BILL ANALYSIS                                                                                                                                                                                                    






                                 SENATE HEALTH
                               COMMITTEE ANALYSIS
                        Senator Elaine K. Alquist, Chair


          BILL NO:       AB 599                                       
          A
          AUTHOR:        Hall                                         
          B
          AMENDED:       As Introduced
          HEARING DATE:  July 8, 2009                                 
          5
          REFERRAL:      Public Safety                                
          9
          CONSULTANT:                                                 
          9
          Hansel/                                                    
                                        

                                     SUBJECT
                                         
                     Forensic alcohol testing laboratories

                                     SUMMARY
                                         
          Exempts forensic alcohol laboratories that are accredited  
          by the American Society of Crime Laboratory  
          Directors/Laboratory Accreditation Board, or by another  
          accrediting body approved by the forensic alcohol review  
          committee, from the requirement to comply with state  
          regulations pertaining to forensic alcohol laboratories.

                             CHANGES TO EXISTING LAW  

          Existing law:
          Requires laboratories that perform forensic alcohol  
          analysis tests by or for law enforcement agencies on blood,  
          urine, tissue, or breath samples to comply with regulations  
          pertaining to competence, staffing, and laboratory  
          procedures, as specified, but provides that such  
          laboratories shall not be licensed by the Department of  
          Public Health (DPH).

          Requires DPH to establish a forensic alcohol review  
          committee consisting of law enforcement officials, defense  
          attorneys, coroners and other members, as specified, to  
                                                         Continued---



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          evaluate and recommend revisions to regulations that the  
          committee determines are necessary to ensure the competence  
          of laboratories and employees to prepare, analyze, and  
          report the results of tests.  

          Requires all laboratories that perform forensic alcohol  
          analysis tests by or for law enforcement agencies to follow  
          guidelines for proficiency testing established by the  
          American Society of Crime Laboratory Directors/Laboratory  
          Accreditation Board (ASCLD/LAB).

          Existing state regulations:
          Establish qualifications for forensic alcohol supervisors,  
          forensic alcohol analysts, or forensic alcohol analyst  
          trainees.
          Require forensic laboratories to:

           Meet established laboratory performance and procedure  
            standards;

           Employ at least one forensic alcohol supervisor;

           Maintain a quality control program in forensic alcohol  
            analysis procedures;   

           Demonstrate satisfactory performance in a proficiency  
            testing program conducted by, or approved by, DPH to  
            evaluate the accuracy of the forensic alcohol analyses  
            performed by the laboratory; 

           Maintain records pertaining to personnel, analysis  
            results, equipment, proficiency testing; and

           Pass on-site inspections by the department.

          This bill:
          Exempts forensic alcohol laboratories that are accredited  
          by the ASCLD/LAB, or by another accrediting body approved  
          by the forensic alcohol review committee, from the  
          requirement to comply with state regulations pertaining to  
          forensic alcohol laboratories.
          

                                  FISCAL IMPACT 





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          According to the Assembly Appropriations Committee analysis  
          of AB 599, no direct fiscal impact to DPH to continue  
          oversight of testing forensic alcohol labs in California.


                            BACKGROUND AND DISCUSSION  

          The author states that many of the forensic alcohol  
          laboratories that DPH regulates are also accredited by  
          ASCLD/LAB, which has higher standards than DPH for testing  
          procedures.  The author argues that DPHs oversight is  
          duplicative, wastes thousands of dollars per year, and does  
          nothing to ensure high quality forensic blood alcohol  
          testing.  By exempting accredited laboratories from  
          oversight by DPH, the department would be able to direct  
          its limited resources to overseeing unaccredited labs.  

          Forensic alcohol labs in California
          According to DPH, 38 forensic alcohol laboratories in  
          California conduct alcohol
          analysis and other forensic tests.  City, county, and state  
          governmental law enforcement agencies operate 28 of these  
          forensic alcohol laboratories, and 10 are private  
          laboratories.  Some of these private laboratories provide  
          testing services for law enforcement through contractual  
          arrangements with cities and counties.  Twenty-six of the  
          forensic alcohol laboratories (all governmental) are  
          accredited by ASCLD/LAB.  The 38 forensic alcohol  
          laboratories annually conduct approximately 200,000 alcohol  
          tests.

          The department's regulations are designed to ensure the  
          competency of local forensic alcohol laboratories, the  
          qualifications of the employees of the laboratories, and  
          the accuracy of breath alcohol testing procedures used by  
          law enforcement agencies, which affects the admissibility  
          of tests into evidence in drunk driving cases. 

          Legislation in 2004 (SB 1623, Johnson, Chapter 337,  
          Statutes of 2004) removed the department's authority to  
          license the laboratories.  Prior to this, the department  
          operated a forensic alcohol laboratory licensing and  
          regulatory program for more than 30 years.  Current statute  
          still requires forensic alcohol labs to comply with all of  
          the department's regulations, and requires the department  




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          to enforce the regulations.    

          SB 1623 also established a review committee to evaluate the  
          department's regulations pertaining to forensic alcohol  
          testing in order to determine revisions that the review  
          committee determines are reasonably necessary.  Under  
          current statute, the Health and Human Services Agency  
          (HHSA) can disapprove revisions proposed by the review  
          committee, but neither it or DPH can promulgate regulations  
          on its own.  

          DPH states that the review committee is composed of  
          representatives of groups involved in, or affected by, the  
          department's regulations (including the sponsor of AB 599,  
          the California Association of Crime Lab Directors).  The  
          committee has met nine times, but has not completed its  
          determinations.  

          DPH also states that, with the passage of SB 1623, it has  
          ceased routine onsite inspections of forensic alcohol labs,  
          but it maintains authority to conduct inspections for  
          cause, and is still required to regulate forensic alcohol  
          laboratories.  DPH annually requires two proficiency tests  
          of each forensic alcohol laboratory, and laboratories are  
          required to participate in an additional ASCLD/LAB-approved  
          proficiency test and provide these results to DPH.

          According to DPH, the conviction and removal of drunk  
          drivers from California's streets and highways provides  
          important public health and safety benefits. In 2005, 1,719  
          California residents were killed in alcohol-related  
          crashes, and thousands more were injured. Chemical testing  
          to determine the concentration of alcohol in the blood of  
          persons involved in traffic violations is a critical  
          component of the state's efforts to control drunk driving. 

          American Society of Crime Laboratory Directors/Laboratory  
          Accreditation Board
          The ASCLD/LAB is a body affiliated with the American  
          Society of Crime Laboratory Directors that accredits crime  
          laboratories.  To be accredited, a lab must submit an  
          application and supporting documents and pass an on-site  
          inspection.  Accreditation is good for five years.

          ASCLD/LAB conducts a proficiency testing program to assist  




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          labs in identifying areas where more training or more  
          stringent quality controls are necessary, and in  
          demonstrating their competency.  According to ASCLD/LABs  
          website, there are 39 accredited crime labs in California,  
          including 13 that are operated by the state Department of  
          Justice.




          Regulation versus accreditation
          According to DPH, ASCLD/LAB accredits laboratories in nine  
          disciplines (not forensic alcohol analysis) and the  
          requirements are very general.  The ASCLD/LAB requirements  
          are mostly related to the management of the laboratory, and  
          they are not the equivalent of laboratory regulations.   
          According to DPH, the ASCLD/LAB accreditation requirements  
          do not provide any specific laboratory performance or  
          procedure standards for blood or breath alcohol analysis.   
          In contrast, the department's regulations include specific  
          requirements to calibrate testing methods with specified  
          standards and provide analysis of quality control samples.   
          There are also standards of procedure covering sample  
          collection and retention.  

          DUI testing in California
          In California, there is an "implied consent" law which  
          requires that a person being arrested for a DUI violation  
          must provide a blood or breath sample to determine the  
          person's blood alcohol level.  Likewise, a blood or urine  
          sample may be required to determine if the person was under  
          the influence of drugs, or both drugs and alcohol, at the  
          time of driving.  A person arrested for DUI has a choice of  
          a breath test or blood test to test for alcohol, or blood  
          or urine test to test for drugs.  

          Previous legislation
          
          SB 1623 (Johnson), Chapter 337, Statutes of 2004),  
          eliminated the licensing authority of DHS (now DPH) over  
          forensic alcohol laboratories.  Requires laboratories  
          performing forensic alcohol analysis to comply with  
          regulations governing forensic alcohol analysis as they  
          exist on December 31, 2004, and until such regulations are  
          revised and adopted and meet other requirements, as  




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          specified.

          SB 1849 (Johnson) of 2000 would have required DHS (now DPH)  
          to adopt regulations governing the operation of forensic  
          alcohol laboratories and required the department to convene  
          a review committee to review the regulations.  Would have  
          additionally allowed labs that meet accreditation standards  
          to be licensed if the department determines that the  
          standards meet or exceed those in regulations.  Governor  
          Davis vetoed SB 1849, stating:

               While the August, 1999 report by the Bureau of State  
               Audits regarding the DHS forensic alcohol regulatory  
               program raised some serious concerns, I am confident  
               that the DHS can address the issues that have been  
               raised and am directing DHS to make these concerns a  
               high priority.  In addition, this bill goes beyond the  
               recommendations of the Bureau of State Audits.  If I  
               am not convinced that sufficient progress has been  
               made by DHS within the next year, I will consider  
               signing a modified version of this bill.

          Arguments in support
          Numerous proponents, including the Ventura County Sheriff's  
          Department, the District Attorney of Santa Clara County,  
          the San Diego County Sheriff's Department, the
          Sheriff-Coroner Department of San Bernardino County, the  
          Sheriff-Coroner Department, County of Orange, the Los  
          Angeles County Sheriff's Department, the City and County of  
          San Francisco Police Department, and the American  
          Federation of State, County, and Municipal Employees argue  
          that DPH regulation of forensic alcohol laboratories is  
          duplicative and unnecessary to ensure the highest quality,  
          and that this bill will allow DPH to direct limited  
          resources to regulating non-accredited laboratories.   
          Proponents further argue that ASCLD/LAB standards are much  
          higher than those of DPH, and pertain not only to alcohol  
          but other forensic laboratory functions as well.

          Arguments in opposition
          DPH states that the ASCLD/LAB accreditation standards,  
          which the bill would allow to be met in lieu of complying  
          with its regulations, are less stringent than its current  
          regulations.  Specifically, DPH notes that ASCLD/LAB sets  
          no performance standards or procedure requirements specific  




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          to blood alcohol analysis or breath alcohol analysis.   
          There are also significant differences in requirements for  
          record keeping, proficiency testing, and employee  
          qualifications.  Compliance with the requirements of the  
          department's regulations establishes the competence of the  
          laboratories and the scientific validity of blood and  
          breath alcohol analysis results, and ensures consistency of  
          testing for DUI cases throughout the state.  Such results  
          can then be admitted into evidence in drunk driving cases.   
          DPH further points out that ASCLD/LAB is a voluntary  
          accreditation program conducted by the laboratories  
          themselves, which lacks regulatory authority.

          The California Association of Medical Laboratory Technology  
          states that accreditation by a voluntary organization is  
          not the same as oversight through state laws and  
          regulations.  CAMLT states that DPH and ASCLD/LAB focus on  
          different standards, with DPH focusing on accuracy and  
          reliability in the test results while ASCLD/LAB focuses on  
          the management of the laboratory.  CAMLT also notes that  
          many clinical labs testing for alcohol and drugs face  
          duplicative standards, including federal, state, and  
          accreditation standards, but the legislative agencies  
          insure that there are minimum standards in place.

          The California DUI Lawyers Association (CDLA) and  
          California Attorneys for Criminal Justice (CACJ) states  
          that AB 599 would preclude public participation in  
          development of standards for forensic alcohol labs and  
          would negatively impact the Department of Motor Vehicles  
          (DMV) hearings on drivers license suspensions.   
          Specifically, CDLA and CACJ state that test results from  
          accredited but unregulated labs will either be inadmissible  
          because they do not comply with regulations, or will be  
          ruled admissible, even if the lab and its employees do not  
          comply with state regulations.

                                  PRIOR ACTIONS
           
          Assembly Floor:     76-0
          Assembly Appropriations:16-0
          Assembly Health:    17-0

                                     COMMENTS
           




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          1.  Bill may reduce reliability of test results.  
            According to DPH, state regulations pertaining to  
            forensic alcohol labs contain more detailed requirements  
            than the accreditation standards, particularly in the  
            area of laboratory testing procedures, which arguably  
            makes them more reliable for ensuring the accuracy and  
            validity of alcohol tests used to prosecute drunk driving  
            cases.  Eliminating the requirement that accredited labs  
            comply with state regulations would reduce costs for  
            accredited labs.  Proponents cite the costs of  
            duplicative proficiency testing requirements, and  
            approval of their lab procedures, as areas where some  
            costs could be saved, but they appear to be relatively  
            minor.  Should the state move away from regulation of  
            forensic alcohol labs, at the risk of reducing the  
            accuracy and reliability of test results used in drunk  
            driving cases, when the resulting cost savings are minor?  


          
                                         
                                   POSITIONS  
                                        
          Support:  California Association of Crime Lab Directors  
          (sponsor)
                           American Federation of State, County and  
          Municipal Employees (AFSCME)
                 California Peace Officers' Association
                 California State Sheriff's Association
                 District Attorney of Santa Clara County
                 Los Angeles County Sheriff's Department
                 San Bernardino County
                 San Diego County Sheriff's Regional Crime Laboratory
                   San Francisco Police Department
                   Sheriff-Coroner of Orange County 
                   Ventura County Sheriff's Department

          Oppose:  California Association for Medical Laboratory  
          Technology
                 California Association of Professional Scientists  
          (CAPS)
                 California Department of Public Health
                 California DUI Lawyers Association (CDLA)
                 Public Policy Advocates, LLC





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