BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                  SB 1471|
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                                 THIRD READING


          Bill No:  SB 1471
          Author:   Kuehl (D)
          Amended:  4/6/06
          Vote:     21

           
           SENATE HEALTH COMMITTEE  :  5-2, 4/26/06
          AYES:  Ortiz, Alquist, Chesbro, Figueroa, Kuehl
          NOES:  Runner, Cox
          NO VOTE RECORDED:  Aanestad, Maldonado

           SENATE APPROPRIATIONS COMMITTEE  :  8-5, 5/25/06
          AYES:  Murray, Alarcon, Alquist, Escutia, Florez, Ortiz,  
            Romero, Torlakson
          NOES:  Aanestad, Ashburn, Battin, Dutton, Poochigian


           SUBJECT  :    Sex education programs:  requirements

           SOURCE  :     American Civil Liberties Union
                      Planned Parenthood Affiliates of California


           DIGEST  :    This bill requires any program that provides  
          education to prevent adolescent or unintended pregnancy or  
          to prevent sexually transmitted infections and that is  
          conducted, operated, or administered by the state or any  
          state agency, or is funded directly or indirectly by the  
          state, or receives any financial assistance from the state,  
          including, but not limited to, public schools, to meet  
          specified requirements that emphasize comprehensive sex  
          education.

                                                           CONTINUED





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           ANALYSIS  :    

           Existing Law  

           1.Establishes requirements for the provision of sex  
            education under the California Comprehensive Sexual  
            Health and HIV/AIDS Prevention Education Act, authorizes  
            school districts to provide comprehensive sexual health  
            education, as defined, in any kindergarten to grade 12,  
            inclusive, and ensures that all pupils in grades 7 to 12,  
            inclusive, receive HIV/AIDS prevention education, as  
            defined.

           2.Enumerates various requirements for comprehensive sexual  
            health education and HIV/AIDS prevention education. 

           3.Requires a school district to notify the parent or  
            guardian of a pupil about instruction in comprehensive  
            sexual health education and HIV/AIDS prevention and  
            empowers a parent or guardian to excuse his or her pupil  
            from all or part of that instruction.

          This bill:

           1.Defines the following terms: 

             A.   "Age appropriate" refers to topics, messages, and  
               teaching methods suitable to particular ages or age  
               groups of children and adolescents, based on  
               developing cognitive, emotional, and behavioral  
               capacity typical for the age or age group.

             B.   A "single session" program means a single  
               presentation or contact designed to provide  
               awareness and information about preventing  
               pregnancy, or sexually transmitted diseases (STDs).  
               It includes outreach activities in which educators,  
               outreach workers, or youth peer educators provide  
               oral or written information to individuals during a  
               single encounter.

             C.   A "multiple session" program means instruction or  
               an informational presentation about preventing  
               pregnancy or STDs that is provided to the same  







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               audience over more than one session.

             D.   "Medically accurate" means verified or supported  
               by research conducted in compliance with scientific  
               methods and published in peer review journals, where  
               appropriate, and recognized as accurate and  
               objective by professional organizations and agencies  
               with expertise in the relevant field, including, but  
               not limited to, the federal Centers for Disease  
               Control and Prevention, the American Public Health  
               Association, the Society for Adolescent Medicine,  
               the American Academy of Pediatrics, and the American  
               College of Obstetricians and Gynecologists.  

           2.Requires any program that provides instruction or  
            information to prevent adolescent or unintended  
            pregnancy, or to prevent STDs, including HIV, that is  
            conducted, operated, or administered by any state agency  
            or is funded directly or indirectly by the state, or  
            receives any financial assistance from state funds or  
            funds administered by a state agency, to satisfy all of  
            the following requirements:

             A.   All information shall be medically accurate,  
               current, and objective.

             B.   Individuals providing instruction or information  
               on pregnancy, sexuality, and STDs shall know and use  
               the most current scientific data on human sexuality,  
               human development, pregnancy, and STDs.

             C.   The program content shall be age appropriate for  
               its targeted population.

             D.   The program shall not teach or promote religious  
               doctrine.

             E.   The program shall be culturally and  
               linguistically appropriate for its targeted  
               populations.

             F.   The program shall not reflect or promote bias  
               against any person on the basis of disability,  
               gender, nationality, race or ethnicity, religion, or  







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               sexual orientation.

           3.Requires the program, if it consists of instruction or  
            information that is delivered in a single session, to  
            satisfy all of the criteria in number 2 above and shall  
            also satisfy the following conditions:

             A.   If the program is directed towards minors and  
               addresses STDs, it shall include information that  
               the only certain way to prevent STDs is to abstain  
               from activities that have been proven to transmit  
               STDs.

             B.   If the program is directed toward minors and  
               addresses pregnancy prevention, it shall include  
               information that the only certain way to prevent  
               unintended pregnancy is to abstain from sexual  
               intercourse.

             C.   If the program addresses STDs, the program shall  
               provide information about the effectiveness and  
               safety of one or more drugs or devices approved by  
               the federal Food and Drug Administration for  
               reducing the risk of contracting STDs.

             D.   If the program addresses pregnancy prevention, it  
               shall provide information about the effectiveness  
               and safety of one or more drugs or devices approved  
               by the federal Food and Drug Administration for  
               preventing pregnancy.

           4.Requires the program, if it consists of instruction or  
            information that is delivered in multiple sessions, to  
            satisfy all of the criteria in number 2 above and shall  
            also satisfy the following conditions:

             A.   If the program is directed towards minors and  
               addresses STDs, it shall include information that  
               the only certain way to prevent STDs is to abstain  
               from activities that have been proven to transmit  
               STDs.

             B.   If the program is directed toward minors and  
               addresses pregnancy prevention, it shall include  







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               information that the only certain way to prevent  
               unintended pregnancy is to abstain from sexual  
               intercourse.

             C.   The program shall provide information about  
               skills for refusing unwanted sexual activity and  
               communicating with sexual partners.

             D.   The program shall provide information about the  
               effectiveness and safety of all drugs and devices  
               approved by the federal Food and Drug Administration  
               (FDA) for reducing the risk of contracting STDs, and  
               information on local resources for testing and  
               treatment of STDs.

             E.   lf the program addresses pregnancy prevention, it  
               shall provide information about the effectiveness  
               and safety of all drugs and devices approved by the  
               FDA for preventing pregnancy, including, but not  
               limited to, emergency contraception.

           5.Requires that, as a condition of receiving state funds  
            or state-administered funds for any program or activity  
            described in this measure, an applicant to attest in  
            writing that its program complies with all conditions of  
            funding and that if the program is conducted at a  
            publicly-funded school, including charter schools, the  
            applicant shall indicate in writing how the program fits  
            in with the school's plan to comply fully with the  
            requirements of the California Comprehensive Sexual  
            Health and HIV/AIDS Prevention Education Act of the  
            Education Code.  

           6.States that nothing in this section shall be construed  
            to limit the requirements of the California Comprehensive  
            Sexual Health and HIV/AIDS Prevention Education Act of  
            the Education Code.

           7.States that nothing in this measure shall apply to  
            one-on-one interactions between a health practitioner and  
            his or her patient in a clinical setting.


           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    







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          Local:  No

          According to the Senate Appropriations Committee:

                          Fiscal Impact (in thousands)

           Major Provisions               2006-07     2007-08     
           2008-09   Fiscal  

          DHS enforcement          $400      $300      $300      GF

           SUPPORT  :   (Verified  5/25/06)

          American Civil Liberties Union (co-source) 
          Planned Parenthood Affiliates of California (co-source)
          ACCESS/Women's Health Rights Coalition
          American Association of University Women CA
          American College of Obstetricians and Gynecologists,  
          District IX
          California Commission on the Status of Women
          California Family Health Council 
          California Latinas for Reproductive Justice
          California Medical Association
          California School Nurses Organization 
          Latino Issues Forum
          NARAL Pro-Choice California
          National Association of Social Workers, California Chapter
          Pharmacy Access Partnership
          Planned Parenthood Los Angeles 
          Planned Parenthood Orange and San Bernardino Counties  
          Southern California HIV Advocacy Coalition

           OPPOSITION  :    (Verified  5/25/06)

          California Family Council
          Capitol Resource Institute
          Concerned Women of America of California 

           ARGUMENTS IN SUPPORT  :    Proponents argue that this bill  
          expands on state law that requires sexual health and  
          HIV/AIDS prevention education taught in public schools be  
          medically accurate, bias-free, and age appropriate, also  
          applying these standards to community-based organizations  
          that provide sexuality education programs.  They state that  







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          the bill provides needed guidance to state agencies that  
          fund or administer community-based programs or public  
          education campaigns, in order to ensure that California has  
          a consistent and effective approach for preventing  
          unintended pregnancy and STDs.  Proponents cite the PPIC  
          survey and its findings and further state that to  
          effectively reduce existing reproductive health disparities  
          and promote access to sexual health information and  
          services, state funds should be used to support only  
          programs that provide medically accurate information with  
          current and unbiased data, in our communities as well as in  
          our public schools.

           ARGUMENTS IN OPPOSITION  :    Opponents object to the  
          expansion of these requirements in law.  Concerned Women  
          for America (CWA) states that this bill does not require  
          that programs teach respect for marriage, an important  
          component in encouraging healthy sexual behavior.  The CWA  
          and the Capitol Resource Institute both cite criteria in  
          the bill that prohibits a program from reflecting or  
          promoting bias against a person on the basis of, among  
          other factors, gender and sexual orientation.  The CWA  
          states that this presents a clear problem since current  
          research identifies increased health risks for certain  
          individuals.  
           

          CTW:do  5/25/06   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

                       SUPPORT/OPPOSITION:  NONE RECEIVED










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