BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    SB 1433


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          SENATE THIRD READING


          SB  
          1433 (Mitchell)


          As Amended  May 31, 2016


          Majority vote


          SENATE VOTE:  26-8


           ------------------------------------------------------------------ 
          |Committee       |Votes|Ayes                  |Noes                |
          |                |     |                      |                    |
          |                |     |                      |                    |
          |                |     |                      |                    |
          |----------------+-----+----------------------+--------------------|
          |Public Safety   |7-0  |Jones-Sawyer,         |                    |
          |                |     |Melendez, Lackey,     |                    |
          |                |     |Lopez, Low, Quirk,    |                    |
          |                |     |Santiago              |                    |
          |                |     |                      |                    |
          |----------------+-----+----------------------+--------------------|
          |Appropriations  |16-2 |Gonzalez, Bloom,      |Bigelow, Gallagher  |
          |                |     |Bonilla, Bonta,       |                    |
          |                |     |Calderon, Chang,      |                    |
          |                |     |Daly, Eggman, Eduardo |                    |
          |                |     |Garcia, Holden,       |                    |
          |                |     |Obernolte, Quirk,     |                    |
          |                |     |Santiago, Weber,      |                    |
          |                |     |Wood, McCarty         |                    |
          |                |     |                      |                    |
          |                |     |                      |                    |
           ------------------------------------------------------------------ 








                                                                    SB 1433


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          SUMMARY:  Provides that any incarcerated person in the state  
          prison who menstruates shall, upon request, have improved access  
          to personal hygiene materials, and contraceptive services, as  
          specified.  Specifically, this bill:  




          1)Provides that any incarcerated person in state prison who  
            menstruates shall, upon request, have access and be allowed to  
            use materials necessary for personal hygiene with regard to  
            their menstrual cycle and reproductive system.  Any  
            incarcerated person who is capable of becoming pregnant shall,  
            upon request, have access and be allowed to obtain  
            contraceptive counseling and their choice of birth control  
            methods, as specified, unless medically contraindicated.



          2)States that, except as provided, all birth control methods and  
            emergency contraception approved by the United States Food and  
            Drug Administration (FDA) shall be made available to  
            incarcerated persons who are capable of becoming pregnant,  
            with the exception of sterilizing procedures prohibited by  
            law.



          3)Requires the California Correctional Health Care Services  
            (CCHCS) to establish a formulary consisting of all  
            FDA-approved birth control methods that shall be available to  
            persons in this legislation.  If a birth control method has  
            more than one FDA-approved therapeutic equivalent, only one  
            version of that method shall be required to be made available,  
            unless another version is specifically indicated by a  
            prescribing provider and approved by the chief medical  
            physician at the institution.  Persons shall have access to  








                                                                    SB 1433


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            nonprescription birth control methods without the requirement  
            to see a licensed health care provider.



          4)Any contraceptive service that requires a prescription, or any  
            contraceptive counseling, provided to incarcerated persons who  
            are capable of becoming pregnant provided, shall be furnished  
            by a licensed health care provider who has been provided  
            training in reproductive health care and shall be  
            nondirective, unbiased, and non-coercive.  These services  
            shall be furnished by the facility or by any other agency  
            which contracts with the facility.  Except as provided, health  
            care providers furnishing contraceptive services shall receive  
            training in the following areas:



             a)   The requirements of this section; and,



             b)   Providing nondirective, unbiased, and non-coercive  
               contraceptive counseling and services.



          5)States that providers who attend an orientation program for  
            the Family Planning, Access, Care, and Treatment Program shall  
            be deemed to have met the training requirements described.



          6)Provides that any incarcerated person who is capable of  
            becoming pregnant shall be furnished by the facility with  
            information and education regarding the availability of family  
            planning services and their right to receive nondirective,  
            unbiased, and non-coercive contraceptive counseling and  
            services.  Each facility shall post this information in  








                                                                    SB 1433


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            conspicuous places to which all incarcerated persons who are  
            capable of becoming pregnant have access.



          7)Requires contraceptive counseling and family planning services  
            to be offered and made available to all incarcerated persons  
            who are capable of becoming pregnant at least 60 days, but not  
            longer than 180 days, prior to a scheduled release date.



          8)States that its provisions are not to be construed to limit an  
            incarcerated person's access to any method of contraception  
            that is prescribed or recommended for any medically indicated  
            reason.

          EXISTING LAW:  


          1)Requires that any woman inmate, upon her request, be allowed  
            to continue to use materials necessary for a) personal hygiene  
            with regard to her menstrual cycle and reproductive system and  
            b) birth control measures as prescribed by her physician.  




          2)Requires that each and every woman inmate shall be furnished  
            with information and education regarding the availability of  
            family planning services. 




          3)Requires that family planning services be offered to each and  
            every woman inmate at least 60 days prior to a scheduled  
            release date.  Upon request any woman inmate shall be  
            furnished by the Department of Corrections and Rehabilitation  








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            (department) with the services of a licensed physician or she  
            shall be furnished by the department or by any other agency  
            which contracts with the department with services necessary to  
            meet her family planning needs at the time of her release. 




          FISCAL EFFECT:  According to the Assembly Appropriations  
          Committee, potential future annual General Fund cost in the  
          range of $190,000 to the California Correctional Health Care  
          Services (CCHCS) to provide the counseling services and methods  
          of birth control.  Annual costs would fluctuate based on the  
          inmate population trends and volume of requests for services and  
          materials.  Currently, the Budget includes funding of $632,000  
          for these services, which assumes 50% participation by the  
          female population that is of reproductive age.  If this bill  
          results in greater awareness and thus a 30% increase in  
          participation, future costs could increase by $190,000, assuming  
          no change in the eligible population.


          COMMENTS:   According to the author, "SB 1433 will require the  
          California Department of Corrections and Rehabilitation (CDCR)  
          and the California Correctional Health Care Services (CCHCS) to  
          provide family planning services upon request, as well as  
          provide that these services shall be offered between 180 to 60  
          days prior to an individual's parole release date.   
          Additionally, this bill acknowledges the fact that there are  
          many medical uses for birth control besides preventing pregnancy  
          such as regulating menstrual periods, relieving severe cramps,  
          and treating endometriosis.  SB 1433 will ensure that the health  
          care needs of incarcerated women are improved by providing  
          adequate family planning services upon request and prior to  
          their release date."


          Please see the policy committee analysis for a full discussion  
          of this bill.








                                                                    SB 1433


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          Analysis Prepared by:                     Gregory Pagan / PUB.  
          S. / (916) 319-3744                         FN: 0004001