BILL ANALYSIS                                                                                                                                                                                                    






           SENATE TRANSPORTATION & HOUSING COMMITTEE       BILL NO: Ab 1132
          SENATOR ALAN LOWENTHAL, CHAIRMAN               AUTHOR:  jones
                                                         VERSION: 6/23/09
          Analysis by: Carrie Cornwell                   FISCAL:  yes
          Hearing date: June 30, 2009






          SUBJECT:

          Vehicle registration: organ and tissue donation

          DESCRIPTION:

          This bill requires the Department of Motor Vehicles (DMV) to  
          provide a link for those renewing a vehicle registration online  
          to designate that he or she is an organ donor and to make a  
          voluntary contribution of $2 to the California Organ and Tissue  
          Donor Registry.

          ANALYSIS:

          Existing law authorizes California's federally-designated organ  
          procurement organizations (OPOs) to establish a not-for-profit  
          organization to be designated the California Organ and Tissue  
          Donation Registrar (registrar). The OPOs established Donate Life  
          California as the registrar, and Donate Life California has  
          established and maintains the California Organ and Tissue Donor  
          Registry (registry).

          DMV must ask all applicants for original or renewal drivers'  
          licenses or identification cards if they want to become organ  
          and tissue donors. On the front of the application, DMV provides  
          space to give consent to be an organ and tissue donor upon  
          death. The application includes a statement on the back  
          explaining that this consent is legally binding for those 18 and  
          older and that minors require consent from a parent or guardian.  
          DMV prints the word "DONOR" inside a pink dot embedded on the  
          face of the driver's license or identification card of each  
          person who signs up and transmits the person's information to  
          Donate Life California.

          A person who applies for a driver's license or identification  




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          card may also designate a voluntary contribution of $2 to  
          support organ and tissue donation. DMV collects these  
          contributions, from which it deducts its actual administrative  
          costs of signing up donors, and then DMV transmits the remainder  
          to support the work of Donate Life California.

           This bill  :
          
          1.Requires DMV to add a graphic hyperlink to the confirmation  
            page for noncommercial vehicle registrations processed online  
            that provides drivers the option to connect to Donate Life's  
            online California Organ and Tissue Donor Registry. Enrolling  
            in the registry via the link constitutes a legal document that  
            shall remain binding after the donor's death despite any  
            express desires of the next of kin opposed to the donation. 

          2.Allows a person renewing a noncommercial vehicle registration  
            online to use the link to make a contribution to the  
            California Organ and Tissue Donor Registry.

          3.Prescribes that the information that the Donate Life obtains  
            through the link with DMV's vehicle registration service be  
            used solely for organ and tissue donation and prohibits the  
            further dissemination of that information.

          4.Exempts public entities and employees from any liability for  
            any loss, detriment, or injury resulting directly or  
            indirectly from false or inaccurate information that a person  
            provides via the hyperlink to the registry.

          5.Caps DMV's costs for signing up donors at five percent of the  
            amount DMV collects through the $2 voluntary contributions  
            that people can make with their applications for drivers'  
            licenses or identification cards under existing law.

          COMMENTS:

           1.Purpose  . SB 108 (Speier), Chapter 740, Statutes of 2001  
            authorized the establishment of an Organ and Tissue Donor  
            Registry in the California Health and Human Services Agency.  
            The agency never received funding for the registry, and in  
            2003, SB 112 (Speier), Chapter 405, transferred responsibility  
            for establishing the registry to a private, nonprofit  
            organization administered by the four federally-designated  
            OPOs. The four federally-designated OPOs are:





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                 California Transplant Donor Network, which serves 39  
               counties in northern and central California;
                 Golden State Donor Services, which serves 11 counties in  
               the Sacramento region;
                 Lifesharing Community Organ & Tissue Donation, which  
               serves San Diego and Imperial Counties; and
                 OneLegacy, which serves counties in the Los Angeles  
               area.

            SB 112 built on a provision of current law at that time that  
            required DMV to provide donor registration forms to those  
            applying for drivers' licenses or identification cards. These  
            forms included instructions to mail the completed form to  
            Donate Life California. Donate Life California found this  
            system an ineffective method of signing up donors, and so in  
            2005 sponsored, SB 689 (Speier), Chapter 665, which requires  
            DMV to collect organ and tissue donor designation information  
            on its applications for drivers' licenses and identification  
            cards. Donate Life reports that about 25 percent of those  
            applying or renewing a driver's license or identification card  
            sign up to be donors. 

            California drivers only have to renew their licenses once  
            every five years. This bill builds on SB 689 by requiring DMV  
            to provide a link from its online vehicle registration page to  
            Donate Life's online registry for organ and tissue donation.  
            Because state law requires that a vehicle owner must renew the  
            vehicle registration annually, the proponents of this bill  
            believe that it will increase the numbers of DMV customers  
            that sign up to be organ donors as they are reminded annually  
            of that opportunity.
          
           1.DMV's costs: donor sign ups  . This bill caps the amount of its  
            costs for donor signups that DMV may recover at five percent  
            of the revenues from the voluntary contributions that are made  
            via a check box on an application for a new or renewal  
            driver's license or identification card as provided in  
            existing law. DMV reports that the check box on the license  
            application is bringing in approximately $800,000 annually.  
            Five percent of that about is $40,000. DMV reports costs of  
            $300,000 annually for processing the portion of the nearly  
            five million applications where a person may sign up to be a  
            donor. Thus, the cap in this bill would mean that the Motor  
            Vehicle Account, which is derived from vehicle registrations  
            fees and pays for DMV's operations, would need to subsidize  
            DMV's signing up organ and tissue donors by approximately  




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            $260,000 per year. The author or the committee may wish to  
            amend this bill to provide that its cap on DMV cost recovery  
            be limited to $300,000 per year and include authority for DMV  
            to adjust this amount over time based on a rate of inflation.
          
           2.Technical amendments  . 

               On page 2, line 10, after "designate" insert "via the  
              hyperlink in subdivision (a)" 

               One page 2, line10, delete "of two dollars ($2)"
          
          Assembly Votes:
               Floor:    76 - 2
               Appr: 12 - 2
               Trans:    12 - 0

          POSITIONS:  (Communicated to the Committee before noon on  
          Wednesday, 
                     June 24, 2009)

               SUPPORT:  Donate Life California (sponsor)
                         Blood Centers of California
                         California Heart Center Foundations
                         California Transplant Donor Network
                         Golden State Donor Services
                         National Kidney Foundation
                         One Legacy
                         Sierra Eye and Tissue Donor Services
          
               OPPOSED:  None received.