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<ns0:ActionText>INTRODUCED</ns0:ActionText>
<ns0:ActionDate>2026-02-18</ns0:ActionDate>
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<ns0:SessionYear>2025</ns0:SessionYear>
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<ns0:AuthorText authorType="LEAD_AUTHOR">Introduced by Assembly Member Pacheco</ns0:AuthorText>
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<ns0:Name>Pacheco</ns0:Name>
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<ns0:Title> An act to amend Sections 2860 and 3765 of the Business and Professions Code, and to amend Section 49423.5 of the Education Code, relating to professions and vocations.</ns0:Title>
<ns0:RelatingClause>professions and vocations</ns0:RelatingClause>
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<ns0:Subject>Vocational nursing: respiratory care.</ns0:Subject>
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<html:p>Existing law, the Vocational Nursing Practice Act, establishes the Board of Vocational Nursing and Psychiatric Technicians of the State of California to license and regulate vocational nurses and psychiatric technicians. Chapter 624 of the Statutes of 2022 (SB 1436) limited the respiratory tasks and services that a licensed vocational nurse may perform to basic respiratory tasks and services that do not require a respiratory assessment and only require manual, technical skills, or data collection, as identified by the Respiratory Care Board of California, as specified. SB 1436 and subsequent legislation have created exemptions for a licensed vocational nurse to perform respiratory tasks and services under specified circumstances that vary depending on the task or service, the nurse’s training, demonstrated competency, and employer, and the setting in which the task or service is performed,
as provided. SB 1436 became effective on January 1, 2023.</html:p>
<html:p>This bill, instead, would authorize a licensed vocational nurse to perform respiratory tasks and services consistent with the scope of practice of a licensed vocational nurse, as it existed on December 31, 2022. The bill would make various conforming changes, including removal of the above-described exemptions.</html:p>
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<ns0:Preamble>The people of the State of California do enact as follows:</ns0:Preamble>
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<ns0:Num>SECTION 1.</ns0:Num>
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Section 2860 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Num>2860.</ns0:Num>
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(a)
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This chapter confers no authority to practice medicine or surgery or to undertake the prevention, treatment, or cure of disease, pain, injury, deformity, or mental or physical condition in violation of any provision of law.
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(b)
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A licensed vocational nurse may perform respiratory tasks and services consistent with the scope of practice of a licensed vocational nurse, as it existed on December 31, 2022.
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<ns0:Num>SEC. 2.</ns0:Num>
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Section 3765 of the
<ns0:DocName>Business and Professions Code</ns0:DocName>
is amended to read:
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<ns0:Num>3765.</ns0:Num>
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<html:p>This act does not prohibit any of the following activities:</html:p>
<html:p>
(a)
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The performance of respiratory care that is an integral part of the program of study by students enrolled in approved respiratory therapy training programs.
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<html:p>
(b)
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Self-care by the patient or the gratuitous care by a friend or member of the family who does not represent or hold themselves out to be a respiratory care practitioner licensed under the provisions of this chapter.
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(c)
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The respiratory care practitioner from performing advances in the art and techniques of respiratory care learned through formal or specialized training.
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(d)
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The
performance of respiratory care in an emergency situation by paramedical personnel who have been formally trained in these modalities and are duly licensed under the provisions of an act pertaining to their specialty.
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<html:p>
(e)
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Temporary performance, by other health care personnel, students, or groups, of respiratory care services, as identified and authorized by the board, in the event of an epidemic, pandemic, public disaster, or emergency.
</html:p>
<html:p>
(f)
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Persons from engaging in cardiopulmonary research.
</html:p>
<html:p>
(g)
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Formally trained licensees and staff of child day care facilities from administering to a child inhaled medication as defined in Section 1596.798 of the Health and Safety Code.
</html:p>
<html:p>
(h)
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The performance by a person employed by a home medical device retail facility or
by a home health agency licensed by the State Department of Public Health of specific, limited, and basic respiratory care or respiratory care-related services that have been authorized by the board.
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(i)
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The performance, by a vocational nurse licensed by the Board of Vocational Nursing and Psychiatric Technicians of the State of California, of respiratory tasks and services pursuant to Section 2860.
</html:p>
<html:p>
(j)
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The performance of pulmonary function testing by persons who are currently employed by Los Angeles County hospitals and have performed pulmonary function testing for at least 15 years.
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<ns0:Num>SEC. 3.</ns0:Num>
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Section 49423.5 of the
<ns0:DocName>Education Code</ns0:DocName>
is amended to read:
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<ns0:Num>49423.5.</ns0:Num>
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<html:p>
(a)
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Notwithstanding Section 49422, an individual with exceptional needs who requires specialized physical health care services, during the regular schoolday, may be assisted by any of the following individuals:
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<html:p>
(1)
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Qualified persons who possess an appropriate credential issued pursuant to Section 44267 or 44267.5, or hold a valid certificate of public health nursing issued by the Board of Registered Nursing.
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(2)
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Qualified designated school personnel trained in the administration of specialized physical health care if they perform those services under the supervision, as defined by Section 3051.12 of Title 5 of the California Code of Regulations, of a credentialed school nurse, public health nurse, or
licensed physician and surgeon and the services are determined by the credentialed school nurse or licensed physician and surgeon, in consultation with the physician treating the pupil, to be all of the following:
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(A)
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Routine for the pupil.
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(B)
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Pose little potential harm for the pupil.
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(C)
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Performed with predictable outcomes, as defined in the individualized education program of the pupil.
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(D)
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Do not require a nursing assessment, interpretation, or decisionmaking by the designated school personnel.
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<html:p>
(b)
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Specialized health care or other services that require medically related training shall be provided pursuant to the procedures prescribed by Section 49423.
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<html:p>
(c)
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Persons providing specialized physical health care services shall also demonstrate competence in basic cardiopulmonary resuscitation and shall be knowledgeable of the emergency medical resources available in the community in which the services are performed.
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<html:p>
(d)
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“Specialized physical health care services,” as used in this section, includes catheterization, gastric tube feeding, suctioning, or other services that require medically related
training.
</html:p>
<html:p>
(e)
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Regulations necessary to implement this section shall be developed jointly by the State Department of Education and the State Department of Health Care Services, and adopted by the state board.
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(f)
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This section does not diminish or weaken any federal requirement for serving individuals with exceptional needs under the Individuals with Disabilities Education Act (20 U.S.C. Sec. 1400 et seq.), and its implementing regulations, and under Section 504 of the Rehabilitation Act of 1973 (29 U.S.C. Sec. 794) and its implementing regulations.
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(g)
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This section does not affect current state law or regulation regarding medication administration.
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(h)
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It is the intent of the Legislature that this section not cause individuals with exceptional needs to
be placed at schoolsites other than those they would attend but for their needs for specialized physical health care services.
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