BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1923
                                                                  Page  1

          Date of Hearing:   April 21, 2001

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                   Judy Chu, Chair

               AB 1923 (Lowenthal) - As Introduced:  February 10, 2004 

          Policy Committee:                              Labor and  
          Employment   Vote:                            8-0

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              

           SUMMARY  

          This bill 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.   The bill 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.  

           FISCAL EFFECT  

          1)One-time rulemaking costs in the range of $150,000 in 2004-05  
            to the Occupational Safety and Health Standards Board within  
            the Department of Industrial Relations to establish and adopt  
            a standard for emergency response personnel critical incident  
            stress programs. 

          2)Unknown costs to state and local public safety departments,  
            probably in excess of $2 million annually statewide, to  
            develop critical incident stress programs, and to provide the  
            services prescribed therein.  (The bill does not impose a  
            state-mandated local program because it applies equally to  
            public and private employers.)  

          Although the bill does not specify what types of services these  
            programs would provide, or how they should be paid for,  
            presumably, the programs would provide psychological  
            counseling services.  Exposure of emergency workers to  
            "critical incidents" would be a routine occurrence, given the  
            broad definition of the term.  Moreover, the bill does not  








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            define "emergency response personnel" (see discussion below).   
            A broad interpretation of this term could result in a generous  
            entitlement to psychological counseling services for an array  
            of public safety personnel.

            COMMENTS  

           1)Background  .  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 to help reduce the stress  
            to emergency response personal caused by their exposure to  
            so-called "critical incidents."

            The National Fire Protection Association (NFPA), a nonprofit  
            organization dedicated to reducing the burden of fire and  
            other hazards, defines the objectives of a critical incident  
            stress program as reducing the impact of a critical incident,  
            placing it into proper perspective, and maintaining 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. 

           2)Problems in Statutory Construction  .  The program requirement  
            would be codified in the Occupational Safety and Health  
            (Cal-OSHA) abatement provisions of the Labor Code, which  
            require, among other things, that employers correct unsafe and  
            unhealthy conditions and work practices in a timely manner.   
            By defining  "exposure to a critical incident" as an  
            "unhealthy condition," this bill literally would require  
            employers of emergency response personnel to take actions to  
            ensure that these personnel are not exposed to "critical  
            incidents."  It is of course not reasonable to expect  
            emergency personnel not to be exposed to the very types of  
            human trauma that defines their jobs.  Yet employers would be  
            exposed to civil liability if they did not abate this  
            "unhealthy condition."
           
             The bill, moreover, does not define "emergency response  
            personnel."  A broad interpretation of this term could include  
            not only emergency medical technicians, but also police and  
            firefighters.  











                                                                  AB 1923
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           Analysis Prepared by  :    Stephen Shea / APPR. / (916) 319-2081