BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 2457


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          CONCURRENCE IN SENATE AMENDMENTS


          AB  
          2457 (Bloom)


          As Amended  May 16, 2016


          Majority vote


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          |ASSEMBLY:  | 79-0 |(April 21,     |SENATE: |37-0  |(June 30, 2016)  |
          |           |      |2016)          |        |      |                 |
          |           |      |               |        |      |                 |
          |           |      |               |        |      |                 |
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          Original Committee Reference:  PUB. S.


          SUMMARY:  Allows coroners to use an electronic imaging system  
          during the conduct of an autopsy, unless there is a reasonable  
          suspicion to believe the death was caused by a criminal act or a  
          contagious disease.  Specifically, this bill allows coroners,  
          medical examiners and other authorized personnel to conduct an  
          autopsy or post-mortem examination to use an electronic imaging  
          system during the conduct of an autopsy or post-mortem  
          examination to either aid in the performance of an autopsy  
          pursuant to an inquest, or to fulfill the performance of an  
          autopsy requested by the surviving spouse or next of kin where  
          there is no suspicion a criminal act or contagious disease was  
          the cause of death.


          The Senate amendments make a technical clarification relating to  
          when the autopsy will be used to collect evidence for  
          presentation in a court of law.









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          EXISTING LAW:  


          1)Requires coroners to determine the manner, circumstances and  
            cause of death in the following circumstances:
             a)   Violent, sudden or unusual deaths;
             b)   Unattended deaths;


             c)   When the deceased was not attended by a physician, or  
               registered nurse who is part of a hospice care  
               interdisciplinary team, in the 20 days before death;


             d)   When the death is related to known or suspected  
               self-induced or criminal abortion;


             e)   Known or suspected homicide, suicide or accidental  
               poisoning;


             f)   Deaths suspected as a result of an accident or injury  
               either old or recent;


             g)   Drowning, fire, hanging, gunshot, stabbing, cutting,  
               exposure, starvation, acute alcoholism, drug addiction,  
               strangulation, aspiration, or sudden infant death syndrome;


             h)   Deaths in whole or in part occasioned by criminal means;


             i)   Deaths associated with a known or alleged rape or crime  
               against nature;


             j)   Deaths in prison or while under sentence;










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             aa)  Deaths known or suspected as due to contagious disease  
               and constituting a public hazard;


             bb)  Deaths from occupational diseases or occupational  
               hazards;


             cc)  Deaths of patients in state mental hospitals operated by  
               the State Department of State Hospitals;


             dd)  Deaths of patients in state hospitals serving the  
               developmentally disabled operated by the State Department  
               of Development Services;


             ee)  Deaths where a reasonable ground exists to suspect the  
               death was caused by the criminal act of another; and


             ff)  Deaths reported for inquiry by physicians and other  
               persons having knowledge of the death. 


          2)Requires the coroner or medical examiner to sign the  
            certificate of death when they perform a mandatory inquiry.  
          3)Allows the coroner or medical examiner discretion when  
            determining the extent of the inquiry required to determine  
            the manner, circumstances and cause of death.  


          4)Requires the coroner or medical examiner to conduct an autopsy  
            at the request of the surviving spouse or other specified  
            persons when an autopsy has not already been performed.  


          5)Allows the coroner or medical examiner discretion to conduct  
            an autopsy at the request of the surviving spouse or other  
            specified persons when an autopsy has already been performed.   










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          6)Specifies that the cost of autopsies requested by the  
            surviving spouse or other specified persons are borne by the  
            requestor.  


          7)Requires that discretionary autopsies include the following:


             a)   All available finger and palm prints;
             b)   Dental examination;


             c)   Collection of tissue including hair sample and DNA  
               sample, if necessary;


             d)   Notation and photographs of significant marks, scars,  
               tattoos and personal effects;


             e)   Notation of observations pertinent to the time of death;  
               and


             f)   Documentation of the location of the remains.  


             g)   Allows for the use of full body X-rays in conducting a  
               discretionary autopsy.  


          AS PASSED BY THE ASSEMBLY, this bill allowed coroners to use an  
          electronic imaging system during the conduct of an autopsy,  
          unless there is a reasonable suspicion to believe the death was  
          caused by a criminal act or a contagious disease.  Specifically,  
          this bill allowed coroners, medical examiners and other  
          authorized personnel to conduct an autopsy or post-mortem  
          examination to use an electronic imaging system during the  
          conduct of an autopsy or post-mortem examination to either aid  
          in the performance of an autopsy pursuant to an inquest, or to  
          fulfill the performance of an autopsy requested by the surviving  








                                                                    AB 2457


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          spouse or next of kin where there is no suspicion a criminal act  
          or contagious disease was the cause of death.


          FISCAL EFFECT:  None. This bill is keyed non-fiscal by the  
          Legislative Counsel.  


          COMMENTS:  According to the author, "AB 2457 is a common sense  
          approach that would specifically authorize county coroners or  
          county medical examiners to utilize digital imaging technology  
          when performing an autopsy in cases where an autopsy is needed  
          or mandated by law."  


          Analysis Prepared by:                                             
                          Stella Choe/ PUB. S. / (916) 319-3744  FN:  
          0003644