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  







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          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  








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            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  








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          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  








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          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  








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            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.









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          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  








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          "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  








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          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.








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           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.








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