BILL ANALYSIS                                                                                                                                                                                                    Ó



          SENATE COMMITTEE ON APPROPRIATIONS
                             Senator Ricardo Lara, Chair
                            2015 - 2016  Regular  Session

          SB 1316 (Wolk) - Tissue banks:  human milk
          
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          |Version: April 14, 2016         |Policy Vote: HEALTH 7 - 2       |
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          |Urgency: No                     |Mandate: No                     |
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          |Hearing Date: May 2, 2016       |Consultant: Brendan McCarthy    |
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          This bill meets the criteria for referral to the Suspense File.

          Bill  
          Summary:  SB 1316 would place specific regulatory requirements  
          on tissue banks that collect, process, store, or distribute  
          human milk. 


          Fiscal  
          Impact:  Ongoing costs of $150,000 per year for the Department  
          of Public Health to develop and adopt regulations and to license  
          and enforce licensing requirements on those banks that manage  
          human milk (Tissue Bank Special Fund).


          Background:  Under current law, tissue banks are licensed by the Department  
          of Public Health. Any facility that collects, processes, stores,  
          or distributes tissues requires a license. "Tissue" is defined  
          to include cells, blood, bodily fluids (including breast milk)  
          and other tissues.  Under current law, there are 95 tissue banks  
          in the state that include human milk among their transplantable  
          tissues. Most of those licensees are hospital-based tissue  
          banks. There are also five tissue banks that collect and process  
          human milk, one that collects unprocessed milk, and two that  







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          collect and store unprocessed milk. 
          There is a national umbrella group of non-profit organizations  
          that collect and distribute donated human milk. This group, the  
          Human Milk Banking Association of North America (HMBANA) has  
          developed voluntary guidelines for human milk banks. Those  
          guidelines include requirements for safe handling of human milk  
          and restrictions on donors (for example, excluding donors based  
          on drug or alcohol use). HMBANA members are non-profit entities  
          that rely on donated human milk.




          Proposed Law:  
            SB 1316 would place specific regulatory requirements on tissue  
          banks that collect, process, store, or distribute human milk.
          Specific provisions of the bill would:
                 Require licensed tissue banks that collect, process,  
               store, or distribute human milk to comply with the  
               guidelines developed by the Human Milk Banking Association  
               of North America until the Department of Public Health  
               adopts regulations;
                 Require tissue banks to work with lactation support  
               groups to provide lactation support to a mother who  
               provides human milk to a tissue bank;
                 Require tissue banks to disclose the intended purposes  
               of the procured milk to the mother;
                 Prohibit tissue banks from providing payment to a mother  
               for human milk within 90 days postpartum;
                 Prohibit tissue banks that provide compensation to  
               mothers from using the term "community benefit";
                 Require the Department of Public Health to adopt  
               regulations governing tissue banks that are substantially  
               based on the guidelines of the Human Milk Banking  
               Association of North America;
                 Include a January 1, 2022 sunset date on the bill's  
               requirements.


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