In a recent meeting of the Board of Vocational Nursing and Psychiatric Technicians held on May 16, 2025, significant discussions centered around the governor's proposed reorganization plan for the Department of Consumer Affairs (DCA) and the implications for vocational nursing practices, particularly in respiratory care.

The governor's reorganization plan aims to split the DCA into two separate agencies: the California Housing and Homelessness Agency and the California Business and Consumer Services Agency. This proposal was recently reviewed by the Little Hoover Commission and, if approved, will move to the legislature for further consideration. This restructuring could have far-reaching effects on how vocational nursing and related services are managed and regulated in California.

A key topic of discussion was the recent approval by the Respiratory Care Board (RCB) of regulatory language that impacts the scope of practice for vocational nurses, particularly concerning suctioning procedures. The RCB has recommended that vocational nurses not perform suctioning, a decision that has raised concerns among stakeholders, especially school nurses who supervise licensed vocational nurses (LVNs) providing care to students with special needs. The potential restriction could hinder access to necessary care for these students, prompting discussions about the need for a carve-out system for home health care providers and other residential facilities.

The board also addressed logistical matters, including a proposed change to the November board meeting date to accommodate scheduling conflicts and ensure adequate facilities for meetings. The board voted to move the meeting from November 20-21 to November 17-18, 2025, to better align with availability.

Additionally, the board considered the possibility of holding a condensed meeting in August, given budget constraints and the need for a quorum. Options discussed included telecommuting arrangements to facilitate participation from board members across the state.

Overall, the meeting highlighted the ongoing challenges and adjustments within the vocational nursing landscape in California, particularly in light of regulatory changes and the need for effective communication among stakeholders. The board plans to monitor the developments from the RCB closely and will continue to engage with relevant parties to address concerns regarding the delivery of care in various settings.