BILL ANALYSIS                                                                                                                                                                                                    �



                                                                            



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          |SENATE RULES COMMITTEE            |                        SB 724|
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                                       CONSENT


          Bill No:  SB 724
          Author:   Emmerson (R)
          Amended:  4/29/13
          Vote:     21


           SENATE JUDICIARY COMMITTEE  :  6-0, 5/7/13
          AYES:  Evans, Anderson, Corbett, Jackson, Leno, Monning
          NO VOTE RECORDED:  Walters


           SUBJECT  :    Liability:  charitable vision screenings

           SOURCE  :     California Lions Friends In Sight


           DIGEST  :    This bill provides qualified immunity from damages or  
          injury liability to a nonprofit charitable organization,  
          licensed optometrist, ophthalmologist, or trained volunteer  
          providing vision screenings or donated or recycled glasses, as  
          specified.

           ANALYSIS  :    

          Existing law:

          1.Provides, under the California Constitution, that a person may  
            not be deprived of life, liberty, or property without due  
            process of law or denied equal protection of the laws.  The  
            California Constitution also provides that no citizen, or  
            class of citizen, shall be granted privileges or immunities  
            which, upon the same terms, shall not be granted to all  
            citizens.
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          2.Provides protection for all Californians from another person's  
            negligence.

          3.States legislative intent to create an environment in which  
            philanthropy and voluntarism in the health care field and the  
            vast benefits arising from it for the citizens of California  
            can be encouraged.

          4.Provides immunity from liability to a director or executive  
            officer of a nonprofit public benefit corporation for damages  
            (other than those resulting from reckless or wanton misconduct  
            or gross or intentional negligence) if the act or omission was  
            done in good faith and within the scope of duty.   If the  
            damages are not covered by a liability insurance policy, the  
            volunteer director or executive officer is not liable if it  
            can be established that all reasonable efforts were made in  
            good faith to obtain available liability insurance.  Similar  
            immunities are provided to unpaid directors and officers of  
            mutual benefit and nonprofit religious corporations.

          Existing federal law, the Volunteer Protection Act of 1997,  
          provides a limitation on liability for volunteers of nonprofit  
          organizations and governmental entities.

          This bill:

          1.Provides a qualified immunity from liability for any damage or  
            injury, except for injury resulting from gross negligence or a  
            willful act, on the part of a nonprofit charitable  
            organization that provides vision screenings and, if  
            applicable, provides donated or recycled glasses, or a  
            participating licensed optometrist, ophthalmologist, or  
            trained volunteer who works with such a nonprofit charitable  
            organization in the performance of vision screenings, if all  
            of the following conditions are met:

                 The vision screening is provided to address ocular  
               health concerns and, if applicable, to provide a temporary  
               solution in the form of donated or recycled eyeglasses  
               until the patient can get a full examination and  
               eyeglasses.

                 The vision screening is not intended to replace a full  

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               ocular health examination provided by a licensed  
               optometrist or ophthalmologist.

                 The patient signs a waiver acknowledging that the  
               services provided are a temporary solution until the  
               patient can get a full examination by a licensed  
               optometrist or ophthalmologist.

                 Each vision screening is supervised by an attending  
               licensed optometrist or ophthalmologist.

                 The eyeglass prescription determinations and ocular  
               health recommendations are provided by an attending  
               licensed optometrist or ophthalmologist.

                 A written prescription is not provided to the patient.

                 The eyeglasses provided to the patients are a close or  
               approximate match, within tolerances allowed by the  
               attending licensed optometrist or ophthalmologist, to the  
               prescription determined during the vision screening.

                 The vision screening and eyeglasses are provided without  
               a charge.

                 The optometrist, ophthalmologist, or volunteer is  
               authorized by the nonprofit organization to provide the  
               vision screening and eyeglasses on behalf of the nonprofit  
               organization and is acting within the scope of his/her  
               authorized responsibilities and the guidelines of the  
               nonprofit charitable organization when providing the vision  
               screening or eyeglasses.

                 The nonprofit charitable organization provides  
               procedural, risk management, and quality control training,  
               as applicable, to the participating optometrist,  
               ophthalmologist, or volunteer who provides the vision  
               screening or eyeglasses.

          1.Does not provide immunity if an action is brought by an  
            officer of a state or local government pursuant to state or  
            local law or if the conduct of the nonprofit charitable  
            organization, optometrist, ophthalmologist, or volunteer  
            includes any of the following types of misconduct:  (1) a  

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            crime of violence; (2) a hate crime; (3) an act involving a  
            sexual offense; (4) an act involving misconduct in violation  
            of federal or state civil rights laws; or (5) an act performed  
            while the defendant was under the influence of drugs or  
            alcohol.
           
           2.Defines "nonprofit charitable organization" to mean an  
            organization exempt from federal income tax as an organization  
            described in Internal Revenue Code Section 501(c)(3).
           
           3.Defines "vision screening" to mean a test or examination of an  
            individual using a portion of the usual examination procedures  
            in a comprehensive eye examination and refraction, that are  
            selected or directed by an attending licensed optometrist or  
            ophthalmologist, and are within the guidelines of the  
            nonprofit charitable organization.

           Background
           
          Due to the economic decline over the last several years, it has  
          become increasingly important for individuals of low income or  
          without health insurance to have access to medical care  
          services.  Although many individuals may have access to  
          emergency care services provided through hospitals, there are  
          few options for these individuals to receive proper eye care  
          services.

          Non-charitable organizations have begun providing volunteer  
          vision screenings and eyeglass donations to provide individuals,  
          with no other means to obtain such services, with the gift of  
          sight.  These non-charitable organizations rely on volunteer  
          optometrists, ophthalmologists, and others, to provide vision  
          screenings and eyeglass fittings.

          Of concern to these nonprofit organizations and volunteers is  
          liability for negligent treatment of the individuals to whom  
          vision screening and eyeglass fitting services are provided.   
          Because of the potential for being held liable for damages to an  
          individual treated by the volunteer, these volunteers are wary  
          of providing these volunteer services to their communities.   
          Although four other states, Alaska, Arizona, Oregon, and  
          Washington currently provide vision screening and eyeglass  
          fitting volunteers with limited liability from damages,  
          California has no such protection.

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           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  No   Local:  
           No

           SUPPORT  :   (Verified  5/8/13)

          California Lions Friends In Sight (source) 
          California Association of Nonprofits
          Civil Justice Association of California 

           ARGUMENTS IN SUPPORT  :    According to the author's office,  
          "Current law does not address the criteria for vision screenings  
          or the distribution of used or recycled eyeglasses.  The Federal  
          Volunteer Protection Act provides immunity from liability for  
          individuals providing volunteer services for government or  
          nonprofit entities as long as the volunteer does not commit an  
          act or omission that constitutes gross negligence.  In general,  
          the Volunteer Protection Act provides that, if a volunteer meets  
          certain criteria, he or she has a complete defense to an action  
          and has no liability. 

          "This bill would specify the criteria for immunity to nonprofit  
          entities for vision screenings and associated distribution of  
          used or recycled eyeglasses."

          In support, the Civil Justice Association of California (CJAC)  
          argues that this bill is consistent with federal law, which  
          recognizes that communities suffer from the withdrawal of  
          nonprofits and their volunteers due to liability concerns and  
          that it is in the interest of the country to have liability  
          reform for volunteers.  Further, CJAC notes that the "bill is  
          narrowly drafted and limits this protection to only those cases  
          where the screening and provision of eyeglasses (if needed) are  
          a temporary solution, the screening is supervised by a licensed  
          optometrist or ophthalmologist, the patient is aware he or she  
          needs a full examination and the services are provided free of  
          charge.  [This bill] furthers the important policy of  
          encouraging the provision of charitable, much-needed social  
          services without fearing costly lawsuits."


          (AL:nl):ej  5/9/13   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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