BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                  AB 1900|
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                                 THIRD READING


          Bill No:  AB 1900
          Author:   Skinner (D), et al
          Amended:  8/11/10 in Senate
          Vote:     21

           
           SENATE PUBLIC SAFETY COMMITTEE  :  7-0, 6/29/10
          AYES:  Leno, Cogdill, Cedillo, Hancock, Huff, Steinberg,  
            Wright

           ASSEMBLY FLOOR  :  70-0, 5/20/10 - See last page for vote


           SUBJECT  :    Pregnant inmates and wards:  least restrictive  
          restraints

           SOURCE  :     All of Us or None 
                       American College of Obstetricians and  
                        Gynecologists, District IX
                       Center for Young Womens Development 
                       Crossroads Inc.
                       Legal Services for Prisoners with Children 


           DIGEST  :    This bill extends the current prohibitions on  
          shackling pregnant inmates during labor and childbirth to  
          also limit the use of restraints on pregnant inmates while  
          they are being transferred.  This bill requires The  
          Corrections Standards Authority to establish minimum  
          standards for state and local correctional facilities to  
          ensure that inmates or wards known to be pregnant are never  
          shackled by the wrists, ankles, or both, during labor,  
          deliver, recovery or during transport to or from a state or  
                                                           CONTINUED





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          local correctional facility, unless specific security needs  
          dictate otherwise.

           ANALYSIS  :    Current law provides that pregnant inmates  
          temporarily taken to the hospital outside the prison for  
          purposes of child-birth shall be transported in the least  
          restrictive way possible, consistent with the legitimate  
          security needs of each inmate.  Upon arrival at the  
          hospital, once the inmate has been declared by the  
          attending physician to be in active labor, the inmate shall  
          not be shackled by the wrists, ankles, or both, unless  
          deemed necessary for the safety and security of the inmate,  
          the staff, and the public.  (Penal Code Section 5007.7.)
           
           Current law requires Corrections Standards Authority (CSA)  
          to establish minimum standards for state and local  
          correctional facilities.  CSA shall review those standards  
          biennially and make any appropriate revisions.  The  
          standards shall include, but not be limited to, the  
          following: health and sanitary conditions, fire and life  
          safety, security, rehabilitation programs, recreation,  
          treatment of persons confined in state and local  
          correctional facilities, and personnel training.  (Penal  
          Code Section 6030(a) and (b).)

          Current law provides that the standards require inmates who  
          are received by the facility while they are pregnant are  
          provided all of the following (Penal Code Section 6030(e)):

                 A balanced, nutritious diet approved by a doctor.
                 Prenatal and postpartum information and health  
               care, including, but not limited to, access to  
               necessary vitamins as recommended by a doctor.
                 Information pertaining to childbirth education and  
               infant care.
                 A dental cleaning while in a state facility.

          Current law states that the standards shall provide that at  
          no time shall a woman who is in labor be shackled by the  
          wrists, ankles, or both including during transport to a  
          hospital, during delivery, and while in recovery after  
          giving birth, except as provided in Penal Code Section  
          5007.7.  (Penal Code Section 6030(f).)








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          Current law requires CSA to seek the advice of the  
          California State Sheriffs' Association, the Chief Probation  
          Officers' Association of California, and other interested  
          persons, when establishing minimum standards for female  
          inmates and pregnant inmates in local adult and juvenile  
          facilities.  (Penal Code Section 6030(g)(5).)

          Current law provides that any female prisoner shall have  
          the right to summon and receive the services of any  
          physician and surgeon of her choice in order to determine  
          whether she is pregnant.  If the prisoner is found to be  
          pregnant, she is entitled to a determination of the extent  
          of the medical services needed by her and to the receipt of  
          these services from the physician and surgeon of her  
          choice.  Any expenses occasioned by the services of a  
          physician and surgeon whose services are not provided by  
          the institution shall be borne by the prisoner.  (Penal  
          Code Section 3406.)

          Current law states that any woman inmate who would give  
          birth to a child during her term of imprisonment may be  
          temporarily taken to a hospital outside the prison for the  
          purposes of childbirth, and the charge for hospital and  
          medical care shall be charged against the funds allocated  
          to the institution.  (Penal Code Section 3423.)

          Current law requires that any female in the custody of a  
          local juvenile facility, defined as any city, county, or  
          regional facility used for the confinement of juveniles for  
          more than 24 hours, shall have the right to summon and  
          receive the services of any physician and surgeon of her  
          choice in order to determine whether she is pregnant.  If  
          she is found to be pregnant, she is entitled to a  
          determination of the extent of the medical services needed  
          by her and to the receipt of those services from the  
          physician and surgeon of her choice.  (Welfare and  
          Institutions Code Sections 222(a) and 1774(a).)

          Current law provides that a ward shall not be shackled by  
          the wrists, ankles, or both during labor, including during  
          transport to a hospital, during delivery, and while in  
          recovery after giving birth, subject to the security needs  
          described in this section.  Pregnant wards temporarily  
          taken to a hospital outside the facility for the purposes  







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          of childbirth shall be transported in the least restrictive  
          way possible, consistent with the legitimate security needs  
          of each ward.  Upon arrival at the hospital, once the ward  
          has been declared by the attending physician to be in  
          active labor, the ward shall not be shackled by the wrists,  
          ankles, or both, unless deemed necessary for the safety and  
          security of the ward, the staff, and the public.  (Welfare  
          and Institutions Code Sections 222(b) and 1774(d).)

          Current law provides that mechanical restraints shall not  
          be placed on an adult inmate during labor, including during  
          transport to a hospital, during delivery, and while in  
          recovery after giving birth, unless circumstances exist  
          that require the immediate application of mechanical  
          restraints to avoid the imminent threat of death, escape,  
          or great bodily injury, and only for the period during  
          which such threat exists.  (15 Cal. Code of Regs. section  
          3268.2.)

          This bill amends the current law to provide that an inmate  
          or ward known to be pregnant shall not be shackled by the  
          wrists, ankles, or both during any transport to and from a  
          state or local correctional facility, including, but not  
          limited to transport to and from a hospital or courthouse,  
          during labor, during delivery, and while in recovery after  
          giving birth, unless deemed necessary for the safety and  
          security of the inmate, the staff, and the public.  In  
          cases where restraints are deemed necessary, the least  
          restrictive restraints possible shall be used, consistent  
          with the legitimate security needs of each inmate, the  
          staff, and the public. 

          This bill provides that the current law prohibiting  
          shackling an inmate or ward known to be pregnant during any  
          transport to and from a state or local correctional  
          facility, during labor, during delivery, and while in  
          recovery after giving birth, includes, but is not limited  
          to, transport, to and from a hospital or courthouse.  This  
          bill provides that the authority shall develop new  
          standards regarding the shackling of pregnant women  
          pursuant to the amendments made to this bill in the 2009-10  
          Regular Session as part of its biennial review of the  
          standards established pursuant to this section.








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          This bill makes uncodified legislative findings and  
          declarations concerning methods of restraining pregnant  
          inmates and wards, as specified.

           Background
           
          AB 478 (Lieber), Chapter 608, Statutes of 2005, prohibits  
          the shackling of pregnant prisoners in labor, during  
          childbirth and during recovery from childbirth and mandated  
          that the CSA establish, by January 1, 2007, minimum  
          standards for state prisons incorporating that prohibition.  
           In addition, AB 478 requires CSA to establish these  
          standards for county jails, but did not set a time  
          deadline.

          The CSA wrote the minimum standards to apply to the state  
          prisons.  (15 Cal. Code of Regs. section 3268.2.)  However,  
          instead of also writing the standards to apply to county  
          jails, the CSA instead directed each jail facility in each  
          county to incorporate these minimum standards into their  
          own facilities' policies and procedures manuals.  (15 Cal.  
          Code of Regs. Section 1029. )  No deadline was established  
          for the counties to accomplish this directive.

          According to the Legal Services for Prisoners with Children  
          (LSPC) report, "Stop Shackling:  A report on the written  
          policies of California's counties on the use of restraints  
          on pregnant prisoners in labor" (March 2010), "[LSPC]  
          reviewed all of the written policies and other  
          communications [it] received from the various counties and  
          found:

          "Thus, on the basis of our survey, we can verify that only  
          17 of 58 counties (less than a third) are in compliance  
          with section 6030(f) four years after it went into effect.   
          These include San Bernardino, Alameda and Fresno counties.   
          The 29 non-complying counties either have no written policy  
          on shackling of pregnant women in labor (13 counties,  
          including Los Angeles County) or their written policies do  
          not comply with all of the specific terms of section  
          6030(f) (16 counties, including San Diego, Riverside and  
          Santa Clara counties).  For example, several counties list  
          section 5007.7's exceptions to section 6030's prohibition  
          on shackling prisoners in labor, without stating the  







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          prohibition itself, as explicitly mandated by section  
          6030(f) ["The standards shall provide that at no time shall  
          a woman who is in labor be shackled . . . "].  Some  
          counties fail to address the issue of shackling a woman  
          while she is in recovery after giving birth."

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

          According to the Senate Appropriations Committee analysis:

                          Fiscal Impact (in thousands)

           Major Provisions                     2010-11     2011-12     
           2012-13          Funds  
          Update CSA regulations             $30       $30          
          General

          Potential local mandateLikely very minor, if reimbursable    
          General

           SUPPORT  :   (Verified  8/10/10)

          All of Us or None (co-source)
          American College of Obstetricians and Gynecologists, Dist.  
          IX (co-source)
          Center for Young Women's Development (co-source)
          Crossroads Inc. (co-source)
          Legal Services for Prisoners with Children (co-source)
          ACCESS/Women's Health Rights Coalition
          American Association of University Women, CA
          American Civil Liberties Union
          ASK Mentoring Outreach, Inc.
          California Attorneys for Criminal Justice
          California Catholic Conference
          California Church IMPACT
          California Commission on the Status of Women
          California Medical Association
          California Nurses Association
          California Public Defenders Association
          California Women's Law Center
          California Women Lawyers
          Centerforce Community Works West
          Drug Policy Alliance







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          Families to Amend California's Three Strikes
          Friends Committee on Legislation of CA
          Girls and Gangs
          Great Beginnings
          House of Ruth, Inc.
          Law Students for Reproductive Justice
          National Advocates for Pregnant Women
          National Council of Jewish Women Peace Over Violence
          Physicians for Reproductive Choice and Health
          Planned Parenthood Affiliates of California
          Planned Parenthood Mar Monte
          Planned Parenthood Shasta Diablo
          Rainbow Services, Ltd.
          San Francisco Board of Supervisors
          Taxpayers for Improving Public Safety
          Three Hands Together
          University of Southern CA - Post Conviction Justice Project
          Women's Community Clinic
          W. Haywood Burns Institute
          National Council of Jewish Women Los Angeles
          California Coalition for Women Prisoners
          Lawyers Committee for Civil Rights
          Black Women for Wellness
          California National Organization for Women
          National Center for Youth Law
          Equal Justice Society
          ACT for Women and Girls
          SEIU Local 1000


           ARGUMENTS IN SUPPORT  :    According to the author's office,  
          "In 2005, California was the second state to require  
          pregnant women who are temporarily being taken to a  
          hospital for childbirth to be transported in the least  
          restrictive way possible. Since then other states have  
          implemented safer measures to stop shackling pregnant women  
          altogether.  Unfortunately in California not all  
          correctional facilities have implemented policies that  
          require officers to use least restrictive restraints.   
          Currently, only one-third of county jails have policies  
          that comply with current law and many shackle pregnant  
          women in ways that could cause miscarriage or other  
          injuries. Studies indicate that the incidence of minor  
          trauma, especially falls, increases as pregnancy progresses  







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          and excessive shackling poses undue health risks to a woman  
          throughout her pregnancy. 

          "California has the third largest population of  
          incarcerated women in the country.  Tens of thousands of  
          women go through county jails every year and an average of  
          4-7% are pregnant at some point in their custody.   
          Therefore, the use of restraints and shackles when  
          prisoners are transported should be re-evaluated since the  
          passage of AB 478 (Lieber, 2005). 

          "Assembly Bill 1900, would require that the Corrections  
          Standards Authority create standards for state and local  
          correctional facilities by January 1, 2012 to ensure that  
          pregnant women are restrained in the least restrictive way  
          when being transported.  This will protect  
          financially-strapped counties from being sued and ensure  
          the health and safety of pregnant incarcerated women.  The  
          bill also establishes findings that excessive shackling  
          significantly limits a pregnant woman's mobility (e.g.,  
          shackling by the ankles, across the belly, behind the  
          woman's back, and to another person) and can cause serious  
          harm to the woman and her pregnancy.  To avoid threatening  
          the health of pregnant women and potential legal challenge,  
          it is critical that policies are adopted ensuring that  
          restraints are properly used with this vulnerable  
          population."


           ASSEMBLY FLOOR  : 
          AYES:  Adams, Ammiano, Anderson, Arambula, Bass, Beall,  
            Bill Berryhill, Tom Berryhill, Blakeslee, Block,  
            Blumenfield, Bradford, Brownley, Buchanan, Caballero,  
            Charles Calderon, Carter, Chesbro, Conway, Cook, Davis,  
            De Leon, DeVore, Emmerson, Eng, Feuer, Fong, Fuentes,  
            Fuller, Furutani, Gaines, Galgiani, Garrick, Gilmore,  
            Hagman, Hall, Hayashi, Hernandez, Hill, Huber, Huffman,  
            Jeffries, Jones, Knight, Lieu, Logue, Ma, Mendoza,  
            Miller, Monning, Nestande, Niello, Nielsen, Norby, V.  
            Manuel Perez, Portantino, Ruskin, Salas, Saldana, Silva,  
            Skinner, Smyth, Solorio, Audra Strickland, Swanson,  
            Torlakson, Torres, Torrico, Tran, Yamada
          NO VOTE RECORDED:  Coto, De La Torre, Evans, Fletcher,  
            Harkey, Bonnie Lowenthal, Nava, Villines, John A. Perez,  







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            Vacancy

          RJG:do  8/11/10   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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