BILL ANALYSIS Ó AB 1719 Page 1 Date of Hearing: May 4, 2016 ASSEMBLY COMMITTEE ON APPROPRIATIONS Lorena Gonzalez, Chair AB 1719 (Rodriguez) - As Amended April 21, 2016 ----------------------------------------------------------------- |Policy |Education |Vote:|6 - 0 | |Committee: | | | | | | | | | | | | | | |-------------+-------------------------------+-----+-------------| | |Judiciary | |10 - 0 | | | | | | | | | | | |-------------+-------------------------------+-----+-------------| | | | | | | | | | | | | | | | ----------------------------------------------------------------- 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 AB 1719 Page 2 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. AB 1719 Page 3 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 AB 1719 Page 4 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 AB 1719 Page 5 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