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Updated:   2026-04-07

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                <ns0:Id>20250SB__131198AMD</ns0:Id>
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                                <ns0:ActionText>INTRODUCED</ns0:ActionText>
                                <ns0:ActionDate>2026-02-20</ns0:ActionDate>
                        </ns0:Action>
                        <ns0:Action>
                                <ns0:ActionText>AMENDED_SENATE</ns0:ActionText>
                                <ns0:ActionDate>2026-03-26</ns0:ActionDate>
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                        <ns0:SessionYear>2025</ns0:SessionYear>
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                        <ns0:MeasureNum>1311</ns0:MeasureNum>
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                <ns0:AuthorText authorType="LEAD_AUTHOR">Introduced by Senator Wahab</ns0:AuthorText>
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                        <ns0:Legislator>
                                <ns0:Contribution>LEAD_AUTHOR</ns0:Contribution>
                                <ns0:House>SENATE</ns0:House>
                                <ns0:Name>Wahab</ns0:Name>
                        </ns0:Legislator>
                </ns0:Authors>
                <ns0:Title> An act to amend Sections 1750, 1755, 2125, 4801, 4802, 4841.5, and 7524 of the Business and Professions Code, relating to licensed professions, and declaring the urgency thereof, to take effect immediately. </ns0:Title>
                <ns0:RelatingClause>licensed professions, and declaring the urgency thereof, to take effect immediately</ns0:RelatingClause>
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                        <ns0:Subject>Licensed professions.</ns0:Subject>
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                                (1)
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                                The Dental Practice Act establishes the Dental Board of California to license and regulate the practice of dentistry. Existing law requires the board to license and regulate dental auxiliaries, including, among others, dental assistants, as defined, and sets forth duties and functions that those dental auxiliaries are authorized to perform. Existing law requires an unlicensed dental assistant not enrolled in a board-approved program for registered dental assisting or an alternative dental assisting program to
                         complete an infection control certification course, as specified. In this regard, existing law allows the unlicensed dental assistant to complete a board-approved 8-hour course, with 6 hours being didactic instruction and 2 hours being laboratory instruction, as specified.
                        </html:p>
                        <html:p>This bill would allow an unlicensed dental assistant to complete the Dental Assisting National Board’s Infection Control examination instead of completing an infection control course. The bill would also revise the requirements for those infection control courses to allow an unlicensed dental assistant to complete one of specified courses approved by the board or a course with at least 4 hours of didactic instruction and at least 2 hours of laboratory instruction using video or a series of video training tools, as specified.</html:p>
                        <html:p>Existing law makes the employer of a dental assistant responsible for ensuring that the dental assistant has successfully completed
                         a board-approved 8-hour course in infection control before performing any basic supportive dental procedures involving potential exposure to blood, saliva, or other potentially infectious material.</html:p>
                        <html:p>This bill would instead require the employer to ensure the dental assistant has successfully completed a course or examination in infection control, as described above, before performing those procedures.</html:p>
                        <html:p>
                                (2)
                                <html:span class="EnSpace"/>
                                Existing law establishes the Licensed Physicians from Mexico Program under which the Medical Board of California is required to issue a physician and surgeon’s license to a licensed physician from Mexico who meets specific education, language, experience, and other requirements. Existing law limits the number of program applicants and the dates they may apply.
                        </html:p>
                        <html:p>This bill would
                         make changes to those application deadlines, requiring applicants for the program to submit an application to the board between October 1, 2025, and July 1, 2026, and authorizing the board to accept up to 15 applications after July 1, 2026, and before January 1, 2028.</html:p>
                        <html:p>
                                (3)
                                <html:span class="EnSpace"/>
                                The Veterinary Medicine Practice Act establishes the California Veterinary Medical Board to license and regulate veterinarians, veterinarian technicians, and the practice of veterinary medicine. Under existing law, the board is composed of 9 members, of which 4 are licensed veterinarians, 2 are registered veterinary technicians, and 3 are public members. Existing law requires the Governor to appoint the 4 veterinarian members, one registered veterinary technician member, and one public member to the board. Under existing law, the Senate Committee on Rules and the Speaker
                         of the Assembly each appoint a public member. The act also specifies the educational requirements, among other requirements, to become a registered veterinary technician.
                        </html:p>
                        <html:p>This bill would require the Governor to appoint the additional registered veterinary technician member to the board and would make nonsubstantive changes to provisions relating to the board. The bill would modify the educational requirements to become a registered veterinary technician to include education accredited by a California public school, as specified.</html:p>
                        <html:p>
                                (4)
                                <html:span class="EnSpace"/>
                                The Private Investigator Act provides for the licensure and regulation of private investigators by the Director of Consumer Affairs and requires an agreement to provide a service under the act to be in writing and contain, among other things, the approximate start and
                         completion dates of the work to be provided.
                        </html:p>
                        <html:p>Under this bill, a master agreement for frequently contracted services over a specified period of time would be exempt from the above-described requirement to include the approximate start and completion dates of the work, if the agreement includes the beginning and termination dates.</html:p>
                        <html:p>
                                (5)
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                                This bill would declare that it is to take effect immediately as an urgency statute.
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                        <ns0:FiscalCommittee>YES</ns0:FiscalCommittee>
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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 1750 of the
                                <ns0:DocName>Business and Professions Code</ns0:DocName>
                                 is amended to read:
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                                        <ns0:Num>1750.</ns0:Num>
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                                                                (a)
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                                                                A dental assistant is an individual who, without a license, may perform basic supportive dental procedures, as authorized by Section 1750.1 and by regulations adopted by the board, under the supervision of a licensed dentist. “Basic supportive dental procedures” are those procedures that have technically elementary characteristics, are completely reversible, and are unlikely to precipitate potentially hazardous conditions for the patient being treated.
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                                                        <html:p>
                                                                (b)
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                                                                The supervising licensed dentist shall be directly responsible for determining the competency of the dental assistant to perform the basic supportive dental procedures, as authorized by Section 1750.1.
                                                        </html:p>
                                                        <html:p>
                                                                (c)
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                                                                The employer of a dental assistant shall be responsible for ensuring that the dental assistant has successfully completed an infection control course or examination in accordance with subdivision (b) of Section 1755 prior to performing any basic supportive dental procedures involving potential exposure to blood, saliva, or other potentially infectious materials.
                                                        </html:p>
                                                        <html:p>
                                                                (d)
                                                                <html:span class="EnSpace"/>
                                                                The employer shall maintain evidence for the length of the employment for the dental assistant at the supervising dentist’s treatment facility to verify the dental assistant has met and maintained all certification requirements as dictated by statute and regulation.
                                                        </html:p>
                                                        <html:p>
                                                                (e)
                                                                <html:span class="EnSpace"/>
                                                                The employer shall inform the dental assistant of the educational
                                                requirements described in subdivision (f) to maintain employment as an unlicensed dental assistant.
                                                        </html:p>
                                                        <html:p>
                                                                (f)
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                                                                The employer of a dental assistant shall be responsible for ensuring that the dental assistant who has been employed continuously or on an intermittent basis by that employer for one year from the date of first employment provides evidence to the employer that the dental assistant has already successfully completed, or successfully completes, all of the following within one year of the first date of employment:
                                                        </html:p>
                                                        <html:p>
                                                                (1)
                                                                <html:span class="EnSpace"/>
                                                                A board-approved two-hour course in the Dental Practice Act.
                                                        </html:p>
                                                        <html:p>
                                                                (2)
                                                                <html:span class="EnSpace"/>
                                                                Current certification in basic life support issued by the American Red Cross, the American Heart Association, the American Safety and Health
                                                Institute, the American Dental Association’s Continuing Education Recognition Program, or the Academy of General Dentistry’s Program Approval for Continuing Education, in accordance with both of the following:
                                                        </html:p>
                                                        <html:p>
                                                                (A)
                                                                <html:span class="EnSpace"/>
                                                                The dental assistant shall be responsible for maintaining current certification in basic life support to perform duties involving patients.
                                                        </html:p>
                                                        <html:p>
                                                                (B)
                                                                <html:span class="EnSpace"/>
                                                                The employer of a dental assistant shall be responsible for ensuring that the dental assistant maintains certification in basic life support.
                                                        </html:p>
                                                        <html:p>
                                                                (3)
                                                                <html:span class="EnSpace"/>
                                                                To perform radiographic procedures, a dental assistant shall complete a board-approved course in radiation safety. The original or a copy of the current, valid certificate issued by a board-approved radiation safety
                                                course provider shall be publicly displayed at the treatment facility where the dental assistant performs dental services.
                                                        </html:p>
                                                        <html:p>
                                                                (4)
                                                                <html:span class="EnSpace"/>
                                                                To perform coronal polishing prior to licensure as a registered dental assistant, an unlicensed dental assistant shall complete a board-approved coronal polishing course and obtain a certificate of completion. Prior to taking the coronal polishing course, the dental assistant shall provide evidence to the course provider of having completed a board-approved eight-hour course in infection control and a current, valid certification in basic life support.
                                                        </html:p>
                                                        <html:p>
                                                                (A)
                                                                <html:span class="EnSpace"/>
                                                                Coronal polishing performed pursuant to this paragraph shall be performed under the direct supervision and pursuant to the order, control, and full professional responsibility of a licensed dentist,
                                                who shall, at minimum, evaluate each patient after coronal polishing procedures are performed by the dental assistant.
                                                        </html:p>
                                                        <html:p>
                                                                (B)
                                                                <html:span class="EnSpace"/>
                                                                The original or a copy of the current, valid certificate issued by a board-approved coronal polishing course provider shall be publicly displayed at the treatment facility where the dental assistant performs dental services.
                                                        </html:p>
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                        <ns0:Num>SEC. 2.</ns0:Num>
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                                Section 1755 of the
                                <ns0:DocName>Business and Professions Code</ns0:DocName>
                                 is amended to read:
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                                        <ns0:Num>1755.</ns0:Num>
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                                                                (a)
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                                                                A course in infection control is one that has as its main purpose providing theory and clinical application in infection control practices and principles where the protection of the public is its primary focus.
                                                        </html:p>
                                                        <html:p>
                                                                (b)
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                                                                An unlicensed dental assistant not enrolled in a board-approved program for registered dental assisting or an alternative dental assisting program as defined in subdivision (a) of Section 1741, shall successfully complete either the Dental Assisting National Board’s Infection Control examination or one of the following infection control certification courses:
                                                        </html:p>
                                                        <html:p>
                                                                (1)
                                                                <html:span class="EnSpace"/>
                                                                A board-approved eight-hour
                                                infection control course provided by a board-approved registered dental assisting education program.
                                                        </html:p>
                                                        <html:p>
                                                                (2)
                                                                <html:span class="EnSpace"/>
                                                                A board-approved eight-hour infection control course pursuant to Section 1070.6 of Title 16 of the California Code of Regulations.
                                                        </html:p>
                                                        <html:p>
                                                                (3)
                                                                <html:span class="EnSpace"/>
                                                                (A)
                                                                <html:span class="EnSpace"/>
                                                                Notwithstanding Sections 1070, 1070.1, and 1070.6 of Title 16 of the California Code of Regulations, a course with at least four hours of didactic instruction, as described in subdivision (e), and at least two hours of laboratory instruction using video or a series of video training tools, all of which may be delivered using asynchronous, synchronous, or online learning mechanisms or a combination thereof, offered by the California Dental Association or a provider approved by the California Dental Association,
                                                the American Dental Association’s Continuing Education Recognition Program, or the Academy of General Dentistry’s Program Approval for Continuing Education.
                                                        </html:p>
                                                        <html:p>
                                                                (B)
                                                                <html:span class="EnSpace"/>
                                                                For purposes of this paragraph, “laboratory instruction” means instruction in which students perform procedures using study models, mannequins, or other simulation methods.
                                                        </html:p>
                                                        <html:p>
                                                                (c)
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                                                                A course shall establish specific instructional objectives. Instruction shall provide the content necessary for students to make safe and ethical judgments regarding infection control and asepsis.
                                                        </html:p>
                                                        <html:p>
                                                                (d)
                                                                <html:span class="EnSpace"/>
                                                                Objective evaluation criteria shall be used for measuring student progress. Students shall be provided with specific performance objectives and the evaluation criteria that will be used for didactic
                                                testing.
                                                        </html:p>
                                                        <html:p>
                                                                (e)
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                                                                Didactic instruction shall include, at a minimum, all of the following as they relate to Cal/OSHA regulations, as set forth in Sections 300 to 344.85, inclusive, of Title 8 of the California Code of Regulations, and the board’s Minimum Standards for Infection Control, as set forth in Section 1005 of Title 16 of the California Code of Regulations:
                                                        </html:p>
                                                        <html:p>
                                                                (1)
                                                                <html:span class="EnSpace"/>
                                                                Basic dental science and microbiology as they relate to infection control in dentistry.
                                                        </html:p>
                                                        <html:p>
                                                                (2)
                                                                <html:span class="EnSpace"/>
                                                                Legal and ethical aspects of infection control procedures.
                                                        </html:p>
                                                        <html:p>
                                                                (3)
                                                                <html:span class="EnSpace"/>
                                                                Terms and protocols specified in Section 1005 of Title 16 of the California Code of Regulations regarding the minimum standards for infection
                                                control.
                                                        </html:p>
                                                        <html:p>
                                                                (4)
                                                                <html:span class="EnSpace"/>
                                                                Principles of modes of disease transmission and prevention.
                                                        </html:p>
                                                        <html:p>
                                                                (5)
                                                                <html:span class="EnSpace"/>
                                                                Principles, techniques, and protocols of hand hygiene, personal protective equipment, surface barriers and disinfection, sterilization, sanitation, and hazardous chemicals associated with infection control.
                                                        </html:p>
                                                        <html:p>
                                                                (6)
                                                                <html:span class="EnSpace"/>
                                                                Principles and protocols of sterilizer monitoring and the proper loading, unloading, storage, and transportation of instruments to work area.
                                                        </html:p>
                                                        <html:p>
                                                                (7)
                                                                <html:span class="EnSpace"/>
                                                                Principles and protocols associated with sharps management.
                                                        </html:p>
                                                        <html:p>
                                                                (8)
                                                                <html:span class="EnSpace"/>
                                                                Principles and protocols of infection control for laboratory areas.
                                                        </html:p>
                                                        <html:p>
                                                                (9)
                                                                <html:span class="EnSpace"/>
                                                                Principles and protocols of waterline maintenance.
                                                        </html:p>
                                                        <html:p>
                                                                (10)
                                                                <html:span class="EnSpace"/>
                                                                Principles and protocols of regulated and nonregulated waste management.
                                                        </html:p>
                                                        <html:p>
                                                                (11)
                                                                <html:span class="EnSpace"/>
                                                                Principles and protocols related to injury and illness prevention, hazard communication, general office safety, exposure control, postexposure requirements, and monitoring systems for radiation safety and sterilization systems.
                                                        </html:p>
                                                        <html:p>
                                                                (f)
                                                                <html:span class="EnSpace"/>
                                                                Upon successful completion of the course, students shall receive a certificate of completion as defined in subdivision (e) of Section 1741.
                                                        </html:p>
                                                        <html:p>
                                                                (g)
                                                                <html:span class="EnSpace"/>
                                                                The board may adopt regulations to implement this section.
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                        <ns0:Num>SEC. 3.</ns0:Num>
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                                Section 2125 of the
                                <ns0:DocName>Business and Professions Code</ns0:DocName>
                                 is amended to read:
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                                        <ns0:Num>2125.</ns0:Num>
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                                                                (a)
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                                                                For purposes of this article, the following definitions apply:
                                                        </html:p>
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                                                                (1)
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                                                                “Board” means the Medical Board of California.
                                                        </html:p>
                                                        <html:p>
                                                                (2)
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                                                                “Program” means the Licensed Physicians from Mexico Program.
                                                        </html:p>
                                                        <html:p>
                                                                (b)
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                                                                (1)
                                                                <html:span class="EnSpace"/>
                                                                The Licensed Physicians from Mexico Program is hereby created.
                                                        </html:p>
                                                        <html:p>
                                                                (2)
                                                                <html:span class="EnSpace"/>
                                                                The board shall approve physician candidates from Mexico for program participation.
                                                        </html:p>
                                                        <html:p>
                                                                (c)
                                                                <html:span class="EnSpace"/>
                                                                (1)
                                                                <html:span class="EnSpace"/>
                                                                This program extends the physician component of the Licensed Physicians and Dentists from Mexico Pilot Program, as
                                                established in former Section 853, which authorized up to 30 licensed physicians specializing in family practice, internal medicine, pediatrics, and obstetrics and gynecology from Mexico to practice medicine in California for a period not to exceed three years.
                                                        </html:p>
                                                        <html:p>
                                                                (2)
                                                                <html:span class="EnSpace"/>
                                                                The program shall also maintain an alternate list of program participants.
                                                        </html:p>
                                                        <html:p>
                                                                (d)
                                                                <html:span class="EnSpace"/>
                                                                The board shall issue a nonrenewable three-year physician’s and surgeon’s license to each licensed physician from Mexico who meets the criteria set forth in this section.
                                                        </html:p>
                                                        <html:p>
                                                                (e)
                                                                <html:span class="EnSpace"/>
                                                                Each physician from Mexico, to be eligible to participate in this program, shall comply with all of the following:
                                                        </html:p>
                                                        <html:p>
                                                                (1)
                                                                <html:span class="EnSpace"/>
                                                                Be licensed, certified or recertified, and in good standing in their medical specialty in Mexico. This certification or
                                                recertification shall be performed, as appropriate, by the Consejo Mexicano de Ginecología y Obstetricia, A.C., the Consejo Mexicano de Certificación en Medicina Familiar, A.C., the Consejo Mexicano de Medicina Interna, A.C., the Consejo Mexicano de Certificación en Pediatría, A.C., or the Consejo Mexicano de Psiquiatría, A.C.
                                                        </html:p>
                                                        <html:p>
                                                                (2)
                                                                <html:span class="EnSpace"/>
                                                                The board shall submit to the Department of Justice fingerprint images and related information required by the Department of Justice of all applicants for a physician’s and surgeon’s license, as defined by this section, to determine whether the applicant has a criminal conviction record in this state or in any other jurisdiction, including foreign countries, pursuant to Section 2042. The Department of Justice shall provide a state- and federal-level response in accordance with subdivision (p) of Section 11105 of the Penal Code for the board to determine whether the applicant is subject to denial of licensure under the
                                                provisions of Division 1.5 (commencing with Section 475) and Section 2221.
                                                        </html:p>
                                                        <html:p>
                                                                (3)
                                                                <html:span class="EnSpace"/>
                                                                Before leaving Mexico, have completed all of the following requirements:
                                                        </html:p>
                                                        <html:p>
                                                                (A)
                                                                <html:span class="EnSpace"/>
                                                                Passed an interview examination developed by the National Autonomous University of Mexico (UNAM) for each specialty area. Each family practitioner who includes obstetrics and gynecology in their practice and shall not perform deliveries in California unless they have performed 50 live birth deliveries, as required by United States standards, confirmed by written documentation by the supervising department chair, hospital administrator, or hospital chief medical officer. Each obstetrician and gynecologist from Mexico shall be a fellow in good standing of the American College of Obstetricians and Gynecologists.
                                                        </html:p>
                                                        <html:p>
                                                                (B)
                                                                <html:span class="EnSpace"/>
                                                                (i)
                                                                <html:span class="EnSpace"/>
                                                                Satisfactorily completed
                                                an orientation program approved by the board in connection with the Licensed Physicians and Dentists from Mexico Pilot Program, as established in former Section 853, and that includes medical protocol, community clinic history and operations, medical administration, hospital operations and protocol, medical ethics, the California medical delivery system, health maintenance organizations and managed care practices, medication documentation and reconciliation, the electronic medical records system utilized by federally qualified health centers, and standards for medical record documentation to support medical decisionmaking and quality care. This orientation program may be changed by a committee of at least five chief medical officers at federally qualified health centers employing program licensees to ensure that the orientation program contains the requisite subject matter and meets appropriate California law and medical standards where applicable.
                                                        </html:p>
                                                        <html:p>
                                                                (ii)
                                                                <html:span class="EnSpace"/>
                                                                Satisfactorily completed the Test of English as a Foreign Language by scoring a minimum of 85 percent or the Occupational English Test with a minimum score of 350, and provided written documentation of their completion to the board.
                                                        </html:p>
                                                        <html:p>
                                                                (C)
                                                                <html:span class="EnSpace"/>
                                                                Representatives from California and the UNAM in Mexico that executed and implemented the provisions of the former Licensed Physicians and Dentists from Mexico Pilot Program shall be the points of contact involved in securing required documents, recruiting and vetting candidates, assisting candidates for this program in Mexico to meet all program requirements, selecting appropriate federally qualified health centers throughout California, ensuring compliance with program provisions, developing policy and clinical workshops, monitoring productivity and increased access to medical care, and
                                                assessing the necessity of policy and programmatic improvements.
                                                        </html:p>
                                                        <html:p>
                                                                (4)
                                                                <html:span class="EnSpace"/>
                                                                Upon satisfactory completion of the requirements in paragraphs (1) to (3), inclusive, and after having received their nonrenewable three-year physician’s and surgeon’s license, each licensee shall be required to obtain continuing education pursuant to Section 2190. Each physician shall obtain 25 continuing education units per year for three years of program participation, which shall be subject to random audits by the board to ensure compliance. The board may issue a citation and administrative fine against a licensee who fails to comply with the requirements of this paragraph.
                                                        </html:p>
                                                        <html:p>
                                                                (5)
                                                                <html:span class="EnSpace"/>
                                                                The federally qualified health centers employing physicians from Mexico shall continue the peer review protocols and procedures as required by the federal government. The federally qualified health centers shall work with a California
                                                medical school approved by the board pursuant to Section 2084 or a residency program approved by the Accreditation Council for Graduate Medical Education to conduct 10 secondary reviews of randomly selected patient encounters with each licensee per six-month period, and the reviews shall be transmitted to the approved medical school or medical institution with an approved residency program in PDF format. The secondary reviews shall be undertaken every six months of each year for the three years that the physicians from Mexico are employed by federally qualified health centers. The faculty reviewers in family medicine, pediatrics, internal medicine, psychiatry, and obstetrics and gynecology from the California medical school approved by the board pursuant to Section 2084 or the residency program approved by the Accreditation Council for Graduate Medical Education shall provide feedback to the federally qualified health centers of the findings of their secondary reviews. The faculty and federally qualified
                                                health center chief medical officers shall jointly develop no less than two quality assurance (QA) seminars for all physicians from Mexico to attend during the six months of secondary reviews conducted. The purpose of the approved medical school or medical institution with an approved residency program secondary peer reviews shall be to provide feedback on compliance with medical standards, protocols, and procedures required by the federal government and assessed by the monthly or quarterly peer reviews conducted by federally qualified health centers. The associated costs for the secondary reviews and QA seminars shall be the responsibility of the federally qualified health centers on a pro rata basis.
                                                        </html:p>
                                                        <html:p>
                                                                (6)
                                                                <html:span class="EnSpace"/>
                                                                The federally qualified health centers employing physicians in the program shall be required to have medical quality assurance protocols and be accredited by The Joint Commission, National Committee for Quality Assurance, or Accreditation
                                                Association for Ambulatory Health Care.
                                                        </html:p>
                                                        <html:p>
                                                                (7)
                                                                <html:span class="EnSpace"/>
                                                                Participating hospitals shall have the authority to establish criteria necessary to allow individuals participating in this program to be granted hospital privileges in their facilities, taking into consideration the need and concerns for access to patient populations served by federally qualified health centers and attending doctors from Mexico, especially in rural areas that do not have hospitals staffed to provide deliveries of newborns.
                                                        </html:p>
                                                        <html:p>
                                                                (8)
                                                                <html:span class="EnSpace"/>
                                                                A licensee shall practice only in the nonprofit community health center that offered the licensee employment and the corresponding hospital. This three-year physician’s and surgeon’s license shall be deemed to be a license in good standing pursuant to the provisions of this chapter for the purpose of participation and reimbursement in all federal, state, and local health programs. These programs
                                                shall include the Medicare Program, the fee-for-service and managed care delivery systems of the Medi-Cal program, and private insurance. A physician from Mexico shall not be denied credentials by a health plan because the physician is a participant in this state program and did not receive their medical education and training in the United States. The nonrenewable three-year physician’s and surgeon’s license issued pursuant to this program shall be referred to as a Physician’s and Surgeon’s from Mexico License and shall not include any additional notations beyond the current numerical identifiers that the board applies.
                                                        </html:p>
                                                        <html:p>
                                                                (f)
                                                                <html:span class="EnSpace"/>
                                                                (1)
                                                                <html:span class="EnSpace"/>
                                                                Notwithstanding subdivisions (a) to (d), inclusive, of Section 30, the board shall issue a nonrenewable three-year physician’s and surgeon’s license pursuant to this section to an applicant who has not provided an individual taxpayer identification number or social security number if the board
                                                staff determines the applicant is otherwise eligible for a license only under the program pursuant to this section, subject to the following conditions:
                                                        </html:p>
                                                        <html:p>
                                                                (A)
                                                                <html:span class="EnSpace"/>
                                                                The applicant shall immediately seek both an appropriate three-year visa and the accompanying social security number from the United States government within 14 days of being issued a medical license under this section.
                                                        </html:p>
                                                        <html:p>
                                                                (B)
                                                                <html:span class="EnSpace"/>
                                                                The applicant shall immediately provide to the board a social security number obtained in accordance with subparagraph (A) within 10 days of the federal government issuing the social security card related to the issued visa.
                                                        </html:p>
                                                        <html:p>
                                                                (C)
                                                                <html:span class="EnSpace"/>
                                                                The applicant shall not engage in the practice of medicine pursuant to this section until the board determines that the conditions in subparagraphs (A) and (B) have been met.
                                                        </html:p>
                                                        <html:p>
                                                                (2)
                                                                <html:span class="EnSpace"/>
                                                                The board, if it determines that an applicant has met the conditions in paragraph (1), shall notify the applicant that the applicant may engage in the practice of medicine under the license in accordance with this section.
                                                        </html:p>
                                                        <html:p>
                                                                (g)
                                                                <html:span class="EnSpace"/>
                                                                (1)
                                                                <html:span class="EnSpace"/>
                                                                (A)
                                                                <html:span class="EnSpace"/>
                                                                Between January 1, 2025, and January 1, 2029, the board shall coordinate with the representatives described in subparagraph (C) of paragraph (2) of subdivision (e) to ensure that no more than 155 program participants have a current and active license at the same time.
                                                        </html:p>
                                                        <html:p>
                                                                (B)
                                                                <html:span class="EnSpace"/>
                                                                During the time period described in subparagraph (A), no more than 30 of the 155 licenses may be issued to physicians whose primary area of practice is psychiatry.
                                                        </html:p>
                                                        <html:p>
                                                                (C)
                                                                <html:span class="EnSpace"/>
                                                                During the time period described in
                                                subparagraph (A), an applicant shall submit an application to the board between October 1, 2025, and July 1, 2026, except that the board may accept up to 15 applications after July 1, 2026, and before January 1, 2028.
                                                        </html:p>
                                                        <html:p>
                                                                (2)
                                                                <html:span class="EnSpace"/>
                                                                (A)
                                                                <html:span class="EnSpace"/>
                                                                Between January 1, 2029, and January 1, 2033, the board shall coordinate with the representatives described in subparagraph (C) of paragraph (2) of subdivision (e) to ensure that no more than 195 program participants have a current and active license at the same time.
                                                        </html:p>
                                                        <html:p>
                                                                (B)
                                                                <html:span class="EnSpace"/>
                                                                During the time period described in subparagraph (A), no more than 40 of the 195 licenses may be issued to physicians whose primary area of practice is psychiatry.
                                                        </html:p>
                                                        <html:p>
                                                                (C)
                                                                <html:span class="EnSpace"/>
                                                                During the time period described in subparagraph (A), an applicant shall submit an application to the board between October 1, 2029, and December 31, 2029, except that the board may accept up to 19 applications after December 31, 2029, and before January 1, 2032.
                                                        </html:p>
                                                        <html:p>
                                                                (3)
                                                                <html:span class="EnSpace"/>
                                                                (A)
                                                                <html:span class="EnSpace"/>
                                                                Between January 1, 2033, and January 1, 2037, the board shall coordinate with the representatives described in subparagraph (C) of paragraph (2) of subdivision (e) to ensure that no more than 225 program participants have a current and active license at the same time.
                                                        </html:p>
                                                        <html:p>
                                                                (B)
                                                                <html:span class="EnSpace"/>
                                                                During the time period
                                                described in subparagraph (A), no more than 40 of the 225 licenses may be issued to physicians whose primary area of practice is psychiatry.
                                                        </html:p>
                                                        <html:p>
                                                                (C)
                                                                <html:span class="EnSpace"/>
                                                                During the time period described in subparagraph (A), an applicant shall submit an application to the board between October 1, 2033, and December 31, 2033, except that the board may accept up to 22 applications after December 31, 2033, and before January 1, 2036.
                                                        </html:p>
                                                        <html:p>
                                                                (4)
                                                                <html:span class="EnSpace"/>
                                                                (A)
                                                                <html:span class="EnSpace"/>
                                                                Between January 1, 2037, and January 1, 2041, the board shall coordinate with the representatives described in subparagraph (C) of paragraph (2) of subdivision (e) to ensure that no more than 255 program participants have a current and active license at the same time.
                                                        </html:p>
                                                        <html:p>
                                                                (B)
                                                                <html:span class="EnSpace"/>
                                                                During the time period described in subparagraph (A), no more than 40 of the 255 licenses may be issued to
                                                physicians whose primary area of practice is psychiatry.
                                                        </html:p>
                                                        <html:p>
                                                                (C)
                                                                <html:span class="EnSpace"/>
                                                                During the time period described in subparagraph (A), an applicant shall submit an application to the board between October 1, 2037, and December 31, 2037, except that the board may accept up to 25 applications after December 31, 2037, and before January 1, 2040.
                                                        </html:p>
                                                        <html:p>
                                                                (5)
                                                                <html:span class="EnSpace"/>
                                                                (A)
                                                                <html:span class="EnSpace"/>
                                                                Between January 1, 2041, and January 1, 2045, the board shall coordinate with the representatives described in subparagraph (C) of paragraph (2) of subdivision (e) to ensure that no more than 275 program participants have a current and active license at the same time.
                                                        </html:p>
                                                        <html:p>
                                                                (B)
                                                                <html:span class="EnSpace"/>
                                                                During the time period described in subparagraph (A), no more than 40 of the 275 licenses may be issued to physicians whose primary area of practice is psychiatry.
                                                        </html:p>
                                                        <html:p>
                                                                (C)
                                                                <html:span class="EnSpace"/>
                                                                During the time period described in subparagraph (A), an applicant shall submit an application to the board between October 1, 2041, and December 31, 2041, except that the board may accept up to 27 applications after December 31, 2041, and before January 1, 2044.
                                                        </html:p>
                                                        <html:p>
                                                                (6)
                                                                <html:span class="EnSpace"/>
                                                                A physician’s eligibility pursuant to this subdivision is subject to the physician complying with all of the requirements set forth in this section.
                                                        </html:p>
                                                        <html:p>
                                                                (h)
                                                                <html:span class="EnSpace"/>
                                                                All applicable employment benefits, salary, and policies provided by nonprofit community health centers to their current employees shall be provided to medical practitioners from Mexico participating in this program. This shall include nonprofit community health centers providing malpractice insurance coverage.
                                                        </html:p>
                                                        <html:p>
                                                                (i)
                                                                <html:span class="EnSpace"/>
                                                                Each program applicant
                                                shall be responsible for working with the governments of Mexico and the United States in order to obtain the necessary three-year visa required for program participation.
                                                        </html:p>
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                        <ns0:Num>SEC. 4.</ns0:Num>
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                                Section 4801 of the
                                <ns0:DocName>Business and Professions Code</ns0:DocName>
                                 is amended to read:
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                                        <ns0:Num>4801.</ns0:Num>
                                        <ns0:LawSectionVersion id="id_BBE40FA6-DC3A-4FDA-9D19-1A9DE9614DC4">
                                                <ns0:Content>
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                                                                (a)
                                                                <html:span class="EnSpace"/>
                                                                Each veterinarian member of the board shall be a bona fide resident of this state for a period of at least five years immediately preceding their appointment and shall have been a licensed veterinarian under this chapter and actually engaged in the practice of veterinary medicine in this state during that period.
                                                        </html:p>
                                                        <html:p>
                                                                (b)
                                                                <html:span class="EnSpace"/>
                                                                Each registered veterinary technician member of the
                                                board shall be a bona fide resident of this state for a period of at least five years immediately preceding their appointment and shall have been registered under this chapter and actually engaged in the practice of a registered veterinary technician in this state during that period.
                                                        </html:p>
                                                        <html:p>
                                                                (c)
                                                                <html:span class="EnSpace"/>
                                                                Each public member of the board shall be a bona fide resident of this state for a period of at least five years immediately preceding their appointment and shall not be a licensee or registrant of the board, any other board under this division, or any board
                                                referred to in Section 1000 or 3600.
                                                        </html:p>
                                                        <html:p>
                                                                (d)
                                                                <html:span class="EnSpace"/>
                                                                No person shall serve as a member of the board for more than two consecutive terms.
                                                        </html:p>
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                        <ns0:Num>SEC. 5.</ns0:Num>
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                                Section 4802 of the
                                <ns0:DocName>Business and Professions Code</ns0:DocName>
                                 is amended to read:
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                                        <ns0:Num>4802.</ns0:Num>
                                        <ns0:LawSectionVersion id="id_4EF09467-60E9-47FB-A95C-8A816D350547">
                                                <ns0:Content>
                                                        <html:p>The members of the board shall hold office for a term of four years. Each member shall serve until the appointment and qualification of their successor or until one year shall have elapsed since the expiration of the term for which they were appointed, whichever first occurs. A member may be reappointed subject to the limitation contained in Section 4801.</html:p>
                                                        <html:p>Vacancies occurring shall be filled by appointment
                                                for the unexpired term, within 90 days after they occur.</html:p>
                                                        <html:p>The Governor shall appoint the four veterinarian members, the two registered veterinary technician members, and one public member, qualified as provided in Section 4801. The Senate Committee on Rules and the Speaker of the Assembly shall each appoint a public member, qualified as provided in Section 4801.</html:p>
                                                </ns0:Content>
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                </ns0:BillSection>
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                        <ns0:Num>SEC. 6.</ns0:Num>
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                                Section 4841.5 of the
                                <ns0:DocName>Business and Professions Code</ns0:DocName>
                                 is amended to read:
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                                <ns0:LawSection id="id_8B872DF2-D95D-4B26-AC37-4C73D1971CED">
                                        <ns0:Num>4841.5.</ns0:Num>
                                        <ns0:LawSectionVersion id="id_5DAD3D9F-4410-4BEA-B4CA-5D6FE75DEE3C">
                                                <ns0:Content>
                                                        <html:p>
                                                                (a)
                                                                <html:span class="EnSpace"/>
                                                                To obtain registration as a registered veterinary technician, the applicant shall satisfy the following requirements:
                                                        </html:p>
                                                        <html:p>
                                                                (1)
                                                                <html:span class="EnSpace"/>
                                                                Complete and submit an application upon a form furnished by the board.
                                                        </html:p>
                                                        <html:p>
                                                                (2)
                                                                <html:span class="EnSpace"/>
                                                                Pay the applicable fees specified in Section 4905.
                                                        </html:p>
                                                        <html:p>
                                                                (3)
                                                                <html:span class="EnSpace"/>
                                                                Pursuant to Section 144, submit a full set of fingerprints for the purpose of conducting a criminal history record check and undergo a state and federal criminal offender record information search conducted through the Department of Justice, pursuant to subdivision (u) of Section 11105 of the Penal Code. The Department of Justice shall provide a state or federal response to the
                                                board pursuant to paragraph (1) of subdivision (p) of Section 11105 of the Penal Code.
                                                        </html:p>
                                                        <html:p>
                                                                (4)
                                                                <html:span class="EnSpace"/>
                                                                Furnish satisfactory evidence of one of the following:
                                                        </html:p>
                                                        <html:p>
                                                                (A)
                                                                <html:span class="EnSpace"/>
                                                                Graduation from, at minimum, a two-year curriculum in veterinary technology, in a college or other postsecondary institution accredited by the American Veterinary Medical Association (AVMA). In the case of a private postsecondary institution, the institution shall also be approved by the Bureau for Private Postsecondary Education (BPPE). Proof of graduation shall be confirmed through electronic means or direct submission from the college, other postsecondary institution, or American Association of Veterinary State Boards (AAVSB).
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                                                                (B)
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                                                                A combination of education and clinical practice experience, as determined by the board. All education shall be accredited by the AVMA or
                                                the Accrediting Commission for Community and Junior Colleges, approved by the BPPE, or provided by a California public school.
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                                                        <html:p>
                                                                (C)
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                                                                Graduation from a veterinary college recognized by the board. Proof of graduation shall be confirmed through electronic means or direct submission from the veterinary college or the AAVSB.
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                                                                (D)
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                                                                Education equivalency certified by the AAVSB’s Program for the Assessment of Veterinary Education Equivalence (PAVE) for Veterinary Technicians. The certificate of education equivalence shall be confirmed through electronic means or direct submission from the American Association of Veterinary State Boards.
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                                                                (E)
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                                                                Education equivalency certified by the Educational Commission for Foreign Veterinary Graduates (ECFVG) or PAVE. The certificate of education equivalence shall be confirmed through electronic means or direct submission from ECFVG or PAVE.
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                                                                (5)
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                                                                Pass the national licensing examination for veterinary technicians. If the applicant passed the national licensing examination over five years from the date of submitting the veterinary technician registration application, the applicant shall perform one of the following:
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                                                        <html:p>
                                                                (A)
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                                                                Retake and pass the national licensing examination.
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                                                                (B)
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                                                                Submit proof of having practiced clinical veterinary medicine for a minimum of two years and completed a minimum of 2,500 hours of clinical practice in another state, Canadian province,
                                                or United States territory within the three years immediately preceding filing an application for licensure in this state.
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                                                        <html:p>
                                                                (C)
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                                                                Complete the minimum continuing education requirements of Section 4858.2 for the current and preceding year.
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                                                                (b)
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                                                                The applicant shall disclose each state, Canadian province, or United States territory in which the applicant currently holds or has ever held a license, registration, certificate, or permit to practice veterinary medicine. License verification, including any disciplinary or enforcement history, shall be confirmed through electronic means or direct submission from each state, Canadian province, or United States territory in which the applicant has identified that the applicant holds or has ever held a license to practice veterinary medicine.
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                                                                (c)
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                                                                An application for veterinary
                                                technician registration shall be subject to denial pursuant to Sections 480 and 4883.
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                <ns0:BillSection id="id_46E9B57C-F5AF-402B-8019-8F3DE2A7533C">
                        <ns0:Num>SEC. 7.</ns0:Num>
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                                Section 7524 of the
                                <ns0:DocName>Business and Professions Code</ns0:DocName>
                                 is amended to read:
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                                <ns0:LawSection id="id_38D530A3-CB23-4732-8ED2-1AA16954E3EF">
                                        <ns0:Num>7524.</ns0:Num>
                                        <ns0:LawSectionVersion id="id_FD8E437A-3DA1-478A-99FE-DA9C494DE6BB">
                                                <ns0:Content>
                                                        <html:p>
                                                                (a)
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                                                                Every agreement to provide a service regulated by this chapter, including, but not limited to, contract agreements and investigative agreements, shall be in writing. An initial client service agreement shall contain, but not be limited to, the following:
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                                                                (1)
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                                                                The licensed private investigator’s name, business address, business telephone number, and license number.
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                                                                (2)
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                                                                A disclosure that private investigators are licensed and regulated by the Bureau of Security and Investigative Services within the Department of Consumer Affairs.
                                                        </html:p>
                                                        <html:p>
                                                                (3)
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                                                                Approximate start and completion dates of the work to be provided.
                                                A master agreement for frequently contracted services over a specified period of time shall be exempt from meeting this requirement if the agreement includes the beginning and termination dates.
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                                                        <html:p>
                                                                (4)
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                                                                A description of the scope of the investigation or services to be provided. An agreement shall indicate whether or not a written report is to be provided to the client and the agreed upon method of delivery of that written report, as applicable.
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                                                        <html:p>
                                                                (5)
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                                                                All labor, services, and materials to be provided for the scope of work conducted by the private investigator.
                                                        </html:p>
                                                        <html:p>
                                                                (6)
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                                                                An explanation of the fees agreed upon by the parties, including a breakdown of how the fees are assessed by the licensee.
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                                                        <html:p>
                                                                (7)
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                                                                Any other matters agreed upon
                                                by the parties.
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                                                        <html:p>
                                                                (b)
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                                                                Any amendment, addendum, or other modification to an initial client service agreement shall be in writing and is subject to the requirements of this section. An amendment, addendum, or other modification shall include a description of the changes to the scope of work, start and completion dates, method of delivery, fees to be charged, and other matters agreed upon in the initial client service agreement, as applicable.
                                                        </html:p>
                                                        <html:p>
                                                                (c)
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                                                                (1)
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                                                                The initial client service agreement and any amendment, addendum, or other modification to the agreement shall be legible and clearly indicate any other document incorporated into it.
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                                                                (2)
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                                                                Before any work commences, the client shall receive a signed copy of the written initial client service agreement and any amendment, addendum, or other modification to
                                                the agreement that was agreed to before commencement of the work.
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                                                        <html:p>
                                                                (3)
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                                                                Services detailed under the scope of work shall not be performed and charges shall not accrue before written authorization to proceed is obtained from the client.
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                                                                (d)
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                                                                Upon completion of the investigation, any written report, as agreed upon by all parties and indicated in the agreement, shall be provided to the client within 30 days from the completion date and in accordance with the agreed upon delivery method.
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                                                                (e)
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                                                                The licensee shall maintain a legible copy of the signed agreement and investigative findings, including any written report, for a minimum of two years. These records shall be made available for inspection by the bureau upon demand. Making these records available for inspection by the bureau shall not violate, waive, or extinguish the
                                                lawyer-client privilege under Article 3 (commencing with Section 950) of Chapter 4 of Division 8 of the Evidence Code, the attorney work product doctrine as restated in Chapter 4 (commencing with Section 2018.010) of Title 4 of Part 4 of the Code of Civil Procedure, the duty to maintain the confidence and preserve the secrets of an attorney’s client under subdivision (e) of Section 6068, or the protections of any other rule or law related to attorney work product or the attorney-client privilege.
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                                                                (f)
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                                                                This section shall become operative on July 1, 2025.
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                </ns0:BillSection>
                <ns0:BillSection id="id_D86E7B3C-3832-4142-BF70-62DC30BDFA35">
                        <ns0:Num>SEC. 8.</ns0:Num>
                        <ns0:Content>
                                <html:p>This act is an urgency statute necessary for the immediate preservation of the public peace, health, or safety within the meaning of Article IV of the California Constitution and shall go into immediate effect. The facts constituting the necessity are:</html:p>
                                <html:p>To
                                allow the Medical Board of California to timely accept applications from eligible participants for the Licensed Physicians from Mexico Program pursuant to Assembly Bill 2860 (Chapter 246 of the Statutes of 2024), to provide clarity for licensing enforcement and services required to be rendered only through a written contract under the Private Investigator Act pursuant to Senate Bill 1454 (Chapter 484 of the Statutes of 2024), to ensure the California Veterinary Medical Board has a complete composition pursuant to Assembly Bill 1502 (Chapter 195 of the Statutes of 2025), and to further ensure the California Veterinary Medical Board has timely and complete requirements to evaluate applicants to become a registered veterinary technician, it is necessary that this bill go into immediate effect. Unlicensed dental assistants are currently required to take an eight-hour course prior to performing any basic supportive dental procedures that would have potential exposure to
                                infectious materials. There have been issues preventing the establishment of the eight-hour course virtually and the eight-hour course is not readily available in many parts of the state, especially remote and rural areas already experiencing access and workforce shortage issues. To mitigate these outcomes, it is necessary that this act take effect immediately. </html:p>
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