BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 1864


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          Date of Hearing:  May 4, 2016


                        ASSEMBLY COMMITTEE ON APPROPRIATIONS


                               Lorena Gonzalez, Chair


          AB  
          1864 (Cooley) - As Amended March 17, 2016


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          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


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          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


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          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