BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                            



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          |SENATE RULES COMMITTEE            |                        AB 966|
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                                    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  
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            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  

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          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  

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            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

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          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

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