BILL ANALYSIS Ó
AB 1719
Page 1
ASSEMBLY THIRD READING
AB
1719 (Rodriguez)
As Amended April 21, 2016
Majority vote
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|Committee |Votes|Ayes |Noes |
| | | | |
| | | | |
| | | | |
|----------------+-----+----------------------+--------------------|
|Education |6-0 |O'Donnell, Kim, | |
| | |McCarty, Santiago, | |
| | |Thurmond, Weber | |
| | | | |
|----------------+-----+----------------------+--------------------|
|Judiciary |10-0 |Mark Stone, Wagner, | |
| | |Alejo, Chau, Chiu, | |
| | |Gallagher, | |
| | | | |
| | | | |
| | |Cristina Garcia, | |
| | |Holden, Maienschein, | |
| | |Ting | |
| | | | |
|----------------+-----+----------------------+--------------------|
|Appropriations |20-0 |Gonzalez, Bigelow, | |
| | |Bloom, Bonilla, | |
| | |Bonta, Calderon, | |
| | |Chang, Daly, Eggman, | |
| | |Gallagher, Eduardo | |
AB 1719
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| | |Garcia, Roger | |
| | |Hernández, Holden, | |
| | |Jones, Obernolte, | |
| | |Quirk, Santiago, | |
| | |Wagner, Weber, Wood | |
| | | | |
| | | | |
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SUMMARY: Requires school districts and charter schools serving
students in grades 9-12 to offer instruction in cardiopulmonary
resuscitation (CPR) as part of a required course, commencing in
the 2018-19 school year. Specifically, this bill:
1)Requires, commencing with the 2018-19 school year, school
districts and charter schools to provide instruction in
performing compression-only cardiopulmonary resuscitation
(CPR) as part of a required course offered in any of grades 9
to 12.
2)Requires that this instruction include:
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 students the psychomotor skills necessary
to perform compression-only CPR. "Psychomotor skills" are
defined to mean skills that students are required to
perform as hands-on practice to support cognitive learning.
AB 1719
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1)Requires the California Department of Education (CDE), before
the beginning of the 2017-18 school year, to provide guidance
on how to implement this requirement, including who may
provide the instruction in compression-only CPR.
2)Encourages school districts and charter schools to provide
students with general information on the use and importance of
automated external defibrillators (AEDs). States that the
physical presence of an AED in the classroom is not required.
3)Authorizes school district governing boards and charter school
governing bodies to adopt policies to implement this section.
4)Encourages school districts and charter schools to use the
most cost-effective means possible to implement the
requirements of the bill.
5)States that the bill shall not be construed to require the
governing board of a school district or the governing body of
a charter school to make any purchases.
6)States that a local agency, entity of state or local
government, or other public or private organization that
sponsors, authorizes, supports, finances, or supervises this
instruction, or a public employee who provides or facilitates
the instruction, pursuant to the requirements of this bill
shall not be liable for any civil damages alleged to result
from the acts or omissions of an individual who received such
instruction.
7)States that the requirements of this bill shall not construed
to grant immunity from civil damages to any person who
provides or facilitates the instruction of pupils in
AB 1719
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compression-only CPR or the use of an AED in a manner that
constitutes gross negligence or willful or wanton misconduct.
8)Adds CPR to the adopted course of study in personal and public
safety and accident control in elementary and secondary
grades.
FISCAL EFFECT: According to the Assembly Appropriations
Committee:
1)Proposition 98/General Fund 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 compression-only
CPR 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:
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Need for the bill. The author's office states, "Sudden cardiac
arrest is one of the most lethal public health threats in the
United States, and sadly only 10% of people who suffer cardiac
arrest outside the hospital survive. If no CPR is provided or
no defibrillation occurs within three to five minutes of
collapse, the chances of survival drop. Effective bystander CPR
provided immediately after sudden cardiac arrest can double or
triple a victim's chance of survival. Alarmingly, 70% of
Americans may feel helpless to act during a cardiac emergency
because they do not know how to perform CPR and only 32% of
cardiac arrest victims get CPR from a bystander. CPR training
is sensible and affordable and can easily fit into existing
classes. In fact, instruction in CPR and AED is part of the
Health curriculum framework and content standards. AB 1719
seeks to expand upon this current policy and ensure that every
high school student in California receives this important,
life-saving training."
What is "compression-only" CPR training? Compression-only CPR
is conventional CPR without mouth-to-mouth resuscitation.
According to the American Heart Association, compression-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
lengthy interruptions of chest compressions during ventilation.
Compression-only CPR involves two steps when a teen or adult
collapses: 1) calling 9-1-1, and 2) pushing hard on the center
of the person's chest at the rate of 100 compressions per
minute. For infants, children, victims of drowning or drug
overdose, and people who collapse due to breathing problems, the
American Heart Association still recommends CPR with compression
and breaths.
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Health disparities in CPR training and bystander use. A 2013
study published in the Journal of the American Medical
Association found wide disparities in CPR training, and that
residents of the communities most in need of training are the
least likely to be trained. The study, which examined national
training rates, found that counties with the lowest rates of CPR
training were more likely to have a higher proportion of African
American and Latino residents, more likely to have a lower
median household income, and were more likely to be rural (where
it may take longer for emergency personnel to arrive).
Other research has demonstrated that low income individuals and
African Americans are significantly less likely to receive
bystander CPR when they experience sudden cardiac arrest, and
that people who experience such an event in predominantly
African American, low income neighborhoods are the least likely
of all groups to receive bystander CPR treatment. This study
attributed this disparity in CPR use to low rates of training in
those in communities.
CPR training in state health standards and curriculum framework.
CPR instruction is part of the state's health content standards
and corresponding curriculum framework. The 2008 standards
include: "Describing procedures for emergency care and
lifesaving, including CPR, first aid, and control of bleeding."
This does not mean that all students receive instruction in CPR,
as not all districts require a health course for graduation, and
compliance with the standards is not mandatory. Neither the
standards nor the framework mention use of an AED.
CPR high school graduation requirements in other states.
According to the American Heart Association, 26 other states
have adopted CPR training as a high school graduation
requirement. Among the larger states are Texas, New York,
Virginia, North Carolina, Georgia, and New Jersey.
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Analysis Prepared by:
Tanya Lieberman / ED. / (916) 319-2087 FN:
0003187