BILL ANALYSIS Ó ----------------------------------------------------------------- |SENATE RULES COMMITTEE | AB 966| |Office of Senate Floor Analyses | | |1020 N Street, Suite 524 | | |(916) 651-1520 Fax: (916) | | |327-4478 | | ----------------------------------------------------------------- THIRD READING Bill No: AB 966 Author: Bonta (D) Amended: 1/6/14 in Assembly Vote: 21 SENATE PUBLIC SAFETY COMMITTEE : 5-1, 5/13/14 AYES: Hancock, De León, Liu, Mitchell, Steinberg NOES: Anderson NO VOTE RECORDED: Knight SENATE APPROPRIATIONS COMMITTEE : 5-0, 8/14/14 AYES: De León, Hill, Lara, Padilla, Steinberg NO VOTE RECORDED: Walters, Gaines ASSEMBLY FLOOR : 48-26, 1/27/14 - See last page for vote SUBJECT : Prisoner Protections for Family and Community Health Act SOURCE : AIDS Healthcare Foundation DIGEST : This bill requires the Department of Corrections and Rehabilitation (CDCR) to develop a five-year plan to expand the availability of condoms in all California prisons. ANALYSIS : Existing law: 1.Provides that any person who participates in an act of sodomy CONTINUED AB 966 Page 2 with any person of any age while confined in any state prison or local detention facility shall be punished by imprisonment in the state prison or in a county jail for not more than one year. 2.Provides that persons participating in an act of oral copulation while confined in any state prison or local detention facility shall be punished by imprisonment in the state prison or in a county jail for a period of not more than one year. 3.Requires CDCR, contingent on the availability of funding, to provide HIV/AIDS health and prevention information to inmates. 4.Provides that a law enforcement employee, custodial staff, or an inmate may request HIV testing of another inmate if he/she reasonably believes that he or she has come into contact with the other inmate's bodily fluids. Provides that the chief medical officer will make the determination whether to require the testing. 5.Authorizes the chief medical officer to order a test of an inmate if he/she concludes there are clinical symptoms of HIV/AIDS, as recognized by the Centers for Disease Control and Prevention (CDC). 6.Requires probation and parole officers be notified when an inmate being released from incarceration is infected with AIDS, and permits these officers to notify certain persons who will come into contact with the parolee or probationer, if authorized by law. 7.Requires CDCR to pay for medical costs, including those associated with HIV/AIDS infections. This bill requires CDCR to develop a five-year plan to expand the availability of condoms in all California prisons. Background HIV/AIDS in California's prison population . In 2013, CDCR treated 1,055 inmates for HIV/AIDS at a cost of nearly $30,000 per year per inmate as estimated by California Health Care CONTINUED AB 966 Page 3 Services. Because CDCR does not require HIV testing for all inmates, the true number of infected inmates is unknown. However, research shows that incarcerated populations have disproportionately higher rates of infectious diseases, including HIV/AIDS and other sexually transmitted infections. In fact, according to the University of California, San Francisco, the rate of HIV infection among inmates is 8-10 times higher than among the general population. Nationally, CDC estimates that the rate of confirmed AIDS cases among state and federal prisons to be about 2.4 times the rate in the general population. While research suggests most HIV-positive inmates acquire HIV out of prison, transmission once in prison through unprotected sex or contaminated syringes is well-documented and presents an increased risk of transmitting HIV to individuals out in the community once inmates are released. Despite laws or policies expressly prohibiting sexual activity while in state custody, studies show that both consensual and non-consensual sex occurs in prisons with regularity. According to an article from the Columbia Journal of Gender and Law, "By prisoners' own direct reports and empirical studies based on interviews or surveys of prisoners, many inmates choose to engage in sexual activity for reasons other than fear of immediate or possible violence. They have sex-again, this is by their own reports-for money, drugs, food, comfort, physical gratification, and love." Comments According to the author: Sexually transmitted disease is a tragic reality of life in prison and using condoms is a low-cost, highly effective method of reducing the spread of sexually transmitted diseases. The HIV/AIDS infection rate in prison is estimated to be at least 8 to 10 times higher than among the general population. AB 966 would require CDCR to develop a five-year plan to offer condoms in all California prisons, based on the recommendations from the Solano Prison pilot project. This bill is based on the successful findings of a Solano State Prison condom pilot project conducted in 2008. The purpose of that pilot project was to determine the practicality and CONTINUED AB 966 Page 4 safety of condom distribution in a state prison. The program was an indisputable success. FISCAL EFFECT : Appropriation: No Fiscal Com.: Yes Local: No According to the Senate Appropriations Committee: Minor, absorbable one-time costs (General Fund) to develop the five-year plan. Potential future cost pressure of about $175,000 (General Fund) to implement a statewide program. While this bill does not require plan implementation, to the extent CDCR chooses to do so, based on reported data from the pilot project, potential first-year costs for a statewide program would cost approximately $175,000 based on a cost per inmate of $1.50 in the first year, including the initial cost of the dispensers, decreasing to $90,000 statewide, based on a cost of $0.76 per inmate for subsequent years. To the extent the plan imposes a phased-in approach to implementation, initial costs could be less. Potential out-year significant savings in medical-related costs to the CDCR and community at large to the extent the plan is implemented and the availability of condoms results in fewer cases of HIV/AIDS. It is estimated that very few HIV infections (less than four cases) would need to be prevented for a cost-neutral program. SUPPORT : (Verified 8/13/14) AIDS Healthcare Foundation (source) Alameda County Board of Supervisors Alameda-Contra Costa Medical Association American Civil Liberties Union of California Beyond AIDS California Academy of Preventative Medicine California Communities United Institute California Medical Association California Public Defenders Association California State Conference of the NAACP Friends Committee on Legislation of California Harm Reduction in Prison Coalition CONTINUED AB 966 Page 5 Health Officers Association of California HIV Education and Prevention Project of Alameda County Legal Services for Prisoners with Children Los Angeles County Board of Supervisors National Association of Social Workers-California Chapter Planned Parenthood Taxpayers for Improving Public Safety Women Organized to Respond to Life-threatening Diseases ASSEMBLY FLOOR : 48-26, 1/27/14 AYES: Alejo, Ammiano, Atkins, Bloom, Bocanegra, Bonilla, Bonta, Bradford, Brown, Buchanan, Ian Calderon, Campos, Chau, Chesbro, Dababneh, Daly, Dickinson, Eggman, Fong, Frazier, Garcia, Gatto, Gomez, Gonzalez, Gordon, Hall, Roger Hernández, Holden, Jones-Sawyer, Levine, Lowenthal, Mullin, Muratsuchi, Nazarian, Pan, Quirk, Rendon, Ridley-Thomas, Rodriguez, Skinner, Stone, Ting, Waldron, Weber, Wieckowski, Williams, Yamada, John A. Pérez NOES: Achadjian, Allen, Bigelow, Conway, Cooley, Donnelly, Fox, Beth Gaines, Gorell, Gray, Grove, Hagman, Harkey, Jones, Linder, Maienschein, Mansoor, Melendez, Morrell, Olsen, Patterson, Perea, Quirk-Silva, Salas, Wagner, Wilk NO VOTE RECORDED: Chávez, Dahle, Logue, Medina, Nestande, V. Manuel Pérez JG:k 8/15/14 Senate Floor Analyses SUPPORT/OPPOSITION: SEE ABOVE **** END **** CONTINUED