Nurse Practitioner and Optometric Surgery Scope Bills Stall in Assembly Committee

Patient Safety Message Carries


Please THANK legislators for protecting patient safety by clicking HERE to send an email using our contact system.

Thanks to the strong advocacy efforts of CAEPS, the California Medical Association, the American Academy of Ophthalmology, and other specialty societies including the California Academy of Family Physicians, bills that  would have given California Nurse Practitioners and Optometrists sweeping new privileges failed to advance from the Assembly Business and Professions Committee at its final meeting for the year on July 14th. The bills are therefore no longer eligible for consideration in 2015, but can be heard again next year.

All the above listed groups opposed the bills based on patient safety concerns.


SB 323  (Hernandez) would have allowed Nurse Practitioners the ability to practice without physician supervision in some settings and to  perform procedures "recognized by the nursing profession as appropriate,"  without any specific training requirements. 


SB 622 (Hernandez), would have allowed pathways to optometric surgery, with unacceptable amounts of training:

  • Scalpel eyelid surgeries to remove, destroy, or drain lesions of the eyelid and adnexa "clinically evaluated by the optometrist to be noncancerous," with certain limits after a 25-hour course and as few as 32 cases on humans.

  • Glaucoma laser surgery (SLT and ALT) and YAG capsulotomy after a 25-hour course and as few as 24 cases (8 of each type) on humans.

  • Intraocular (and other) injections.

Please THANK legislators for protecting patient safety by clicking HERE to send an email using our contact system.


Thank you for your efforts to help us protect patient safety.

For more information, contact CAEPS at



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President's Message

The California Academy of Eye Physicians and Surgeons (CAEPS) is the only statewide organization representing California ophthalmologists and their patients. CAEPS' activities include legislative advocacy, interaction with third party payers about reimbursement and coverage issues, public education about important eye health care concerns, and continuing medical education for ophthalmologists and their staffs.

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As you visit the CAEPS web site, we invite you to learn more about the special training and expertise of an ophthalmologist in the delivery of medical and surgical eye care. The comprehensive ophthalmologist is truly the most highly trained provider of routine eye examinations and all refractive services, including eyeglasses and contact lenses and corrective corneal surgery, as well as medical or surgical care for eye disease. Vision is precious to all of us, and California's ophthalmologists are dedicated to providing the best possible care for this most valuable sense.

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