BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 1644
                                                                  Page  1

          SENATE THIRD READING
          SB 1644 (Romero)
          As Amended August 17, 2004
          Majority vote 

           SENATE VOTE  :25-12  
           
           HEALTH              13-5        APPROPRIATIONS      14-5        
           
           ----------------------------------------------------------------- 
          |Ayes:|Cohn, Goldberg, Chavez,   |Ayes:|Chu, Berg, Laird,         |
          |     |Dymally, Frommer, Koretz, |     |Firebaugh,                |
          |     |Lieber, Montanez, Nakano, |     |Goldberg, Leno, Nation,   |
          |     |Negrete McLeod,           |     |Negrete McLeod, Oropeza,  |
          |     |Ridley-Thomas, Salinas,   |     |Pavley,                   |
          |     |Wolk                      |     |Ridley-Thomas, Wesson,    |
          |     |                          |     |Wiggins, Yee              |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Spitzer, Dutton,          |Nays:|Runner, Bates, Daucher,   |
          |     |Nakanishi, Plescia,       |     |Haynes, Keene             |
          |     |Richman                   |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :  Requires a local registrar of births and deaths in a  
          county that elects to participate in the Internet-based  
          electronic death registration system, upon the request of a  
          member of a county elder death review team (EDRT), to make  
          available information to the EDRT from a certificate of death,  
          as specified.  Specifically,  this bill  :   

          1)Requires a local registrar of births and deaths in a county  
            that elects to participate in the Internet-based electronic  
            death registration system established by the department, as  
            specified, to provide, from information obtained from death  
            certificates, to the chair, cochair, or any agent of the chair  
            or cochair, of a county EDRT, as specified, upon request, a  
            report for a date period specified by the requester that  
            contains the following three elements:

             a)   Place of death;

             b)   Last name, followed by first name, of the deceased  
               person; and,

             c)   Date of death.








                                                                  SB 1644
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          2)Requires a local register to comply with the requirements of  
            this bill on or before July 1, 2005, or a reasonable time  
            thereafter, but in no case later than December 1, 2005.

          3)Allows an organization represented on an EDRT to request and  
            obtain copies of certificates of death from the local  
            registrar of births and deaths subject to any fee requirement  
            and allows each organization represented on an EDRT to share  
            that information with any other member of the team.

          4)Maintains the confidentiality and disclosure requirements, as  
            defined.

           EXISTING LAW  :

          1)Allows each county to establish an interagency elder death  
            team to assist local agencies in identifying and reviewing  
            suspicious elder deaths and facilitating communication among  
            persons involved in investigating elder abuse cases. 

          2)Allows for each organization represented on an EDRT to share  
            with other members of the team information in its possession  
            concerning the decedent who is the subject of the review or  
            any person who was in contact with the decedent and any other  
            information deemed by the organization to be pertinent to the  
            review.

          3)Establishes, by January 1, 2005, the Internet-based electronic  
            death registration system within DHS, limited to proper use of  
            the death information created, stored, and transferred within  
            the system and subject to any limitation placed on the  
            accessibility and release of personally identifying  
            information contained in those death records.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee analysis, this bill would have minor state fiscal  
          effect.

           COMMENTS  :  According to the author, this bill authorizes a  
          member of a local EDRT to access death certificates  
          electronically from vital statistics in their county.  This bill  
          ensures access of death information for EDRTs, which are made up  
          of governmental and law enforcement officials that currently do  
          not have portal access to death certificates held in vital  








                                                                  SB 1644
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          statistics.  Finally, this bill provides an essential tool to  
          EDRTs to effectively track the deaths of elders in each county.   
          For example, patterns that may develop locally with respect to  
          deaths will be more easily tracked and responded to with this  
          information.

          The American Federation of State, County, and Municipal  
          Employees (AFSCME) states that current law requires that each  
          death be registered with the local registrar of births and  
          deaths in the district in which the death was officially  
          pronounced or the body was found within eight calendar days  
          after death and prior to any disposition of the human remains.   
          This bill would require a local registrar of deaths to make  
          available and assist the electronic transfer of information from  
          a certificate of death to the county EDRT, in accordance with  
          the Internet-based electronic death registration system in any  
          county that has access to it.  AFSCME supports this bill because  
          it would allow members of an EDRT to electronically access death  
          certificates from vital statistics.

           
          Analysis Prepared by  :    Clara Craven / HEALTH / (916) 319-2097 


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