BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1083
                                                                  Page  1

          Date of Hearing:   May 20, 2009 

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Kevin De Leon, Chair

                AB 1083 (John A. Perez) - As Amended:  May 6, 2009   

          Policy Committee:                              Health Vote:19-0

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              

           SUMMARY  

          This bill expands requirements established by AB 508 (Speier),  
          Chapter 936, Statutes of 1993 to require hospitals to update  
          security and safety assessments and plans each year. This bill  
          also requires hospitals to consult with employees, including  
          recognized collective bargaining agents, and to make safety  
          plans available upon request. 

           FISCAL EFFECT  

          Unknown annual costs, likely less than $50,000 to UC medical  
          centers, combined, to update safety assessments each year and to  
          increase employee access to safety plans. 

           COMMENTS  

          1)       Rationale  . This bill is sponsored by the Service  
            Employees International Union (SEIU) to enhance violence  
            prevention planning in hospitals across California. According  
            to the author and sponsor, hospital workers are at distinct  
            risk due to violence in the workplace.  Federal data shows  
            more than 2,500 assaults are made on hospital workers each  
            year across the country.  The rate of workplace violence in  
            the hospital setting is almost five times higher than other  
            workplaces. Within the hospital setting, workers with direct  
            care responsibilities are at higher risk than other employee  
            groups. This bill builds on current law requirements that  
            hospitals conduct a safety assessment and use the assessment  
            to develop a security plan. By requiring greater access to  
            hospital safety plans and more frequent updating of these  
            plans, this bill may increase hospital employee and patient  
            safety. 








                                                                  AB 1083
                                                                  Page  2

           
          2)       Federal Recommendations  . The Centers for Disease  
            Control's National Institute for Occupational Safety and  
            Health (NIOSH) conducts research and makes recommendations to  
            prevent work-related illness and injury. NIOSH recommends  
            hospitals develop comprehensive violence prevention programs  
            and form multidisciplinary committees that include direct-care  
            staff as well as employee representatives to identify risk  
            factors in specific work scenarios and to develop strategies  
            for reducing risks. NIOSH indicates risk factors vary from  
            hospital to hospital and from unit to unit and suggests  
            employees participate in safety training programs and be  
            familiar with their employers' policies, violence prevention.  


           Analysis Prepared by  :    Mary Ader / APPR. / (916) 319-2081