Section § 2785

Explanation

This law mandates that the board creates and keeps an updated list of nursing schools in the state that are approved. Graduates from these schools can apply for a nursing license in the state if they meet other required qualifications.

The board shall prepare and maintain a list of approved schools of nursing in this state whose graduates, if they have the other necessary qualifications provided in this chapter, shall be eligible to apply for a license to practice nursing in this state.

Section § 2785.5

Explanation

This law requires the board to set up or use a committee that helps make it easier for nursing students to move from associate degree programs to bachelor's degree programs without having to repeat unnecessary courses. The goal is to streamline the process for students wanting to advance their nursing education.

The board shall establish a workgroup, or use an existing committee, to encourage and facilitate efficient transfer agreements or other enrollment models between associate degree nursing programs and baccalaureate degree nursing programs so students are able to complete the baccalaureate program without unnecessary repetition of coursework.

Section § 2785.6

Explanation

This law establishes a Nursing Education and Workforce Advisory Committee under the board's jurisdiction. The committee gathers input from nursing programs and health professionals to suggest education standards and address workforce issues. Members include nursing program directors, nurse practitioners, nursing employers, and other relevant representatives. Appointments generally last four years, with different initial term lengths to stagger membership. The committee must meet at least twice annually and can send reports and recommendations to the board. A key focus is on setting standards for clinical experiences and managing clinical placements for nursing schools, including fair access and standard compliance. The board can create and update guidelines without following usual administrative procedures. Finally, the committee's findings are to be reported to the Legislature.

There is created within the jurisdiction of the board a Nursing Education and Workforce Advisory Committee, which shall solicit input from approved nursing programs and members of the nursing and health care professions to study and recommend nursing education standards and solutions to workforce issues to the board.
(a)CA Business & Professions Code § 2785.6(a) The committee shall be comprised of the following:
(1)CA Business & Professions Code § 2785.6(a)(1) One nursing program director representative of a statewide association for associate’s degrees in nursing programs.
(2)CA Business & Professions Code § 2785.6(a)(2) One nursing program director representative of a statewide association representing bachelor’s degrees in nursing programs.
(3)CA Business & Professions Code § 2785.6(a)(3) One California Community Colleges Chancellor’s Office representative.
(4)CA Business & Professions Code § 2785.6(a)(4) One California State University Office of the Chancellor representative.
(5)CA Business & Professions Code § 2785.6(a)(5) One currently practicing registered nurse representative.
(6)CA Business & Professions Code § 2785.6(a)(6) Two currently practicing advanced practice registered nurse representatives.
(7)CA Business & Professions Code § 2785.6(a)(7) Two registered nurse employer representatives in nursing service administration.
(8)CA Business & Professions Code § 2785.6(a)(8) One professional nursing organization representative.
(9)CA Business & Professions Code § 2785.6(a)(9) Three nursing union organization representatives.
(10)CA Business & Professions Code § 2785.6(a)(10) One public representative.
(11)CA Business & Professions Code § 2785.6(a)(11) One Health Workforce Development Division representative.
(12)CA Business & Professions Code § 2785.6(a)(12) One board research vendor.
(13)CA Business & Professions Code § 2785.6(a)(13) Any other members representing an organization in the nursing education or workforce field that the board determines is necessary for the work of the committee and is not listed under this subdivision.
(b)Copy CA Business & Professions Code § 2785.6(b)
(1)Copy CA Business & Professions Code § 2785.6(b)(1) Except as provided in paragraph (2), all appointments shall be for a term of four years and vacancies shall be filled for the unexpired term. No person shall serve more than two consecutive terms except for the representatives from organizations.
(2)Copy CA Business & Professions Code § 2785.6(b)(2)
(A)Copy CA Business & Professions Code § 2785.6(b)(2)(A) The initial appointments for the education representatives shall be for the following terms:
(i)CA Business & Professions Code § 2785.6(b)(2)(A)(i) One Nursing Program Director who is a member of a statewide association for associate’s degrees in nursing programs shall serve three years.
(ii)CA Business & Professions Code § 2785.6(b)(2)(A)(ii) One nursing program director who is a member of a statewide association representing bachelor’s degrees in nursing programs shall serve a term of two years.
(iii)CA Business & Professions Code § 2785.6(b)(2)(A)(iii) One California Community Colleges Chancellor’s Office representative shall serve a term of four years.
(iv)CA Business & Professions Code § 2785.6(b)(2)(A)(iv) One representative from the California State University Office of the Chancellor shall serve a term of four years.
(B)CA Business & Professions Code § 2785.6(b)(2)(A)(B) The initial appointments for the workforce representatives shall be for the following terms:
(i)CA Business & Professions Code § 2785.6(b)(2)(A)(B)(i) One practicing registered nurse representative shall serve a term of four years.
(ii)CA Business & Professions Code § 2785.6(b)(2)(A)(B)(ii) One of the two practicing advanced practice registered nurse representatives shall serve a term of three years and the other shall serve a term of two years.
(C)CA Business & Professions Code § 2785.6(b)(2)(A)(C) The initial appointments for the employer representatives shall be for the following terms:
(i)CA Business & Professions Code § 2785.6(b)(2)(A)(C)(i) One of the two registered nurse employer representatives shall serve a term of three years and the other shall serve a term of four years.
(ii)CA Business & Professions Code § 2785.6(b)(2)(A)(C)(ii) One professional nursing organization representative shall serve a term of two years.
(D)CA Business & Professions Code § 2785.6(b)(2)(A)(D) The public member shall serve a term of four years.
(c)CA Business & Professions Code § 2785.6(c) The committee shall meet a minimum of two times per year and shall appoint officers annually.
(d)Copy CA Business & Professions Code § 2785.6(d)
(1)Copy CA Business & Professions Code § 2785.6(d)(1) The committee shall dedicate a minimum of one meeting each towards nursing education issues and nursing workforce issues.
(2)CA Business & Professions Code § 2785.6(d)(2) The committee may establish subcommittees to study issues specific to education, workforce, or any other topic relevant to the purpose of the committee.
(e)CA Business & Professions Code § 2785.6(e) The committee may refer information and recommendations to the board or other committees of the board.
(f)Copy CA Business & Professions Code § 2785.6(f)
(1)Copy CA Business & Professions Code § 2785.6(f)(1) The board may implement, interpret, or make specific this section by means of a charter, or other similar document, approved by the board.
(2)CA Business & Professions Code § 2785.6(f)(2) The board may revise the charter, or other similar document, developed pursuant to this section, as necessary. The development or revision of the charter, or other similar document, shall be exempt from the requirements of the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code).
(g)CA Business & Professions Code § 2785.6(g) The committee shall study and recommend standards for simulated clinical experiences based on the best practices published by the International Nursing Association for Clinical Simulation and Learning, the National Council of State Boards of Nursing, the Society for Simulation in Healthcare, or equivalent standards.
(h)Copy CA Business & Professions Code § 2785.6(h)
(1)Copy CA Business & Professions Code § 2785.6(h)(1) The committee shall study and recommend standards regarding how approved schools of nursing or nursing programs manage or coordinate clinical placements. The study shall include, at a minimum, all of the following topics:
(A)CA Business & Professions Code § 2785.6(h)(1)(A) How approved schools of nursing or nursing programs maintain clinical education standards.
(B)CA Business & Professions Code § 2785.6(h)(1)(B) The participation of approved schools of nursing or nursing programs in consortiums with other approved schools of nursing or nursing programs to manage or coordinate clinical placements.
(C)CA Business & Professions Code § 2785.6(h)(1)(C) The necessity and feasibility of a statewide consortium or regional consortiums under the regulatory oversight of the board to manage or coordinate clinical placements of approved schools of nursing or nursing programs.
(D)CA Business & Professions Code § 2785.6(h)(1)(D) Identifying and reporting violations of Section 2786.4.
(E)CA Business & Professions Code § 2785.6(h)(1)(E) Ensuring fair and equitable access to clinical placement among approved schools of nursing or nursing programs.
(F)CA Business & Professions Code § 2785.6(h)(1)(F) Identifying necessary information for the board to collect to ensure that approved schools of nursing and nursing programs comply with standards recommended by the committee.
(2)Copy CA Business & Professions Code § 2785.6(h)(2)
(A)Copy CA Business & Professions Code § 2785.6(h)(2)(A) The board shall submit a report to the Legislature detailing the committee’s findings and recommendations pursuant to paragraph (1).
(B)CA Business & Professions Code § 2785.6(h)(2)(A)(B) A report to be submitted pursuant to subparagraph (A) shall be submitted in compliance with Section 9795 of the Government Code.

Section § 2786

Explanation

This law section specifies the requirements for nursing schools and programs to be approved in California. It mandates that an approved program must offer a board-approved course lasting at least two academic years, include 500 clinical hours with specific nursing area requirements, and be associated with a hospital. Exemptions are allowed for programs preparing vocational nurses. The board defines required instruction subjects and clinical competency. Additionally, nursing programs need to report about clinical placement coordination, and they must include training on implicit bias, covering topics like unconscious bias and health inequities. The board is responsible for analyzing nursing practices regularly to update educational requirements.

(a)Copy CA Business & Professions Code § 2786(a)
(1)Copy CA Business & Professions Code § 2786(a)(1) An approved school of nursing, or an approved nursing program, is one that has been approved by the board, gives the course of instruction approved by the board, covering not fewer than two academic years, is affiliated or conducted in connection with one or more hospitals, and is an institution of higher education. For purposes of this section, “institution of higher education” includes, but is not limited to, community colleges offering an associate of arts or associate of science degree and private postsecondary institutions offering an associate of arts, associate of science, or baccalaureate degree or an entry-level master’s degree, and is an institution that is not subject to the California Private Postsecondary Education Act of 2009 (Chapter 8 (commencing with Section 94800) of Part 59 of Division 10 of Title 3 of the Education Code).
(2)CA Business & Professions Code § 2786(a)(2) An approved school of nursing or nursing program shall meet a minimum of 500 direct patient care clinical hours in a board-approved clinical setting with a minimum of 30 hours of supervised direct patient care clinical hours dedicated to each nursing area specified by the board.
(A)CA Business & Professions Code § 2786(a)(2)(A) Additional clinical hours required by the program for nursing education preparation in each nursing area as specified by the board shall be identified and documented in the curriculum plan for each area.
(B)CA Business & Professions Code § 2786(a)(2)(B) An approved school of nursing or nursing program shall not be required to track the minimum clinical hours by individual students.
(3)CA Business & Professions Code § 2786(a)(3) An approved school of nursing or nursing program may cover fewer than two academic years if approved to provide a course of instruction that prepares a licensed vocational nurse licensed under the Vocational Nursing Practice Act (commencing with Section 2840) for a license under this chapter.
(b)CA Business & Professions Code § 2786(b) A school of nursing that is affiliated with an institution that is subject to the California Private Postsecondary Education Act of 2009 (Chapter 8 (commencing with Section 94800) of Part 59 of Division 10 of Title 3 of the Education Code), may be approved by the board to grant an associate of arts or associate of science degree to individuals who graduate from the school of nursing or to grant a baccalaureate degree in nursing with successful completion of an additional course of study as approved by the board and the institution involved.
(c)Copy CA Business & Professions Code § 2786(c)
(1)Copy CA Business & Professions Code § 2786(c)(1) The board shall determine by regulation the required subjects of instruction to be completed in an approved school of nursing for licensure as a registered nurse and shall include the minimum units of theory and clinical experience necessary to achieve essential clinical competency at the entry level of the registered nurse. The board’s regulations shall be designed to require all schools to provide clinical instruction in all phases of the educational process, except as necessary to accommodate military education and experience as specified in Section 2786.1.
(2)CA Business & Professions Code § 2786(c)(2) Notwithstanding paragraph (1), whenever an agency or facility used by an approved nursing program for direct patient care clinical practice is no longer available or sufficient, the director of the approved nursing program may submit to a board nursing education consultant a request that the approved nursing program allow theory to precede clinical practice if all of the following conditions are met:
(A)CA Business & Professions Code § 2786(c)(2)(A) No alternative agency or facility located within 25 miles of the impacted approved nursing program, campus, or location, as applicable, has a sufficient number of open placements that are available and accessible to the approved nursing program for direct patient care clinical practice hours in the same subject matter area. An approved program shall not be required to submit more than required under subparagraph (A) of paragraph (3) of subdivision (a) of Section 2786.3.
(B)CA Business & Professions Code § 2786(c)(2)(B) Clinical practice takes place in the academic term immediately following theory.
(C)CA Business & Professions Code § 2786(c)(2)(C) Theory is taught concurrently with clinical practice not in direct patient care if no direct patient care experiences are available.
(3)Copy CA Business & Professions Code § 2786(c)(3)
(A)Copy CA Business & Professions Code § 2786(c)(3)(A) The board shall annually collect, analyze, and report information related to the number of clinical placement slots that are available and the location of those clinical placement slots within the state, including, but not limited to, information concerning the total number of placement slots a clinical facility can accommodate and how many slots the programs that use the facility will need.
(B)CA Business & Professions Code § 2786(c)(3)(A)(B) The board shall utilize data from available regional or individual institution databases.
(C)CA Business & Professions Code § 2786(c)(3)(A)(C) The board shall publish the annual report on its internet website.
(4)Copy CA Business & Professions Code § 2786(c)(4)
(A)Copy CA Business & Professions Code § 2786(c)(4)(A) (i) The board shall annually collect, analyze, and report information related to the management of clinical placements and coordination with clinical facilities by approved schools of nursing or nursing programs.
(ii)CA Business & Professions Code § 2786(c)(4)(A)(ii) The report shall include information relating to how approved schools of nursing or nursing programs collaborate and coordinate with other approved schools of nursing, nursing programs, or regional planning consortiums that utilize the same clinical facility.
(B)Copy CA Business & Professions Code § 2786(c)(4)(A)(B)
(i)Copy CA Business & Professions Code § 2786(c)(4)(A)(B)(i) The board shall publish the annual report on its internet website.
(ii)CA Business & Professions Code § 2786(c)(4)(A)(B)(i)(ii) Notwithstanding Section 10231.5 of the Government Code, the board shall annually submit the report under this subparagraph to the Legislature.
(iii)CA Business & Professions Code § 2786(c)(4)(A)(B)(i)(iii) A report to be submitted under this subparagraph shall be submitted in compliance with Section 9795 of the Government Code.
(d)CA Business & Professions Code § 2786(d) The board shall perform or cause to be performed an analysis of the practice of the registered nurse no less than every five years. Results of the analysis shall be utilized to assist in the determination of the required subjects of instruction, validation of the licensing examination, and assessment of the current practice of nursing.
(e)Copy CA Business & Professions Code § 2786(e)
(1)Copy CA Business & Professions Code § 2786(e)(1) The executive officer shall develop a uniform method for evaluating requests and granting approvals pursuant to this section.
(2)CA Business & Professions Code § 2786(e)(2) The executive officer may revise the uniform method developed pursuant to this subdivision, as necessary. The development or revision of the uniform method shall be exempt from the requirements of the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code).
(3)CA Business & Professions Code § 2786(e)(3) The board’s nursing education consultants shall use the uniform method to evaluate requests and grant approvals pursuant to this section.
(4)CA Business & Professions Code § 2786(e)(4) The board shall post the approved method and any revisions on the board’s website.
(f)Copy CA Business & Professions Code § 2786(f)
(1)Copy CA Business & Professions Code § 2786(f)(1) Graduation requirements for an approved school of nursing, or an approved nursing program, shall include one hour of direct participation in an implicit bias training which shall include all of the following:
(A)CA Business & Professions Code § 2786(f)(1)(A) Identification of previous or current unconscious biases and misinformation.
(B)CA Business & Professions Code § 2786(f)(1)(B) Identification of personal, interpersonal, institutional, structural, and cultural barriers to inclusion.
(C)CA Business & Professions Code § 2786(f)(1)(C) Corrective measures to decrease implicit bias at the interpersonal and institutional levels, including ongoing policies and practices for that purpose.
(D)CA Business & Professions Code § 2786(f)(1)(D) Information on the effects, including, but not limited to, ongoing personal effects, of historical and contemporary exclusion and oppression of minority communities.
(E)CA Business & Professions Code § 2786(f)(1)(E) Information about cultural identity across racial or ethnic groups.
(F)CA Business & Professions Code § 2786(f)(1)(F) Information about communicating more effectively across identities, including racial, ethnic, religious, and gender identities.
(G)CA Business & Professions Code § 2786(f)(1)(G) Discussion on power dynamics and organizational decisionmaking.
(H)CA Business & Professions Code § 2786(f)(1)(H) Discussion on health inequities within the perinatal care field, including information on how implicit bias impacts maternal and infant health outcomes.
(I)CA Business & Professions Code § 2786(f)(1)(I) Perspectives of diverse, local constituency groups and experts on particular racial, identity, cultural, and provider-community relations issues in the community.
(J)CA Business & Professions Code § 2786(f)(1)(J) Information on reproductive justice.
(2)CA Business & Professions Code § 2786(f)(2) This subdivision shall not be construed to do any of the following:
(A)CA Business & Professions Code § 2786(f)(2)(A) Affect the requirements for licensure under this chapter.
(B)CA Business & Professions Code § 2786(f)(2)(B) Require a curriculum revision.
(C)CA Business & Professions Code § 2786(f)(2)(C) Affect licensure by endorsement under this chapter.

Section § 2786.1

Explanation

This law requires that nursing schools in California must recognize military education and experience for credit towards nursing licensure through evaluations like exams. The Board will deny or revoke approvals for schools that fail to comply. Regulations were to be established by January 1, 2017, ensuring that schools have a process in place for granting such credit. However, this credit applies only to licensure, not academic degrees. The Board will review each school's policies on this topic every five years and will publish related information online about how military coursework is accepted at each approved nursing school.

(a)CA Business & Professions Code § 2786.1(a) The board shall deny the application for approval made by, and shall revoke the approval given to, any school of nursing that does not give student applicants credit in the field of nursing for military education and experience by the use of challenge examinations or other methods of evaluation.
(b)CA Business & Professions Code § 2786.1(b) The board shall adopt regulations by January 1, 2017, requiring schools to have a process to evaluate and grant credit for military education and experience. The regulations shall be adopted pursuant to the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Division 3 of Title 2 of the Government Code). The word “credit,” as used in this subdivision, is limited to credit for licensure only. The board is not authorized to prescribe the credit that an approved school of nursing shall give toward an academic certificate or degree.
(c)CA Business & Professions Code § 2786.1(c) The board shall review a school’s policies and practices regarding granting credit for military education and experience at least once every five years to ensure consistency in evaluation and application across schools. The board shall post on its Internet Web site information related to the acceptance of military coursework and experience at each approved school.

Section § 2786.2

Explanation

This law outlines how private nursing schools in California need to work with both the Board of Registered Nursing and the Bureau for Private Postsecondary Education to ensure they meet educational standards. For nursing schools that are accredited, the board will perform joint inspections, accept accreditation decisions, and faculty hiring made by the school. If a school's self-study matches board regulations, it's accepted without additional documents. The board will look into resources, placements, complaints, and rates like examination pass or graduation rates if a school wants to increase enrollment. The board can withhold approval if standards aren't met and can inspect schools further if needed.

(a)CA Business & Professions Code § 2786.2(a) A private postsecondary school of nursing approved by the board pursuant to subdivision (b) of Section 2786 shall comply with Chapter 8 of Part 59 of Division 10 of Title 3 of the Education Code. The board shall have a memorandum of understanding with the Bureau for Private Postsecondary Education to delineate the powers of the board to review and approve schools of nursing and the powers of the bureau to protect the interest of students attending institutions governed by the California Private Postsecondary Education Act of 2009, Chapter 8 (commencing with Section 94800) of Division 10 of Title 3 of the Education Code.
(b)Copy CA Business & Professions Code § 2786.2(b)
(1)Copy CA Business & Professions Code § 2786.2(b)(1) For approved schools of nursing that are actively accredited by an institutional or programmatic accreditor recognized by the United States Department of Education, the board shall, without requiring additional documentation or action, do the following, unless unrelated to the scope of accreditation:
(A)CA Business & Professions Code § 2786.2(b)(1)(A) Perform site inspections jointly with accreditors.
(B)CA Business & Professions Code § 2786.2(b)(1)(B) Accept continuing accreditation decisions from accreditors.
(C)CA Business & Professions Code § 2786.2(b)(1)(C) Accept faculty hiring decisions made by the approved program director.
(D)CA Business & Professions Code § 2786.2(b)(1)(D) Accept the self-study required by programmatic accreditors as a substitute for board self-study or data collection if the following are met:
(i)CA Business & Professions Code § 2786.2(b)(1)(D)(i) The program provides a crosswalk connecting the items in the report to the board’s regulatory requirements.
(ii)CA Business & Professions Code § 2786.2(b)(1)(D)(ii) If the report does not address any of the board’s regulatory requirements, the program provides an addendum to the report to address those requirements.
(E)CA Business & Professions Code § 2786.2(b)(1)(E) Accept substantive change requests, as defined under the uniform method developed under subdivision (e) of Section 2786, if approved by the accreditor unless the request is a request to increase enrollment or perform a major curriculum revision.
(F)CA Business & Professions Code § 2786.2(b)(1)(F) When considering a request to increase enrollment, the board may consider only the following factors related to the ability to adequately train additional students:
(i)CA Business & Professions Code § 2786.2(b)(1)(F)(i) Adequacy of resources, including, but not limited to, faculty, facilities, equipment, and supplies.
(ii)CA Business & Professions Code § 2786.2(b)(1)(F)(ii) Availability of clinical placements.
(iii)CA Business & Professions Code § 2786.2(b)(1)(F)(iii) Complaints that have been verified by the board from students, faculty, or other interested parties.
(iv)CA Business & Professions Code § 2786.2(b)(1)(F)(iv) Licensing examination pass rates, graduation rates, and retention rates.
(v)CA Business & Professions Code § 2786.2(b)(1)(F)(v) Any other similar factors specified by the board in regulations. The board shall not consider nursing workforce issues, including those identified under Section 2717, as factors for purposes of this subparagraph.
(2)CA Business & Professions Code § 2786.2(b)(2) Upon complaint or other evidence that an approved school of nursing does not meet the board’s standards, the board may withhold approval under this subdivision or perform additional site inspections pursuant to Section 2788.
(3)CA Business & Professions Code § 2786.2(b)(3) The board may make or withhold approvals under this subdivision prior to the adoption of implementing regulations.

Section § 2786.3

Explanation

This law allows nursing programs in California more flexibility when clinical practice sites become unavailable due to emergencies or other issues until the end of the 2023-24 academic year. Directors of approved nursing programs can request to use clinical settings without prior board approval or agreements, and reduce patient care hours under specific conditions. Requests must show there are no alternative sites nearby, and any substitute clinical hours should offer similar educational value, possibly through simulation or telehealth. If a request meets all criteria, it is automatically approved if not responded to in seven business days. A standard method for evaluating these requests will be developed and posted online for transparency.

(a)CA Business & Professions Code § 2786.3(a) Until the end of the 2023–24 academic year, or whenever the Governor declares a state of emergency for a county in which an agency or facility used by an approved nursing program for direct patient care clinical practice is no longer available, the director of the approved nursing program may submit to a board nursing education consultant requests to do any of the following:
(1)CA Business & Professions Code § 2786.3(a)(1) Utilize a clinical setting until the end of the academic term without the following:
(A)CA Business & Professions Code § 2786.3(a)(1)(A) Approval by the board.
(B)CA Business & Professions Code § 2786.3(a)(1)(B) Written agreements with the clinical facility.
(C)CA Business & Professions Code § 2786.3(a)(1)(C) Submitting evidence of compliance with board regulations relating to the utilization of clinical settings, except as necessary for a board nursing education consultant to ensure course objectives and faculty responsibilities will be met.
(2)CA Business & Professions Code § 2786.3(a)(2) Utilize preceptorships until the end of the academic term without having to maintain written policies relating to the following:
(A)CA Business & Professions Code § 2786.3(a)(2)(A) Identification of criteria used for preceptor selection.
(B)CA Business & Professions Code § 2786.3(a)(2)(B) Provision for a preceptor orientation program that covers the policies of the preceptorship and preceptor, student, and faculty responsibilities.
(C)CA Business & Professions Code § 2786.3(a)(2)(C) Identification of preceptor qualifications for both the primary and the relief preceptor.
(D)CA Business & Professions Code § 2786.3(a)(2)(D) Description of responsibilities of the faculty, preceptor, and student for the learning experiences and evaluation during preceptorship.
(E)CA Business & Professions Code § 2786.3(a)(2)(E) Maintenance of preceptor records that includes names of all current preceptors, registered nurse licenses, and dates of preceptorships.
(F)CA Business & Professions Code § 2786.3(a)(2)(F) Plan for an ongoing evaluation regarding the continued use of preceptors.
(3)CA Business & Professions Code § 2786.3(a)(3) Subject to subparagraph (F), request that the approved nursing program be allowed to reduce the required number of direct patient care hours to 50 percent in geriatrics and medical-surgical and 25 percent in mental health-psychiatric nursing, obstetrics, and pediatrics if all of the following conditions are met:
(A)CA Business & Professions Code § 2786.3(a)(3)(A) No alternative agency or facility has a sufficient number of open placements that are available and accessible within 25 miles of the approved nursing program for direct patient care clinical practice hours in the same subject matter area. An approved nursing program shall submit, and not be required to provide more than, the following:
(i)CA Business & Professions Code § 2786.3(a)(3)(A)(i) The list of alternative agencies or facilities listed within 25 miles of the impacted approved nursing program, campus, or location, as applicable, using the facility finder on the Department of Health Care Access and Information website.
(ii)CA Business & Professions Code § 2786.3(a)(3)(A)(ii) The list of courses impacted by the loss of clinical placements and the academic term the courses are offered.
(iii)CA Business & Professions Code § 2786.3(a)(3)(A)(iii) Whether each of the listed alternative agencies or facilities would meet the course objectives for the courses requiring placements.
(iv)CA Business & Professions Code § 2786.3(a)(3)(A)(iv) Whether the approved nursing program has contacted each of the listed alternative agencies or facilities about the availability of clinical placements. The approved nursing program shall not be required to contact a clinical facility that would not meet course objectives.
(v)CA Business & Professions Code § 2786.3(a)(3)(A)(v) The date of contact or attempted contact.
(vi)CA Business & Professions Code § 2786.3(a)(3)(A)(vi) The number of open placements at each of the listed alternative agencies or facilities that are available for the academic term for each course. If an alternative agency or facility does not respond within 48 hours, the approved nursing program may list the alternative agency or facility as unavailable. If the alternative agency or facility subsequently responds prior to the submission of the request to a board nursing education consultant, the approved nursing program shall update the list to reflect the response.
(vii)CA Business & Professions Code § 2786.3(a)(3)(A)(vii) Whether the open and available placements are accessible to the students and faculty. An open and available placement is accessible if there are no barriers that otherwise prohibit a student from entering the facility, including, but not limited to, the lack of personal protective equipment or cost-prohibitive infectious disease testing. An individual’s personal unwillingness to enter an alternative agency or facility does not make a placement inaccessible.
(viii)CA Business & Professions Code § 2786.3(a)(3)(A)(viii) The total number of open and available placements that are accessible to the students and faculty compared to the total number of placements needed.
(B)CA Business & Professions Code § 2786.3(a)(3)(B) The substitute clinical practice hours not in direct patient care provide a learning experience, as defined by the board consistent with Section 2708.1, that is at least equivalent to the learning experience provided by the direct patient care clinical practice hours.
(C)CA Business & Professions Code § 2786.3(a)(3)(C) The temporary reduction provided in paragraph (3) shall cease as soon as practicable or by the end of the academic term, whichever is sooner.
(D)CA Business & Professions Code § 2786.3(a)(3)(D) The substitute clinical practice hours not in direct patient care that are simulation experiences are based on the best practices published by the International Nursing Association for Clinical Simulation and Learning, the National Council of State Boards of Nursing, the Society for Simulation in Healthcare, or equivalent standards approved by the board.
(E)CA Business & Professions Code § 2786.3(a)(3)(E) A maximum of 25 percent of the direct patient care hours specified in paragraph (3) in geriatrics and medical-surgical may be completed via telehealth.
(F)CA Business & Professions Code § 2786.3(a)(3)(F) Notwithstanding subdivision (a), no new requests under this paragraph shall be approved after the 2023–2024 academic year and any requests approved under this paragraph shall expire at the end of the 2023–24 academic year.
(b)CA Business & Professions Code § 2786.3(b) If the conditions in paragraph (1), (2), or (3) of subdivision (a), as applicable to the request, are met, a board nursing education consultant shall approve the request. If an approved nursing program fails to submit information satisfactory to the board nursing education consultant, or fails to meet the conditions specified, the board nursing education consultant shall deny the request. If the request is not approved or denied on or before 5:00 p.m. on the date seven business days after receipt of the request, the request shall be deemed approved.
(c)Copy CA Business & Professions Code § 2786.3(c)
(1)Copy CA Business & Professions Code § 2786.3(c)(1) Within 30 days of the effective date of this section, the board’s executive officer shall develop a uniform method for evaluating requests and granting approvals pursuant to this section.
(2)CA Business & Professions Code § 2786.3(c)(2) The executive officer may revise the uniform method developed pursuant to this subdivision from time to time, as necessary. The development or revision of the uniform method shall be exempt from the requirements of the Administrative Procedure Act (Chapter 3.5 (commencing with Section 11340) of Part 1 of Title 2 of the Government Code).
(3)CA Business & Professions Code § 2786.3(c)(3) The board’s nursing education consultants shall use the uniform method to evaluate requests and grant approvals pursuant to this section.
(4)CA Business & Professions Code § 2786.3(c)(4) The board shall post the uniform method and any revisions on the board’s website.

Section § 2786.4

Explanation

This law states that nursing schools and their partners cannot pay clinics or hospitals to secure spots for their students' clinical training. Any payment within two years of placing students at a clinic counts as a violation. However, paying for necessary administrative tasks, like credentialing or buying supplies, is allowed and doesn’t break the rules.

(a)CA Business & Professions Code § 2786.4(a) An institution of higher education or a private postsecondary school of nursing subject to Section 2786, or an entity affiliated with the institution or school of nursing, shall not make a payment to any clinical agency or facility in exchange for clinical experience placements for students enrolled in a nursing program offered by or affiliated with the institution or private postsecondary school of nursing.
(b)CA Business & Professions Code § 2786.4(b) A payment shall be deemed a violation of subdivision (a) if made within two years of a clinical experience placement at a facility.
(c)CA Business & Professions Code § 2786.4(c) The payment of reasonable administrative fees for purposes of credentialing, databank registration, purchasing supplies, or similar costs or reimbursements does not constitute a violation of subdivision (a).

Section § 2786.5

Explanation

This section outlines the fees that a nursing school must pay to the Board of Registered Nursing. An institution seeking approval for a new nursing program may be charged up to $80,000. If a school wishes to make significant changes to an already approved program, the fee can be up to $5,000, but certain changes like curriculum updates might not require a fee. Additionally, if the oversight costs are lower than the fees collected, the board can reduce fees to match those costs.

(a)CA Business & Professions Code § 2786.5(a) Subject to the provisions of Section 128.5, an institution of higher education or a private postsecondary school of nursing approved by the board pursuant to subdivision (b) of Section 2786 shall remit to the board for deposit in the Board of Registered Nursing Fund the following fees, in accordance with the following schedule:
(1)CA Business & Professions Code § 2786.5(a)(1) The fee for approval of a school of nursing shall be fixed by the board at not more than eighty thousand dollars ($80,000).
(2)CA Business & Professions Code § 2786.5(a)(2) The processing fee for authorization of a substantive change to an approval of a school of nursing shall be fixed by the board at not more than five thousand dollars ($5,000). The board shall not require a fee for substantive changes approved under subparagraph (E) of paragraph (1) of subdivision (b) of Section 2786.2 or curriculum revisions, as defined under the uniform method developed under subdivision (e) of Section 2786.
(b)CA Business & Professions Code § 2786.5(b) If the board determines that the cost of providing oversight and review of a school of nursing, as required by this article, is less than the amount of any fees required to be paid by that institution pursuant to this article, the board may decrease the fees applicable to that institution to an amount that is proportional to the board’s costs associated with that institution.

Section § 2786.6

Explanation

This law states that the board must deny or revoke approval of any nursing school that fails to give students credit for previous education or the chance to earn credit for their knowledge through exams. Additionally, if a community college nursing school discriminates against applicants seeking necessary nursing units, its approval may also be revoked. The board will set rules on what educational credits count for licensure but doesn't control credits toward academic degrees.

The board shall deny the application for approval made by, and shall revoke the approval given to, any school of nursing which:
(a)CA Business & Professions Code § 2786.6(a) Does not give to student applicants credit, in the field of nursing, for previous education and the opportunity to obtain credit for other acquired knowledge by the use of challenge examinations or other methods of evaluation; or,
(b)CA Business & Professions Code § 2786.6(b) Is operated by a community college and discriminates against an applicant for admission to a school solely on the grounds that the applicant is seeking to fulfill the units of nursing required by Section 2736.6.
The board shall prescribe, by regulation, the education for which credit is to be given and the amount of credit which is to be given for each type of education. The word “credit,” as used in the preceding sentence, is limited to credit for licensure only. The board is not authorized to prescribe the credit which an approved school of nursing shall give toward an academic certificate or degree.

Section § 2787

Explanation

This law outlines the approval process for faculty, directors, and assistant directors at nursing schools or programs. The board can approve individuals for these roles if they meet specific requirements and submit a completed application. This approval lasts five years and can be renewed if requirements continue to be met. The individual's status, including nursing license information, will be available online. Applicants who don't meet all requirements might work under a remediation plan and supervision for up to a year. Schools must report changes in director positions but not in faculty roles. This law doesn't alter the board's power over faculty approval.

If the board requires the approval of the faculty or directors in regulations promulgated pursuant to Section 2786, all of the following apply:
(a)CA Business & Professions Code § 2787(a) The board may approve an individual to serve as a member of the faculty, director, or assistant director of an approved school of nursing or nursing program.
(b)CA Business & Professions Code § 2787(b) The board shall approve an applicant for individual approval if the applicant submits a completed application in the form prescribed by the board demonstrating that the applicant meets the requirements established by the board for faculty, directors, and assistant directors of an approved school of nursing or nursing program.
(c)CA Business & Professions Code § 2787(c) The individual approval under this section shall be valid for five years and may be renewed if the individual demonstrates to the board that they continue to meet the requirements established by the board for faculty, directors, and assistant directors of an approved school of nursing or nursing program.
(d)CA Business & Professions Code § 2787(d) The board shall display an approved individual’s faculty, director, or assistant director approval status, including the approved faculty level and content areas, if applicable, and the status of their nursing license through an online search tool administered by the department.
(e)Copy CA Business & Professions Code § 2787(e)
(1)Copy CA Business & Professions Code § 2787(e)(1) If an applicant for approval under this section has a faculty position and does not meet a requirement established by the board for a different position, the board may accept a remediation plan submitted by an approved school of nursing or nursing program to help the applicant meet the requirement.
(2)CA Business & Professions Code § 2787(e)(2) If the board accepts the plan submitted under paragraph (1), the board may approve the applicant to instruct in theory under the mentorship and supervision of the content expert identified in the plan for up to one year.
(f)CA Business & Professions Code § 2787(f) If required by the board for directors and assistant directors of an approved school of nursing or nursing program, an approved school of nursing or nursing program shall continue to report to the board changes in the nursing program’s director and assistant director of nursing positions.
(g)CA Business & Professions Code § 2787(g) An approved school of nursing or nursing program shall not be required to report to the board any of the following faculty changes:
(1)CA Business & Professions Code § 2787(g)(1) A change in a faculty member’s teaching area.
(2)CA Business & Professions Code § 2787(g)(2) An offer of employment for a faculty member position.
(3)CA Business & Professions Code § 2787(g)(3) Termination of employment of a faculty member.
(h)CA Business & Professions Code § 2787(h) This section does not modify any limitations on the powers of the board related to the faculty approval of accredited schools of nursing and nursing programs as specified in subdivision (b) of Section 2786.2.

Section § 2788

Explanation

The board is responsible for inspecting all nursing schools in the state whenever it feels it's necessary. The executive officer makes written reports of these inspections to the board. If a school's standards don't meet the board's requirements, the school will be notified in writing about what needs fixing. If the school doesn't fix these issues promptly, it can be removed from the list of approved schools, and they'll be informed in writing.

It shall be the duty of the board, through its executive officer, to inspect all schools of nursing in this state at such times as the board shall deem necessary. Written reports of the executive officer’s visits shall be made to the board, which shall thereupon approve those schools of nursing that meet the requirements provided by the board.
Upon receiving the report of the executive officer, if the board determines that any approved school of nursing is not maintaining the standard required by the board, notice thereof in writing specifying the defect or defects shall be immediately given to the school. If the defects are not corrected within a reasonable time, the school of nursing may be removed from the approved list and notice thereof in writing given to it.

Section § 2789

Explanation

This section states that the rules in this chapter do not apply to schools run by recognized churches or religious groups that educate their members on how to care for the sick according to their religious beliefs.

None of the provisions of this chapter shall be applicable to any school or schools conducted by any well recognized church or denomination for the purpose of training the adherents of such church or denomination in the care of the sick in accordance with its religious tenets.