California 2017-2018 Regular Session Status: Enacted

AB 443 — Optometry: scope of practice.

Last action — Chaptered by Secretary of State - Chapter 549, Statutes of 2017.

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. ✓
    Passed Assembly
  4. ✓
    Passed Senate
  5. ✓
    To Executive
  6. 6
    Enacted

This bill has been enacted into law. Introduced February 13, 2017. Enacted.

Prognosis

Likely to advance 70% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 6 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

The Optometry Practice Act provides for the licensure and regulation of the practice of optometry by the State Board of Optometry, which is within the Department of Consumer Affairs. That act provides that the practice of optometry includes the prevention and diagnosis of disorders and dysfunctions of the visual system, and the treatment and management of certain disorders and dysfunctions of the visual system, as well as the provision of rehabilitative optometric services, and doing certain things, including, but not limited to, the examination of the human eye or eyes. Existing law makes a violation of the act punishable as a crime. This bill would revise the scope of the practice of optometry by, among other things, providing that the practice of optometry includes the provision of habilitative optometric services. Existing law authorizes an optometrist certified to use therapeutic pharmaceutical agents to diagnose and treat specified conditions and perform certain procedures. This bill would additionally authorize an optometrist who is certified to use therapeutic pharmaceutical agents, among other things, to perform skin testing to diagnose ocular allergies, to perform intravenous injection for the purpose of performing ocular angiography under specified circumstances, and to treat and diagnose hypotrichosis and blepharitis. The bill would authorize an optometrist certified to use therapeutic pharmaceutical agents to administer immunizations if the optometrist meets certain requirements, including that the optometrist is certified in basic life support. Existing law requires an optometrist to consult with and refer a patient to an ophthalmologist or a physician and surgeon in certain circumstances, including if a patient has a recurrent case of peripheral corneal inflammatory keratitis within one year of the initial occurrence. This bill would instead require an optometrist to consult with and, if necessary, refer to a physician and surgeon or other appropriate health care provider when a situation or condition occurs that is beyond the optometrist's scope of practice. The bill would require all consultations, referrals, and notifications be documented in the patient record. By changing the definition of an existing crime, this bill would impose a state-mandated local program. Existing law requires all moneys collected pursuant to the act, except fine and penalty money, to be deposited in the Optometry Fund and continuously appropriated to the board to carry out the act. This bill would require an applicant for a certificate to administer immunizations to pay a fee not to exceed $50. Because this bill would increase those moneys deposited in a continuously appropriated fund, it would make an appropriation. This bill would incorporate additional changes to Section 3057 of the Business and Professions Code proposed by AB 1708 to be operative only if this bill and AB 1708 are enacted and this bill is enacted last. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.

Bill Text

Action History

  1. Chaptered by Secretary of State - Chapter 549, Statutes of 2017.

  2. Approved by the Governor.

  3. Enrolled and presented to the Governor at 4 p.m.

  4. Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 75. Noes 0. Page 3544.).

  5. In Assembly. Concurrence in Senate amendments pending.

  6. Read third time. Passed. Ordered to the Assembly. (Ayes 40. Noes 0. Page 2854.).

  7. Read second time. Ordered to third reading.

  8. Read third time and amended. Ordered to second reading.

  9. Read second time. Ordered to third reading.

  10. From committee: Be ordered to second reading pursuant to Senate Rule 28.8.

  11. From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (July 10). Re-referred to Com. on APPR.

  12. From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on B., P. & E.D.

  13. In committee: Set, first hearing. Hearing canceled at the request of author.

  14. In committee: Hearing postponed by committee.

  15. Referred to Com. on B., P. & E.D.

  16. In Senate. Read first time. To Com. on RLS. for assignment.

  17. Read third time. Passed. Ordered to the Senate. (Ayes 74. Noes 0. Page 1795.)

  18. Read second time. Ordered to third reading.

  19. From committee: Do pass. (Ayes 17. Noes 0.) (May 24).

  20. Re-referred to Com. on APPR.

  21. Read second time and amended.

  22. From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 12. Noes 0.) (April 25).

  23. Referred to Com. on B. & P.

  24. From printer. May be heard in committee March 16.

  25. Read first time. To print.

Sponsors

  • Salas · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 121 not signed on

Sponsors (1)

  • Salas

Co-sponsors (0)

None.

Not signed on (121)

121 members have not signed on to this bill.

Show all 121 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

AB 443 SALAS Concurrence in Senate Amendments

Passed 75 Yea · 0 Nay · 4 Other
Party YeaNayPresentNot Voting
Unaffiliated 55003
Democratic 15000
Republican 5001
Total 75004
% of votes cast 95%0%0%5%
How each member voted (79)
Member Party Vote
Acosta — Yea
Baker — Yea
Bigelow — Yea
Bloom — Yea
Brough — Yea
Harper — Yea
Maienschein — Yea
Mathis — Yea
Mullin — Yea
O'Donnell — Yea
Obernolte — Yea
Santiago — Yea
Ting — Yea
Weber — Yea
Gonzalez Fletcher — Yea
Friedman — Yea
Burke — Yea
Fong — Yea
Salas — Yea
Holden — Yea
Jones-Sawyer — Yea
Bocanegra — Yea
Kiley — Yea
Rubio — Yea
Levine — Yea
Low — Yea
Mayes — Yea
McCarty — Yea
Medina — Yea
Chau — Yea
Melendez — Yea
Chu — Yea
Chávez — Yea
Cooper — Yea
Nazarian — Yea
Quirk — Yea
Rendon — Yea
Ridley-Thomas — Yea
Rodriguez — Yea
Steinorth — Yea
Thurmond — Yea
Voepel — Yea
Waldron — Yea
Wood — Yea
Gray — Not Voting
Chiu — Yea
Cooley — Not Voting
Eggman — Yea
Cunningham — Yea
Dababneh — Yea
Daly — Yea
Frazier — Not Voting
Gloria — Yea
Cristina Garcia — Yea
Eduardo Garcia — Yea
Jim Patterson — Yea
Mark Stone — Yea
Travis Allen — Yea
Aguiar-Curry, Cecilia M. Democratic Yea
Arambula, Joaquin Democratic Yea
Berman, Marc Democratic Yea
Bonta, Mia Democratic Yea
Caballero, Anna M. Democratic Yea
Calderon, Lisa Democratic Yea
Cervantes, Sabrina Democratic Yea
Gipson, Mike A. Democratic Yea
Grayson, Timothy S. Democratic Yea
Irwin, Jacqui Democratic Yea
Kalra, Ash Democratic Yea
Limón, Monique Democratic Yea
Muratsuchi, Al Democratic Yea
Quirk-Silva, Sharon Democratic Yea
Reyes, Eloise Gómez Democratic Yea
Chen, Phillip Republican Yea
Choi, Steven S. Republican Yea
Dahle, Megan Republican Not Voting
Flora, Heath Republican Yea
Gallagher, James Republican Yea
Lackey, Tom Republican Yea

Official roll call →

3rd Reading AB443 Salas By Hill

Passed 40 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 35000
Democratic 5000
Total 40000
% of votes cast 100%0%0%0%
How each member voted (40)
Member Party Vote
Bates — Yea
Beall — Yea
Bradford — Yea
Hueso — Yea
Leyva — Yea
Monning — Yea
Newman — Yea
Wilk — Yea
Hill — Yea
Cannella — Yea
Dodd — Yea
Moorlach — Yea
Roth — Yea
Portantino — Yea
Hernandez — Yea
Lara — Yea
Nielsen — Yea
Pan — Yea
Wieckowski — Yea
Glazer — Yea
Mitchell — Yea
De León — Yea
Allen — Yea
Atkins — Yea
Hertzberg — Yea
Anderson — Yea
Mendoza — Yea
Morrell — Yea
Skinner — Yea
Vidak — Yea
Fuller — Yea
Galgiani — Yea
Beth Gaines — Yea
Bill Berryhill — Yea
Mark Stone — Yea
Jackson, Corey A. Democratic Yea
McGuire, Mike Democratic Yea
Nguyen, Stephanie Democratic Yea
Stern, Henry I. Democratic Yea
Wiener, Scott D. Democratic Yea

Official roll call →

AB 443 SALAS Assembly Third Reading

Passed 74 Yea · 0 Nay · 6 Other
Party YeaNayPresentNot Voting
Unaffiliated 54003
Democratic 16000
Republican 4003
Total 74006
% of votes cast 93%0%0%8%
How each member voted (80)
Member Party Vote
Acosta — Yea
Bigelow — Yea
Bloom — Yea
Brough — Yea
Levine — Yea
Mathis — Yea
Medina — Yea
Obernolte — Yea
Ridley-Thomas — Yea
Rodriguez — Yea
Thurmond — Yea
Voepel — Yea
Wood — Yea
Chávez — Yea
Chu — Yea
Gonzalez Fletcher — Yea
Frazier — Yea
Salas — Yea
Low — Yea
Mayes — Yea
Melendez — Yea
Mullin — Yea
Santiago — Yea
Ting — Yea
Burke — Yea
Gray — Yea
Bocanegra — Yea
Friedman — Yea
Rubio — Yea
Gomez — Yea
Holden — Yea
Jones-Sawyer — Yea
Kiley — Yea
Maienschein — Yea
McCarty — Yea
Nazarian — Yea
O'Donnell — Yea
Baker — Yea
Chau — Not Voting
Chiu — Yea
Cooley — Yea
Cooper — Yea
Quirk — Yea
Rendon — Yea
Steinorth — Yea
Waldron — Yea
Weber — Yea
Harper — Not Voting
Eggman — Not Voting
Cunningham — Yea
Dababneh — Yea
Daly — Yea
Gloria — Yea
Cristina Garcia — Yea
Eduardo Garcia — Yea
Mark Stone — Yea
Travis Allen — Yea
Aguiar-Curry, Cecilia M. Democratic Yea
Arambula, Joaquin Democratic Yea
Berman, Marc Democratic Yea
Bonta, Mia Democratic Yea
Caballero, Anna M. Democratic Yea
Calderon, Lisa Democratic Yea
Cervantes, Sabrina Democratic Yea
Fong, Mike Democratic Yea
Gipson, Mike A. Democratic Yea
Grayson, Timothy S. Democratic Yea
Irwin, Jacqui Democratic Yea
Kalra, Ash Democratic Yea
Limón, Monique Democratic Yea
Muratsuchi, Al Democratic Yea
Quirk-Silva, Sharon Democratic Yea
Reyes, Eloise Gómez Democratic Yea
Chen, Phillip Republican Not Voting
Choi, Steven S. Republican Not Voting
Dahle, Megan Republican Not Voting
Flora, Heath Republican Yea
Gallagher, James Republican Yea
Lackey, Tom Republican Yea
Patterson, Joe Republican Yea

Official roll call →

Do pass.

Passed 17 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 12000
Democratic 4000
Republican 1000
Total 17000
% of votes cast 100%0%0%0%
How each member voted (17)
Member Party Vote
Bigelow — Yea
Bloom — Yea
Brough — Yea
Jones-Sawyer — Yea
Gloria — Yea
Gonzalez Fletcher — Yea
Bocanegra — Yea
Chau — Yea
Obernolte — Yea
Quirk — Yea
Friedman — Yea
Eduardo Garcia — Yea
Bonta, Mia Democratic Yea
Fong, Mike Democratic Yea
Muratsuchi, Al Democratic Yea
Reyes, Eloise Gómez Democratic Yea
Gallagher, James Republican Yea

Official roll call →

Do pass as amended and be re-referred to the Committee on [Appropriations]

Passed 12 Yea · 0 Nay · 4 Other
Party YeaNayPresentNot Voting
Unaffiliated 8003
Democratic 4000
Republican 0001
Total 12004
% of votes cast 75%0%0%25%
How each member voted (16)
Member Party Vote
Baker — Not Voting
Bloom — Yea
Brough — Yea
Holden — Yea
Mullin — Yea
Eggman — Yea
Cunningham — Not Voting
Chiu — Yea
Low — Yea
Steinorth — Not Voting
Ting — Yea
Arambula, Joaquin Democratic Yea
Gipson, Mike A. Democratic Yea
Grayson, Timothy S. Democratic Yea
Irwin, Jacqui Democratic Yea
Dahle, Megan Republican Not Voting

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does AB 443 do?
The Optometry Practice Act provides for the licensure and regulation of the practice of optometry by the State Board of Optometry, which is within the Department of Consumer Affairs. That act provides that the practice of optometry includes the prevention and diagnosis of disorders and dysfunctions of the visual system, and the treatment and management of certain disorders and dysfunctions of the visual system, as well as the provision of rehabilitative optometric services, and doing certain things, including, but not limited to, the examination of the human eye or eyes. Existing law makes a violation of the act punishable as a crime. This bill would revise the scope of the practice of optometry by, among other things, providing that the practice of optometry includes the provision of habilitative optometric services. Existing law authorizes an optometrist certified to use therapeutic pharmaceutical agents to diagnose and treat specified conditions and perform certain procedures. This bill would additionally authorize an optometrist who is certified to use therapeutic pharmaceutical agents, among other things, to perform skin testing to diagnose ocular allergies, to perform intravenous injection for the purpose of performing ocular angiography under specified circumstances, and to treat and diagnose hypotrichosis and blepharitis. The bill would authorize an optometrist certified to use therapeutic pharmaceutical agents to administer immunizations if the optometrist meets certain requirements, including that the optometrist is certified in basic life support. Existing law requires an optometrist to consult with and refer a patient to an ophthalmologist or a physician and surgeon in certain circumstances, including if a patient has a recurrent case of peripheral corneal inflammatory keratitis within one year of the initial occurrence. This bill would instead require an optometrist to consult with and, if necessary, refer to a physician and surgeon or other appropriate health care provider when a situation or condition occurs that is beyond the optometrist's scope of practice. The bill would require all consultations, referrals, and notifications be documented in the patient record. By changing the definition of an existing crime, this bill would impose a state-mandated local program. Existing law requires all moneys collected pursuant to the act, except fine and penalty money, to be deposited in the Optometry Fund and continuously appropriated to the board to carry out the act. This bill would require an applicant for a certificate to administer immunizations to pay a fee not to exceed $50. Because this bill would increase those moneys deposited in a continuously appropriated fund, it would make an appropriation. This bill would incorporate additional changes to Section 3057 of the Business and Professions Code proposed by AB 1708 to be operative only if this bill and AB 1708 are enacted and this bill is enacted last. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.
Who sponsors AB 443?
AB 443 is sponsored by Salas.
What is the current status of AB 443?
This bill has been enacted into law. Introduced February 13, 2017. Enacted.
Where can I track AB 443?
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