FROM THE FOUNDATION

Redefining the Safety Net

Should California establish a Basic Health Program for certain low-income residents? CHCF's Marian Mulkey captures a recent policy conversation in a Health Affairs blog.

Accountable Care in Action

A new post on the Health Affairs blog details how CalPERS kept costs down in Sacramento through a "virtual" ACO with insurers and providers.

Career Opportunity: Senior Program Officer

This position will play a major role in furthering the goals and objectives of the foundation's Better Chronic Disease Care program.

Doctors and Nurses

Wednesday, January 25, 2012

Officials Raise Concerns Over Disbanding of Calif. Registered Nurse Board

Concerns are emerging that the disbanding of California's Board of Registered Nursing -- which operated for 106 years -- could have negative implications for the public, California Watch reports (Jewett, California Watch, 1/25).

Background

Last fall, Gov. Jerry Brown (D) vetoed a bill (SB 538) that would have extended by four years the board's powers to license or discipline California's 400,000 registered nurses. Those powers expired Jan. 1.

The bill also would have made certain investigators for the board eligible for more generous pensions.

Brown wrote in his veto message that the measure "makes no sense fiscally and flies in the face of much needed pension reform" (California Healthline, 10/18/11).

Board employees, who investigate 8,000 cases annually, now work as part of the state Department of Consumer Affairs.

Details of the Concerns

Some officials are raising concerns over whether the public is adequately protected from nurses who could require drug treatment or practice limitations.

Jeannine Graves -- former board president -- said that giving the Department of Consumer Affairs authority over the functions of the board creates a "legal fiction" and does not protect the public or offer due process to nurses.

Richard Rice -- a senior adviser to former Gov. Arnold Schwarzenegger (R) -- said the disbanding halts the board's work to improve nursing care.

State Response

Russ Heimerich -- a spokesperson for the Department of Consumer Affairs -- said board employees are continuing their administrative and investigative work.

Melissa Figueroa -- a spokesperson for the State and Consumer Services Agency, which oversees the Department of Consumer Affairs -- said the changes to the board should not be a concern to the public.

She said the agency is negotiating with the Legislature to quickly reconstitute the board possibly through a trailer bill to state budget legislation (California Watch, 1/25).



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