BILL ANALYSIS                                                                                                                                                                                                    Ó







                      SENATE COMMITTEE ON PUBLIC SAFETY
                            Senator Loni Hancock, Chair              A
                             2013-2014 Regular Session               B

                                                                     2
                                                                     3
                                                                     0
          AB 2309 (Brown)                                            9
          As Introduced February 21, 2014 
          Hearing date:  June 10, 2014
          Penal Code
          JM:mc

             UNAUTHORIZED POSSESSION OF PRESCRIPTION ANTI-ANXIETY DRUGS: 

                  DEFERRED ENTRY OF JUDGMENT AND DIVERSION PROGRAMS  


                                       HISTORY

          Source:  Conference of California Bar Associations

          Prior Legislation: SB 1574 (Alarcon) - Ch. 42, Stats. 2000 
                       SB 1369 (Kopp) - Ch. 1132, Stats. 1996
                       AB 3555 (Farr) - Ch. 1118, Stats. 1992
                       SB 2603 (Presley) - Ch. 2603, Stats. 1988

          Support:  California Attorneys for Criminal Justice; California  
                    Public Defenders Association; Taxpayers for Improving  
                    Public Safety; Legal Services for Prisoners with  
                    Children; California District Attorneys Association;  
                    California Narcotic Officers' Association; Los Angeles  
                    District Attorney's Office

          Opposition:None known

          Assembly Floor Vote:  Ayes 75 - Noes 0


                                         KEY ISSUE




                                                                     (More)







                                                            AB 2309 (Brown)
                                                                      PageB

           
          SHOULD PERSONS IN UNAUTHORIZED POSSESSION OF SPECIFIED  
          PRESCRIPTION ANTI-ANXIETY, WEIGHT LOSS, ATTENTION DEFICIT AND  
          PAIN CONTROL DRUGS BE ELIGIBLE FOR DEFERRED ENTRY OF JUDGMENT,  
          OR DIVERSION AND DISMISSAL OF CHARGES UPON COMPLETION OF A  
          REHABILITATION PROGRAM?


                                       PURPOSE

          The purpose of this bill is to provide that persons in  
          unauthorized possession of specified prescription drugs -  
          benzodiazepine anti-anxiety drugs, weight-control stimulants,  
          pain management and attention deficit control drugs - are  
          eligible for deferred entry of judgment or diversion and  
          dismissal of the charges upon completion of a rehabilitation  
          program.

           Existing law  provides that the entry of judgment may be deferred  
          with respect to a defendant charged with specific controlled  
          substance offenses if they meet specific criteria, including no  
          prior convictions for any offense involving a controlled  
          substance and have had no prior felony convictions within five  
          years.  (Pen. Code § 1000.)

           Existing law  provides that upon successful completion of a  
          deferred entry of judgment, the arrest upon which the judgment  
          was deferred shall be deemed to never have occurred.  The  
          defendant may in response to any question in regard to his or  
          her prior criminal record that he or she was not arrested or  
          granted deferred entry of judgment, except as specified.  (Pen.  
          Code § 1000.4, subd. (a).)

           Existing law  states that a record pertaining to an arrest  
          resulting in successful completion of a deferred entry of  
          judgment program shall not, without the defendant's consent, be  
          used in any way that could result in the denial of any  
          employment, benefit, license, or certificate.  (Pen. Code §  
          1000.4, subd. (a).)





                                                                     (More)







                                                            AB 2309 (Brown)
                                                                      PageC

           Existing law  requires that a defendant be advised that  
          regardless of his or her successful completion of a deferred  
          entry of judgment program, the arrest upon which the case was  
          based, may be disclosed by the Department of Justice (DOJ) in  
          response to any peace officer application request, and that the  
          defendant is obligated to disclose the arrest in response to any  
          direct question on the application.  (Pen.  Code § 1000.4, subd.  
          (b).)

           Existing law  provides that a superior court may administer a  
          pre-plea drug diversion program if the court, the county  
          district attorney and the public defender agree.  (Pen. Code §  
          1000.5.) 

           Existing law  every person that possesses Chlordiazepoxide,  
          Clonazepan, Clorazepate, Diazepam, Flurazepan, Lorazepan,  
          Mebutamate, Oxazepam, Prazepam, Temazapam, Halazepam,  
          Alprazolam, Propoxyphene, Diethylpropion, Phentermine, Pemoline,  
          Fenfluramine, and Triazolam unless upon the prescription of  
          physician, dentist, podiatrist, or veterinarian licensed to  
          practice in this state, shall be guilty of an infraction or a  
          misdemeanor.  (Health & Saf. Code 
          § 11375, subd. (b)(2).)





           Existing law provides that except where a different punishment  
          is prescribed by any law of this state, every offense declared  
          to be a misdemeanor is punishable by imprisonment in a county  
          jail not exceeding six months, or by a fine not exceeding  
          $1,000, or by both a fine and imprisonment.  (Pen. Code § 19.)

           Existing law  states that an infraction is not punishable by  
          imprisonment.  (Pen. Code § 19.6.)

           This bill  adds the possession of Chlordiazepoxide, Clonazepan,  
          Clorazepate, Diazepam, Flurazepan, Lorazepan, Mebutamate,  
          Oxazepam, Prazepam, Temazapam, Halazepam, Alprazolam,  




                                                                     (More)







                                                            AB 2309 (Brown)
                                                                      PageD

          Propoxyphene, Diethylpropion, Phentermine, Pemoline,  
          Fenfluramine, and Triazolam without a prescription to the list  
          of offenses for which entry of judgment may be deferred if the  
          defendant meets specified criteria.


                    RECEIVERSHIP/OVERCROWDING CRISIS AGGRAVATION

          For the last several years, severe overcrowding in California's  
          prisons has been the focus of evolving and expensive litigation  
          relating to conditions of confinement.  On May 23, 2011, the  
          United States Supreme Court ordered California to reduce its  
          prison population to 137.5 percent of design capacity within two  
          years from the date of its ruling, subject to the right of the  
          state to seek modifications in appropriate circumstances.   

          Beginning in early 2007, Senate leadership initiated a policy to  
          hold legislative proposals which could further aggravate the  
          prison overcrowding crisis through new or expanded felony  
          prosecutions.  Under the resulting policy, known as "ROCA"  
          (which stands for "Receivership/ Overcrowding Crisis  
          Aggravation"), the Committee held measures that created a new  
          felony, expanded the scope or penalty of an existing felony, or  
          otherwise increased the application of a felony in a manner  
          which could exacerbate the prison overcrowding crisis.  Under  
          these principles, ROCA was applied as a content-neutral,  
          provisional measure necessary to ensure that the Legislature did  
          not erode progress towards reducing prison overcrowding by  
          passing legislation, which would increase the prison population.  
            

          In January of 2013, just over a year after the enactment of the  
          historic Public Safety Realignment Act of 2011, the State of  
          California filed court documents seeking to vacate or modify the  
          federal court order requiring the state to reduce its prison  
          population to 137.5 percent of design capacity.  The State  
          submitted that the, ". . .  population in the State's 33 prisons  
          has been reduced by over 24,000 inmates since October 2011 when  
          public safety realignment went into effect, by more than 36,000  
          inmates compared to the 2008 population . . . , and by nearly  




                                                                     (More)







                                                            AB 2309 (Brown)
                                                                      PageE

          42,000 inmates since 2006 . . . ."  Plaintiffs opposed the  
          state's motion, arguing that, "California prisons, which  
          currently average 150% of capacity, and reach as high as 185% of  
          capacity at one prison, continue to deliver health care that is  
          constitutionally deficient."  In an order dated January 29,  
          2013, the federal court granted the state a six-month extension  
          to achieve the 137.5 % inmate population cap by December 31,  
          2013.  

          The Three-Judge Court then ordered, on April 11, 2013, the state  
          of California to "immediately take all steps necessary to comply  
          with this Court's . . . Order . . . requiring defendants to  
          reduce overall prison population to 137.5% design capacity by  
          December 31, 2013."  On September 16, 2013, the State asked the  
          Court to extend that deadline to December 31, 2016.  In  
          response, the Court extended the deadline first to January 27,  
          2014, and then February 24, 2014, and ordered the parties to  
          enter into a meet-and-confer process to "explore how defendants  
          can comply with this Court's June 20, 2013, Order, including  
          means and dates by which such compliance can be expedited or  
          accomplished and how this Court can ensure a durable solution to  
          the prison crowding problem."

          The parties were not able to reach an agreement during the  
          meet-and-confer process.  As a result, the Court ordered  
          briefing on the State's requested extension and, on February 10,  
          2014, issued an order extending the deadline to reduce the  
          in-state adult institution population to 137.5% design capacity  
          to February 28, 2016.  The order requires the state to meet the  
          following interim and final population reduction benchmarks:

                 143% of design bed capacity by June 30, 2014;
                 141.5% of design bed capacity by February 28, 2015; and,
                 137.5% of design bed capacity by February 28, 2016. 

          If a benchmark is missed the Compliance Officer (a position  
          created by the February 10, 2016 order) can order the release of  
          inmates to bring the State into compliance with that benchmark.   






                                                                     (More)







                                                            AB 2309 (Brown)
                                                                      PageF

          In a status report to the Court dated May 15, 2014, the state  
          reported that as of May 14, 2014, 116,428 inmates were housed in  
          the State's 34 adult institutions, which amounts to 140.8% of  
          design bed capacity, and 8,650 inmates were housed in  
          out-of-state facilities.   

          The ongoing prison overcrowding litigation indicates that prison  
          capacity and related issues concerning conditions of confinement  
          remain unresolved.  While real gains in reducing the prison  
          population have been made, even greater reductions may be  
          required to meet the orders of the federal court.  Therefore,  
          the Committee's consideration of ROCA bills -bills that may  
          impact the prison population - will be informed by the following  
          questions:

                 Whether a measure erodes realignment and impacts the  
               prison population;
                 Whether a measure addresses a crime which is directly  
               dangerous to the physical safety of others for which there  
               is no other reasonably appropriate sanction; 
                 Whether a bill corrects a constitutional infirmity or  
               legislative drafting error; 
                 Whether a measure proposes penalties which are  
               proportionate, and cannot be achieved through any other  
               reasonably appropriate remedy; and,
                 Whether a bill addresses a major area of public safety  
               or criminal activity for which there is no other  
               reasonable, appropriate remedy.
















                                                                     (More)










                                      COMMENTS

          1.  Need for this Bill  

          According to the author:

               Under current law, individuals convicted of a  
               misdemeanor/infraction possession of Xanax (Aprazolam)  
               or other benzodiazepines are not permitted to  
               participate in a deferred entry of judgment or drug  
               diversion program, while individuals convicted of  
               felonies involving far more serious drugs, such as  
               possession of heroin, cocaine, and methamphetamine  
               under Health and Safety Code §§ 11350 and 11377, are  
               eligible.  AB 2309 would remove this unnecessary  
               distinction - which appears to exist solely due to  
               oversight - by making persons convicted of Xanax or  
               other benzodiazepines eligible for diversion.  Not  
               only will AB 2309 bring consistency and fairness to  
               the law, but it will help in a small way to reduce  
               court congestion by extending deferred entry of  
               judgment to the more de minimus drug offenses.     

          2.  Benzodiazepines and Other Drugs Addressed by this Bill -  
          Background  

          Under this bill, a defendant charged with possession of one of  
          the listed drugs will be eligible for deferred entry of judgment  
          or diversion.  Most of the drugs are commonly prescribed, or  
          were commonly prescribed for anxiety, weight control and other  
          conditions.  The wide therapeutic use of the drugs has led to  
          relatively easy access for non-medical use or self-medication of  
          many of these drugs.  

          Benzodiazepines
          
          This bill will usually apply to persons who possess  







                                                                     (More)







                                                            AB 2309 (Brown)
                                                                      PageH

          benzodiazepines without a prescription.  Benzodiazepines<1> are  
          a class of drug very commonly used to treat anxiety and, less  
          often, short-term insomnia.  Benzodiazepines also help prevent  
          seizures and ameliorate alcohol detoxification and withdrawal.   
          They differ in strength and length of action, but all affect the  
          neurotransmitter GABA.  Because they cause relatively little  
          respiratory suppression, Benzodiazepines present very little  
          risk of fatal overdose alone,<2> but can be dangerous when used  
          with drugs such as alcohol and opiates.  Benzodiazepines can be  
          associated with dependence and addiction.  These drugs are  
          widely known by brand or trade name, such as Valium (diazepam),  
          Ativan (lorazepam) and Xanax (alprazolam).  



          Additional Drugs Addressed by this Bill
          
          The other drugs considered in this bill have a range of effects  
          and uses.  Propoxyphene is a pain medication generally known by  
          its trade name, Darvon.  It appears that in may no longer be  
          prescribed in the United States.<3>  Diethylpropion, Phentermine  
          and Fenfluramine<4> are stimulant drugs generally used to  
          control appetite or obesity, and Pemoline is a stimulant used to  
          treat attention deficit disorder.  It appears that Pemoline is  
          no longer distributed in the United States because of concerns  
          ---------------------------
          <1>  
          http://www.rcpsych.ac.uk/healthadvice/treatmentswellbeing/benzodi 
          azepines.aspx.
          <2> http://www.aafp.org/afp/2000/0401/p2121.html.
          <3>  
          http://www.nlm.nih.gov/medlineplus/druginfo/meds/a682325.html.
          <4> The two drugs prescribed jointly were widely known as  
          Phen-Fen.  Serious cardiac problems were reported by patients  
          using the drugs.   
          http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformati 
          onforPatientsandProviders/ucm180082.htm.















                                                            AB 2309 (Brown)
                                                                      PageI

          about liver toxicity.<5> 

          3.  Deferred Entry of Judgment or Pre-Plea Diversion and the  
            Substance Abuse and Crime Prevention Act of 2000 (SACPA -  
            Proposition 36 of the 2000 General Election  

          Deferred entry of judgment and true pre-plea diversion (DEJ) are  
          distinct programs from the Substance Abuse and Crime Prevention  
          Act - SACPA ("Prop 36") - program.  After enactment of SACPA in  
          2000, the California Attorney General opined that SACPA did not  
          repeal DEJ by implication.  (84 Ops. Cal. Atty. Gen. 85 - 2001.)  
           Deferred entry of judgment - as the name of the program denotes  
          - applies prior to imposition of judgment and sentence.  SACPA  
          is a probation program under which a person convicted of a  
          non-violent drug possession offense must be offered treatment,  
          without incarceration, on probation.  Further, the offenses  
          covered by the two programs, while overlapping to a great  
          extent, are not the same.  The offenses covered under SACPA are  
          broader than those included under DEJ.

          The procedures for the programs are also different.  The  
          prosecutor determines if the defendant meets the eligibility  
          requirements for DEJ.  The trial court cannot overturn the  
          prosecutor's determination of ineligibility.  If the defendant  
          disagrees with the prosecutor's determination, his or her only  
          remedy is by appeal to the Court of Appeal.  In contrast, the  
          trial court determines whether a convicted defendant is eligible  
          for probation under SACPA.  A defendant must plead guilty before  
          being placed in a DEJ program.<6>  A person who is convicted at  
          trial of non-violent drug possession is eligible for SACPA,  
          unless a disqualifying factor, such as possession of a weapon at  
          ---------------------------
          <5>  
          http://www.fda.gov/Drugs/DrugSafety/PostmarketDrugSafetyInformati 
          onforPatientsandProviders/ucm126461.htm.
          <6> With the agreement of the court, the district attorney and  
          public defender, a county can elect to offer a true diversion  
          program, under which the defendant participates in a  
          rehabilitation program without pleading guilty.  The entire case  
          begins anew if the defendant fails on diversion.  (Pen. Code §  
          1000.5.)











                                                            AB 2309 (Brown)
                                                                      PageJ

          the time of the offense.  A defendant who fails in a DEJ program  
          is subject to imposition of judgment and sentencing.  However,  
          if the defendant's conviction is for a non-violent drug  
          possession offense, he or she shall be offered treatment on  
          probation under SACPA.  (In re Scoggins (2001) 94 Cal.App.4th  
          650, 652-658.)  As the covered offenses and eligibility  
          requirements are broader under SACPA than DEJ, it is most likely  
          that a person who fails in DEJ would be eligible for SACPA. 

                                   ***************