BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 409
                                                                  Page  1


          SENATE THIRD READING
          SB 409 (Kehoe)
          As Amended April 6, 2006
          2/3 vote.  Urgency

           SENATE VOTE  :Vote not relevant  
           
           LOCAL GOVERNMENT                WATER, PARKS AND WILDLIFE       
               (vote not relevant)                (vote not relevant)

           APPROPRIATIONS           14-0                               
           
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          |     |                          |     |                          |
          |Ayes:|Chu, Runner, Bass, Berg,  |     |                          |
          |     |Calderon, De La Torre,    |     |                          |
          |     |Emmerson, Karnette,       |     |                          |
          |     |Klehs, Leno, Nakanishi,   |     |                          |
          |     |Ridley-Thomas, Saldana,   |     |                          |
          |     |Yee                       |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY :  Appropriates $7 million [General Fund (GF)] in the  
          current budget year to supplement funding provided in the Budget  
          Act of 2005.  Contains an urgency clause allowing this bill to  
          take effect immediately upon enactment.  Specifically,  this bill   
          appropriates $5.4 million to the Department of Health Services  
          (DHS) for pandemic flu vaccines, laboratory equipment, state  
          staff for pandemic flu planning/communicable disease outbreaks,  
          and $1.6 million to the Emergency Medical Services Authority  
          (EMSA) for personal protective equipment (PPE) for ambulance  
          personnel, as follows:


          1)To EMSA:  $1.6 million for the purchase and provision of PPE  
            for ambulance personnel who agree, through a contract with  
            EMSA or the local emergency medical services agency, to  
            participate in state and local disaster response.  Recipients  
            of PPE are required to replace the equipment, as necessary,  
            and to provide necessary, ongoing training on the use of  
            equipment. 










                                                                  SB 409
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          2)To DHS:


             a)   $76,000 to oversee management of antiviral supplies,  
               vaccines, and medical supplies that need to be obtained and  
               distributed during a pandemic;


             b)   $415,000 to provide expanded capacity in the Microbial  
               Diseases Laboratory and the Viral and Rickettsial Diseases  
               Laboratory to implement new tests to control infectious  
               diseases, and to purchase a portable Raman Infrared  
               Microscopy System and a portable Gas Chromatographic/Mass  
               Spectroscopy System for the state laboratory in Richmond; 


             c)   $460,000 to purchase doses of antiviral supplies used in  
               the prevention or treatment of influenza; and,


             d)   $4.5 million to strengthen pandemic influenza planning  
               efforts, conduct epidemiologic investigations of infectious  
               and communicable disease outbreaks, and provide  
               epidemiologic and statistical support as requested. 


          3)Exempts funds appropriated under this bill from State Contract  
            Act requirements, in order to rapidly implement pandemic  
            influenza planning and preparedness efforts, contracts or  
            other agreements entered into for pandemic influenza planning  
            or preparedness activities.


           FISCAL EFFECT  :  Appropriates $7 million (GF) in 2005-06 ($5.4  
          million to DHS and $1.6 million to EMSA).


           COMMENTS  :  
           
           1)This urgency bill appropriates $7 million to enhance  
            California's ability to respond to public health emergencies,  
            whether naturally occurring or resulting from terrorism.  

          The appropriation in this bill for DHS is intended to strengthen  








                                                                 SB 409
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            DHS' response to public health emergencies, including pandemic  
            influenza, strengthen the DHS laboratory infrastructure and  
            staffing, expand the state's disease surveillance, and improve  
            DHS' ability to respond to pandemic influenza and other  
            natural and intentional disasters that can jeopardize public  
            health.

          The appropriation in this bill for EMSA is intended to purchase  
            PPE for 1,500 private ambulance units through grants from  
            local Emergency Medical Services agencies.  This equipment  
            will ensure that private ambulance providers have a greater  
            level of protection to enable an "all hazard" response, with  
            an emphasis on chemical, biological, radiological, nuclear and  
            explosive events.  EMSA indicates approximately 28% of the  
            ambulances in California have sufficient PPE to respond to  
            terrorism events and disasters.

          2)DHS states that one of the most important public health issues  
            facing California is the threat of pandemic influenza.  As of  
            January 2006, a pandemic influenza strain does not exist, but  
            a new strain of avian influenza has been spreading in bird  
            populations.  As of April 4, 2006, there were 191 confirmed  
            human cases and 108 deaths from avian flu in nine nations.  

          The Governor's 2006-07 DHS budget appropriates $45.8 million  
            (GF), $103.8 million in federal funds, and provides 162.8  
            positions to support California's public health system's  
            capacity to respond to various events, including bioterrorism,  
            outbreaks of infectious diseases, and other public health  
            threats.  Reports over the last few years by the RAND  
            Corporation and the Little Hoover Commission have urged  
            improvements to California's public health infrastructure. 


           Analysis Prepared by  :    Scott Bain / APPR. / (916) 319-2081 


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