BILL ANALYSIS                                                                                                                                                                                                    






                                 SENATE HEALTH
                               COMMITTEE ANALYSIS
                        Senator Elaine K. Alquist, Chair


          BILL NO:       AB 1931                                      
          A
          AUTHOR:        Torrico                                      
          B
          AMENDED:       June 24, 2010                                 

          HEARING DATE:  June 30, 2010                                
          1
          CONSULTANT:                                                 
          9
          Chan-Sawin/cjt                                              
          3
                                                                       
              1                                                  
                                        
                                     SUBJECT
                                         
                          Spinal Cord Injury Research

                                     SUMMARY  

          Extends the sunset date for the Spinal Cord Research  
          Program (Roman Reed Program) and the Spinal Cord Injury  
          Research Fund (Fund) to January 1, 2016.  Specifies what  
          proceeds may be placed in the Fund, as specified, and how  
          those proceeds may be used.  Allows the University of  
          California (UC) to create an additional fund, independent  
          of the State Treasury, to accept public and private funding  
          to implement the program.

                             CHANGES TO EXISTING LAW 

          Existing law:
          Establishes the Spinal Cord Injury Research Fund (Fund) and  
          continuously appropriates deposited funds to UC to be used  
          to provide grants for spinal injury research projects.

          Creates the Roman Reed Program within the UC, and  
          authorizes the UC to use proceeds from the Fund to support  
          spinal cord injury research.  Specifies that the Program be  
          implemented to the extent funding is appropriated to UC in  
                                                         Continued---



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          the annual state budget or other appropriating statute.

          Specifies that the Fund will consist of private grants and  
          donations made through the UC, and public moneys  
          transferred to the Fund.  Requires all moneys to remain in  
          the Fund at the end of the fiscal year and not revert back  
          to the General Fund.

          Sunsets the Roman Reed Program and Fund as of January 1,  
          2011.

          This bill:
          Extends the sunset of the Program and Fund to January 1,  
          2016.

          Specifies that the Fund will consist of private grants and  
          donations made through the UC, and local and federal moneys  
          transferred to the Fund.  Requires any state moneys  
          transferred into the Fund, prior to January 1, 2011, to  
          remain in the Fund.  
          Specifies that moneys in the Fund may only be used solely  
          for spinal cord injury research programs and grants, and  
          may be used for, but not limited to, costs for peer review  
          and grant administration.

          Allows the UC to create an additional fund, outside of the  
          State Treasury, to accept public and private funds to  
          implement the Roman Reed Program.

          Deletes the provision that enacts the Program to the extent  
          that funds are appropriated to the UC in the annual state  
          budget or other appropriations.

                                  FISCAL IMPACT  

          According to the Assembly Appropriations Committee  
          analysis, this bill will have no direct General Fund  
          impact.

                            BACKGROUND AND DISCUSSION  

          According to the author, California is home to  
          approximately 646,000 people living with paralysis from  
          various neurologic conditions.  The author asserts that the  
          Roman Reed Program was created to fund important research  




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          on spinal cord injury and, unfortunately, the Fund, and all  
          of the research and fiscal leverage it provides, is set to  
          expire at the end of this year.  By extending the sunset  
          for the Roman Reed Program for an additional five years,  
          the author believes this bill would enable critical  
          research to occur that could make an enormous contribution  
          to those suffering from spinal cord injury paralysis, and  
          will continue to bring new scientific breakthroughs, jobs,  
          and revenue to California.  The author asserts that  
          promising research-driven therapies could greatly improve  
          the quality of life and functional capacity of individuals  
          with spinal cord injuries, thereby lessening this  
          tremendous financial burden to the state.

          Spinal cord injuries
          Spinal cord injury is damage to the spinal cord that  
          results in a loss of function, such as mobility or feeling.  
          Frequent causes of damage are trauma (car accident,  
          gunshot, falls, etc.) or disease (polio, spina bifida,  
          Friedreich's Ataxia, etc.). The spinal cord does not have  
          to be severed in order for a loss of functioning to occur.   
          According to the National Spinal Cord Injury Statistical  
          Center, nationwide, someone suffers a traumatic spinal cord  
          injury every 41 minutes.  A national study completed in  
          2009 by the Christopher and Dana Reeve Foundation (Reeve  
          Study) estimates that 1.3 million Americans live with  
          paralysis due to spinal cord injuries, which is close to  
          five times higher than previously reported statistics.   
          According to the Reeve Study, given this increasing number  
          of paralyzed people, rising health care costs with  
          caregiver needs, and loss of income potential, the total  
          cost to California could reach $1.5 billion per year.  

          The Roman Reed Spinal Cord Injury Research Program
          The Roman Reed Program, administered by the Reeve-Irvine  
          Research Center at UC, Irvine, was established in 2000 to  
          study injuries to, and diseases of, the spinal cord that  
          result in paralysis or other loss of neurologic function.   
          Each year, the Roman Reed Program has provided  
          approximately $1.5 million per year in spinal cord research  
          funding.  In the nine years since the Roman Reed Program  
          was established, $13.9 million in state funds have been  
          allocated.  These funds have been leveraged by the Program  
          to bring in about $60 million in federal matching grants  
          and other sources to fund spinal cord injury research in  




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          California.  An additional $7.4 million in non-state funds  
          is pending.  The Roman Reed Program reports that, between  
          2000 and 2009, over 300 Californians have participated in  
          120 Roman Reed Program funded research projects.  The  
          program has also provided the first state-funded embryonic  
          stem cell research in the nation.  During that time, 64  
          graduate students have been supported as Roman Reed  
          Fellows.

          Arguments in support
          Don C. Reed, father of Roman Reed, the Chabot College  
          football player who suffered from crushed vertebrae during  
          a game, and founder of the Roman Reed Program, along with  
          numerous organizations and individual supporters, write in  
          support, stating that "Roman's Law" has resulted in 175  
          published scientific papers, 2 patents pending, and several  
          major scientific breakthroughs.  Mr. Reed states that the  
          Program has brought the cure closer for paralysis,  
          traumatic brain injury, muscular dystrophy, stroke, spinal  
          atrophy, and more.

          The California Association for Health, Physical Education,  
          Recreation and Dance (CAHPERD), a non-profit group of over  
          4,000 professional educators, writes in support of the  
          research funded by the Roman Reed Program, which serves to  
          treat spinal cord injuries.  CAHPERD states that the number  
          of spinal cord injuries in high school athletics has  
          increased in the last decade.

          The California Chiropractic Association supports the bill,  
          stating that spinal cord injury is a serious medical  
          condition impacting more than 200,000 people in the United  
          States.  The number of spinal cord injuries increase yearly  
          and the California Chiropractic Association believes that  
          it is essential to expand research in both injury and  
          prevention related to spinal cord injuries.
          
          Prior legislation
          AB 1794 (Dutra), Chapter 414, Statutes of 2004, extends the  
          sunset date for the Roman Reed Program and Fund to January  
          1, 2011.  

          AB 750 (Dutra), Chapter 777, Statutes of 2000, also known  
          as the Roman Reed Bill and the Roman Reed Spinal Cord  
          Injury Research Act, establishes the Roman Reed Program and  




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          Fund for the purpose of funding spinal cord injury  
          research.

                                  PRIOR ACTIONS

           Assembly Health:         19-0
          Assembly Appropriations: 17-0 
          Assembly Floor:          75-1      

                                    POSITIONS  
                                        
          Support:  California Association for Health, Physical  
          Education, Recreation and Dance
                 California Chiropractic Association
                 California Healthcare Institute
                 Christopher and Dana Reeve Foundation
                 Don C. Reed
                 Gwendolyn Strong Foundation
                 Harvard Stem Cell Institute
                 Miami Project to Cure Paralysis
                 Research America
                 Stanford Cancer Center
                 Student Society for Stem Cell Research
                 The Stem Cell Advisors, Inc.
                 Unite 2 Fight Paralysis
                 University of California
                 W.M. Keck Center for Collaborative Neuroscience
                 132 individuals

          Oppose:  None received


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