BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 681
                                                                  Page  1


          ASSEMBLY THIRD READING
          AB 681 (Melendez)
          As Amended  April 9, 2013
          Majority vote 

           PUBLIC SAFETY       4-1                                         
           
           ----------------------------------------------------------------- 
          |Ayes:|Melendez, Jones-Sawyer,   |     |                          |
          |     |Quirk, Waldron            |     |                          |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Mitchell                  |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 

           SUMMARY  :  Increases from $3 to $5 the fee charged for each  
          inmate-initiated medical visit of an inmate confined in a county  
          or city jail.

           EXISTING LAW  :

          1)Provides that a sheriff, director of corrections, or chief of  
            police is authorized to charge a fee in the amount of $3 for  
            each inmate initiated medical visit of an inmate confined in a  
            county or city jail.  

          2)States that the fee shall be charged to the inmate's personal  
            account at the facility.  If the inmate has no money in his or  
            her personal account, there shall be no charge for the medical  
            visit.  

          3)Provides that an inmate shall not be denied medical care  
            because of a lack of funds in his or her personal account.  

          4)Provides that the medical provider may waive the fee for any  
            inmate-initiated treatment and shall waive the fee for any  
            life-threatening or emergency situation, defined as those  
            health services required for alleviation of severe pain or for  
            immediate diagnosis and treatment of unforeseen medical  
            conditions that if not immediately treated could lead to  
            disability or death.  

          5)States that follow-up medical visits, at the direction of the  








                                                                 AB 681
                                                                  Page  2


            medical staff, shall not be charged to the inmate.  

          6)Provides that the Director of the Department of Corrections is  
            authorized to charge a fee in the amount of $5 for each  
            inmate-initiated medical visit of an inmate confined in the  
            state prison.  

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

           COMMENTS  :  According to the author, "A sheriff, director of  
          corrections, or chief of police is authorized to charge a fee in  
          the amount of $3 for each inmate co-pay in a county or city  
          jail.  This amount was set in 1994 and has not been increased  
          since.  Since the cost of a medical visit for a county inmate is  
          so low it causes some inmates to abuse the system, for example,  
          some common reasons to seek a non-medical visit are drug  
          seeking, wanting to see a specific person, wanting to get out of  
          his/her cell, and now with overcrowding some inmates just want  
          to have some privacy.  AB 681 will increase the co-pay which  
          will better align the amount charged to them with the cost of  
          care while deterring unnecessary and frivolous use of medical  
          services."

          Please see the policy committee analysis for a full discussion  
          of this bill.
           

          Analysis Prepared by  :    Gregory Pagan / PUB. S. / (916)  
          319-3744 


                                                                FN: 0000106