BILL ANALYSIS Ó
AB 2425
Page 1
ASSEMBLY THIRD READING
AB
2425 (Brown)
As Amended May 31, 2016
Majority vote
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|Committee |Votes|Ayes |Noes |
| | | | |
| | | | |
| | | | |
|----------------+-----+----------------------+--------------------|
|Health |12-4 |Wood, Bonilla, Burke, |Maienschein, Olsen, |
| | |Campos, Chiu, |Patterson, |
| | |Dababneh, Gomez, |Steinorth |
| | | | |
| | | | |
| | |Roger Hernández, | |
| | |Nazarian, Rodriguez, | |
| | |Santiago, Thurmond | |
| | | | |
|----------------+-----+----------------------+--------------------|
|Appropriations |14-0 |Gonzalez, Bloom, | |
| | |Bonilla, Bonta, | |
| | |Calderon, Daly, | |
| | |Eggman, Eduardo | |
| | |Garcia, Roger | |
| | |Hernández, Holden, | |
| | |Quirk, Santiago, | |
| | |Weber, Wood | |
| | | | |
| | | | |
AB 2425
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SUMMARY: Requires the Department of Public Health (DPH), on or
before June 1, 2018, to develop a state data collection plan
(plan) focused on the 10 leading causes of death and hospitals
due to injuries involving children and youth between zero and 19
years of age. Specifically, this bill:
1)Requires DPH to do the following:
a) Develop a plan that does the following:
i) Identify the incident site attributes, including
environmental factors, situational variables, and special
inherent risks that would better inform California's
unintentional injury prevention policies, programs, and
strategies;
ii) Include recommendations for data collection and
evaluation, including additions to the existing data
sources, and continued prudent maintenance of data
currently collected; and,
iii) Require DPH to periodically reconvene practitioners
and experts to update the plan and make modifications to
address evolving dangers, as needed.
b) Develop uniform standards and protocols for incident
site reports for purposes of collecting data on
unintentional injury incidents involving children and youth
between zero to 19 years of age, that result in death or
hospitalization. Requires the standards and protocols to
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do the following:
i) Identify appropriate reporting entities; and,
ii) Include the following:
(1) Incident site reporting best practices form
and incident site investigation protocol, specific to
each type of unintentional injury, to report
information to existing local, regional, and statewide
data systems, if that reporting is practical and does
not distract the existing state data systems, if that
reporting is practical and does not distract the
existing emergency medical services or health care
data collection system from its current function and
mission, and to the local health department; and,
(2) Recommendations on how best to capture local
unintentional injury incident site report data and
information, so the data is accessible by, and can be
incorporated into, existing state data systems
associated with trauma and unintentional injury
prevention programs, and recommendations regarding the
timeline for consolidation of the data into existing
related data systems.
2)Requires the statewide plan and uniform standards and
protocols to be developed in collaboration with
representatives from other health and safety state and local
agencies, first responders, fire agencies, law enforcement
agencies, public health experts and childhood injury
prevention experts in order for the department to understand
the details at incident sites for various types of
unintentional injury involving children and youth between zero
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to 19 years of age.
3)Specifies that the above provisions do not mandate reporting
entities, as specified, to collect or report data beyond that
currently required.
4)Defines incident site reports or incident as site reports or
incidents that involve unintentional injuries from drownings,
near drownings, burns, window falls, bicycle crashes,
pedestrian crashes, sleep suffocation, children left in cars,
vehicle backovers, vehicle frontovers, sports-related
activities, and poisoning.
5)Declares the intent of the Legislature in enacting this bill.
FISCAL EFFECT: According to the Assembly Appropriations
Committee:
1)First-year costs to DPH of $700,000 for staff and related
expenses and, if necessary, $1.9 million in cost pressure for
upgrades to the state's data system.
2)Annual cost pressure to DPH estimated at $1 million General
Fund for staffing and data system maintenance.
COMMENTS: According to the author, California lacks a uniform
standard for collecting data from unintentional injury incident
sites involving children and youth ages through 19 years.
Several counties have developed best practice incident report
forms, but most counties do not have the resources to research
and develop unintentional injury incident forms and data
collection, and each leading cause of unintentional injury has
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important variations on what types of incident data needs to be
collected. Without uniform collection of incident and site
reporting, California does not have the information it needs to
plan for and adjust our unintentional injury prevention programs
and incident responses. The author state that this bill sets up
the means to keep California on target in its data and knowledge
about the changing underlying causes of unintentional injury.
The Centers for Disease Control and Prevention reports that for
2013, there were 31 million emergency department visits for
unintentional injuries and unintentional injuries accounted for
130,557 deaths that year. According to DPH's Web site,
unintentional injury is the leading cause of hospitalizations
and deaths for California's children and youth ages one to19
years old and the leading cause of injury related deaths for
babies and infants under one year of age. Unintentional injury
deaths result from a variety of causes such as motor vehicle
traffic crashes, falls, firearms, drownings, suffocations,
bites, stings, sports/recreational activities, natural
disasters, fires or burns and poisonings. From 2000 to 2010,
California's top three fatal unintentional injuries include
motor vehicle traffic crashes (36.2%), poisoning and exposure to
noxious substances (including drugs and other substances)
(26.7%), and falls (16.2%). These three causes totaled 79.1% of
all unintentional injury deaths. In 2010, unintentional deaths
ranked as the sixth leading cause of death in California. Males
account for more unintentional injury deaths than females.
Drowning was the most common unintentional injury cause of death
for those aged one to four years. Motor vehicle traffic crashes
were the most frequent unintentional injury deaths for those
aged five to 24 years old. Poisonings (including drugs and
other substances) were the most common unintentional injury
death for people aged 25 to 64. Falls were the most prevalent
unintentional injury cause of death for individuals over 65.
Due to the prevalence of unintentional injury deaths in this
country, the United States Department of Health and Human
Services (HHS), one of the objectives of the Healthy People 2020
is the reduction of unintentional injuries age-adjusted death
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rate to no more than 36 per 100,000 population.
DPH maintains on its Web site the EPICenter data system, which
includes information on overall injury surveillance and includes
data on all types of injuries that result in death,
hospitalizations, or an emergency department visit.
Analysis Prepared by:
Rosielyn Pulmano / HEALTH / (916) 319-2097 FN:
0003291