BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2072
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          ASSEMBLY THIRD READING
          AB 2072 (Mendoza)
          As Amended April 27, 2010
          Majority vote 

           HEALTH              10-4                                        
           
           -------------------------------- 
          |Ayes:|Fletcher, Conway,         |
          |     |Caballero, Emmerson, Eng, |
          |     |Gaines, Hayashi,          |
          |     |Hernandez, Bonnie         |
          |     |Lowenthal, Nava           |
          |     |                          |
          |-----+--------------------------|
          |Nays:|Monning, Salas, Smyth,    |
          |     |Audra Strickland          |
          |     |                          |
           -------------------------------- 
           SUMMARY  :  Requires parents of all newborns and infants diagnosed  
          with a hearing loss to be provided specified information on  
          communication options for children with hearing loss.  
          Specifically,  this bill  :   

          1)Requires parents of all newborns and infants diagnosed with a  
            hearing loss to be provided written or electronic information  
            on American Sign Language (ASL), Total Communication, Cued  
            Speech, and Listening and Spoken Language communication  
            options for children with hearing loss, including, but not  
            limited to, information about deaf and hard of hearing  
            organizations, agencies and early intervention centers, and  
            educational programs.

          2)Requires that the information noted in 1) above be provided:

             a)   By an audiologist or other related professional at a  
               follow-up appointment after diagnosis with a hearing loss;  
               and,

             b)   By the local provider of the Early Start Program, upon  
               initial contact with the parents of a newborn or infant  
               newly diagnosed with a hearing loss.

          3)Requires that neither the state nor an Early Start Program  








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            provider will incur costs for the implementation of the above  
            provisions.

           EXISTING LAW  :

          1)Establishes the Newborn and Infant Hearing Screening,  
            Tracking, and Intervention Act which requires every general  
            acute care hospital with licensed perinatal services to offer  
            every newborn a hearing screening test for the identification  
            of hearing loss, as specified, and provide written information  
            on the availability of community resources and services for  
            children with hearing loss to the parents of those who are  
            diagnosed with a hearing loss.

          2)Establishes the California Early Start Intervention Services  
            Act, commonly known as the Early Start program, provides  
            various early intervention services for infants and toddlers  
            who have disabilities to enhance their development and to  
            minimize the potential for developmental delays.

           FISCAL EFFECT  :  None

           COMMENTS  :  According to the author, with new developments in  
          cochlear implants, more profoundly deaf children are able to  
          hear and speak and can be completely assimilated into society.   
          The author maintains that the maximum time for oral language  
          development is in the first five years of life.  By the time  
          children reach age five, the author argues, the ability to learn  
          oral language decreases annually.  The author asserts that oral  
          language is one hearing option for the profoundly deaf and hard  
          of hearing, but others include ASL, Cued Speech, and Total  
          Communication.  According to the author, a major concern in  
          California is that many parents of infants who are diagnosed  
          with hearing loss are not provided with information on all  
          communication options and are most often unfamiliar with the  
          resources and options that are available to them.  The author  
          maintains that this bill will help ensure that parents  
          understand the rights and resources that they have available for  
          their children.

          Not all technological developments have been universally  
          accepted by the deaf community.  The cochlear implant inspired  
          both strong support and vehement opposition, however, among deaf  
          people, the implants are generally hailed as a boon for  








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          individuals who lost their hearing later in life, but their use  
          for deaf children became controversial.  The effectiveness and  
          risks of the implants are a major part of the debate, but there  
          is an additional conflict between those who view deafness as a  
          physical impairment and those who see it as a valued part of  
          cultural identity.  As cochlear implant surgery has become more  
          common in deaf children and has become more widely used, the  
          emphasis of the debate has changed. The focus now is on the deaf  
          child's exposure to visual language and the type of support and  
          educational services the child receives.

          Supporters of this bill state that more children are born with  
          permanent hearing loss than any other birth defect.  Supporters  
          maintain that recent advances in technology and educational  
          practice make it possible for most deaf or hard-of hearing  
          children to make similar progress to their typically-hearing  
          peers if diagnosis and treatment happen early, preferably during  
          the first few months of life.  Supporters assert that the method  
          of communication chosen by parents is a very personal decision,  
          and parents need to know what alternatives are available.  

          The opposition of this bill states that they believe that each  
          infant and toddler, including those identified deaf and hard of  
          hearing, should have every opportunity to learn language.  The  
          opposition argues that the focus of this bill about  
          "communication options" is misleading and picking one option  
          over another would only rob the child of the ability and  
          opportunity for full language acquisition.  According the  
          opposition, Californians who are deaf request the need for sign  
          language to be respected and support early intervention services  
          acquiring sign language as well as English.  The opposition also  
          argues that audiologists are not the appropriate experts to  
          advise parents and families about language acquisition because  
          audiologists are trained to measure and "treat" hearing loss by  
          recommending hearing aids or cochlear implants.  The opposition  
          maintains that it is the right of a deaf infant and toddler to  
          acquire full language acquisition through visual language so  
          that by the time the child starts Kindergarten and first grade,  
          the child is ready to learn, receive an education, ultimately  
          graduate, enter postsecondary education and enter the world of  
          work as productive tax-paying citizens.

           
          Analysis Prepared by  :    Tanya Robinson-Taylor / HEALTH / (916)  








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          319-2097 


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