California Board discusses telehealth optometry and enforcement challenges for online optical businesses

The California State Board of Optometry convened on April 11, 2025, to address several pressing issues affecting the optometry field, including telehealth regulations, diversity in continuing education, and compliance challenges with online optical businesses.

The meeting began with a discussion on the fictitious name permit statute, which currently requires a physical location for optometrists. Board members noted that telehealth optometrists, who operate without a physical storefront, have raised questions about their need for permits. The board confirmed that permits have been issued using the optometrists' addresses of record, but acknowledged the statute's limitations and the potential need for amendments to better accommodate telehealth practices.

Next, the board reaffirmed its commitment to promoting diversity, equity, inclusion, and belonging (DEIB) in continuing education (CE) for optometrists. While the board encourages DEIB training, it highlighted that it has already published lists of relevant CE courses on its website, demonstrating ongoing efforts in this area.

The meeting then shifted focus to compliance issues related to online optical businesses. Board members expressed concern over entities operating outside the board's regulatory framework, particularly those claiming exemption from oversight while providing eye exams and optical services. The board emphasized the necessity for these businesses to be registered, as they pose risks to consumer safety and may employ unlicensed individuals.

A significant point of discussion was the board's need for additional enforcement tools to ensure compliance with registration requirements. Members acknowledged that current resources are limited, making it difficult to address unlicensed activity effectively. Suggestions included advocating for legislative support to enhance enforcement capabilities and potentially increasing funding for compliance investigations.

The meeting concluded with a consensus on the importance of addressing these issues in future communications with the legislature. Board members agreed to collaborate on crafting a motion to articulate their needs for additional resources and tools to combat unlicensed practices and improve regulatory compliance.

Overall, the meeting underscored the board's proactive stance on adapting to the evolving landscape of optometry, particularly in light of telehealth advancements and the challenges posed by online service providers. The board plans to continue its discussions and follow up on these critical issues in upcoming meetings.