Sponsored by a Coalition of Organizations Concerned about Quality Healthcare in California
Coalition for Patient Access
and Quality Care

NO on SB 323 and SB 622

Proposed Legislation that Puts Patients at RISK and
Increases Health Care COSTS


“To solve the physician shortage, policymakers must foster coordination between physicians and other providers. Creating overlapping scopes-of-practice generates competition and discord, and will ultimately backfire on the purpose of these policies.”

Akhilesh Pathipati
Special to The Sacramento Bee
May 31, 2014

Read more HERE.

SB 323
would allow nurse practitioners to function independently without physician supervision in many settings, and create the ability to add any additional procedure to their scope without any oversight.

SB 622
would allow optometrists to perform EYE SURGERY with limited additional training that might not even include doing complete procedures on live human patients. Medical doctors that specialize in the eyes (ophthalmologists) do HUNDREDS of surgical training procedures on live human patients under supervision before being allowed to do them independently.

TAKE ACTION BY CLICKING HERE to tell your legislators that Californians deserve high quality care for ALL its citizens. Tell them to VOTE NO on SB 323 and SB 622.

Proposed Legislation Jeopardizes Patient Safety

As health care delivery becomes more complex, expanding the team of health care professionals that serves patients makes sense. However, it is not in the best interest of patients to abandon the current physician-led team approach to health care. Patients want medical doctors to maintain primary responsibility for their health, and these doctors are committed to working with all members of the health care team to continue delivering quality care.

SB 323 and SB 622 allow nurses and optometrists to take on the duties of a medical doctor without a doctor’s training.  Unfortunately, allowing someone to diagnose, evaluate, and manage diseases, perform surgery, order lab tests, and prescribe addicting narcotics without appropriate training or supervision will put patients at risk and raise health care costs.

Education and training matter, especially in the event of a complication or medical emergency, and there are no requirements for additional training in this legislation.

Medical doctors undergo nearly a decade of medical training that includes more than 21,000 hours of clinical education. In contrast, Advanced Practice Registered Nurses (APRN) average only 5,000 hours of clinical training, while optometrists only receive four years of education and generally have no experience treating systemic diseases.

An article in Time magazine found that medical errors increased among residents who received fewer hours of training underscores the need for proper medical education and training.

Expanding the scope of practice for nurses, optometrists, and pharmacists will only create situations where these health care providers may be unprepared or unqualified to correctly diagnose and treat certain conditions.  Why would patients want to gamble with their health by participating in a game of medical roulette?

to send a message to your California Legislators.