BILL ANALYSIS Ó SENATE JUDICIARY COMMITTEE Senator Hannah-Beth Jackson, Chair 2015-2016 Regular Session SB 1163 (Leno) Version: March 28, 2016 Hearing Date: April 5, 2016 Fiscal: Yes Urgency: No TMW SUBJECT Firefighters: rights and protections DESCRIPTION This bill would extend the existing rights and protections under the Firefighters Procedural Bill of Rights (FBOR) of a firefighter who is a paramedic or emergency medical technician (EMT firefighter) to events and circumstances giving rise to disciplinary cause of the EMT firefighter pursuant to the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act (EMS Act). BACKGROUND The EMS Act provides for the licensure of paramedics (EMT-P) and certification of emergency medical technicians (EMT-I, EMT-II) (collectively, EMTs). The EMS Act specifies due process requirements when a licensing or certifying entity, relevant employer, or local emergency services agency (LEMSA) is investigating or implementing any action for disciplinary cause against EMTs. Due process procedures are followed pursuant to the Administrative Procedures Act. However, EMT firefighters qualify for enhanced rights and due process protections under the FBOR when a relevant employer is investigating or disciplining the EMT firefighter. The FBOR was enacted by AB 220 (Bass, Chapter 591, Statutes of 2007) and prescribes rights to firefighters relating to political activity, interrogation, punitive action, and administrative appeals. The FBOR defines "firefighter" to mean any firefighter employed by a public agency, including, but not limited to, any firefighter who is an EMT, irrespective of rank, excluding inmates, probationary employees, and public safety officers. The FBOR also specifies procedures to be followed SB 1163 (Leno) Page 2 of ? whenever a firefighter is subject to investigation and interrogation for alleged misconduct which may result in punitive action, such as dismissal, demotion, suspension, salary reduction, written reprimand, transfer, or even temporary reassignment. A firefighter can bring suit in superior court for alleged violations of the FBOR and obtain appropriate injunctive or other extraordinary relief to remedy the violation and to prevent future violations. In order to clarify the rights and due process protections applicable in proceedings involving licensing and certification of EMT firefighters, this bill would extend FBOR protections to investigations and disciplinary actions initiated under the EMS Act. CHANGES TO EXISTING LAW Existing law , the Firefighters Procedural Bill of Rights Act (FBOR), prescribes rights to firefighters relating to political activity, interrogation, punitive action, and administrative appeals. (Gov. Code Sec. 3250 et seq.) The FBOR defines "firefighter" to mean any firefighter employed by a public agency, including, but not limited to, any firefighter who is a paramedic or emergency medical technician, irrespective of rank, but does not include public safety officers or state or local correctional agency inmates who perform firefighting or related duties. (Gov. Code Sec. 3251(a).) The FBOR also defines "punitive action" to mean any action that may lead to dismissal, demotion, suspension, reduction in salary, written reprimand, or transfer for purposes of punishment. (Gov. Code Sec. 3251(c).) Existing law provides, among others, the following specific rights to firefighters: to be questioned on duty at a reasonable time (Gov. Code Sec. 3253(a)); to know who will be investigating the charges (Gov. Code Sec. 3253(b)); to know the nature of the investigation and the specific charges (Gov. Code Sec. 3253(c)); to be questioned without offensive language or threatened with punitive action (Gov. Code Sec. 3253(e)(i)); to record all proceedings and request transcripts of the proceedings (Gov. Code Sec. 3253(g)); to representation (Gov. Code Sec. 3253(i)); to be reassigned only to another normal department job during SB 1163 (Leno) Page 3 of ? any investigation (Gov. Code Sec. 3253(j)); to appeal any discipline through a process conforming to the Administrative Procedures Act (APA) or local grievance arbitration appeals process (Gov. Code Sec. 3254(b)); to review and sign any adverse personnel comment before it is added to the personnel file (Gov. Code Sec. 3255); to submit a reply to the personnel comment (Gov. Code Sec. 3256); and to refuse a lie detector test (Gov. Code Sec. 3257). Existing law makes the FBOR due process protections only applicable to a firefighter during events and circumstances involving the performance of his or her official duties. (Gov. Code Sec. 3262.) Existing law , the Emergency Medical Services System and the Prehospital Emergency Medical Care Personnel Act (EMS Act), provides for the licensing of a paramedic (EMT-P) and certification of an emergency medical technician (EMT-I or EMT-II). (Health & Saf. Code Sec. 1797 et seq.) Existing law authorizes the medical director of the local emergency services agency (LEMSA), after consultation with the employer of an EMT-I or EMT-II, to temporarily suspend, prior to a hearing, any EMT-I or EMT-II certificate or both EMT-I and EMT-II certificates upon a determination that both of the following conditions have been met: (1) the certificate holder has engaged in acts or omissions that constitute grounds for revocation of the EMT-I or EMT-II certificate; and (2) permitting the certificate holder to continue to engage in the certified activity without restriction would pose an imminent threat to the public health or safety. (Health & Saf. Code Sec. 1798.200(a)(4).) Existing law authorizes the Emergency Medical Services Authority (Authority) to deny, suspend, or revoke any EMT-P license issued under the EMS Act or place any EMT-P license or licenseholder on probation upon the finding by the director of the occurrence of an action, as specified, considered evidence of a threat to the public health and safety, and proceedings against the EMT-P license or licenseholder are required to be held in accordance with the APA. (Health & Saf. Code Sec. 1798.200(b).) Existing law authorizes an employer of an EMT to conduct SB 1163 (Leno) Page 4 of ? investigations, as necessary, and take disciplinary action, which may include denial, suspension, or revocation of a license or certificate, against the EMT employee for the following conduct, which are considered evidence of a threat to the public health and safety: fraud in the procurement of any EMT I or II certificate or EMT-P license; gross negligence; repeated negligent acts; incompetence; the commission of any fraudulent, dishonest, or corrupt act that is substantially related to the qualifications, functions, and duties of prehospital personnel; conviction of any crime which is substantially related to the qualifications, functions, and duties of prehospital personnel; the record of conviction or a certified copy of the record shall be conclusive evidence of the conviction; violating or attempting to violate directly or indirectly, or assisting in or abetting the violation of, or conspiring to violate, any provision of the EMS Act or regulations adopted by the Authority pertaining to prehospital personnel; violating or attempting to violate any federal or state statute or regulation that regulates narcotics, dangerous drugs, or controlled substances; addiction to, the excessive use of, or the misuse of, alcoholic beverages, narcotics, dangerous drugs, or controlled substances; functioning outside the supervision of medical control in the field care system operating at the local level, except as authorized by any other license or certification; demonstration of irrational behavior or occurrence of a physical disability to the extent that a reasonable and prudent person would have reasonable cause to believe that the ability to perform the duties normally expected may be impaired; and unprofessional conduct exhibited by the mistreatment or physical abuse of any patient, as specified, the failure to maintain confidentiality of patient information, or the commission of any sexually related offense, as specified. (Health & Saf. Code Sec. 1798.200(c).) Existing law requires a LEMSA to decide, within 15 calendar days, whether to serve an EMT-I or EMT-II certificate holder with an accusation pursuant to the APA. (Health & Saf. Code SB 1163 (Leno) Page 5 of ? Sec. 1798.200(a)(5).) Existing law defines "disciplinary cause" to mean an act that is substantially related to the qualifications, functions, and duties of an EMT-I, EMT-II, or EMT-P and is evidence of a threat to the public health and safety. (Health & Saf. Code Sec. 1798.200(e).) Existing law , the APA, requires an accusation to be a written statement of charges setting forth in ordinary and concise language the acts or omissions with which the respondent is charged, to the end that the respondent will be able to prepare his or her defense, and requires the accusation to specify the statutes and rules that the respondent is alleged to have violated. (Gov. Code Sec. 11503(a).) This bill would extend to EMT firefighters the FBOR rights and due process protections to events and circumstances giving rise to disciplinary cause under the EMS Act. This bill would make various related legislative findings and declarations. COMMENT 1. Stated need for the bill The author writes: As enacted, FBOR included a limiting clause, which applies its due process protections only in those events and circumstances involving the performance of a firefighter's official duties. While those certifying and licensing entities are also bound by FBOR, the EMS Act in the Health and Safety Code reviews and disciplines an EMS professional for an act that is "substantially related to the qualifications, functions, and duties of an EMT-I, EMT-II, or EMT-P and is evidence of a threat to the public health and safety..." This small variation in the language of the two statutes may result in a small subset of offenses that may rise to the level of disciplinary cause under the EMS Act but the firefighter would not have access to the procedural protections of the FBOR. This bill will amend [FBOR] to ensure that a firefighter-EMT SB 1163 (Leno) Page 6 of ? or paramedic is afforded their due process in a consistent manner. When providing lifesaving services, firefighters and emergency medical personnel execute numerous job safety procedures and protocols, which have the potential of being compromised in a highly charged atmosphere of critical incident stressors. Consequently, firefighters can be subjected to inquiries, investigations and interrogations that may ultimately lead to punitive action, such as transfers, demotions or suspensions. SB 1163 will harmonize the provisions of the FBOR to align more closely with the provisions of the EMS Act, thereby ensuring that if a firefighter is subject to discipline on the job, he or she will in fact be protected by the due-process procedures contained in the FBOR in all circumstances. 2. Extending FBOR due process protections to disciplinary actions affecting EMT firefighter licensing and certification Under the FBOR, firefighters, including paramedics and emergency services technicians employed as firefighters, have enhanced rights and due process protections regarding investigations and disciplinary actions similar to those provided to public safety officers under the Public Safety Officers Procedural Bill of Rights. (Gov. Code Sec. 3250 et seq.) Separately, paramedics and emergency services technicians are also subject to investigations and disciplinary actions under the EMS Act, and those disciplinary actions may evoke licensing or certifications denial, revocation, or suspension. However, the EMS Act does not explicitly provide the following protections provided to firefighters who are subject to EMT license or certificate suspension or revocation: right to representation; right to know who will be investigating the charges; right to be questioned in a reasonable manner and not be subject to bullying; right to refuse a lie detector test; right to be questioned on duty; right to be reassigned only to another normal department job during any investigation; right to review and sign any adverse personnel comment before it is added to the personnel file; and right to submit a reply to the personnel comment. SB 1163 (Leno) Page 7 of ? Accordingly, this bill would extend the rights and due process protections under the FBOR to apply to investigations and disciplinary actions against EMT firefighters initiated under the EMS Act. The author argues that employers of EMT firefighters and local emergency medical services agencies (LEMSAs), which license and certify EMT firefighters, are construing the protections under the FBOR to only apply when the firefighter is "on duty." On the other hand, the author notes that the EMS Act enumerates a long list of "off-duty" conduct that subjects an EMT firefighter to punitive licensing or certification discipline if the licensing or certifying entity claims that the conduct is substantially related to the qualifications, functions, and duties of the EMT and considered evidence of a threat to public safety. The California Professional Firefighters (CPF), sponsor, argues that, as a result, "while EMT-certifying and EMT-P licensing entities are bound by the FBOR in most instances, the difference in the language of the FBOR clause related to disciplinary cause as compared to the EMS Act results in a small subset of offenses that may rise to the level of disciplinary cause for which the firefighter is not granted access to the FBOR procedural protections." The author argues that this bill is necessary to ensure the uniform application of FBOR due process protections when the EMT firefighter is subject to punitive certification or licensure action in job-related circumstances. The author provides the following examples of off-duty conduct that could subject an EMT firefighter to licensing or certification disciplinary action: a complaint is filed with a licensing or certifying entity alleging that a paramedic or EMT is overdue on child support payments; a complaint is filed alleging that a paramedic or EMT was involved in a domestic dispute; a complaint is filed alleging the EMT was displaying signs of addiction to pain medication prescribed for a job-related injury; or an employer is notified that an EMT or Paramedic was cited for a DUI. The author argues that EMT firefighters all too often respond to the bad and the very ugly. Consequently, the author states that SB 1163 (Leno) Page 8 of ? "the psychological stress of firefighting can follow a firefighter when their 24 hour or 48 hour shift is over. Firefighters regularly respond to stabbings, gun battles and shootings, domestic violence and terrorist acts, automobile accidents, airplane crashes and earthquakes, just to name a few. They witness young children dying and grieving families. At the same time, they are often bled or vomited on and it isn't uncommon for them to be cursed at by the individual they are attempting to help. While most survive the stressors of the job, sadly, some see the stress manifest itself as emotional trouble or prescription drug and alcohol abuse when off-duty. In other, graver cases, the stress endured leads to suicide." CPF notes that the rights and protections described in the FBOR apply to a firefighter during events and circumstances involving the performance of his or her official duties. However, in the above described circumstances where the behaviors took place off-duty, the licensing or certifying entity may choose to investigate the behavior and consider punitive action against the license or certificate. The author argues that such investigations are not strictly required to abide by the procedural rules found in the FBOR due to the discrepancy between the scope of the FBOR and the scope of the EMS ACT. Yet, any certification or licensure action taken against an EMT firefighter for off-duty conduct will directly impact the status of that firefighter on the job where certification or licensure in good standing is required. Accordingly, the author argues the bill is necessary to ensure that, whenever an EMT firefighter may be subject to punitive action that will impact his or her ability to perform job-related duties, the procedural protections of the FBOR would apply so investigations into alleged wrong-doing are conducted fairly and credibly. In this way, the author argues that appropriate discipline may be imposed and sustained, minimizing the risk that the employer or licensing entity will face any future liability and protecting potential future victims. Notably, the California Code of Regulations, promulgated by the Emergency Medical Services Authority, requires all investigations involving EMTs who are employed by a public safety agency as a firefighter to be conducted in accordance with the FBOR. (Cal. Code Regs., tit. 22, Sec. 100211(b).) Yet, those regulations only apply FBOR rights and protections to SB 1163 (Leno) Page 9 of ? a firefighter during events and circumstances involving the performance of his or her official duties, leaving out events and circumstances affecting the licensing or certification of the EMT firefighter. (Cal. Code Regs., tit. 22, Sec. 10211(a).) In order to avoid confusion as to the applicability of the special protections the Legislature has already enacted under the FBOR to protect EMT firefighters, this bill would clarify that FBOR rights and due process protections also apply to investigations and disciplinary actions brought pursuant to the EMS Act, which includes those investigations and disciplinary actions affecting the licensing and certification of EMT firefighters. 3. Opposition concerns The Emergency Medical Services Administrators Association (EMSAAC) and the Emergency Medical Directors Association of California, Inc. (EMDAC), in opposition, state that this bill would expand FBOR coverage to off-duty criminal arrests and convictions, as well as actions that occur when a firefighter is employed for a non-public safety agency, such as a hospital or ambulance service. The opposition argues that this expansion of FBOR to off-duty acts would diminish the ability of local EMS agency medical directors and the State EMS Authority to protect the public health and safety. Further, the opposition states that the majority of off-duty acts involve criminal convictions such as driving under the influence, drug use, and domestic violence. The opposition asserts that the timelines required by the FBOR may preempt certifying and licensing agencies from being able to take action due to the length of time required for some criminal proceedings to be complete. The opposition also notes that, as the recent investigation of the Cal Fire Academy in Ione has made clear, the off-duty actions of firefighter paramedics and EMTs may pose significant threats to public health and safety. The opposition argues that the local EMS agency medical directors must have the ability to protect patients that they believe SB 1163 erodes. Lastly, the opposition notes that they were opposed to AB 220 which created the FBOR due to the inclusion of licensing and certifying agencies within the legislation. Amending SB 1163 to remove all references to licensing and certifying agencies from FBOR would resolve EMSAAC's and EMDAC's concerns with the bill. SB 1163 (Leno) Page 10 of ? Support : LIUNA Local 792; Orange County Professional Firefighters Association, Local 3631 Opposition : Emergency Medical Directors Association of California, Inc.; Emergency Medical Services Administrators Association HISTORY Source : California Professional Firefighters Related Pending Legislation : AB 651 (Cooper, 2015) would authorize a firefighter or public safety officer who is a witness to have representation in the interview, as specified, in an investigation that focuses on matters that may result in punitive action against the firefighter or public safety officer who is not formally under investigation but is interviewed as a witness in an investigation of another firefighter or public safety officer. AB 651 is pending in the Senate Public Safety Committee. Prior Legislation : AB 2331 (Skinner, Chapter 465, Statutes of 2010) provided that, under the Firefighters Procedural Bill of Rights Act, if an employing department is subject to a memorandum of understanding that provides for binding arbitration of administrative appeals, the arbitrator or arbitration panel serves as the hearing officer in accordance with the Administrative Procedure Act and, notwithstanding any other provision, that hearing officer's decision is binding. AB 220 (Bass, Chapter 591, Statutes of 2007) See Background; Comment 3. AB 2857 (Bass, 2006) would have expanded the Public Safety Officers Procedural Bill of Rights to apply to firefighters, as specified. AB 2857 died in the Assembly Appropriations Committee. AB 1411 (Longville, 2000) was almost identical to AB 220. AB 1411 died in the Senate Appropriations Committee. SB 1163 (Leno) Page 11 of ? **************