SB 491 Nurse Practitioners (Hernandez) (Support)
The NP Scope of Practice Bill has passed the Assembly and is now in the Business, Professions, and Consumer Protection Committee. Amendments to the bill are expected soon. CANP is collaborating on the amendments.
UPDATE: The bill was initially voted down by the Assembly Committee for Business, Professions, and Consumer Protection on Tuesday August 6 but was granted reconsideration again yesterday. Two more members voted Aye, thus pushing the bill through to the next hurdle, a hearing by the Assembly Appropriations Committee. Though amended to remove
full independent practice after 3 years under physician supervision, the bill stiff faces fierce opposition from the CMA.
Mike Horowitz from the DWC last solicited informal comments in March 2013. We emailed Mike regarding the status and our desire for finalization. He emailed back on Jul 19 that hewill be focusing back on First Aid in the near future. We can expect another formal comment period and are ready to respond.
Cal/OSHA Globally Harmonized System (GHS) Update to Hazard Communication
Alert! Employee training on the mechanics of the revised Hazard Communication standard is due by Dec 1, 2013!
See Cal/OSHA regulatory info below.
Fed OSHA and Cal/OSHA require employee training
on GHS, including info on pictograms and new Safety Data Sheet (SDS) format by Dec 1, 2013. This is not widely publicized by Cal/OSHA, so see Fed/OSHA web site for comprehensive information on training requirements.
The wonderful Fed/OSHA Hazard Communication Site:
SB 863 Workers’ Compensation Reform Implementation:
are still in place as rulemaking continues. The DWC held a meeting on July 17 for the new physician fee schedule using Relative Value Resource Based System (RVRBS) that eventually will cap at 120% of Medicare. The big surprise at the hearing was that the DWC realized a math error and RAND posted a revised report on new
conversion factors. This report had not been released before the hearing so the comments were based on the old report. It is unsure if they will have another hearing.
Anna Reilly: Attended a meeting with Maximus, the DWC’s contracted provider for Independent Medical Review (IMR) and Independent Bill Review (IBR) services. So far the number of reviews for each program is relatively low but slowly ramping up (100 Bill Reviews, 1000 IMRs with 400 in the last month). More activity is expected as the criteria for review are fully implemented.
IMR decisions are posted on the DWC at the bottom of the IMR link on the DWC website.
See the DWC website for further information on SB 863 http://www.dir.ca.gov/dwc/SB863/SB863.htm
Other Issues of Interest
AAOHN is looking at the issue of fracking and deciding whether to make a policy statement or not. Katy participated in the literature search for the Advocacy Committee. This also potentially relates to the proposed federal silica standard as crystalline silica is one of the agents used in fracking.
A long-awaited report from the CDPH to support a lower PEL for Lead should be coming out in Sept or Oct. This could substantially lower the PEL and medical removal requirements for lead. The report is many years in the making and long-anticipated. Cal/OSHA feels the updated research is needed to establish a variance from the Fed/OSHA lead standard. Once the report is out it will need to go through a peer review process. Stay tuned!