BILL ANALYSIS AB 1048 Page 1 Date of Hearing: April 14, 2009 Counsel: Nicole J. Hanson ASSEMBLY COMMITTEE ON PUBLIC SAFETY Jose Solorio, Chair AB 1048 (Torrico) - As Amended: March 31, 2009 SUMMARY : Expands the "Safe-Surrender Law" to allow a parent or other person with the lawful custody of a child 30 days old or younger to be surrendered to safe-surrender sites, as specified. Specifically, this bill : 1)Defines "safe-surrender" site as: a) A location designated by the board of supervisors of a county or by a local fire agency, upon the approval of the appropriate local governing body of the agency, to be responsible for accepting physical custody of a minor child who is 30 days old or younger from a parent or individual who has lawful custody of the child and who surrenders the child pursuant to existing law. Before designating a location as a safe-surrender, the designatory entity shall consult with the governing body of a city if the site is within the city limits, and with representatives of a fire department and a child welfare agency that may provide services to a child who is surrendered at the site if that location is selected. b) A location within a public or private hospital designated by that hospital to be responsible for accepting physical custody of a minor child who is 30 days old or younger from a parent or individual who has lawful custody of the child and who surrenders the child pursuant to existing law. 2)Defines "parent" as a birth parent of a minor child who is 30 days old or younger. 3)Defines "personnel" as including a person who is an officer or employee of a safe-surrender site or who has staff privileges at the site. AB 1048 Page 2 4)Mandates that a hospital and a safe-surrender site designated by the county board of supervisors or by a local fire agency, upon the approval of the appropriate local governing body of the agency, shall post a sign utilizing a statewide logo adopted by the State Department of Social Services (DSS) that notifies the public of the location where a minor child 30 days old or younger may be safely surrendered pursuant to this section. 5)Provides that personnel on duty at a safe-surrender site shall accept physical custody of a minor child 30 days old or younger pursuant to this section if a parent or other individual having lawful custody of the child voluntarily surrenders physical custody of the child to personnel who are on duty at the safe-surrender site. 6)Requires a safe-surrender site, or the personnel of a safe-surrender site, shall not have liability of any kind for a surrendered child prior to taking actual physical custody of the child. A safe-surrender site, or personnel of the safe-surrender site, that accepts custody of a surrendered child pursuant to this section shall not be subject to civil, criminal, or administrative liability for accepting the child and caring for the child in the good-faith belief that action is required or authorized by this section, including, but not limited to, instances where the child is older than 30 days or the parent or individual surrendering the child did not have lawful physical custody of the child. A safe-surrender site, or the personnel of a safe-surrender site, shall not be subject to civil, criminal, or administrative liability for a surrendered child prior to the time that the site or its personnel know, or should know, that the child has been surrendered. This subdivision does not confer immunity from liability for personal injury or wrongful death, including, but not limited to, injury resulting from medical malpractice. 7)Provides that in order to encourage assistance to persons who voluntarily surrender physical custody of a child pursuant to existing law, no person who, without compensation and in good faith, provides assistance for the purpose of effecting the safe surrender of a minor child 30 days old or younger shall be civilly liable for injury to or death of the minor child as a of his or her acts or omissions. This immunity does not apply to an act or omission constituting gross negligence, recklessness, or willful misconduct. AB 1048 Page 3 8)Defines "lawful custody" as physical custody of a minor 30 days old or younger accepted by a person from a parent of the minor, who the person believes in good faith is the parent of the minor, with the specific intent and promise of effecting the safe surrender of the minor. 9)Requires that on or before July 1, 2010, the Department of Juvenile Justice shall convene a workgroup consisting of stakeholders, including representatives from DSS, the State Department of Education, and any other members deemed appropriate by DSS, to disseminate updated instructions to counties that address the following issues: a) Clarification of rules with respect to a mother who gives birth in a hospital and chooses to give up her baby. b) Clarification of the definition of a safely surrendered baby, including whether the baby was lawfully surrendered in accordance with this section. c) Clarification of parental information provided to counties, and the use of information received by the counties. 10)States that the workgroup shall identify the appropriate agencies that shall adopt the rules and regulations the workgroup deems necessary for the purposes described above. The responsibilities of the workgroup pursuant to this subdivision shall include, but not be limited to, identifying agencies that are responsible for ongoing research and monitoring effects. 11)Provides that the activities required by this section shall be funded by available moneys from the State Children's Trust Fund and from the California Children and Families Trust Fund. DSS shall apply to the California Children and Families Commission for funding. General Fund moneys shall not be used to fund this section. DSS may also accept and expend private donations that are received by DSS for the purposes of this section. 12)States that no parent or other individual having lawful custody of a minor 30 days old or younger may be prosecuted under existing law if he or she voluntarily surrenders AB 1048 Page 4 physical custody of the child to personnel on duty at a safe-surrender site. EXISTING LAW : 1)Makes it a crime for a parent willfully to fail, without lawful excuse, to provide a child with necessary food, clothing, shelter, medical assistance or other remedial care. (Penal Code Section 270.) 2)Provides that every parent of any child under the age of 14 years, and every person to whom any such child has been confided for nurture, or education, who deserts such child in any place whatever with intent to abandon it, is punishable by imprisonment in the state prison or in the county jail not exceeding one year or by fine not exceeding $1,000 or by both. (Penal Code Section 271.) 3)States that every person who knowingly and willfully abandons, or who, having ability so to do, fails or refuses to maintain his or her minor child under the age of 14 years, or who falsely, knowing the same to be false, represents to any manager, officer or agent of any orphan asylum or charitable institution for the care of orphans, that any child for whose admission into such asylum or institution application has been made is an orphan, is punishable by imprisonment in the state prison, or in the county jail not exceeding one year, or by fine not exceeding $1,000, or by both. (Penal Code Section 721a.) 4)Provides that every parent who refuses, without lawful excuse, to accept his or her minor child into the parent's home, or, failing to do so, to provide alternative shelter, upon being requested to do so by a child protective agency and after being informed of the duty imposed by this statute to do so, is guilty of a misdemeanor, as specified. (Penal Code Section 270.5.) 5)Describes the procedure for the surrender of a child 72 hours or younger to a safe-surrender site without incurring any criminal liability under the state's child abandonment laws. (Health and Safety Code Section 1255.7.) 6)Defines a "safe-surrender site" as either: AB 1048 Page 5 a) A location designated by the board of supervisors of a county to be responsible for accepting physical custody of minor who is 72 hours old or younger [Health and Safety Code 1255.7(a)(1)(A)]; or, b) A location within a public or private hospital designated by the hospital as responsible for accepting a minor child who is 72 hours old or younger. [Health and Safety Code 155.7(a)(1)(B).] 7)Defines a "parent" as a birth parent of a minor child who is 72 hours old or younger. [Health and Safety Code 155.7(a)(2).] 8)Protects from prosecution under California's child abandonment laws a parent or other person having lawful custody of a child 72 hours old or younger who voluntarily surrenders physical custody of the child to personnel on duty at a safe-surrender site. (Penal Code Section 271.5.) 9)Provides that a child is within the jurisdiction of the juvenile court if: a) The child has been left without any provision for support; b) The child has been safely surrendered and the child was not been reclaimed within the 14-day period, as specified; c) The child's parent has been incarcerated or institutionalized and cannot arrange for the care of the child; or, d) A relative or other adult custodian with whom the child resides or has been left is unwilling or unable to provide care or support for the child, the whereabouts of the parent are unknown, and reasonable efforts to locate the parent have been unsuccessful. [Welfare and Institutions Code Section 300(g).] FISCAL EFFECT : Unknown COMMENTS : 1)Author's Statement : According to the author, "Recently, 22 AB 1048 Page 6 states have time provisions that give a parent a month or longer to safely surrender their baby. North Dakota and Missouri have safe surrender laws that give parents up to a year. "A survey of these states elicited two primary rationales for the extended period. The first was a general desire to provide sufficient time for a parent to take a responsible course of action. "The second was the correlation between the onset of postpartum depression and infanticide or abuse. In our neighboring state, Nevada, Assemblywoman Barbara Cegavske responded that they were trying to leave enough time and space in between when a mother abandoned her baby and went through any postpartum depression episodes that might be experienced. "According to the Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition, postpartum depression is defined as episodes of depression beginning within 4 weeks of giving birth. Cases in which postpartum depression poses the greatest danger to the child is when the mother is suffering from postpartum psychotic depression. Postpartum psychotic depression can occur within 3 weeks of birth and often goes unnoticed as the women that suffer from postpartum depression may appear well. "In California specifically, there are three major obstacles for mothers seeking to surrender their baby: a) "Health: Even without the onset of postpartum depression, the strenuous act of giving birth itself takes a toll on a woman's mind and body, impairing judgment and depleting physical strength. Additionally, many women who end up abandoning their children are often in denial of their pregnancy and those around her are even unaware of her pregnancy. Without prenatal care or medical assistance during birth, several complications may arise that inflict serious trauma, including maternal hemorrhaging. These types of complications could take days or weeks to recover, which could cause her to miss the opportunity to safely surrender her baby. b) "Geographic: California is geographically diverse. A significant number of California's counties are composed of AB 1048 Page 7 rural and remote areas with limited transportation options, making quick travel difficult. This problem is exacerbated when fire stations cannot be designated as safe surrender sites because they are not staffed 24 hours. In Alpine and Sierra counties, the situation is even worse. Those counties do not have ANY safe surrender sites because they do not have any hospitals or any viable designated surrender sites in their counties. c) "Outreach: The existing law does not require any governmental entity to administer and enforce the law, much less establish an awareness campaign. There are varying levels of understanding from county to county and even county to state. This lack of clear comprehension of the law inevitably poses major problems for those seeking to obtain the information and those that are providing the information. "While collecting information on safe surrender sites in the 58 counties, my staff quickly found that there was no comprehensive list of safe surrender sites at the state level. At the county level, only about 10 counties had a partial or complete list on hand and a majority of the others were unclear about the law. The challenges faced in gathering this information at the governmental level, only calls into question the law's effectiveness, notwithstanding language barriers. "In California, there are over 6 million limited English proficient residents and currently, informational pamphlets have only been available in English and Spanish. Without access to information for the nearest safe surrender sites and confusion among county experts, it appears unreasonable to expect a desperate mother to safely surrender within the 72 hour window. "Most of the babies this law seeks to save are born to mothers with extenuating circumstances and to whom normal and reasonable standards do not apply." 2)Background : According to background supplied by the author, " Babies older than 72-hours are continuing to be abandoned : Advocates of the current time provision cite the number of abandoned babies provided by the Department of Social Services (DSS) as a measure of the law's adequacy. The 175 abandoned AB 1048 Page 8 babies DSS reported is, first, misleading and second, still an astoundingly significant number of lives that could have been saved by changes to the current law. In 2008, the State Auditor found that 404 babies had actually been abandoned since the inception of the law and the figure DSS had reported was based on abandoned babies younger than seven days. Additionally, the audit also found that in a sampling of the 404 abandoned babies, over 25% of the babies had been over three days old. (Bureau of State Audits. Safely Surrendered Baby Law. April 2008 Report 2007-124, pg. 10, 59.) "Shortly after the release of the audit, at least two babies were also abandoned. One of these babies was a 9-day-old baby abandoned on the track of a Vacaville school. The mother left her baby within a half-mile of a fire station and a hospital, both of which were designated as safe surrender sites. The baby was 6 days too old to be safely surrendered and the mother had clearly been suffering from a psychotic break. During the mother's preliminary hearing, she stated that the voices in her head had been telling her that her baby was a 'demon'." 3)Governor's Veto Message on AB 2262 (Torrico) : AB 2262 (Torrico), of the 2007-08 Legislative Session, is essentially the same as this bill and was vetoed. In his veto message, the Governor stated, "I have vetoed similar measures twice before and there is no new data or information to support a change in my position. California's Safe Surrender Law is carefully crafted to provide an emergency alternative to a woman in crisis while also reserving the fundamental rights of a child." 4)Legislative Intent behind the Safe-Surrender Law : The Safe-Surrender Law was enacted because Penal Code provisions regarding abandonment and neglect of children often discourage women, who are likely to be young, unmarried, and not ready to face the responsibilities of parenthood, from seeking help immediately after their babies are born, either for themselves or for the babies. The law sought to remedy this situation for a new mother or any person who finds himself or herself with custody of a newborn baby and who wants to remain anonymous by providing immunity from prosecution if he or she surrenders custody of the newborn baby in a hospital emergency room or other county-designated facility. The Safe-Surrender Law was implemented to target those in severe crisis which AB 1048 Page 9 places newborn babies at imminent risk of harm. It is questionable whether extending the surrender period from 72 hours to 30 days serves the original legislative intent of this law. 5)Existing Research on the Current Surrender Period : The Emergency Pediatric Care Journal reported in 2003 that "newborns are at the greatest risk of homicide during the first day of life; this time-frame constitutes 83% of all infants killed." Supporting this data, a 2002 Centers for Disease Control study conducted on infant death data from 1989 to 1998 also found that infants are at the greatest risk for homicide during the first week of infancy and the first day of life. In addition thereto, the study established that the homicide rate on the first day of life was more than 10 times greater than the rate during any other time of life. 6)Negating the Anonymity Provisions in the Safe Surrender Baby (SSB) Law : The overarching policy of anonymity for women who surrender their babies under the current law would be compromised by the time a child is more than a few days old. It is unrealistic to believe that a woman could, or would, give birth to a child, hide its existence for 30 days, and only then decide to surrender the baby. Statistics support this: 95% of babies killed during the first week of life are not born in hospitals, while only 8% of babies killed later in life are born outside hospitals. In addition thereto, under the current surrender law, the person dropping off the infant is not required to disclose his or her identity or disclose any medical information. The person is also given immunity from criminal prosecution for child abandonment. While this extreme remedy is justified during the brief window of 72 hours when most homicides occur [the first 24 hours of life], an expansion of the period to 30 days is ill-advised for the following reasons. a) If it is later discovered that the child has been physically or sexually abused, it will be difficult, if not impossible, to track the anonymous person who delivered the child to the safe surrender location. The longer the period of so-called "safe surrender," the greater the risk that this remedy will be misused by some to escape responsibility for child abuse. Unfortunately, these same individuals are likely to abuse other children. AB 1048 Page 10 b) There will be an increasing number of children in foster care or adoption that will lack a medical history. This could be detrimental, even fatal, in future years. c) Fathers and other family members, who may otherwise have been willing to care for the child, will have no way of knowing that the child has been "safely surrendered." The child will then lose the opportunity to be reared by his or her parent or family member. d) The "safely surrendered child" will become a ward of the state with no known parent to pay child support as not all children will be adopted. Again, the original intent of the SSB law was "to provide young, inexperienced, and perhaps unstable women who may feel they have no options when they have an unwanted baby, with a safe place for the baby as soon as it is born and thus give them a little time to sort out their lives and decide whether they want to take responsibility for the baby." [Senate Judiciary Analysis of SB 1368 (Brulte), Chapter 824, Statutes of 2000.] In fact, the real incentive for this new mother, who is probably in a state of shock, is that she is immune from criminal prosecution for abandoning the child. The SSB law absolves her of the responsibility for the child - if she delivers it to a safe place within a very short period of time. The SSB law today even gives the birth mother up to 14 days to change her mind and retrieve her baby, after the shock and trauma of having an unwanted baby has settled somewhat. The SSB law was not intended to allow her (or the other parent) to have the baby, keep the baby for 30 days, and then surrender the baby at a safe surrender site expecting no questions and receive immunity from prosecution for abandonment. By the 30th day, the 4th day, or any day in between, the birth mother has the opportunity to surrender the baby to the proper authorities for purposes of adoption. 7)Alternatives to Abandonment After 72 Hours : For children who are older than a few days, the existing voluntary relinquishment process enables parents to voluntarily free their children for adoption. Voluntary relinquishment offers safeguards to birth parents, the child and the adoptive parents. Further, according to the County Welfare Directors Association of California (CWDA), voluntary placement rules AB 1048 Page 11 allow a parent to place a child in foster care for up to six months. These two paths, CWDA says, offer both short- and long-term options for parents who are overwhelmed or are suffering from post-partum depression. These options, which are easily accessed at the local level, would also allow for the collection of important medical history information, provide full disclosure and due process for both the mother and father of the baby, and allow for potential future contact between the baby and the birth family, according to the group. 8)Argument in Support : According to the California Professional Firefighters , "This bill increases - from 72 hours or younger to up to 30 days old - the age at which a parent or other person with lawful custody of a child may surrender that child at a 'safe surrender site.' AB 1048 further permits a local fire agency, upon the approval of its appropriate local governing body, to designate a safe-surrender site." 9)Prior Legislation : a) AB 81 (Torrico), of the 2006-07 Legislative Session, would have expanded the Safe-Surrender Law to seven days and was vetoed. In his veto message, the Governor stated, "California's Safe Surrender Law already provides an emergency alternative for a woman in crisis who may otherwise abandon, abuse, or kill her baby. California's law was carefully crafted to balance the creation of a safe surrender option while preserving the rights of children. The current 72-hour period contained in law allows for a no-questions-asked safe surrender of a newborn, and is supported by research and statistics which indicate that most neonaticide occurs within the first day. Experts have raised concerns that instead of improving child safety, increasing the time that a baby may be surrendered from 72 hours will put newborns in greater risk by keeping them in an unsafe environment without proper care and supervision." b) AB 1873 (Torrico), of the 2005-06 Legislative Session, would have expanded the Safe-Surrender Law to 30 days and was vetoed. In his veto message, the Governor stated, "California's Safe Surrender Law provides an emergency alternative for a woman in crisis who, statistics show, may otherwise abandon, abuse, or kill her baby. The current 72-hour period contained in California statutes allows for a no questions asked safe surrender of a newborn and is AB 1048 Page 12 supported by research and statistics that indicate that most neonaticide occurs within the first day. Some experts have raised concerns about this bill, which I share, that instead of improving child safety, increasing the time that a baby may be surrendered from 72-hours to 30-days, will have the opposite effect, putting newborns in greater risk by keeping them in an unsafe environment without proper care and supervision." c) SB 116 (Dutton), Chapter 625, Statutes of 2005, deleted the sunset date of January 1, 2006 from the Safe-Surrender Law. d) SB 139 (Brulte), Chapter 150, Statutes 2003, provides that a child may be surrendered at any hospital or other designated safe-surrender site. Previously, a designated employee at a hospital emergency room or other location was the only person permitted to accept a baby. In addition, SB 139 provides for confidentiality of personal identifying information of the person surrendering the baby and requires all safe-surrender sites to post a sign incorporating the statewide logo that has been adopted by the DSS that notifies the public of the location where a child can be safely surrendered. e) AB 2817 (Maddox), Chapter 1099, Statutes 2002, requires school districts to include information regarding the Safe-Surrender Law in sex education classes. f) SB 1368 (Brulte), Chapter 824, Statutes of 2000, enacted the provisions governing the surrender of a newborn by a parent or other responsible person to a safe-surrender site where the abandoned newborn may receive medical and other care until the county takes over custody of the newborn. SB 1368 was introduced to provide mothers of unwanted newborns a safe alternative to abandonment of children in trash bins, alleys, or other places where the babies would be unprotected and could die. In order to reduce the number of abandoned babies and give those babies the chance to survive, SB 1368 provided a safe place (such as an emergency room of a hospital) where a person may surrender the baby and may retrieve the baby within a specified period. Additionally, immunity from criminal penalties under the child abandonment laws is granted to the parent and/or person who delivered the baby to the safe-surrender AB 1048 Page 13 site. SB 1368 contained a sunset date of January 1, 2006. REGISTERED SUPPORT / OPPOSITION : Support American College of Obstetricians and Gynecologists California Attorneys for Criminal Justice California Catholic Conference California Medical Association California Professional Firefighters California Psychiatric Association League of California Cities Opposition California State Association of Counties County Welfare Directors Association of California Supervisor, Fourth District, County of Los Angeles Analysis Prepared by : Nicole J. Hanson / PUB. S. / (916) 319-3744