BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                  SB 1471|
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                              UNFINISHED BUSINESS


          Bill No:  SB 1471
          Author:   Kuehl (D)
          Amended:  8/21/06
          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

           SENATE FLOOR  :  24-14, 5/30/06
          AYES:  Alarcon, Alquist, Bowen, Cedillo, Chesbro, Ducheny,  
            Dunn, Escutia, Figueroa, Kehoe, Kuehl, Lowenthal,  
            Machado, Migden, Murray, Ortiz, Perata, Romero, Scott,  
            Simitian, Soto, Speier, Torlakson, Vincent
          NOES:  Aanestad, Ackerman, Ashburn, Battin, Cox, Denham,  
            Dutton, Hollingsworth, Maldonado, Margett, McClintock,  
            Morrow, Poochigian, Runner
          NO VOTE RECORDED:  Florez, Vacancy

           ASSEMBLY FLOOR  :  49-30, 8/28/06 - See last page for vote


           SUBJECT  :    Sex education programs:  requirements

           SOURCE  :     American Civil Liberties Union
                      Planned Parenthood Affiliates of California
                                                           CONTINUED





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           DIGEST  :    This bill enacts the California Community Sexual  
          Health 
          Education Act.

           Assembly Amendments  (1) specify that the bill shall not  
          apply retroactively to any grant that has been funded  
          pursuant to a contract that is entered into before January  
          1, 2007, and that monitoring of compliance with the bill  
          shall be integrated into the current monitoring and  
          compliance procedures for grants; (2) requires the agency  
          if it knows or should have known that a grantee is not in  
          compliance with this section to terminate the contract or  
          take other appropriate action; (3) specifies that if the  
          program consists of instruction or information that is  
          delivered in a single session or in multiple sessions to  
          persons under age 12 years, it shall satisfy specified  
          criteria; and (4) exempts publicly funded schools receiving  
          only general educations funds to provide comprehensive  
          sexual health instruction or HIV/AIDS prevention  
          instruction, from complying with the funding conditions  
          required by the bill.

           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  







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            from all or part of that instruction.

          This bill:

           1.Requires any program that provides instruction or  
            information to prevent adolescent or unintended  
            pregnancy, or to prevent sexually transmitted diseases  
            (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 the following:

             A.   All information is required to be medically  
               accurate, current, and objective.

             B.   Individuals providing instruction or information on  
               pregnancy, sexuality, and sexually transmitted  
               diseases are required to know and use the most current  
               scientific data on human sexuality, human development,  
               pregnancy, and STDs.

             C.   The program content is required to be age  
               appropriate for its targeted population.

             D.   The program is prohibited from teaching or  
               promoting religious doctrine.

             E.   The program is required to be culturally and  
               linguistically appropriate for its targeted  
               populations.

             F.   The program is prohibited from reflecting or  
               promoting bias against any person on the basis of  
               disability, gender, nationality, race or ethnicity,  
               religion, or sexual orientation, as defined in current  
               law.

           2.Requires the program, if it consists of instruction or  
            information that is delivered in a single session, to  
            satisfy all of the criteria in #1) above and: 

             A.   If it is directed towards minors and addresses  
               STDs, include information that the only certain way to  







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               prevent STDs is to abstain from activities that have  
               been proven to transmit STDs.

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

             C.   If it addresses sexually transmitted diseases,  
               provide information about the effectiveness and safety  
               of one or more drugs or devices approved by the  
               federal Food and Drug Administration (FDA) for  
               reducing the risk of contracting STDs.

             D.   If it addresses pregnancy prevention, provide  
               information about the effectiveness and safety of one  
               or more drugs or devices approved by the FDA for  
               preventing pregnancy.

           3.Requires the program, if it consists of instruction or  
            information that is delivered in multiple sessions, to  
            satisfy all of the criteria in subdivision #1) above and  
            paragraphs a) and b) of #2) above and: provide  
            information about skills for refusing unwanted sexual  
            activity and communicating with sexual partners; and,  
            provide information about the effectiveness and safety of  
            all drugs and devices approved by the FDA for reducing  
            the risk of contracting STDs, and information on local  
            resources for testing and treatment of STDs. Requires the  
            program, if it addresses pregnancy prevention, to 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.

           4.Defines "age appropriate" as 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.

           5.Defines "single session" program as a single  
            presentation or contact designed to provide awareness and  
            information about preventing pregnancy, or sexually  







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            transmitted diseases, including outreach activities in  
            which educators, outreach workers, or youth peer  
            educators provide oral or written information to  
            individuals during a single encounter.

           6.Defines "multiple session" program as instruction or an  
            informational presentation about preventing pregnancy or  
            sexually transmitted diseases that is provided to the  
            same audience over more than one session.

           7.Defines "medically accurate" as 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 (CDC), the American  
            Public Health Association (APHA), the Society for  
            Adolescent Medicine (SAM), the American Academy of  
            Pediatrics (AAP), and the American College of  
            Obstetricians and Gynecologists (ACOG).

           8.Requires an applicant, with the exception of publicly  
            funded schools receiving only general education funds to  
            provide comprehensive sexual health instruction or  
            HIV/AIDS prevention instruction, as a condition of  
            receiving state funds or state-administered funds for any  
            program or activity described in subdivisions # 1), # 2),  
            and # 3) above to attest in writing that its program  
            complies with all conditions of funding, including those  
            enumerated in this bill. 

           9.Requires the applicant, if the program is conducted at a  
            publicly funded school, including charter schools, to  
            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.

          10.Prohibits anything in this bill from being construed to  
            limit the requirements of the California Comprehensive  
            Sexual Health and HIV/AIDS Prevention Education Act, as  
            specified. 








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          11.Prohibits anything in this bill from applying 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    
          Local:  No

          According to the Assembly Appropriations Committee  
          analysis, annual General Fund administrative costs, likely  
          $200,000 to $500,000, for DHS to monitor programs.  To the  
          extent DHS can consolidate the program monitoring and/or  
          technical assistance it currently provides to include the  
          information proposed in this measure, this cost may be  
          reduced.

           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  







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          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  
          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.  
           

           ASSEMBLY FLOOR  : 
          AYES:  Arambula, Baca, Bass, Berg, Bermudez, Calderon,  
            Canciamilla, Chan, Chavez, Chu, Cohn, Coto, De La Torre,  
            Dymally, Evans, Frommer, Goldberg, Hancock, Jerome  
            Horton, Jones, Karnette, Klehs, Koretz, Laird, Leno,  
            Levine, Lieber, Lieu, Liu, Matthews, Montanez, Mullin,  
            Nation, Nava, Negrete McLeod, Oropeza, Parra, Pavley,  
            Richman, Ridley-Thomas, Ruskin, Saldana, Salinas,  
            Torrico, Umberg, Vargas, Wolk, Yee, Nunez
          NOES:  Aghazarian, Benoit, Blakeslee, Bogh, Cogdill,  
            Daucher, DeVore, Emmerson, Garcia, Haynes, Shirley  
            Horton, Houston, Huff, Keene, La Malfa, La Suer, Leslie,  
            Maze, McCarthy, Mountjoy, Nakanishi, Niello, Plescia,  







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            Sharon Runner, Spitzer, Strickland, Tran, Villines,  
            Walters, Wyland
          NO VOTE RECORDED:  Vacancy


          CTW:do  8/29/06   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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