BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



           ------------------------------------------------------------ 
          |SENATE RULES COMMITTEE            |                  AB 1317|
          |Office of Senate Floor Analyses   |                         |
          |1020 N Street, Suite 524          |                         |
          |(916) 651-1520         Fax: (916) |                         |
          |327-4478                          |                         |
           ------------------------------------------------------------ 
           
                                         
                                 THIRD READING


          Bill No:  AB 1317
          Author:   Block (D)
          Amended:  7/6/09 in Senate
          Vote:     21

           
           SENATE HEALTH COMMITTEE  :  8-2, 6/25/09
          AYES:  Alquist, Aanestad, Cedillo, DeSaulnier, Leno,  
            Maldonado, Negrete McLeod, Pavley
          NOES:  Strickland, Cox
          NO VOTE RECORDED:  Wolk

           ASSEMBLY FLOOR  :  48-20, 5/18/09 - See last page for vote


           SUBJECT  :    Assisted oocyte production:  advertisement:   
          information

           SOURCE  :     Author


           DIGEST  :    This bill requires a specified warning in all  
          advertisements for human egg donations associated with the  
          delivery of fertility treatment.  Requires donors to  
          fertility treatment centers be provided with medically  
          accurate information regarding potential risks.

           ANALYSIS  :    Existing law:

          1.Requires investigators to provide subjects making egg  
            donations for research purposes a standardized, medically  
            accurate, written summary of health and consumer issues  
            associated with assisted reproductive production by the  
                                                           CONTINUED





                                                               AB 1317
                                                                Page  
          2

            investigator.

          2.Requires the written summary to specify potential risks  
            associated with the surgical procedure and the use of  
            drugs, medications and hormones prescribed for ovarian  
            stimulation and requires written and oral informed  
            consent of all donors prior to the procedures.

          This bill:

          1.Requires any advertisement seeking oocyte (human egg  
            cell) donation associated with the delivery of fertility  
            treatment that includes assisted oocyte production and a  
            financial payment or compensation of any kind, to contain  
            the following warning: "There are potential risks  
            associated with human egg donation.  Long-term risks  
            associated with human egg donation have not been  
            determined.  Consultation with your reproductive care  
            specialist prior to entering into a donor contract is  
            advised."

          2.States that egg donation involves a screening process.   
            Not all potential egg donors are selected.  Not all  
            selected egg donors receive the monetary amounts or  
            compensation advertised.  As with any medical procedure,  
            there may be risks associated with human egg donation.   
            Before an egg donor agrees to begin the egg donation  
            process, and signs a legally binding contract, she is  
            required to receive specific information on the known  
            risks of egg donation.  Consultation with your doctor  
            prior to entering into a donor contract is advised.

           Background
           
          According to the American College of Obstetricians and  
          Gynecologists, (ACOG)  the potential of stem cell  
          treatments and the recent advances in fertility treatments  
          have very substantially increased demand for oocytes.   In  
          2004, in the United States, almost 50,000 babies were born  
          - representing almost one percent of all newborns, as the  
          result of 128,000 fertility treatments by 411 clinics.   
          Regulation of the donation process varies based on what  
          type of entity seeks the donation.  In California, oocyte  
          donations for research purposes require informed consent  







                                                               AB 1317
                                                                Page  
          3

          from the donor and require donors be provided medically  
          accurate written and oral information on the potential  
          risks of the procedure.  Most physicians who provide  
          fertility treatments follow recommended, voluntary  
          guidelines on compensation of donors and other practices  
          promulgated by the American Society for Reproductive  
          Medicine and are required to secure informed consent from  
          donors.  However, according to ACOG, a number of private  
          egg donor agencies operate in this state without formal  
          regulation or oversight, and these agencies may offer  
          substantial financial incentives to donors. 

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

           SUPPORT  :   (Verified  7/8/09)

          American Association of University Women
          California Family Council
          Center for Genetics in Society


           ARGUMENTS IN SUPPORT  :    Supporters state that the appeal  
          of advertising for egg donation, especially at college  
          settings is powerful, given the current recession and  
          rising cost of tuition, but students are not cautioned to  
          consider any long-term health effects.  The California  
          Family Council states that this bill will not result in a  
          decrease of potential donors, but rather encourage greater  
          understanding and knowledge of the process and potential  
          effects of egg donation. 


           ASSEMBLY FLOOR  : 
          AYES:  Ammiano, Arambula, Beall, Blakeslee, Block,  
            Blumenfield, Brownley, Buchanan, Caballero, Charles  
            Calderon, Carter, Chesbro, Coto, Davis, De La Torre, De  
            Leon, Evans, Feuer, Fong, Fuentes, Furutani, Galgiani,  
            Hall, Hayashi, Hernandez, Hill, Huber, Huffman, Jones,  
            Krekorian, Lieu, Bonnie Lowenthal, Ma, Mendoza, Monning,  
            Nava, John A. Perez, V. Manuel Perez, Portantino, Ruskin,  
            Salas, Skinner, Solorio, Swanson, Torlakson, Torrico,  
            Yamada, Bass
          NOES:  Anderson, Bill Berryhill, Tom Berryhill, Conway,  







                                                               AB 1317
                                                                Page  
          4

            DeVore, Duvall, Fuller, Gaines, Gilmore, Hagman, Harkey,  
            Jeffries, Knight, Logue, Miller, Niello, Nielsen, Silva,  
            Smyth, Villines
          NO VOTE RECORDED:  Adams, Cook, Emmerson, Eng, Fletcher,  
            Garrick, Nestande, Price, Saldana, Audra Strickland,  
            Torres, Tran


          CTW:nl  7/8/09   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

                                ****  END  ****