BILL ANALYSIS Ó AB 1864 Page 1 Date of Hearing: May 4, 2016 ASSEMBLY COMMITTEE ON APPROPRIATIONS Lorena Gonzalez, Chair AB 1864 (Cooley) - As Amended March 17, 2016 ----------------------------------------------------------------- |Policy |Public Safety |Vote:|7 - 0 | |Committee: | | | | | | | | | | | | | | |-------------+-------------------------------+-----+-------------| | | | | | | | | | | | | | | | ----------------------------------------------------------------- Urgency: No State Mandated Local Program: YesReimbursable: No SUMMARY: This bill defines "sudden unexplained death in childhood" (SUDC), as the sudden death of a child one year of age or older but under 18 years of age that is unexplained by the history of the child and where a thorough post mortem exam fails to demonstrate adequate cause for the death, and requires a coroner to notify the parents or responsible adult of a child that comes within the definition of the importance of taking tissue AB 1864 Page 2 samples. FISCAL EFFECT: Unknown, but minor local costs to counties for the coroners to provide the required notification to the parents or a responsible adult, and to take tissue samples if the consent is provided. It is doubtful these costs would exceed the threshold for reimbursable mandate. COMMENTS: Background/Purpose. Current law requires a coroner to investigate the circumstances, manner, and cause of specified types of deaths, including violent, sudden, or unusual deaths; unattended deaths; and deaths where the deceased has not been attended to by a physician within 20 days before the death occurred. Current law requires that an autopsy be conducted, pursuant to a standardized protocol developed by the State Department of Public Health, when it is suspected that the cause of death is sudden infant death syndrome. Sudden Unexplained Death in Childhood (SUDC) is the sudden and unexpected death of a child over the age of 12 months which remains unexplained after a thorough case investigation is conducted. This must include; examination of the death scene, performance of a complete autopsy, and a review of the child and family's medical history. SUDC is a diagnosis of exclusion given when all known and possible causes of death have been ruled out. The intent of this bill is to encourage the taking of tissue AB 1864 Page 3 samples from children who die suddenly and without apparent reason, to assist research into SUDC. Governor Brown vetoed a similar bill last year (AB 2029 - Cooley), and stated: "Rather than creating a state mandate at this juncture, we should rely on coroners to use their best professional judgment to provide appropriate and relevant information to next of kin for this difficult circumstance. Analysis Prepared by:Pedro Reyes / APPR. / (916) 319-2081