BILL ANALYSIS                                                                                                                                                                                                    






           SENATE TRANSPORTATION & HOUSING COMMITTEE       BILL NO: AB 1660
          SENATOR ALAN LOWENTHAL, CHAIRMAN               AUTHOR:  salas
                                                         VERSION: 1/19/10
          Analysis by: Art Bauer                         FISCAL:  no
          Hearing date: June 15, 2010





          SUBJECT:

          Emergency aircraft flights for medical purposes

          DESCRIPTION:

          This bill expands the definition of "emergency aircraft flights  
          for medical purposes."

          ANALYSIS:
          
          Current federal law provides an exemption for civilian air  
          ambulance aircraft operating under a Federal Aviation  
          Administration "Lifeguard" call sign to land and depart after  
          hours at certain airports without being subject to a fine.   
          "Lifeguard" is a special radio call sign used by air ambulances  
          to receive special handling by air traffic controllers. Any  
          aircraft with a medical emergency on board or a flight involving  
          medical supplies, vital organs, or blood products may use this  
          call sign.

           Existing law  :

             1)   Allows cities and counties by ordinance to regulate  
               aircraft flight departures and arrivals to particular hours  
               of the day or night, restrict the arrival or departure of  
               aircraft based upon the aircraft's noise level, or restrict  
               the operations of certain aircraft type. 

             2)   Defines "emergency aircraft flights for medical  
               purposes" as those flights in which undue delay would  
               threaten a patient's life. Emergency aircraft flights for  
               medical purposes include, but are not limited to, flights  
               for the transportation of the following:

                     Patients accompanied by licensed or certificated  




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                 medical attendants such as paramedics, nurses,  
                 physicians, and respiratory therapists.
                     Surgical transplant teams for the purpose of  
                 procuring human organs for re-implantation in recipients.
                     Organ procurement agency coordinators responding to  
                 a potential donor.
                     Temporarily viable human organs such as a heart,  
                 liver, lungs, kidneys, and pancreas, and human tissue,  
                 blood, or blood components.
                     Human tissue and blood samples for clinical testing  
                 to determine compatibility between a donor and a  
                 recipient. 
                     Mechanical adjuncts or biological replacements for  
                 human organs.
                     Medical equipment and supplies.

             1)   Prohibits using emergency aircraft flights for  
               transporting medical personnel to attend conferences,  
               seminars, or other similar non-emergency activities.

             2)   Requires the provider of the emergency aircraft flight  
               to notify an airport, governed by an ordinance restricting  
               operations, either within 72 hours before or after the  
               emergency flight of the following:

                     The name and address of the patient.
                     The names of the medical attendants on board the  
                 flight.
                     The name of the attending physician, a signed  
                 statement by the attending physician of the nature of the  
                 emergency, and the name of the medical facility to which  
                 the patient or organs will be taken.
                     The names of all flight crew members and the type  
                 and registration number of the aircraft. 

          These requirements do not apply to medical emergency flights  
          operated by law enforcement, firefighting personnel, or the  
          military.

           This bill  :

             1)   Adds to the definition of emergency aircraft flight for  
               medical purposes an emergency medical flight returning to  
               its home base during curfew hours with the health  
               professionals that accompanied patients or medical products  
               on the in-bound flight. 




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             2)   Prohibits emergency medical flight providers from  
               submitting information regarding patients, medical  
               attendants, and related information to the airport if the  
               collection of the information is barred by federal law,  
               including the terms and conditions of the Confidentiality  
               of Medical Information Act and applicable regulations.
          
          COMMENTS:

              1)   Purpose  . The purpose of this bill is to remove any legal  
               ambiguity regarding the operation of an aircraft engaged in  
               a medical emergency flight from retuning to its home base  
               during curfew hours after carrying out its mission. In  
               addition, the bill ensures the collection of information  
               regarding the patient, medical assistance, and others  
               involved with the flight does not violate federal laws  
               governing patient privacy. 

              2)   Background  . A typical example that the author believes  
               necessitates this bill is an aircraft departs from its base  
               in Orange County at 1:00a.m. with an organ that is to be  
               delivered to San Diego. Both John Wayne Airport and  
               Lindbergh Field have curfews governing aircraft operations.  
               Existing law exempts the departure from Orange County and  
               the landing at San Diego because for both the landing and  
               departure a patient's life is at risk.  There is legal  
               ambiguity, however, as to whether the aircraft may depart  
               during curfew hours to return to its home base after  
               delivering a patient or organ without incurring a penalty,  
               since there is no emergency involved with the return  
               flight. This bill removes that ambiguity for it makes it  
               clear that the air ambulance may return to its headquarters  
               without being assessed a fine or penalty. An additional  
               benefit is that the amendment reduces the layover charges  
               for the medical professionals, the aircraft's crew, and the  
               plane, because there is no delay waiting for the curfew to  
               be lifted. 
          Assembly Votes:
               Floor:    76-0
               Trans:    13-0

          POSITIONS:  (Communicated to the Committee before noon on  
          Wednesday, 
                     June 9, 2010)





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               SUPPORT:  California Airports Council
          
               OPPOSED:  None received.