BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 633
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          CONCURRENCE IN SENATE AMENDMENTS
          AB 633 (Salas)
          As Amended  August 26, 2013
          Majority vote
           
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          |ASSEMBLY:  |67-1 |(May 16, 2013)  |SENATE: |37-0 |(September 3,  |
          |           |     |                |        |     |2013)          |
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           Original Committee Reference:   L. & E.  

           SUMMARY  :  Prohibits an employer from adopting a policy or  
          practice that prohibits an employee from voluntarily providing  
          emergency medical services in response to a medical emergency.  

           The Senate amendments  :

          1)Provide that an employer may adopt and enforce a policy  
            authorizing employees trained in emergency services to provide  
            those services.  However, in the event of an emergency, any  
            available employee may voluntarily provide emergency medical  
            services if a trained and authorized employee is not  
            immediately available or is otherwise unable or unwilling to  
            provide emergency medical services.

          2)Recast language in the bill to provide that an employer may  
            adopt and enforce a policy prohibiting an employee from  
            performing emergency medical services on a person who has  
            expressed the desire to forego resuscitation or other medical  
            interventions, as specified.

          3)Specify that the bill does not impose any express or implied  
            duty on an employer to train its employees regarding emergency  
            medical services or cardiopulmonary resuscitation.

          4)Add a principal co-author and co-authors.

           EXISTING LAW  provides that no person who in good faith, and not  
          for compensation, renders emergency medical or nonmedical care  
          or assistance at the scene of an emergency shall be liable for  
          civil damages resulting from any act or omission other than an  
          act or omission constituting gross negligence or willful or  
          wanton misconduct.









                                                                  AB 633
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           FISCAL EFFECT  :  Unknown.  This bill is keyed non-fiscal by the  
          Legislative Counsel. 

           COMMENTS  :  According to the author, this measure is in response  
          to a recent well-publicized incident at a retirement community  
          in Bakersfield.  According to media reports, in February of this  
          year an 87-year-old resident of the Glenwood Gardens retirement  
          community collapsed in the dining room of the facility.  Media  
          reports showed that a 911 call revealed that an employee of the  
          facility indicated that she would not perform cardiopulmonary  
          resuscitation (CPR) on the woman due to a facility policy that  
          prevented employees from performing life-saving procedures.  The  
          woman subsequently passed away before emergency services  
          personnel could arrive.  According to news reports, the facility  
          director later issued a written statement asserting that the  
          incident resulted from a "complete misunderstanding" of the  
          facility's practice with regards to emergency medical care for  
          its residents.

          Existing state law (referred to generally as "Good Samaritan"  
          law) provides that no person who in good faith, and not for  
          compensation, renders emergency medical or nonmedical care or  
          assistance at the scene of an emergency shall be liable for  
          civil damages resulting from any act or omission other than an  
          act or omission constituting gross negligence or willful or  
          wanton misconduct.  Existing law also contains other specific  
          liability provisions related to medical, law enforcement, and  
          emergency personnel, and others.

          According to the author, CPR is a series of life saving actions  
          that improve the chance of survival following cardiac arrest.   
          According to the American Heart Association, there are  
          approximately 360,000 out-of-hospital cardiac arrests in the  
          United States each year, accounting for 15% of all deaths.  On  
          average, bystander CPR is provided in only approximately  
          one-fourth of all out-of-hospital events in the United States  
          despite public education campaigns and promotion of CPR as a  
          best practice. 

          The author states that the question of whether employers have  
          policies that prevent employees from performing CPR is unclear,  
          which may cause confusion among Californians.  The author argues  
          that any existing employer policies preventing employees from  
          performing CPR should be against public policy.  Such employer  
          policies may discourage employees from performing CPR due to  








                                                                  AB 633
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          fear of being disciplined or fired. 
           

          Analysis Prepared by  :    Ben Ebbink / L. & E. / (916) 319-2091 


          FN:  
          0001946