BILL ANALYSIS Ó
AB 1719
Page 1
CONCURRENCE IN SENATE AMENDMENTS
AB
1719 (Rodriguez)
As Amended August 16, 2016
Majority vote
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|ASSEMBLY: |77-1 |(May 31, 2016) |SENATE: |38-0 |(August 18, |
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Original Committee Reference: ED.
SUMMARY: Requires that, commencing in the 2018-19 school year,
school districts and charter schools that require a health
course for graduation include instruction in compression-only
cardiopulmonary resuscitation (CPR).
The Senate amendments:
1)Delete the requirement that all school districts and charter
schools provide instruction in compression-only CPR in a
required course in grades 9-12, and delete related changes to
the adopted course of study.
2)Require that if school districts or charter schools choose to
require a health course for graduation, it include instruction
in compression-only CPR, commencing in the 2018-19 school
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year.
FISCAL EFFECT: According to Senate Appropriations Committee:
1)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 nine 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)
2)The California Department of Education 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.
COMMENTS:
How many districts require a health course for graduation? This
bill requires that school districts and charter schools which
require a health course for graduation include content on
compression-only CPR in those courses. Based on information
provided on district Web sites in 2015, five of the ten largest
school districts require a course in health for graduation.
This includes the Los Angeles Unified School District, the
largest district in the state, which graduated 27,000 students
in the 2013-14 school year.
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."
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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 voluntary. Neither the
standards nor the framework mention use of an AED. The health
curriculum framework is currently being revised, and is due to
be completed by in 2019.
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.
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
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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.
Analysis Prepared by:
Tanya Lieberman / ED. / (916) 319-2087 FN:
0004356