BILL ANALYSIS                                                                                                                                                                                                    



                                                                       


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          |SENATE RULES COMMITTEE            |                  SB 1644|
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                              UNFINISHED BUSINESS


          Bill No:  SB 1644
          Author:   Romero (D), et al
          Amended:  8/18/04
          Vote:     21

           
           SENATE HEALTH & HUMAN SERV. COMMITTEE  :  7-2, 3/24/04
          AYES:  Alarcon, Chesbro, Escutia, Florez, Kuehl, Romero,  
            Vasconcellos
          NOES:  Aanestad, Ashburn
          NO VOTE RECORDED:  Ortiz, Battin, Figueroa, Vincent

           SENATE PUBLIC SAFETY COMMITTEE  :  4-0, 4/20/04
          AYES:  McPherson, Vasconcellos, Romero, Sher
          NO VOTE RECORDED:  Burton, Margett

           SENATE APPROPRIATIONS COMMITTEE  :  8-4, 5/20/04
          AYES:  Alpert, Bowen, Burton, Escutia, Karnette, Machado,  
            Murray, Speier
          NOES:  Battin, Aanestad, Ashburn, Poochigian
          NO VOTE RECORDED:  Johnson

           ASSEMBLY FLOOR  :  49-30, 8/23/04 - See last page for vote


           SUBJECT  :    Long-term health care:  deaths of residents:
                          reporting requirements

           SOURCE  :     California Senior Legislature


           DIGEST  :    This bill requires a local registrar of deaths,  
          upon the request of a member of a county elder death review  
          team (EDRT), to make available and assist the electronic  
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          transfer of information from a certificate of death to the  
          county EDRT in any county that has access to the statewide  
          system, as specified.

           Assembly amendments  :  (1) apply the mandate in the bill  
          relating to information made available from death  
          certificate to a local register of births and deaths in a  
          county that elects to participate in the Internet-based  
          electronic death registration system; (2) require the  
          report from the local register of births and deaths to  
          contain four specified elements; and, (3) requires  
          compliance on or before July 1, 2005, or no later than  
          December 1, 2005.

           ANALYSIS  :    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. 

          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,  







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             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  
             four elements: 

             A.   Place of death.

             B.   Last name, followed by first name, of the deceased  
               person.

             C.   Date of death.

             D.   Cause of death. 

          1. 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. 

          2. 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. 

          3. Maintains the confidentiality and disclosure  
             requirements, as defined. 

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  Yes

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

           SUPPORT  :   (Verified  8/23/04)

          California Senior Legislature (source) 
          American Federation of State, County and Municipal  
          Employees
          Area Agency on Aging Advisory Council (previous version)
          California Advocates for Nursing Home Reform (previous  
          version) 
          California State Coroners' Association







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          California State Sheriffs' Association
          Consumer Attorneys of California (previous version)
          Gray Panthers (previous version)
          Older Women's League (previous version)

           OPPOSITION  :    (Verified  8/23/04)

          Department of Finance

           ARGUMENTS IN SUPPORT  :    According to the author's office,  
          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 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.

           ARGUMENTS IN OPPOSITION  :    (not available at time of this  
          writing)


           ASSEMBLY FLOOR  :
          AYES:  Berg, Bermudez, Bogh, Calderon, Canciamilla, Chan,  
            Chavez, Chu, Cohn, Corbett, Correa, Diaz, Dutra, Dymally,  







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            Firebaugh, Frommer, Goldberg, Hancock, Jerome Horton,  
            Jackson, Kehoe, Laird, Leno, Levine, Lieber, Liu,  
            Longville, Lowenthal, Maldonado, Matthews, Montanez,  
            Mullin, Nakano, Nation, Negrete McLeod, Oropeza, Parra,  
            Pavley, Reyes, Ridley-Thomas, Salinas, Simitian,  
            Steinberg, Vargas, Wesson, Wiggins, Wolk, Yee, Nunez
          NOES:  Aghazarian, Bates, Benoit, Campbell, Cogdill, Cox,  
            Daucher, Dutton, Garcia, Harman, Haynes, Shirley Horton,  
            Houston, Keene, La Malfa, La Suer, Leslie, Maddox, Maze,  
            McCarthy, Mountjoy, Nakanishi, Pacheco, Plescia, Richman,  
            Runner, Samuelian, Spitzer, Strickland, Wyland
          NO VOTE RECORDED:  Koretz


          CP:nl  8/24/04   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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