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