BILL ANALYSIS                                                                                                                                                                                                    Ó






                                  SENATE HUMAN
                               SERVICES COMMITTEE
                            Senator Carol Liu, Chair


          BILL NO:       SB 1127                                      
          S
          AUTHOR:        Torres and Pavley                            
          B
          VERSION:       April 7, 2014
          HEARING DATE:  April 22, 2014                               
          1
          FISCAL:        Yes                                          
          1
                                                                      
          2
          CONSULTANT:    Mareva Brown                                 
          7
                                        

                                     SUBJECT
                                         
               Emergency services: individuals with developmental  
                     disabilities and cognitive impairments

                                     SUMMARY  

          This bill would add individuals who are developmentally  
          disabled or cognitively impaired to the list of people who  
          may be the subject of a Silver Alert.

                                     ABSTRACT  

           Existing law  :

             1)   Establishes Emergency Alert System, which has been  
               nicknamed the "Amber Alert" system, which may be  
               activated if a law enforcement agency receives a  
               report that an abduction has occurred or that a child  
               has been taken by anyone, including a custodial parent  
               or guardian, and the victim is in imminent danger of  
               serious bodily injury or death, and there is  
               information available that, if disseminated to the  
               general public, could assist in the safe recovery of  
               the victim, as specified. (GOV 8594)

                                                         Continued---




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             2)   Establishes a "blue alert" system, designed to  
               issue and coordinate alerts if a law enforcement  
               officer has been killed or seriously injured by a  
               suspect who has fled the scene and poses an imminent  
               threat to public safety, as specified. (GOV 8594.5)

             3)   Establishes a "Silver Alert" notification system,  
               operated by the California Highway Patrol to issue and  
               coordinate alerts when a person aged 65 or older is  
               missing, as specified. (GOV 8594.10)

             4)    Encourages radio, television, and cable and  
               satellite systems to cooperate with disseminating the  
               information contained in a Silver Alert. (GOV 8594.10  
               (b)(2))
             5)   Requires the California Highway Patrol to assist  
               the investigating law enforcement agency by issuing a  
               be-on-the-lookout (BOLO) alert, an Emergency Digital  
               Information Service message, or an electronic flyer.  
               (GOV 8594.10 (b)(3))

             6)   Defines a developmental disability as a disability  
               that originates before an individual attains 18 years  
               of age; continues, or can be expected to continue,  
               indefinitely; and constitutes a substantial disability  
               for that individual. This term includes disabling  
               conditions found to be closely related to intellectual  
               disability or to require treatment similar to that  
               required for individuals with an intellectual  
               disability, but shall not include other handicapping  
               conditions that are solely physical in nature. (WIC  
               4512)

             7)   Defines a cognitive impairment as the loss or  
               deterioration of intellectual capacity characterized  
               by impairments in short- or long-term memory,  
               language, concentration and attention, orientation to  
               people, place, or time, visual-spatial abilities or  
               executive functions, or both, including, but not  
               limited to, judgment, reasoning, or the ability to  
               inhibit behaviors that interfere with social,  
               occupational, or everyday functioning due to  
               conditions, including, but not limited to, mild  
               cognitive impairment, Alzheimer's disease or other  





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               form of dementia, or brain injury.  (WIC 14522.4 (a)  
               (11))


           This bill  :

             1)   Adds to the list of individuals who may be the  
               subject of a Silver Alert anyone who is  
               developmentally disabled, or cognitively impaired, as  
               defined in existing statute.

                                  FISCAL IMPACT  

          This bill has not been analyzed by a fiscal committee.

                            BACKGROUND AND DISCUSSION  

           Purpose of the bill  :

          The author states that adding individuals with  
          developmental disabilities and cognitive impairments to  
          those eligible for the state's Silver Alert system fills a  
          critical gap in existing alert systems. According to the  
          author, many children and adults with autism and other  
          developmental disabilities wander from home as a factor of  
          their disability. Many  other adults are diagnosed with  
          cognitive impairments such as Alzheimer's Disease. If those  
          individuals wander from home and are lost they cannot be  
          the subject of existing alerts if they do not fall within  
          the parameters of those systems - a child must be abducted  
          and an adult must be older than 65 and have disappeared  
          under suspicious or unexplained circumstances. 

          The author cites specific cases of individuals who have  
          wandered and been found dead and argues that the death toll  
          for wandering children with developmental disabilities or  
          individuals with cognitive impairments is reducible. She  
          states that it makes sense to use the existing alert  
          systems to help coordinate communication when it is needed  
          to search for these individuals.

           Emergency alert system:
           
          Amber Alert






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          The nation's first Amber alert was established in 1996, and  
          named after the after 9-year-old Amber Hagerman who was  
          kidnapped and brutally murdered while riding her bicycle in  
          Arlington, Texas, that same year. It was intended to help  
          inform local residents to search for a child who was  
          abducted nearby. Amber is an acronym for America's Missing:  
          Broadcast Emergency Response.<1> 

          The alerts were initially issued over broadcasting channels  
          designed to alert residents of dangerous weather events,  
          but since then they have grown to include highway billboard  
          signs, text messages and other notification methods.  
          Although the federal government does not have direct  
          control over the system, several federal agencies have  
          urged states to implement it. The US Department of Justice  
          created an Amber Alert page, and issued guidance to states  
          to establish criteria before issuing an alert, including  
          that the victim be at risk of serious bodily injury or  
          death, a sufficient description to be informative and that  
          law enforcement must confirm there was an abduction, among  
          others.<2>

          California began the Amber Alert as a regional program in  
          1999 and it was adopted statewide in 2002 (AB 415, Runner).  
          As of February 2014, there have been 219 activations in  
          California, 255 recovered victims and 131 suspects  
          arrested. Of the abductions, twice as many were parental  
          abductions as stranger abductions. The California Highway  
          Patrol is responsible for statewide coordination of the  
          Amber Alert system.

          Blue Alert

          California expanded the alert system in 2010 to allow the  
          CHP to initiate a quick response to coordinate alerts  
          following an attack on a law enforcement officer if the  
          officer was killed, suffered serious bodily injury or was  
          assaulted with a deadly weapon and the suspect remains at  
          large. 

          Silver Alert

          In 2012, California established the Silver Alert program to  
          -------------------------
          <1> http://ojp.gov/newsroom/pdfs/amberchronology.pdf
          <2> http://www.amberalert.gov/guidelines.htm




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          coordinate communication after the unexplained or  
          suspicious disappearance of an elderly person. The system  
          is intended to provide immediate attention to the public  
          about the missing person, including photographs,  
          descriptions and information about the last time and  
          location they were seen. The program is coordinated by the  
          California Highway Patrol, which will issue an alert only  
          if the missing person is 65 years or older, the  
          investigating agency has used all of its resources and  
          determines that the missing person disappeared under  
          suspicious or unexplained circumstances and the local law  
          enforcement agency believes the person is in danger. The  
          CHP also must determine that if the information was  
          disseminated to the public, it could assist in the safe  
          recovery of the missing person. According to the author,  
          there have been 182 Silver Alert activations since the  
          system was created, resulting in 166 successful recoveries  
          of one or more adults.

           Developmental disability:

           A developmental disability refers to a severe and chronic  
          disability that is attributable to a mental or physical  
          impairment beginning before the age of 18. These  
          disabilities include intellectual disability, cerebral  
          palsy, epilepsy, autism and related disorders, and  
          disabling conditions closely related to intellectual  
          disability or requiring similar treatment. Intellectual  
          Disability is characterized by significantly subaverage  
          general intellectual functioning (i.e., an IQ of  
          approximately 70 or below) with concurrent deficits or  
          impairments in adaptive functioning. In California,  
          approximately 265,000 individuals with developmental  
          disabilities live in their communities.


          Cognitive impairment is defined as the loss or  
          deterioration of intellectual capacity characterized by  
          impairments in short- or long-term memory, language,  
          concentration and attention, orientation to people, place,  
          or time, visual-spatial abilities or executive functions,  
          or both, including judgment, reasoning, or the ability to  
          inhibit behaviors that interfere with social, occupational,  
          or everyday functioning due to conditions, including, but  
          not limited to, mild cognitive impairment, Alzheimer's  





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          disease or other form of dementia, or brain injury.

           Elopment risk:

           A study published in October 2012 in the journal Pediatrics  
          found that roughly half, or 49 percent, of children with  
          Autism Spectrum Disorder (ASD) attempt to elope from a safe  
          environment. Researchers surveyed 1,367 families with  
          children between the ages of 4 and 17 who had been  
          diagnosed with ASD. Nearly half of the families reported  
          that their child had attempted to elope at least once after  
          age 4. Of those, 316 children were missing long enough to  
          cause concern. Researchers noted that greater autism  
          severity was associated with increased elopement risk and  
          that children eloped most commonly from their home, a  
          store, classroom or school.


          According to a 2009 report issued by the Congressional  
          Research Service, "Alert Systems for Missing Adults in  
          Eleven States: Background and Issues for Congress," there  
          is growing concern about the dangers associated with adults  
          with cognitive disorders who wander. 

                    Policymakers and advocates for the  
                    missing have identified persons with  
                    Alzheimer's disease and other forms of  
                    dementia as being particularly vulnerable  
                    to missing episodes. Increases in  
                    longevity among the older population and  
                    the aging of the baby boom generation  
                    have contributed to interest in  
                    establishing these systems. Wandering  
                    from home can be a frequent behavior that  
                    may pose a significant, sometimes  
                    life-threatening, danger to the wellbeing  
                    of those with Alzheimer's disease and  
                    other forms of dementia. According to the  
                    Alzheimer's Association, if not found  
                    within 24 hours, nearly 50% of those who  
                    wander risk serious illness or death.  
                    Illness or death may occur from exposure  
                    to the elements, lack of food or  
                    hydration for an extended period, and  
                    general inability of the individual to  





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                    think, act, or communicate to gain  
                    assistance.<3>

           Related legislation: 
           
          SB 1047 (Alquist), Chapter 651, Statutes of 2012,  
          established California's Silver Alert System.

          SB 839 (Runner), Chapter 311, Statutes of 2010, established  
          California's blue alert system. 


          AB 415 (Runner), Chapter 517, Statutes of 2002, established  
          California's Amber Alert system.



                                    POSITIONS  

          Support:       The Help Group (co-sponsor)
                         Association of Regional Center Agencies



          Oppose:   None received.






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          <3> http://research.policyarchive.org/18546.pdf