BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                  AB 1660|
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                                    CONSENT


          Bill No:  AB 1660
          Author:   Salas (D)
          Amended:  As introduced
          Vote:     21

           
           SENATE TRANSPORTATION & HOUSING COMMITTEE  :  8-0, 6/15/10
          AYES:  Lowenthal, Huff, Ashburn, DeSaulnier, Harman, Kehoe,  
            Pavley, Simitian
          NO VOTE RECORDED:  Oropeza

          ASSEMBLY FLOOR  :  76-0, 4/5/10 (Consent) - See last page for  
            vote


           SUBJECT  :    Emergency aircraft flights for medical purposes

           SOURCE  :     California Airports Council


           DIGEST  :    This bill expands the definition of emergency  
          aircraft flights for medical purposes, to include the  
          return, non-emergency flights of aircraft or equipment used  
          during a medical emergency, or emergency personnel and  
          first responders involved in treating the medical  
          emergency, for the purpose of returning the aircraft or  
          equipment back to the base of operation.

           ANALYSIS  :    Current federal law provides an exemption for  
          civilian air ambulance aircraft operating under a Federal  
          Aviation Administration "Lifeguard" call sign to land and  
          depart after hours at certain airports without being  
          subject to a fine.  "Lifeguard" is a special radio call  
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          sign used by air ambulances to receive special handling by  
          air traffic controllers. Any aircraft with a medical  
          emergency on board or a flight involving medical supplies,  
          vital organs, or blood products may use this call sign.

           Existing law  

          1. Allows cities and counties by ordinance to regulate  
             aircraft flight departures and arrivals to particular  
             hours of the day or night, restrict the arrival or  
             departure of aircraft based upon the aircraft's noise  
             level, or restrict the operations of certain aircraft  
             type.

          2. Defines "emergency aircraft flights for medical  
             purposes" as those flights in which undue delay would  
             threaten a patient's life. Emergency aircraft flights  
             for medical purposes include, but are not limited to,  
             flights for the transportation of the following:

             A.    Patients accompanied by licensed or certificated  
                medical attendants such as paramedics, nurses,  
                physicians, and respiratory therapists.

             B.    Surgical transplant teams for the purpose of  
                procuring human organs for re-implantation in  
                recipients.

             C.    Organ procurement agency coordinators responding  
                to a potential donor.

             D.    Temporarily viable human organs such as a heart,  
                liver, lungs, kidneys, and pancreas, and human  
                tissue, blood, or blood components.

             E.    Human tissue and blood samples for clinical  
                testing to determine compatibility between a donor  
                and a recipient.

             F.    Mechanical adjuncts or biological replacements  
                for human organs.

             G.    Medical equipment and supplies.


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          3. Prohibits using emergency aircraft flights for  
             transporting medical personnel to attend conferences,  
             seminars, or other similar non-emergency activities.

          4. Requires the provider of the emergency aircraft flight  
             to notify an airport, governed by an ordinance  
             restricting operations, either within 72 hours before or  
             after the emergency flight of the following:

             A.    The name and address of the patient.

             B.    The names of the medical attendants on board the  
                flight.

             C.    The name of the attending physician, a signed  
                statement by the attending physician of the nature  
                of the emergency, and the name of the medical  
                facility to which the patient or organs will be  
                taken.

             D.    The names of all flight crew members and the  
                type and registration number of the aircraft. 

          These requirements do not apply to medical emergency  
          flights operated by law enforcement, firefighting  
          personnel, or the military.

          This bill:

          1. Adds to the definition of emergency aircraft flight for  
             medical purposes an emergency medical flight returning  
             to its home base during curfew hours with the health  
             professionals that accompanied patients or medical  
             products on the in-bound flight. 

          2. Prohibits emergency medical flight providers from  
             submitting information regarding patients, medical  
             attendants, and related information to the airport if  
             the collection of the information is barred by federal  
             law, including the terms and conditions of the  
             Confidentiality of Medical Information Act and  
             applicable regulations.

           Background

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           A typical example that the author's office believes  
          necessitates this bill is an aircraft departs from its base  
          in Orange County at 1:00a.m. with an organ that is to be  
          delivered to San Diego.  Both John Wayne Airport and  
          Lindbergh Field have curfews governing aircraft operations.  
           Existing law exempts the departure from Orange County and  
          the landing at San Diego because for both the landing and  
          departure a patient's life is at risk.  There is legal  
          ambiguity, however, as to whether the aircraft may depart  
          during curfew hours to return to its home base after  
          delivering a patient or organ without incurring a penalty,  
          since there is no emergency involved with the return  
          flight.  This bill removes that ambiguity for it makes it  
          clear that the air ambulance may return to its headquarters  
          without being assessed a fine or penalty.  An additional  
          benefit is that the amendment reduces the layover charges  
          for the medical professionals, the aircraft's crew, and the  
          plane, because there is no delay waiting for the curfew to  
          be lifted. 

          FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  No    
          Local:  No

           SUPPORT  :   (Verified  6/16/10)

          California Airports Council (source)
          Aircraft Owners and Pilots Association
          Association of California Airports
          California Medical Association
          California Pilots Association
          California State Sheriffs' Association
          Emergency Medical Services Administrators' Association of  
          California 
          San Bernardino County Sheriff's Department
          San Diego County Regional Airport Authority


           ASSEMBLY FLOOR  : 
          AYES:  Adams, Ammiano, Anderson, Arambula, Bass, Beall,  
            Bill Berryhill, Tom Berryhill, Block, Blumenfield,  
            Bradford, Brownley, Buchanan, Caballero, Charles  
            Calderon, Carter, Chesbro, Conway, Cook, Coto, Davis, De  
            La Torre, De Leon, DeVore, Emmerson, Eng, Evans, Feuer,  

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            Fletcher, Fong, Fuentes, Fuller, Furutani, Gaines,  
            Galgiani, Garrick, Gilmore, Hagman, Hall, Harkey,  
            Hayashi, Hernandez, Hill, Huber, Huffman, Jeffries,  
            Jones, Knight, Lieu, Logue, Bonnie Lowenthal, Ma,  
            Mendoza, Miller, Monning, Nava, Nestande, Niello,  
            Nielsen, V. Manuel Perez, Ruskin, Salas, Saldana, Silva,  
            Skinner, Smyth, Solorio, Audra Strickland, Swanson,  
            Torlakson, Torres, Torrico, Tran, Villines, Yamada, John  
            A. Perez
          NO VOTE RECORDED:  Blakeslee, Norby, Portantino, Vacancy


          JJA:do  6/16/10   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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