BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1153
                                                                  Page  1

          Date of Hearing:   April 28, 2009
          Counsel:        Gabriel Caswell


                         ASSEMBLY COMMITTEE ON PUBLIC SAFETY
                                 Jose Solorio, Chair

                    AB 1153 (Beall) - As Amended:  April 21, 2009
           

                                        REVISED
           

          SUMMARY  :  Establishes the Emergency Air Medical Transportation  
          Act.  Specifically,  this bill  :  

          1)Provides that for the purpose of implementing this section,  
            there shall be levied an additional penalty of $3 in each  
            county that shall be collected upon every fine, penalty, or  
            forfeiture imposed and collected by the courts for all  
            offenses involving a violation of the Vehicle Code or a local  
            ordinance adopted pursuant to the Vehicle Code, except  
            specified parking offenses.  These moneys shall be taken from  
            fines and forfeitures deposited with the county treasurer  
            prior to any division.  The county board of supervisors shall  
            establish in the county treasury an Emergency Air Medical  
            Transportation Act Fund into which shall be deposited the  
            moneys collected pursuant to this section.

          2)States that moneys in each county's fund, including interest  
            and dividends earned thereon, shall be held by the county  
            treasurer separate from funds subject to transfer or division.

          3)Provides that on the last day of each calendar quarter of the  
            year, the county treasurer shall transfer moneys in the  
            county's Emergency Air Medical Transportation Act Fund to the  
            Controller for credit to the Emergency Air Medical  
            Transportation Act Fund, which is hereby established in the  
            State Treasury.  The Emergency Air Medical Transportation Act  
            Fund shall include interest and dividends earned on money in  
            the fund.

          4)Specifies that the Emergency Air Medical Transportation Act  
            Fund shall be administered by the State Department of Health  
            Care Services (DHCS).  Moneys in the Emergency Air Medical  








                                                                  AB 1153
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            Transportation Act Fund are continuously appropriated, without  
            regard to fiscal year, to the DHCS to augment emergency air  
            medical transportation reimbursement payments made through the  
            Medi-Cal program.

          5)States that DHCS shall seek to obtain federal matching funds  
            by using the moneys in the Emergency Air Medical  
            Transportation Act Fund for the purpose of augmenting Medi-Cal  
            reimbursement paid to emergency air medical transportation  
            services providers

          6)Provides that DHCS shall use the moneys in the Emergency Air  
            Medical Transportation Act Fund and federal matching funds to  
            increase the Medi-Cal reimbursement or supplemental payments  
            for emergency air medical transportation services in an amount  
            not to exceed normal and customary charges charged by the  
            emergency air ambulance transportation services provider.

           EXISTING LAW  :

          1)States that there shall be levied a state penalty in the  
            amount of $10 for every $10, or part of $10, upon every fine,  
            penalty, or forfeiture imposed and collected by the courts for  
            all criminal offenses, including all offenses, except  
            specified parking offenses, involving a violation of a section  
            of the Vehicle Code or any local ordinance adopted pursuant to  
            the Vehicle Code.  [Penal Code Section 1464(a).]

             a)   Provides any bail schedule may include the necessary  
               amount to pay the penalties established by this section,  
               and the surcharge for all matters where a personal  
               appearance is not mandatory and the bail is posted  
               primarily to guarantee payment of the fine.

             b)   States that the penalty imposed by this section does not  
               apply to the following:

               i)     Any restitution fine.

               ii)    Specified Government Code penalties.

               iii)   Specified parking offenses.  

               iv)    A specified state surcharge.









                                                                  AB 1153
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          2)Specifies where multiple offenses are involved, the state  
            penalty shall be based upon the total fine or bail for each  
            case.  When a fine is suspended, in whole or in part, the  
            state penalty shall be reduced in proportion to the  
            suspension.  [Penal Code Section 1464(b).]  

          3)States when any deposited bail is made for an offense to which  
            this section applies, and for which a court appearance is not  
            mandatory, the person making the deposit shall also deposit a  
            sufficient amount to include the state penalty prescribed by  
            this section for forfeited bail.  If bail is returned, the  
            state penalty paid thereon pursuant to this section shall also  
            be returned.  [Penal Code Section 1464(c).]  

          4)Provides that in any case where a person convicted of any  
            offense, to which this section applies, is in prison until the  
            fine is satisfied, the judge may waive all or any part of the  
            state penalty, the payment of which would work a hardship on  
            the person convicted or his or her immediate family.  [Penal  
            Code Section 1464(d).]

          5)States that the moneys so deposited in the State Penalty Fund  
            shall be distributed as follows [Penal Code Section 1464(f)]:

             a)   Once per month, there shall be transferred into the Fish  
               and Game Preservation Fund an amount equal to 0.33% of the  
               state penalty funds deposited in the State Penalty Fund  
               during the preceding month, except that the total amount  
               shall not be less than the state penalty levied on fines or  
               forfeitures for violation of state laws relating to the  
               protection or propagation of fish and game.  These moneys  
               shall be used for the education or training of department  
               employees which fulfills a need consistent with the  
               objectives of the Department of Fish and Game.

             b)   Once per month, there shall be transferred into the  
               Restitution Fund an amount equal to 32.02% of the state  
               penalty funds deposited in the State Penalty Fund during  
               the preceding month. 

             c)   Once per month, there shall be transferred into the  
               Peace Officers' Training Fund an amount equal to 23.99% of  
               the state penalty funds deposited in the State Penalty Fund  
               during the preceding month.









                                                                  AB 1153
                                                                  Page  4

             d)   Once per month, there shall be transferred into the  
               Driver Training Penalty Assessment Fund an amount equal to  
               25.7% of the state penalty funds deposited in the State  
               Penalty Fund during the preceding month.

             e)   Once per month, there shall be transferred into the  
               Corrections Training Fund an amount equal to 7.88% of the  
               state penalty funds deposited in the State Penalty Fund  
               during the preceding month.  Money in the Corrections  
               Training Fund is not continuously appropriated and shall be  
               appropriated in the Budget Act.

             f)   Once per month, there shall be transferred into the  
               Local Public Prosecutors and Public Defenders Training Fund  
               established pursuant to Section 11503 an amount equal to  
               0.78% of the state penalty funds deposited in the State  
               Penalty Fund during the preceding month.  The amount so  
               transferred shall not exceed the sum of $850,000 in any  
               fiscal year.  The remainder in excess of $850,000 shall be  
               transferred to the Restitution Fund.

             g)   Once per month, there shall be transferred into the  
               Victim-Witness Assistance Fund an amount equal to 8.64% of  
               the state penalty funds deposited in the State Penalty Fund  
               during the preceding month.

           6)State Penalty Assessment  :  Existing law provides for an  
            additional "state penalty" of $10 for every $10 or fraction  
            thereof, upon every fine, penalty or forfeiture imposed and  
            collected by the courts for criminal offenses, including all  
            offenses except parking offenses, involving the Vehicle Code.   
            Of the money collected, 70% is transmitted to the state and  
            30% remains with the county.  The state portion of the money  
            collected from the penalty is distributed in specified  
            percentages among certain funds (Penal Code Section 1464):

              a)   Fish and Game Preservation Fund  :  0.33%

              b)   Restitution Fund  :  32.02%

              c)   Peace Officers Training Fund  :  23.99%

              d)   Driver Training Penalty Assessment Fund  :  25.70%

              e)   Corrections Training Fund  :  7.88%








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              f)   Local Public Prosecutors and Public Defenders Fund  :   
               0.78%, not to exceed $850,000 per year

              g)   Victim-Witness Assistance Fund  :  8.64%

              h)   Traumatic Brain Injury Fund  :  0.66%

           1)County Penalty Assessment  :  Existing law provides for an  
            additional county penalty assessment of $7 for every $10, or  
            fraction thereof, upon every fine, penalty, or forfeiture  
            imposed and collected by the courts for criminal offenses,  
            including all offenses involving a violation of the Vehicle  
            Code or any local ordinance adopted pursuant to the Vehicle  
            Code, except for parking offenses.  The money collected shall  
            be placed in any of the following funds if established by a  
            county board of supervisors:  Courthouse Construction Fund,  
            Criminal Justice Facilities Construction Fund, Automated  
            Fingerprint Identification Fund, Emergency Medical Services  
            (EMS) Fund; and/or DNA Identification Fund.  (Government Code  
            Section 76000 et seq.)

           2)State Surcharge  :  As a part of the 2002- 2003 Budget Act, the  
            Legislature imposed a temporary state surcharge of 20% on  
            every base fine collected by the court.  The surcharge took  
            effect on September 30, 2002, and all money collected shall be  
            deposited in the General Fund.  (Penal Code Section 1465.7.)

           3)State Court Facilities Construction  :  As a part of the Trial  
            Court Facilities Act of 2002 [SB 1732 (Escutia)], the  
            Legislature established the State Court Facilities  
            Construction Fund and added a state court construction penalty  
            assessment in the amount up to $5 for every $10 or fraction  
            thereof, upon every fine, penalty or forfeiture collected by  
            the courts for criminal offenses.  The variation in the amount  
            is dependent on the amount collected by the county for deposit  
            into the local Courthouse Construction Fund established  
            pursuant to Government Code Section 76100.  As a result, the  
            penalty assessment ranges from $0.00 for every $10 in two  
            counties to the full $5 for every $10 in nine counties.  This  
            provision took effect on January 1, 2003.  (Government Code  
            Section 70372.)

           4)Court Security  :  As part of the 2003-04 Budget, the  
            Legislature approved a flat fee of $20 on every conviction for  








                                                                  AB 1153
                                                                  Page  6

            a criminal offense to ensure adequate funding for court  
            security.  This provision took effect immediately.  (Penal  
            Code Section 1465.8.)

           5)Proposition 69, November 2004  :  Proposition 69 levied a $1  
            penalty assessment on every $10 in fines and forfeitures  
            resulting from criminal and traffic offenses and dedicates  
            these revenues to state and local governments for DNA databank  
            implementation purposes.  The State will receive 70% of these  
            funds in the first two years; 50% in the third year, and 25%  
            annually thereafter.  The remainder will be allocated to local  
            governments.  (Government Code Section 76104.6.)

           6)The EMS Fund  :  The EMS Fund was created by SB 12 (Maddy) in  
            1987 to provide supplemental financing for local emergency  
            services.  This law permits, but does not require, each county  
            to levy a $2 penalty assessment for each $10 of traffic fines,  
            with the sums raised to be deposited in the EMS Fund.  Ten  
            percent of the total revenue is annually deducted for  
            administration; and the remaining EMS revenues are divided 58%  
            to physicians for uncompensated emergency room costs, 25% to  
            trauma centers and hospitals, and 17% for county emergency  
            medical services.

          SB 623 (Speier) Chapter 679, Statutes of 1999, additionally  
            required that in those counties that have established an EMS  
            Fund, an amount equal to a specified sum is to be deposited by  
            the county treasurer in the EMS Fund.

           7)Additional 20% Assessment  :  Existing law provides that a  
            county board of supervisors may elect to levy an additional  
            penalty of $2 for every $10 on every fine, penalty, forfeiture  
            or criminal offenses, including those relating to the  
            Alcoholic Beverage Control Act and all offenses dealing with  
            the Vehicle Code except parking offenses.  The additional  
            assessment for "the purpose of supporting emergency medical  
            services" is inn addition to the existing 20% penalty  
            assessment for this same purpose. 

          Money collected under the statute to be continued under this  
            bill shall be deposited with the county treasurer.  Of the  
            money deposited into the EMS Fund under this bill, 15% shall  
            be utilized to provide funding for pediatric trauma centers;  
            although in another section, this bill refers to "trauma care  
            facilities providing trauma care".  This bill provides that  








                                                                  AB 1153
                                                                  Page  7

            expenditures shall be limited to reimbursement to physicians  
            and surgeons, and hospitals for patients who do not make  
            payment for services; or for expanding the services provided  
            at pediatric trauma centers, including the purchase of  
            equipment.  

          Counties that do not maintain a pediatric trauma center shall  
            utilize the money deposited pursuant to this provision to  
            improve access to pediatric trauma centers with a preference  
            for funding given to hospitals that specialize in services to  
            children, and physicians and surgeons who provide care to  
            children.

           8)Civil Filing Fees  :  Existing law provides that in an action  
            for money damages that falls within the monetary jurisdiction  
            of small claims court but where the person is statutorily  
            precluded from filing in small claims court, the standard  
            filing fee shall be reduced by $15 to $165.  [Business and  
            Professions Code Section 6322.1(c)(1).]  Further provides that  
            the uniform fee for filing the first paper in a civil action n  
            the superior court is $320.  [Government Code Sections 70611  
            and 70612.]

           9)Penalty for Parking Offenses  :  Provides for every parking  
            offense an added state court construction penalty of $1.50  
            shall be included in the total fine, penalty or forfeiture.   
            [Government Code Section 70372(a)(b).]

           10)       Driving School  :  Existing law provides that a fee  
            amounting to the total bail plus $24 shall be collected by the  
            court clerk when a person is ordered to attend driving school.  


           FISCAL EFFECT  :   Unknown

           COMMENTS  : 

           1)Author's Statement  :  According to the author, "Air ambulance  
            services provide life-saving emergency transportation for the  
            most critical patients from accident scenes directly to trauma  
            centers.  Emergency helicopter air ambulance providers  
            maintain a critical link between rural areas and urban  
            tertiary care hospitals (trauma centers, heart/stroke centers,  
            burn units, etc.).









                                                                  AB 1153
                                                                  Page  8

          "They are an essential part of the Statewide EMS system and play  
            a key role in disaster response and homeland security.  The  
            Medi-Cal program pays air ambulance services far below the  
            cost of providing emergency air transportation, and pays  
            nothing if the patient is indigent and not eligible for  
            Medi-Cal.  Current Medi-Cal base rates for helicopter services  
            are only 40% of the average Medicare rates in California,  
            which are similarly inadequate to cover costs.  In rural areas  
            this can fall below 35% of the cost of the transport.

          "AB 1153 will provide for increased Medi-Cal funding of  
            emergency air ambulance transportation to ensure this vital  
            emergency service is available for all Californians."

           2)The Provision of this Bill Apply to Felonies, Misdemeanor and  
            Infractions Involving Penal Code Violations  :  This bill adds  
            an additional $3 penalty assessment to California Vehicle  
            Code.  The Vehicle Code contains a variety of offenses.  This  
            provision will increase the out-of-pocket costs for most  
            traffic offenses, as well as misdemeanor and felony offenses  
            arising from driving-related conduct.  

           3)Penalty Assessments  :  The Legislature has increasingly turned  
            to penalty assessments upon criminal and traffic offenses as a  
            method of raising revenue for various projects.  Currently,  
            the amount of assessments upon individuals who receive traffic  
            infractions and criminal penalties are exponentially  
            staggering.  

          For example, this bill imposes an additional penalty assessment  
            upon criminal offenses.  Penalty assessments must be  
            considered when deciding to impose fines.  Assuming a person  
            is fined the maximum fine of $20,000 the following penalty  
            assessments would be imposed pursuant to the Penal Code and  
            the California Government Code:

          Base Fine:                              $20,000 

          Penal Code 1464 Assessment:             $20,000($10 for every  
            $10 in fines)
          Penal Code 1465.7 Assessment:                $  4,000  (20%  
            surcharge)
          Penal Code 1465.8 Assessment:                $       20($20 fee  
            per fine) 
          Government Code 70372 Assessment:            $10,000($5 for  








                                                                  AB 1153
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            every $10 in fines) 
          Government Code 70373 Assessment:            $       30($30 fee  
            per each conviction)
          Government Code 76000 Assessment:            $14,000  ($7 for  
            every $10 in fines)
          Government Code 7600.5 Assessment:           $  4,000   ($2 for  
            every $10 in fines)
          Government Code 76104.6 Assessment:          $  2,000($1 for  
            every $10 in fines)
          Government Code 76104.7 Assessment:          $  2,000($1 for  
            every $10 in fines)

          Total Minimum Fine with Assessments:           $76,050
          
           4)Most Criminal Penalties and Assessments Are Paid by Vehicle  
            Code Violators  :  A study conducted by the California Research  
            Bureau in February 2006 disclosed that in counties in which  
            the data was available, the majority of penalties and  
            assessments collected were from Vehicle Code violations.  Many  
            criminal defendants who committed more serious offenses under  
            the Penal Code are unlikely to have the ability to pay any  
            fines assessed in addition to other punishments such as county  
            jail or state prison sentences.  

          Additionally, the existing penalty assessments already more than  
            double any statutorily required fine.  Increasing fines to be  
            paid by criminal defendants may have the unintended  
            consequence of fewer overall fines being paid.  It has been  
            suggested that indigent defendants facing a barrage of  
            ever-increasing fees may simply choose to spend time in jail  
            in lieu of the fines, causing taxpayers to be required to pay  
            the costs of jail space and courts to receive fewer funds as a  
            result of frustrated defendants who are perpetually teetering  
            on the brink of poverty and homelessness.

          Below is a chart of some of the more common penalty offenses  
            assessed and their effect on particular violations:
                                          
                       Frequently Cited Vehicle Code Offenses
                            Fines + Assessments + SB 1407

                                      Table 1 

                 (Shows maximum existing assessments and surcharges
                       imposed on the base fine in every case)








                                                                  AB 1153
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           ------------------------------------------------------------------ 
          |Assessment           |Statute |Formula                            |
          |---------------------+--------+-----------------------------------|
          |State Penalty        |PC 1464 |$10 for every $10 base             |
          |Assessment           |        |                                   |
          |---------------------+--------+-----------------------------------|
          |County Penalty       |GC      |$2 - 7 for every $10 base (depends |
          |Assessment           |76000   |on county)                         |
          |---------------------+--------+-----------------------------------|
          |DNA Penalty          |GC      |$1 for every $10 base              |
          |Assessment           |76104.6 |                                   |
          |---------------------+--------+-----------------------------------|
          |DNA Penalty          |GC      |$1 for every $10 base              |
          |Assessment           |76104.7 |                                   |
          |---------------------+--------+-----------------------------------|
          |EMS Penalty          |GC      |$2 for every $10 (in counties      |
          |Assessment           |76000.5 |whose boards have adopted it)      |
          |---------------------+--------+-----------------------------------|
          |Court Facilities     |GC      |$0 - 5 for every $10 (depending on |
          |Penalty Assessment   |70372   |county board action)               |
          |---------------------+--------+-----------------------------------|
          |Court Security Fee   |PC      |$20 for each conviction            |
          |                     |1465.8  |                                   |
          |---------------------+--------+-----------------------------------|
          |20% Surcharge        |PC      |20% of base for each conviction    |
          |                     |1465.7  |                                   |
          |---------------------+--------+-----------------------------------|
          |Night Court Fee      |VC      |$1 (in counties that have night    |
          |                     |42006   |courts)                            |
           ------------------------------------------------------------------ 

                                          
                                       Table 2

           (Shows selected offenses base fine, total maximum assessments,
                 and addition of SB 1407 fee for each offense shown)


           -------------------------------------------------------------------- 
                               |OFFENSE   |Stat|Base Fine   |Total    |Current |SB    |SB    |Percen|
          |          |ute |            |Maximum  |Total   |1407  |1407  |t     |
          |          |    |            |Assessmen|Maximum |additi|Total |Increa|
          |          |    |            |ts       |        |on    |Max   |se    |








                                                                  AB 1153
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          |----------+----+------------+---------+--------+------+------+------|
          |Speeding  |VC  |$$35 - 100  |$111 -   |$146 -  |$40   |$186  |27% - |
          |in posted |2235|(depends on |280      |380     |      |- 420 |10.5% |
          |area      |1   |how far     |         |        |      |      |      |
          |          |    |over limit) |         |        |      |      |      |
          |----------+----+------------+---------+--------+------+------+------|
          |Driving   |VC  |$200        |$560     |$760    |$40   |$800  |5%    |
          |w/o       |1602|            |         |        |      |      |      |
          |insurance |8   |            |         |        |      |      |      |
          |----------+----+------------+---------+--------+------+------+------|
          |Seatbelt  |VC  |$20         |$56      |$76     |$40   |$116  |53%   |
          |violations|2731|            |         |        |      |      |      |
          |          |5   |            |         |        |      |      |      |
          |----------+----+------------+---------+--------+------+------+------|
          |Red light |VC  |$100        |$280     |$380    |$40   |$420  |10.5% |
          |violations|2145|            |         |        |      |      |      |
          |          |3   |            |         |        |      |      |      |
          |----------+----+------------+---------+--------+------+------+------|
          |Speeding  |VC  |$35 - 100   |$111 -   |$146 -  |$40   |$186  |27% - |
          |over 65   |2234|(depends on |280      |380     |      |- 420 |10.5% |
          |mph       |9   |how far     |         |        |      |      |      |
          |          |    |over 65     |         |        |      |      |      |
          |          |    |mph)        |         |        |      |      |      |
          |----------+----+------------+---------+--------+------+------+------|
          |DUI       |VC  |$390        |$1,092   |$1,482  |$40   |$1,522|2.7%  |
          |          |2315|            |         |        |      |      |      |
          |          |2   |            |         |        |      |      |      |
          |----------+----+------------+---------+--------+------+------+------|
          |Reckless  |VC  |$290        |$812     |$1,102  |$40   |$1,142|3.4%  |
          |driving   |2310|            |         |        |      |      |      |
          |in        |3   |            |         |        |      |      |      |
          |constructi|    |            |         |        |      |      |      |
          |on zone   |    |            |         |        |      |      |      |
          |----------+----+------------+---------+--------+------+------+------|
          |Promise   |VC  |$50         |$140     |$190    |$40   |$230  |21%   |
          |to appear |4050|(misdemeanor|         |        |      |      |      |
          |violation |8   |)           |         |        |      |      |      |
          |----------+----+------------+---------+--------+------+------+------|
          |Driving   |VC  |$75         |$233     |$298    |$40   |$338  |13%   |
          |w/o       |1250|            |         |        |      |      |      |
          |license   |0   |            |         |        |      |      |      |
           -------------------------------------------------------------------- 
           
           
          5)Argument in Support  :  According to  REACH Air Medical Services  ,  








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            "AB 1153 will provide for increased Medi-Cal funding of  
            emergency air ambulance transportation by imposing a $3  
            additional penalty on each motor vehicle violation, with the  
            exception of parking tickets.  Revenue generated by the  
            additional penalty will be augmented with federal matching  
            funds by the State Department of Health Care Services, who  
            will then use the funds to increase Medi-Cal payment rates  
            and/or provide supplemental payments to air ambulance  
            providers. 

          "Air ambulances provide an essential service to our community  
            and provide life-saving emergency transports to many trauma  
            and cardiac patients without any form of health insurance.   
            Properly funding air ambulance services is essential to  
            maintaining the integrity of our EMS system."  

           6)Prior Legislation  :  AB 1407 (Perata), Statutes of 2008,  
            Chapter 311, allowed the issuance of up to $5 billion in  
            lease-revenue bonds to finance the construction of critical  
            needs courthouse construction projects, and supports the debt  
            service for the bonds by raising specified criminal and civil  
            fees and fines. 
           
          REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          Air and Surface Transport Nurses Association 
          American Ambulance 
          Barton Healthcare System 
          Bell's Healdsburg Ambulance Service 
          Board for Critical Care Transport Paramedic 
          CAL-AAMS
          California State Firefighters Association 
            Emergency Medical Services Committee
          CALSTAR
          Community Medical Centers 
          Diamond Springs Fire Protection District 
          Doctors Medical Center
          Enloe
          Hall Ambulance 
          International Association of Flight Paramedics
          John C. Fremont Healthcare District 
          John Muir Health 
          Lake County Fire Protection District 








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          Medi-Flight 
          Memorial Medical Center
          Mercy Air 
          Patterson Ambulance Service 
          PHI Air Medical 
          Placer Hills Fire Protection District 
          Plumas District Hospital 
          Rancho Tehama Association 
          Regional Medical Center of San Jose
          REACH Air Medical Services 
          REMSA/Careflight 
          Rogers Helicopters, Inc. 
          San Bernardino County Fire Department 
          Skylife of Central California 
          Stanford Hospital and Clinics
          Valley Heart Associates  
          Verihealth, Inc.  
          Westport Fire District 

           Opposition 
           
          None
           

          Analysis Prepared by  :    Gabriel Caswell / PUB. S. / (916)  
          319-3744