecondary information to an existing annual report; and 4) eliminate duplication of reporting at the CCC.

ANALYSIS:

Existing federal law defines the term “allied health professionals” to mean a health professional (other than a registered nurse or physician assistant):

1. Who has received a certificate, degree or training in a science relating to healthcare;
2. Who shares in the responsibility for the delivery of health care services or related services; and
3. Who has not received a degree of doctor of medicine in the specified fields. (Title 42 United States Code § 295p. (5))

Existing state law:

1. Establishes the mission and function of the CCC as the offering of academic and vocational instruction at the lower division level and the CCC are authorized to grant the associate in arts and the associate in science degree. The community colleges are also required to offer remedial instruction, English as a Second Language instruction, and adult noncredit instruction, and support services which help students succeed at the postsecondary level. (Education Code § 66010.4)
2. Establishes the Strong Workforce Program, which provides funding to career tehnical education regional consortia made up of community college districts and requires the office of the California Community Colleges to report to the Legislature specified data relating to the program. (EC § 88820 et seq. and 88826.5)
3. Establishes the California Private Postsecondary Education Act of 2009 (Act) until January 1, 2021, and requires the Bureau for Private Postsecondary Education (Bureau) within the Department of Consumer Affairs to, among other things, review, investigate and approve private postsecondary institutions, programs and courses of instruction pursuant to the Act and authorizes the Bureau to take formal actions against an institution/school to ensure compliance with the Act and even seek closure of an institution/school if deemed necessary. (EC § 94800, et seq.)
4. Requires an institution to that is subject to the Act’s provisions to submit an annual report to the Bureau under penalty of perjury, signed by a responsible corporate officer, by July 1 of each year, or another date designated by the Bureau, that includes specified information for educational programs offered in the reporting period. ( EC § 94934)

This bill:

1. Requires, commencing July 1, 2019 and each year thereafter, the CCCCO to provide a report to the Legislature, for each community program that offers certificates or degrees related to allied health professionals delineated by program and occupation.
2. Requires that the report include all of the following:
   1. The number of students participating at each clinical training site.
   2. Information about proficiency in languages other than English.
   3. The license number of each clinical training site or the employer identification number of clinical training site.
3. Requires that the collection and reporting of findings pursuant to 1) above be implemented over multiple years, and collected by the CCCCO as follows:
   1. Beginning in the 2019-20 academic year collect from colleges, and report on, the following allied healthcare professional degrees and certificates:
      1. Licensed Vocational Nurse;
      2. Medical Assistant;
      3. Occupational Therapy Aide;
      4. Radiologic Technologist;
      5. Respiratory Care Therapist;
      6. Pharmacy Technician and Technologist; and,
      7. Surgical Technician and Technologist.
   2. Beginning in the 2020-21 academic year, collect from colleges, and report on, the following allied healthcare professional degrees and certificates:
      1. Cardiovascular Technologist;
      2. Certified Nurse Assistance;
      3. Dialysis Technician;
      4. Diagnostic Medical Sonographer;
      5. Medical Lab Technician;
      6. Orthopedic Assistant;
      7. Physical Therapy Aide and Assistant;
      8. Psychiatric Technologist;
      9. Radiologic Therapist; and,
      10. Speech and Language Pathology Aide.
   3. Beginning in the 2021-22 academic year, and in each academic year thereafter, collect from colleges, and report on, all certificates or degrees related to allied health professionals that require clinical training.
4. Requires, by July 1, 2019, or another date designated by the Bureau and in each year thereafter, each institution approved to operate by the Bureau that offers specified certificates or degrees related to allied health professional that require clinical training to include in an existing report, clinical placement data delineated by program and occupation.
5. Requires that the report include the following:
   1. The number of students participating at each clinical training site.
   2. Information about proficiency in languages other than English.
   3. Whether any donation, money, compensation, or exchange of consideration was offered or provided to the business, nonprofit, or other organization, clinic, hospital, or other location where the student was placed and, if so, the amount.
   4. The license number of each clinical training site or employer identification number of clinical training site.
6. Specifies the collection and reporting of findings, pursuant to 4) above, will be implemented over multiple years, and collected by the Bureau as follows:
   1. By 2019-20 fiscal year or another date designated by Bureau, each institution approved to operate by the Bureau shall include in the report the following allied healthcare professional degrees and certificates:
      1. Licensed Vocational Nurse;
      2. Medical Assistant;
      3. Occupational Therapy Aide;
      4. Radiologic Technologist;
      5. Respiratory Care Therapist;
      6. Pharmacy Technician and Technologist; and,
      7. Surgical Technician and Technologist.
   2. By 2020-21 fiscal year, or another date designated by the Bureau each institution approved to operate by the Bureau shall include in the report the following allied healthcare professional degrees and certificates:
      1. Cardiovascular Technologist;
      2. Certified Nurse Assistance;
      3. Dialysis Technician;
      4. Diagnostic Medical Sonographer;
      5. Medical Lab Technician;
      6. Orthopedic Assistant;
      7. Physical Therapy Aide and Assistant;
      8. Psychiatric Technologist;
      9. Radiologic Therapist; and,
      10. Speech and Language Pathology Aide.
   3. By the 2021-22 fiscal year, and in each year thereafter, each institution approved to operate by the Bureau shall include in the report, all certificates or degrees related to allied healthcare professionals that require clinical training.
7. Specifies that any disclosure for purposes of this bill be in compliance with state and federal privacy laws.
8. Defines for purposes of this bill, “allied health professionals,” to mean a health professional (other than a registered nurse or physician assistant): a) who has received a certificate, degree or training in a science relating to health care; b) who shares in the responsibility for the delivery of healthcare services or related services; and c) who has not received a degree of doctor of medicine, as specified under federal law.

Comments

1. Need for the bill. According to the author, healthcare programs are reporting the increasing challenge to find healthcare providers to place students into their clinical internships. And yet, it is forecasted that California will face a significant shortage of allied health professionals by the year 2030.

The author contends, "Without adequate data to effectively align educational programs, clinical training sites, and projected allied healthcare workforce demands and shortages, California's system of higher education will be unable to track openings and place students in the clinical internships they need.”

1. Careers covered under allied health? This bill defines for purposes of this bill, “allied health professionals,” to mean a health professional (other than a registered nurse or physician assistant) who: has received a certificate, degree or training in a science relating to health care; shares in the responsibility for the delivery of healthcare services or related services; and has not received a degree of doctor of medicine, as specified under federal law. According to the CCCCO, at least 33 types of programs (that fall under "allied health" careers) will be impacted by this measure.
2. Institutions competing for limited slots? To graduate from certain programs students are required to have clinical education/training. Programs are responsible for securing clinical facilities that meet requirements needed to adequately prepare its students. Concerns have been raised about some institutions obtaining clinical placement based on financial incentives, which many argue place other programs at a particular disadvantage for securing placements given the limited number of slots. This bill requires disclosure of financial compensation or incentive offered in exchange for clinical placement. Those provisions are only applicable to the specified private institutions.
3. Reporting requirements. This bill requires that the specified allied health programs offered at a community college or a private institution report data relating to the number of students participating at each training site, the license or employer identification number of those training sites. This bill additionally requires the specified programs to report information about proficiency in languages other than English. It’s unclear which data points are to be collected from the proficiency in languages requirement.

FISCAL EFFECT: Appropriation: Fiscal Com.: Local:

According to the Assembly Appropriations Committee:

1. Ongoing Proposition 98 General Fund (GF) cost pressures, potentially in the low hundreds-of-thousands of dollars annually, for CCCs to collect and report data to the CCCCO. The state could be required to reimburse these costs to CCC, if the Commission on State Mandates determines this bill's requirements to be a reimbursable state mandate.
2. Minor and absorbable ongoing GF costs for the CCCCO to include this information in an existing annual report.
3. Ongoing GF costs, likely around $150,000 annually, for staff at the Bureau at the Department of Consumer Affairs to implement the provisions of this bill.
4. Ongoing costs to private postsecondary institutions to collect and report data. The state does not reimburse costs to private organizations.

SUPPORT: (Verified 8/23/18)

California Federation of Teachers

Faculty Association of California Community Colleges

SEIU State Council

OPPOSITION: (Verified 8/23/18)

American Career College

California Association of Private Postsecondary Schools

West Coast University

ASSEMBLY FLOOR: 55-24, 8/30/18

AYES: Aguiar-Curry, Arambula, Berman, Bloom, Bonta, Burke, Caballero, Calderon, Carrillo, Cervantes, Chau, Chiu, Chu, Cooley, Cooper, Eggman, Frazier, Friedman, Gabriel, Cristina Garcia, Eduardo Garcia, Gipson, Gloria, Gonzalez Fletcher, Gray, Grayson, Holden, Irwin, Jones-Sawyer, Kalra, Kamlager-Dove, Levine, Limón, Low, Maienschein, McCarty, Medina, Mullin, Muratsuchi, Nazarian, O'Donnell, Quirk, Quirk-Silva, Reyes, Rivas, Rodriguez, Rubio, Salas, Santiago, Mark Stone, Thurmond, Ting, Weber, Wood, Rendon

NOES: Acosta, Travis Allen, Baker, Bigelow, Brough, Chávez, Chen, Choi, Cunningham, Dahle, Daly, Flora, Fong, Gallagher, Harper, Kiley, Lackey, Mathis, Melendez, Obernolte, Patterson, Steinorth, Voepel, Waldron

NO VOTE RECORDED: Mayes

Prepared by:

8/30/18 20:45:50

**** END ****

SENATE THIRD READING

STR Bill Id:SB 1348

Author:(Pan)

As Amended Ver:August 24, 2018

Majority vote

SENATE VOTE: 27-11

SUMMARY: Requires the California Community College (CCC) Chancellor's Office (CCCCO) to report to the Legislature in an existing annual report, and a private postsecondary institution to include in its School Performance Fact Sheet, specified information related to clinical training for certificates or degrees related to allied health professionals that require clinical training. Specifically, this bill:

1. Requires, commencing in July 1, 2019, and in each year thereafter, the CCC Chancellor to report, with comparative clinical placement delineated by program and occupation for each community college program that offers certificates or degrees related to allied health professionals, to the Legislature; and requires the report include both of the following:
   1. The number of students participating at each clinical training site. This shall include information about proficiency in languages other than English; and,
   2. The license number of each clinical training site. If the license number is not available, the report shall include the employer identification number of the clinical training site.
2. Specifies that the collection and reporting of findings, pursuant to 1), above, will be implemented over multiple years, and collected by the CCCCO as follows:
   1. Beginning in the 2019-20 academic year, the CCCCO shall collect from colleges, and report on, the following allied healthcare professional degrees and certificates:
      1. Licensed Vocational Nurse;
      2. Medical Assistant;
      3. Occupational Therapy Aide;
      4. Radiologic Technologist;
      5. Respiratory Care Therapist;
      6. Pharmacy Technician and Technologist; and,
      7. Surgical Technician and Technologist.
   2. Beginning in the 2020-21 academic year, the CCCCO shall collect from colleges, and report on, the following allied healthcare professional degrees and certificates:
      1. Cardiovascular Technologist;
      2. Certified Nurse Assistance;
      3. Dialysis Technician;
      4. Diagnostic Medical Sonographer;
      5. Medical Lab Technician;
      6. Orthopedic Assistant;
      7. Physical Therapy Aide and Assistant;
      8. Psychiatric Technologist;
      9. Radiologic Therapist; and,
      10. Speech and Language Pathology Aide.
   3. Beginning in the 2021-22 academic year, and in each academic year thereafter, the CCCCO shall collect from colleges, and report on, all certificates or degrees related to allied health professionals that require clinical training.
3. Requires, by July 1, 2019, or another date designated by the Bureau for Private Postsecondary Education (BPPE) and in each year thereafter, each institution approved to operate by BPPE, that offers specified certificates or degrees related to allied health professional that require clinical training, to include in the report submitted, pursuant to existing law, clinical placement data delineated by program and occupation; and, requires the report include all of the following:
   1. The number of students participating at each clinical training site. This shall include information about proficiency in languages other than English;
   2. Whether any donation, money, compensation, or exchange of consideration was offered or provided to the business, nonprofit, or other organization, clinic, hospital, or other location where the student was placed and, if so, the amount; and,
   3. The license number of each clinical training site. If the license number is not available, the report shall include the employer identification number of the clinical training site.
4. Specifies the collection and reporting of findings, pursuant to 4), above, will be implemented over multiple years, and collected by BPPE as follows:
   1. By the 2019-20 fiscal year, or another date designated by BPPE, each institution approved to operate by BPPE, report on the following allied healthcare professional degrees and certificates:
      1. Licensed Vocational Nurse;
      2. Medical Assistant;
      3. Occupational Therapy Aide;
      4. Radiologic Technologist;
      5. Respiratory Care Therapist;
      6. Pharmacy Technician and Technologist; and,
      7. Surgical Technician and Technologist.
   2. By the 2020-21 fiscal year, or another date designated by BPPE, each institution approved to operate by BPPE, report on the following allied healthcare professional degrees and certificates:
      1. Cardiovascular Technologist;
      2. Certified Nurse Assistance;
      3. Dialysis Technician;
      4. Diagnostic Medical Sonographer;
      5. Medical Lab Technician;
      6. Orthopedic Assistant;
      7. Physical Therapy Aide and Assistant;
      8. Psychiatric Technologist;
      9. Radiologic Therapist; and,
      10. Speech and Language Pathology Aide.
   3. By the 2021-22 fiscal year, and in each year thereafter, each institution approved to operate by BPPE, shall include in the report, all certificates or degrees related to allied health professionals that require clinical training.
5. Requires any disclosure, for purposes of this measure, to be in compliance with state and federal privacy laws.
6. Specifies that for purposes of this measure, "allied health professional," has the same meaning as in United States Code (U.S.C.) Title 42, Section 295(p).

EXISTING LAW: Federal law. Defines the term "allied health professionals" to mean a health professional (other than a registered nurse or physician assistant) who: 1) has received a certificate, degree or training in a science relating to healthcare; 2) shares in the responsibility for the delivery of health care services or related services; and, 3) has not received a degree of doctor of medicine in the specified fields (U.S.C. Title 42, Section 295(p)(5)).

State law.

1. Establishes the mission and function of the CCC: to offer academic and vocational instruction at the lower division level; authorizes the CCC to grant the associate in arts and the associate in science degree; and, requires the CCC to offer remedial instruction, English as a Second Language instruction, and adult noncredit instruction, and support services which help students succeed at the postsecondary level (Education Code (EC) Section 66010.4).
2. Requires the CCCCO to submit an annual report to the Legislature, the Governor the Department of Finance, and the Legislative Analyst for the purpose of evaluating the achievement of educational outcomes for each community college district (EC Section 84906).
3. Establishes the California Private Postsecondary Education Act of 2009 (Act) until January 1, 2021, and requires the BPPE within the Department of Consumer Affairs in part, to, review, investigate, and approve private postsecondary institutions, programs and courses of instruction pursuant to the Act and authorizes BPPE to take formal actions against an institution/school to ensure compliance with the Act and even seek closure of an institution/school if deemed necessary (EC Section 94800, et seq.).
4. Requires, under the Act (referenced in 3), above, a private postsecondary institution to provide a prospective student, prior to enrollment, with a School Performance Fact Sheet for each educational program containing information related to completion rates, job placement rates within the career fields for which the program was designed, license examination passage rates, salaries or wages, and the most recent three-year cohort default rate. The Act requires, in order to remain in compliance, an institution to submit an annual report to the BPPE that includes, in part, the School Performance Fact Sheet. (To note, the report and fact sheets are made available on the institutions' as well as the BPPE Internet Web site (EC Sections 94910 and 94913).

FISCAL EFFECT: According to the Assembly Appropriations Committee:

1. Ongoing Proposition 98 General Fund (GF) cost pressures, potentially in the low hundreds-of-thousands of dollars annually, for CCCs to collect and report data to the CCCCO. The state could be required to reimburse these costs to CCC, if the Commission on State Mandates determines the bill's requirements to be a reimbursable state mandate.
2. Minor and absorbable ongoing GF costs for the CCCCO to include this information in an existing annual report.
3. Ongoing GF costs, likely around $150,000 annually, for staff at BPPE at the Department of Consumer Affairs to implement the provisions of this bill.
4. Ongoing costs to private postsecondary institutions to collect and report data. The state does not reimburse costs to private organizations.

COMMENTS: Need for the measure. According to the author, healthcare programs are reporting the increasing challenge to find healthcare providers to place students into their clinical internships. And yet, it is forecasted that California will face a significant shortage of allied health professionals by the year 2030.

The author contends, "Without adequate data to effectively align educational programs, clinical training sites, and projected allied healthcare workforce demands and shortages, California's system of higher education will be unable to track openings and place students in the clinical internships they need".

This measure seeks to have the CCCCO report to the Legislature and a private postsecondary institution to include in its School Performance Fact Sheet, specified information related to clinical training for certificates or degrees related to allied health professionals that require clinical training.

Careers covered under allied health? Committee Staff understands that within the term "allied health", there are over 100 different programs/careers. According to the CCCCO, at least 33 types of programs (that fall under "allied health" careers) will be impacted by this measure.

School Performance Fact Sheet. As mentioned in the "existing law" section of this analysis, a private postsecondary institution is required to provide a prospective student with a School Performance Fact Sheet prior to signing an enrollment agreement with the institution. The fact sheet includes, in part, information on degree completion and the rate at which program graduates are gainfully employed within their field of study. The School Performance Fact Sheet is designed to help individuals make informed decisions about the institution and its educational programs.

This measure proposes for each education program offering certificates or degrees related to allied health professions requiring clinical training, in part, to include additional information about clinical placement and the number of clinical training participants.

To note, these provisions appear to align with the general goal of fact sheet – to equip students with information to successfully assess programs as well as promote institutional accountability and transparency.

Analysis Prepared by: Jeanice Warden / HIGHER ED. / (916) 319-3960 FN: 0004753

SENATE THIRD READING

STR Bill Id:SB 1348

Author:(Pan)

As Amended Ver:August 20, 2018

Majority vote

SENATE VOTE: 27-11

SUMMARY: Requires the California Community College (CCC) Chancellor's Office (CCCCO) to report to the Legislature in an existing annual report, and a private postsecondary institution to include in its School Performance Fact Sheet, specified information related to clinical training for certificates or degrees related to allied health professionals that require clinical training. Specifically, this bill:

1. Requires, commencing in July 1, 2019, and in each year thereafter, the CCC Chancellor to report, with comparative clinical placement delineated by program and occupation for each community college program that offers certificates or degrees related to allied health professionals, to the Legislature; and requires the report include the number of students participating at a clinical training site, including demographic data related to race, ethnicity, gender, and proficiency in languages other than English.
2. Specifies that the collection and reporting of findings, pursuant to 1), above, will be implemented over multiple years, and collected by the CCCCO as follows:
   1. Beginning in the 2019-20 academic year, the CCCCO shall collect from colleges, and report on, the following allied healthcare professional degrees and certificates:
      1. Licensed Vocational Nurse;
      2. Medical Assistant;
      3. Occupational Therapy Aide;
      4. Radiologic Technologist;
      5. Respiratory Care Therapist;
      6. Pharmacy Technician and Technologist; and,
      7. Surgical Technician and Technologist.
   2. Beginning in the 2020-21 academic year, the CCCCO shall collect from colleges, and report on, the following allied healthcare professional degrees and certificates:
      1. Cardiovascular Technologist;
      2. Certified Nurse Assistance;
      3. Dialysis Technician;
      4. Diagnostic Medical Sonographer;
      5. Medical Lab Technician;
      6. Orthopedic Assistant;
      7. Physical Therapy Aide and Assistant;
      8. Psychiatric Technologist;
      9. Radiologic Therapist; and,
      10. Speech and Language Pathology Aide.
   3. Beginning in the 2021-22 academic year, and in each academic year thereafter, the CCCCO shall collect from colleges, and report on, all certificates or degrees related to allied health professionals that require clinical training.
3. Requires, beginning July 1, 2019, or another date designated by the Bureau for Private Postsecondary Education (BPPE) and in each year thereafter, each private postsecondary educational institution approved to operate a program that offers specified certificates or degrees related to allied health professional that require clinical training, to include in the report submitted, pursuant to existing law, clinical placement data delineated by program and occupation; and, requires the report including the following:
   1. The number of students participating at a clinical training site, including demographic data related to race, ethnicity, gender, and proficiency in languages other than English; and,
   2. Whether any donation, money, compensation, or exchange of consideration was offered or provided to the business, nonprofit, or other organization, clinic, hospital, or other location where the student was placed and, if so, the amount.
4. Specifies the collection and reporting of findings, pursuant to 4), above, will be implemented over multiple years, and collected by BPPE as follows:
   1. Beginning in the 2019-20 fiscal year, BPPE shall collect from private postsecondary educational institutions approved to operate, and report on, the following allied healthcare professional degrees and certificates:
      1. Licensed Vocational Nurse;
      2. Medical Assistant;
      3. Occupational Therapy Aide;
      4. Radiologic Technologist;
      5. Respiratory Care Therapist;
      6. Pharmacy Technician and Technologist; and,
      7. Surgical Technician and Technologist.
   2. Beginning in the 2020-21 fiscal year, BPPE shall collect from private postsecondary educational institutions approved to operate, and report on, the following allied healthcare professional degrees and certificates:
      1. Cardiovascular Technologist;
      2. Certified Nurse Assistance;
      3. Dialysis Technician;
      4. Diagnostic Medical Sonographer;
      5. Medical Lab Technician;
      6. Orthopedic Assistant;
      7. Physical Therapy Aide and Assistant;
      8. Psychiatric Technologist;
      9. Radiologic Therapist; and,
      10. Speech and Language Pathology Aide.
   3. Beginning in the 2021-22 fiscal year, and in each year thereafter, BPPE shall collect from private postsecondary educational institutions approved to operate, and report on, all certificates and degrees related to allied healthcare professionals that require clinical training.
5. Requires any disclosure, for purposes of this measure, to be in compliance with state and federal privacy laws.
6. Specifies that for purposes of this measure, "allied health professional," has the same meaning as in United State Code Title 42, Section 295(p).

EXISTING LAW: Federal law. Defines the term "allied health professionals" to mean a health professional (other than a registered nurse or physician assistant) who: 1) has received a certificate, degree or training in a science relating to healthcare; 2) shares in the responsibility for the delivery of health care services or related services; and, 3) has not received a degree of doctor of medicine in the specified fields (United State Code Title 42, Section 295(p)(5)).

State law.

1. Establishes the mission and function of the CCC: to offer academic and vocational instruction at the lower division level; authorizes the CCC to grant the associate in arts and the associate in science degree; and, requires the CCC to offer remedial instruction, English as a Second Language instruction, and adult noncredit instruction, and support services which help students succeed at the postsecondary level (Education Code (EC) Section 66010.4).
2. Requires the CCCCO to submit an annual report to the Legislature, the Governor the Department of Finance, and the Legislative Analyst for the purpose of evaluating the achievement of educational outcomes for each community college district (EC Section 84906).
3. Establishes the California Private Postsecondary Education Act of 2009 (Act) until January 1, 2021, and requires the BPPE within the Department of Consumer Affairs in part, to, review, investigate, and approve private postsecondary institutions, programs and courses of instruction pursuant to the Act and authorizes BPPE to take formal actions against an institution/school to ensure compliance with the Act and even seek closure of an institution/school if deemed necessary (EC Section 94800, et seq.).
4. Requires, under the Act (referenced in 3), above, a private postsecondary institution to provide a prospective student, prior to enrollment, with a School Performance Fact Sheet for each educational program containing information related to completion rates, job placement rates within the career fields for which the program was designed, license examination passage rates, salaries or wages, and the most recent three-year cohort default rate. The Act requires, in order to remain in compliance, an institution to submit an annual report to the BPPE that includes, in part, the School Performance Fact Sheet. (To note, the report and fact sheets are made available on the institutions' as well as the BPPE Internet Web site (EC Sections 94910 and 94913).

FISCAL EFFECT: According to the Assembly Appropriations Committee:

1. Ongoing Proposition 98 General Fund (GF) cost pressures, potentially in the low hundreds-of-thousands of dollars annually, for CCCs to collect and report data to the CCCCO. The state could be required to reimburse these costs to CCC, if the Commission on State Mandates determines the bill's requirements to be a reimbursable state mandate.
2. Minor and absorbable ongoing GF costs for the CCCCO to include this information in an existing annual report.
3. Ongoing GF costs, likely around $150,000 annually, for staff at the Bureau of Private Postsecondary Education at the Department of Consumer Affairs to implement the provisions of this bill.
4. Ongoing costs to private postsecondary institutions to collect and report data. The state does not reimburse costs to private organizations.

COMMENTS: Need for the measure. According to the author, healthcare programs are reporting the increasing challenge to find healthcare providers to place students into their clinical internships. And yet, it is forecasted that California will face a significant shortage of allied health professionals by the year 2030.

The author contends, "Without adequate data to effectively align educational programs, clinical training sites, and projected allied healthcare workforce demands and shortages, California's system of higher education will be unable to track openings and place students in the clinical internships they need".

This measure seeks to have the CCCCO report to the Legislature and a private postsecondary institution to include in its School Performance Fact Sheet, specified information related to clinical training for certificates or degrees related to allied health professionals that require clinical training.

Careers covered under allied health? Committee Staff understands that within the term "allied health", there are over 100 different programs/careers. According to the CCCCO, at least 33 types of programs (that fall under "allied health" careers) will be impacted by this measure.

School Performance Fact Sheet. As mentioned in the "existing law" section of this analysis, a private postsecondary institution is required to provide a prospective student with a School Performance Fact Sheet prior to signing an enrollment agreement with the institution. The fact sheet includes, in part, information on degree completion and the rate at which program graduates are gainfully employed within their field of study. The School Performance Fact Sheet is designed to help individuals make informed decisions about the institution and its educational programs.

This measure proposes for each education program offering certificates or degrees related to allied health professions requiring clinical training, in part, to include additional information about clinical placement and the number of clinical training participants.

To note, these provisions appear to align with the general goal of fact sheet – to equip students with information to successfully assess programs as well as promote institutional accountability and transparency.

Analysis Prepared by: Jeanice Warden / HIGHER ED. / (916) 319-3960 FN: 0004167

Date of Hearing: June 27, 2018

ASSEMBLY COMMITTEE ON APPROPRIATIONS

Lorena Gonzalez Fletcher, Chair

SBPCA Bill Id:SB 1348

Author:(Pan) – As Amended Ver:March 22, 2018

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

SUMMARY: This bill requires, beginning in 2019, the California Community College (CCC) chancellor’s office to report to the Legislature in an existing annual report, and a private postsecondary institution to include in its School Performance Fact Sheet, specified information related to clinical training for certificates or degrees related to allied health professionals that require clinical training.

FISCAL EFFECT:

1. Ongoing Proposition 98 General Fund cost pressures, potentially in the low hundreds-of-thousands of dollars annually, for CCCs to collect and report data to the CCC chancellor’s office. It is unknown how many allied health programs are operated by the state’s 72 community college districts, but this estimate assumes each district has some programming and would need to use a portion of staff time to collect and report data. The state could be required to reimburse these costs to CCC, if the Commission on State Mandates determines the bill’s requirements to be a reimbursable state mandate.
2. Minor and absorbable ongoing GF costs for the CCC chancellor’s office to include this information in an existing annual report.
3. Ongoing costs to private postsecondary institutions to collect and report data in their School Performance Fact Sheet. The state does not reimburse costs to private organizations.

COMMENTS:

1. Purpose. According to the author:

Without adequate data to effectively align educational programs, clinical training sites, and projected allied healthcare workforce demands and shortages, California's system of higher education will be unable to track openings and place students in the clinical internships they need.

1. Allied Health. Federal law defines allied health professionals as a health professional (other than a registered nurse or physician assistant) who, 1) has received a certificate, degree or training in a science relating to healthcare, 2) shares in the responsibility for the delivery of health care services or related services, and, 3) has not received a degree of doctor of medicine in the specified fields. According to the CCC chancellor’s office, at least 33 different types of programs will be impacted by this measure.
2. School Performance Fact Sheet. The California Private Postsecondary Education Act of 2009 requires a private postsecondary institution to provide a prospective student, prior to enrollment, with a School Performance Fact Sheet for each educational program containing information related to completion rates, job placement rates within the career fields for which the program was designed, license examination passage rates, salaries or wages, and the most recent three-year cohort default rate. The report and fact sheets are available on the institution’s website and on a state website.

Analysis Prepared by: Natasha Collins / APPR. / (916) 319-2081

Date of Hearing: June 19, 2018

ASSEMBLY COMMITTEE ON HIGHER EDUCATION

Jose Medina, Chair

SBPCA Bill Id:SB 1348

Author:(Pan) – As Amended Ver:March 22, 2018

SENATE VOTE: 27-11

SUBJECT: Postsecondary education: allied health professional clinical programs: reporting.

SUMMARY: Requires the California Community College (CCC) Chancellor’s Office (CCCCO) to report to the Legislature and a private postsecondary institution to include in its School Performance Fact Sheet, specified information related to clinical training for certificates or degrees related to allied health professionals that require clinical training. Specifically, this bill:

1. Requires, commencing in 2019, the CCCCO to include within its annual report of educational outcomes, all of the following for each community college educational program that offers certificates or degrees related to allied health professionals that require clinical training, delineated by program and occupation:
   1. The name and address of the clinical placement sites, including, but not limited to, the licensed hospital, clinic, or other medical facilities that contracts with the community college for each clinical rotation, as applicable;
   2. The length and types of clinical rotations, as applicable;
   3. Supervision ratios at each site;
   4. The numbers of students participating in clinical training, including demographic data related to race, ethnicity, gender, and proficiency in languages other than English; and,
   5. Employment retention at each clinical placement site, as applicable.
2. Requires, commencing in 2019, a private postsecondary institution in its School Performance Fact Sheet provided to students prior to enrollment, include all of (1)(a) – (e) inclusive above, and to disclose whether any financial compensation or exchange of consideration was offered or provided for clinical placement, as specified.
3. Defines “allied health professionals,” to mean a health professional (other than a registered nurse or physician assistant) who:
   1. Has received a certificate, degree or training in a science relating to health care;
   2. Shares in the responsibility for the delivery of healthcare services or related services; and,
   3. Has not received a degree of doctor of medicine, as specified under federal law.

EXISTING LAW: Federal law. Defines the term “allied health professionals” to mean a health professional (other than a registered nurse or physician assistant) who: 1) has received a certificate, degree or training in a science relating to healthcare; 2) shares in the responsibility for the delivery of health care services or related services; and, 3) has not received a degree of doctor of medicine in the specified fields (Title 42 United States Code Section 295p. (5)).

State law.

1. Establishes the mission and function of the CCC: to offer academic and vocational instruction at the lower division level; authorizes the CCC to grant the associate in arts and the associate in science degree; and, requires the CCC to offer remedial instruction, English as a Second Language instruction, and adult noncredit instruction, and support services which help students succeed at the postsecondary level (Education Code (EC) Section 66010.4).
2. Requires the CCCCO to submit an annual report to the Legislature, the Governor the Department of Finance, and the Legislative Analyst for the purpose of evaluating the achievement of educational outcomes for each community college district (EC Section 84906).
3. Establishes the California Private Postsecondary Education Act of 2009 (Act) until January 1, 2021, and requires the Bureau for Private Postsecondary Education (BPPE) within the Department of Consumer Affairs in part, to, review, investigate, and approve private postsecondary institutions, programs and courses of instruction pursuant to the Act and authorizes BPPE to take formal actions against an institution/school to ensure compliance with the Act and even seek closure of an institution/school if deemed necessary (EC Section 94800, et seq.).
4. Requires, under the Act (referenced in (3) above), a private postsecondary institution to provide a prospective student, prior to enrollment, with a School Performance Fact Sheet for each educational program containing information related to completion rates, job placement rates within the career fields for which the program was designed, license examination passage rates, salaries or wages, and the most recent three-year cohort default rate. The Act requires, in order to remain in compliance, an institution to submit an annual report to the BPPE that includes, in part, the School Performance Fact Sheet. (To note, the report and fact sheets are made available on the institution’s as well as the BPPE Internet Web site (EC Sections 94910, 9434, 94913 and 94878).

FISCAL EFFECT: According to the Senate Appropriations Committee: "This bill could potentially create a reimbursable state mandate for community college districts to collect and report the information relative to clinical training for allied health profession degrees or certificates to the Chancellor’s Office. While a precise cost is unknown since it is unclear how many programs there are statewide, it could be in the low hundreds of thousands in Proposition 98 General Fund each year. This assumes each of the state’s 72 community college districts operates anywhere from one to ten programs, and that it would take an average of eight hours of staff time to comply for each program. There could be similar costs for any affected private postsecondary institution, however these costs would not be reimbursable by the state."

COMMENTS: Need for the measure. According to the author, healthcare programs are reporting the increasing challenge to find healthcare providers to place students into their clinical internships. And yet, it is forecasted that California will face a significant shortage of allied health professionals by the year 2030.

The author contends, "Without adequate data to effectively align educational programs, clinical training sites, and projected allied healthcare workforce demands and shortages, California's system of higher education will be unable to track openings and place students in the clinical internships they need".

This measure seeks to have the CCCCO report to the Legislature and a private postsecondary institution to include in its School Performance Fact Sheet distributed to students, specified information related to clinical training for certificates or degrees related to allied health professionals that require clinical training.

Careers covered under allied health? Committee Staff understands that within the term "allied health", there are over 100 different programs/careers. According to the CCCCO, at least 33 types of programs (that fall under "allied health" careers) will be impacted by this measure.

Student Success Score Card. This measure requires the CCCCO to include specified information within its annual report of educational outcomes. This report is known as the, “Student Success Scorecard,” which is submitted to the Legislature and maintained on the CCCCO website. This scorecard provides a level of transparency and accountability on student progress and success metrics. To note, the data available in this scorecard tells how well colleges are doing in remedial instruction, job training programs, retention of students, and graduation and completion rates. Data is reported by gender, age and ethnicity, and colleges.

This bill adds to the aforementioned metrics by requiring reporting of data related to clinical placement sites, employment retention at each site, clinical rotations, supervisor to student ratios and the number of clinical training participants for each of the specified education programs within a college.

School Performance Fact Sheet. As mentioned in the "existing law" section of this analysis, a private postsecondary institution is required to provide a prospective student with a School Performance Fact Sheet prior to signing an enrollment agreement with the institution. The fact sheet includes, in part, information on degree completion and the rate at which program graduates are gainfully employed within their field of study. The School Performance Fact Sheet is designed to help individuals make informed decisions about the institution and its educational programs.

This measure proposes for each education program offering certificates or degrees related to allied health professions requiring clinical training, to include additional information about clinical placement sites, employment retention at each site, clinical rotations, supervisor to student ratios and the number of clinical training participants.

To note, these provisions appear to align with the general goal of fact sheet—to equip students with information to successfully assess programs as well as promote institutional accountability and transparency.

Committee comments. As indicated in the "student success score card" section of this analysis, the score card presently provides a great deal of data to prospective students, stakeholders, and the Legislature, covering a wide variety of metrics.

Moving forward, the author may wish to consider if the Student Success Score Card is the best report for the CCCCO to add allied health professionals that require clinical training data and metrics.

The author may wish to amend this measure to call upon the CCCCO by a specified date, to identify the most appropriate report to include said information.

Additionally, the measure currently calls for the required entities to provide an annual report to the Legislature regarding allied health professionals that require clinical training. While there may be a need for the Legislature to receive annual reports on this issue, moving forward, the author may wish to consider having the appropriate report with said information, submitted to the Legislature once every two years.

Lastly, as presently drafted, this measure calls for clinical training data and metrics to be included in the School Performance Fact Sheet provided to prospective students at a private postsecondary institution. However, moving forward, the author may wish to amend the measure and create a new EC section.

REGISTERED SUPPORT / OPPOSITION:

Support

California Pan-Ethnic Health Network

California Workers Association

Faculty Association of California Community Colleges

Greenlining Institute

Service Employees International Union State Council

Student Senate for California Community Colleges

UFCW Western States Council

Young Invincibles

Opposition

American Career College

California Association of Private Postsecondary Schools

West Coast University

Analysis Prepared by: Jeanice Warden / HIGHER ED. / (916) 319-3960

 THIRD READING  

Bill No: SB 1348

Author:

:

Vote:

SENATE EDUCATION COMMITTEE: 5-1, 4/4/18

AYES: Allen, Wilk, Galgiani, Leyva, Pan

NOES: Vidak

SENATE APPROPRIATIONS COMMITTEE: 5-2, 5/25/18

AYES: Lara, Beall, Bradford, Hill, Wiener

NOES: Bates, Nielsen

SUBJECT:

SOURCE: Author

DIGEST:

This bill requires a private postsecondary institution to include in its School Performance Fact Sheet and the California Community College (CCC) Chancellor’s Office to report to the Legislature specified information related to clinical training for certificates or degrees related to allied health professional.

ANALYSIS: Existing federal law defines the term “allied health professionals” to mean a health professional (other than a registered nurse or physician assistant): 1) who has received a certificate, degree or training in a science relating to healthcare; 2) Who shares in the responsibility for the delivery of health care services or related services; and 3) who has not received a degree of doctor of medicine in the specified fields. (Title 42 United States Code § 295p. (5))

Existing state law:

1. Establishes the mission and function of the CCC as the offering of academic and vocational instruction at the lower division level and the CCC are authorized to grant the associate in arts and the associate in science degree. The community colleges are also required to offer remedial instruction, English as a Second Language instruction, and adult noncredit instruction, and support services which help students succeed at the postsecondary level. (Education Code § 66010.4)
2. Requires the Chancellor of the California Community Colleges to submit an annual report to the Legislature, the Governor the Department of Finance, and the Legislative Analyst for the purpose of evaluating the achievement of educational outcomes for each community college district. (Education Code § 84906)
3. Establishes the California Private Postsecondary Education Act of 2009 (Act) until January 1, 2021, and requires the Bureau for Private Postsecondary Education (Bureau) within the Department of Consumer Affairs to, among other things, review, investigate and approve private postsecondary institutions, programs and courses of instruction pursuant to the Act and authorizes the Bureau to take formal actions against an institution/school to ensure compliance with the Act and even seek closure of an institution/school if deemed necessary. (EC § 94800, et seq.)
4. Requires, under the Act, a private postsecondary institution to provide a prospective student, prior to enrollment, with a School Performance Fact Sheet for each educational program containing information related to completion rates, job placement rates within the career fields for which the program was designed, license examination passage rates, salaries or wages, and the most recent three-year cohort default rate. In order to remain in compliance, the Act requires an institution to submit an annual report to the Bureau that includes, among other things, the School Performance Fact Sheet. The report and fact sheets are made available on the institution’s as well as the Bureau’s Internet Web site. (EC § 94910, 9434, 94913 and 94878)

This bill:

1. Requires, beginning 2019, for each educational program that offers certificates or degrees related to allied health professionals that require clinical training:
   1. The CCC Chancellor’s Office to include within its annual report of educational outcomes all of the following:
      1. The name and address of the clinical placement sites, as applicable.
      2. The length and types of clinical rotations, as applicable.
      3. Supervision ratios at each site.
      4. The numbers of students participating in clinical training, including demographic data related to race, ethnicity, gender, and proficiency in languages other than English.
      5. Employment retention at each clinical placement site, as applicable.
   2. A private postsecondary institution in its School Performance Fact Sheet provided to students prior to enrollment, to include all the above in i) – v) inclusive, and disclosure of whether any financial compensation or exchange of consideration was offered or provided for clinical placement, as specified.
   3. Defines for purposes of this bill, “allied health professionals,” to mean a health professional (other than a registered nurse or physician assistant): 1) who has received a certificate, degree or training in a science relating to health care; 2) who shares in the responsibility for the delivery of healthcare services or related services; and 3) who has not received a degree of doctor of medicine, as specified under federal law.

Comments

1. Need for the bill. According to the author, research indicates that California is predicted to face a significant shortage of allied health professionals. The author notes that, “the Senate Office of Research (SOR) found in 2012 that 81% of deans of allied health professions programs at community colleges believed that more partnerships with health care employers would lead to an expansion in their capacity to training and enroll more allied health professional students. And the California Hospital Association has also observed that the lack of clinical training opportunities creates a barrier to ensuring an adequate supply of allied health workers.

Healthcare programs have reported that it is becoming more difficult to find health care providers to place students into their clinical internships. In addition to fast pace with which programs are expanding, and the existing difficulty with finding capable clinical sites with qualified supervisors, educators have pointed to increased difficulty in finding placements due to the growth of the for-profit education institutions whom they accuse of payment-for-placement tactics which place students from for-profit schools ahead of public school students. A recent study of the Respiratory Care workforce found that there is a limited number of available clinical internships and that many programs are being shut out of bigger hospitals which mean some students are not exposed to the full range of clinical practice.

The Legislature (SOR) has previously studied the issue of the healthcare workforce on several occasions and recommended changes to: Evaluate supply and demand of clinical training programs as the inventory of clinical training spots compared to the number of trainees for many of these professions is generally unknown or not easily available.

Without adequate data to effectively align education programs, clinical training sites, and projected allied healthcare workforce demands and shortages, California’s system of higher education will be unable to plan to meet the future healthcare workforce needs of the state.”

1. Public and private institutions competing for limited slots? To graduate from certain programs students are required to have clinical education/training. Programs are responsible for securing clinical facilities that meet requirements needed to adequately prepare its students. Concerns have been raised about some private for-profit institutions obtaining clinical placement based on financial incentives, which many argue place public programs at a particular disadvantage for securing placements given the limited number of slots. This bill seeks to shed light on this matter by requiring disclosure of any financial compensation offered in exchange for clinical placement.
2. California Community College Student Success Scorecard. This bill requires the California Community College Chancellor’s Office to include specified information within its annual report of educational outcomes, known as the, “Student Success Scorecard.” This report is submitted to the Legislature and maintained on the Chancellor’s Office Web site. The data available in the scorecard tells how well colleges are doing in remedial instruction, job training programs, retention of students and graduation and completion rates. Data are reported by gender, age and ethnicity and colleges. In addition to those metrics, this bill requires reporting of data related to clinical placement sites, employment retention at each site, clinical rotations, supervisor to student ratios and the number of clinical training participants for each of the specified education programs within a college.
3. Use of School Performance Fact Sheet. As mentioned in the background of this analysis, current law requires a private postsecondary institution to provide a prospective student with a School Performance Fact Sheet prior to signing an enrollment agreement with the institution. The fact sheet includes, among other things, information on degree completion and the rate at which program graduates are gainfully employed within their field of study. It is designed to help individuals make informed decisions about the institution and its educational programs.

Similar to the reporting requirements for the community college system, this measure proposes for each education program offering certificates or degrees related to allied health professions requiring clinical training, to include additional information about clinical placement sites, employment retention at each site, clinical rotations, supervisor to student ratios and the number of clinical training participants. These provisions appear to align with the general goal of fact sheet—to equip students with information to successfully assess programs as well as promote institutional accountability and transparency.

1. Efforts to update School Performance Fact Sheet. SB 1247 (Lieu, Chapter 840, Statutes of 2014) directed the Bureau to evaluate and make recommendations to the Legislature on how reporting requirements should be altered to ensure accurate, useful and consistent reporting by private postsecondary institutions to the bureau and students. The report was released in December 2016. To promote the use and usefulness of the fact sheet the report recommends making information simpler and more compelling. Staff notes that the Bureau recently updated the School Performance Fact Sheet through the regulatory process. The revised regulations took effect on January 1, 2017. According to the Department of Consumer Affairs (DCA), any changes to the Fact Sheet would require the Bureau to revisit and potentially revise its corresponding regulations. DCA also notes that expanded reporting requirements would substantially increase the Bureau’s data validation workload.

FISCAL EFFECT: Appropriation: Fiscal Com.: Local:

According to the Senate Appropriations Committee:

This bill could potentially create a reimbursable state mandate for community college districts to collect and report the information relative to clinical training for allied health profession degrees or certificates to the Chancellor’s Office. While a precise cost is unknown since it is unclear how many programs there are statewide, it could be in the low hundreds of thousands in Proposition 98 General Fund each year. This assumes each of the state’s 72 community college districts operates anywhere from one to ten programs, and that it would take an average of eight hours of staff time to comply for each program. There could be similar costs for any affected private postsecondary institution, however these costs would not be reimbursable by the state.

SUPPORT: (Verified 5/25/18)

California Federation of Teachers

Faculty Association of California Community Colleges

SEIU California

OPPOSITION: (Verified 5/25/18)

American Career College

California Association of Private Postsecondary Schools

West Coast University

Prepared by: Olgalilia Ramirez / ED. /

5/26/18 16:41:32

**** END ****

SENATE COMMITTEE ON

Senator Ricardo Lara, Chair

2017 - 2018 Regular Session

SB 1348 (Pan) - Postsecondary education: allied health professional clinical programs: reporting

This bill meets the criteria for referral to the Suspense File.

Bill Summary:

This bill requires a private postsecondary institution to include in its School Performance Fact Sheet and the California Community College (CCC) Chancellor’s Office to report in an existing annual report specified information related to clinical training for certificates or degrees related to allied health professional.

Fiscal Impact:

This bill could potentially create a reimbursable state mandate for community college districts to collect and report the information relative to clinical training for allied health profession degrees or certificates to the Chancellor’s Office. While a precise cost is unknown since it is unclear how many programs there are statewide, it could be in the low hundreds of thousands in Proposition 98 General Fund each year. This assumes each of the state’s 72 community college districts operates anywhere from one to ten programs, and that it would take an average of eight hours of staff time to comply for each program. There could be similar costs for any affected private postsecondary institution, however these costs would not be reimbursable by the state.

Background:

Existing law requires the Chancellor of the California Community Colleges to submit an annual report to the Legislature, the Governor the Department of Finance, and the Legislative Analyst for the purpose of evaluating the achievement of educational outcomes for each community college district.

Existing law establishes the California Private Postsecondary Education Act of 2009 (Act) until January 1, 2021, and requires the Bureau for Private Postsecondary Education (Bureau) within the Department of Consumer Affairs to, among other things, review, investigate and approve private postsecondary institutions, programs and courses of instruction pursuant to the Act and authorizes the Bureau to take formal actions against an institution/school to ensure compliance with the Act and even seek closure of an institution/school if deemed necessary.

Under the Act, a private postsecondary institution is required to provide a prospective student, prior to enrollment, with a School Performance Fact Sheet for each educational program containing information related to completion rates, job placement rates within the career fields for which the program was designed, license examination passage rates, salaries or wages, and the most recent three-year cohort default rate. In order to remain in compliance, the California Private Postsecondary Education Act of 2009 (Act) requires an institution to submit an annual report to the Bureau for Private Postsecondary Education (Bureau) that includes, among other things, the School Performance Fact Sheet. The report and fact sheets are made available on the institution’s as well as the bureau’s Internet Web site.

Federal law defines the term “allied health professionals” to mean a health professional (other than a registered nurse or physician assistant) who: has received a certificate, degree or training in a science relating to healthcare; shares in the responsibility for the delivery of health care services or related services; and has not received a degree of doctor of medicine in the specified fields.

Proposed Law:

This bill requires, beginning in 2019, the California Community College Chancellor’s Office to include within its annual report of educational outcomes all of the following:

1. The name and address of the clinical placement sites, as applicable.
2. The length and types of clinical rotations, as applicable.
3. Supervision ratios at each site.
4. The numbers of students participating in clinical training, including demographic data related to race, ethnicity, gender, and proficiency in languages other than English.
5. Employment retention at each clinical placement site, as applicable.

The bill also requires a private postsecondary institution in its School Performance Fact Sheet provided to students prior to enrollment, to include this information and disclosure on whether any financial compensation or exchange of consideration was offered or provided for clinical placement, as specified.

This bill defines for purposes of this bill, “allied health professionals,” to mean a

health professional (other than a registered nurse or physician assistant) who: has received a certificate, degree or training in a science relating to health care; shares in the responsibility for the delivery of healthcare services or related services; and has not received a degree of doctor of medicine, as specified under federal law.

-- END --

SENATE COMMITTEE ON EDUCATION

Senator Benjamin Allen, Chair

2017 - 2018 Regular

Bill No: SB 1348 Hearing Date: April 4, 2018

Subject: Postsecondary education: allied health professional clinical programs: reporting

SUMMARY

This bill requires a private postsecondary institution to include in its School Performance Fact Sheet and the California Community College (CCC) Chancellor’s Office to report in an existing annual report to the Legislature the specified information related to clinical training for certificates or degrees related to allied health professional.

BACKGROUND

Existing law:

1. Establishes the mission and function of the CCC as the offering of academic and vocational instruction at the lower division level and the CCC are authorized to grant the associate in arts and the associate in science degree. The community colleges are also required to offer remedial instruction, English as a Second Language instruction, and adult noncredit instruction, and support services which help students succeed at the postsecondary level. (Education Code § 66010.4)
2. Requires the Chancellor of the California Community Colleges to submit an annual report to the Legislature, the Governor the Department of Finance, and the Legislative Analyst for the purpose of evaluating the achievement of educational outcomes for each community college district. (Education Code § 84906)
3. Establishes the California Private Postsecondary Education Act of 2009 (Act) until January 1, 2021, and requires the Bureau for Private Postsecondary Education (Bureau) within the Department of Consumer Affairs to, among other things, review, investigate and approve private postsecondary institutions, programs and courses of instruction pursuant to the Act and authorizes the Bureau to take formal actions against an institution/school to ensure compliance with the Act and even seek closure of an institution/school if deemed necessary. (EC § 94800, et seq.)
4. Under the Act, requires a private postsecondary institution to provide a prospective student, prior to enrollment, with a School Performance Fact Sheet for each educational program containing information related to completion rates, job placement rates within the career fields for which the program was designed, license examination passage rates, salaries or wages, and the most recent three-year cohort default rate. In order to remain in compliance, the California Private Postsecondary Education Act of 2009 (Act) requires an institution to submit an annual report to the Bureau for Private Postsecondary Education (Bureau) that includes, among other things, the School Performance Fact Sheet. The report and fact sheets are made available on the institution’s as well as the bureau’s Internet Web site. (EC § 94910, 9434, 94913 and 94878)
5. Under federal law, defines the term “allied health professionals” to mean a health professional (other than a registered nurse or physician assistant): 1) who has received a certificate, degree or training in a science relating to healthcare; 2) Who shares in the responsibility for the delivery of health care services or related services; and 3) who has not received a degree of doctor of medicine in the specified fields. (Title 42 United States Code § 295p. (5))

ANALYSIS

This bill:

1. Requires, beginning 2019, for each educational program that offers certificates or degrees related to allied health professionals that require clinical training:
   1. The California Community College Chancellor’s Office to include within its

annual report of educational outcomes all of the following:

• • 1. The name and address of the clinical placement sites, as

applicable.

• • 1. The length and types of clinical rotations, as applicable.
    2. Supervision ratios at each site.
    3. The numbers of students participating in clinical training, including

demographic data related to race, ethnicity, gender, and proficiency in languages other than English.

• • 1. Employment retention at each clinical placement site, as applicable.
  1. A private postsecondary institution in its School Performance

Fact Sheet provided to students prior to enrollment, to include all the above in i) – v) inclusive, and disclosure of whether any financial compensation or exchange of consideration was offered or provided for clinical placement, as specified.

• 1. Defines for purposes of this bill, “allied health professionals,” to mean a

health professional (other than a registered nurse or physician assistant): 1) who has received a certificate, degree or training in a science relating to health care; 2) who shares in the responsibility for the delivery of healthcare services or related services; and 3) who has not received a degree of doctor of medicine, as specified under federal law.

STAFF COMMENTS

1. Need for the bill. According to the author, research indicates that California is predicted to face a significant shortage of allied health professionals. The author notes that, “the Senate Office of Research (SOR) found in 2012 that 81% of deans of allied health professions programs at community colleges believed that more partnerships with health care employers would lead to an expansion in their capacity to training and enroll more allied health professional students. And the California Hospital Association has also observed that the lack of clinical training opportunities creates a barrier to ensuring an adequate supply of allied health workers.

Healthcare programs have reported that it is becoming more difficult to find health care providers to place students into their clinical internships. In addition to fast pace with which programs are expanding, and the existing difficulty with finding capable clinical sites with qualified supervisors, educators have pointed to increased difficulty in finding placements due to the growth of the for-profit education institutions whom they accuse of payment-for-placement tactics which place students from for-profit schools ahead of public school students. A recent study of the Respiratory Care workforce found that there is a limited number of available clinical internships and that many programs are being shut out of bigger hospitals which mean some students are not exposed to the full range of clinical practice.

The Legislature (SOR) has previously studied the issue of the healthcare workforce on several occasions and recommended changes to: Evaluate supply and demand of clinical training programs as the inventory of clinical training spots compared to the number of trainees for many of these professions is generally unknown or not easily available.

Without adequate data to effectively align education programs, clinical training sites, and projected allied healthcare workforce demands and shortages, California’s system of higher education will be unable to plan to meet the future healthcare workforce needs of the state.”

1. Public and private institutions competing for limited slots. To graduate from certain programs students are required to have clinical education/training. Programs are responsible for securing clinical facilities that meet requirements needed to adequately prepare its students. Concerns have been raised about some private for-profit institutions obtaining clinical placement based on financial incentives, which many argue places public programs at a particular disadvantage. This is an issue as the number of available placements is limited. This bill seeks to shed light on this problem by requiring disclosure of any financial compensation offered in exchange for clinical placement.
2. California Community College Student Success Scorecard. This bill requires the California Community College Chancellor’s Office to include the specified information within its annual report of educational outcomes. This report is known as the, “Student Success Scorecard,” which is submitted to the Legislature and maintained on the Chancellor’s Office website. This scorecard provides a level of transparency and accountability on student progress and success metrics. The data available in this scorecard tells how well colleges are doing in remedial instruction, job training programs, retention of students and graduation and completion rates. Data are reported by gender, age and ethnicity and colleges. In addition to those metrics, this bill requires reporting of data related to clinical placement sites, employment retention at each site, clinical rotations, supervisor to student ratios and the number of clinical training participants for each of the specified education programs within a college.
3. Use of School Performance Fact Sheet. As mentioned in the background of this analysis, current law requires a private postsecondary institution to provide a prospective student with a School Performance Fact Sheet prior to signing an enrollment agreement with the institution. The fact sheet includes, among other things, information on degree completion and the rate at which program graduates are gainfully employed within their field of study. It is designed to help individuals make informed decisions about the institution and its educational programs.

Similar to the reporting requirements for the community college system, this measure proposes for each education program offering certificates or degrees related to allied health professions requiring clinical training, to include additional information about clinical placement sites, employment retention at each site, clinical rotations, supervisor to student ratios and the number of clinical training participants. These provisions appear to align with the general goal of fact sheet—to equip students with information to successfully assess programs as well as promote institutional accountability and transparency.

1. Efforts to update School Performance Fact Sheet. SB 1247 (Lieu, Chapter 840, Statutes of 2014) directed the Bureau for Private Postsecondary Education (Bureau) to evaluate and make recommendations to the Legislature on how reporting requirements should be altered to ensure accurate, useful and consistent reporting by private postsecondary institutions to the bureau and students. The report was released in December 2016. To promote the use and usefulness of the fact sheet the report recommends making information simpler and more compelling. Staff notes that the Bureau recently updated the School Performance Fact Sheet through the regulatory process. The revised regulations took effect on January 1, 2017. According to the Department of Consumer Affairs (DCA), any changes to the Fact Sheet would require the Bureau to revisit and potentially revise its corresponding regulations. DCA also notes that expanded reporting requirements would substantially increase the Bureau’s data validation workload.

SUPPORT

California Federation of Teachers

Faculty Association of California Community Colleges

SEIU California

OPPOSITION

American Career College

California Association of Private Postsecondary Schools

West Coast University

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