BILL ANALYSIS                                                                                                                                                                                                    Ó






           SENATE TRANSPORTATION & HOUSING COMMITTEE       BILL NO: ab 2399
          SENATOR MARK DESAULNIER, CHAIRMAN              AUTHOR:  J. pÉrez
                                                         VERSION: 4/24/14
          Analysis by:  Erin Riches                      FISCAL:  yes
          Hearing date:  June 17, 2014


          SUBJECT:

          Driver's license information:  organ and tissue donor registry

          DESCRIPTION:

          This bill authorizes an organ procurement organization (OPO) to  
          swipe a driver's license or identification card in an electronic  
          device to transmit information to the Donate Life California  
          Organ and Tissue Donor Registry.

          ANALYSIS:

          Existing law authorizes California's federally designated OPOs  
          to establish a nonprofit organization as the California Organ  
          and Tissue Donor Registrar.  The OPOs established Donate Life  
          California as the registrar, and Donate Life California  
          established and maintains the California Organ and Tissue Donor  
          Registry.

          Existing law requires an individual to indicate whether or not  
          he or she will be an organ donor as part of completing a  
          driver's license or identification card application or renewal  
          form through the Department of Motor Vehicles (DMV).  Existing  
          law requires DMV to print the word "DONOR" or appropriate  
          designation on the face of the driver's license or  
          identification card of each individual who signs up as a donor;  
          DMV meets this requirement by printing the word "DONOR" inside a  
          pink dot embedded on the face of the driver's license or  
          identification card.  

          Existing law requires DMV to transmit electronically the  
          following information to Donate Life California, on a weekly  
          basis:

           The applicant's true full name
           The applicant's residence or mailing address
           The applicant's year of birth
           The applicant's California driver's license or identification  




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            card number

          Existing law requires DMV to submit an annual report to Donate  
          Life California and to the Legislature, as well as quarterly  
          updates, detailing voluntary contributions it has collected and  
          a non-identifiable summary of applicants, as follows:

           Date of application
           Method of application (e.g., field office, online, or mail)
           ZIP code
           Gender
           Year of birth

          Existing law requires Donate Life California to submit an annual  
          report to the state Public Health Officer and the Legislature  
          that includes:

           The number of donors on the registry
           The changes in the number of donors on the registry
           The general characteristics of donors as determined by the  
            information provided to Donate Life California by DMV

          Each driver's license and identification card includes a  
          magnetic strip on the back that contains the same information  
          found on the front of the license or card.  Existing law  
          authorizes a business to swipe a driver's license or  
          identification card in any electronic device for the following  
          purposes:

           To verify the individual's age or the authenticity of the  
            driver's license or identification card
           To comply with a legal requirement to record, retain, or  
            transmit that information
           To collect or disclose personal information required for  
            reporting, investigating, or preventing fraud, abuse, or  
            material misrepresentation

          Existing law defines "business" as a proprietorship,  
          partnership, corporation, or any other form of commercial  
          enterprise.  Existing law provides that a business swiping a  
          driver's license or identification card for any other purpose is  
          subject to a misdemeanor punishable by up to one year in county  
          jail, a fine of up to $10,000, or both.

           This bill  :





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           Authorizes an OPO to swipe a driver's license or  
            identification card in any electronic device to transmit  
            information to the Donate Life California Organ and Tissue  
            Donor Registry for purposes of allowing an individual to  
            identify himself or herself as a registered organ donor.

           Requires any information transmitted in this manner to comply  
            with the DMV Information Security Agreement.

           Requires Donate Life California to include aggregated data of  
            donors, rather than general characteristics of donors, in its  
            annual report to the State Public Health Officer and the  
            Legislature.
          
          COMMENTS:

           1.Purpose  .  The author states that California is 46th in the  
            nation in organ donor registration.  As of January 2014, more  
            than 120,000 individuals - about 18 percent of them  
            Californians - were on the National Organ Transplant Waiting  
            List.  One organ donor can save up to eight lives, and one  
            tissue donor can improve the lives of up to 50 others.  

            The author states that OPOs often participate in community  
            events to encourage individuals to become organ donors.  The  
            use of paper forms at these events, however, often slows down  
            donor registration due to the length of time to fill out the  
            form by hand, illegible handwriting, and similar problems.   
            This bill would enable a Donate Life California representative  
            to sign up an individual through a device attached to a  
            smartphone.  The individual would complete an electronic  
            signup sheet that includes the same information collected by  
            DMV when it signs up a donor.  The information would be  
            encrypted on the device, and deleted from the device once it  
            is submitted to the Donate Life California database.  This  
            bill would enable Donate Life California to register donors  
            more quickly and efficiently.

           2.Background  .  SB 108 (Speier), Chapter 740, Statutes of 2001,  
            authorized the establishment of an Organ and Tissue Donor  
            Registry in the state Health and Human Services Agency, but  
            the agency never received funding for the registry.  SB 112  
            (Speier), Chapter 405, Statutes of 2003, transferred  
            responsibility for establishing the registry to a private,  
            nonprofit organization administered by the four federally  
            designated OPOs: California Transplant Donor Network (Northern  




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            California), Golden State Donor Services (North Central  
            California), Lifesharing: A Donate Life Organization (Imperial  
            and San Diego), and OneLegacy (Southern California).  SB 112  
            built on a provision of current law at that time requiring DMV  
            to provide donor registration forms to applicants for driver's  
            licenses or identification cards.  

            Donate Life California found the system established by SB 112  
            to be ineffective and sponsored SB 689 (Speier), Chapter 665,  
            Statutes of 2005, requiring DMV to collect organ and tissue  
            donor designation information on its driver's license and  
            identification card applications.  In an attempt to further  
            increase organ donor signups, SB 1395 (Alquist), Chapter 217,  
            Statutes of 2010, requires an individual to indicate whether  
            or not he or she will be an organ donor in order to apply for  
            or renew a driver's license or identification card.

           3.Does electronic signup provide the same protections as DMV  
            signup  ?  When an individual signs up to be an organ donor  
            through the DMV, he or she must affirm this desire by checking  
            yes or no on the application or renewal form (which he or she  
            must also sign).  The individual subsequently receives a  
            follow-up email confirmation that he or she has registered as  
            an organ donor.  The sponsor indicates that an individual  
            registering electronically through a Donate Life California  
            representative would also have to click "yes" before  
            completing the transaction and would receive a follow-up email  
            confirmation.  

            In addition, this bill requires any information transmitted  
            pursuant to this bill to comply with the DMV Information  
            Security Agreement (DMV ISA).  The DMV uses information  
            security standards and guidelines derived from the National  
            Institutes of Standards and Technology to reinforce DMV  
            information security requirements for electronic access or  
            connection.

           4.Data in annual report  .  Existing law requires DMV to submit an  
            annual report to Donate Life California and to the  
            Legislature, as specified.  Existing law also requires Donate  
            Life California to submit an annual report to the state Public  
            Health Officer and the Legislature that includes, among other  
            items, the general characteristics of donors as determined by  
            the information provided to Donate Life California by DMV.   
            This bill was amended in the Assembly Judiciary Committee to  
            change this requirement from general characteristics of  




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            donors, to aggregated data of donors.  The author is working  
            with DMV to clarify this requirement and plans to amend the  
            bill further in the next committee.

           5.Opposition arguments  .  The California Right to Life Committee  
            (CRLC) expresses numerous concerns, most of which relate to  
            existing law provisions authorizing organ donor signup through  
            the driver's license application.  CRLC raises questions as to  
            whether OPO representatives educate potential donors as to  
            whether brain death is actually true death and whether OPO  
            representatives explain that organs may be removed from an  
            individual that is not actually clinically dead.  CRLC also  
            questions whether, if an individual does not indicate "no" on  
            the driver's license application, the presumption will be that  
            the person actually meant to indicate "yes."  

          6.Double-referral  .  The Rules Committee has referred this bill  
            to both this committee and the Judiciary Committee.   
            Therefore, if this bill passes this committee, it will be  
            referred to the Judiciary Committee.   

          Assembly Votes:

               Floor:    76-0
               Appr: 17-0
               Jud:  10-0

          POSITIONS:  (Communicated to the committee before noon on  
          Wednesday,                                             June 11,  
          2014.)

               SUPPORT:  American Academy of Pediatrics
                         California Transplant Donor Network 
                         Donate Life California (sponsor)
                         Sierra Donor Services

               OPPOSED:  California Right to Life Committee, Inc.