California 2021-2022 Regular Session

California Assembly Bill AB2685 Compare Versions

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1-Assembly Bill No. 2685 CHAPTER 414An act to amend Sections 101, 3612, 3613, 3621, 3626, 3631, 3635, 3651, and 3686 of the Business and Professions Code, relating to healing arts. [ Approved by Governor September 18, 2022. Filed with Secretary of State September 18, 2022. ] LEGISLATIVE COUNSEL'S DIGESTAB 2685, Committee on Business and Professions. Naturopathic Doctors Act: California Board of Naturopathic Medicine and licensing requirements.Existing law, the Naturopathic Doctors Act, establishes the Naturopathic Medicine Committee within the Osteopathic Medical Board of California for the licensure and regulation of naturopathic doctors. Existing law repeals the act on January 1, 2023.This bill would rename the Naturopathic Medicine Committee as the California Board of Naturopathic Medicine and would place the board within the Department of Consumer Affairs. The bill would specify that any reference in any law or regulation to the Bureau of Naturopathic Medicine or the Naturopathic Medicine Committee refers to the California Board of Naturopathic Medicine. The bill would prohibit the board from incurring any costs as a result of its name change beyond what is absorbable within existing resources.Existing law requires the committee to consist of 9 members, including 7 professional members appointed by the Governor, one public member appointed by the Senate Committee on Rules, and one public member appointed by the Speaker of the Assembly. Existing law prohibits the appointment of a person as a public member if the person or the persons immediate family in any manner owns an interest in a college, school, or institution engaged in naturopathic education, or the person or the persons immediate family has an economic interest in naturopathy or has any other conflict of interest. Existing law defines immediate family for this purpose to mean the public members spouse, parents, children, or their childrens spouses.This bill would specify that each appointing authority for the board has the power to remove from office at any time a member of the board appointed by that authority for continued neglect of duties required by law, incompetence, or unprofessional or dishonorable conduct. The bill would revise the definition of immediate family for purposes of the above-described conflict-of-interest provision to include the public members domestic partner and the domestic partners of the public members children.Existing law authorizes the committee to employ other officers and employees as necessary to discharge the committees duties.This bill would require the board to employ a full-time staff position whose responsibilities would include enforcement against violations of the act. The bill would require the position to be under the direction of the executive officer.Existing law requires an applicant for licensure to pass the Naturopathic Physicians Licensing Examination (NPLEX) or an equivalent examination approved by the North American Board of Naturopathic Examiners. Existing law authorizes the committee, in the absence of an examination approved by the North American Board of Naturopathic Examiners, to administer a substantially equivalent examination.This bill would authorize the board to additionally require an applicant to pass any NPLEX elective examinations relevant to a licensees scope of practice in California.Existing law further requires an applicant for licensure to complete continuing education requirements biennially and authorizes those requirements to be met through continuing education courses approved by the committee, the California Naturopathic Doctors Association, or various other entities, or through other courses that meet the continuing education standards for licensed physicians and surgeons in California.This bill would also authorize those continuing education requirements to be met through courses approved by the North American Naturopathic Continuing Education Accreditation Council.Existing law requires a naturopathic doctor, in order to be certified for the specialty practice of naturopathic childbirth attendance, to obtain a passing grade on the American College of Nurse Midwives Written Examination, or a substantially equivalent examination approved by the committee, in addition to complying with other educational requirements.This bill would include the American Naturopathic Obstetricians examination within the above-described examinations required for that specialty practice certification.This bill would extend the operation of the act until January 1, 2027, and would also make nonsubstantive changes to those provisions. 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. Section 101 of the Business and Professions Code is amended to read:101. The department is comprised of the following:(a) The Dental Board of California.(b) The Medical Board of California.(c) The California State Board of Optometry.(d) The California State Board of Pharmacy.(e) The Veterinary Medical Board.(f) The California Board of Accountancy.(g) The California Architects Board.(h) The State Board of Barbering and Cosmetology.(i) The Board for Professional Engineers, Land Surveyors, and Geologists.(j) The Contractors State License Board.(k) The Bureau for Private Postsecondary Education.(l) The Bureau of Household Goods and Services.(m) The Board of Registered Nursing.(n) The Board of Behavioral Sciences.(o) The State Athletic Commission.(p) The Cemetery and Funeral Bureau.(q) The Bureau of Security and Investigative Services.(r) The Court Reporters Board of California.(s) The Board of Vocational Nursing and Psychiatric Technicians.(t) The Landscape Architects Technical Committee.(u) The Division of Investigation.(v) The Bureau of Automotive Repair.(w) The Respiratory Care Board of California.(x) The Acupuncture Board.(y) The Board of Psychology.(z) The Podiatric Medical Board of California.(aa) The Physical Therapy Board of California.(ab) The Arbitration Review Program.(ac) The Physician Assistant Board.(ad) The Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board.(ae) The California Board of Occupational Therapy.(af) The Osteopathic Medical Board of California.(ag) The California Board of Naturopathic Medicine.(ah) The Dental Hygiene Board of California.(ai) The Professional Fiduciaries Bureau.(aj) The State Board of Chiropractic Examiners.(ak) The Bureau of Real Estate Appraisers.(al) The Structural Pest Control Board.(am) Any other boards, offices, or officers subject to its jurisdiction by law.SEC. 2. Section 3612 of the Business and Professions Code is amended to read:3612. The California Board of Naturopathic Medicine is hereby created within the Department of Consumer Affairs.SEC. 3. Section 3613 of the Business and Professions Code is amended to read:3613. The following definitions apply for the purposes of this chapter:(a) Board means the California Board of Naturopathic Medicine. Any reference in any law or regulation to the Bureau of Naturopathic Medicine or the Naturopathic Medicine Committee shall be deemed to refer to the California Board of Naturopathic Medicine.(b) Naturopathic childbirth attendance means the specialty practice of natural childbirth by a naturopathic doctor that includes the management of normal pregnancy, normal labor and delivery, and the normal postpartum period, including normal newborn care.(c) Naturopathic medicine means a distinct and comprehensive system of primary health care practiced by a naturopathic doctor for the diagnosis, treatment, and prevention of human health conditions, injuries, and disease.(d) Naturopathic doctor means a person who holds an active license issued pursuant to this chapter.(e) Naturopathy means a noninvasive system of health practice that employs natural health modalities, substances, and education to promote health.(f) Drug means any substance defined as a drug by Section 11014 of the Health and Safety Code.(g) Naturopathic assistant means a person who may be unlicensed, who performs basic administrative, clerical, and technical supportive services in compliance with this chapter for a licensed naturopathic doctor or naturopathic corporation and who is at least 18 years of age, and who has had at least the minimum amount of hours of appropriate training pursuant to standards established by the Medical Board of California for a medical assistant pursuant to Section 2069. The naturopathic assistant shall be issued a certificate by the training institution or instructor indicating satisfactory completion of the required training. A copy of the certificate shall be retained as a record by each employer or the naturopathic assistant.(h) Naturopathic technical supportive services means simple routine medical tasks and procedures that may be safely performed by a naturopathic assistant who has limited training and who functions under the supervision of a licensed naturopathic doctor.(i) Specific authorization means a specific written order prepared by the supervising naturopathic doctor authorizing the procedures to be performed on a patient, which shall be placed in the patients medical record, or a standing order prepared by the supervising naturopathic doctor authorizing the procedures to be performed. A notation of the standing order shall be placed on the patients medical record.(j) Supervision means the supervision of procedures authorized under this section or Section 3640.2 by a naturopathic doctor, within their scope of practice, who is physically present in the treatment facility during the performance of those procedures.SEC. 4. Section 3621 of the Business and Professions Code is amended to read:3621. (a) The board shall consist of nine members, consisting of seven members appointed by the Governor, one public member appointed by the Senate Committee on Rules, and one public member appointed by the Speaker of the Assembly. Members of the board shall include five members who are California-licensed naturopathic doctors, two members who are California-licensed physicians and surgeons, and two public members.(b) A member of the board shall be appointed for a four-year term. A person shall not serve as a member of the board for more than two consecutive terms. A member shall hold office until the appointment and qualification of the members successor, or until one year from the expiration of the term for which the member was appointed, whichever first occurs. Vacancies shall be filled by appointment for unexpired terms.(c) (1) A public member of the board shall be a resident of this state for at least five years preceding the public members appointment.(2) A person shall not be appointed as a public member if the person or the persons immediate family in any manner owns an interest in a college, school, or institution engaged in naturopathic education, or the person or the persons immediate family has an economic interest in naturopathy or has any other conflict of interest. Immediate family means the public members spouse, domestic partner, parents, children, or childrens spouses or domestic partners.(d) Each member of the board shall receive a per diem and expenses as provided in Section 103.(e) The board may appoint a person exempt from civil service who shall be designated as an executive officer and who shall exercise the powers and perform the duties delegated by the board and vested in the executive officer by this chapter.(f) Each appointing authority has power to remove from office at any time any member of the board appointed by that authority pursuant to Section 106.SEC. 5. Section 3626 of the Business and Professions Code is amended to read:3626. (a) The board may employ other officers and employees as necessary to discharge the duties of the board.(b) The board shall employ a full-time staff position whose responsibilities shall include enforcement against violations of this chapter. This position shall be under the direction of the executive officer.(c) The board shall not incur any costs as a result of changing the name of the Naturopathic Medicine Committee to the California Board of Naturopathic Medicine, as described in Sections 3612 and 3613, beyond what is absorbable within existing resources.SEC. 6. Section 3631 of the Business and Professions Code is amended to read:3631. (a) An applicant for licensure shall pass the Naturopathic Physicians Licensing Examination (NPLEX) or an equivalent examination approved by the North American Board of Naturopathic Examiners.(b) In the absence of an examination approved by the North American Board of Naturopathic Examiners, the board may administer a substantially equivalent examination.(c) The board may additionally require an applicant to pass any NPLEX elective examinations relevant to a licensees scope of practice in California.SEC. 7. Section 3635 of the Business and Professions Code is amended to read:3635. (a) In addition to any other qualifications and requirements for licensure renewal, the board shall require the satisfactory completion of 60 hours of approved continuing education biennially. This requirement is waived for the initial license renewal. The continuing education shall meet the following requirements:(1) At least 20 hours shall be in pharmacotherapeutics.(2) No more than 15 hours may be in naturopathic medical journals or osteopathic or allopathic medical journals, or audio or videotaped presentations, slides, programmed instruction, or computer-assisted instruction or preceptorships.(3) No more than 20 hours may be in any single topic.(4) No more than 15 hours of the continuing education requirements for the specialty certificate in naturopathic childbirth attendance shall apply to the 60 hours of continuing education requirement.(5) Course content shall pertain to the practice of naturopathic, osteopathic, or allopathic medicine.(b) The continuing education requirements of this section may be met through continuing education courses approved by the board, the California Naturopathic Doctors Association, the North American Naturopathic Continuing Education Accreditation Council, the American Association of Naturopathic Physicians, the California State Board of Pharmacy, or the State Board of Chiropractic Examiners, or other courses that meet the standards for continuing education for licensed physicians and surgeons in California. All continuing education providers shall comply with Section 3635.2. Continuing education providers shall submit an annual declaration to the board that their educational activities satisfy the requirements described in Section 3635.2 and the board shall maintain a list of these providers on its internet website.SEC. 8. Section 3651 of the Business and Professions Code is amended to read:3651. In order to be certified for the specialty practice of naturopathic childbirth attendance, a naturopathic doctor shall obtain a passing grade on the American College of Nurse Midwives Written Examination, the American College of Naturopathic Obstetricians Examination, or a substantially equivalent examination approved by the board, and shall establish, to the boards satisfaction, compliance with one of the following requirements:(a) Successful completion of a certificate of midwifery or naturopathic obstetrics specialty from an approved naturopathic medical education program consisting of not less than 84 semester units or 126 quarter units that substantially complies with the following educational standards and requirements:(1) The curriculum is presented in semester or quarter units under the following formula:(A) One hour of instruction in theory each week throughout a semester or quarter equals one unit.(B) Three hours of clinical practice each week throughout a semester or quarter equals one unit.(2) The program provides both academic and clinical preparation that is substantially equivalent to that provided in a program accredited by the American College of Nurse Midwives. The program includes, but is not limited to, preparation in all of the following areas:(A) The art and science of midwifery, one-half of which shall be in theory and one-half of which shall be in clinical practice. Theory and clinical practice shall be concurrent in the areas of maternal and child health, including, but not limited to, labor and delivery, neonatal well care, and postpartum care.(B) Communications skills that include the principles of oral, written, and group communications.(C) Anatomy and physiology, genetics, obstetrics and gynecology, embryology and fetal development, neonatology, applied microbiology, chemistry, child growth and development, pharmacology, nutrition, laboratory diagnostic tests and procedures, and physical assessment.(D) Concepts in psychosocial, emotional, and cultural aspects of maternal and child care, human sexuality, counseling and teaching, maternal and infant and family bonding process, breast feeding, family planning, principles of preventive health, and community health.(E) Aspects of the normal pregnancy, labor and delivery, postpartum period, newborn care, family planning, or routine gynecological care in alternative birth centers, homes, and hospitals.(3) The program integrates the following subjects throughout its entire curriculum:(A) Midwifery process.(B) Basic intervention skills in preventive, remedial, and supportive midwifery.(C) The knowledge and skills required to develop collegial relationships with health care providers from other disciplines.(D) Related behavioral and social sciences with emphasis on societal and cultural patterns, human development, and behavior related to maternal and child health, illness, and wellness.(4) Instruction in personal hygiene, client abuse, cultural diversity, and the legal, social, and ethical aspects of midwifery.(5) Instruction in the midwifery management process which shall include all of the following:(A) Obtaining or updating a defined and relevant database for assessment of the health status of the client.(B) Identifying problems based upon correct interpretation of the database.(C) Preparing a defined needs or problem list, or both, with corroboration from the client.(D) Consulting, collaborating with, and referring to, appropriate members of the health care team.(E) Providing information to enable clients to make appropriate decisions and to assume appropriate responsibility for their own health.(F) Assuming direct responsibility for the development of comprehensive, supportive care for the client and with the client.(G) Assuming direct responsibility for implementing the plan of care.(H) Initiating appropriate measures for obstetrical and neonatal emergencies.(I) Evaluating, with corroboration from the client, the achievement of health care goals and modifying the plan of care appropriately.(b) Successful completion of an educational program that the board has determined satisfies the criteria of subdivision (a) and current licensure as a midwife by a state with licensing standards that have been found by the board to be substantially equivalent to those adopted by the board pursuant to this article.SEC. 9. Section 3686 of the Business and Professions Code is amended to read:3686. This chapter shall remain in effect only until January 1, 2027, and as of that date is repealed.
1+Enrolled September 02, 2022 Passed IN Senate August 23, 2022 Passed IN Assembly August 31, 2022 Amended IN Senate August 11, 2022 Amended IN Senate June 16, 2022 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 2685Introduced by Committee on Business and Professions (Assembly Members Berman (Chair), Flora (Vice Chair), Alvarez, Mia Bonta, Chen, Cunningham, Megan Dahle, Fong, Gipson, Grayson, Irwin, Lee, McCarty, McKinnor, Medina, Salas, Ting, and Akilah Weber)February 18, 2022An act to amend Sections 101, 3612, 3613, 3621, 3626, 3631, 3635, 3651, and 3686 of the Business and Professions Code, relating to healing arts.LEGISLATIVE COUNSEL'S DIGESTAB 2685, Committee on Business and Professions. Naturopathic Doctors Act: California Board of Naturopathic Medicine and licensing requirements.Existing law, the Naturopathic Doctors Act, establishes the Naturopathic Medicine Committee within the Osteopathic Medical Board of California for the licensure and regulation of naturopathic doctors. Existing law repeals the act on January 1, 2023.This bill would rename the Naturopathic Medicine Committee as the California Board of Naturopathic Medicine and would place the board within the Department of Consumer Affairs. The bill would specify that any reference in any law or regulation to the Bureau of Naturopathic Medicine or the Naturopathic Medicine Committee refers to the California Board of Naturopathic Medicine. The bill would prohibit the board from incurring any costs as a result of its name change beyond what is absorbable within existing resources.Existing law requires the committee to consist of 9 members, including 7 professional members appointed by the Governor, one public member appointed by the Senate Committee on Rules, and one public member appointed by the Speaker of the Assembly. Existing law prohibits the appointment of a person as a public member if the person or the persons immediate family in any manner owns an interest in a college, school, or institution engaged in naturopathic education, or the person or the persons immediate family has an economic interest in naturopathy or has any other conflict of interest. Existing law defines immediate family for this purpose to mean the public members spouse, parents, children, or their childrens spouses.This bill would specify that each appointing authority for the board has the power to remove from office at any time a member of the board appointed by that authority for continued neglect of duties required by law, incompetence, or unprofessional or dishonorable conduct. The bill would revise the definition of immediate family for purposes of the above-described conflict-of-interest provision to include the public members domestic partner and the domestic partners of the public members children.Existing law authorizes the committee to employ other officers and employees as necessary to discharge the committees duties.This bill would require the board to employ a full-time staff position whose responsibilities would include enforcement against violations of the act. The bill would require the position to be under the direction of the executive officer.Existing law requires an applicant for licensure to pass the Naturopathic Physicians Licensing Examination (NPLEX) or an equivalent examination approved by the North American Board of Naturopathic Examiners. Existing law authorizes the committee, in the absence of an examination approved by the North American Board of Naturopathic Examiners, to administer a substantially equivalent examination.This bill would authorize the board to additionally require an applicant to pass any NPLEX elective examinations relevant to a licensees scope of practice in California.Existing law further requires an applicant for licensure to complete continuing education requirements biennially and authorizes those requirements to be met through continuing education courses approved by the committee, the California Naturopathic Doctors Association, or various other entities, or through other courses that meet the continuing education standards for licensed physicians and surgeons in California.This bill would also authorize those continuing education requirements to be met through courses approved by the North American Naturopathic Continuing Education Accreditation Council.Existing law requires a naturopathic doctor, in order to be certified for the specialty practice of naturopathic childbirth attendance, to obtain a passing grade on the American College of Nurse Midwives Written Examination, or a substantially equivalent examination approved by the committee, in addition to complying with other educational requirements.This bill would include the American Naturopathic Obstetricians examination within the above-described examinations required for that specialty practice certification.This bill would extend the operation of the act until January 1, 2027, and would also make nonsubstantive changes to those provisions. 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. Section 101 of the Business and Professions Code is amended to read:101. The department is comprised of the following:(a) The Dental Board of California.(b) The Medical Board of California.(c) The California State Board of Optometry.(d) The California State Board of Pharmacy.(e) The Veterinary Medical Board.(f) The California Board of Accountancy.(g) The California Architects Board.(h) The State Board of Barbering and Cosmetology.(i) The Board for Professional Engineers, Land Surveyors, and Geologists.(j) The Contractors State License Board.(k) The Bureau for Private Postsecondary Education.(l) The Bureau of Household Goods and Services.(m) The Board of Registered Nursing.(n) The Board of Behavioral Sciences.(o) The State Athletic Commission.(p) The Cemetery and Funeral Bureau.(q) The Bureau of Security and Investigative Services.(r) The Court Reporters Board of California.(s) The Board of Vocational Nursing and Psychiatric Technicians.(t) The Landscape Architects Technical Committee.(u) The Division of Investigation.(v) The Bureau of Automotive Repair.(w) The Respiratory Care Board of California.(x) The Acupuncture Board.(y) The Board of Psychology.(z) The Podiatric Medical Board of California.(aa) The Physical Therapy Board of California.(ab) The Arbitration Review Program.(ac) The Physician Assistant Board.(ad) The Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board.(ae) The California Board of Occupational Therapy.(af) The Osteopathic Medical Board of California.(ag) The California Board of Naturopathic Medicine.(ah) The Dental Hygiene Board of California.(ai) The Professional Fiduciaries Bureau.(aj) The State Board of Chiropractic Examiners.(ak) The Bureau of Real Estate Appraisers.(al) The Structural Pest Control Board.(am) Any other boards, offices, or officers subject to its jurisdiction by law.SEC. 2. Section 3612 of the Business and Professions Code is amended to read:3612. The California Board of Naturopathic Medicine is hereby created within the Department of Consumer Affairs.SEC. 3. Section 3613 of the Business and Professions Code is amended to read:3613. The following definitions apply for the purposes of this chapter:(a) Board means the California Board of Naturopathic Medicine. Any reference in any law or regulation to the Bureau of Naturopathic Medicine or the Naturopathic Medicine Committee shall be deemed to refer to the California Board of Naturopathic Medicine.(b) Naturopathic childbirth attendance means the specialty practice of natural childbirth by a naturopathic doctor that includes the management of normal pregnancy, normal labor and delivery, and the normal postpartum period, including normal newborn care.(c) Naturopathic medicine means a distinct and comprehensive system of primary health care practiced by a naturopathic doctor for the diagnosis, treatment, and prevention of human health conditions, injuries, and disease.(d) Naturopathic doctor means a person who holds an active license issued pursuant to this chapter.(e) Naturopathy means a noninvasive system of health practice that employs natural health modalities, substances, and education to promote health.(f) Drug means any substance defined as a drug by Section 11014 of the Health and Safety Code.(g) Naturopathic assistant means a person who may be unlicensed, who performs basic administrative, clerical, and technical supportive services in compliance with this chapter for a licensed naturopathic doctor or naturopathic corporation and who is at least 18 years of age, and who has had at least the minimum amount of hours of appropriate training pursuant to standards established by the Medical Board of California for a medical assistant pursuant to Section 2069. The naturopathic assistant shall be issued a certificate by the training institution or instructor indicating satisfactory completion of the required training. A copy of the certificate shall be retained as a record by each employer or the naturopathic assistant.(h) Naturopathic technical supportive services means simple routine medical tasks and procedures that may be safely performed by a naturopathic assistant who has limited training and who functions under the supervision of a licensed naturopathic doctor.(i) Specific authorization means a specific written order prepared by the supervising naturopathic doctor authorizing the procedures to be performed on a patient, which shall be placed in the patients medical record, or a standing order prepared by the supervising naturopathic doctor authorizing the procedures to be performed. A notation of the standing order shall be placed on the patients medical record.(j) Supervision means the supervision of procedures authorized under this section or Section 3640.2 by a naturopathic doctor, within their scope of practice, who is physically present in the treatment facility during the performance of those procedures.SEC. 4. Section 3621 of the Business and Professions Code is amended to read:3621. (a) The board shall consist of nine members, consisting of seven members appointed by the Governor, one public member appointed by the Senate Committee on Rules, and one public member appointed by the Speaker of the Assembly. Members of the board shall include five members who are California-licensed naturopathic doctors, two members who are California-licensed physicians and surgeons, and two public members.(b) A member of the board shall be appointed for a four-year term. A person shall not serve as a member of the board for more than two consecutive terms. A member shall hold office until the appointment and qualification of the members successor, or until one year from the expiration of the term for which the member was appointed, whichever first occurs. Vacancies shall be filled by appointment for unexpired terms.(c) (1) A public member of the board shall be a resident of this state for at least five years preceding the public members appointment.(2) A person shall not be appointed as a public member if the person or the persons immediate family in any manner owns an interest in a college, school, or institution engaged in naturopathic education, or the person or the persons immediate family has an economic interest in naturopathy or has any other conflict of interest. Immediate family means the public members spouse, domestic partner, parents, children, or childrens spouses or domestic partners.(d) Each member of the board shall receive a per diem and expenses as provided in Section 103.(e) The board may appoint a person exempt from civil service who shall be designated as an executive officer and who shall exercise the powers and perform the duties delegated by the board and vested in the executive officer by this chapter.(f) Each appointing authority has power to remove from office at any time any member of the board appointed by that authority pursuant to Section 106.SEC. 5. Section 3626 of the Business and Professions Code is amended to read:3626. (a) The board may employ other officers and employees as necessary to discharge the duties of the board.(b) The board shall employ a full-time staff position whose responsibilities shall include enforcement against violations of this chapter. This position shall be under the direction of the executive officer.(c) The board shall not incur any costs as a result of changing the name of the Naturopathic Medicine Committee to the California Board of Naturopathic Medicine, as described in Sections 3612 and 3613, beyond what is absorbable within existing resources.SEC. 6. Section 3631 of the Business and Professions Code is amended to read:3631. (a) An applicant for licensure shall pass the Naturopathic Physicians Licensing Examination (NPLEX) or an equivalent examination approved by the North American Board of Naturopathic Examiners.(b) In the absence of an examination approved by the North American Board of Naturopathic Examiners, the board may administer a substantially equivalent examination.(c) The board may additionally require an applicant to pass any NPLEX elective examinations relevant to a licensees scope of practice in California.SEC. 7. Section 3635 of the Business and Professions Code is amended to read:3635. (a) In addition to any other qualifications and requirements for licensure renewal, the board shall require the satisfactory completion of 60 hours of approved continuing education biennially. This requirement is waived for the initial license renewal. The continuing education shall meet the following requirements:(1) At least 20 hours shall be in pharmacotherapeutics.(2) No more than 15 hours may be in naturopathic medical journals or osteopathic or allopathic medical journals, or audio or videotaped presentations, slides, programmed instruction, or computer-assisted instruction or preceptorships.(3) No more than 20 hours may be in any single topic.(4) No more than 15 hours of the continuing education requirements for the specialty certificate in naturopathic childbirth attendance shall apply to the 60 hours of continuing education requirement.(5) Course content shall pertain to the practice of naturopathic, osteopathic, or allopathic medicine.(b) The continuing education requirements of this section may be met through continuing education courses approved by the board, the California Naturopathic Doctors Association, the North American Naturopathic Continuing Education Accreditation Council, the American Association of Naturopathic Physicians, the California State Board of Pharmacy, or the State Board of Chiropractic Examiners, or other courses that meet the standards for continuing education for licensed physicians and surgeons in California. All continuing education providers shall comply with Section 3635.2. Continuing education providers shall submit an annual declaration to the board that their educational activities satisfy the requirements described in Section 3635.2 and the board shall maintain a list of these providers on its internet website.SEC. 8. Section 3651 of the Business and Professions Code is amended to read:3651. In order to be certified for the specialty practice of naturopathic childbirth attendance, a naturopathic doctor shall obtain a passing grade on the American College of Nurse Midwives Written Examination, the American College of Naturopathic Obstetricians Examination, or a substantially equivalent examination approved by the board, and shall establish, to the boards satisfaction, compliance with one of the following requirements:(a) Successful completion of a certificate of midwifery or naturopathic obstetrics specialty from an approved naturopathic medical education program consisting of not less than 84 semester units or 126 quarter units that substantially complies with the following educational standards and requirements:(1) The curriculum is presented in semester or quarter units under the following formula:(A) One hour of instruction in theory each week throughout a semester or quarter equals one unit.(B) Three hours of clinical practice each week throughout a semester or quarter equals one unit.(2) The program provides both academic and clinical preparation that is substantially equivalent to that provided in a program accredited by the American College of Nurse Midwives. The program includes, but is not limited to, preparation in all of the following areas:(A) The art and science of midwifery, one-half of which shall be in theory and one-half of which shall be in clinical practice. Theory and clinical practice shall be concurrent in the areas of maternal and child health, including, but not limited to, labor and delivery, neonatal well care, and postpartum care.(B) Communications skills that include the principles of oral, written, and group communications.(C) Anatomy and physiology, genetics, obstetrics and gynecology, embryology and fetal development, neonatology, applied microbiology, chemistry, child growth and development, pharmacology, nutrition, laboratory diagnostic tests and procedures, and physical assessment.(D) Concepts in psychosocial, emotional, and cultural aspects of maternal and child care, human sexuality, counseling and teaching, maternal and infant and family bonding process, breast feeding, family planning, principles of preventive health, and community health.(E) Aspects of the normal pregnancy, labor and delivery, postpartum period, newborn care, family planning, or routine gynecological care in alternative birth centers, homes, and hospitals.(3) The program integrates the following subjects throughout its entire curriculum:(A) Midwifery process.(B) Basic intervention skills in preventive, remedial, and supportive midwifery.(C) The knowledge and skills required to develop collegial relationships with health care providers from other disciplines.(D) Related behavioral and social sciences with emphasis on societal and cultural patterns, human development, and behavior related to maternal and child health, illness, and wellness.(4) Instruction in personal hygiene, client abuse, cultural diversity, and the legal, social, and ethical aspects of midwifery.(5) Instruction in the midwifery management process which shall include all of the following:(A) Obtaining or updating a defined and relevant database for assessment of the health status of the client.(B) Identifying problems based upon correct interpretation of the database.(C) Preparing a defined needs or problem list, or both, with corroboration from the client.(D) Consulting, collaborating with, and referring to, appropriate members of the health care team.(E) Providing information to enable clients to make appropriate decisions and to assume appropriate responsibility for their own health.(F) Assuming direct responsibility for the development of comprehensive, supportive care for the client and with the client.(G) Assuming direct responsibility for implementing the plan of care.(H) Initiating appropriate measures for obstetrical and neonatal emergencies.(I) Evaluating, with corroboration from the client, the achievement of health care goals and modifying the plan of care appropriately.(b) Successful completion of an educational program that the board has determined satisfies the criteria of subdivision (a) and current licensure as a midwife by a state with licensing standards that have been found by the board to be substantially equivalent to those adopted by the board pursuant to this article.SEC. 9. Section 3686 of the Business and Professions Code is amended to read:3686. This chapter shall remain in effect only until January 1, 2027, and as of that date is repealed.
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3- Assembly Bill No. 2685 CHAPTER 414An act to amend Sections 101, 3612, 3613, 3621, 3626, 3631, 3635, 3651, and 3686 of the Business and Professions Code, relating to healing arts. [ Approved by Governor September 18, 2022. Filed with Secretary of State September 18, 2022. ] LEGISLATIVE COUNSEL'S DIGESTAB 2685, Committee on Business and Professions. Naturopathic Doctors Act: California Board of Naturopathic Medicine and licensing requirements.Existing law, the Naturopathic Doctors Act, establishes the Naturopathic Medicine Committee within the Osteopathic Medical Board of California for the licensure and regulation of naturopathic doctors. Existing law repeals the act on January 1, 2023.This bill would rename the Naturopathic Medicine Committee as the California Board of Naturopathic Medicine and would place the board within the Department of Consumer Affairs. The bill would specify that any reference in any law or regulation to the Bureau of Naturopathic Medicine or the Naturopathic Medicine Committee refers to the California Board of Naturopathic Medicine. The bill would prohibit the board from incurring any costs as a result of its name change beyond what is absorbable within existing resources.Existing law requires the committee to consist of 9 members, including 7 professional members appointed by the Governor, one public member appointed by the Senate Committee on Rules, and one public member appointed by the Speaker of the Assembly. Existing law prohibits the appointment of a person as a public member if the person or the persons immediate family in any manner owns an interest in a college, school, or institution engaged in naturopathic education, or the person or the persons immediate family has an economic interest in naturopathy or has any other conflict of interest. Existing law defines immediate family for this purpose to mean the public members spouse, parents, children, or their childrens spouses.This bill would specify that each appointing authority for the board has the power to remove from office at any time a member of the board appointed by that authority for continued neglect of duties required by law, incompetence, or unprofessional or dishonorable conduct. The bill would revise the definition of immediate family for purposes of the above-described conflict-of-interest provision to include the public members domestic partner and the domestic partners of the public members children.Existing law authorizes the committee to employ other officers and employees as necessary to discharge the committees duties.This bill would require the board to employ a full-time staff position whose responsibilities would include enforcement against violations of the act. The bill would require the position to be under the direction of the executive officer.Existing law requires an applicant for licensure to pass the Naturopathic Physicians Licensing Examination (NPLEX) or an equivalent examination approved by the North American Board of Naturopathic Examiners. Existing law authorizes the committee, in the absence of an examination approved by the North American Board of Naturopathic Examiners, to administer a substantially equivalent examination.This bill would authorize the board to additionally require an applicant to pass any NPLEX elective examinations relevant to a licensees scope of practice in California.Existing law further requires an applicant for licensure to complete continuing education requirements biennially and authorizes those requirements to be met through continuing education courses approved by the committee, the California Naturopathic Doctors Association, or various other entities, or through other courses that meet the continuing education standards for licensed physicians and surgeons in California.This bill would also authorize those continuing education requirements to be met through courses approved by the North American Naturopathic Continuing Education Accreditation Council.Existing law requires a naturopathic doctor, in order to be certified for the specialty practice of naturopathic childbirth attendance, to obtain a passing grade on the American College of Nurse Midwives Written Examination, or a substantially equivalent examination approved by the committee, in addition to complying with other educational requirements.This bill would include the American Naturopathic Obstetricians examination within the above-described examinations required for that specialty practice certification.This bill would extend the operation of the act until January 1, 2027, and would also make nonsubstantive changes to those provisions. Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
3+ Enrolled September 02, 2022 Passed IN Senate August 23, 2022 Passed IN Assembly August 31, 2022 Amended IN Senate August 11, 2022 Amended IN Senate June 16, 2022 CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION Assembly Bill No. 2685Introduced by Committee on Business and Professions (Assembly Members Berman (Chair), Flora (Vice Chair), Alvarez, Mia Bonta, Chen, Cunningham, Megan Dahle, Fong, Gipson, Grayson, Irwin, Lee, McCarty, McKinnor, Medina, Salas, Ting, and Akilah Weber)February 18, 2022An act to amend Sections 101, 3612, 3613, 3621, 3626, 3631, 3635, 3651, and 3686 of the Business and Professions Code, relating to healing arts.LEGISLATIVE COUNSEL'S DIGESTAB 2685, Committee on Business and Professions. Naturopathic Doctors Act: California Board of Naturopathic Medicine and licensing requirements.Existing law, the Naturopathic Doctors Act, establishes the Naturopathic Medicine Committee within the Osteopathic Medical Board of California for the licensure and regulation of naturopathic doctors. Existing law repeals the act on January 1, 2023.This bill would rename the Naturopathic Medicine Committee as the California Board of Naturopathic Medicine and would place the board within the Department of Consumer Affairs. The bill would specify that any reference in any law or regulation to the Bureau of Naturopathic Medicine or the Naturopathic Medicine Committee refers to the California Board of Naturopathic Medicine. The bill would prohibit the board from incurring any costs as a result of its name change beyond what is absorbable within existing resources.Existing law requires the committee to consist of 9 members, including 7 professional members appointed by the Governor, one public member appointed by the Senate Committee on Rules, and one public member appointed by the Speaker of the Assembly. Existing law prohibits the appointment of a person as a public member if the person or the persons immediate family in any manner owns an interest in a college, school, or institution engaged in naturopathic education, or the person or the persons immediate family has an economic interest in naturopathy or has any other conflict of interest. Existing law defines immediate family for this purpose to mean the public members spouse, parents, children, or their childrens spouses.This bill would specify that each appointing authority for the board has the power to remove from office at any time a member of the board appointed by that authority for continued neglect of duties required by law, incompetence, or unprofessional or dishonorable conduct. The bill would revise the definition of immediate family for purposes of the above-described conflict-of-interest provision to include the public members domestic partner and the domestic partners of the public members children.Existing law authorizes the committee to employ other officers and employees as necessary to discharge the committees duties.This bill would require the board to employ a full-time staff position whose responsibilities would include enforcement against violations of the act. The bill would require the position to be under the direction of the executive officer.Existing law requires an applicant for licensure to pass the Naturopathic Physicians Licensing Examination (NPLEX) or an equivalent examination approved by the North American Board of Naturopathic Examiners. Existing law authorizes the committee, in the absence of an examination approved by the North American Board of Naturopathic Examiners, to administer a substantially equivalent examination.This bill would authorize the board to additionally require an applicant to pass any NPLEX elective examinations relevant to a licensees scope of practice in California.Existing law further requires an applicant for licensure to complete continuing education requirements biennially and authorizes those requirements to be met through continuing education courses approved by the committee, the California Naturopathic Doctors Association, or various other entities, or through other courses that meet the continuing education standards for licensed physicians and surgeons in California.This bill would also authorize those continuing education requirements to be met through courses approved by the North American Naturopathic Continuing Education Accreditation Council.Existing law requires a naturopathic doctor, in order to be certified for the specialty practice of naturopathic childbirth attendance, to obtain a passing grade on the American College of Nurse Midwives Written Examination, or a substantially equivalent examination approved by the committee, in addition to complying with other educational requirements.This bill would include the American Naturopathic Obstetricians examination within the above-described examinations required for that specialty practice certification.This bill would extend the operation of the act until January 1, 2027, and would also make nonsubstantive changes to those provisions. Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: NO
44
5- Assembly Bill No. 2685 CHAPTER 414
5+ Enrolled September 02, 2022 Passed IN Senate August 23, 2022 Passed IN Assembly August 31, 2022 Amended IN Senate August 11, 2022 Amended IN Senate June 16, 2022
66
7- Assembly Bill No. 2685
7+Enrolled September 02, 2022
8+Passed IN Senate August 23, 2022
9+Passed IN Assembly August 31, 2022
10+Amended IN Senate August 11, 2022
11+Amended IN Senate June 16, 2022
812
9- CHAPTER 414
13+ CALIFORNIA LEGISLATURE 20212022 REGULAR SESSION
14+
15+ Assembly Bill
16+
17+No. 2685
18+
19+Introduced by Committee on Business and Professions (Assembly Members Berman (Chair), Flora (Vice Chair), Alvarez, Mia Bonta, Chen, Cunningham, Megan Dahle, Fong, Gipson, Grayson, Irwin, Lee, McCarty, McKinnor, Medina, Salas, Ting, and Akilah Weber)February 18, 2022
20+
21+Introduced by Committee on Business and Professions (Assembly Members Berman (Chair), Flora (Vice Chair), Alvarez, Mia Bonta, Chen, Cunningham, Megan Dahle, Fong, Gipson, Grayson, Irwin, Lee, McCarty, McKinnor, Medina, Salas, Ting, and Akilah Weber)
22+February 18, 2022
1023
1124 An act to amend Sections 101, 3612, 3613, 3621, 3626, 3631, 3635, 3651, and 3686 of the Business and Professions Code, relating to healing arts.
12-
13- [ Approved by Governor September 18, 2022. Filed with Secretary of State September 18, 2022. ]
1425
1526 LEGISLATIVE COUNSEL'S DIGEST
1627
1728 ## LEGISLATIVE COUNSEL'S DIGEST
1829
1930 AB 2685, Committee on Business and Professions. Naturopathic Doctors Act: California Board of Naturopathic Medicine and licensing requirements.
2031
2132 Existing law, the Naturopathic Doctors Act, establishes the Naturopathic Medicine Committee within the Osteopathic Medical Board of California for the licensure and regulation of naturopathic doctors. Existing law repeals the act on January 1, 2023.This bill would rename the Naturopathic Medicine Committee as the California Board of Naturopathic Medicine and would place the board within the Department of Consumer Affairs. The bill would specify that any reference in any law or regulation to the Bureau of Naturopathic Medicine or the Naturopathic Medicine Committee refers to the California Board of Naturopathic Medicine. The bill would prohibit the board from incurring any costs as a result of its name change beyond what is absorbable within existing resources.Existing law requires the committee to consist of 9 members, including 7 professional members appointed by the Governor, one public member appointed by the Senate Committee on Rules, and one public member appointed by the Speaker of the Assembly. Existing law prohibits the appointment of a person as a public member if the person or the persons immediate family in any manner owns an interest in a college, school, or institution engaged in naturopathic education, or the person or the persons immediate family has an economic interest in naturopathy or has any other conflict of interest. Existing law defines immediate family for this purpose to mean the public members spouse, parents, children, or their childrens spouses.This bill would specify that each appointing authority for the board has the power to remove from office at any time a member of the board appointed by that authority for continued neglect of duties required by law, incompetence, or unprofessional or dishonorable conduct. The bill would revise the definition of immediate family for purposes of the above-described conflict-of-interest provision to include the public members domestic partner and the domestic partners of the public members children.Existing law authorizes the committee to employ other officers and employees as necessary to discharge the committees duties.This bill would require the board to employ a full-time staff position whose responsibilities would include enforcement against violations of the act. The bill would require the position to be under the direction of the executive officer.Existing law requires an applicant for licensure to pass the Naturopathic Physicians Licensing Examination (NPLEX) or an equivalent examination approved by the North American Board of Naturopathic Examiners. Existing law authorizes the committee, in the absence of an examination approved by the North American Board of Naturopathic Examiners, to administer a substantially equivalent examination.This bill would authorize the board to additionally require an applicant to pass any NPLEX elective examinations relevant to a licensees scope of practice in California.Existing law further requires an applicant for licensure to complete continuing education requirements biennially and authorizes those requirements to be met through continuing education courses approved by the committee, the California Naturopathic Doctors Association, or various other entities, or through other courses that meet the continuing education standards for licensed physicians and surgeons in California.This bill would also authorize those continuing education requirements to be met through courses approved by the North American Naturopathic Continuing Education Accreditation Council.Existing law requires a naturopathic doctor, in order to be certified for the specialty practice of naturopathic childbirth attendance, to obtain a passing grade on the American College of Nurse Midwives Written Examination, or a substantially equivalent examination approved by the committee, in addition to complying with other educational requirements.This bill would include the American Naturopathic Obstetricians examination within the above-described examinations required for that specialty practice certification.This bill would extend the operation of the act until January 1, 2027, and would also make nonsubstantive changes to those provisions.
2233
2334 Existing law, the Naturopathic Doctors Act, establishes the Naturopathic Medicine Committee within the Osteopathic Medical Board of California for the licensure and regulation of naturopathic doctors. Existing law repeals the act on January 1, 2023.
2435
2536 This bill would rename the Naturopathic Medicine Committee as the California Board of Naturopathic Medicine and would place the board within the Department of Consumer Affairs. The bill would specify that any reference in any law or regulation to the Bureau of Naturopathic Medicine or the Naturopathic Medicine Committee refers to the California Board of Naturopathic Medicine. The bill would prohibit the board from incurring any costs as a result of its name change beyond what is absorbable within existing resources.
2637
2738 Existing law requires the committee to consist of 9 members, including 7 professional members appointed by the Governor, one public member appointed by the Senate Committee on Rules, and one public member appointed by the Speaker of the Assembly. Existing law prohibits the appointment of a person as a public member if the person or the persons immediate family in any manner owns an interest in a college, school, or institution engaged in naturopathic education, or the person or the persons immediate family has an economic interest in naturopathy or has any other conflict of interest. Existing law defines immediate family for this purpose to mean the public members spouse, parents, children, or their childrens spouses.
2839
2940 This bill would specify that each appointing authority for the board has the power to remove from office at any time a member of the board appointed by that authority for continued neglect of duties required by law, incompetence, or unprofessional or dishonorable conduct. The bill would revise the definition of immediate family for purposes of the above-described conflict-of-interest provision to include the public members domestic partner and the domestic partners of the public members children.
3041
3142 Existing law authorizes the committee to employ other officers and employees as necessary to discharge the committees duties.
3243
3344 This bill would require the board to employ a full-time staff position whose responsibilities would include enforcement against violations of the act. The bill would require the position to be under the direction of the executive officer.
3445
3546 Existing law requires an applicant for licensure to pass the Naturopathic Physicians Licensing Examination (NPLEX) or an equivalent examination approved by the North American Board of Naturopathic Examiners. Existing law authorizes the committee, in the absence of an examination approved by the North American Board of Naturopathic Examiners, to administer a substantially equivalent examination.
3647
3748 This bill would authorize the board to additionally require an applicant to pass any NPLEX elective examinations relevant to a licensees scope of practice in California.
3849
3950 Existing law further requires an applicant for licensure to complete continuing education requirements biennially and authorizes those requirements to be met through continuing education courses approved by the committee, the California Naturopathic Doctors Association, or various other entities, or through other courses that meet the continuing education standards for licensed physicians and surgeons in California.
4051
4152 This bill would also authorize those continuing education requirements to be met through courses approved by the North American Naturopathic Continuing Education Accreditation Council.
4253
4354 Existing law requires a naturopathic doctor, in order to be certified for the specialty practice of naturopathic childbirth attendance, to obtain a passing grade on the American College of Nurse Midwives Written Examination, or a substantially equivalent examination approved by the committee, in addition to complying with other educational requirements.
4455
4556 This bill would include the American Naturopathic Obstetricians examination within the above-described examinations required for that specialty practice certification.
4657
4758 This bill would extend the operation of the act until January 1, 2027, and would also make nonsubstantive changes to those provisions.
4859
4960 ## Digest Key
5061
5162 ## Bill Text
5263
5364 The people of the State of California do enact as follows:SECTION 1. Section 101 of the Business and Professions Code is amended to read:101. The department is comprised of the following:(a) The Dental Board of California.(b) The Medical Board of California.(c) The California State Board of Optometry.(d) The California State Board of Pharmacy.(e) The Veterinary Medical Board.(f) The California Board of Accountancy.(g) The California Architects Board.(h) The State Board of Barbering and Cosmetology.(i) The Board for Professional Engineers, Land Surveyors, and Geologists.(j) The Contractors State License Board.(k) The Bureau for Private Postsecondary Education.(l) The Bureau of Household Goods and Services.(m) The Board of Registered Nursing.(n) The Board of Behavioral Sciences.(o) The State Athletic Commission.(p) The Cemetery and Funeral Bureau.(q) The Bureau of Security and Investigative Services.(r) The Court Reporters Board of California.(s) The Board of Vocational Nursing and Psychiatric Technicians.(t) The Landscape Architects Technical Committee.(u) The Division of Investigation.(v) The Bureau of Automotive Repair.(w) The Respiratory Care Board of California.(x) The Acupuncture Board.(y) The Board of Psychology.(z) The Podiatric Medical Board of California.(aa) The Physical Therapy Board of California.(ab) The Arbitration Review Program.(ac) The Physician Assistant Board.(ad) The Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board.(ae) The California Board of Occupational Therapy.(af) The Osteopathic Medical Board of California.(ag) The California Board of Naturopathic Medicine.(ah) The Dental Hygiene Board of California.(ai) The Professional Fiduciaries Bureau.(aj) The State Board of Chiropractic Examiners.(ak) The Bureau of Real Estate Appraisers.(al) The Structural Pest Control Board.(am) Any other boards, offices, or officers subject to its jurisdiction by law.SEC. 2. Section 3612 of the Business and Professions Code is amended to read:3612. The California Board of Naturopathic Medicine is hereby created within the Department of Consumer Affairs.SEC. 3. Section 3613 of the Business and Professions Code is amended to read:3613. The following definitions apply for the purposes of this chapter:(a) Board means the California Board of Naturopathic Medicine. Any reference in any law or regulation to the Bureau of Naturopathic Medicine or the Naturopathic Medicine Committee shall be deemed to refer to the California Board of Naturopathic Medicine.(b) Naturopathic childbirth attendance means the specialty practice of natural childbirth by a naturopathic doctor that includes the management of normal pregnancy, normal labor and delivery, and the normal postpartum period, including normal newborn care.(c) Naturopathic medicine means a distinct and comprehensive system of primary health care practiced by a naturopathic doctor for the diagnosis, treatment, and prevention of human health conditions, injuries, and disease.(d) Naturopathic doctor means a person who holds an active license issued pursuant to this chapter.(e) Naturopathy means a noninvasive system of health practice that employs natural health modalities, substances, and education to promote health.(f) Drug means any substance defined as a drug by Section 11014 of the Health and Safety Code.(g) Naturopathic assistant means a person who may be unlicensed, who performs basic administrative, clerical, and technical supportive services in compliance with this chapter for a licensed naturopathic doctor or naturopathic corporation and who is at least 18 years of age, and who has had at least the minimum amount of hours of appropriate training pursuant to standards established by the Medical Board of California for a medical assistant pursuant to Section 2069. The naturopathic assistant shall be issued a certificate by the training institution or instructor indicating satisfactory completion of the required training. A copy of the certificate shall be retained as a record by each employer or the naturopathic assistant.(h) Naturopathic technical supportive services means simple routine medical tasks and procedures that may be safely performed by a naturopathic assistant who has limited training and who functions under the supervision of a licensed naturopathic doctor.(i) Specific authorization means a specific written order prepared by the supervising naturopathic doctor authorizing the procedures to be performed on a patient, which shall be placed in the patients medical record, or a standing order prepared by the supervising naturopathic doctor authorizing the procedures to be performed. A notation of the standing order shall be placed on the patients medical record.(j) Supervision means the supervision of procedures authorized under this section or Section 3640.2 by a naturopathic doctor, within their scope of practice, who is physically present in the treatment facility during the performance of those procedures.SEC. 4. Section 3621 of the Business and Professions Code is amended to read:3621. (a) The board shall consist of nine members, consisting of seven members appointed by the Governor, one public member appointed by the Senate Committee on Rules, and one public member appointed by the Speaker of the Assembly. Members of the board shall include five members who are California-licensed naturopathic doctors, two members who are California-licensed physicians and surgeons, and two public members.(b) A member of the board shall be appointed for a four-year term. A person shall not serve as a member of the board for more than two consecutive terms. A member shall hold office until the appointment and qualification of the members successor, or until one year from the expiration of the term for which the member was appointed, whichever first occurs. Vacancies shall be filled by appointment for unexpired terms.(c) (1) A public member of the board shall be a resident of this state for at least five years preceding the public members appointment.(2) A person shall not be appointed as a public member if the person or the persons immediate family in any manner owns an interest in a college, school, or institution engaged in naturopathic education, or the person or the persons immediate family has an economic interest in naturopathy or has any other conflict of interest. Immediate family means the public members spouse, domestic partner, parents, children, or childrens spouses or domestic partners.(d) Each member of the board shall receive a per diem and expenses as provided in Section 103.(e) The board may appoint a person exempt from civil service who shall be designated as an executive officer and who shall exercise the powers and perform the duties delegated by the board and vested in the executive officer by this chapter.(f) Each appointing authority has power to remove from office at any time any member of the board appointed by that authority pursuant to Section 106.SEC. 5. Section 3626 of the Business and Professions Code is amended to read:3626. (a) The board may employ other officers and employees as necessary to discharge the duties of the board.(b) The board shall employ a full-time staff position whose responsibilities shall include enforcement against violations of this chapter. This position shall be under the direction of the executive officer.(c) The board shall not incur any costs as a result of changing the name of the Naturopathic Medicine Committee to the California Board of Naturopathic Medicine, as described in Sections 3612 and 3613, beyond what is absorbable within existing resources.SEC. 6. Section 3631 of the Business and Professions Code is amended to read:3631. (a) An applicant for licensure shall pass the Naturopathic Physicians Licensing Examination (NPLEX) or an equivalent examination approved by the North American Board of Naturopathic Examiners.(b) In the absence of an examination approved by the North American Board of Naturopathic Examiners, the board may administer a substantially equivalent examination.(c) The board may additionally require an applicant to pass any NPLEX elective examinations relevant to a licensees scope of practice in California.SEC. 7. Section 3635 of the Business and Professions Code is amended to read:3635. (a) In addition to any other qualifications and requirements for licensure renewal, the board shall require the satisfactory completion of 60 hours of approved continuing education biennially. This requirement is waived for the initial license renewal. The continuing education shall meet the following requirements:(1) At least 20 hours shall be in pharmacotherapeutics.(2) No more than 15 hours may be in naturopathic medical journals or osteopathic or allopathic medical journals, or audio or videotaped presentations, slides, programmed instruction, or computer-assisted instruction or preceptorships.(3) No more than 20 hours may be in any single topic.(4) No more than 15 hours of the continuing education requirements for the specialty certificate in naturopathic childbirth attendance shall apply to the 60 hours of continuing education requirement.(5) Course content shall pertain to the practice of naturopathic, osteopathic, or allopathic medicine.(b) The continuing education requirements of this section may be met through continuing education courses approved by the board, the California Naturopathic Doctors Association, the North American Naturopathic Continuing Education Accreditation Council, the American Association of Naturopathic Physicians, the California State Board of Pharmacy, or the State Board of Chiropractic Examiners, or other courses that meet the standards for continuing education for licensed physicians and surgeons in California. All continuing education providers shall comply with Section 3635.2. Continuing education providers shall submit an annual declaration to the board that their educational activities satisfy the requirements described in Section 3635.2 and the board shall maintain a list of these providers on its internet website.SEC. 8. Section 3651 of the Business and Professions Code is amended to read:3651. In order to be certified for the specialty practice of naturopathic childbirth attendance, a naturopathic doctor shall obtain a passing grade on the American College of Nurse Midwives Written Examination, the American College of Naturopathic Obstetricians Examination, or a substantially equivalent examination approved by the board, and shall establish, to the boards satisfaction, compliance with one of the following requirements:(a) Successful completion of a certificate of midwifery or naturopathic obstetrics specialty from an approved naturopathic medical education program consisting of not less than 84 semester units or 126 quarter units that substantially complies with the following educational standards and requirements:(1) The curriculum is presented in semester or quarter units under the following formula:(A) One hour of instruction in theory each week throughout a semester or quarter equals one unit.(B) Three hours of clinical practice each week throughout a semester or quarter equals one unit.(2) The program provides both academic and clinical preparation that is substantially equivalent to that provided in a program accredited by the American College of Nurse Midwives. The program includes, but is not limited to, preparation in all of the following areas:(A) The art and science of midwifery, one-half of which shall be in theory and one-half of which shall be in clinical practice. Theory and clinical practice shall be concurrent in the areas of maternal and child health, including, but not limited to, labor and delivery, neonatal well care, and postpartum care.(B) Communications skills that include the principles of oral, written, and group communications.(C) Anatomy and physiology, genetics, obstetrics and gynecology, embryology and fetal development, neonatology, applied microbiology, chemistry, child growth and development, pharmacology, nutrition, laboratory diagnostic tests and procedures, and physical assessment.(D) Concepts in psychosocial, emotional, and cultural aspects of maternal and child care, human sexuality, counseling and teaching, maternal and infant and family bonding process, breast feeding, family planning, principles of preventive health, and community health.(E) Aspects of the normal pregnancy, labor and delivery, postpartum period, newborn care, family planning, or routine gynecological care in alternative birth centers, homes, and hospitals.(3) The program integrates the following subjects throughout its entire curriculum:(A) Midwifery process.(B) Basic intervention skills in preventive, remedial, and supportive midwifery.(C) The knowledge and skills required to develop collegial relationships with health care providers from other disciplines.(D) Related behavioral and social sciences with emphasis on societal and cultural patterns, human development, and behavior related to maternal and child health, illness, and wellness.(4) Instruction in personal hygiene, client abuse, cultural diversity, and the legal, social, and ethical aspects of midwifery.(5) Instruction in the midwifery management process which shall include all of the following:(A) Obtaining or updating a defined and relevant database for assessment of the health status of the client.(B) Identifying problems based upon correct interpretation of the database.(C) Preparing a defined needs or problem list, or both, with corroboration from the client.(D) Consulting, collaborating with, and referring to, appropriate members of the health care team.(E) Providing information to enable clients to make appropriate decisions and to assume appropriate responsibility for their own health.(F) Assuming direct responsibility for the development of comprehensive, supportive care for the client and with the client.(G) Assuming direct responsibility for implementing the plan of care.(H) Initiating appropriate measures for obstetrical and neonatal emergencies.(I) Evaluating, with corroboration from the client, the achievement of health care goals and modifying the plan of care appropriately.(b) Successful completion of an educational program that the board has determined satisfies the criteria of subdivision (a) and current licensure as a midwife by a state with licensing standards that have been found by the board to be substantially equivalent to those adopted by the board pursuant to this article.SEC. 9. Section 3686 of the Business and Professions Code is amended to read:3686. This chapter shall remain in effect only until January 1, 2027, and as of that date is repealed.
5465
5566 The people of the State of California do enact as follows:
5667
5768 ## The people of the State of California do enact as follows:
5869
5970 SECTION 1. Section 101 of the Business and Professions Code is amended to read:101. The department is comprised of the following:(a) The Dental Board of California.(b) The Medical Board of California.(c) The California State Board of Optometry.(d) The California State Board of Pharmacy.(e) The Veterinary Medical Board.(f) The California Board of Accountancy.(g) The California Architects Board.(h) The State Board of Barbering and Cosmetology.(i) The Board for Professional Engineers, Land Surveyors, and Geologists.(j) The Contractors State License Board.(k) The Bureau for Private Postsecondary Education.(l) The Bureau of Household Goods and Services.(m) The Board of Registered Nursing.(n) The Board of Behavioral Sciences.(o) The State Athletic Commission.(p) The Cemetery and Funeral Bureau.(q) The Bureau of Security and Investigative Services.(r) The Court Reporters Board of California.(s) The Board of Vocational Nursing and Psychiatric Technicians.(t) The Landscape Architects Technical Committee.(u) The Division of Investigation.(v) The Bureau of Automotive Repair.(w) The Respiratory Care Board of California.(x) The Acupuncture Board.(y) The Board of Psychology.(z) The Podiatric Medical Board of California.(aa) The Physical Therapy Board of California.(ab) The Arbitration Review Program.(ac) The Physician Assistant Board.(ad) The Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board.(ae) The California Board of Occupational Therapy.(af) The Osteopathic Medical Board of California.(ag) The California Board of Naturopathic Medicine.(ah) The Dental Hygiene Board of California.(ai) The Professional Fiduciaries Bureau.(aj) The State Board of Chiropractic Examiners.(ak) The Bureau of Real Estate Appraisers.(al) The Structural Pest Control Board.(am) Any other boards, offices, or officers subject to its jurisdiction by law.
6071
6172 SECTION 1. Section 101 of the Business and Professions Code is amended to read:
6273
6374 ### SECTION 1.
6475
6576 101. The department is comprised of the following:(a) The Dental Board of California.(b) The Medical Board of California.(c) The California State Board of Optometry.(d) The California State Board of Pharmacy.(e) The Veterinary Medical Board.(f) The California Board of Accountancy.(g) The California Architects Board.(h) The State Board of Barbering and Cosmetology.(i) The Board for Professional Engineers, Land Surveyors, and Geologists.(j) The Contractors State License Board.(k) The Bureau for Private Postsecondary Education.(l) The Bureau of Household Goods and Services.(m) The Board of Registered Nursing.(n) The Board of Behavioral Sciences.(o) The State Athletic Commission.(p) The Cemetery and Funeral Bureau.(q) The Bureau of Security and Investigative Services.(r) The Court Reporters Board of California.(s) The Board of Vocational Nursing and Psychiatric Technicians.(t) The Landscape Architects Technical Committee.(u) The Division of Investigation.(v) The Bureau of Automotive Repair.(w) The Respiratory Care Board of California.(x) The Acupuncture Board.(y) The Board of Psychology.(z) The Podiatric Medical Board of California.(aa) The Physical Therapy Board of California.(ab) The Arbitration Review Program.(ac) The Physician Assistant Board.(ad) The Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board.(ae) The California Board of Occupational Therapy.(af) The Osteopathic Medical Board of California.(ag) The California Board of Naturopathic Medicine.(ah) The Dental Hygiene Board of California.(ai) The Professional Fiduciaries Bureau.(aj) The State Board of Chiropractic Examiners.(ak) The Bureau of Real Estate Appraisers.(al) The Structural Pest Control Board.(am) Any other boards, offices, or officers subject to its jurisdiction by law.
6677
6778 101. The department is comprised of the following:(a) The Dental Board of California.(b) The Medical Board of California.(c) The California State Board of Optometry.(d) The California State Board of Pharmacy.(e) The Veterinary Medical Board.(f) The California Board of Accountancy.(g) The California Architects Board.(h) The State Board of Barbering and Cosmetology.(i) The Board for Professional Engineers, Land Surveyors, and Geologists.(j) The Contractors State License Board.(k) The Bureau for Private Postsecondary Education.(l) The Bureau of Household Goods and Services.(m) The Board of Registered Nursing.(n) The Board of Behavioral Sciences.(o) The State Athletic Commission.(p) The Cemetery and Funeral Bureau.(q) The Bureau of Security and Investigative Services.(r) The Court Reporters Board of California.(s) The Board of Vocational Nursing and Psychiatric Technicians.(t) The Landscape Architects Technical Committee.(u) The Division of Investigation.(v) The Bureau of Automotive Repair.(w) The Respiratory Care Board of California.(x) The Acupuncture Board.(y) The Board of Psychology.(z) The Podiatric Medical Board of California.(aa) The Physical Therapy Board of California.(ab) The Arbitration Review Program.(ac) The Physician Assistant Board.(ad) The Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board.(ae) The California Board of Occupational Therapy.(af) The Osteopathic Medical Board of California.(ag) The California Board of Naturopathic Medicine.(ah) The Dental Hygiene Board of California.(ai) The Professional Fiduciaries Bureau.(aj) The State Board of Chiropractic Examiners.(ak) The Bureau of Real Estate Appraisers.(al) The Structural Pest Control Board.(am) Any other boards, offices, or officers subject to its jurisdiction by law.
6879
6980 101. The department is comprised of the following:(a) The Dental Board of California.(b) The Medical Board of California.(c) The California State Board of Optometry.(d) The California State Board of Pharmacy.(e) The Veterinary Medical Board.(f) The California Board of Accountancy.(g) The California Architects Board.(h) The State Board of Barbering and Cosmetology.(i) The Board for Professional Engineers, Land Surveyors, and Geologists.(j) The Contractors State License Board.(k) The Bureau for Private Postsecondary Education.(l) The Bureau of Household Goods and Services.(m) The Board of Registered Nursing.(n) The Board of Behavioral Sciences.(o) The State Athletic Commission.(p) The Cemetery and Funeral Bureau.(q) The Bureau of Security and Investigative Services.(r) The Court Reporters Board of California.(s) The Board of Vocational Nursing and Psychiatric Technicians.(t) The Landscape Architects Technical Committee.(u) The Division of Investigation.(v) The Bureau of Automotive Repair.(w) The Respiratory Care Board of California.(x) The Acupuncture Board.(y) The Board of Psychology.(z) The Podiatric Medical Board of California.(aa) The Physical Therapy Board of California.(ab) The Arbitration Review Program.(ac) The Physician Assistant Board.(ad) The Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board.(ae) The California Board of Occupational Therapy.(af) The Osteopathic Medical Board of California.(ag) The California Board of Naturopathic Medicine.(ah) The Dental Hygiene Board of California.(ai) The Professional Fiduciaries Bureau.(aj) The State Board of Chiropractic Examiners.(ak) The Bureau of Real Estate Appraisers.(al) The Structural Pest Control Board.(am) Any other boards, offices, or officers subject to its jurisdiction by law.
7081
7182
7283
7384 101. The department is comprised of the following:
7485
7586 (a) The Dental Board of California.
7687
7788 (b) The Medical Board of California.
7889
7990 (c) The California State Board of Optometry.
8091
8192 (d) The California State Board of Pharmacy.
8293
8394 (e) The Veterinary Medical Board.
8495
8596 (f) The California Board of Accountancy.
8697
8798 (g) The California Architects Board.
8899
89100 (h) The State Board of Barbering and Cosmetology.
90101
91102 (i) The Board for Professional Engineers, Land Surveyors, and Geologists.
92103
93104 (j) The Contractors State License Board.
94105
95106 (k) The Bureau for Private Postsecondary Education.
96107
97108 (l) The Bureau of Household Goods and Services.
98109
99110 (m) The Board of Registered Nursing.
100111
101112 (n) The Board of Behavioral Sciences.
102113
103114 (o) The State Athletic Commission.
104115
105116 (p) The Cemetery and Funeral Bureau.
106117
107118 (q) The Bureau of Security and Investigative Services.
108119
109120 (r) The Court Reporters Board of California.
110121
111122 (s) The Board of Vocational Nursing and Psychiatric Technicians.
112123
113124 (t) The Landscape Architects Technical Committee.
114125
115126 (u) The Division of Investigation.
116127
117128 (v) The Bureau of Automotive Repair.
118129
119130 (w) The Respiratory Care Board of California.
120131
121132 (x) The Acupuncture Board.
122133
123134 (y) The Board of Psychology.
124135
125136 (z) The Podiatric Medical Board of California.
126137
127138 (aa) The Physical Therapy Board of California.
128139
129140 (ab) The Arbitration Review Program.
130141
131142 (ac) The Physician Assistant Board.
132143
133144 (ad) The Speech-Language Pathology and Audiology and Hearing Aid Dispensers Board.
134145
135146 (ae) The California Board of Occupational Therapy.
136147
137148 (af) The Osteopathic Medical Board of California.
138149
139150 (ag) The California Board of Naturopathic Medicine.
140151
141152 (ah) The Dental Hygiene Board of California.
142153
143154 (ai) The Professional Fiduciaries Bureau.
144155
145156 (aj) The State Board of Chiropractic Examiners.
146157
147158 (ak) The Bureau of Real Estate Appraisers.
148159
149160 (al) The Structural Pest Control Board.
150161
151162 (am) Any other boards, offices, or officers subject to its jurisdiction by law.
152163
153164 SEC. 2. Section 3612 of the Business and Professions Code is amended to read:3612. The California Board of Naturopathic Medicine is hereby created within the Department of Consumer Affairs.
154165
155166 SEC. 2. Section 3612 of the Business and Professions Code is amended to read:
156167
157168 ### SEC. 2.
158169
159170 3612. The California Board of Naturopathic Medicine is hereby created within the Department of Consumer Affairs.
160171
161172 3612. The California Board of Naturopathic Medicine is hereby created within the Department of Consumer Affairs.
162173
163174 3612. The California Board of Naturopathic Medicine is hereby created within the Department of Consumer Affairs.
164175
165176
166177
167178 3612. The California Board of Naturopathic Medicine is hereby created within the Department of Consumer Affairs.
168179
169180 SEC. 3. Section 3613 of the Business and Professions Code is amended to read:3613. The following definitions apply for the purposes of this chapter:(a) Board means the California Board of Naturopathic Medicine. Any reference in any law or regulation to the Bureau of Naturopathic Medicine or the Naturopathic Medicine Committee shall be deemed to refer to the California Board of Naturopathic Medicine.(b) Naturopathic childbirth attendance means the specialty practice of natural childbirth by a naturopathic doctor that includes the management of normal pregnancy, normal labor and delivery, and the normal postpartum period, including normal newborn care.(c) Naturopathic medicine means a distinct and comprehensive system of primary health care practiced by a naturopathic doctor for the diagnosis, treatment, and prevention of human health conditions, injuries, and disease.(d) Naturopathic doctor means a person who holds an active license issued pursuant to this chapter.(e) Naturopathy means a noninvasive system of health practice that employs natural health modalities, substances, and education to promote health.(f) Drug means any substance defined as a drug by Section 11014 of the Health and Safety Code.(g) Naturopathic assistant means a person who may be unlicensed, who performs basic administrative, clerical, and technical supportive services in compliance with this chapter for a licensed naturopathic doctor or naturopathic corporation and who is at least 18 years of age, and who has had at least the minimum amount of hours of appropriate training pursuant to standards established by the Medical Board of California for a medical assistant pursuant to Section 2069. The naturopathic assistant shall be issued a certificate by the training institution or instructor indicating satisfactory completion of the required training. A copy of the certificate shall be retained as a record by each employer or the naturopathic assistant.(h) Naturopathic technical supportive services means simple routine medical tasks and procedures that may be safely performed by a naturopathic assistant who has limited training and who functions under the supervision of a licensed naturopathic doctor.(i) Specific authorization means a specific written order prepared by the supervising naturopathic doctor authorizing the procedures to be performed on a patient, which shall be placed in the patients medical record, or a standing order prepared by the supervising naturopathic doctor authorizing the procedures to be performed. A notation of the standing order shall be placed on the patients medical record.(j) Supervision means the supervision of procedures authorized under this section or Section 3640.2 by a naturopathic doctor, within their scope of practice, who is physically present in the treatment facility during the performance of those procedures.
170181
171182 SEC. 3. Section 3613 of the Business and Professions Code is amended to read:
172183
173184 ### SEC. 3.
174185
175186 3613. The following definitions apply for the purposes of this chapter:(a) Board means the California Board of Naturopathic Medicine. Any reference in any law or regulation to the Bureau of Naturopathic Medicine or the Naturopathic Medicine Committee shall be deemed to refer to the California Board of Naturopathic Medicine.(b) Naturopathic childbirth attendance means the specialty practice of natural childbirth by a naturopathic doctor that includes the management of normal pregnancy, normal labor and delivery, and the normal postpartum period, including normal newborn care.(c) Naturopathic medicine means a distinct and comprehensive system of primary health care practiced by a naturopathic doctor for the diagnosis, treatment, and prevention of human health conditions, injuries, and disease.(d) Naturopathic doctor means a person who holds an active license issued pursuant to this chapter.(e) Naturopathy means a noninvasive system of health practice that employs natural health modalities, substances, and education to promote health.(f) Drug means any substance defined as a drug by Section 11014 of the Health and Safety Code.(g) Naturopathic assistant means a person who may be unlicensed, who performs basic administrative, clerical, and technical supportive services in compliance with this chapter for a licensed naturopathic doctor or naturopathic corporation and who is at least 18 years of age, and who has had at least the minimum amount of hours of appropriate training pursuant to standards established by the Medical Board of California for a medical assistant pursuant to Section 2069. The naturopathic assistant shall be issued a certificate by the training institution or instructor indicating satisfactory completion of the required training. A copy of the certificate shall be retained as a record by each employer or the naturopathic assistant.(h) Naturopathic technical supportive services means simple routine medical tasks and procedures that may be safely performed by a naturopathic assistant who has limited training and who functions under the supervision of a licensed naturopathic doctor.(i) Specific authorization means a specific written order prepared by the supervising naturopathic doctor authorizing the procedures to be performed on a patient, which shall be placed in the patients medical record, or a standing order prepared by the supervising naturopathic doctor authorizing the procedures to be performed. A notation of the standing order shall be placed on the patients medical record.(j) Supervision means the supervision of procedures authorized under this section or Section 3640.2 by a naturopathic doctor, within their scope of practice, who is physically present in the treatment facility during the performance of those procedures.
176187
177188 3613. The following definitions apply for the purposes of this chapter:(a) Board means the California Board of Naturopathic Medicine. Any reference in any law or regulation to the Bureau of Naturopathic Medicine or the Naturopathic Medicine Committee shall be deemed to refer to the California Board of Naturopathic Medicine.(b) Naturopathic childbirth attendance means the specialty practice of natural childbirth by a naturopathic doctor that includes the management of normal pregnancy, normal labor and delivery, and the normal postpartum period, including normal newborn care.(c) Naturopathic medicine means a distinct and comprehensive system of primary health care practiced by a naturopathic doctor for the diagnosis, treatment, and prevention of human health conditions, injuries, and disease.(d) Naturopathic doctor means a person who holds an active license issued pursuant to this chapter.(e) Naturopathy means a noninvasive system of health practice that employs natural health modalities, substances, and education to promote health.(f) Drug means any substance defined as a drug by Section 11014 of the Health and Safety Code.(g) Naturopathic assistant means a person who may be unlicensed, who performs basic administrative, clerical, and technical supportive services in compliance with this chapter for a licensed naturopathic doctor or naturopathic corporation and who is at least 18 years of age, and who has had at least the minimum amount of hours of appropriate training pursuant to standards established by the Medical Board of California for a medical assistant pursuant to Section 2069. The naturopathic assistant shall be issued a certificate by the training institution or instructor indicating satisfactory completion of the required training. A copy of the certificate shall be retained as a record by each employer or the naturopathic assistant.(h) Naturopathic technical supportive services means simple routine medical tasks and procedures that may be safely performed by a naturopathic assistant who has limited training and who functions under the supervision of a licensed naturopathic doctor.(i) Specific authorization means a specific written order prepared by the supervising naturopathic doctor authorizing the procedures to be performed on a patient, which shall be placed in the patients medical record, or a standing order prepared by the supervising naturopathic doctor authorizing the procedures to be performed. A notation of the standing order shall be placed on the patients medical record.(j) Supervision means the supervision of procedures authorized under this section or Section 3640.2 by a naturopathic doctor, within their scope of practice, who is physically present in the treatment facility during the performance of those procedures.
178189
179190 3613. The following definitions apply for the purposes of this chapter:(a) Board means the California Board of Naturopathic Medicine. Any reference in any law or regulation to the Bureau of Naturopathic Medicine or the Naturopathic Medicine Committee shall be deemed to refer to the California Board of Naturopathic Medicine.(b) Naturopathic childbirth attendance means the specialty practice of natural childbirth by a naturopathic doctor that includes the management of normal pregnancy, normal labor and delivery, and the normal postpartum period, including normal newborn care.(c) Naturopathic medicine means a distinct and comprehensive system of primary health care practiced by a naturopathic doctor for the diagnosis, treatment, and prevention of human health conditions, injuries, and disease.(d) Naturopathic doctor means a person who holds an active license issued pursuant to this chapter.(e) Naturopathy means a noninvasive system of health practice that employs natural health modalities, substances, and education to promote health.(f) Drug means any substance defined as a drug by Section 11014 of the Health and Safety Code.(g) Naturopathic assistant means a person who may be unlicensed, who performs basic administrative, clerical, and technical supportive services in compliance with this chapter for a licensed naturopathic doctor or naturopathic corporation and who is at least 18 years of age, and who has had at least the minimum amount of hours of appropriate training pursuant to standards established by the Medical Board of California for a medical assistant pursuant to Section 2069. The naturopathic assistant shall be issued a certificate by the training institution or instructor indicating satisfactory completion of the required training. A copy of the certificate shall be retained as a record by each employer or the naturopathic assistant.(h) Naturopathic technical supportive services means simple routine medical tasks and procedures that may be safely performed by a naturopathic assistant who has limited training and who functions under the supervision of a licensed naturopathic doctor.(i) Specific authorization means a specific written order prepared by the supervising naturopathic doctor authorizing the procedures to be performed on a patient, which shall be placed in the patients medical record, or a standing order prepared by the supervising naturopathic doctor authorizing the procedures to be performed. A notation of the standing order shall be placed on the patients medical record.(j) Supervision means the supervision of procedures authorized under this section or Section 3640.2 by a naturopathic doctor, within their scope of practice, who is physically present in the treatment facility during the performance of those procedures.
180191
181192
182193
183194 3613. The following definitions apply for the purposes of this chapter:
184195
185196 (a) Board means the California Board of Naturopathic Medicine. Any reference in any law or regulation to the Bureau of Naturopathic Medicine or the Naturopathic Medicine Committee shall be deemed to refer to the California Board of Naturopathic Medicine.
186197
187198 (b) Naturopathic childbirth attendance means the specialty practice of natural childbirth by a naturopathic doctor that includes the management of normal pregnancy, normal labor and delivery, and the normal postpartum period, including normal newborn care.
188199
189200 (c) Naturopathic medicine means a distinct and comprehensive system of primary health care practiced by a naturopathic doctor for the diagnosis, treatment, and prevention of human health conditions, injuries, and disease.
190201
191202 (d) Naturopathic doctor means a person who holds an active license issued pursuant to this chapter.
192203
193204 (e) Naturopathy means a noninvasive system of health practice that employs natural health modalities, substances, and education to promote health.
194205
195206 (f) Drug means any substance defined as a drug by Section 11014 of the Health and Safety Code.
196207
197208 (g) Naturopathic assistant means a person who may be unlicensed, who performs basic administrative, clerical, and technical supportive services in compliance with this chapter for a licensed naturopathic doctor or naturopathic corporation and who is at least 18 years of age, and who has had at least the minimum amount of hours of appropriate training pursuant to standards established by the Medical Board of California for a medical assistant pursuant to Section 2069. The naturopathic assistant shall be issued a certificate by the training institution or instructor indicating satisfactory completion of the required training. A copy of the certificate shall be retained as a record by each employer or the naturopathic assistant.
198209
199210 (h) Naturopathic technical supportive services means simple routine medical tasks and procedures that may be safely performed by a naturopathic assistant who has limited training and who functions under the supervision of a licensed naturopathic doctor.
200211
201212 (i) Specific authorization means a specific written order prepared by the supervising naturopathic doctor authorizing the procedures to be performed on a patient, which shall be placed in the patients medical record, or a standing order prepared by the supervising naturopathic doctor authorizing the procedures to be performed. A notation of the standing order shall be placed on the patients medical record.
202213
203214 (j) Supervision means the supervision of procedures authorized under this section or Section 3640.2 by a naturopathic doctor, within their scope of practice, who is physically present in the treatment facility during the performance of those procedures.
204215
205216 SEC. 4. Section 3621 of the Business and Professions Code is amended to read:3621. (a) The board shall consist of nine members, consisting of seven members appointed by the Governor, one public member appointed by the Senate Committee on Rules, and one public member appointed by the Speaker of the Assembly. Members of the board shall include five members who are California-licensed naturopathic doctors, two members who are California-licensed physicians and surgeons, and two public members.(b) A member of the board shall be appointed for a four-year term. A person shall not serve as a member of the board for more than two consecutive terms. A member shall hold office until the appointment and qualification of the members successor, or until one year from the expiration of the term for which the member was appointed, whichever first occurs. Vacancies shall be filled by appointment for unexpired terms.(c) (1) A public member of the board shall be a resident of this state for at least five years preceding the public members appointment.(2) A person shall not be appointed as a public member if the person or the persons immediate family in any manner owns an interest in a college, school, or institution engaged in naturopathic education, or the person or the persons immediate family has an economic interest in naturopathy or has any other conflict of interest. Immediate family means the public members spouse, domestic partner, parents, children, or childrens spouses or domestic partners.(d) Each member of the board shall receive a per diem and expenses as provided in Section 103.(e) The board may appoint a person exempt from civil service who shall be designated as an executive officer and who shall exercise the powers and perform the duties delegated by the board and vested in the executive officer by this chapter.(f) Each appointing authority has power to remove from office at any time any member of the board appointed by that authority pursuant to Section 106.
206217
207218 SEC. 4. Section 3621 of the Business and Professions Code is amended to read:
208219
209220 ### SEC. 4.
210221
211222 3621. (a) The board shall consist of nine members, consisting of seven members appointed by the Governor, one public member appointed by the Senate Committee on Rules, and one public member appointed by the Speaker of the Assembly. Members of the board shall include five members who are California-licensed naturopathic doctors, two members who are California-licensed physicians and surgeons, and two public members.(b) A member of the board shall be appointed for a four-year term. A person shall not serve as a member of the board for more than two consecutive terms. A member shall hold office until the appointment and qualification of the members successor, or until one year from the expiration of the term for which the member was appointed, whichever first occurs. Vacancies shall be filled by appointment for unexpired terms.(c) (1) A public member of the board shall be a resident of this state for at least five years preceding the public members appointment.(2) A person shall not be appointed as a public member if the person or the persons immediate family in any manner owns an interest in a college, school, or institution engaged in naturopathic education, or the person or the persons immediate family has an economic interest in naturopathy or has any other conflict of interest. Immediate family means the public members spouse, domestic partner, parents, children, or childrens spouses or domestic partners.(d) Each member of the board shall receive a per diem and expenses as provided in Section 103.(e) The board may appoint a person exempt from civil service who shall be designated as an executive officer and who shall exercise the powers and perform the duties delegated by the board and vested in the executive officer by this chapter.(f) Each appointing authority has power to remove from office at any time any member of the board appointed by that authority pursuant to Section 106.
212223
213224 3621. (a) The board shall consist of nine members, consisting of seven members appointed by the Governor, one public member appointed by the Senate Committee on Rules, and one public member appointed by the Speaker of the Assembly. Members of the board shall include five members who are California-licensed naturopathic doctors, two members who are California-licensed physicians and surgeons, and two public members.(b) A member of the board shall be appointed for a four-year term. A person shall not serve as a member of the board for more than two consecutive terms. A member shall hold office until the appointment and qualification of the members successor, or until one year from the expiration of the term for which the member was appointed, whichever first occurs. Vacancies shall be filled by appointment for unexpired terms.(c) (1) A public member of the board shall be a resident of this state for at least five years preceding the public members appointment.(2) A person shall not be appointed as a public member if the person or the persons immediate family in any manner owns an interest in a college, school, or institution engaged in naturopathic education, or the person or the persons immediate family has an economic interest in naturopathy or has any other conflict of interest. Immediate family means the public members spouse, domestic partner, parents, children, or childrens spouses or domestic partners.(d) Each member of the board shall receive a per diem and expenses as provided in Section 103.(e) The board may appoint a person exempt from civil service who shall be designated as an executive officer and who shall exercise the powers and perform the duties delegated by the board and vested in the executive officer by this chapter.(f) Each appointing authority has power to remove from office at any time any member of the board appointed by that authority pursuant to Section 106.
214225
215226 3621. (a) The board shall consist of nine members, consisting of seven members appointed by the Governor, one public member appointed by the Senate Committee on Rules, and one public member appointed by the Speaker of the Assembly. Members of the board shall include five members who are California-licensed naturopathic doctors, two members who are California-licensed physicians and surgeons, and two public members.(b) A member of the board shall be appointed for a four-year term. A person shall not serve as a member of the board for more than two consecutive terms. A member shall hold office until the appointment and qualification of the members successor, or until one year from the expiration of the term for which the member was appointed, whichever first occurs. Vacancies shall be filled by appointment for unexpired terms.(c) (1) A public member of the board shall be a resident of this state for at least five years preceding the public members appointment.(2) A person shall not be appointed as a public member if the person or the persons immediate family in any manner owns an interest in a college, school, or institution engaged in naturopathic education, or the person or the persons immediate family has an economic interest in naturopathy or has any other conflict of interest. Immediate family means the public members spouse, domestic partner, parents, children, or childrens spouses or domestic partners.(d) Each member of the board shall receive a per diem and expenses as provided in Section 103.(e) The board may appoint a person exempt from civil service who shall be designated as an executive officer and who shall exercise the powers and perform the duties delegated by the board and vested in the executive officer by this chapter.(f) Each appointing authority has power to remove from office at any time any member of the board appointed by that authority pursuant to Section 106.
216227
217228
218229
219230 3621. (a) The board shall consist of nine members, consisting of seven members appointed by the Governor, one public member appointed by the Senate Committee on Rules, and one public member appointed by the Speaker of the Assembly. Members of the board shall include five members who are California-licensed naturopathic doctors, two members who are California-licensed physicians and surgeons, and two public members.
220231
221232 (b) A member of the board shall be appointed for a four-year term. A person shall not serve as a member of the board for more than two consecutive terms. A member shall hold office until the appointment and qualification of the members successor, or until one year from the expiration of the term for which the member was appointed, whichever first occurs. Vacancies shall be filled by appointment for unexpired terms.
222233
223234 (c) (1) A public member of the board shall be a resident of this state for at least five years preceding the public members appointment.
224235
225236 (2) A person shall not be appointed as a public member if the person or the persons immediate family in any manner owns an interest in a college, school, or institution engaged in naturopathic education, or the person or the persons immediate family has an economic interest in naturopathy or has any other conflict of interest. Immediate family means the public members spouse, domestic partner, parents, children, or childrens spouses or domestic partners.
226237
227238 (d) Each member of the board shall receive a per diem and expenses as provided in Section 103.
228239
229240 (e) The board may appoint a person exempt from civil service who shall be designated as an executive officer and who shall exercise the powers and perform the duties delegated by the board and vested in the executive officer by this chapter.
230241
231242 (f) Each appointing authority has power to remove from office at any time any member of the board appointed by that authority pursuant to Section 106.
232243
233244 SEC. 5. Section 3626 of the Business and Professions Code is amended to read:3626. (a) The board may employ other officers and employees as necessary to discharge the duties of the board.(b) The board shall employ a full-time staff position whose responsibilities shall include enforcement against violations of this chapter. This position shall be under the direction of the executive officer.(c) The board shall not incur any costs as a result of changing the name of the Naturopathic Medicine Committee to the California Board of Naturopathic Medicine, as described in Sections 3612 and 3613, beyond what is absorbable within existing resources.
234245
235246 SEC. 5. Section 3626 of the Business and Professions Code is amended to read:
236247
237248 ### SEC. 5.
238249
239250 3626. (a) The board may employ other officers and employees as necessary to discharge the duties of the board.(b) The board shall employ a full-time staff position whose responsibilities shall include enforcement against violations of this chapter. This position shall be under the direction of the executive officer.(c) The board shall not incur any costs as a result of changing the name of the Naturopathic Medicine Committee to the California Board of Naturopathic Medicine, as described in Sections 3612 and 3613, beyond what is absorbable within existing resources.
240251
241252 3626. (a) The board may employ other officers and employees as necessary to discharge the duties of the board.(b) The board shall employ a full-time staff position whose responsibilities shall include enforcement against violations of this chapter. This position shall be under the direction of the executive officer.(c) The board shall not incur any costs as a result of changing the name of the Naturopathic Medicine Committee to the California Board of Naturopathic Medicine, as described in Sections 3612 and 3613, beyond what is absorbable within existing resources.
242253
243254 3626. (a) The board may employ other officers and employees as necessary to discharge the duties of the board.(b) The board shall employ a full-time staff position whose responsibilities shall include enforcement against violations of this chapter. This position shall be under the direction of the executive officer.(c) The board shall not incur any costs as a result of changing the name of the Naturopathic Medicine Committee to the California Board of Naturopathic Medicine, as described in Sections 3612 and 3613, beyond what is absorbable within existing resources.
244255
245256
246257
247258 3626. (a) The board may employ other officers and employees as necessary to discharge the duties of the board.
248259
249260 (b) The board shall employ a full-time staff position whose responsibilities shall include enforcement against violations of this chapter. This position shall be under the direction of the executive officer.
250261
251262 (c) The board shall not incur any costs as a result of changing the name of the Naturopathic Medicine Committee to the California Board of Naturopathic Medicine, as described in Sections 3612 and 3613, beyond what is absorbable within existing resources.
252263
253264 SEC. 6. Section 3631 of the Business and Professions Code is amended to read:3631. (a) An applicant for licensure shall pass the Naturopathic Physicians Licensing Examination (NPLEX) or an equivalent examination approved by the North American Board of Naturopathic Examiners.(b) In the absence of an examination approved by the North American Board of Naturopathic Examiners, the board may administer a substantially equivalent examination.(c) The board may additionally require an applicant to pass any NPLEX elective examinations relevant to a licensees scope of practice in California.
254265
255266 SEC. 6. Section 3631 of the Business and Professions Code is amended to read:
256267
257268 ### SEC. 6.
258269
259270 3631. (a) An applicant for licensure shall pass the Naturopathic Physicians Licensing Examination (NPLEX) or an equivalent examination approved by the North American Board of Naturopathic Examiners.(b) In the absence of an examination approved by the North American Board of Naturopathic Examiners, the board may administer a substantially equivalent examination.(c) The board may additionally require an applicant to pass any NPLEX elective examinations relevant to a licensees scope of practice in California.
260271
261272 3631. (a) An applicant for licensure shall pass the Naturopathic Physicians Licensing Examination (NPLEX) or an equivalent examination approved by the North American Board of Naturopathic Examiners.(b) In the absence of an examination approved by the North American Board of Naturopathic Examiners, the board may administer a substantially equivalent examination.(c) The board may additionally require an applicant to pass any NPLEX elective examinations relevant to a licensees scope of practice in California.
262273
263274 3631. (a) An applicant for licensure shall pass the Naturopathic Physicians Licensing Examination (NPLEX) or an equivalent examination approved by the North American Board of Naturopathic Examiners.(b) In the absence of an examination approved by the North American Board of Naturopathic Examiners, the board may administer a substantially equivalent examination.(c) The board may additionally require an applicant to pass any NPLEX elective examinations relevant to a licensees scope of practice in California.
264275
265276
266277
267278 3631. (a) An applicant for licensure shall pass the Naturopathic Physicians Licensing Examination (NPLEX) or an equivalent examination approved by the North American Board of Naturopathic Examiners.
268279
269280 (b) In the absence of an examination approved by the North American Board of Naturopathic Examiners, the board may administer a substantially equivalent examination.
270281
271282 (c) The board may additionally require an applicant to pass any NPLEX elective examinations relevant to a licensees scope of practice in California.
272283
273284 SEC. 7. Section 3635 of the Business and Professions Code is amended to read:3635. (a) In addition to any other qualifications and requirements for licensure renewal, the board shall require the satisfactory completion of 60 hours of approved continuing education biennially. This requirement is waived for the initial license renewal. The continuing education shall meet the following requirements:(1) At least 20 hours shall be in pharmacotherapeutics.(2) No more than 15 hours may be in naturopathic medical journals or osteopathic or allopathic medical journals, or audio or videotaped presentations, slides, programmed instruction, or computer-assisted instruction or preceptorships.(3) No more than 20 hours may be in any single topic.(4) No more than 15 hours of the continuing education requirements for the specialty certificate in naturopathic childbirth attendance shall apply to the 60 hours of continuing education requirement.(5) Course content shall pertain to the practice of naturopathic, osteopathic, or allopathic medicine.(b) The continuing education requirements of this section may be met through continuing education courses approved by the board, the California Naturopathic Doctors Association, the North American Naturopathic Continuing Education Accreditation Council, the American Association of Naturopathic Physicians, the California State Board of Pharmacy, or the State Board of Chiropractic Examiners, or other courses that meet the standards for continuing education for licensed physicians and surgeons in California. All continuing education providers shall comply with Section 3635.2. Continuing education providers shall submit an annual declaration to the board that their educational activities satisfy the requirements described in Section 3635.2 and the board shall maintain a list of these providers on its internet website.
274285
275286 SEC. 7. Section 3635 of the Business and Professions Code is amended to read:
276287
277288 ### SEC. 7.
278289
279290 3635. (a) In addition to any other qualifications and requirements for licensure renewal, the board shall require the satisfactory completion of 60 hours of approved continuing education biennially. This requirement is waived for the initial license renewal. The continuing education shall meet the following requirements:(1) At least 20 hours shall be in pharmacotherapeutics.(2) No more than 15 hours may be in naturopathic medical journals or osteopathic or allopathic medical journals, or audio or videotaped presentations, slides, programmed instruction, or computer-assisted instruction or preceptorships.(3) No more than 20 hours may be in any single topic.(4) No more than 15 hours of the continuing education requirements for the specialty certificate in naturopathic childbirth attendance shall apply to the 60 hours of continuing education requirement.(5) Course content shall pertain to the practice of naturopathic, osteopathic, or allopathic medicine.(b) The continuing education requirements of this section may be met through continuing education courses approved by the board, the California Naturopathic Doctors Association, the North American Naturopathic Continuing Education Accreditation Council, the American Association of Naturopathic Physicians, the California State Board of Pharmacy, or the State Board of Chiropractic Examiners, or other courses that meet the standards for continuing education for licensed physicians and surgeons in California. All continuing education providers shall comply with Section 3635.2. Continuing education providers shall submit an annual declaration to the board that their educational activities satisfy the requirements described in Section 3635.2 and the board shall maintain a list of these providers on its internet website.
280291
281292 3635. (a) In addition to any other qualifications and requirements for licensure renewal, the board shall require the satisfactory completion of 60 hours of approved continuing education biennially. This requirement is waived for the initial license renewal. The continuing education shall meet the following requirements:(1) At least 20 hours shall be in pharmacotherapeutics.(2) No more than 15 hours may be in naturopathic medical journals or osteopathic or allopathic medical journals, or audio or videotaped presentations, slides, programmed instruction, or computer-assisted instruction or preceptorships.(3) No more than 20 hours may be in any single topic.(4) No more than 15 hours of the continuing education requirements for the specialty certificate in naturopathic childbirth attendance shall apply to the 60 hours of continuing education requirement.(5) Course content shall pertain to the practice of naturopathic, osteopathic, or allopathic medicine.(b) The continuing education requirements of this section may be met through continuing education courses approved by the board, the California Naturopathic Doctors Association, the North American Naturopathic Continuing Education Accreditation Council, the American Association of Naturopathic Physicians, the California State Board of Pharmacy, or the State Board of Chiropractic Examiners, or other courses that meet the standards for continuing education for licensed physicians and surgeons in California. All continuing education providers shall comply with Section 3635.2. Continuing education providers shall submit an annual declaration to the board that their educational activities satisfy the requirements described in Section 3635.2 and the board shall maintain a list of these providers on its internet website.
282293
283294 3635. (a) In addition to any other qualifications and requirements for licensure renewal, the board shall require the satisfactory completion of 60 hours of approved continuing education biennially. This requirement is waived for the initial license renewal. The continuing education shall meet the following requirements:(1) At least 20 hours shall be in pharmacotherapeutics.(2) No more than 15 hours may be in naturopathic medical journals or osteopathic or allopathic medical journals, or audio or videotaped presentations, slides, programmed instruction, or computer-assisted instruction or preceptorships.(3) No more than 20 hours may be in any single topic.(4) No more than 15 hours of the continuing education requirements for the specialty certificate in naturopathic childbirth attendance shall apply to the 60 hours of continuing education requirement.(5) Course content shall pertain to the practice of naturopathic, osteopathic, or allopathic medicine.(b) The continuing education requirements of this section may be met through continuing education courses approved by the board, the California Naturopathic Doctors Association, the North American Naturopathic Continuing Education Accreditation Council, the American Association of Naturopathic Physicians, the California State Board of Pharmacy, or the State Board of Chiropractic Examiners, or other courses that meet the standards for continuing education for licensed physicians and surgeons in California. All continuing education providers shall comply with Section 3635.2. Continuing education providers shall submit an annual declaration to the board that their educational activities satisfy the requirements described in Section 3635.2 and the board shall maintain a list of these providers on its internet website.
284295
285296
286297
287298 3635. (a) In addition to any other qualifications and requirements for licensure renewal, the board shall require the satisfactory completion of 60 hours of approved continuing education biennially. This requirement is waived for the initial license renewal. The continuing education shall meet the following requirements:
288299
289300 (1) At least 20 hours shall be in pharmacotherapeutics.
290301
291302 (2) No more than 15 hours may be in naturopathic medical journals or osteopathic or allopathic medical journals, or audio or videotaped presentations, slides, programmed instruction, or computer-assisted instruction or preceptorships.
292303
293304 (3) No more than 20 hours may be in any single topic.
294305
295306 (4) No more than 15 hours of the continuing education requirements for the specialty certificate in naturopathic childbirth attendance shall apply to the 60 hours of continuing education requirement.
296307
297308 (5) Course content shall pertain to the practice of naturopathic, osteopathic, or allopathic medicine.
298309
299310 (b) The continuing education requirements of this section may be met through continuing education courses approved by the board, the California Naturopathic Doctors Association, the North American Naturopathic Continuing Education Accreditation Council, the American Association of Naturopathic Physicians, the California State Board of Pharmacy, or the State Board of Chiropractic Examiners, or other courses that meet the standards for continuing education for licensed physicians and surgeons in California. All continuing education providers shall comply with Section 3635.2. Continuing education providers shall submit an annual declaration to the board that their educational activities satisfy the requirements described in Section 3635.2 and the board shall maintain a list of these providers on its internet website.
300311
301312 SEC. 8. Section 3651 of the Business and Professions Code is amended to read:3651. In order to be certified for the specialty practice of naturopathic childbirth attendance, a naturopathic doctor shall obtain a passing grade on the American College of Nurse Midwives Written Examination, the American College of Naturopathic Obstetricians Examination, or a substantially equivalent examination approved by the board, and shall establish, to the boards satisfaction, compliance with one of the following requirements:(a) Successful completion of a certificate of midwifery or naturopathic obstetrics specialty from an approved naturopathic medical education program consisting of not less than 84 semester units or 126 quarter units that substantially complies with the following educational standards and requirements:(1) The curriculum is presented in semester or quarter units under the following formula:(A) One hour of instruction in theory each week throughout a semester or quarter equals one unit.(B) Three hours of clinical practice each week throughout a semester or quarter equals one unit.(2) The program provides both academic and clinical preparation that is substantially equivalent to that provided in a program accredited by the American College of Nurse Midwives. The program includes, but is not limited to, preparation in all of the following areas:(A) The art and science of midwifery, one-half of which shall be in theory and one-half of which shall be in clinical practice. Theory and clinical practice shall be concurrent in the areas of maternal and child health, including, but not limited to, labor and delivery, neonatal well care, and postpartum care.(B) Communications skills that include the principles of oral, written, and group communications.(C) Anatomy and physiology, genetics, obstetrics and gynecology, embryology and fetal development, neonatology, applied microbiology, chemistry, child growth and development, pharmacology, nutrition, laboratory diagnostic tests and procedures, and physical assessment.(D) Concepts in psychosocial, emotional, and cultural aspects of maternal and child care, human sexuality, counseling and teaching, maternal and infant and family bonding process, breast feeding, family planning, principles of preventive health, and community health.(E) Aspects of the normal pregnancy, labor and delivery, postpartum period, newborn care, family planning, or routine gynecological care in alternative birth centers, homes, and hospitals.(3) The program integrates the following subjects throughout its entire curriculum:(A) Midwifery process.(B) Basic intervention skills in preventive, remedial, and supportive midwifery.(C) The knowledge and skills required to develop collegial relationships with health care providers from other disciplines.(D) Related behavioral and social sciences with emphasis on societal and cultural patterns, human development, and behavior related to maternal and child health, illness, and wellness.(4) Instruction in personal hygiene, client abuse, cultural diversity, and the legal, social, and ethical aspects of midwifery.(5) Instruction in the midwifery management process which shall include all of the following:(A) Obtaining or updating a defined and relevant database for assessment of the health status of the client.(B) Identifying problems based upon correct interpretation of the database.(C) Preparing a defined needs or problem list, or both, with corroboration from the client.(D) Consulting, collaborating with, and referring to, appropriate members of the health care team.(E) Providing information to enable clients to make appropriate decisions and to assume appropriate responsibility for their own health.(F) Assuming direct responsibility for the development of comprehensive, supportive care for the client and with the client.(G) Assuming direct responsibility for implementing the plan of care.(H) Initiating appropriate measures for obstetrical and neonatal emergencies.(I) Evaluating, with corroboration from the client, the achievement of health care goals and modifying the plan of care appropriately.(b) Successful completion of an educational program that the board has determined satisfies the criteria of subdivision (a) and current licensure as a midwife by a state with licensing standards that have been found by the board to be substantially equivalent to those adopted by the board pursuant to this article.
302313
303314 SEC. 8. Section 3651 of the Business and Professions Code is amended to read:
304315
305316 ### SEC. 8.
306317
307318 3651. In order to be certified for the specialty practice of naturopathic childbirth attendance, a naturopathic doctor shall obtain a passing grade on the American College of Nurse Midwives Written Examination, the American College of Naturopathic Obstetricians Examination, or a substantially equivalent examination approved by the board, and shall establish, to the boards satisfaction, compliance with one of the following requirements:(a) Successful completion of a certificate of midwifery or naturopathic obstetrics specialty from an approved naturopathic medical education program consisting of not less than 84 semester units or 126 quarter units that substantially complies with the following educational standards and requirements:(1) The curriculum is presented in semester or quarter units under the following formula:(A) One hour of instruction in theory each week throughout a semester or quarter equals one unit.(B) Three hours of clinical practice each week throughout a semester or quarter equals one unit.(2) The program provides both academic and clinical preparation that is substantially equivalent to that provided in a program accredited by the American College of Nurse Midwives. The program includes, but is not limited to, preparation in all of the following areas:(A) The art and science of midwifery, one-half of which shall be in theory and one-half of which shall be in clinical practice. Theory and clinical practice shall be concurrent in the areas of maternal and child health, including, but not limited to, labor and delivery, neonatal well care, and postpartum care.(B) Communications skills that include the principles of oral, written, and group communications.(C) Anatomy and physiology, genetics, obstetrics and gynecology, embryology and fetal development, neonatology, applied microbiology, chemistry, child growth and development, pharmacology, nutrition, laboratory diagnostic tests and procedures, and physical assessment.(D) Concepts in psychosocial, emotional, and cultural aspects of maternal and child care, human sexuality, counseling and teaching, maternal and infant and family bonding process, breast feeding, family planning, principles of preventive health, and community health.(E) Aspects of the normal pregnancy, labor and delivery, postpartum period, newborn care, family planning, or routine gynecological care in alternative birth centers, homes, and hospitals.(3) The program integrates the following subjects throughout its entire curriculum:(A) Midwifery process.(B) Basic intervention skills in preventive, remedial, and supportive midwifery.(C) The knowledge and skills required to develop collegial relationships with health care providers from other disciplines.(D) Related behavioral and social sciences with emphasis on societal and cultural patterns, human development, and behavior related to maternal and child health, illness, and wellness.(4) Instruction in personal hygiene, client abuse, cultural diversity, and the legal, social, and ethical aspects of midwifery.(5) Instruction in the midwifery management process which shall include all of the following:(A) Obtaining or updating a defined and relevant database for assessment of the health status of the client.(B) Identifying problems based upon correct interpretation of the database.(C) Preparing a defined needs or problem list, or both, with corroboration from the client.(D) Consulting, collaborating with, and referring to, appropriate members of the health care team.(E) Providing information to enable clients to make appropriate decisions and to assume appropriate responsibility for their own health.(F) Assuming direct responsibility for the development of comprehensive, supportive care for the client and with the client.(G) Assuming direct responsibility for implementing the plan of care.(H) Initiating appropriate measures for obstetrical and neonatal emergencies.(I) Evaluating, with corroboration from the client, the achievement of health care goals and modifying the plan of care appropriately.(b) Successful completion of an educational program that the board has determined satisfies the criteria of subdivision (a) and current licensure as a midwife by a state with licensing standards that have been found by the board to be substantially equivalent to those adopted by the board pursuant to this article.
308319
309320 3651. In order to be certified for the specialty practice of naturopathic childbirth attendance, a naturopathic doctor shall obtain a passing grade on the American College of Nurse Midwives Written Examination, the American College of Naturopathic Obstetricians Examination, or a substantially equivalent examination approved by the board, and shall establish, to the boards satisfaction, compliance with one of the following requirements:(a) Successful completion of a certificate of midwifery or naturopathic obstetrics specialty from an approved naturopathic medical education program consisting of not less than 84 semester units or 126 quarter units that substantially complies with the following educational standards and requirements:(1) The curriculum is presented in semester or quarter units under the following formula:(A) One hour of instruction in theory each week throughout a semester or quarter equals one unit.(B) Three hours of clinical practice each week throughout a semester or quarter equals one unit.(2) The program provides both academic and clinical preparation that is substantially equivalent to that provided in a program accredited by the American College of Nurse Midwives. The program includes, but is not limited to, preparation in all of the following areas:(A) The art and science of midwifery, one-half of which shall be in theory and one-half of which shall be in clinical practice. Theory and clinical practice shall be concurrent in the areas of maternal and child health, including, but not limited to, labor and delivery, neonatal well care, and postpartum care.(B) Communications skills that include the principles of oral, written, and group communications.(C) Anatomy and physiology, genetics, obstetrics and gynecology, embryology and fetal development, neonatology, applied microbiology, chemistry, child growth and development, pharmacology, nutrition, laboratory diagnostic tests and procedures, and physical assessment.(D) Concepts in psychosocial, emotional, and cultural aspects of maternal and child care, human sexuality, counseling and teaching, maternal and infant and family bonding process, breast feeding, family planning, principles of preventive health, and community health.(E) Aspects of the normal pregnancy, labor and delivery, postpartum period, newborn care, family planning, or routine gynecological care in alternative birth centers, homes, and hospitals.(3) The program integrates the following subjects throughout its entire curriculum:(A) Midwifery process.(B) Basic intervention skills in preventive, remedial, and supportive midwifery.(C) The knowledge and skills required to develop collegial relationships with health care providers from other disciplines.(D) Related behavioral and social sciences with emphasis on societal and cultural patterns, human development, and behavior related to maternal and child health, illness, and wellness.(4) Instruction in personal hygiene, client abuse, cultural diversity, and the legal, social, and ethical aspects of midwifery.(5) Instruction in the midwifery management process which shall include all of the following:(A) Obtaining or updating a defined and relevant database for assessment of the health status of the client.(B) Identifying problems based upon correct interpretation of the database.(C) Preparing a defined needs or problem list, or both, with corroboration from the client.(D) Consulting, collaborating with, and referring to, appropriate members of the health care team.(E) Providing information to enable clients to make appropriate decisions and to assume appropriate responsibility for their own health.(F) Assuming direct responsibility for the development of comprehensive, supportive care for the client and with the client.(G) Assuming direct responsibility for implementing the plan of care.(H) Initiating appropriate measures for obstetrical and neonatal emergencies.(I) Evaluating, with corroboration from the client, the achievement of health care goals and modifying the plan of care appropriately.(b) Successful completion of an educational program that the board has determined satisfies the criteria of subdivision (a) and current licensure as a midwife by a state with licensing standards that have been found by the board to be substantially equivalent to those adopted by the board pursuant to this article.
310321
311322 3651. In order to be certified for the specialty practice of naturopathic childbirth attendance, a naturopathic doctor shall obtain a passing grade on the American College of Nurse Midwives Written Examination, the American College of Naturopathic Obstetricians Examination, or a substantially equivalent examination approved by the board, and shall establish, to the boards satisfaction, compliance with one of the following requirements:(a) Successful completion of a certificate of midwifery or naturopathic obstetrics specialty from an approved naturopathic medical education program consisting of not less than 84 semester units or 126 quarter units that substantially complies with the following educational standards and requirements:(1) The curriculum is presented in semester or quarter units under the following formula:(A) One hour of instruction in theory each week throughout a semester or quarter equals one unit.(B) Three hours of clinical practice each week throughout a semester or quarter equals one unit.(2) The program provides both academic and clinical preparation that is substantially equivalent to that provided in a program accredited by the American College of Nurse Midwives. The program includes, but is not limited to, preparation in all of the following areas:(A) The art and science of midwifery, one-half of which shall be in theory and one-half of which shall be in clinical practice. Theory and clinical practice shall be concurrent in the areas of maternal and child health, including, but not limited to, labor and delivery, neonatal well care, and postpartum care.(B) Communications skills that include the principles of oral, written, and group communications.(C) Anatomy and physiology, genetics, obstetrics and gynecology, embryology and fetal development, neonatology, applied microbiology, chemistry, child growth and development, pharmacology, nutrition, laboratory diagnostic tests and procedures, and physical assessment.(D) Concepts in psychosocial, emotional, and cultural aspects of maternal and child care, human sexuality, counseling and teaching, maternal and infant and family bonding process, breast feeding, family planning, principles of preventive health, and community health.(E) Aspects of the normal pregnancy, labor and delivery, postpartum period, newborn care, family planning, or routine gynecological care in alternative birth centers, homes, and hospitals.(3) The program integrates the following subjects throughout its entire curriculum:(A) Midwifery process.(B) Basic intervention skills in preventive, remedial, and supportive midwifery.(C) The knowledge and skills required to develop collegial relationships with health care providers from other disciplines.(D) Related behavioral and social sciences with emphasis on societal and cultural patterns, human development, and behavior related to maternal and child health, illness, and wellness.(4) Instruction in personal hygiene, client abuse, cultural diversity, and the legal, social, and ethical aspects of midwifery.(5) Instruction in the midwifery management process which shall include all of the following:(A) Obtaining or updating a defined and relevant database for assessment of the health status of the client.(B) Identifying problems based upon correct interpretation of the database.(C) Preparing a defined needs or problem list, or both, with corroboration from the client.(D) Consulting, collaborating with, and referring to, appropriate members of the health care team.(E) Providing information to enable clients to make appropriate decisions and to assume appropriate responsibility for their own health.(F) Assuming direct responsibility for the development of comprehensive, supportive care for the client and with the client.(G) Assuming direct responsibility for implementing the plan of care.(H) Initiating appropriate measures for obstetrical and neonatal emergencies.(I) Evaluating, with corroboration from the client, the achievement of health care goals and modifying the plan of care appropriately.(b) Successful completion of an educational program that the board has determined satisfies the criteria of subdivision (a) and current licensure as a midwife by a state with licensing standards that have been found by the board to be substantially equivalent to those adopted by the board pursuant to this article.
312323
313324
314325
315326 3651. In order to be certified for the specialty practice of naturopathic childbirth attendance, a naturopathic doctor shall obtain a passing grade on the American College of Nurse Midwives Written Examination, the American College of Naturopathic Obstetricians Examination, or a substantially equivalent examination approved by the board, and shall establish, to the boards satisfaction, compliance with one of the following requirements:
316327
317328 (a) Successful completion of a certificate of midwifery or naturopathic obstetrics specialty from an approved naturopathic medical education program consisting of not less than 84 semester units or 126 quarter units that substantially complies with the following educational standards and requirements:
318329
319330 (1) The curriculum is presented in semester or quarter units under the following formula:
320331
321332 (A) One hour of instruction in theory each week throughout a semester or quarter equals one unit.
322333
323334 (B) Three hours of clinical practice each week throughout a semester or quarter equals one unit.
324335
325336 (2) The program provides both academic and clinical preparation that is substantially equivalent to that provided in a program accredited by the American College of Nurse Midwives. The program includes, but is not limited to, preparation in all of the following areas:
326337
327338 (A) The art and science of midwifery, one-half of which shall be in theory and one-half of which shall be in clinical practice. Theory and clinical practice shall be concurrent in the areas of maternal and child health, including, but not limited to, labor and delivery, neonatal well care, and postpartum care.
328339
329340 (B) Communications skills that include the principles of oral, written, and group communications.
330341
331342 (C) Anatomy and physiology, genetics, obstetrics and gynecology, embryology and fetal development, neonatology, applied microbiology, chemistry, child growth and development, pharmacology, nutrition, laboratory diagnostic tests and procedures, and physical assessment.
332343
333344 (D) Concepts in psychosocial, emotional, and cultural aspects of maternal and child care, human sexuality, counseling and teaching, maternal and infant and family bonding process, breast feeding, family planning, principles of preventive health, and community health.
334345
335346 (E) Aspects of the normal pregnancy, labor and delivery, postpartum period, newborn care, family planning, or routine gynecological care in alternative birth centers, homes, and hospitals.
336347
337348 (3) The program integrates the following subjects throughout its entire curriculum:
338349
339350 (A) Midwifery process.
340351
341352 (B) Basic intervention skills in preventive, remedial, and supportive midwifery.
342353
343354 (C) The knowledge and skills required to develop collegial relationships with health care providers from other disciplines.
344355
345356 (D) Related behavioral and social sciences with emphasis on societal and cultural patterns, human development, and behavior related to maternal and child health, illness, and wellness.
346357
347358 (4) Instruction in personal hygiene, client abuse, cultural diversity, and the legal, social, and ethical aspects of midwifery.
348359
349360 (5) Instruction in the midwifery management process which shall include all of the following:
350361
351362 (A) Obtaining or updating a defined and relevant database for assessment of the health status of the client.
352363
353364 (B) Identifying problems based upon correct interpretation of the database.
354365
355366 (C) Preparing a defined needs or problem list, or both, with corroboration from the client.
356367
357368 (D) Consulting, collaborating with, and referring to, appropriate members of the health care team.
358369
359370 (E) Providing information to enable clients to make appropriate decisions and to assume appropriate responsibility for their own health.
360371
361372 (F) Assuming direct responsibility for the development of comprehensive, supportive care for the client and with the client.
362373
363374 (G) Assuming direct responsibility for implementing the plan of care.
364375
365376 (H) Initiating appropriate measures for obstetrical and neonatal emergencies.
366377
367378 (I) Evaluating, with corroboration from the client, the achievement of health care goals and modifying the plan of care appropriately.
368379
369380 (b) Successful completion of an educational program that the board has determined satisfies the criteria of subdivision (a) and current licensure as a midwife by a state with licensing standards that have been found by the board to be substantially equivalent to those adopted by the board pursuant to this article.
370381
371382 SEC. 9. Section 3686 of the Business and Professions Code is amended to read:3686. This chapter shall remain in effect only until January 1, 2027, and as of that date is repealed.
372383
373384 SEC. 9. Section 3686 of the Business and Professions Code is amended to read:
374385
375386 ### SEC. 9.
376387
377388 3686. This chapter shall remain in effect only until January 1, 2027, and as of that date is repealed.
378389
379390 3686. This chapter shall remain in effect only until January 1, 2027, and as of that date is repealed.
380391
381392 3686. This chapter shall remain in effect only until January 1, 2027, and as of that date is repealed.
382393
383394
384395
385396 3686. This chapter shall remain in effect only until January 1, 2027, and as of that date is repealed.