BILL ANALYSIS Ó AB 1356 Page A Date of Hearing: May 5, 2015 Counsel: David Billingsley ASSEMBLY COMMITTEE ON PUBLIC SAFETY Bill Quirk, Chair AB 1356 (Lackey) - As Amended April 29, 2015 SUMMARY: Allows the use of an oral fluids screening test to determine the presence or concentration of drugs, to assist the officer in making a determination that a person was driving under the influence of drugs. Specifically, this bill: 1)Provides that a preliminary oral fluids screening test that indicates the presence or concentration of a drug or controlled substances based on a sample is a field sobriety test and may be used in order to establish reasonable cause to believe the person was driving a vehicle in violation of specified driving under the influence offenses. 2)States that if an officer decides to use an oral fluids screening test, the officer shall advise the person that he or she is requesting that person to take an oral fluids screening test to assist the officer in determining if that person is under the influence of alcohol or drugs, or a combination of alcohol and drugs. 3)States that a person's obligation to submit to a blood, AB 1356 Page B breath, or urine, as required after arrest, for the purpose of determining the alcohol or drug content of that person's blood, is not satisfied by the person submitting to an oral fluids screening test. The officer shall advise the person of that fact. 4)Requires the officer to advise the person of their right to refuse to take the oral fluids screening test. 5)Specifies that a local law enforcement agency is authorized, but not required to provide oral fluids testing for purposes of this section. 6)States that a state law enforcement agency is not authorized to provide or make an oral fluids test available. EXISTING LAW: 1)States that a preliminary alcohol screening test that indicates the presence or concentration of alcohol based on a breath sample in order to establish reasonable cause to believe the person was driving a vehicle under the influence of alcohol is a field sobriety test and may be used by an officer as a further investigative tool. (Veh. Code, § 23612, subd. (h).) 2)Specifies that if the officer decides to use a preliminary alcohol screening test, the officer shall advise the person that he or she is requesting that person to take a preliminary alcohol screening test to assist the officer in determining if that person is under the influence of alcohol or drugs, or a combination of alcohol and drugs. The person's obligation to submit to a blood, breath, or urine test, as required if arrested for driving a vehicle under the influence of alcohol or drugs, for the purpose of determining the alcohol or drug content of that person's blood, is not satisfied by the person submitting to a preliminary alcohol screening test. The officer shall advise the person of that fact and of the person's right to refuse to take the preliminary alcohol AB 1356 Page C screening test. (Veh. Code, § 23612, subd. (i).) 3)States that a person who drives a motor vehicle is deemed to have given his or her consent to chemical testing of his or her blood or breath for the purpose of determining the alcoholic content of his or her blood, if lawfully arrested for an offense allegedly committed in violation driving under the influence of drugs or alcohol. If a blood or breath test, or both, are unavailable, then the person shall give urine. (Veh. Code, § 23612, subd. (a)(1)(A).) 4)Provides that a person who drives a motor vehicle is deemed to have given his or her consent to chemical testing of his or her blood for the purpose of determining the drug content of his or her blood, if lawfully arrested driving under the influence of drugs or drugs and alcohol. If a blood test is unavailable, the person shall be deemed to have given his or her consent to chemical testing of his or her urine and shall submit to a urine test. (Veh. Code, § 23612, subd. (a)(1)(B).) 5)States that the testing shall be incidental to a lawful arrest and administered at the direction of a peace officer having reasonable cause to believe the person was driving a motor vehicle in violation of specified driving under the influence offenses. (Veh. Code, § 23612, subd. (a)(1)(C).) 6)Specifies that the person shall be told that his or her failure to submit to, or the failure to complete, the required chemical testing will result in a fine, mandatory imprisonment if the person is convicted of a violation driving under the influence or driving under the influence causing injury, and (i) the suspension of the person's privilege to operate a motor vehicle for a period of one year, (ii) the revocation of the person's privilege to operate a motor vehicle for a period of two years if the refusal occurs within 10 years of a separate violation of specified offenses, or if the person's privilege to operate a motor vehicle has been suspended or revoked pursuant to the Department of Motor Vehicles (DMV) administrative action for driving under the influence of AB 1356 Page D alcohol for an offense that occurred on a separate occasion, or (iii) the revocation of the person's privilege to operate a motor vehicle for a period of three years if the refusal occurs within 10 years of a two or more separate violations of specified offenses, or if the person's privilege to operate a motor vehicle has been suspended or revoked pursuant DMV administrative action for driving under the influence of alcohol for an offense that occurred on a separate occasion, or if there is any combination of those convictions, administrative suspensions, or revocations. (Veh. Code, § 23612, subd. (a)(1)(D).) 7)States that if the person is lawfully arrested for driving under the influence of an alcoholic beverage, the person has the choice of whether the test shall be of his or her blood or breath and the officer shall advise the person that he or she has that choice. If the person arrested either is incapable, or states that he or she is incapable, of completing the chosen test, the person shall submit to the remaining test. If a blood or breath test, or both, are unavailable, then the individual shall provide urine. (Veh. Code, § 23612, subd. (a)(2)(A).) 8)Provides that if the person is lawfully arrested for driving under the influence of any drug or the combined influence of an alcoholic beverage and any drug, the person has the choice of whether the test shall be of his or her blood or breath, and the officer shall advise the person that he or she has that choice. (Veh. Code, § 23612, subd. (a)(2)(B).) 9)States that a person who chooses to submit to a breath test may also be requested to submit to a blood test if the officer has reasonable cause to believe that the person was driving under the influence of a drug or the combined influence of an alcoholic beverage and a drug and if the officer has a clear indication that a blood test will reveal evidence of the person being under the influence. The officer shall state in his or her report the facts upon which that belief and that clear indication are based. The officer shall advise the AB 1356 Page E person that he or she is required to submit to an additional test. The person shall submit to and complete a blood test. If the person arrested is incapable of completing the blood test, the person shall submit to and complete a urine test. (Veh. Code, § 23612, subd. (a)(2)(c).) 10)Requires that the officer advise the person that he or she does not have the right to have an attorney present before stating whether he or she will submit to a test or tests, before deciding which test or tests to take, or during administration of the test or tests chosen, and that, in the event of refusal to submit to a test or tests, the refusal may be used against him or her in a court of law. (Veh. Code, § 23612, subd. (4).) 11)Specifies that a person lawfully arrested for an offense allegedly committed while the person was driving a motor vehicle under the influence, may request the arresting officer to have a chemical test made of the arrested person's blood or breath for the purpose of determining the alcoholic content of that person's blood, and, if so requested, the arresting officer shall have the test performed. (Veh. Code, § 23612, subd. (d)(1).) 12)States that if a blood or breath test is not available, the person shall submit to the remaining test in order to determine the percent, by weight, of alcohol in the person's blood. If both the blood and breath tests are unavailable, the person shall be deemed to have given his or her consent to chemical testing of his or her urine and shall submit to a urine test. (Veh. Code, § 23612, subd. (d)(2).) 13)Provides that if the person, who has been arrested for specified violations of driving a motor vehicle under the influence of alcohol or drugs, refuses or fails to complete a chemical test or tests, or requests that a blood or urine test be taken, the peace officer, acting on behalf of the department, shall serve the notice of the order of suspension or revocation of the person's privilege to operate a motor AB 1356 Page F vehicle personally on the arrested person. (Veh. Code, § 23612, subd. (e).) FISCAL EFFECT: Unknown COMMENTS: 1)Author's Statement: According to the author, "AB 1356 simply authorizes California law enforcement agencies to use oral fluid testing to detect drug impaired drivers. The bill does not impose "a per se" definition-such as the current .08 BAC limit for alcohol. Instead, AB 1356 allows the option for using oral fluid tests as evidence to prove a driver was impaired at the time they were driving. Keeping our state's road safe from impaired drivers will require innovative technology which AB 1356 would authorize. "Driving under the influence of drugs is a growing problem nationally and in California. A 2014 National Highway Traffic Safety Administration report found that between 2007 and 2014, the percentage of drivers with drugs in their system on weekend nights grew from 16% to 20%--including a 50% increase in drivers with cannabis in their system. The same study found that the prevalence of alcohol declined by 30% over the same period, showing the success of increased enforcement efforts. "In California, current drug impairment testing utilizes blood and urine tests. However, logistical delays mean these tests are not administered at the time of the traffic stop which makes providing evidence of a driver's impairment difficult for drugs. For example, 90% of cannabis's THC is cleared from blood within the first hour of smoking. By the time law enforcement are able to take a blood test, the results show very little active THC. "Oral fluid technology presents a solution to this problem by allowing an opportunity to provide roadside testing to detect the presence of drugs at the time of the traffic stop before the drug has had time to metabolize. Oral fluid testing is now AB 1356 Page G used internationally in Australia and Belgium among other countries, and has been used to administer roadside tests in a pilot program by the City of Los Angeles since 2012. The Los Angeles City Attorney's office has cited that impaired driving cases filed using oral fluid technology as evidence are pleading out earlier than cases solely using blood tests. The speed of test results from oral fluids allowed them to be available at the time of filing the case, while blood results were still pending at the crime lab. "Join me in supporting AB 1356 which presents a unique opportunity to greatly improve roadway safety by allowing law enforcement to have better tools available to identify drug-impaired drivers." 2)Alere Mobile Oral Fluid Drug Testing System: The Alere DDS2 is a mobile instrument which analyzes oral fluid for the presence of drugs. The Alere DDS2 and the Draeger Drug Test 5000 have been used in pilot programs in California. The Alere unit is stored in a case the size of a small briefcase. The testing unit can be easily held in the hand. In order to conduct the oral fluid test, the officer provides the individual with a handheld swab. The officer observes as the individual inserts the swab into their mouth. The swab turns blue when it has absorbed a sufficient amount of oral fluid for testing. The instrument is turned on and at the conclusion of the self-check the officer is instructed to insert the test cartridge. The instrument then reads the barcode on the cartridge then prompts the officer to insert the collection swab. At that point, the officer inserts the swab into the testing machine. The machine analyzes the oral fluid and tests for the following categories of drugs: THC, opiates, methamphetamine, benzodiazepines, cocaine, and amphetamine. The results of the test will be either positive or negative. The instrument does not quantify the level of drug(s) in an individual's system. The instrument indicates the presence of the active component of the drug (if present). The threshold amount of a drug required to trigger a positive AB 1356 Page H result is incorporated into the test cartridge technology. The machine can provide a paper printout reflecting the results of the test. The printout reflects date, time, test number, test Cartridge unique ID, Lot # of test cartridges, Instrument Serial number and results of the instrument self-check along with a brief questionnaire of gender-age-type of vehicle-reason for test also individual's name can be written in and signed, and test results. The instrument also retains digital information for the completed tests which can be accessed at a later date. Alere recommends that the instrument be tested at least once per day or once during the officer's shift by using the positive and negative control included with the instrument. Testing the instrument with known controls will verify that the instrument is interpreting the test results correctly. 3)Preliminary Alcohol Screening (PAS) Test: A Preliminary Alcohol Screening (PAS) Device is a handheld instrument used to test a breath sample for alcohol in the field. Existing law allows an officer to ask an individual to take a PAS test as part of the investigatory process. The test is meant to be used as a test to assist the officer in making a determination if probable cause exists to arrest a person was driving under the influence of alcohol, or alcohol and drugs. (Veh. Code, § 23612, subd. (h).) Before seeking consent to administer a PAS test, the officer must inform the individual that they have the right to refuse the PAS test and that if they submit to a PAS test and are subsequently arrested for DUI, they must still provide a separate sample for testing (breath, blood, urine). (Veh. Code, § 23612, subd. (i).) 4)Driving Under the Influence (DUI) Investigations: A DUI investigation is triggered when an officer has reasonable suspicion that an individual is driving under the influence of alcohol, drugs, or the combined influence of alcohol and drugs. A person is under the influence if, as a result of drinking an alcoholic beverage and/or taking a drug, his or her mental or physical abilities are so impaired that he or AB 1356 Page I she is no longer able to drive a vehicle with the caution of a sober person, using ordinary care, under similar circumstances. (CALCRIM no. 2110.) The DUI investigation can be triggered by an individual's driving pattern, or based on an observation of the person's demeanor or physical dexterity when the officer makes contact with the driver. Once an officer has reasonable suspicion that a person is driving under the influence, they will conduct the DUI investigation. One component of the investigation is a series of questions which include, among other things, the individual's consumption of alcohol (amount and timing). Generally, the officer will also have the individual participate in a series of field sobriety tests. Those tests are designed to test a person's balance, physical ability, and attention. One field sobriety test that can be the administered is a PAS test, if the individual consents. If an officer suspects that an individual is under the influence of drugs, or the combined influence of alcohol and drugs, the officer can conduct an evaluation for drug impairment. Drug Recognition Experts (DRE) are trained in identifying signs of impairment based on drug use. If an officer has not been, trained as a DRE, the officer can call a DRE to the scene to assist with the investigation. At the conclusion of the investigation, the officer(s) will make a decision to arrest the individual, or release them. If the individual is arrested, they must provide a sample for analysis of alcohol (blood, breath, or urine), or drugs (blood or urine), or combined influence of alcohol and drugs (blood or urine). (Veh. Code, § 23612.) 5)The DRE Protocol: The DRE protocol is a standardized and systematic method of examining a Driving Under the Influence of Drugs (DUID) suspect to determine the following: (1) whether or not the suspect is impaired; if so, (2) whether the impairment relates to drugs or a medical condition; and if drugs, (3) what category or combination of categories of drugs are the likely cause of the impairment. The process is systematic because it is based on a complete set of observable signs and symptoms that are known to be reliable indicators of drug impairment. A DRE never reaches a conclusion based on AB 1356 Page J any one element of the evaluation, but instead on the totality of facts that emerge. The DRE evaluation is standardized because it is conducted the same way, by every drug recognition expert, for every suspect whenever possible. Standardization is important because it makes the officers to be better observers, helps to avoid errors, and promotes professionalism. http://www.decp.org/experts/12steps.htm 6)Oral Fluid Pilot Programs in Fullerton, Sacramento, Los Angeles and Kern County: There have been pilot programs used by law enforcement in Los Angeles, Fullerton, Sacramento and Bakersfield involving oral fluid testing. In those jurisdictions, oral fluid testing was only given during a DUI investigation if the subject agreed to the test. The law enforcement agencies used either the Draeger Drug Test 5000 or the Alere DDS2. The subjects that provided oral fluid samples, also provided blood samples. The results of the oral fluid tests were compared to the results from the blood test to determine the reliability of the oral fluid tests to identify the presence of drugs. There were 92 subjects in the Fullerton sample using the Alere DDS2. The oral fluid test produced one 1 false positive and 9 false negatives. There were 34 subjects in the Sacramento tested using the Alere DDS2. The oral fluid test produced 7 false positives, 1 false negative. In Los Angeles and Kern counties a total of 235 individuals provided oral fluid samples amazed with the Draeger Drug Test 5000. There were 10 false positives and 8 false negatives. Some false negatives in the oral fluid samples might be explained by the fact that the threshold to trigger a positive result in the oral fluid can be higher than what is tested for, and detected, in the blood analysis. AB 1356 Page K The Los Angeles Police Department has used the Draeger DT 5000 at sobriety checkpoints to collect oral fluid when subjects consented to the test. The officer gets an immediate printout of the results. The officer takes a second sample for overnight shipping to National Medical Services Labs to conduct confirmation test to later be introduced into court. (For the Road, October 2013, Volume 7, Issue 4, Collecting Oral Fluid Evidence in Drugged Driving Cases, by Phil Rennick, California TSRP and Janette Flintoft, Deputy LA City Attorney. 7)Argument in Support: According to We Save Lives, "While drunk driving continues to be addressed by legislators, 20% of vehicular crashes are caused by drugged driving. In the United States, this translates into an estimated 8,600 deaths, 580,000 injuries, and $33 billion in property damage each year (Institute for Behavior and Health). "What you may not know but should is that: "Drugged drivers frequently escape prosecution which means - "No conviction which means - "No punishment or accountability which means - "No rehabilitation which means - "No justice for the victim/survivor and - "No protection for society "However, there are methods of combatting this crime and one major way is through roadside oral fluid testing. These devices halt drugged drivers in their tracks by providing law enforcement the tools they need to test a suspicious driver quickly, easily and effectively, thereby providing more protection for the innocent driver on the roadway. We Save Lives does not endorse any particular product. "Approximately 13 states allow for oral fluid testing. If we limit the specimens (blood, urine, oral fluids) that can be collected we could be missing the opportunities to utilize new and cost-efficient resources available to law enforcement. AB 1356 Page L Oral fluids are becoming a popular option for law enforcement because the test is less intrusive, and possibly more cost-effective than other standard forensic testing procedures. It eliminates cheating, is non-invasive and it can be conducted at roadside. Oral Fluid testing is currently being utilized in a number of countries, including Great Britain, Australia, Germany, Switzerland, France and Belgium plus these devices are now being used in several states including California, Nevada, Arizona, Vermont and Tennessee. Canada just approved Oral Fluid legislation. "The City of Los Angeles received permission to use oral fluid testing and began a pilot project utilizing them in driving under the influence (DUID) cases. According to an article entitled Collecting Oral Fluid Evidence in Drugged Driving Cases by Phil Rennick, California TSRP and Janette Flintoff, Deputy LA City Attorney, 'The results are measurable: cases filed with oral fluid evidence are pleading out earlier with this additional evidence, which is available at the time of filing, contrasted with cases awaiting blood test results from the lab.' Oral fluid provides officers the opportunity to collect critical evidence close to the time/at the initial contact when the objective signs of impairment are present. "The National Highway Traffic Safety Administration (NHTSA) has been using these devices since 2007 in National Roadside Surveys and is now providing grant funding for states who wish to purchase them." 8)Argument in Opposition: According to The Drug Policy Alliance, "Oral Fluid Tests are Unreliable and May lead to False-Positives "Drug testing, like many other forensic disciplines, is highly technical and imperfect. There are a host of problems with drug testing techniques and analyses, including the substantial risk of false positive test results, false negative test results, specimen contamination, and chain of custody, storage and re-testing issues. As the toxicological AB 1356 Page M literature makes clear, 'a number of routinely prescribed medications have been associated with triggering false-positive results.' "Research demonstrates that oral fluid tests may return false positives for THC. For instance, research has found that false positive THC test results have been associated with the passive ingestion (i.e. second-hand) of marijuana smoke.<1> Similarly, other studies have demonstrated that heavy marijuana uses who abstain from marijuana use for at least a week have returned positive oral fluid THC tests.<2> Finally, the use of pharmaceutical drugs, like Marinol and Sativex, typically returns positive oral fluid THC test results. "Marijuana Intoxication and Crash Risk "Even if the oral fluid tests were more reliable, it is still unclear how they would measure crash risk. As Jeff Michael, Standards Associate Administrator of research and Program Development for the National Highway Traffic Safety Administration (NHTSA), stated in testimony before the House of Representatives Committee on Oversight and Government Reform. Michael stated in relevant part: 'The available evidence does not support the development of an impairment threshold for THC which would be analogous to that for alcohol . . . With alcohol, we have considerable body of evidence that can place risk odds at increasing levels of blood alcohol content. For example, 0.08 [percent] blood alcohol content is associated with about four times the crash risk of a sober person . . . Beyond some broad confirmation that higher levels of THC are generally associated with higher levels of impairment, a more precise association of various THC levels and degrees of impairment [is] not yet available.' --------------------------- <1> See, e.g., S. Niedbala et al., Passive cannabis smoke exposure and oral fluid testing, 28 J Anal Toxicol 546 (2004). <2> HT Andas et al., Detection time for THC in oral fluid after frequent cannabis smoking, 36 Ther. Drug Monit. 808 (2014). AB 1356 Page N "Moreover scientific evidence demonstrates that despite higher levels of THC being generally associated with increased driving impairment, a more precise association between specific levels of THC intoxication and crash risk cannot be supported. For instance, some studies demonstrate that THC's adverse effects on driving impairment appear relatively small or uncertain. While others show inconsistent results about the effect of marijuana on driving impairment." 9)Prior Legislation: a) SB 289, Correa, Legislative Session of 2013-2014, would have made it unlawful for a person to drive a motor vehicle if his or her blood contains any amount of specified drugs, unless the drug was consumed in accordance with a valid prescription. The bill died in the Senate Public Safety. b) AB 1215, Benoit, Legislative Session of 2007-2008, would have prohibited a person who has a measurable amount of specified drugs in his or her blood or urine from driving a vehicle or being in actual physical control of a vehicle on a highway. The bill died in the Assembly Public Safety. REGISTERED SUPPORT / OPPOSITION: Support California Association of Code Enforcement Officers California Association of Highway Patrolmen California College and University Police Chiefs Association California Narcotic Officers Association California Peace Officers' Association California Police Chiefs Association Diageo DUID Victim Voices Foundation for Advancing Alcohol Responsibility International Faith Based Coalition Los Angeles Deputy Sheriffs Los Angeles Police Protective League AB 1356 Page O Riverside Sheriffs Association We Save Lives Opposition California Attorneys for Criminal Justice California Public Defenders Association Drug Policy Alliance Analysis Prepared by: David Billingsley / PUB. S. / (916) 319-3744