BILL ANALYSIS Ó
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|SENATE RULES COMMITTEE | AB 1719|
|Office of Senate Floor Analyses | |
|(916) 651-1520 Fax: (916) | |
|327-4478 | |
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THIRD READING
Bill No: AB 1719
Author: Rodriguez (D), et al.
Amended: 8/16/16 in Senate
Vote: 21
SENATE EDUCATION COMMITTEE: 9-0, 6/15/16
AYES: Liu, Block, Hancock, Huff, Leyva, Mendoza, Monning, Pan,
Vidak
SENATE JUDICIARY COMMITTEE: 7-0, 6/28/16
AYES: Jackson, Moorlach, Anderson, Hertzberg, Leno, Monning,
Wieckowski
SENATE APPROPRIATIONS COMMITTEE: 7-0, 8/11/16
AYES: Lara, Bates, Beall, Hill, McGuire, Mendoza, Nielsen
ASSEMBLY FLOOR: 77-1, 5/31/16 - See last page for vote
SUBJECT: Pupil instruction: cardiopulmonary resuscitation
SOURCE: American Heart Association/American Stroke
Association
American Red Cross
DIGEST: This bill requires school districts and charter schools
serving students in grades 9 through 12, commencing with the
2018-19 school year, to include instruction in compression-only
cardiopulmonary resuscitation (CPR) if they require a course in
health education for graduation from high school.
AB 1719
Page 2
ANALYSIS:
Existing law:
1)Establishes high school graduation requirements, including
three years in English, two years in math, and two years of
physical education, and permits school districts to establish
graduation requirements which exceed those required by the
state. (Education Code § 51225.3)
2)Requires, through the adopted course of study, that schools
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. (Education
Code § 51202)
3)Provides that no person certified to teach CPR by the American
Red Cross or the American Heart Association, and no local
agency, entity of state or local government, or other public
or private organization which sponsors, authorizes, supports,
finances, or supervises the training of citizens in CPR can be
held liable for any civil damages alleged to result from such
training programs. (Civil Code § 1714.2)
4)Provides that a person or entity who provides CPR training to
a person who renders emergency care is not liable for any
civil damages resulting from any acts or omissions of the
person rendering the emergency care. (Civil Code § 1714.21)
This bill:
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1)Requires, commencing with the 2018-19 school year, the
governing board of a school district and the governing board
of a charter school that requires a course in health education
for graduation from high school to include instruction in
performing compression-only CPR.
2)Provides that the instruction shall include the following:
a) An instructional program based on national
evidence-based emergency cardiovascular care guidelines for
the performance of compression-only CPR, as specified.
b) Instruction to students relative to psychomotor skills
necessary to perform compression-only CPR.
3)Requires the California Department of Education (CDE) to
provide guidance on implementing this instruction before the
beginning of the 2017-18 school year.
4)Encourages the governing board of a school district or the
governing board of a charter school to provide students
general information on the use and importance of an automated
external defibrillator (AED) and provides that the physical
presence of an AED in the classroom is not required.
5)Authorizes the governing board of a school district or the
governing body of a charter school to adopt policies to
implement these provisions.
6)Encourages the governing board of a school district or
governing board of a charter school in providing information
in performing compression-only CPR or information on the use
of an AED to use the most cost-effective means possible, as
specified.
7)Provides that a public employee that facilitates the
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Page 4
instruction or the local agency, entity of state or local
government, or other public or private organization that
sponsors, authorizes, supports, finances, or supervises the
instruction of students in compression-only CPR or the use of
an AED is not liable for any civil damages alleged to result
from the acts or omissions of an individual who received such
instruction. This immunity from civil damages exists except
in a manner that constitutes gross negligence or willful or
wanton misconduct.
Comments
Need for the bill. The author's office indicates that "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
cardiopulmonary resuscitation (CPR) is provided or no
defibrillation occurs within three to five minutes of collapse,
the chances of survival drop. Effective bystander only 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 only cardiopulmonary
resuscitation (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 automated external defibrillators (AED) is part of
the existing curriculum framework found in the Health Education
Content Standards for public schools. AB 1719 seeks to expand
upon this current policy and ensure that every high school
student in California receives this important, life-saving
training."
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
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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.
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."
However, existing law does not require a health course for
graduation so not all students receive instruction in CPR.
FISCAL EFFECT: Appropriation: No Fiscal
Com.:YesLocal: No
According to the Senate Appropriations Committee, this bill will
result in unknown local costs and state cost pressure, but
potentially in the low millions for school districts and charter
schools to implement CPR instruction. This assumes all schools
serving grades 9 through 12 require a health course for high
school graduation. Costs will depend on how schools choose to
implement this instruction. Some school districts or charter
schools may be able to secure private funding or equipment or
materials which would mitigate costs. (Proposition 98)
The CDE estimates one-time costs of $32,000 General Fund related
to a partial position to provide the required guidance on the
implementation of CPR instruction.
SUPPORT: (Verified8/12/16)
American Heart Association/American Stroke Association
(co-source)
American Red Cross (co-source)
Association of California Healthcare Districts
California Association for Health, Physical Education,
Recreation and Dance
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California Chapter of the American College of Emergency
Physicians
California Nursing Students' Association
City of Los Angeles
Service Employees International Union
OPPOSITION: (Verified8/12/16)
None received
ASSEMBLY FLOOR: 77-1, 5/31/16
AYES: Achadjian, Alejo, Travis Allen, Arambula, Atkins, Baker,
Bigelow, Bloom, Bonilla, Bonta, Brough, Brown, Burke,
Calderon, Campos, Chang, Chau, Chávez, Chiu, Chu, Cooley,
Cooper, Dababneh, Dahle, Daly, Dodd, Eggman, Frazier,
Gallagher, Cristina Garcia, Eduardo Garcia, Gatto, Gipson,
Gomez, Gonzalez, Gordon, Gray, Grove, Roger Hernández, Holden,
Irwin, Jones, Jones-Sawyer, Kim, Lackey, Levine, Linder,
Lopez, Low, Maienschein, Mathis, Mayes, McCarty, Medina,
Melendez, Mullin, Nazarian, Obernolte, O'Donnell, Olsen,
Patterson, Quirk, Ridley-Thomas, Rodriguez, Salas, Santiago,
Steinorth, Mark Stone, Thurmond, Ting, Wagner, Waldron, Weber,
Wilk, Williams, Wood, Rendon
NOES: Harper
NO VOTE RECORDED: Beth Gaines, Hadley
Prepared by:Lenin DelCastillo / ED. / (916) 651-4105
8/17/16 9:07:26
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