BILL ANALYSIS                                                                                                                                                                                                    







                          SENATE COMMITTEE ON Public Safety
                             Senator Bruce McPherson, Chair     A
                                2003-2004 Regular Session       B

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          AB 384 (Leslie)                                       
          As Amended March 24, 2003 
          Hearing date:  June 1, 2004
          Penal Code and Welfare and Institutions Code
          SH:br

                            PROHIBITION ON TOBACCO PRODUCTS

                   ADULT AND YOUTH STATE CORRECTIONAL FACILITIES.  

                                       HISTORY

          Source:  Author

          Prior Legislation: AB 506 (Aguiar) - 1997-98; heard in the  
                       Senate Committee on Public Safety Subcommittee on  
                       Prison Construction and Operations and not referred  
                       to the full committee

          Support:  California Medical Association; Medical Staff,  
                    California Men's Colony (San Luis Obispo); Los Angeles  
                    County Board of Supervisors; California Correctional  
                    Supervisors Organization, Inc.; Californians for  
                    Common Sense Laws; individual letters from inmates and  
                    others

          Opposition:Friends Committee on Legislation of California

          Assembly Floor Vote:  Ayes  66 - Noes  4


                                      KEY ISSUES
           




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          SHOULD THE DIRECTORS OF THE CALIFORNIA DEPARTMENT OF CORRECTIONS  
          AND THE CALIFORNIA YOUTH AUTHORITY BE REQUIRED TO ADOPT  
          REGULATIONS PROHIBITING THE POSSESSION OF TOBACCO PRODUCTS IN  
          ALL OF THE CDC AND CYA INSTITUTIONS, AS SPECIFIED?

          SHOULD RELATED CHANGES IN LAW BE ENACTED?


                                       PURPOSE
          
          The purpose of this bill is to require that the Directors of the  
          California Department of Corrections and the California Youth  
          Authority adopt regulations prohibiting the possession of  
          tobacco products in all of the CDC and CYA institutions and to  
          make related changes in law.
          
           Existing law  provides that:

           The Director of the Department of Corrections is vested with  
            the supervision, management and control of the state prisons  
            and is responsible for the care, custody, treatment, training,  
            discipline and employment of a person confined in those  
            prisons.  The Director may prescribe rules and regulations for  
            the administration of the prisons.  (Penal Code  5054 and  
            5058.)

           Generally provides that state prisoners may, during  
            confinement, be deprived of only such rights as is reasonably  
            related to legitimate penological interests.  (Penal Code   
            2600.)

           Prohibits any person from supplying tobacco products to a  
            minor (under 18 years of age) but contains an exception for  
            the Director of Corrections which may sell or supply tobacco  
            and tobacco products, including cigarettes and cigarette  
            papers, to any person confined in any institution or facility  
            under its jurisdiction who has attained the age of 16 years,  
            if the parent or guardian of the person consents, and may  
            permit smoking by any such person in any such institution or  
            facility.  No officer or employee of the Department of  




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            Corrections shall be considered to have violated the general  
            prohibition if he or she provides tobacco products pursuant to  
            this exception.  (Penal Code  308.)

           Provides that all powers, duties, and functions pertaining to  
            the care and treatment of wards provided by any provision of  
            law and not specifically and expressly assigned to the  
            Youthful Offender Parole Board shall be exercised and  
            performed by the Director of the Youth Authority.  (Welfare  
            and Institutions Code  1712.)

           Provides that no public employee or member of the public shall  
            smoke any tobacco product inside a public building, or in an  
            outdoor area within 20 feet of a main exit, entrance, or  
            operable window of a public building, or in a passenger  
            vehicle, owned by the State.  (Government Code  7597(a).)

           Provides that this section shall not preempt the authority of  
            any county, city, city and county, California Community  
            College campus, campus of the California State University, or  
            campus of the University of California to adopt and enforce  
            additional smoking and tobacco control ordinances,  
            regulations, or policies that are more restrictive than the  
            applicable standards required by this chapter.  (Government  
            Code  7597(b).)

           States that, except as provided in Government Code Section  
            7597, a public employee or other person may smoke in any  
            outdoor area of a public building unless otherwise prohibited  
            by state law or local ordinance and a sign describing the  
            prohibition is posted by the state, county, or city agency or  
            other appropriate entity.  (Government Code  7598.)

           Provides that not later than January 31, 1994, and thereafter  
            upon initial employment, each state agency shall inform its  
            employees about the smoking prohibition contained in  
            Government Code Section 7597, areas where smoking is  
            permitted, and the availability of tobacco smoking control  
            programs.  (Government Code  19994.33(c).)





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           Executive Order W-180-98  (signed June 24, 1998) provides that:

              Effective on or before September 1, 1998, the CDC  
              shall prepare all necessary policies and regulations,  
              in accordance with Administrative Procedures Act, to  
              implement the total ban of tobacco product for inmates  
              in the buildings and the grounds of any CDC Reception  
              Center and CRC [California Rehabilitation Center at  
              Norco], except for departmentally approved inmate  
              religious ceremonies; defines tobacco products  
              expansively; indicates that steps will be evaluated  
              for a system-wide ban on tobacco products, including  
              in visiting areas; and provides that the CDC is to  
              consider voluntary smoke free facilities for staff and  
              inmates at selected institutions.

           This bill  does the following:

           Requires that the Director of Corrections adopt regulations  
            prohibiting the possession of tobacco products by inmates in  
            all institutions and prison facilities under the jurisdiction  
            of the Department of Corrections and provides that a violation  
            of this prohibition is a serious rule violation, as specified.

           Requires that the Director of the Youth Authority adopt  
            regulations prohibiting the possession of tobacco products by  
            inmates in all institutions and camps under the jurisdiction  
            of the Department of the Youth Authority.

           Deletes the existing authority for the CDC and the CYA to sell  
            tobacco at a commissary or canteen.

           Deletes the existing authority of the Department of  
            Corrections to provide tobacco products to an inmate who is 16  
            years of age or older, if the parent or guardian consents, in  
            all Department institutions.








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                                      COMMENTS

          1.  Need for This Bill  

          The author's background includes:

              A recent study released by the Department of Health  
              Services reported that it costs an average of $3,500  
              each year in health care costs per smoker in  
              California.  With approximately 160,000 inmates in our  
              state prisons - roughly half of them smokers - it is  
              expected this will help drastically reduce the state's  
              health care expenses for inmates.  The state spends  
              approximately $266 million in smoking-related health  
              care costs for inmates.

              At Wasco State Prison, prior to banning smoking, the  
              institution had numerous cases of asthma each year.   
              Two years ago, after the ban went in place, the prison  
              had only one.

              Indeed, according to state corrections officials,  
              banning tobacco in prisons is not a new idea.   
              Reception areas and virtually all county and local  
              jails have been tobacco free for some time.  Three  
              state institutions - Wasco State Prison, the  
              California Men's Colony in San Luis Obispo, and the  
              California Medical Facility in Vacaville - have all  
              gone tobacco free in recent years.  No residual  
              behavioral problems have been noted as a result of the  
              ban.

              This bill is both a great way to save the state money,  
              and it will help make our prison population healthier.  
               We're not looking to further punish prisoners.  We  
              see this as a way of helping them, that if they can  
              survive their quitting this habit, then maybe they can  
              reform their lives in other ways, too.





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          2.  Current State of Tobacco in the CDC
           
          The Department of Corrections and CYA - both staff, inmates, and  
          wards - are subject to the same general restrictions on smoking  
          as any other state agencies, which prohibit smoking - not the  
          use of smokeless tobacco products - in state buildings and  
          within prescribed distances of entrances, exits, and operable  
          windows of state agencies.  [See Comment #9, below, for specific  
          comments about the CYA.]



          In addition, existing law and regulations authorize the  
          implementation of a no-smoking policy.  Directors have broad  
          authority in supervising correctional facilities and  
          discretionary control over the existence of canteens and their  
          inventory.  (Penal Code  5005; 15 CCR  3188(b)(2), (e).)   
          Possession and use of tobacco is prohibited in CYA facilities,  
          with the exception that the director may, but is not required to,  
          permit smoking by an inmate 16 year old or older with his or her  
          parent's written consent.  (15 CCR  4698(a); Penal Code   
          308(f).)

          Information provided by the CDC at the request of Committee  
          staff includes the following:

           Pursuant to Executive Order W-180-98, the CDC banned inmates  
            from possessing tobacco products in all of the Reception  
            Centers and at the California Rehabilitation Center.  Since  
            that time, the following six institutions have also banned  
            inmates from possessing tobacco products:

               March 1, 2002  Pelican Bay State Prison
               April 1, 2002       California State Prison, Sacramento
               May 1, 2002         Wasco State Prison (RC ban extended to  
               entire prison)
               July 1, 2002        California Men's Colony
               September 1, 2002   California Medical Facility
               January 1, 2003     Deuel Vocational Institution (RC ban  
               extended to entire prison)




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           Based in part on the following information received from those  
            institutions that have banned tobacco, the transition seems to  
            have been successful.

           Participating institutions provided advance notice in writing  
            to all inmates, staff, and visitors.  Canteen sales of tobacco  
            products were stopped several months before the date of the  
            ban, allowing inmates to exhaust existing personal supplies of  
            tobacco.

           A pronounced reduction in asthma-related complaints and in  
            respiratory complications in general is reported at two  
            prisons.  No discernible negative impact on medical services  
            has been noted.

           There has been a slight increase in the total number of rules  
            violation reports concerning tobacco.  However, the total  
            effect of these rules violation reports is so negligible that  
            no significant impact has resulted.

           The number of tobacco related inmate appeals continues to  
            steadily decline.

           Since the enactment of the tobacco ban, there have been no  
            lawsuits or habeas corpus matters filed.  The American Civil  
            Liberties Union (ACLU) has provided information concerning  
            court decisions in other venues which indicate that there is  
            no constitutional right to smoke in prison and that a ban on  
            smoking is not "cruel and unusual punishment."

           In order to assist the inmate population during the transition  
            to a tobacco-free environment, smoking cessation groups or  
            videos were made available to the inmate population at Pelican  
            Bay State Prison, California Men's Colony, and California  
            State Prison, Sacramento.

           An overall reduction in maintenance and repair to housing  
            units was reported by California Men's Colony and California  
            State Prison, Sacramento.  This decline is attributed to a  




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            decrease in damages to electrical switches, outlets, and  
            devices associated with inmates attempting to light their  
            cigarettes.

           Tobacco use cessation assistance is offered to the inmate  
            population in the form of tobacco use cessation classes,  
            support groups, videotapes, and the distribution of printed  
            tobacco cessation materials.  These are the same materials  
            that are recommended by, and available (often at no cost) to  
            the general public, by the American Cancer Society, the  
            American Lung Association, the American Heart Association, the  
            U.S. Department of Health and Human Services, and the Center  
            for Disease Control.

           Concerns have been raised regarding whether the CDC should be  
            required to offer nicotine replacement cessation materials to  
            help inmates cope with the withdrawal from nicotine.  Over the  
            counter nicotine replacement materials include nicotine gum  
            (i.e. Nicorette), nicotine lozenges (i.e. Commit), and  
            nicotine patches (i.e. Nicoderm).  Additionally, prescription  
            nicotine replacement materials include a nicotine nasal spray  
            and a nicotine inhaler (i.e. Nicotrol).

           It should be noted that the issue of offering nicotine  
            replacement cessation materials to the inmate population was  
            reviewed and considered by the CDC; however, for a variety of  
            reasons, it was determined that nicotine replacement cessation  
            materials would not be offered to the inmate population.   
            Nicotine is an addictive and potentially dangerous drug.  Each  
            of the nicotine replacement materials listed above contains  
            anywhere from 2 mg of nicotine (lozenge and gum) to 21 mg of  
            nicotine (patch), and each carries its own significant  
            negative side effects, including headaches, dizziness, upset  
            stomach, weakness, blurred vision, itching and burning of the  
            skin, diarrhea, coughing, and throat irritation.   
            Additionally, nicotine replacement materials must be used  
            exactly as directed, as the minimum acute lethal dose for  
            nicotine in adults is reported to be 40 to 60 mg.

           Because of the potential for personal misuse of nicotine  




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            replacement cessation materials, or of their possible use as  
            barter material within the inmate population, these materials  
            would have to be dispensed in the same manner as medication.   
            CDC's health care staff would have to dispense and monitor  
            this kind of treatment, which would require significant  
            additional staffing.  Additionally, the U.S. Surgeon General  
            reported that nicotine withdrawal symptoms peak within the  
            first few days and subside within a few weeks.  Withdrawal  
            symptoms can include irritability, craving, cognitive and  
            attention deficits, sleeping disturbance and increased  
            appetite; however, if an inmate were to experiences withdrawal  
            symptoms so severe that it creates a medical situation,  
            medical treatment would be provided.

          3.  Other States' Experience  

          The CDC additionally provided at Committee staff's request the  
          following information pertaining to other states:



             ------------------------------------------------------------------ 
            |State      |Inmates                   |Staff                      |
            |-----------+--------------------------+---------------------------|
            |           |                          |                           |
            |-----------+--------------------------+---------------------------|
            |Colorado   |Complete ban              |Complete ban               |
            |-----------+--------------------------+---------------------------|
            |Delaware   |Complete ban              |Complete ban               |
            |-----------+--------------------------+---------------------------|
            |Idaho      |Complete ban              |Complete ban               |
            |-----------+--------------------------+---------------------------|
            |Indiana    |Complete ban              |Complete ban               |
            |-----------+--------------------------+---------------------------|
            |Maine      |Complete ban              |Complete ban               |
            |-----------+--------------------------+---------------------------|
            |Minnesota  |Complete ban              |Complete ban               |
            |-----------+--------------------------+---------------------------|
            |Nebraska   |Complete ban              |Complete ban               |
            |-----------+--------------------------+---------------------------|




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            |Maryland   |Complete ban since 2001   |Outside, designated areas  |
            |           |                          |only, away from people (to |
            |           |                          |avoid secondhand smoke     |
            |           |                          |possibility)               |
            |-----------+--------------------------+---------------------------|
            |Texas      |Complete ban              |Banned in buildings, can   |
            |           |                          |smoke outside              |
            |-----------+--------------------------+---------------------------|
            |Michigan   |Banned in buildings, can  |Banned in buildings, can   |
            |           |smoke outside             |smoke outside              |
            |-----------+--------------------------+---------------------------|
            |South      |Banned in buildings, can  |Banned in buildings, can   |
            |Carolina   |smoke outside             |smoke outside              |
            |-----------+--------------------------+---------------------------|
            |Missouri   |Smoking allowed in cells, |Can smoke in outside areas |
            |           |smokers housed with other |designated for "smoking"   |
            |           |smokers                   |                           |
             ------------------------------------------------------------------ 

          4.  Economic Effect of This Bill

           Also at Committee staff's request, the CDC provided the  
          following evaluation of the economic impact of this bill on CDC  
          tobacco sales:

              Based on 2003 tobacco-related sales at CDC of about  
              $5.4 million, which generated about $1 million in  
              tobacco taxes and about $370,000 in sales tax, the  
              State would potentially lose a corresponding amount of  
              tax revenue.  The potential sales tax loss could be  
              offset to a significant degree, by a tendency for  
              inmates to spend their money on other canteen options  
              when tobacco is not an option.  Loss of tobacco tax  
              proceeds would not be offset and based on these  
              figures, would lead to a General Fund reduction of  
              about $100,000, a reduction to the California Children  
              and Families First Trust Fund of about $500,000, a  
              reduction of about $250,000 to the Cigarette and  
              Tobacco Products Surcharge Fund, and a minor reduction  
              to the Breast Cancer Fund.




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          5.  Support for This Bill
           
          The California Correctional Supervisor Organization (CCSO)  
          letter in support of this bill includes:

              We truly believe that this measure will save the  
              California taxpayers hundreds of millions of dollars  
              each year in health care costs for state prison  
              inmates and help to provide a healthier and more  
              productive environment for the employees and inmates.


              By eliminating tobacco in prisons you will also:

                   Reduce workers' compensation claims and  
                secondhand smoke litigations;

                   Help the inmates' families by making more money  
                available for other needs instead of having to  
                purchase tobacco for an addicted inmate;

                   Benefit inmates by helping them lead  
                non-smoking life styles well after they finish  
                their prison term and become active members of  
                society.

          CCSO representatives stated in person that since tobacco is an  
          addiction, it is unrealistic to place those smoking tobacco in a  
          position where they can smoke outside of buildings when they are  
          routinely confined for 2/3's of the day inside where they cannot  
          legally smoke and that that leads to smoking in cells, where  
          creative ways must be found to light cigarettes, since lighting  
          materials are not allowed in cells (prison yards routinely have  
          electronic cigarette lighters).  Further, they indicated that  
          inmates in county jails are not allowed to smoke as is the case  
          in the CDC's reception centers, so that inmates routinely are in  
          a non-smoking situation for months before being returned to a  
          smoking environment at other CDC facilities that are not  
          tobacco-free.




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          In addition, the author's office also indicates that:

              It is inconsistent to ban prisoners from smoking at  
              local jails and at CDC Reception Centers only to give  
              them the opportunity to get addicted once again at the  
              state prison.  There are also many inmates who do not  
              smoke.  They become victims of secondhand smoke and  
              all the residual illnesses caused by breathing tobacco  
              fumes.  AB 384 is a great opportunity to foster a  
              healthier state prison system as well as save  
              taxpayers money in health-related costs.

          6.   Opposition to This Bill
           
          The Friends Committee on Legislation letter in opposition to  
          this bill includes:

              . . . While we very much appreciate the goal to reduce  
              tobacco use and improve the health of prisoners, and  
              we fully recognize the dangers posed to nonsmokers by  
              second-hand smoke, we disagree with the punitive means  
              employed by this legislation.

              Because nicotine is highly addictive, more than 90  
              percent of smokers who try to quit smoking on their  
              own will fail, and most will be smoking again within a  
              few days of attempting to quit (National Institute of  
              Drug Abuse).  Because tobacco can be purchased cheaply  
              on the outside and sold at huge markups inside the  
              prison walls, it appears that tobacco is becoming the  
              number one contraband item in some prisons where  
              tobacco has been banned.

              Contrarily, employing a public health approach is more  
              likely to reduce tobacco use.  Pharmacological  
              treatments can double the rate of successful  
              cessation.  Nicotine replacement therapies, such as  
              the nicotine patch, nasal spray and inhaler and  
              nicotine lozenges have little potential for abuse  




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              since they do not produce the pleasurable effects of  
              tobacco products.  When combined with behavioral  
              modification programs, the success rates are even  
              higher (National Institute of Drug Abuse).  Australia  
              has taken a therapeutic approach to reduce tobacco use  
              in prisons.  It is our hope that the Legislature will  
              consider doing the same, and we would be happy to work  
              with you towards this important goal.

              Lastly, please consider this proposal in terms of  
              recent changes made at CDC.  Visiting days have been  
              scaled back from three or four to two.  Prisoners will  
              no longer be allowed to receive quarterly packages  
              directly from family members, and the governor has  
              proposed reducing meals on weekends.  The totality of  
              these restrictions will result in more tension and  
              increases the possibility of violence in our prisons.

          7.  Possible Drafting Issues Raised by This Bill

           This bill would enact into statute the penalty to be applicable  
          to violations of the proposed tobacco products ban as "a serious  
          rule violation pursuant to Section 3315 of Division 3 of Title  
          15 of the California Code of Regulations."  The existing penalty  
          applicable in existing tobacco-free CDC institutions is an  
          administrative rule violation pursuant to Section 3314 of Title  
          15.  Section 3315(a)(3)(M) does provide that "A repeated pattern  
          of administrative rule violations for the same offense" may be  
          charged as a serious rule violation.  Serious rule violations do  
          require a hearing at the senior hearings officer or higher level  
          while administrative rules violations involve hearings by a  
          lower level hearing officer.

          WOULD IT BE APPROPRIATE FOR THE AUTHOR TO AMEND THIS BILL TO  
          STATE THAT VIOLATIONS WOULD BE "ADMINISTRATIVE" RATHER THAN  
          "SERIOUS" OR TO LEAVE THE DETERMINATION OF THE PENALTY UP TO THE  
          CDC TO DETERMINE ALTOGETHER?

          This bill does not contain any exemption for "departmentally  
          approved religious ceremonies" as is contained in the 1998  




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          Executive Order.

          WOULD IT BE APPROPRIATE TO ADD A RELIGIOUS EXEMPTION IN THIS  
          BILL?

          This bill refers on page 5, line 7, to "inmates" of the CYA.   
          The CYA houses "wards" not inmates, although some CDC "inmates"  
          have been housed by the CYA until those inmates attain age 18.

          SHOULD THAT REFERENCE BY CHANGED TO "WARDS"?

          This bill would take effect on January 1, 2005, if enacted.  It  
          may or may not be appropriate for the author to consider  
          delaying the operative date of all or some of this bill's  
          provisions.  As noted in the background provided by the CDC,  
          above, the cessation of the use of tobacco products in state  
          prisons has been planned and phased in.  This bill would on  
          January 1, 2005, remove the CDC's authority to sell tobacco  
          products at commissaries and canteens and require the CDC to  
          adopt regulations which themselves will take some time to  
          implement (although the CDC does have broad "emergency  
          regulation" authority).






















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          8.  Existing Provisions of the Bargaining Unit #6 MOU Regarding  
          the CDC and Smoking  

          The current MOU for Bargaining Unit #6, Appendix item #14 -  
          Addendum to Section 16.04 - CDC smoking policy, contains a number  
          of detailed items, including the following:

             1.   The State will post "No Smoking" signs in the  
               outside areas where smoking is prohibited.

             2.   In the event legislation is introduced to ban  
               tobacco products for the inmates, the Department  
               agrees to duly consider supporting such a bill.

             3.   It is the intent and expectation of the Department  
               and CCPOA that effective Corrective Action will be  
               taken prior to any Adverse Personnel Action (APA) for  
               violation of the Department's smoking policy.   
               Therefore, as part of the State's process of  
               progressive discipline, an employee who violates the  
               Department's AB on smoking policy will be offered the  
               opportunity to receive medical treatment and/or  
               counseling for smoking cessation.  This offer will be  
               made prior to any referral for APA for the employee's  
               first documented violation (i.e., Employee Counseling  
               Record or LOI).  . . .

             4.   The Department agrees to include smoking cessation  
               in the IST (In-Service Training) programs.  The  
               Department will ensure that all instructors of the  
               smoking cessation programs are vendor qualified, e.g.  
               American Lung Association, Cancer Society.

            ***

             7.   The Department agrees that all inmates will only  
               be allowed to smoke tobacco products on prison yards  
               and, except for safety and security considerations,  
               some yards may be designated no smoking, e.g.,  




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               administrative segregation, security housing units.

             8.   The Department agrees to develop enforcement  
               policies and procedures regarding inmate visitors and  
               members of the public for violation of the  
               Department's smoking policy.

             9.   The Department agrees not to punitively job change  
               smokers into a job assignment where they do not have  
               the ability to smoke.

          9.  Impact on the California Youth Authority  

          This bill adds a statutory prohibition on wards of the  
          Department of Youth Authority from using tobacco products.

          Since at least 1992, the following regulation has been in effect  
          at the Department of Youth Authority:

              Title 15, Section 4698, California Code of  
              Regulations.  Use of Tobacco

              (a)  Wards/inmates, housed in Youth Authority  
              facilities, shall not possess or use tobacco products.

          IS A STATUTORY CHANGE NEEDED GIVEN THE DEPARTMENT'S EXISTING  
          REGULATIONS? 
           
           10.  Current CDC Facts
           
          The CDC "Facts and Figures - Second Quarter 2004" includes the  
          following:

              As of February 2002, the maximum prison capacity was  
              approximately 170,100.  Upon completion of the  
              administrative segregation housing units and the Delano  
              II maximum-security institution, the California  
              Department of Correction's maximum housing capacity  
              will increase to approximately 176,500.












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              About Prisons -  Facilities  :  32 state prisons ranging  
              from minimum to maximum custody; 37 camps, minimum  
              custody facilities located in wilderness areas where  
              inmates are trained as wildland firefighters; 12  
              community correctional facilities (CCF's); and 5  
              prisoner mother facilities.   Population  :  All  
              Institutions:  162,120.



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