BILL ANALYSIS                                                                                                                                                                                                    Ó







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

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          AB 2406 (Rodriguez)                                        6
          As Amended June 16, 2014
          Hearing date:  June 24, 2014
          Penal Code
          JRD:sl

                                   BATTERY: GASSING
                                           
                                       HISTORY

          Source:  American Federation of State, County, and Municipal  
          Employees

          Prior Legislation: AB 2635 (Portantino) - Chapter   688,  
          Statutes of 2010 
                       AB 169 (Portantino) - Chapter 417, Statutes of 2009
                       AB 2737 (Feuer) - Chapter 554, Statutes of 2008

          Support: None Known

          Opposition:Unknown

          Assembly Floor Vote:  Not Relevant


                                         KEY ISSUE
           
          SHOULD "BATTERY BY GASSING" BE ADDED TO THE PENAL CODE? 

          SHOULD LAW ENFORCEMENT AGENCIES HAVE THE ABILITY TO ORDER A PERSON  
          TO SUBMIT TO MEDICAL TESTING, AS SPECIFIED?  

                   
                                       PURPOSE



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          The purpose of this legislation is to: (1) create a new crime of  
          "battery by gassing," as specified; and, (2) give law  
          enforcement agencies the ability to order a person, who has  
          gassed or is suspected to have gassed a person in violation of  
          the new crime, to "receive an examination or test for hepatitis,  
          tuberculosis, or any other disease capable of being transmitted  
          from contact with the human fluid or substance involved."  

           Battery

          Existing law  defines a battery as any willful and unlawful use  
          of force or violence upon the person of another.  (Penal Code §  
          242.) 

           Existing law  states that when a battery is committed against the  
          person of a peace officer, custodial officer, firefighter,  
          emergency medical technician, lifeguard, security officer,  
          custody assistant, process server, traffic officer, code  
          enforcement officer, animal control officer, or search and  
          rescue member engaged in the performance of his or her duties,  
          whether on or off duty, including when the peace officer is in a  
          police uniform and is concurrently performing the duties  
          required of him or her as a peace officer while also employed in  
          a private capacity as a part-time or casual private security  
          guard or patrolman, or a non-sworn employee of a probation  
          department engaged in the performance of his or her duties,  
          whether on or off duty, or a physician or nurse engaged in  
          rendering emergency medical care outside a hospital, clinic, or  
          other health care facility, and the person committing the  
          offense knows or reasonably should know that the victim is a  
          peace officer, custodial officer, firefighter, emergency medical  
          technician, lifeguard, security officer, custody assistant,  
          process server, traffic officer, code enforcement officer,  
          animal control officer, or search and rescue member engaged in  
          the performance of his or her duties, non-sworn employee of a  
          probation department, or a physician or nurse engaged in  
          rendering emergency medical care, the battery is punishable by a  
          fine not exceeding two thousand dollars ($2,000), or by  
          imprisonment in a county jail not exceeding one year, or by both  
          that fine and imprisonment.  (Penal Code § 243(b) (emphasis  
          added).) 


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           This bill  states that every person who commits a battery by  
          gassing upon the person of a peace officer, as specified,  
          hospital or nursing home employee, physician, medical  
          professional, ambulance attendant, emergency medical technician,  
          firefighter, or custodial officers, is guilty of aggravated  
          battery, punishable by a fine not exceeding one thousand dollars  
          ($1,000), or by imprisonment in a county jail not exceeding six  
          months, or by both that fine and imprisonment. 

           This bill  defines "gassing" as intentionally placing or  
          throwing, or causing to be placed or thrown, upon the person of  
          another, any human excrement or other bodily fluids or bodily  
          substances or any mixture containing human excrement or other  
          bodily fluids or bodily substances that results in contact with  
          the person's skin, hair or membrane.  

           This bill  states that nothing in the language precludes  
          prosecution under both this section and any other provision of  
          law.  

           Bodily Fluid Exposure

          Existing law  provides the blood or other tissue or material of a  
          source patient may be tested, and an exposed individual may be  
          informed whether the patient has tested positive or negative for  
          a communicable disease if the exposed individual and the health  
          care facility, if any, have substantially complied with the then  
          applicable guidelines of the Division of Occupational Safety and  
          Health and the State Department of Health Services and if the  
          following procedure is followed:

                 Whenever a person becomes an exposed individual by  
               experiencing an exposure to the blood or other potentially  
               infectious material of a patient during the course of  
               rendering health care-related services or occupational  
               services, the exposed individual may request an evaluation  
               of the exposure by a physician to determine if it is a  
               significant exposure. 

                  A written certification by a physician of the  


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               significance of the exposure shall be obtained within 72  
               hours of the request.  The certification shall include the  
               nature and extent of the exposure.

                 The exposed individual shall be counseled regarding the  
               likelihood of transmission, the limitations of the testing  
               performed, the need for follow-up testing, and the  
               procedures that the exposed individual must follow  
               regardless of whether the source patient has tested  
               positive or negative for a communicable disease. 

                  Within 72 hours of certifying the exposure as  
               significant, the certifying physician shall provide written  
               certification to an attending physician of the source  
               patient that a significant exposure to an exposed  
               individual has occurred, and shall request information on  
               whether the source patient has tested positive or negative  
               for a communicable disease, and the availability of blood  
               or other patient samples.  An attending physician shall  
               respond to the request for information within three working  
               days.

                 If test results of the source patient are already known  
               to be positive for a communicable disease then when the  
               exposed individual is a health care provider or an employee  
               or agent of the health care provider of the source patient,  
               an attending physician and surgeon of the source patient  
               shall attempt to obtain the consent of the source patient  
               to disclose to the exposed the testing results of the  
               source patient regarding communicable diseases.  If the  
               source patient cannot be contacted or refuses to consent to  
               the disclosure, then the exposed individual may be informed  
               of the test results.

                 If the communicable disease status of the source patient  
               is unknown to the certifying physician or an attending  
               physician, if blood or other patient samples are available,  
               and if the exposed individual has tested negative on a  
               baseline test for communicable diseases, the source patient  
               shall be given the opportunity to give informed consent to  
               a test for communicable diseases in accordance with the  


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               following:

                  o         Within 72 hours after receiving a written  
                    certification of significant exposure, an attending  
                    physician of the source patient shall do all of the  
                    following:

                       §               Make a good faith effort to notify  
                         the source patient or the authorized legal  
                         representative of the source patient about the  
                         significant exposure. An inability to contact the  
                         source patient, or legal representative of the  
                         source patient, after a good faith effort to do  
                         so as provided in this subdivision, shall  
                         constitute a refusal of consent. An inability of  
                         the source patient to provide informed consent  
                         shall constitute a refusal of consent, provided  
                         all of the following conditions are met:

                                               The source patient has no  
                              authorized legal representative.

                                               The source patient is  
                              incapable of giving consent.

                                                In the opinion of the  
                              attending physician, it is likely that the  
                              source patient will be unable to grant  
                              informed consent within the 72-hour period  
                              during which the physician is required to  
                              respond.

                       §              Attempt to obtain the voluntary  
                         informed consent of the source patient or the  
                         authorized legal representative of the source  
                         patient to perform a test for a communicable  
                         disease, on the source patient or on any  
                         available blood or patient sample of the source  
                         patient.  The voluntary informed consent shall be  
                         in writing.  The source patient shall have the  
                         option not to be informed of the test result. 


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                       §              Provide the source patient with  
                         medically appropriate pretest counseling and  
                         refer the source patient to appropriate posttest  
                         counseling and follow-up, if necessary.  The  
                         source patient shall be offered medically  
                         appropriate counseling whether or not he or she  
                         consents to testing.

                  o          If the source patient or the authorized legal  
                    representative of the source patient refuses to  
                    consent to test for a communicable disease after a  
                    documented effort, any available blood or patient  
                    sample of the source patient may be tested. The source  
                    patient or authorized legal representative of the  
                    source patient shall be informed that an available  
                    blood sample or other tissue or material will be  
                    tested despite his or her refusal, and that the  
                    exposed individual shall be informed of the test  
                    results regarding communicable diseases.

                 If an exposed individual is informed of the status of a  
               source patient with regard to a communicable disease  
               pursuant to this section, the exposed individual shall be  
               informed that he or she is subject to existing  
               confidentiality protections for any identifying information  
               about the communicable disease test results, and that  
               medical information regarding the communicable disease  
               status of the source patient shall be kept confidential and  
               may not be further disclosed, except as otherwise  
               authorized by law. The exposed individual shall be informed  
               of the penalties for which he or she would be personally  
               liable for violation of Section 120980.

               (Health & Safety Code § 120262.)
           
           Existing law  provides that peace officer, firefighter, custodial  
          officer, a custody assistant, a non-sworn uniformed employee of  
          a law enforcement agency whose job entails the care or control  
          of inmates in a detention facility, a non-sworn employee of a  
          law enforcement agency whose job description entails the  


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          collection of fingerprints, or emergency medical personnel who,  
          while acting within the scope of his or her duties, is exposed  
          to an arrestee's blood or bodily fluids, shall do the following:

                 Prior to filing a petition with the court, a  
               licensed health care provider shall notify the  
               arrestee of the bloodborne pathogen exposure and  
               make a good faith effort to obtain the voluntary  
               informed consent of the arrestee or the arrestee's  
               authorized legal representative to perform a test  
               for Human Immunodeficiency Virus (HIV), hepatitis B,  
               and hepatitis C.  The voluntary informed consent  
               shall be in writing.  Once consent is given in  
               writing, the arrestee shall provide three specimens  
               of blood for testing as provided in this chapter.

                 If voluntary informed consent is not given in  
               writing, the affected individual may petition, ex  
               parte, the court for an order requiring testing as  
               provided in this chapter.  The petition shall  
               include a written certification by a health care  
               professional that an exposure, including the nature  
               and extent of the exposure, has occurred. (Health &  
               Safety Code § 121060 (a).)

           Existing law  provides that the court shall promptly conduct a  
          hearing upon a petition filed pursuant to the above provisions.  
           If the court finds that probable cause exists to believe that  
          a possible bloodborne pathogen exposure, as defined in Section  
          121060.1, took place between the arrestee and the peace  
          officer, firefighter, custodial officer, as defined, custody  
          assistant, as defined, a non-sworn uniformed employee of a law  
          enforcement agency whose job entails the care or control of  
          inmates in a detention facility, or emergency medical  
          personnel, as specified, the court shall order that the  
          arrestee provide three specimens of blood for testing as  
          specified.  (Health & Safety Code § 121060 (b).)

           Existing law  states that, except as provided below, copies of  
          the test results shall be sent to the arrestee, each peace  
          officer, firefighter, custodial officer, as defined, custody  


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          assistant, as defined, non-sworn uniformed employee of a law  
          enforcement agency whose job entails the care or control of  
          inmates in a detention facility, and emergency medical  
          personnel named in the petition and his or her employing  
          agency, officer, or entity, and if the arrestee is incarcerated  
          or detained, to the officer in charge and the chief medical  
          officer of the facility where the person is incarcerated or  
          detained.  (Health & Safety Code § 121060 (c)(1).)

           Existing law  states that the person whose sample was tested  
          shall be advised that he or she will be informed of the  
          hepatitis B, hepatitis C, and HIV test results only if he or she  
          wishes to be so informed.  If the person consents to be informed  
          of the hepatitis B, hepatitis C, and HIV test results, then he  
          or she shall sign a form documenting that consent.  The person's  
          refusal to sign that form shall be construed to be a refusal to  
          be informed of the hepatitis B, hepatitis C, and HIV test  
          results.  (Health & Safety Code § 121060 (c)(2).)

           Existing law  states that, except as otherwise provided under  
          this section, all confidentiality requirements regarding medical  
          records shall apply to the test results obtained.  (Health &  
          Safety Code § 121060 (c)(3).)

           This bill  states that if there is probable cause to believe a  
          person has committed a battery by gassing, when it is deemed  
          medically necessary to protect the health of a person who was  
          gassed,  a law enforcement agency may order the individual  
          suspected of gassing to receive an examination or test  
          examination or test for hepatitis, tuberculosis, or any other  
          disease that is capable of being transmitted from contact with  
          the human fluid or substance involved, on either a voluntary or  
          involuntary basis immediately after the event, and periodically  
          thereafter as determined to be necessary in order to ensure that  
          further disease transmission does not occur. These decisions  
          shall be consistent with an occupational exposure as defined by  
          the federal Centers for Disease Control and Prevention. The  
          results of any examination or test would be provided to the  
          person who has been subject to a reported or suspected violation  
          of this section. Any person performing tests, transmitting test  
          results, or disclosing information pursuant to this section  


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          would be immune from civil liability for any action taken in  
          accordance with this section.
                                          
                    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  
          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  


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          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.   


          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.   


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          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.




                                      COMMENTS

          1.    Legislative History

           This legislation was gutted and amended on June 16, 2014.  Prior  
          to that and as passed by the Assembly, the bill concerned the  
          misuse of emergency medical services.  This bill was re-referred  
          to this committee on June 18, 2014.  

          2.    Need for the Legislation

           The author states, in part:

               AB 2406 has been amended to make it a misdemeanor to  


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               intentionally place or throw, or cause to be placed or  
               thrown, upon peace officers, hospital or nursing home  
               employees, ambulance attendant, firefighter, emergency  
               medical technician of custodian officers, any human  
               excrement or other bodily fluids or bodily substances  
               or any mixture containing human excrement or other  
               bodily fluids or bodily substances that results in  
               contact with the person's skin, hair, or membranes.  

               In addition to the misdemeanor penalty, AB 2406 will  
               provide a means to test the person for communicable  
               diseases such as hepatitis, tuberculosis, or blood  
               borne pathogens. 
           
           3.    Effect of the Legislation:  Battery 
           
          Under existing law, throwing a bodily fluid at an officer, or a  
          number of other codified classifications, would be considered a  
          battery under penal code section 243(b) and the defendant would  
          face a fine of up to $2000, one year in county jail, or both.   
          This legislation creates a new crime that criminalizes throwing  
          bodily fluid at an officer, and a number of other  
          classifications, and makes the penalty a fine of up to $1000,  
          six months in county jail, or both.  

          Where two statutes define a defendant's conduct as a crime, the  
          more specific offense is presumed to apply, particularly where  
          the more specific offense statute is enacted after the more  
          general statute.  The Legislature is deemed to be aware of the  
          general statute, such that the Legislature intended only for the  
          more specific statute to apply if that statute describes the  
          defendant's conduct.  While the rule that a specific statute  
          prevails over a more general statute does not apply where the  
          two statutes can be reconciled or harmonized, the rule is  
          applied on a case-by-case basis.  (In re Greg F. (2012 ) 55  
          Cal.4th 393, 407-408.)   Here, someone who gases an officer  
          could argue that the new crime created in the legislation is  
          more specific-as it has the element of "gassing"-and, thus, be  
          subject to the reduced punishment prescribed by this  
          legislation.  



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          SHOULD THE PENALTY FOR GASSING A LAW ENFORCEMENT OFFICER BE  
          REDUCED?


          4.  Effect of the Legislation: Involuntary Medical Testing 

           Existing law sets forth clear procedures that a peace officer,  
          firefighter, custodial officer, a custody assistant, a nonsworn  
          uniformed employee of a law enforcement agency whose job entails  
          the care or control of inmates in a detention facility, a  
          nonsworn employee of a law enforcement agency whose job  
          description entails the collection of fingerprints, or emergency  
          medical personnel, have to follow when they are exposed to an  
          arrestee's blood or bodily fluids.  (Health and Safety Code §  
          121060.)  This procedure was added by AB 2737 (Feuer, of 2008)  
          to address situationS in which certain individuals come into  
          contact with bodily fluids-

                At the present time, a court order compelling a  
                source person to have their blood drawn and tested  
                for communicable diseases may only be sought under  
                a fairly restrictive condition.  A court order may  
                be sought when an arrestee/defendant resisted  
                arrest (the arrestee/defendant must actually be  
                charged with an assault) with the official duties  
                of a peace officer, firefighter, or emergency  
                medical personnel by biting, scratching, spitting,  
                or transferring blood or bodily fluids.  There are  
                situations in which public safety personnel may  
                suffer a Blood Borne Pathogen Exposure (BBPE) but  
                may not meet the legal requirement of  
                "interference" in order to obtain source person  
                testing.  For example, this might occur if, during  
                the course of a body search suspect, a bloody  
                needle punctures an officer's finger, and that  
                suspect is subsequently arrested for drug  
                possession.  It might only be possible to obtain  
                court order ordered blood testing of the suspect if  
                he or she had resisted arrest.  If the statute were  
                amended, testing of the source person, and hence  
                improved medical and psychological treatment of the  


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                personnel would be permitted.

                Under current law it can take up to a week for a  
                court to order the test.  AB 2737 can cut the time  
                to one day.  Days and even hours are very important  
                in situations of this magnitude.

                (Author's Statement, Senate Public Safety Analysis  
                of AB 2737 (Feuer, of 2008.)


































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          No evidence has been provided to the committee demonstrating  
          that the current process is not sufficient and why a new  
          procedure, that provides less process to the individual being  
          tested, is necessary. Specifically, this legislation would allow  
          a law enforcement agency to order an individual suspected of  
          gassing to receive an examination or test examination or test  
          for hepatitis, tuberculosis, or any other disease that is  
          capable of being transmitted from contact with the human fluid  
          or substance involved, on either a voluntary or involuntary  
          basis immediately after the event, and periodically thereafter  
          as determined to be necessary in order to ensure that further  
          disease transmission does not occur.  This legislation,  
          additionally, requires the results of any examination or test to  
          be provided to the person who has been subject to a reported or  
          suspected violation.   The proposed legislation raises a number  
          of concerns. 

          As drafted, law enforcement, without seeking a court order,  
          could compel anyone suspected of gassing a listed party to  
          submit to a blood test.  This seemingly runs afoul of a person's  
          4th amendment rights and corresponding provisions in the  
          California Constitution.  This legislation would, additionally,  
          require the results of any examination or test be provided to  
          the person who has been subject to a reported or suspected  
          violation of this section.  There are, however, no limitations  
          on the use of the information by that person.  

          DOES THIS LEGISLATION VIOLATE THE 4TH AMENDMENT? 

          DOES THIS LEGISLATION RAISE MEDICAL PRIVACY CONCERNS? 


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