BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 1719


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          Date of Hearing:  May 4, 2016


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                               Lorena Gonzalez, Chair


          AB  
          1719 (Rodriguez) - As Amended April 21, 2016


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          Urgency:  No  State Mandated Local Program:  YesReimbursable:   
          Yes


          SUMMARY:


          This bill requires, starting with the 2018-19 school year,  
          school districts and charter schools to provide instruction in  
          compression-only cardiopulmonary resuscitation (CPR) as part of  








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          an existing course of study for grades 9-12. Specifically, this  
          bill:  


          1)Requires the instruction to include both of the following:


             a)   An instructional program based on national  
               evidence-based emergency cardiovascular care guidelines for  
               the performance of compression-only CPR, such as those  
               developed by the American Heart Association or the American  
               Red Cross.


             b)   Instruction to pupils relative to the psychomotor skills  
               necessary to perform compression-only CPR. Defines  
               "psychomotor skills" as skills that pupils are required to  
               perform as hands-on practice to support cognitive learning.


          2)Requires the California Department of Education (CDE), prior  
            to the beginning of the 2017-18 school year, to provide  
            guidance on how to implement the instructional requirements of  
            this bill, including, but not limited to, who may provide  
            instruction.


          3)Encourages school districts and charter schools to provide  
            pupils general information on the use and importance of an  
            automated external defibrillator (AED). Specifies the physical  
            presence of an AED in the classroom is not required.


          4)Authorizes a school district or charter school to adopt  
            policies to implement the requirements of the bill and  
            encourage local education agencies to use the most  
            cost-effective means possible to implement these requirements.  










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          5)Provides a local agency, entity of state or local government,  
            or other public or private organization that sponsors,  
            authorizes, supports, finances, or supervises the instruction  
            of pupils, or an employee who provides or facilitates  
            instruction in compression-only CPR or the use of an AED,  
            cannot be held liable for any civil damages alleged to result  
            from the acts or omissions of an individual who received such  
            instruction. Specifies that this liability does not grant  
            immunity from civil damages to any person who provides or  
            facilitates the instruction of pupils in compression-only CPR  
            or the use of an AED in a manner that constitutes gross  
            negligence or willful or wanton misconduct.





          FISCAL EFFECT:


          1)Proposition 98/GF state mandated costs, potentially in the low  
            millions, starting in 2017-18, for school districts to provide  
            instruction in compression-only CPR to students in grades  
            9-12.  Actual costs will vary depending on how a district  
            chooses to implement the provisions of the bill. Charter  
            schools will also incur costs to implement the requirements of  
            the bill; however, charter schools are not eligible for  
            mandate reimbursement. 

            School districts may have access to instruction through  
            in-kind donations from community partners, such as hospitals  
            or fire departments. Other districts may need to provide  
            instruction using existing district staff who will need time  
            to review online training videos and prepare lesson plans.   
            San Francisco Unified School District, for example, was able  
            to provide training through an in-kind donation from the local  
            fire department, however; according to SFUSD, the district  
            dedicated approximately $68,000 towards their hands-on CPR  








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            program. There are 420 school districts that serve students in  
            grades 9-12. If one-fourth of these districts needed to make  
            an investment similar to SFUSD, statewide costs would be  
            approximately $7.1 million. 

          2)General Fund administrative costs to CDE of approximately  
            $32,000 to provide guidance documents and provide technical  
            assistance to districts and charter schools. 
          
          COMMENTS:

          1)Purpose. School districts are currently authorized, but not  
            required, to offer a comprehensive course of study on first  
            aid and CPR, based on standards that are at least equivalent  
            to the standards currently used by the American Red Cross or  
            the American Heart Association.  Further, schools are required  
            to provide instruction at the appropriate grade levels on  
            personal and public safety and accident prevention, including  
            emergency first aid instruction, instruction in hemorrhage  
            control, treatment for poisoning, resuscitation techniques,  
            and CPR when appropriate equipment is available.
            This bill expands current policy to require every high school  
            student in California to receive instruction in performing  
            compression-only cardiopulmonary resuscitation (CPR).


          2)Background. Compression-only CPR, or "hands only" CPR, is  
            conventional CPR without mouth-to-mouth resuscitation.   
            According to the American Heart Association, hands-only CPR  
            has been shown to be as effective as conventional CPR for  
            sudden cardiac arrest at home, at work, or in public.   
            Research indicates that this is due to a better willingness to  
            start CPR by bystanders, a low quality of mouth-to-mouth  
            ventilation, and a detrimental effect of too-long  
            interruptions of chest compressions during ventilation.


          3)Prior legislation. AB 319 (Rodriguez) of 2015 required school  
            districts and charter schools to provide instruction on  








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            performing CPR and the use of an AED to students in grades  
            9-12 as part of a course required for graduation.  This bill  
            was held on the Suspense file in this committee.


          Analysis Prepared by:Misty Feusahrens / APPR. / (916)  
          319-2081