BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 2083


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          ASSEMBLY THIRD READING


          AB  
          2083 (Chu)


          As Introduced  February 17, 2016


          Majority vote


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          |Committee       |Votes|Ayes                  |Noes                |
          |                |     |                      |                    |
          |                |     |                      |                    |
          |                |     |                      |                    |
          |----------------+-----+----------------------+--------------------|
          |Public Safety   |7-0  |Jones-Sawyer,         |                    |
          |                |     |Melendez, Lackey,     |                    |
          |                |     |Lopez, Low, Quirk,    |                    |
          |                |     |Santiago              |                    |
          |                |     |                      |                    |
          |                |     |                      |                    |
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          SUMMARY:  Allows agencies, at the request of an interagency  
          child death review team, to disclose otherwise confidential  
          information.  Specifically, this bill:  
          1)Allows, but does not require, agencies to disclose, orally or  
            in writing, otherwise confidential information to an  
            interagency child death review team, but does not require  
            those agencies to disclose any requested confidential  
            information.  This information may include the following:
             a)   Medical information, as provided;
             b)   Mental health information, as provided;









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             c)   Information from child abuse reports and investigations,  
               except the identity of the person making the report which  
               shall not be disclosed;


             d)   State summary criminal history information, as defined;


             e)   Criminal offender record information, as defined;


             f)   Local summary criminal history information, as defined;


             g)   Information pertaining to reports by health  
               practitioners of persons suffering from physical injuries  
               inflicted by means of a firearm or of persons suffering  
               physical injury where the injury is a result of assaultive  
               or abusive conduct; and


             h)   Records of in-home supportive services, unless  
               disclosure is prohibited by federal law.


          2)States that agencies and individuals receiving these requests  
            may rely on the request to release the information sought in  
            the request.
          EXISTING LAW:  


          1)Allows counties to establish interagency child death review  
            teams to assist local agencies in identifying and reviewing  
            suspicious child deaths and facilitating communication among  
            persons who perform autopsies and the various persons and  
            agencies involved in child abuse or neglect cases, but does  
            not require counties to establish child death review teams.  
          2)States that interagency child death teams have been used  








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            successfully to ensure that incidents of child abuse or  
            neglect are recognized and other siblings and non-offending  
            family members receive the appropriate services in cases where  
            a child has expired.  

          3)States that each county may develop a protocol that may be  
            used as a guideline by persons performing autopsies on  
            children to assist coroners and other persons who perform  
            autopsies in the identification of child abuse or neglect, in  
            the determination of whether child abuse or neglect  
            contributed to death or whether child abuse or neglect had  
            occurred prior to but was not the actual cause of death, and  
            in the proper written reporting procedures for child abuse or  
            neglect, including the designation of the cause and mode of  
            death.  

          4)States that in developing an interagency child death team and  
            an autopsy protocol, each county, working in consultation with  
            local members of the California State Coroner's Association  
            and county child abuse prevention coordinating councils, may  
            solicit suggestions and final comments from persons,  
            including, but not limited to, the following:

             a)   Experts in the field of forensic pathology;

             b)   Pediatricians with expertise in child abuse;

             c)   Coroners and medical examiners;

             d)   Criminologists;

             e)   District attorneys;

             f)   Child protective services staff;

             g)   Law enforcement personnel;

             h)   Representatives of local agencies which are involved  
               with child abuse or neglect reporting;








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             i)   County health department staff who deals with children's  
               health issues; and

             j)   Local professional associations of persons described in  
               paragraphs 1) to 9) inclusive.  

          5)Clarifies that records exempt from disclosure to third parties  
            pursuant to state or federal law shall remain exempt from  
            disclosure when they are in the possession of a child death  
            review team.  

          6)Requires each child death review team to make available to the  
            public findings, conclusions and recommendations of the team,  
            including aggregate statistical data on the incidences and  
            causes of child deaths.  The team is required to withhold the  
            child's last name unless certain exceptions apply.  

          7)Defines "local summary criminal history information 'as' the  
            master record of information compiled by any local criminal  
            justice agency pertaining to the identification and criminal  
            history of any person, such as name, date of birth, physical  
            description, dates of arrests, arresting agencies and booking  
            numbers, charges, dispositions, and similar data about the  
            person."  


          8)States that "local summary criminal history information" does  
            not refer to records and data compiled by criminal justice  
            agencies other than that local agency, nor does it refer to  
            records of complaints to or investigations conducted by, or  
            records of intelligence information or security procedures of,  
            the local agency.  


          9)Requires a local criminal justice agency to furnish local  
            summary criminal history information to any of the following  
            when needed in the course of their duties:  the courts, peace  
            officers, district attorneys, prosecuting city attorneys,  








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            probation and parole officers, public defender or attorney of  
            record in a criminal case or in a case involving a certificate  
            of rehabilitation, any city or county district office when  
            needed in fulfilling employment, certification or licensing  
            duties, the subject of the local summary criminal history  
            information; managing or supervising correction officers of a  
            county jail, local child support agencies, county child  
            welfare agencies, humane officers, and other expressly  
            authorized by statute, as specified.  


          10)Permits a local criminal justice agency to furnish local  
            summary criminal history information to the following, upon a  
            showing of compelling need, to other specified entities,  
            including a public utility which operates a nuclear energy  
            facility, a peace officer from another country, public  
            officers other than peace officers of the United States, a  
            public utility when access is needed to assist in employing  
            person who will be entering private residences.  


          11)States that it is not a violation to disseminate statistical  
            or research information obtained from a record, provided that  
            the identity of the subject of the record is not disclosed.  


          12)States that an employee of a local criminal justice agency  
            who knowingly furnishes a record or information obtained from  
            a record to a person who is not authorized by law to receive  
            the record or information is guilty of a misdemeanor.  


          13)Punishes as a misdemeanor any person authorized by law to  
            receive a record or information obtained from a record who  
            knowingly furnishes the record or information to a person who  
            is not authorized by law to receive the record or information.  
             










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          14)Requires the Department of Justice (DOJ) to furnish state  
            summary criminal history information to specified entities, if  
            needed in the course of their duties, provided that when  
            information is furnished to assist an agency, officer, or  
            official of state or local government, a public utility, or  
            any other entity in fulfilling employment, certification, or  
            licensing duties, specified restrictions listed in the Labor  
            Code are followed.  


          15)Allows the DOJ to furnish state summary criminal history  
            information to specified entities and, when specifically  
            authorized, federal-level criminal history information, upon a  
            showing of a compelling need, provided that when information  
            is furnished to assist an agency, officer, or official of  
            state or local government, a public utility, or any other  
            entity in fulfilling employment, certification, or licensing  
            duties, specified restrictions listed in the Labor Code are  
            followed.  


          16)Allows DOJ to charge a fee to reimburse department costs, and  
            a surcharge to fund system maintenance and improvements,  
            whenever state summary criminal history information is  
            furnished as the result of an application and is to be used  
            for employment, licensing, or certification purposes.  Allows,  
            notwithstanding any other law, any person or entity required  
            to pay a fee to DOJ for information received under this  
            provision to charge the applicant a fee sufficient to  
            reimburse the person or entity for this expense.  


          17)Authorizes, notwithstanding any other law, a human resource  
            agency or an employer to request from DOJ records of all  
            convictions or any arrest pending adjudication involving the  
            offenses specified of a person who applies for a license,  
            employment, or volunteer position, in which he or she would  
            have supervisory or disciplinary power over a minor or any  
            person under his or her care.  Requires DOJ to furnish the  








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            information to the requesting employer and also send a copy of  
            the information to the applicant.  


          18)Prohibits a provider of health care, health care service  
            plan, or contractor from disclosing medical information  
            regarding a patient of the provider of health care or an  
            enrollee or subscriber of a health care service plan without  
            first obtaining an authorization, except as provided. 


          19)Requires a provider of health care, health care service plan,  
            or contractor to disclose medical information regarding a  
            patient of the provider of health care or an enrollee or  
            subscriber of a health care service plan if the disclosure is  
            compelled by any of the following:

             a)   By a court pursuant to an order of that court;

             b)   By a board, commission, or administrative agency for  
               purposes of adjudication pursuant to its lawful authority;

             c)   By a party to a proceeding before a court or  
               administrative agency pursuant to a subpoena, subpoena  
               duces tecum, notice to appear served pursuant to the Code  
               of Civil Procedure Section 1987, or any provision  
               authorizing discovery in a proceeding before a court or  
               administrative agency;

             d)   By a board, commission, or administrative agency  
               pursuant to an investigative subpoena issued under Article  
               2 (commencing with Section 11180) of Chapter 2 of Part 1 of  
               Division 3 of Title 2 of the Government Code;

             e)   By an arbitrator or arbitration panel, when arbitration  
               is lawfully requested by either party, pursuant to a  
               subpoena duces tecum issued under the Code of Civil  
               Procedure Section 1282.6, or another provision authorizing  
               discovery in a proceeding before an arbitrator or  








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               arbitration panel;

             f)   By a search warrant lawfully issued to a governmental  
               law enforcement agency;

             g)   By the patient or the patient's representative;

             h)   By a coroner, when requested in the course of an  
               investigation by the coroner's office for the purpose of  
               identifying the decedent or locating next of kin, or when  
               investigating deaths that may involve public health  
               concerns, organ or tissue donation, child abuse, elder  
               abuse, suicides, poisonings, accidents, sudden infant  
               deaths, suspicious deaths, unknown deaths, or criminal  
               deaths, or upon notification of, or investigation of,  
               imminent deaths that may involve organ or tissue donation  
               pursuant to the Health and Safety Code Section 7151.15, or  
               when otherwise authorized by the decedent's representative.  
               Medical information requested by the coroner under this  
               paragraph shall be limited to information regarding the  
               patient who is the decedent and who is the subject of the  
               investigation or who is the prospective donor and shall be  
               disclosed to the coroner without delay upon request, or

             i)   When otherwise specifically required by law.  

          20)Allows a provider of health care, health care service plan,  
            or contractor to disclose medical information regarding a  
            patient of the provider of health care or an enrollee or  
            subscriber of a health care service plan to authorized  
            individuals or entities for research, billing, treatment and  
            other purposes, as specified.  

          21)Limits the disclosure of mental health information, as  
            specified.  

          22)Limits the disclosure of information from child abuse reports  
            and investigations, as specified.  









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          23)Limits the disclosure of information pertaining to reports by  
            health practitioners of persons suffering from physical  
            injuries inflicted by means of a firearm or of persons  
            suffering physical injury where the injury is a result of  
            assaultive or abusive conduct.  

          24)Limits the disclosure of records of in-home supportive  
            services, as specified.  

          25)States that a Health Insurance Portability and Accountability  
            Act of 1996  (HIPPA) covered entity may use or disclose health  
            information as follows:

             a)   To the individual for treatment, payment or health care  
               operations;

             b)   Incident to a use or disclosure otherwise permitted if  
               it is the minimum necessary to accomplish the purpose of  
               the use or disclosure; 

             c)   Pursuant to an authorization or agreement by the  
               individual;

             d)   Under circumstances set out in the rule for which  
               neither authorization nor agreement is required.  

          26)Holds that HIPPA regulations preempt any contrary provision  
            of state law unless the state law provides greater privacy  
            protection for an individual whose health information is  
            protected.  

          FISCAL EFFECT:  Unknown.  This bill is keyed non-fiscal by the  
          Legislative Counsel. 


          COMMENTS:  According to the author, "Interagency child death  
          review teams have been used successfully to ensure that  
          incidents of child abuse or neglect are recognized and other  
          siblings and non-offending family members receive the  








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          appropriate services in cases involving the death of a child.   
          Actions by child death review teams may include identification  
          of emerging trends and safety concerns in other types of child  
          deaths in order to inform and address needs for prevention  
          efforts.  Disclosures of this information, which in some  
          instances in prohibited by current law, would help improve the  
          child death review team's investigation and detection of child  
          abuse and neglect as well as help identify trends to reduce the  
          incidents of child death." 




          Analysis Prepared by:                                             
          Matt Dean/ PUB. S. / (916) 319-3744  FN: 0002775