BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 1864


                                                                    Page  1


          CONCURRENCE IN SENATE AMENDMENTS


          AB  
          1864 (Cooley)


          As Amended  August 15, 2016


          Majority vote


           -------------------------------------------------------------------- 
          |ASSEMBLY:  |78-0  |(May 12, 2016) |SENATE: |38-0  |(August 18,      |
          |           |      |               |        |      |2016)            |
          |           |      |               |        |      |                 |
          |           |      |               |        |      |                 |
           -------------------------------------------------------------------- 


          Original Committee Reference:  PUB. S.


          SUMMARY:  Defines "sudden unexplained death in childhood"  
          (SUDC), 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 samples.  


          The Senate amendments double join this bill with SB 1189 (Pan)  
          of the current legislative session to avoid chaptering issues.


          EXISTING LAW:  


          1)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.  Affords the coroner with the  








                                                                    AB 1864


                                                                    Page  2


            discretion to determine the extent of the inquiry into a death  
            occurring under natural circumstances, and allows the coroner  
            to authorize a physician to sign the certificate of death if  
            the physician has sufficient knowledge to reasonably state the  
            cause of a death occurring under natural circumstances.  
          2)Provides that a coroner shall within 24 hours, or as soon as  
            feasible thereafter, where the suspected cause of death is  
            sudden infant death syndrome, take possession of the body, and  
            make or cause to be made a postmortem examination or autopsy  
            thereon, and the detailed medical findings resulting from an  
            examination of the body or autopsy by an examining physician  
            must either be reduced to writing, or permanently preserved,  
            as specified.  


          3)Defines "sudden infant death syndrome" to mean the sudden  
            death of an infant that is unexpected by the history of the  
            infant and where a thorough postmortem fails to demonstrate an  
            adequate cause of death.  


          4)Requires that an autopsy conducted where it is suspected that  
            the cause of death is sudden infant death syndrome be  
            conducted pursuant to a standardized protocol developed by the  
            State Department of Public Health.  The protocol shall be  
            developed and approved by July 1, 1990.  


          5)Requires that all coroners, throughout the state, follow the  
            established protocol when conducting autopsies where the  
            suspected cause of death is sudden infant death syndrome, and  
            requires a coroner to state on the certificate of death that  
            sudden infant death syndrome  was the cause of death when the  
            findings are consistent with the definition of sudden infant   
            death syndrome.  


          6)Requires a coroner to perform or arrange for an autopsy on a  
            decedent upon a written request of the surviving spouse, or in  
            certain circumstances, a child, parent, or other legal  
            next-of-kin; and requires the cost of the autopsy to be borne  
            by the person requesting the autopsy.  








                                                                    AB 1864


                                                                    Page  3




          AS PASSED BY THE ASSEMBLY, this bill:


          1)Defined "sudden unexplained death in childhood" 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.


          2)Required the coroner to notify the parents or responsible  
            adult of a child that comes within the SUDC definition of the  
            importance of taking tissue samples.


          3)Stated that a coroner shall not be liable for damages in a  
            civil action for any act or omission in compliance with the  
            above provision.


          FISCAL EFFECT:  According to the Senate Appropriations  
          Committee, pursuant to Senate Rule 28.8 negligible state costs.


          COMMENTS:  According to the author, "Though emergency personnel  
          and law enforcement are required to be provided training to  
          handle cases involving Sudden Infant Death Syndrome, they do not  
          receive training on the handling of cases where the suspected  
          cause of death is Sudden Unexpected Death in Childhood.  As a  
          result, parents whose children die under these circumstances are  
          often left with little or no information on how to process the  
          death of their children or how to address further  
          investigation."


          Please see the policy committee analysis for a full discussion  
          of this bill.


          Analysis Prepared by:                                             








                                                                    AB 1864


                                                                    Page  4


                          Gregory Pagan / PUB. S. / (916) 319-3744  FN:   
          0004315