Amended IN Assembly May 13, 2019 Amended IN Assembly April 04, 2019 Amended IN Assembly March 27, 2019 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 1622Introduced by Assembly Member CarrilloFebruary 22, 2019 An act to amend Sections 1682 and 2746.2 of the Business and Professions Code, to amend Section 151001 of the Health and Safety Code, to amend Section 1308.8 of the Labor Code, and to amend Section 13776 of the Penal Code, relating to family physicians. LEGISLATIVE COUNSEL'S DIGESTAB 1622, as amended, Carrillo. Family physicians.(1) Existing law, the Dental Practice Act, provides for the licensure and regulation of dentists by the Dental Board of California. Existing law makes it unprofessional conduct for a dentist to fail to obtain the written informed consent of a patient before administering general anesthesia and, until January 1, 2022, conscious sedation, and, for a minor, requires the written informed consent to include a statement that encourages the patient to explore all options available for the childs anesthesia for their dental treatment and consult with the childs dentist or pediatrician as needed.This bill would revise the content of the statement to specify that the patient is encouraged to consult with the childs dentist, pediatrician, or family physician as needed. (2) Existing law, the Nursing Practice Act, provides for the licensure and regulation of the practice of nursing by the Board of Registered Nursing and authorizes the board to issue a certificate to practice nurse-midwifery to a person who meets educational standards established by the board or the equivalent of those educational standards. Existing law authorizes the board to appoint a committee of qualified physicians and nurses, including obstetricians and nurse-midwives, to develop the necessary standards relating to educational requirements, ratios of nurse-midwives to supervising physicians, and associated matters.This bill would additionally require authorize the committee to include family physicians.(3) Existing law, the Sexual Health Education Accountability Act, requires a sexual health education program to meet specified requirements, including that information be medically accurate, current, and objective. For purposes of this act, medically accurate means, in part, verified or supported by research conducted in compliance with scientific methods and published in peer review journals, and recognized as accurate and objective by professional organizations and agencies with expertise in the relevant field, including the federal Centers for Disease Control and Prevention.This bill would modify the term medically accurate to additionally reference the American Academy of Family Physicians as a professional organization with the requisite experience.(4) Existing law precludes an infant under one month of age to be employed on a motion picture set or location unless a physician and surgeon who is board certified in pediatrics provides written certification concerning the infant, including that the infant was carried to full term.This bill would additionally authorize the prescribed certification to be made by a physician and surgeon who is board certified in family medicine.(5) Existing law, the Reproductive Rights Law Enforcement Act, requires the Attorney General to carry out certain functions relating to anti-reproductive-rights crimes in consultation with, among others, subject matter experts, and to convene an advisory committee that consists of members of the organizations identified as subject matter experts.This bill would include the American Academy of Family Physicians as subject matter experts for purposes of the act.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. The Legislature hereby finds and declares all of the following:(a) Family physicians are primary care specialists, and they receive specialized training and education in primary care, including extensive training in pediatrics, obstetrics, adult medicine, and behavioral health.(b) Family medicine is the only physician specialty that addresses the entire spectrum of patient needs, providing clinical and supportive services that include acute, chronic and preventive care, behavioral and mental health, oral health, health promotion, and other services for all ages and genders regardless of disease or organ system.(c) Family physicians throughout the state are finding their hospital privileges constrained, particularly as they relate to prenatal, delivery-related, and postpartum health care.(d) Some health systems and payers have restricted the full spectrum practice of family medicine, thereby reducing access to care, increasing health system costs, and restricting patient choice.(e) Family medicine is a broad spectrum primary care specialty, and family physicians uniquely serve patients from birth to death.SEC. 2. Section 1682 of the Business and Professions Code, as amended by Section 10 of Chapter 929 of the Statutes of 2018, is amended to read:1682. In addition to other acts constituting unprofessional conduct under this chapter, it is unprofessional conduct for:(a) Any dentist performing dental procedures to have more than one patient undergoing conscious sedation or general anesthesia on an outpatient basis at any given time unless each patient is being continuously monitored on a one-to-one ratio while sedated by either the dentist or another licensed health professional authorized by law to administer conscious sedation or general anesthesia.(b) Any dentist with patients recovering from conscious sedation or general anesthesia to fail to have the patients closely monitored by licensed health professionals experienced in the care and resuscitation of patients recovering from conscious sedation or general anesthesia. If one licensed professional is responsible for the recovery care of more than one patient at a time, all of the patients shall be physically in the same room to allow continuous visual contact with all patients and the patient to recovery staff ratio should not exceed three to one.(c) Any dentist with patients who are undergoing conscious sedation to fail to have these patients continuously monitored during the dental procedure with a pulse oximeter or similar or superior monitoring equipment required by the board.(d) Any dentist with patients who are undergoing conscious sedation to have dental office personnel directly involved with the care of those patients who are not certified in basic cardiac life support (CPR) and recertified biennially.(e) (1) Any dentist to fail to obtain the written informed consent of a patient prior to administering general anesthesia or conscious sedation. In the case of a minor, the consent shall be obtained from the childs parent or guardian.(2) The written informed consent, in the case of a minor, shall include, but not be limited to, the following information:The administration and monitoring of general anesthesia may vary depending on the type of procedure, the type of practitioner, the age and health of the patient, and the setting in which anesthesia is provided. Risks may vary with each specific situation. You are encouraged to explore all the options available for your childs anesthesia for their dental treatment, and consult with your dentist, family physician, or pediatrician as needed.(3) Nothing in this subdivision shall be construed to establish the reasonable standard of care for administering or monitoring oral conscious sedation, conscious sedation, or general anesthesia.(f) This section shall remain in effect only until January 1, 2022, and as of that date is repealed.SEC. 3. Section 1682 of the Business and Professions Code, as added by Section 11 of Chapter 929 of the Statutes of 2018, is amended to read:1682. In addition to other acts constituting unprofessional conduct under this chapter, it is unprofessional conduct for:(a) Any dentist performing dental procedures to have more than one patient undergoing moderate sedation, deep sedation, or general anesthesia on an outpatient basis at any given time unless each patient is being continuously monitored on a one-to-one ratio while sedated by either the dentist or another licensed health professional authorized by law to administer moderate sedation, deep sedation, or general anesthesia.(b) Any dentist with patients recovering from moderate sedation, deep sedation, or general anesthesia to fail to have the patients closely monitored by licensed health professionals experienced in the care and resuscitation of patients recovering from moderate sedation, deep sedation, or general anesthesia. If one licensed professional is responsible for the recovery care of more than one patient at a time, all of the patients shall be physically in the same room to allow continuous visual contact with all patients and the patient to recovery staff ratio should not exceed three to one.(c) Any dentist with patients who are undergoing deep sedation, general anesthesia, or moderate sedation to fail to have these patients continuously monitored during the dental procedure with a pulse oximeter or similar or superior monitoring equipment and ventilation continuously monitored using at least two of the three following methods:(1) Auscultation of breath sounds using a precordial stethoscope.(2) Monitoring for the presence of exhaled carbon dioxide with capnography.(3) Verbal communication with a patient under moderate sedation. This method shall not be used for a patient under deep sedation or general anesthesia.(d) Any dentist with patients who are undergoing moderate sedation to have dental office personnel directly involved with the care of those patients who are not certified in basic cardiac life support (CPR) and recertified biennially.(e) (1) Any dentist to fail to obtain the written informed consent of a patient prior to administering moderate sedation, deep sedation, or general anesthesia. In the case of a minor, the consent shall be obtained from the childs parent or guardian.(2) The written informed consent for general anesthesia, in the case of a minor, shall include, but not be limited to, the following information:The administration and monitoring of deep sedation or general anesthesia may vary depending on the type of procedure, the type of practitioner, the age and health of the patient, and the setting in which anesthesia is provided. Risks may vary with each specific situation. You are encouraged to explore all the options available for your childs anesthesia for their dental treatment, and consult with your dentist, family physician, or pediatrician as needed.(3) Nothing in this subdivision shall be construed to establish the reasonable standard of care for administering or monitoring oral moderate sedation, moderate sedation, deep sedation, or general anesthesia.(f) This section shall become operative on January 1, 2022.SEC. 4. Section 2746.2 of the Business and Professions Code is amended to read:2746.2. Each applicant shall show by evidence satisfactory to the board that they have met the educational standards established by the board or have at least the equivalent thereof. The board is authorized to appoint a committee of qualified physicians and nurses, including, but not limited to, obstetricians, family physicians, obstetricians and nurse-midwives, to develop the necessary standards relating to educational requirements, ratios of nurse-midwives to supervising physicians, and associated matters. The committee may also include family physicians.SEC. 5. Section 151001 of the Health and Safety Code is amended to read:151001. For purposes of this division, the following definitions shall apply:(a) Age appropriate means topics, messages, and teaching methods suitable to particular ages or age groups of children and adolescents, based on developing cognitive, emotional, and behavioral capacity typical for the age or age group.(b) A sexual health education program means a program that provides instruction or information to prevent adolescent pregnancy, unintended pregnancy, or sexually transmitted diseases, including HIV, that is conducted, operated, or administered by any state agency, is funded directly or indirectly by the state, or receives any financial assistance from state funds or funds administered by a state agency, but does not include any program offered by a school district, a county superintendent of schools, or a community college district.(c) Medically accurate means verified or supported by research conducted in compliance with scientific methods and published in peer review journals, when appropriate, and recognized as accurate and objective by professional organizations and agencies with expertise in the relevant field, including, but not limited to, the federal Centers for Disease Control and Prevention, the American Public Health Association, the Society for Adolescent Medicine, the American Academy of Family Physicians, the American Academy of Pediatrics, and the American College of Obstetricians and Gynecologists.SEC. 6. Section 1308.8 of the Labor Code is amended to read:1308.8. (a) No infant under the age of one month may be employed on any motion picture set or location unless a licensed physician and surgeon who is board certified in either pediatrics or family medicine provides written certification that the infant is at least 15 days old and, in their medical opinion, the infant was carried to full term, was of normal birth weight, is physically capable of handling the stress of filmmaking, and the infants lungs, eyes, heart, and immune system are sufficiently developed to withstand the potential risks.(b) Any parent, guardian, or employer of a minor, and any officer or agent of an employer of a minor, who directly or indirectly violates subdivision (a), or who causes or suffers a violation of subdivision (a), with respect to that minor, is guilty of a misdemeanor punishable by a fine of not less than two thousand five hundred dollars ($2,500) nor more than five thousand dollars ($5,000), by imprisonment in the county jail for not more than 60 days, or by both that fine and imprisonment.SEC. 7. Section 13776 of the Penal Code is amended to read:13776. The following definitions apply for the purposes of this title:(a) Anti-reproductive-rights crime means a crime committed partly or wholly because the victim is a reproductive health services client, provider, or assistant, or a crime that is partly or wholly intended to intimidate the victim, any other person or entity, or any class of persons or entities from becoming or remaining a reproductive health services client, provider, or assistant. Anti-reproductive-rights crime includes, but is not limited to, a violation of subdivision (a) or (c) of Section 423.2.(b) Subject matter experts includes, but is not limited to, the Commission on the Status of Women and Girls, law enforcement agencies experienced with anti-reproductive-rights crimes, including the Attorney General and the Department of Justice, and organizations such as the American Civil Liberties Union, the American College of Obstetricians and Gynecologists, the American Academy of Family Physicians, the California Council of Churches, the California Medical Association, the Feminist Majority Foundation, NARAL Pro-Choice California, the National Abortion Federation, the California National Organization for Women, the Planned Parenthood Federation of America, Planned Parenthood Affiliates of California, and the Womens Health Specialists clinic that represent reproductive health services clients, providers, and assistants.(c) Crime of violence, nonviolent, reproductive health services; reproductive health services client, provider, or assistant; and reproductive health services facility each has the same meaning as set forth in Section 423.1.
Amended IN Assembly May 13, 2019 Amended IN Assembly April 04, 2019 Amended IN Assembly March 27, 2019 CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION Assembly Bill No. 1622Introduced by Assembly Member CarrilloFebruary 22, 2019 An act to amend Sections 1682 and 2746.2 of the Business and Professions Code, to amend Section 151001 of the Health and Safety Code, to amend Section 1308.8 of the Labor Code, and to amend Section 13776 of the Penal Code, relating to family physicians. LEGISLATIVE COUNSEL'S DIGESTAB 1622, as amended, Carrillo. Family physicians.(1) Existing law, the Dental Practice Act, provides for the licensure and regulation of dentists by the Dental Board of California. Existing law makes it unprofessional conduct for a dentist to fail to obtain the written informed consent of a patient before administering general anesthesia and, until January 1, 2022, conscious sedation, and, for a minor, requires the written informed consent to include a statement that encourages the patient to explore all options available for the childs anesthesia for their dental treatment and consult with the childs dentist or pediatrician as needed.This bill would revise the content of the statement to specify that the patient is encouraged to consult with the childs dentist, pediatrician, or family physician as needed. (2) Existing law, the Nursing Practice Act, provides for the licensure and regulation of the practice of nursing by the Board of Registered Nursing and authorizes the board to issue a certificate to practice nurse-midwifery to a person who meets educational standards established by the board or the equivalent of those educational standards. Existing law authorizes the board to appoint a committee of qualified physicians and nurses, including obstetricians and nurse-midwives, to develop the necessary standards relating to educational requirements, ratios of nurse-midwives to supervising physicians, and associated matters.This bill would additionally require authorize the committee to include family physicians.(3) Existing law, the Sexual Health Education Accountability Act, requires a sexual health education program to meet specified requirements, including that information be medically accurate, current, and objective. For purposes of this act, medically accurate means, in part, verified or supported by research conducted in compliance with scientific methods and published in peer review journals, and recognized as accurate and objective by professional organizations and agencies with expertise in the relevant field, including the federal Centers for Disease Control and Prevention.This bill would modify the term medically accurate to additionally reference the American Academy of Family Physicians as a professional organization with the requisite experience.(4) Existing law precludes an infant under one month of age to be employed on a motion picture set or location unless a physician and surgeon who is board certified in pediatrics provides written certification concerning the infant, including that the infant was carried to full term.This bill would additionally authorize the prescribed certification to be made by a physician and surgeon who is board certified in family medicine.(5) Existing law, the Reproductive Rights Law Enforcement Act, requires the Attorney General to carry out certain functions relating to anti-reproductive-rights crimes in consultation with, among others, subject matter experts, and to convene an advisory committee that consists of members of the organizations identified as subject matter experts.This bill would include the American Academy of Family Physicians as subject matter experts for purposes of the act.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
Amended IN Assembly May 13, 2019 Amended IN Assembly April 04, 2019 Amended IN Assembly March 27, 2019
Amended IN Assembly May 13, 2019
Amended IN Assembly April 04, 2019
Amended IN Assembly March 27, 2019
CALIFORNIA LEGISLATURE 20192020 REGULAR SESSION
Assembly Bill No. 1622
Introduced by Assembly Member CarrilloFebruary 22, 2019
Introduced by Assembly Member Carrillo
February 22, 2019
An act to amend Sections 1682 and 2746.2 of the Business and Professions Code, to amend Section 151001 of the Health and Safety Code, to amend Section 1308.8 of the Labor Code, and to amend Section 13776 of the Penal Code, relating to family physicians.
LEGISLATIVE COUNSEL'S DIGEST
## LEGISLATIVE COUNSEL'S DIGEST
AB 1622, as amended, Carrillo. Family physicians.
(1) Existing law, the Dental Practice Act, provides for the licensure and regulation of dentists by the Dental Board of California. Existing law makes it unprofessional conduct for a dentist to fail to obtain the written informed consent of a patient before administering general anesthesia and, until January 1, 2022, conscious sedation, and, for a minor, requires the written informed consent to include a statement that encourages the patient to explore all options available for the childs anesthesia for their dental treatment and consult with the childs dentist or pediatrician as needed.This bill would revise the content of the statement to specify that the patient is encouraged to consult with the childs dentist, pediatrician, or family physician as needed. (2) Existing law, the Nursing Practice Act, provides for the licensure and regulation of the practice of nursing by the Board of Registered Nursing and authorizes the board to issue a certificate to practice nurse-midwifery to a person who meets educational standards established by the board or the equivalent of those educational standards. Existing law authorizes the board to appoint a committee of qualified physicians and nurses, including obstetricians and nurse-midwives, to develop the necessary standards relating to educational requirements, ratios of nurse-midwives to supervising physicians, and associated matters.This bill would additionally require authorize the committee to include family physicians.(3) Existing law, the Sexual Health Education Accountability Act, requires a sexual health education program to meet specified requirements, including that information be medically accurate, current, and objective. For purposes of this act, medically accurate means, in part, verified or supported by research conducted in compliance with scientific methods and published in peer review journals, and recognized as accurate and objective by professional organizations and agencies with expertise in the relevant field, including the federal Centers for Disease Control and Prevention.This bill would modify the term medically accurate to additionally reference the American Academy of Family Physicians as a professional organization with the requisite experience.(4) Existing law precludes an infant under one month of age to be employed on a motion picture set or location unless a physician and surgeon who is board certified in pediatrics provides written certification concerning the infant, including that the infant was carried to full term.This bill would additionally authorize the prescribed certification to be made by a physician and surgeon who is board certified in family medicine.(5) Existing law, the Reproductive Rights Law Enforcement Act, requires the Attorney General to carry out certain functions relating to anti-reproductive-rights crimes in consultation with, among others, subject matter experts, and to convene an advisory committee that consists of members of the organizations identified as subject matter experts.This bill would include the American Academy of Family Physicians as subject matter experts for purposes of the act.
(1) Existing law, the Dental Practice Act, provides for the licensure and regulation of dentists by the Dental Board of California. Existing law makes it unprofessional conduct for a dentist to fail to obtain the written informed consent of a patient before administering general anesthesia and, until January 1, 2022, conscious sedation, and, for a minor, requires the written informed consent to include a statement that encourages the patient to explore all options available for the childs anesthesia for their dental treatment and consult with the childs dentist or pediatrician as needed.
This bill would revise the content of the statement to specify that the patient is encouraged to consult with the childs dentist, pediatrician, or family physician as needed.
(2) Existing law, the Nursing Practice Act, provides for the licensure and regulation of the practice of nursing by the Board of Registered Nursing and authorizes the board to issue a certificate to practice nurse-midwifery to a person who meets educational standards established by the board or the equivalent of those educational standards. Existing law authorizes the board to appoint a committee of qualified physicians and nurses, including obstetricians and nurse-midwives, to develop the necessary standards relating to educational requirements, ratios of nurse-midwives to supervising physicians, and associated matters.
This bill would additionally require authorize the committee to include family physicians.
(3) Existing law, the Sexual Health Education Accountability Act, requires a sexual health education program to meet specified requirements, including that information be medically accurate, current, and objective. For purposes of this act, medically accurate means, in part, verified or supported by research conducted in compliance with scientific methods and published in peer review journals, and recognized as accurate and objective by professional organizations and agencies with expertise in the relevant field, including the federal Centers for Disease Control and Prevention.
This bill would modify the term medically accurate to additionally reference the American Academy of Family Physicians as a professional organization with the requisite experience.
(4) Existing law precludes an infant under one month of age to be employed on a motion picture set or location unless a physician and surgeon who is board certified in pediatrics provides written certification concerning the infant, including that the infant was carried to full term.
This bill would additionally authorize the prescribed certification to be made by a physician and surgeon who is board certified in family medicine.
(5) Existing law, the Reproductive Rights Law Enforcement Act, requires the Attorney General to carry out certain functions relating to anti-reproductive-rights crimes in consultation with, among others, subject matter experts, and to convene an advisory committee that consists of members of the organizations identified as subject matter experts.
This bill would include the American Academy of Family Physicians as subject matter experts for purposes of the act.
## Digest Key
## Bill Text
The people of the State of California do enact as follows:SECTION 1. The Legislature hereby finds and declares all of the following:(a) Family physicians are primary care specialists, and they receive specialized training and education in primary care, including extensive training in pediatrics, obstetrics, adult medicine, and behavioral health.(b) Family medicine is the only physician specialty that addresses the entire spectrum of patient needs, providing clinical and supportive services that include acute, chronic and preventive care, behavioral and mental health, oral health, health promotion, and other services for all ages and genders regardless of disease or organ system.(c) Family physicians throughout the state are finding their hospital privileges constrained, particularly as they relate to prenatal, delivery-related, and postpartum health care.(d) Some health systems and payers have restricted the full spectrum practice of family medicine, thereby reducing access to care, increasing health system costs, and restricting patient choice.(e) Family medicine is a broad spectrum primary care specialty, and family physicians uniquely serve patients from birth to death.SEC. 2. Section 1682 of the Business and Professions Code, as amended by Section 10 of Chapter 929 of the Statutes of 2018, is amended to read:1682. In addition to other acts constituting unprofessional conduct under this chapter, it is unprofessional conduct for:(a) Any dentist performing dental procedures to have more than one patient undergoing conscious sedation or general anesthesia on an outpatient basis at any given time unless each patient is being continuously monitored on a one-to-one ratio while sedated by either the dentist or another licensed health professional authorized by law to administer conscious sedation or general anesthesia.(b) Any dentist with patients recovering from conscious sedation or general anesthesia to fail to have the patients closely monitored by licensed health professionals experienced in the care and resuscitation of patients recovering from conscious sedation or general anesthesia. If one licensed professional is responsible for the recovery care of more than one patient at a time, all of the patients shall be physically in the same room to allow continuous visual contact with all patients and the patient to recovery staff ratio should not exceed three to one.(c) Any dentist with patients who are undergoing conscious sedation to fail to have these patients continuously monitored during the dental procedure with a pulse oximeter or similar or superior monitoring equipment required by the board.(d) Any dentist with patients who are undergoing conscious sedation to have dental office personnel directly involved with the care of those patients who are not certified in basic cardiac life support (CPR) and recertified biennially.(e) (1) Any dentist to fail to obtain the written informed consent of a patient prior to administering general anesthesia or conscious sedation. In the case of a minor, the consent shall be obtained from the childs parent or guardian.(2) The written informed consent, in the case of a minor, shall include, but not be limited to, the following information:The administration and monitoring of general anesthesia may vary depending on the type of procedure, the type of practitioner, the age and health of the patient, and the setting in which anesthesia is provided. Risks may vary with each specific situation. You are encouraged to explore all the options available for your childs anesthesia for their dental treatment, and consult with your dentist, family physician, or pediatrician as needed.(3) Nothing in this subdivision shall be construed to establish the reasonable standard of care for administering or monitoring oral conscious sedation, conscious sedation, or general anesthesia.(f) This section shall remain in effect only until January 1, 2022, and as of that date is repealed.SEC. 3. Section 1682 of the Business and Professions Code, as added by Section 11 of Chapter 929 of the Statutes of 2018, is amended to read:1682. In addition to other acts constituting unprofessional conduct under this chapter, it is unprofessional conduct for:(a) Any dentist performing dental procedures to have more than one patient undergoing moderate sedation, deep sedation, or general anesthesia on an outpatient basis at any given time unless each patient is being continuously monitored on a one-to-one ratio while sedated by either the dentist or another licensed health professional authorized by law to administer moderate sedation, deep sedation, or general anesthesia.(b) Any dentist with patients recovering from moderate sedation, deep sedation, or general anesthesia to fail to have the patients closely monitored by licensed health professionals experienced in the care and resuscitation of patients recovering from moderate sedation, deep sedation, or general anesthesia. If one licensed professional is responsible for the recovery care of more than one patient at a time, all of the patients shall be physically in the same room to allow continuous visual contact with all patients and the patient to recovery staff ratio should not exceed three to one.(c) Any dentist with patients who are undergoing deep sedation, general anesthesia, or moderate sedation to fail to have these patients continuously monitored during the dental procedure with a pulse oximeter or similar or superior monitoring equipment and ventilation continuously monitored using at least two of the three following methods:(1) Auscultation of breath sounds using a precordial stethoscope.(2) Monitoring for the presence of exhaled carbon dioxide with capnography.(3) Verbal communication with a patient under moderate sedation. This method shall not be used for a patient under deep sedation or general anesthesia.(d) Any dentist with patients who are undergoing moderate sedation to have dental office personnel directly involved with the care of those patients who are not certified in basic cardiac life support (CPR) and recertified biennially.(e) (1) Any dentist to fail to obtain the written informed consent of a patient prior to administering moderate sedation, deep sedation, or general anesthesia. In the case of a minor, the consent shall be obtained from the childs parent or guardian.(2) The written informed consent for general anesthesia, in the case of a minor, shall include, but not be limited to, the following information:The administration and monitoring of deep sedation or general anesthesia may vary depending on the type of procedure, the type of practitioner, the age and health of the patient, and the setting in which anesthesia is provided. Risks may vary with each specific situation. You are encouraged to explore all the options available for your childs anesthesia for their dental treatment, and consult with your dentist, family physician, or pediatrician as needed.(3) Nothing in this subdivision shall be construed to establish the reasonable standard of care for administering or monitoring oral moderate sedation, moderate sedation, deep sedation, or general anesthesia.(f) This section shall become operative on January 1, 2022.SEC. 4. Section 2746.2 of the Business and Professions Code is amended to read:2746.2. Each applicant shall show by evidence satisfactory to the board that they have met the educational standards established by the board or have at least the equivalent thereof. The board is authorized to appoint a committee of qualified physicians and nurses, including, but not limited to, obstetricians, family physicians, obstetricians and nurse-midwives, to develop the necessary standards relating to educational requirements, ratios of nurse-midwives to supervising physicians, and associated matters. The committee may also include family physicians.SEC. 5. Section 151001 of the Health and Safety Code is amended to read:151001. For purposes of this division, the following definitions shall apply:(a) Age appropriate means topics, messages, and teaching methods suitable to particular ages or age groups of children and adolescents, based on developing cognitive, emotional, and behavioral capacity typical for the age or age group.(b) A sexual health education program means a program that provides instruction or information to prevent adolescent pregnancy, unintended pregnancy, or sexually transmitted diseases, including HIV, that is conducted, operated, or administered by any state agency, is funded directly or indirectly by the state, or receives any financial assistance from state funds or funds administered by a state agency, but does not include any program offered by a school district, a county superintendent of schools, or a community college district.(c) Medically accurate means verified or supported by research conducted in compliance with scientific methods and published in peer review journals, when appropriate, and recognized as accurate and objective by professional organizations and agencies with expertise in the relevant field, including, but not limited to, the federal Centers for Disease Control and Prevention, the American Public Health Association, the Society for Adolescent Medicine, the American Academy of Family Physicians, the American Academy of Pediatrics, and the American College of Obstetricians and Gynecologists.SEC. 6. Section 1308.8 of the Labor Code is amended to read:1308.8. (a) No infant under the age of one month may be employed on any motion picture set or location unless a licensed physician and surgeon who is board certified in either pediatrics or family medicine provides written certification that the infant is at least 15 days old and, in their medical opinion, the infant was carried to full term, was of normal birth weight, is physically capable of handling the stress of filmmaking, and the infants lungs, eyes, heart, and immune system are sufficiently developed to withstand the potential risks.(b) Any parent, guardian, or employer of a minor, and any officer or agent of an employer of a minor, who directly or indirectly violates subdivision (a), or who causes or suffers a violation of subdivision (a), with respect to that minor, is guilty of a misdemeanor punishable by a fine of not less than two thousand five hundred dollars ($2,500) nor more than five thousand dollars ($5,000), by imprisonment in the county jail for not more than 60 days, or by both that fine and imprisonment.SEC. 7. Section 13776 of the Penal Code is amended to read:13776. The following definitions apply for the purposes of this title:(a) Anti-reproductive-rights crime means a crime committed partly or wholly because the victim is a reproductive health services client, provider, or assistant, or a crime that is partly or wholly intended to intimidate the victim, any other person or entity, or any class of persons or entities from becoming or remaining a reproductive health services client, provider, or assistant. Anti-reproductive-rights crime includes, but is not limited to, a violation of subdivision (a) or (c) of Section 423.2.(b) Subject matter experts includes, but is not limited to, the Commission on the Status of Women and Girls, law enforcement agencies experienced with anti-reproductive-rights crimes, including the Attorney General and the Department of Justice, and organizations such as the American Civil Liberties Union, the American College of Obstetricians and Gynecologists, the American Academy of Family Physicians, the California Council of Churches, the California Medical Association, the Feminist Majority Foundation, NARAL Pro-Choice California, the National Abortion Federation, the California National Organization for Women, the Planned Parenthood Federation of America, Planned Parenthood Affiliates of California, and the Womens Health Specialists clinic that represent reproductive health services clients, providers, and assistants.(c) Crime of violence, nonviolent, reproductive health services; reproductive health services client, provider, or assistant; and reproductive health services facility each has the same meaning as set forth in Section 423.1.
The people of the State of California do enact as follows:
## The people of the State of California do enact as follows:
SECTION 1. The Legislature hereby finds and declares all of the following:(a) Family physicians are primary care specialists, and they receive specialized training and education in primary care, including extensive training in pediatrics, obstetrics, adult medicine, and behavioral health.(b) Family medicine is the only physician specialty that addresses the entire spectrum of patient needs, providing clinical and supportive services that include acute, chronic and preventive care, behavioral and mental health, oral health, health promotion, and other services for all ages and genders regardless of disease or organ system.(c) Family physicians throughout the state are finding their hospital privileges constrained, particularly as they relate to prenatal, delivery-related, and postpartum health care.(d) Some health systems and payers have restricted the full spectrum practice of family medicine, thereby reducing access to care, increasing health system costs, and restricting patient choice.(e) Family medicine is a broad spectrum primary care specialty, and family physicians uniquely serve patients from birth to death.
SECTION 1. The Legislature hereby finds and declares all of the following:(a) Family physicians are primary care specialists, and they receive specialized training and education in primary care, including extensive training in pediatrics, obstetrics, adult medicine, and behavioral health.(b) Family medicine is the only physician specialty that addresses the entire spectrum of patient needs, providing clinical and supportive services that include acute, chronic and preventive care, behavioral and mental health, oral health, health promotion, and other services for all ages and genders regardless of disease or organ system.(c) Family physicians throughout the state are finding their hospital privileges constrained, particularly as they relate to prenatal, delivery-related, and postpartum health care.(d) Some health systems and payers have restricted the full spectrum practice of family medicine, thereby reducing access to care, increasing health system costs, and restricting patient choice.(e) Family medicine is a broad spectrum primary care specialty, and family physicians uniquely serve patients from birth to death.
SECTION 1. The Legislature hereby finds and declares all of the following:
### SECTION 1.
(a) Family physicians are primary care specialists, and they receive specialized training and education in primary care, including extensive training in pediatrics, obstetrics, adult medicine, and behavioral health.
(b) Family medicine is the only physician specialty that addresses the entire spectrum of patient needs, providing clinical and supportive services that include acute, chronic and preventive care, behavioral and mental health, oral health, health promotion, and other services for all ages and genders regardless of disease or organ system.
(c) Family physicians throughout the state are finding their hospital privileges constrained, particularly as they relate to prenatal, delivery-related, and postpartum health care.
(d) Some health systems and payers have restricted the full spectrum practice of family medicine, thereby reducing access to care, increasing health system costs, and restricting patient choice.
(e) Family medicine is a broad spectrum primary care specialty, and family physicians uniquely serve patients from birth to death.
SEC. 2. Section 1682 of the Business and Professions Code, as amended by Section 10 of Chapter 929 of the Statutes of 2018, is amended to read:1682. In addition to other acts constituting unprofessional conduct under this chapter, it is unprofessional conduct for:(a) Any dentist performing dental procedures to have more than one patient undergoing conscious sedation or general anesthesia on an outpatient basis at any given time unless each patient is being continuously monitored on a one-to-one ratio while sedated by either the dentist or another licensed health professional authorized by law to administer conscious sedation or general anesthesia.(b) Any dentist with patients recovering from conscious sedation or general anesthesia to fail to have the patients closely monitored by licensed health professionals experienced in the care and resuscitation of patients recovering from conscious sedation or general anesthesia. If one licensed professional is responsible for the recovery care of more than one patient at a time, all of the patients shall be physically in the same room to allow continuous visual contact with all patients and the patient to recovery staff ratio should not exceed three to one.(c) Any dentist with patients who are undergoing conscious sedation to fail to have these patients continuously monitored during the dental procedure with a pulse oximeter or similar or superior monitoring equipment required by the board.(d) Any dentist with patients who are undergoing conscious sedation to have dental office personnel directly involved with the care of those patients who are not certified in basic cardiac life support (CPR) and recertified biennially.(e) (1) Any dentist to fail to obtain the written informed consent of a patient prior to administering general anesthesia or conscious sedation. In the case of a minor, the consent shall be obtained from the childs parent or guardian.(2) The written informed consent, in the case of a minor, shall include, but not be limited to, the following information:The administration and monitoring of general anesthesia may vary depending on the type of procedure, the type of practitioner, the age and health of the patient, and the setting in which anesthesia is provided. Risks may vary with each specific situation. You are encouraged to explore all the options available for your childs anesthesia for their dental treatment, and consult with your dentist, family physician, or pediatrician as needed.(3) Nothing in this subdivision shall be construed to establish the reasonable standard of care for administering or monitoring oral conscious sedation, conscious sedation, or general anesthesia.(f) This section shall remain in effect only until January 1, 2022, and as of that date is repealed.
SEC. 2. Section 1682 of the Business and Professions Code, as amended by Section 10 of Chapter 929 of the Statutes of 2018, is amended to read:
### SEC. 2.
1682. In addition to other acts constituting unprofessional conduct under this chapter, it is unprofessional conduct for:(a) Any dentist performing dental procedures to have more than one patient undergoing conscious sedation or general anesthesia on an outpatient basis at any given time unless each patient is being continuously monitored on a one-to-one ratio while sedated by either the dentist or another licensed health professional authorized by law to administer conscious sedation or general anesthesia.(b) Any dentist with patients recovering from conscious sedation or general anesthesia to fail to have the patients closely monitored by licensed health professionals experienced in the care and resuscitation of patients recovering from conscious sedation or general anesthesia. If one licensed professional is responsible for the recovery care of more than one patient at a time, all of the patients shall be physically in the same room to allow continuous visual contact with all patients and the patient to recovery staff ratio should not exceed three to one.(c) Any dentist with patients who are undergoing conscious sedation to fail to have these patients continuously monitored during the dental procedure with a pulse oximeter or similar or superior monitoring equipment required by the board.(d) Any dentist with patients who are undergoing conscious sedation to have dental office personnel directly involved with the care of those patients who are not certified in basic cardiac life support (CPR) and recertified biennially.(e) (1) Any dentist to fail to obtain the written informed consent of a patient prior to administering general anesthesia or conscious sedation. In the case of a minor, the consent shall be obtained from the childs parent or guardian.(2) The written informed consent, in the case of a minor, shall include, but not be limited to, the following information:The administration and monitoring of general anesthesia may vary depending on the type of procedure, the type of practitioner, the age and health of the patient, and the setting in which anesthesia is provided. Risks may vary with each specific situation. You are encouraged to explore all the options available for your childs anesthesia for their dental treatment, and consult with your dentist, family physician, or pediatrician as needed.(3) Nothing in this subdivision shall be construed to establish the reasonable standard of care for administering or monitoring oral conscious sedation, conscious sedation, or general anesthesia.(f) This section shall remain in effect only until January 1, 2022, and as of that date is repealed.
1682. In addition to other acts constituting unprofessional conduct under this chapter, it is unprofessional conduct for:(a) Any dentist performing dental procedures to have more than one patient undergoing conscious sedation or general anesthesia on an outpatient basis at any given time unless each patient is being continuously monitored on a one-to-one ratio while sedated by either the dentist or another licensed health professional authorized by law to administer conscious sedation or general anesthesia.(b) Any dentist with patients recovering from conscious sedation or general anesthesia to fail to have the patients closely monitored by licensed health professionals experienced in the care and resuscitation of patients recovering from conscious sedation or general anesthesia. If one licensed professional is responsible for the recovery care of more than one patient at a time, all of the patients shall be physically in the same room to allow continuous visual contact with all patients and the patient to recovery staff ratio should not exceed three to one.(c) Any dentist with patients who are undergoing conscious sedation to fail to have these patients continuously monitored during the dental procedure with a pulse oximeter or similar or superior monitoring equipment required by the board.(d) Any dentist with patients who are undergoing conscious sedation to have dental office personnel directly involved with the care of those patients who are not certified in basic cardiac life support (CPR) and recertified biennially.(e) (1) Any dentist to fail to obtain the written informed consent of a patient prior to administering general anesthesia or conscious sedation. In the case of a minor, the consent shall be obtained from the childs parent or guardian.(2) The written informed consent, in the case of a minor, shall include, but not be limited to, the following information:The administration and monitoring of general anesthesia may vary depending on the type of procedure, the type of practitioner, the age and health of the patient, and the setting in which anesthesia is provided. Risks may vary with each specific situation. You are encouraged to explore all the options available for your childs anesthesia for their dental treatment, and consult with your dentist, family physician, or pediatrician as needed.(3) Nothing in this subdivision shall be construed to establish the reasonable standard of care for administering or monitoring oral conscious sedation, conscious sedation, or general anesthesia.(f) This section shall remain in effect only until January 1, 2022, and as of that date is repealed.
1682. In addition to other acts constituting unprofessional conduct under this chapter, it is unprofessional conduct for:(a) Any dentist performing dental procedures to have more than one patient undergoing conscious sedation or general anesthesia on an outpatient basis at any given time unless each patient is being continuously monitored on a one-to-one ratio while sedated by either the dentist or another licensed health professional authorized by law to administer conscious sedation or general anesthesia.(b) Any dentist with patients recovering from conscious sedation or general anesthesia to fail to have the patients closely monitored by licensed health professionals experienced in the care and resuscitation of patients recovering from conscious sedation or general anesthesia. If one licensed professional is responsible for the recovery care of more than one patient at a time, all of the patients shall be physically in the same room to allow continuous visual contact with all patients and the patient to recovery staff ratio should not exceed three to one.(c) Any dentist with patients who are undergoing conscious sedation to fail to have these patients continuously monitored during the dental procedure with a pulse oximeter or similar or superior monitoring equipment required by the board.(d) Any dentist with patients who are undergoing conscious sedation to have dental office personnel directly involved with the care of those patients who are not certified in basic cardiac life support (CPR) and recertified biennially.(e) (1) Any dentist to fail to obtain the written informed consent of a patient prior to administering general anesthesia or conscious sedation. In the case of a minor, the consent shall be obtained from the childs parent or guardian.(2) The written informed consent, in the case of a minor, shall include, but not be limited to, the following information:The administration and monitoring of general anesthesia may vary depending on the type of procedure, the type of practitioner, the age and health of the patient, and the setting in which anesthesia is provided. Risks may vary with each specific situation. You are encouraged to explore all the options available for your childs anesthesia for their dental treatment, and consult with your dentist, family physician, or pediatrician as needed.(3) Nothing in this subdivision shall be construed to establish the reasonable standard of care for administering or monitoring oral conscious sedation, conscious sedation, or general anesthesia.(f) This section shall remain in effect only until January 1, 2022, and as of that date is repealed.
1682. In addition to other acts constituting unprofessional conduct under this chapter, it is unprofessional conduct for:
(a) Any dentist performing dental procedures to have more than one patient undergoing conscious sedation or general anesthesia on an outpatient basis at any given time unless each patient is being continuously monitored on a one-to-one ratio while sedated by either the dentist or another licensed health professional authorized by law to administer conscious sedation or general anesthesia.
(b) Any dentist with patients recovering from conscious sedation or general anesthesia to fail to have the patients closely monitored by licensed health professionals experienced in the care and resuscitation of patients recovering from conscious sedation or general anesthesia. If one licensed professional is responsible for the recovery care of more than one patient at a time, all of the patients shall be physically in the same room to allow continuous visual contact with all patients and the patient to recovery staff ratio should not exceed three to one.
(c) Any dentist with patients who are undergoing conscious sedation to fail to have these patients continuously monitored during the dental procedure with a pulse oximeter or similar or superior monitoring equipment required by the board.
(d) Any dentist with patients who are undergoing conscious sedation to have dental office personnel directly involved with the care of those patients who are not certified in basic cardiac life support (CPR) and recertified biennially.
(e) (1) Any dentist to fail to obtain the written informed consent of a patient prior to administering general anesthesia or conscious sedation. In the case of a minor, the consent shall be obtained from the childs parent or guardian.
(2) The written informed consent, in the case of a minor, shall include, but not be limited to, the following information:
The administration and monitoring of general anesthesia may vary depending on the type of procedure, the type of practitioner, the age and health of the patient, and the setting in which anesthesia is provided. Risks may vary with each specific situation. You are encouraged to explore all the options available for your childs anesthesia for their dental treatment, and consult with your dentist, family physician, or pediatrician as needed.
(3) Nothing in this subdivision shall be construed to establish the reasonable standard of care for administering or monitoring oral conscious sedation, conscious sedation, or general anesthesia.
(f) This section shall remain in effect only until January 1, 2022, and as of that date is repealed.
SEC. 3. Section 1682 of the Business and Professions Code, as added by Section 11 of Chapter 929 of the Statutes of 2018, is amended to read:1682. In addition to other acts constituting unprofessional conduct under this chapter, it is unprofessional conduct for:(a) Any dentist performing dental procedures to have more than one patient undergoing moderate sedation, deep sedation, or general anesthesia on an outpatient basis at any given time unless each patient is being continuously monitored on a one-to-one ratio while sedated by either the dentist or another licensed health professional authorized by law to administer moderate sedation, deep sedation, or general anesthesia.(b) Any dentist with patients recovering from moderate sedation, deep sedation, or general anesthesia to fail to have the patients closely monitored by licensed health professionals experienced in the care and resuscitation of patients recovering from moderate sedation, deep sedation, or general anesthesia. If one licensed professional is responsible for the recovery care of more than one patient at a time, all of the patients shall be physically in the same room to allow continuous visual contact with all patients and the patient to recovery staff ratio should not exceed three to one.(c) Any dentist with patients who are undergoing deep sedation, general anesthesia, or moderate sedation to fail to have these patients continuously monitored during the dental procedure with a pulse oximeter or similar or superior monitoring equipment and ventilation continuously monitored using at least two of the three following methods:(1) Auscultation of breath sounds using a precordial stethoscope.(2) Monitoring for the presence of exhaled carbon dioxide with capnography.(3) Verbal communication with a patient under moderate sedation. This method shall not be used for a patient under deep sedation or general anesthesia.(d) Any dentist with patients who are undergoing moderate sedation to have dental office personnel directly involved with the care of those patients who are not certified in basic cardiac life support (CPR) and recertified biennially.(e) (1) Any dentist to fail to obtain the written informed consent of a patient prior to administering moderate sedation, deep sedation, or general anesthesia. In the case of a minor, the consent shall be obtained from the childs parent or guardian.(2) The written informed consent for general anesthesia, in the case of a minor, shall include, but not be limited to, the following information:The administration and monitoring of deep sedation or general anesthesia may vary depending on the type of procedure, the type of practitioner, the age and health of the patient, and the setting in which anesthesia is provided. Risks may vary with each specific situation. You are encouraged to explore all the options available for your childs anesthesia for their dental treatment, and consult with your dentist, family physician, or pediatrician as needed.(3) Nothing in this subdivision shall be construed to establish the reasonable standard of care for administering or monitoring oral moderate sedation, moderate sedation, deep sedation, or general anesthesia.(f) This section shall become operative on January 1, 2022.
SEC. 3. Section 1682 of the Business and Professions Code, as added by Section 11 of Chapter 929 of the Statutes of 2018, is amended to read:
### SEC. 3.
1682. In addition to other acts constituting unprofessional conduct under this chapter, it is unprofessional conduct for:(a) Any dentist performing dental procedures to have more than one patient undergoing moderate sedation, deep sedation, or general anesthesia on an outpatient basis at any given time unless each patient is being continuously monitored on a one-to-one ratio while sedated by either the dentist or another licensed health professional authorized by law to administer moderate sedation, deep sedation, or general anesthesia.(b) Any dentist with patients recovering from moderate sedation, deep sedation, or general anesthesia to fail to have the patients closely monitored by licensed health professionals experienced in the care and resuscitation of patients recovering from moderate sedation, deep sedation, or general anesthesia. If one licensed professional is responsible for the recovery care of more than one patient at a time, all of the patients shall be physically in the same room to allow continuous visual contact with all patients and the patient to recovery staff ratio should not exceed three to one.(c) Any dentist with patients who are undergoing deep sedation, general anesthesia, or moderate sedation to fail to have these patients continuously monitored during the dental procedure with a pulse oximeter or similar or superior monitoring equipment and ventilation continuously monitored using at least two of the three following methods:(1) Auscultation of breath sounds using a precordial stethoscope.(2) Monitoring for the presence of exhaled carbon dioxide with capnography.(3) Verbal communication with a patient under moderate sedation. This method shall not be used for a patient under deep sedation or general anesthesia.(d) Any dentist with patients who are undergoing moderate sedation to have dental office personnel directly involved with the care of those patients who are not certified in basic cardiac life support (CPR) and recertified biennially.(e) (1) Any dentist to fail to obtain the written informed consent of a patient prior to administering moderate sedation, deep sedation, or general anesthesia. In the case of a minor, the consent shall be obtained from the childs parent or guardian.(2) The written informed consent for general anesthesia, in the case of a minor, shall include, but not be limited to, the following information:The administration and monitoring of deep sedation or general anesthesia may vary depending on the type of procedure, the type of practitioner, the age and health of the patient, and the setting in which anesthesia is provided. Risks may vary with each specific situation. You are encouraged to explore all the options available for your childs anesthesia for their dental treatment, and consult with your dentist, family physician, or pediatrician as needed.(3) Nothing in this subdivision shall be construed to establish the reasonable standard of care for administering or monitoring oral moderate sedation, moderate sedation, deep sedation, or general anesthesia.(f) This section shall become operative on January 1, 2022.
1682. In addition to other acts constituting unprofessional conduct under this chapter, it is unprofessional conduct for:(a) Any dentist performing dental procedures to have more than one patient undergoing moderate sedation, deep sedation, or general anesthesia on an outpatient basis at any given time unless each patient is being continuously monitored on a one-to-one ratio while sedated by either the dentist or another licensed health professional authorized by law to administer moderate sedation, deep sedation, or general anesthesia.(b) Any dentist with patients recovering from moderate sedation, deep sedation, or general anesthesia to fail to have the patients closely monitored by licensed health professionals experienced in the care and resuscitation of patients recovering from moderate sedation, deep sedation, or general anesthesia. If one licensed professional is responsible for the recovery care of more than one patient at a time, all of the patients shall be physically in the same room to allow continuous visual contact with all patients and the patient to recovery staff ratio should not exceed three to one.(c) Any dentist with patients who are undergoing deep sedation, general anesthesia, or moderate sedation to fail to have these patients continuously monitored during the dental procedure with a pulse oximeter or similar or superior monitoring equipment and ventilation continuously monitored using at least two of the three following methods:(1) Auscultation of breath sounds using a precordial stethoscope.(2) Monitoring for the presence of exhaled carbon dioxide with capnography.(3) Verbal communication with a patient under moderate sedation. This method shall not be used for a patient under deep sedation or general anesthesia.(d) Any dentist with patients who are undergoing moderate sedation to have dental office personnel directly involved with the care of those patients who are not certified in basic cardiac life support (CPR) and recertified biennially.(e) (1) Any dentist to fail to obtain the written informed consent of a patient prior to administering moderate sedation, deep sedation, or general anesthesia. In the case of a minor, the consent shall be obtained from the childs parent or guardian.(2) The written informed consent for general anesthesia, in the case of a minor, shall include, but not be limited to, the following information:The administration and monitoring of deep sedation or general anesthesia may vary depending on the type of procedure, the type of practitioner, the age and health of the patient, and the setting in which anesthesia is provided. Risks may vary with each specific situation. You are encouraged to explore all the options available for your childs anesthesia for their dental treatment, and consult with your dentist, family physician, or pediatrician as needed.(3) Nothing in this subdivision shall be construed to establish the reasonable standard of care for administering or monitoring oral moderate sedation, moderate sedation, deep sedation, or general anesthesia.(f) This section shall become operative on January 1, 2022.
1682. In addition to other acts constituting unprofessional conduct under this chapter, it is unprofessional conduct for:(a) Any dentist performing dental procedures to have more than one patient undergoing moderate sedation, deep sedation, or general anesthesia on an outpatient basis at any given time unless each patient is being continuously monitored on a one-to-one ratio while sedated by either the dentist or another licensed health professional authorized by law to administer moderate sedation, deep sedation, or general anesthesia.(b) Any dentist with patients recovering from moderate sedation, deep sedation, or general anesthesia to fail to have the patients closely monitored by licensed health professionals experienced in the care and resuscitation of patients recovering from moderate sedation, deep sedation, or general anesthesia. If one licensed professional is responsible for the recovery care of more than one patient at a time, all of the patients shall be physically in the same room to allow continuous visual contact with all patients and the patient to recovery staff ratio should not exceed three to one.(c) Any dentist with patients who are undergoing deep sedation, general anesthesia, or moderate sedation to fail to have these patients continuously monitored during the dental procedure with a pulse oximeter or similar or superior monitoring equipment and ventilation continuously monitored using at least two of the three following methods:(1) Auscultation of breath sounds using a precordial stethoscope.(2) Monitoring for the presence of exhaled carbon dioxide with capnography.(3) Verbal communication with a patient under moderate sedation. This method shall not be used for a patient under deep sedation or general anesthesia.(d) Any dentist with patients who are undergoing moderate sedation to have dental office personnel directly involved with the care of those patients who are not certified in basic cardiac life support (CPR) and recertified biennially.(e) (1) Any dentist to fail to obtain the written informed consent of a patient prior to administering moderate sedation, deep sedation, or general anesthesia. In the case of a minor, the consent shall be obtained from the childs parent or guardian.(2) The written informed consent for general anesthesia, in the case of a minor, shall include, but not be limited to, the following information:The administration and monitoring of deep sedation or general anesthesia may vary depending on the type of procedure, the type of practitioner, the age and health of the patient, and the setting in which anesthesia is provided. Risks may vary with each specific situation. You are encouraged to explore all the options available for your childs anesthesia for their dental treatment, and consult with your dentist, family physician, or pediatrician as needed.(3) Nothing in this subdivision shall be construed to establish the reasonable standard of care for administering or monitoring oral moderate sedation, moderate sedation, deep sedation, or general anesthesia.(f) This section shall become operative on January 1, 2022.
1682. In addition to other acts constituting unprofessional conduct under this chapter, it is unprofessional conduct for:
(a) Any dentist performing dental procedures to have more than one patient undergoing moderate sedation, deep sedation, or general anesthesia on an outpatient basis at any given time unless each patient is being continuously monitored on a one-to-one ratio while sedated by either the dentist or another licensed health professional authorized by law to administer moderate sedation, deep sedation, or general anesthesia.
(b) Any dentist with patients recovering from moderate sedation, deep sedation, or general anesthesia to fail to have the patients closely monitored by licensed health professionals experienced in the care and resuscitation of patients recovering from moderate sedation, deep sedation, or general anesthesia. If one licensed professional is responsible for the recovery care of more than one patient at a time, all of the patients shall be physically in the same room to allow continuous visual contact with all patients and the patient to recovery staff ratio should not exceed three to one.
(c) Any dentist with patients who are undergoing deep sedation, general anesthesia, or moderate sedation to fail to have these patients continuously monitored during the dental procedure with a pulse oximeter or similar or superior monitoring equipment and ventilation continuously monitored using at least two of the three following methods:
(1) Auscultation of breath sounds using a precordial stethoscope.
(2) Monitoring for the presence of exhaled carbon dioxide with capnography.
(3) Verbal communication with a patient under moderate sedation. This method shall not be used for a patient under deep sedation or general anesthesia.
(d) Any dentist with patients who are undergoing moderate sedation to have dental office personnel directly involved with the care of those patients who are not certified in basic cardiac life support (CPR) and recertified biennially.
(e) (1) Any dentist to fail to obtain the written informed consent of a patient prior to administering moderate sedation, deep sedation, or general anesthesia. In the case of a minor, the consent shall be obtained from the childs parent or guardian.
(2) The written informed consent for general anesthesia, in the case of a minor, shall include, but not be limited to, the following information:
The administration and monitoring of deep sedation or general anesthesia may vary depending on the type of procedure, the type of practitioner, the age and health of the patient, and the setting in which anesthesia is provided. Risks may vary with each specific situation. You are encouraged to explore all the options available for your childs anesthesia for their dental treatment, and consult with your dentist, family physician, or pediatrician as needed.
(3) Nothing in this subdivision shall be construed to establish the reasonable standard of care for administering or monitoring oral moderate sedation, moderate sedation, deep sedation, or general anesthesia.
(f) This section shall become operative on January 1, 2022.
SEC. 4. Section 2746.2 of the Business and Professions Code is amended to read:2746.2. Each applicant shall show by evidence satisfactory to the board that they have met the educational standards established by the board or have at least the equivalent thereof. The board is authorized to appoint a committee of qualified physicians and nurses, including, but not limited to, obstetricians, family physicians, obstetricians and nurse-midwives, to develop the necessary standards relating to educational requirements, ratios of nurse-midwives to supervising physicians, and associated matters. The committee may also include family physicians.
SEC. 4. Section 2746.2 of the Business and Professions Code is amended to read:
### SEC. 4.
2746.2. Each applicant shall show by evidence satisfactory to the board that they have met the educational standards established by the board or have at least the equivalent thereof. The board is authorized to appoint a committee of qualified physicians and nurses, including, but not limited to, obstetricians, family physicians, obstetricians and nurse-midwives, to develop the necessary standards relating to educational requirements, ratios of nurse-midwives to supervising physicians, and associated matters. The committee may also include family physicians.
2746.2. Each applicant shall show by evidence satisfactory to the board that they have met the educational standards established by the board or have at least the equivalent thereof. The board is authorized to appoint a committee of qualified physicians and nurses, including, but not limited to, obstetricians, family physicians, obstetricians and nurse-midwives, to develop the necessary standards relating to educational requirements, ratios of nurse-midwives to supervising physicians, and associated matters. The committee may also include family physicians.
2746.2. Each applicant shall show by evidence satisfactory to the board that they have met the educational standards established by the board or have at least the equivalent thereof. The board is authorized to appoint a committee of qualified physicians and nurses, including, but not limited to, obstetricians, family physicians, obstetricians and nurse-midwives, to develop the necessary standards relating to educational requirements, ratios of nurse-midwives to supervising physicians, and associated matters. The committee may also include family physicians.
2746.2. Each applicant shall show by evidence satisfactory to the board that they have met the educational standards established by the board or have at least the equivalent thereof. The board is authorized to appoint a committee of qualified physicians and nurses, including, but not limited to, obstetricians, family physicians, obstetricians and nurse-midwives, to develop the necessary standards relating to educational requirements, ratios of nurse-midwives to supervising physicians, and associated matters. The committee may also include family physicians.
SEC. 5. Section 151001 of the Health and Safety Code is amended to read:151001. For purposes of this division, the following definitions shall apply:(a) Age appropriate means topics, messages, and teaching methods suitable to particular ages or age groups of children and adolescents, based on developing cognitive, emotional, and behavioral capacity typical for the age or age group.(b) A sexual health education program means a program that provides instruction or information to prevent adolescent pregnancy, unintended pregnancy, or sexually transmitted diseases, including HIV, that is conducted, operated, or administered by any state agency, is funded directly or indirectly by the state, or receives any financial assistance from state funds or funds administered by a state agency, but does not include any program offered by a school district, a county superintendent of schools, or a community college district.(c) Medically accurate means verified or supported by research conducted in compliance with scientific methods and published in peer review journals, when appropriate, and recognized as accurate and objective by professional organizations and agencies with expertise in the relevant field, including, but not limited to, the federal Centers for Disease Control and Prevention, the American Public Health Association, the Society for Adolescent Medicine, the American Academy of Family Physicians, the American Academy of Pediatrics, and the American College of Obstetricians and Gynecologists.
SEC. 5. Section 151001 of the Health and Safety Code is amended to read:
### SEC. 5.
151001. For purposes of this division, the following definitions shall apply:(a) Age appropriate means topics, messages, and teaching methods suitable to particular ages or age groups of children and adolescents, based on developing cognitive, emotional, and behavioral capacity typical for the age or age group.(b) A sexual health education program means a program that provides instruction or information to prevent adolescent pregnancy, unintended pregnancy, or sexually transmitted diseases, including HIV, that is conducted, operated, or administered by any state agency, is funded directly or indirectly by the state, or receives any financial assistance from state funds or funds administered by a state agency, but does not include any program offered by a school district, a county superintendent of schools, or a community college district.(c) Medically accurate means verified or supported by research conducted in compliance with scientific methods and published in peer review journals, when appropriate, and recognized as accurate and objective by professional organizations and agencies with expertise in the relevant field, including, but not limited to, the federal Centers for Disease Control and Prevention, the American Public Health Association, the Society for Adolescent Medicine, the American Academy of Family Physicians, the American Academy of Pediatrics, and the American College of Obstetricians and Gynecologists.
151001. For purposes of this division, the following definitions shall apply:(a) Age appropriate means topics, messages, and teaching methods suitable to particular ages or age groups of children and adolescents, based on developing cognitive, emotional, and behavioral capacity typical for the age or age group.(b) A sexual health education program means a program that provides instruction or information to prevent adolescent pregnancy, unintended pregnancy, or sexually transmitted diseases, including HIV, that is conducted, operated, or administered by any state agency, is funded directly or indirectly by the state, or receives any financial assistance from state funds or funds administered by a state agency, but does not include any program offered by a school district, a county superintendent of schools, or a community college district.(c) Medically accurate means verified or supported by research conducted in compliance with scientific methods and published in peer review journals, when appropriate, and recognized as accurate and objective by professional organizations and agencies with expertise in the relevant field, including, but not limited to, the federal Centers for Disease Control and Prevention, the American Public Health Association, the Society for Adolescent Medicine, the American Academy of Family Physicians, the American Academy of Pediatrics, and the American College of Obstetricians and Gynecologists.
151001. For purposes of this division, the following definitions shall apply:(a) Age appropriate means topics, messages, and teaching methods suitable to particular ages or age groups of children and adolescents, based on developing cognitive, emotional, and behavioral capacity typical for the age or age group.(b) A sexual health education program means a program that provides instruction or information to prevent adolescent pregnancy, unintended pregnancy, or sexually transmitted diseases, including HIV, that is conducted, operated, or administered by any state agency, is funded directly or indirectly by the state, or receives any financial assistance from state funds or funds administered by a state agency, but does not include any program offered by a school district, a county superintendent of schools, or a community college district.(c) Medically accurate means verified or supported by research conducted in compliance with scientific methods and published in peer review journals, when appropriate, and recognized as accurate and objective by professional organizations and agencies with expertise in the relevant field, including, but not limited to, the federal Centers for Disease Control and Prevention, the American Public Health Association, the Society for Adolescent Medicine, the American Academy of Family Physicians, the American Academy of Pediatrics, and the American College of Obstetricians and Gynecologists.
151001. For purposes of this division, the following definitions shall apply:
(a) Age appropriate means topics, messages, and teaching methods suitable to particular ages or age groups of children and adolescents, based on developing cognitive, emotional, and behavioral capacity typical for the age or age group.
(b) A sexual health education program means a program that provides instruction or information to prevent adolescent pregnancy, unintended pregnancy, or sexually transmitted diseases, including HIV, that is conducted, operated, or administered by any state agency, is funded directly or indirectly by the state, or receives any financial assistance from state funds or funds administered by a state agency, but does not include any program offered by a school district, a county superintendent of schools, or a community college district.
(c) Medically accurate means verified or supported by research conducted in compliance with scientific methods and published in peer review journals, when appropriate, and recognized as accurate and objective by professional organizations and agencies with expertise in the relevant field, including, but not limited to, the federal Centers for Disease Control and Prevention, the American Public Health Association, the Society for Adolescent Medicine, the American Academy of Family Physicians, the American Academy of Pediatrics, and the American College of Obstetricians and Gynecologists.
SEC. 6. Section 1308.8 of the Labor Code is amended to read:1308.8. (a) No infant under the age of one month may be employed on any motion picture set or location unless a licensed physician and surgeon who is board certified in either pediatrics or family medicine provides written certification that the infant is at least 15 days old and, in their medical opinion, the infant was carried to full term, was of normal birth weight, is physically capable of handling the stress of filmmaking, and the infants lungs, eyes, heart, and immune system are sufficiently developed to withstand the potential risks.(b) Any parent, guardian, or employer of a minor, and any officer or agent of an employer of a minor, who directly or indirectly violates subdivision (a), or who causes or suffers a violation of subdivision (a), with respect to that minor, is guilty of a misdemeanor punishable by a fine of not less than two thousand five hundred dollars ($2,500) nor more than five thousand dollars ($5,000), by imprisonment in the county jail for not more than 60 days, or by both that fine and imprisonment.
SEC. 6. Section 1308.8 of the Labor Code is amended to read:
### SEC. 6.
1308.8. (a) No infant under the age of one month may be employed on any motion picture set or location unless a licensed physician and surgeon who is board certified in either pediatrics or family medicine provides written certification that the infant is at least 15 days old and, in their medical opinion, the infant was carried to full term, was of normal birth weight, is physically capable of handling the stress of filmmaking, and the infants lungs, eyes, heart, and immune system are sufficiently developed to withstand the potential risks.(b) Any parent, guardian, or employer of a minor, and any officer or agent of an employer of a minor, who directly or indirectly violates subdivision (a), or who causes or suffers a violation of subdivision (a), with respect to that minor, is guilty of a misdemeanor punishable by a fine of not less than two thousand five hundred dollars ($2,500) nor more than five thousand dollars ($5,000), by imprisonment in the county jail for not more than 60 days, or by both that fine and imprisonment.
1308.8. (a) No infant under the age of one month may be employed on any motion picture set or location unless a licensed physician and surgeon who is board certified in either pediatrics or family medicine provides written certification that the infant is at least 15 days old and, in their medical opinion, the infant was carried to full term, was of normal birth weight, is physically capable of handling the stress of filmmaking, and the infants lungs, eyes, heart, and immune system are sufficiently developed to withstand the potential risks.(b) Any parent, guardian, or employer of a minor, and any officer or agent of an employer of a minor, who directly or indirectly violates subdivision (a), or who causes or suffers a violation of subdivision (a), with respect to that minor, is guilty of a misdemeanor punishable by a fine of not less than two thousand five hundred dollars ($2,500) nor more than five thousand dollars ($5,000), by imprisonment in the county jail for not more than 60 days, or by both that fine and imprisonment.
1308.8. (a) No infant under the age of one month may be employed on any motion picture set or location unless a licensed physician and surgeon who is board certified in either pediatrics or family medicine provides written certification that the infant is at least 15 days old and, in their medical opinion, the infant was carried to full term, was of normal birth weight, is physically capable of handling the stress of filmmaking, and the infants lungs, eyes, heart, and immune system are sufficiently developed to withstand the potential risks.(b) Any parent, guardian, or employer of a minor, and any officer or agent of an employer of a minor, who directly or indirectly violates subdivision (a), or who causes or suffers a violation of subdivision (a), with respect to that minor, is guilty of a misdemeanor punishable by a fine of not less than two thousand five hundred dollars ($2,500) nor more than five thousand dollars ($5,000), by imprisonment in the county jail for not more than 60 days, or by both that fine and imprisonment.
1308.8. (a) No infant under the age of one month may be employed on any motion picture set or location unless a licensed physician and surgeon who is board certified in either pediatrics or family medicine provides written certification that the infant is at least 15 days old and, in their medical opinion, the infant was carried to full term, was of normal birth weight, is physically capable of handling the stress of filmmaking, and the infants lungs, eyes, heart, and immune system are sufficiently developed to withstand the potential risks.
(b) Any parent, guardian, or employer of a minor, and any officer or agent of an employer of a minor, who directly or indirectly violates subdivision (a), or who causes or suffers a violation of subdivision (a), with respect to that minor, is guilty of a misdemeanor punishable by a fine of not less than two thousand five hundred dollars ($2,500) nor more than five thousand dollars ($5,000), by imprisonment in the county jail for not more than 60 days, or by both that fine and imprisonment.
SEC. 7. Section 13776 of the Penal Code is amended to read:13776. The following definitions apply for the purposes of this title:(a) Anti-reproductive-rights crime means a crime committed partly or wholly because the victim is a reproductive health services client, provider, or assistant, or a crime that is partly or wholly intended to intimidate the victim, any other person or entity, or any class of persons or entities from becoming or remaining a reproductive health services client, provider, or assistant. Anti-reproductive-rights crime includes, but is not limited to, a violation of subdivision (a) or (c) of Section 423.2.(b) Subject matter experts includes, but is not limited to, the Commission on the Status of Women and Girls, law enforcement agencies experienced with anti-reproductive-rights crimes, including the Attorney General and the Department of Justice, and organizations such as the American Civil Liberties Union, the American College of Obstetricians and Gynecologists, the American Academy of Family Physicians, the California Council of Churches, the California Medical Association, the Feminist Majority Foundation, NARAL Pro-Choice California, the National Abortion Federation, the California National Organization for Women, the Planned Parenthood Federation of America, Planned Parenthood Affiliates of California, and the Womens Health Specialists clinic that represent reproductive health services clients, providers, and assistants.(c) Crime of violence, nonviolent, reproductive health services; reproductive health services client, provider, or assistant; and reproductive health services facility each has the same meaning as set forth in Section 423.1.
SEC. 7. Section 13776 of the Penal Code is amended to read:
### SEC. 7.
13776. The following definitions apply for the purposes of this title:(a) Anti-reproductive-rights crime means a crime committed partly or wholly because the victim is a reproductive health services client, provider, or assistant, or a crime that is partly or wholly intended to intimidate the victim, any other person or entity, or any class of persons or entities from becoming or remaining a reproductive health services client, provider, or assistant. Anti-reproductive-rights crime includes, but is not limited to, a violation of subdivision (a) or (c) of Section 423.2.(b) Subject matter experts includes, but is not limited to, the Commission on the Status of Women and Girls, law enforcement agencies experienced with anti-reproductive-rights crimes, including the Attorney General and the Department of Justice, and organizations such as the American Civil Liberties Union, the American College of Obstetricians and Gynecologists, the American Academy of Family Physicians, the California Council of Churches, the California Medical Association, the Feminist Majority Foundation, NARAL Pro-Choice California, the National Abortion Federation, the California National Organization for Women, the Planned Parenthood Federation of America, Planned Parenthood Affiliates of California, and the Womens Health Specialists clinic that represent reproductive health services clients, providers, and assistants.(c) Crime of violence, nonviolent, reproductive health services; reproductive health services client, provider, or assistant; and reproductive health services facility each has the same meaning as set forth in Section 423.1.
13776. The following definitions apply for the purposes of this title:(a) Anti-reproductive-rights crime means a crime committed partly or wholly because the victim is a reproductive health services client, provider, or assistant, or a crime that is partly or wholly intended to intimidate the victim, any other person or entity, or any class of persons or entities from becoming or remaining a reproductive health services client, provider, or assistant. Anti-reproductive-rights crime includes, but is not limited to, a violation of subdivision (a) or (c) of Section 423.2.(b) Subject matter experts includes, but is not limited to, the Commission on the Status of Women and Girls, law enforcement agencies experienced with anti-reproductive-rights crimes, including the Attorney General and the Department of Justice, and organizations such as the American Civil Liberties Union, the American College of Obstetricians and Gynecologists, the American Academy of Family Physicians, the California Council of Churches, the California Medical Association, the Feminist Majority Foundation, NARAL Pro-Choice California, the National Abortion Federation, the California National Organization for Women, the Planned Parenthood Federation of America, Planned Parenthood Affiliates of California, and the Womens Health Specialists clinic that represent reproductive health services clients, providers, and assistants.(c) Crime of violence, nonviolent, reproductive health services; reproductive health services client, provider, or assistant; and reproductive health services facility each has the same meaning as set forth in Section 423.1.
13776. The following definitions apply for the purposes of this title:(a) Anti-reproductive-rights crime means a crime committed partly or wholly because the victim is a reproductive health services client, provider, or assistant, or a crime that is partly or wholly intended to intimidate the victim, any other person or entity, or any class of persons or entities from becoming or remaining a reproductive health services client, provider, or assistant. Anti-reproductive-rights crime includes, but is not limited to, a violation of subdivision (a) or (c) of Section 423.2.(b) Subject matter experts includes, but is not limited to, the Commission on the Status of Women and Girls, law enforcement agencies experienced with anti-reproductive-rights crimes, including the Attorney General and the Department of Justice, and organizations such as the American Civil Liberties Union, the American College of Obstetricians and Gynecologists, the American Academy of Family Physicians, the California Council of Churches, the California Medical Association, the Feminist Majority Foundation, NARAL Pro-Choice California, the National Abortion Federation, the California National Organization for Women, the Planned Parenthood Federation of America, Planned Parenthood Affiliates of California, and the Womens Health Specialists clinic that represent reproductive health services clients, providers, and assistants.(c) Crime of violence, nonviolent, reproductive health services; reproductive health services client, provider, or assistant; and reproductive health services facility each has the same meaning as set forth in Section 423.1.
13776. The following definitions apply for the purposes of this title:
(a) Anti-reproductive-rights crime means a crime committed partly or wholly because the victim is a reproductive health services client, provider, or assistant, or a crime that is partly or wholly intended to intimidate the victim, any other person or entity, or any class of persons or entities from becoming or remaining a reproductive health services client, provider, or assistant. Anti-reproductive-rights crime includes, but is not limited to, a violation of subdivision (a) or (c) of Section 423.2.
(b) Subject matter experts includes, but is not limited to, the Commission on the Status of Women and Girls, law enforcement agencies experienced with anti-reproductive-rights crimes, including the Attorney General and the Department of Justice, and organizations such as the American Civil Liberties Union, the American College of Obstetricians and Gynecologists, the American Academy of Family Physicians, the California Council of Churches, the California Medical Association, the Feminist Majority Foundation, NARAL Pro-Choice California, the National Abortion Federation, the California National Organization for Women, the Planned Parenthood Federation of America, Planned Parenthood Affiliates of California, and the Womens Health Specialists clinic that represent reproductive health services clients, providers, and assistants.
(c) Crime of violence, nonviolent, reproductive health services; reproductive health services client, provider, or assistant; and reproductive health services facility each has the same meaning as set forth in Section 423.1.