BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1923
                                                                  Page  1

          Date of Hearing:   March 31, 2004

                     ASSEMBLY COMMITTEE ON LABOR AND EMPLOYMENT
                                 Paul Koretz, Chair
               AB 1923 (Lowenthal) - As Introduced:  February 10, 2004
           
          SUBJECT  :  Occupational safety and health. 

           SUMMARY  :   Requires the development of critical incident stress  
          programs for emergency response personnel.  Specifically,  this  
          bill  :  

          1)Defines the existing term "unhealthy condition" to include  
            exposure to a critical incident, as defined.

          2)Requires employers of emergency response personnel to  
            establish, implement, and maintain a critical incident stress  
            program for the purpose of relieving stress generated by  
            exposure to a critical incident.

          3)Defines "critical incident" as an incident involving mass  
            human casualties, maiming, or dismemberment, a large life loss  
            incident, a fatality involving a child, or a fatality or  
            injury involving a coworker. 

           EXISTING LAW  

          1)Requires employers to establish, implement, and maintain a  
            written injury prevention program that contains certain  
            mandatory provisions as part of an effort to reduce workplace  
            injuries. 

          2)Requires that employers correct unsafe and unhealthy  
            conditions and practices in a timely manner. 

           FISCAL EFFECT  :  Unknown

           COMMENTS  :   

          This bill is co-sponsored by the California Professional  
          Firefighters (CPF) and the California Firefighters Association.   
          The author and sponsors are concerned that there is no program  
          designed to relieve stress generated by exposure to a critical  
          incident.  This bill is intended to establish programs for  
          emergency response personal to help reduce the stress associated  








                                                                  AB 1923
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          with involvement in incidents involving mass casualties, certain  
          other injuries and fatalities, or a fatality or injury involving  
          a coworker.
           
          The National Fire Protection Association (NFPA), a nonprofit  
          organization dedicated to reducing the burden of fire and other  
          hazards, defines the objective of a critical incident stress  
          program as lessening the impact of a critical incident, put it  
          into the proper perspective, and help maintain a healthy  
          outlook.  According to NFPA suggested guidelines, a program  
          should consist of firefighters, support personnel, and mental  
          health professionals trained in stress related counseling.

          The CPF writing in support of this bill argues that fire service  
          personal may routinely experience psychological and cognitive  
          reactions after responding to a traumatic incident on the job.   
          These reactions can include a loss of concentration, anxiety,  
          grief, and anger.  CPF argues that a stress relief program could  
          reduce the impacts that traumatic incidents may have on  
          emergency personal, thereby minimizing the health risks that  
          such incidents would otherwise impose.

          The American Federation of State, County and Municipal  
          Employees, AFL-CIO, supports this bill because "exposure to a  
          critical incident can adversely affect the psychological and  
          physical well-being of a person."

          The Construction Employer's Association (CEA) have expressed  
          concern because "emergency response personnel" is not defined in  
          this bill.  CEA states that after the World Trade Center attacks  
          in 2001, large construction firms were brought in to assist with  
          rescue operations and clean up.  As such, CEA is seeking  
          clarification.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          American Federation of State, County, and Municipal Employees
          California Applicants' Attorneys Association
          California Medical Association
          California Nurses Association
          California Professional Firefighters (CoSponsor)

           Opposition 








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          Construction Employers' Association
           
          Analysis Prepared by  :    Nick Louizos / L. & E. / (916) 319-2091