BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                  AB 1306
                                                                  Page  1

          Date of Hearing:   May 3, 2011

                            ASSEMBLY COMMITTEE ON HEALTH
                              William W. Monning, Chair
                   AB 1306 (Donnelly) - As Amended:  April 26, 2011
           
          SUBJECT  :   Abortion.

           SUMMARY  :  Requires a person authorized to perform an abortion to 
          provide information, as specified, to any woman seeking an 
          abortion in order to obtain her informed consent.  Requires any 
          facility where an abortion is authorized to be performed and any 
          emergency room of a general acute care hospital, to post in 
          common areas, as specified, the telephone number of a nonprofit 
          organization that provides services in support of the 
          elimination of human trafficking.  Specifically,  this bill  :   

          1)Requires, prior to the performance of an abortion, the person 
            authorized to perform the abortion to provide complete and 
            full information on the potential physiological and 
            psychological impacts of an abortion, in both verbal and 
            written form, to any woman seeking an abortion in order to 
            obtain her informed consent to obtain the abortion during a 
            counseling session.

          2)Permits only verified immediate relatives or legal guardians 
            of the woman seeking an abortion to join her in the counseling 
            room referenced in 1) above.  

          3)Requires any facility where an abortion is authorized to be 
            performed and the emergency room of a general acute care 
            hospital to post in common areas, including, but not limited 
            to, waiting rooms and restrooms, the National Human 
            Trafficking Resource Center's hotline telephone number.

           EXISTING LAW  :

          1)Enumerates an inalienable right to privacy in the California 
            Constitution.

          2)Provides for the performance of abortions under the 
            Therapeutic Abortion Act by licensed physicians or surgeons.

          3)Authorizes disciplinary action against a licensed physician or 
            surgeon who participates in unprofessional conduct.








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          4)Defines "unlawful sexual intercourse" as an act of sexual 
            intercourse (consensual or nonconsensual) accomplished with a 
            person who is not the spouse of the perpetrator, if the person 
            is a minor.  For the purposes of this section, a "minor" is a 
            person under the age of 18 years and an "adult" is a person 18 
            years of age or older. 

          5)Provides that any person who engages in an act of unlawful 
            sexual intercourse with a minor who is not more than three 
            years older or three years younger than the perpetrator, is 
            guilty of misdemeanor statutory rape. 

           FISCAL EFFECT  :   This bill has not yet been analyzed by a fiscal 
          committee.
           COMMENTS  :   

           1)PURPOSE OF THIS BILL  .  According to the author, this bill 
            creates opportunities for victims of sex trafficking to speak 
            openly with perhaps the only health care professionals they 
            will encounter while enslaved by requiring that informed 
            consent information for an abortion be provided in both 
            written and verbal form, as well as, specifying that only 
            verified relatives or legal guardians are allowed to accompany 
            patients during the information-relaying meeting.  The author 
            maintains that this bill will keep captors, often posing as 
            "boyfriends" or "interpreters" from being allowed to 
            intimidate women during routine pre-operation counseling.  The 
            author also argues that this bill corrects a deficiency, 
            identified by the Polaris Project, in California's response to 
            human trafficking by requiring signage with the human 
            trafficking hotline number to be posted in emergency rooms and 
            health care facilities that offer abortions.  
           
           2)SUPPORT  .  The California Catholic Conference, Inc. (CCC) 
            writes in support of this measure that many women report 
            regret following an abortion.  CCC maintains that women may 
            not understand what the abortion procedure involves or they 
            may not be prepared for the emotional responses they may 
            encounter.  CCC argues that, as a society, we are subjected ad 
            nauseam to a laundry list of possible adverse reactions to 
            every drug advertised on television, the least we can do for a 
            woman who is considering an abortion decision is to ensure 
            that she is fully informed on the possible "side effects" she 
            may suffer.








                                                                  AB 1306
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          3)OPPOSITION  .  The American Congress of Obstetricians and 
            Gynecologists, Planned Parenthood Affiliates of California 
            (PPAC), the California Commission on the Status of Women, the 
            California Family Health Council, Inc., the California Medical 
            Association and the American Civil Liberties Union of 
            California all write in opposition to this bill.  The 
            opposition states that they understand and share the author's 
            interest in combatting human trafficking and slavery but 
            believe targeting abortion services is misguided.  The 
            opposition maintains that not only would this bill intrude on 
            the physician/patient relationship and a woman's privacy by 
            limiting who can support her during counseling on abortion, 
            but the signage requirement to post the national human 
            trafficking hotline in any location where abortions may be 
            performed would be akin to providing a target list for 
            anti-abortion extremists.  The opposition argues that they do 
            not find justification for this legislation.  The opposition 
            maintains that California already has a long-standing common 
            law tradition of protecting patients' autonomy through 
            informed consent and states that many health centers are 
            actively involved in preventing human trafficking and slavery 
            and already provide information regarding resources in the 
            community.  The opposition concludes that if the intent of 
            this bill is to increase awareness of human trafficking and to 
            provide help to victims of human trafficking, there are better 
            alternatives.  The opposition asserts that there is an 
            enormous area of need for funding for ongoing training of 
            physicians, nurses, hospital personnel and affiliated staff on 
            human trafficking awareness and identification.  
           
           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          California Catholic Conference


           Opposition 
           
          American Civil Liberties Union
          American Congress of Obstetricians and Gynecologists, District 
          IX, California
          California Commission on the Status of Women
          California Family Health Council








                                                                  AB 1306
                                                                  Page  4

          California Medical Association
          NARCAL Pro-Choice California
          Planned Parenthood Affiliates of California
          Six Rivers Planned Parenthood
           
          Analysis Prepared by :    Tanya Robinson-Taylor / HEALTH / (916) 
          319-2097