BILL ANALYSIS Ó
SENATE COMMITTEE ON APPROPRIATIONS
Senator Ricardo Lara, Chair
2015 - 2016 Regular Session
AB 1386 (Low) - Emergency medical care: epinephrine
auto-injectors
-----------------------------------------------------------------
| |
| |
| |
-----------------------------------------------------------------
|--------------------------------+--------------------------------|
| | |
|Version: June 28, 2016 |Policy Vote: HEALTH 7 - 0, JUD. |
| | 7 - 0 |
| | |
|--------------------------------+--------------------------------|
| | |
|Urgency: No |Mandate: Yes |
| | |
|--------------------------------+--------------------------------|
| | |
|Hearing Date: August 1, 2016 |Consultant: Brendan McCarthy |
| | |
-----------------------------------------------------------------
This bill meets the criteria for referral to the Suspense File.
Bill
Summary: AB 1386 would allow a health care provider to issue a
prescription for an epinephrine auto-injector to an authorized
entity. The bill would authorize a pharmacy to fill such a
prescription.
Fiscal
Impact:
One-time costs of $50,000 for the development of information
technology systems to track information relating to the
issuance of certificates and collection of data on usage of
epinephrine auto-injectors under the bill by the Emergency
Medical Services Authority (General Fund).
One-time costs of $130,000 over two years for the adoption of
regulations by the Emergency Medical Services Authority
(General Fund).
Ongoing costs of $90,000 per year to review training programs,
AB 1386 (Low) Page 1 of
?
issue certificates to participating individuals, and report
data on the program by the Emergency Medical Services
Authority (General Fund).
Background: Under current law, the Emergency Medical Services Authority
develops guidelines and standards for emergency medical systems,
including standards for training and the scope of practice for
emergency medical personnel.
Under current law, school districts and county offices of
education are authorized to designate school personnel to
receive training to use an epinephrine auto-injector to render
emergency medical care under certain conditions. In addition,
current law authorizes prehospital emergency medical personnel,
first responders, or lay rescuers to use an epinephrine
auto-injector to render emergency medical care, if certain
conditions are met, including training requirements.
Proposed Law:
AB 1386 would allow a health care provider to issue a
prescription for an epinephrine auto-injector to an authorized
entity. The bill would authorize a pharmacy to fill such a
prescription.
Specific provisions of the bill would:
Authorize a health care provider to issue a prescription for
an epinephrine auto-injector to an authorized entity, if
certain conditions are met;
Authorize a pharmacy to fill such a prescription;
Define authorized entity to include any for-profit, nonprofit,
or government entity or organization that employs one person
or utilizes a volunteer or agent that has completed a required
training course;
Place certain requirements on an authorized entity, including
a requirement to report any use of an epinephrine
auto-injector to the Emergency Medical Services Authority;
Require the Authority to report annually on the use of
epinephrine auto injectors under the bill;
Provide limited immunity from professional review, civil
liability or criminal prosecution for prescribers or
authorized entities.
AB 1386 (Low) Page 2 of
?
Related
Legislation:
SB 738 (Huff, Statutes of 2015) provides qualified immunity to
a physician who prescribes an epinephrine auto-injector to a
school district or related entity.
SB 1266 (Huff, Statutes of 2014) requires school districts and
related entities to provide epinephrine auto-injectors to
school nurses or trained volunteers.
SB 669 (Huff, Statutes of 2013) authorizes prehospital
emergency medical care personnel, first responders, and lay
rescuers to use an epinephrine auto-injector
Staff
Comments: Current law authorizes the Authority to charge fees
for approval of training courses ($500) and individual
certification cards ($15). Applicants under this bill would be
required to pay those fees as well. However, it is not expected
that enough of either type of applicant will apply to generate
sufficient fee revenues to offset the additional costs imposed
by the bill.
The only costs that may be incurred by a local agency relate to
crimes and infractions. Under the California Constitution, such
costs are not reimbursable by the state.
-- END --