BILL ANALYSIS SENATE JUDICIARY COMMITTEE Senator Ellen M. Corbett, Chair 2007-2008 Regular Session AB 1519 A Assembly Member Ma B As Amended May 27, 2008 Hearing Date: June 10, 2008 1 Health & Safety Code 5 KB:jd 1 9 SUBJECT Human remains: commercial display DESCRIPTION This bill would, among other things: prohibit public commercial displays of human remains unless a permit has been obtained from the California Science Center (CSC); authorize the CSC to issue a permit for commercial displays of human remains only upon the center's determination that the person has met the requirements to exhibit human remains; require regulations for the issuance of permits to be adopted by the CSC, including a requirement that the person has obtained valid written authorization from the decedent, or person authorized to make an anatomical gift, to publicly display human remains; would require the CSC to establish a permit fee and would require the revenue from these fees to be deposited in the Human Remains Exhibit Permit Fund; require moneys in the fund to be available to the CSC, upon appropriation by the Legislature, for the purpose of funding the administration of the permit program; provide that the CSC shall conduct adjudicative hearings pursuant to the Administrative Procedure Act; provide that its provisions do not preempt more restrictive local regulation of the public commercial display of human remains; and provide that violations of its provisions is (more) AB 1519 (Ma) Page 2 of ? punishable by a civil penalty. BACKGROUND This bill has been introduced amidst the growing controversy caused by traveling exhibits featuring human corpses, body parts, and fetuses, which have been subjected to plastination, a process invented by Dr. Gunther von Hagens in 1977, where fluids and lipids are removed from a cadaver and replaced with a liquid plastic to prevent decomposition. Plastinated bodies featured in public exhibits are stripped of skin to expose internal organs, bones, muscles, and veins, and are posed in various positions. The popularity of such traveling exhibits has increased in the last few years and the tours are earning a considerable amount of revenue. One such tour, "Bodies?The Exhibition," owned by Premier Exhibitions, earned a net income of $7.4 million on revenue of $30.1 million, more than 70 percent of which came from traveling exhibits of corpses and body parts. The sources of the plastinated bodies are two facilities based in Dalian, China. One is operated by Dr. Gunther von Hagens, the man who invented the plastination technique, and the other by Dr. Sui Hongjin, a former von Hagens employee. While these exhibits of plastinated human corpses are often touted as providing educational information to the general public about their bodies, they have also come under scrutiny from those who are offended by the use of human corpses in a for-profit venture. Further, in light of China's inconsisent human rights record, many questions have been raised as to whether the bodies utilized in the exhibits were legally obtained and whether decedents consented to have their bodies placed on display. Critics assert that many of the remains used in the exhibitions are actually those of executed prisoners, and point to the fact that the city of Dalian is in close proximity to three prison camps. According to Amnesty International, China's authorities account for 75% of the world's executions, purportedly executing 3,400 people in 2004 by shooting them in the head or the back of the neck. Notably, in 2004, the founder of Body Worlds exhibition, Dr. Gunther von Hagens, was accused of using the bodies of executed Chinese prisoners for plastination. Although Dr. AB 1519 (Ma) Page 3 of ? von Hagens denied the allegations, he returned seven bodies to China after it was determined that two of the bodies had bullet holes in the back of their heads. ABC News 20/20 recently conducted an investigation into the source of the human corpses that end up at plastination facilities and exhibits. (ABC News 20/20, Brian Ross Investigates, Bodies: The China Connection, February 15, 2008.) Previously, Premier Exhibitions, the publicly traded corporation that organizes "Bodies?The Exhibition," had publicly stated that all of its bodies were supplied by the plastination laboratories of the Dalian Medical University in Dalian, China. However, in the 20/20 report, the president of the Dalian Medical University denied that the university supplies bodies to Premier or any company for public display. 20/20 discovered that the supplier for Premier's exhibition is actually a private, for-profit company called the Dalian Medi-Uni Plastination Labs, which is located 30 miles away from the Dalian Medical University. The company is run by a professor from the medical university who stated that the university initially owned 70 percent of the operation and provided bodies, but has recently pulled out because of bad publicity. The 20/20 report also contained testimony from an anonymous dealer of bodies in the black market who described "body runs" to locations where bodies, including those of executed prisoners, were sold for $200 to $300. Bills of lading that accompany the exported plastinated bodies list "plastic models used for medical teaching." In this manner, the exporting companies circumvent China's laws banning the export of human body parts and the United States' regulations on the transport of human remains. Following the release of the 20/20 report, authorities from New York and China opened investigations into the allegations of the illegal trafficking of human corpses from China to the United States for public display. The New York Attorney General's Office served subpoenas on Premier Exhibitions, which has stated it will fully cooperate in the investigations. The Chinese Foreign Ministry has also stated that it is investigating the alleged body black market, including allegations that bodies had been shipped to the United States, despite a 2006 law that banned the trade of corpses and commercial activities involving corpses. AB 1519 (Ma) Page 4 of ? This bill seeks to ensure all human remains which are publicly displayed have been lawfully obtained, and that the decedent, or a person authorized to make an anatomical gift, has given informed consent to be placed on display. CHANGES TO EXISTING LAW Existing law , the Uniform Anatomical Gift Act, regulates the making of anatomical gifts and the disposition of donated bodies and body parts. (Health & Safety Code 7150 et seq.) Existing law provides that the right to control the disposition of the remains of a deceased person, and the location and conditions of interment, and arrangements for funeral goods and services to be provided, unless other directions have been given by the decedent, vests in, and the duty of dispositions and the liability for the reasonable cost of disposition of the remains devolves upon, a specified list of individuals. (Health & Safety Code 7100.) Existing law provides that a decedent, prior to death, may direct, in writing, the disposition of his or her remains. (Health & Safety Code 7100.1.) Existing law provides that a person who deposits or disposes of any human remains in any place, except in a cemetery, is guilty of a misdemeanor, and makes exception for the disposition of cremated remains. (Health & Safety Code 7054.) This bill would, for the purposes of this bill, define "commercial display" as either of the following: (1) A display for which the public is charged a fee or other consideration as a condition of viewing. (2) A display for which an exhibitor accepts payment or other consideration. This bill would, for the purposes of this bill, define "exhibitor" as a person or entity who publicly displays or contracts to publicly display human remains. This bill would provide that its provisions shall not apply to a display of human remains that is any of the following: AB 1519 (Ma) Page 5 of ? (1) more than 80 years old; (2) consisting solely of human teeth or hair; (3) part of an ordinary display or viewing of the deceased at a funeral establishment or part of a similar funeral or memorial service; (4) an object of religious veneration; (5) in the possession of museum facility. However, if the museum facility paid or offered other consideration to the exhibitor to display the remains, and the remains are not exempt, the exhibitor would be required to obtain a permit. This bill would, for the purposes of this bill, define "Human remains" as all or part of the body of a deceased person, regardless of the stage of decomposition. This bill would, for the purposes of this bill, define "Museum facility" as a public or private nonprofit institution that is accredited by the American Association of Museums or is a party of an accredited college or university, and that is organized on a permanent basis for essentially educational or aesthetic purposes and that owns or uses tangible objects, cares for those objects, and exhibits them to the general public on a regular basis. This bill would provide a public commercial display of human remains is prohibited unless a permit for the display has been issued by the California Science Center. This bill would provide that any person who violates this section shall be subject to a civil penalty of up to $10,000 for each violation. This bill would provide that the California Science Center may issue a permit to any person for the public commercial display of human remains only upon a determination by the director that the person has met the requirements to exhibit human remains. This bill would require regulations to be adopted by the California Science Center and to include a requirement that the person has obtained valid written authorization from specific individuals to publicly display human remains for consideration. AB 1519 (Ma) Page 6 of ? This bill would require the center to establish a permit fee and would require the revenue from these fees to be deposited in the Human Remains Exhibit Permit Fund, which this bill would create. This bill would provide that whenever the center is authorized or required by statute, regulation, or due process to conduct an adjudicative hearing leading to a final decision of the director of the center, the proceeding shall be conducted pursuant to the administrative adjudication provisions of the Government Code. This bill would require moneys in the fund to be available to the center, upon appropriation by the Legislature, for the purpose of funding the administration of the permit program. This bill would provide that none of its provisions shall be construed to apply to the utilization of human remains in a manner that meets the purposes set forth in the Uniform Anatomical Gift Act. This bill would provide that none of its provisions shall be construed to apply to the publisher of any newspaper, periodical, or other publication, or the producer of a motion picture or other visual or audiovisual work, or any radio or television broadcaster, or the owner or operator of any cable, satellite, or other medium of communication who broadcasts, produces or publishes, including over the Internet. This bill would provide that its provisions do not preempt more restrictive local regulation of public display of human remains for commercial purposes. This bill would make findings and declarations with respect to the public display of human remains for commercial purposes. COMMENT 1. Stated need for the bill According to the author, while exhibitions of plastinated AB 1519 (Ma) Page 7 of ? human remains may be informative, there has been a general public concern that bodies exhibited were once prisoners, government and political dissenters, hospital patients, and the poor. The author maintains that the state must protect unwilling and unclaimed bodies from unethical treatment and from companies which exploit human remains for profit. 2.Overview of California laws on the disposition of human remains and anatomical gifts a. Rights and duties regarding human remains Under current law, a decedent, prior to death, may direct, in writing, the disposition of his or her remains. (Health & Safety Code 7100.1.) If the decedent leaves no directions, then the right to control the disposition of the remains vests in a specified list of individuals, which includes certain surviving family members. (Health & Safety Code 7100.) Unclaimed human bodies retained by the state may only be used for the sole purpose of instruction and study in the promotion of medical, chiropractic, and embalming education and science within the state. (Health & Safety Code 7203.) Any person who unlawfully disposes, uses, or sells the body of an unclaimed dead person is guilty of a misdemeanor. (Health & Safety Code 7208.) The unauthorized removal of human remains from any place where it has been interred, or from any place where it is deposited while awaiting interment or cremation, with intent to sell or to dissect the remains, is punishable by imprisonment in state prison. (Health & Safety Code 7051.) Further, any person who deposits or disposes of any human remains in any place, except in a cemetery, is guilty of a misdemeanor. (Health & Safety Code 7054.) b. The Uniform Anatomical Gift Act California's Uniform Anatomical Gift Act (UAGA) (Health & Safety Code 7150 et seq.) regulates the AB 1519 (Ma) Page 8 of ? donations of anatomical gifts, and is designed to respect the autonomy interest of individuals to make or not make an anatomical gift. The UAGA specifies who may make a gift and directs the manner in which a gift may be made, amended, revoked, or refused to be made. The National Conference of Commissioners on Uniform State Laws (NCCUSL) first proposed the Uniform Anatomical Gift Act in 1968, and it was adopted in some form by all 50 states. Prior to the enactment of the UAGA, people could not dictate how their bodies should be disposed of upon death because there was no property interest in a dead body. The UAGA established a legal means for medical schools and other research facilities to obtain cadavers by voluntary donation. Last year, California joined 16 other states in revising the Uniform Anatomical Gift Act, with the enactment of AB 1689 (Lieber, Chapter 629, Statutes of 2007). 3.This policy underlying this bill is consistent with California's statutory scheme regarding the disposition of human remains and anatomical gifts Underlying the state's statutory scheme regarding human remains and anatomical gifts is the premise that a person has the right to determine the disposition of his/her body upon their death, for both internment purposes and the making of anatomical gifts. Also inherent in California law is that human remains, whether or not unclaimed, must be treated with dignity and respect. Consequently, consent from the decedent, or a person authorized to make an anatomical gift on behalf of the decedent, is always required before an anatomical gift may be made. Narrow exceptions to the consent requirement have been crafted where a body is unclaimed, and the use of the body will serve important educational or research purposes. However, the unauthorized use, disposal, or sale of a body is never permitted, but rather could result in criminal prosecution. The use of a plastinated human corpse in a for-profit public display without prior authorization from the decedent, or other authorized individual, is thus unprecedented in this AB 1519 (Ma) Page 9 of ? state, and is contrary to the safeguards which currently exist in statute. 4.This bill would require the California Science Center to enact regulations for the issuance of permits for the public display of human remains The Legislature may, after declaring a policy and fixing a primary standard, confer upon executive or administrative officers the power to prescribe administrative rules and regulations to promote the purpose of the legislation and to carry it into effect. ( See Nelson v. Dean, (1946) 27 Cal.2d 873, 881.) The essentials of the legislative function are the determination and formulation of policy, and the means of enforcing the policy may constitutionally be left in the hands of others. (Id.) This bill would prohibit all public exhibits featuring human corpses unless a permit for the exhibit is issued by the California Science Center (CSC), a state agency administered by a nine-member board of directors appointed by the Governor. The CSC would be required to confirm that written, informed consent was obtained from all of the decedents on display, or from individuals who were authorized to make an anatomical gift of the decedents' bodies and body parts. In the event that the human remains are of a minor, the written consent would have to be executed by the minor's parent(s) or legal guardian(s). This type of oversight is consistent with California's public policy in ensuring that human remains are not unlawfully utilized and in preserving an individual's autonomy over their own body. However, CSC's involvement with past and present exhibitions of plastinated human remains raises questions as to whether it is the appropriate state agency to oversee the permit program. Currently, the CSC is featuring "Body Worlds 3 & The Story of the Heart," another exhibit of plastinated human bodies created by Dr. Gunther von Hagens. The CSC was the first to exhibit plastinated human remains in the United States, and was followed by major museums in cities across the country. According to the CSC, when it first considered hosting AB 1519 (Ma) Page 10 of ? "Body Worlds," it conducted the most extensive review it has ever done for any exhibit, which helped it verify that the body specimens were properly acquired through body donations. The CSC has stressed the importance of knowing the origin of the bodies and verifying that the bodies were properly donated for the purpose of public exhibition. Nonetheless, according to a 2006 NPR report, while the research commissioned by the California Science Center in 2004 verified the existence of a pool of approximately 200 death certificates that matched donor forms, no independent observer has matched those documents to the bodies on display. Thus, the NPR report notes, there is no clear paper trial from a deceased donor to a finished plastinated body. ( See "Cadaver Exhibits Are Part Science, Part Sideshow." By Neda Ulaby, May 10, 2006, NPR, http://www.npr.org/templates/story/story.php?storyId=55533 29 .) Considering the conflict of interest that would result from delegating the authority for permit approval to the CSC, this committee may wish to consider whether a different state department or agency, such as the Attorney General's office, should implement and oversee the permit program. The Attorney General may be the most appropriate entity in ensuring that California is not unwittingly encouraging the violation of human rights overseas and participating in the black market for human bodies. SHOULD NOT THE AUTHORITY TO ISSUE PERMITS BE DELEGATED TO A NEUTRAL AGENCY OR DEPARTMENT SUCH AS THE ATTORNEY GENERAL'S OFFICE? Additionally, any delegation of authority must come with clear parameters. The current language of the bill does not include a clear limitation on the type of regulations that the CSC would be allowed to promulgate. This lack of clarity could be interpreted to give unbridled legislative authority to a state agency. SHOULD NOT THE DELEGATED AUTHORITY TO ISSUE PERMITS BE ACCOMPANIED WITH CLEAR PARAMETERS? AB 1519 (Ma) Page 11 of ? 5. This bill would make certain exemptions to the permit requirement The bill would make certain exemptions to the permit requirement, where the need for written authorization is not as compelling, such as where the human remains are more than 80 years old (mummies, for example) or are part the ordinary display at a funeral or memorial service. This bill also contains language to clarify that its provisions should not be applied to companies, such as television networks or newspapers, which publish or broadcast images of human remains. 6. This bill would not preempt more restrictive local ordinances The City of San Francisco is currently the only city which has enacted an ordinance that specifically prohibits the display of human remains without appropriate written consent. (S.F. Police Code 11.1-788 (2005). ) The ordinance was enacted in August 2005 in response to a cadaver exhibit called "The Universe Within." The exhibit raised protests from the local communities who were concerned that the unidentified bodies had been improperly obtained from China. Further, San Francisco's health department began an investigation into the origins of the exhibit after some of the bodies began leaking silicon and liquefied human fat. Assembly Member Ma, then a San Francisco Supervisor, spearheaded the effort to enact the ordinance in order to address these concerns. In addition to providing baseline requirements for the exhibition of plastinated human bodies in the state, this bill would permit cities and counties to enact more restrictive legislation, thereby ensuring that local entities have flexibility to address issues that may arise within their own jurisdictions. 7. Pending federal legislation There are currently no federal or state laws which directly apply to the practice of placing plastinated human corpses on display, although legislation is pending AB 1519 (Ma) Page 12 of ? in several states and in Congress. H.R. 5677 (Akin) which is currently pending in the House Committee of Ways and Means, would prohibit the importation of plastinated human remains into the country. The bill would also impose civil penalties of between $3,000 and $10,000 for each violation. Notably, H.R. 5677 is much more restrictive than AB 1519, and would effectively end the exhibition of plastinated human bodies in the United States. In contrast, AB 1519 imposes restrictions on these exhibitions which are narrowly tailored to serve the state's interest in protecting the integrity of anatomical gifts, and ensuring that human remains are not unduly exploited. 8. Opposition In opposition to this bill, Premier Exhibitions writes: "Premier's chief concern with this bill is that the bill would retroactively apply to existing exhibits and specimens and, as a result, would shut down its currently working exhibitions in California because of new requirements unrelated to public health and safety that were not required when those specimens were legally acquired." Premier further states: "China is the source for Premier's anatomical specimens. China is known as the expert in the field of plastination, a process where the body fluids are replaced with a polymer plastic but maintain the look and feel of the original specimen. Just as the State of California does not have consent forms for each body donated to medical schools, dental schools, and teaching hospitals throughout the state, neither does the Chinese government. It would be impossible to retroactively comply with the provision in this bill requiring consent for the specimens. The specimens in the current exhibits reflect remains from people who died at least four years AB 1519 (Ma) Page 13 of ? ago.[sic]" Premier requests that the bill be amended to contain a grandfather clause for specimens that are currently on display or have previously been on display in California as long as they do not constitute a threat to public health. Premier's objections are largely premised on the fact that its specimens were legally obtained and pose no threat to public health and safety. However, Premier's assertions are hard to accept since it recently admitted, as part of a settlement with the New York Attorney General's Office, that it could not prove that the bodies were not those of prisoners who might have been tortured or executed. Under the terms of the settlement, the exhibit cannot obtain new bodies without documentation proving the individual's identity, cause of death, and consent for the body to be displayed. Premier must also display, on its web site and on a sign at the exhibit entrance, a statement explaining that it is not able to confirm that the bodies on display were not Chinese prisoners who may have been victims of torture and execution. The settlement does not require Premier to shut down their current exhibits. ( See "Bodies Exhibitors Admit Corpse Origins Are Murky," New York Times, May 30, 2008.) While this bill may effectively put an end to Premier's, and other companies', current exhibitions of plastinated human bodies in the state, it is a proper exercise of the state's police powers, especially given that the continued public display of persons who might have been tortured and executed is completely contrary to the state's public policy. If a grandfather clause were to be included in the bill for current and previous exhibits, companies would just continue to use bodies of questionable origins indefinitely. Further, nothing in the bill would prohibit Premier from obtaining a permit for future exhibits, so long as they can prove that the bodies were legally obtained with informed consent. These requirements are not unduly burdensome and parallel those imposed by the settlement with the New York Attorney General's Office. AB 1519 (Ma) Page 14 of ? Support: The Laogai Research Foundation; California State Coroner's Association; No Bodies for Profit; California Funeral Directors Association; Jewish Public Affairs Committee; California Hepatitis C Task Force; California Association of Museums; San Diego Natural History Museum; Seattle Museum of the Mysteries Opposition:Premier Exhibitions HISTORY Source:Author Related Pending Legislation: None Known Prior Legislation:None Known Prior Vote:Assembly Committee on Arts, Entertainment, Sports, Tourism, and Internet Media (Ayes 7, Noes 0) Assembly Floor (Ayes 51, Noes 5) **************