BILL ANALYSIS                                                                                                                                                                                                    




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair

                                           2072 (Mendoza)
          
          Hearing Date:  08/12/2010           Amended: 08/02/2010
          Consultant:  Dan Troy           Policy Vote: Health 5-1 
          _________________________________________________________________ 
          ____
          BILL SUMMARY:   AB 2072 would require the Department of  
          Education to develop an unbiased, comprehensive, evidence-based  
          informational pamphlet for newborns and infants identified as  
          deaf or hard of hearing about visual and auditory communication  
          and language options including, but not limited to, American  
          Sign Language, and Listening and Spoken Language, that is  
          sufficient to allow a parent to make an informed decision on  
          which options to choose for his or her child.  
          _________________________________________________________________ 
          ____
                            Fiscal Impact (in thousands)

           Major Provisions         2010-11      2011-12       2012-13     Fund
                                                                  
          Advisory panel                        $126    $252         
          Private*

          *See staff comments
          _________________________________________________________________ 
          ____

          STAFF COMMENTS: SUSPENSE FILE. AS PROPOSED TO BE AMENDED.
          
          Federal law establishes the Individuals with Disabilities  
          Education Act which requires the provision of early intervention  
          services for children with disabilities from birth to age three  
          (Early Start).  Current state law establishes the Newborn  
          Hearing Screening Program, administered by the Department of  
          Health Care Services (DHCS), which identifies newborns with  
          hearing loss and links them to services through regional Hearing  
          Coordination Centers (HCCs).  Over 1,000 California newborns are  
          identified as deaf or hard of hearing each year.  

          According to DHCS, the four regional HCCs provide technical  
          assistance and consultation to hospitals for the development and  
          implementation of newborn hearing screening programs; track  
          infant screening, diagnostic, and intervention services; contact  










          families of infants with hearing loss to assess service needs  
          and make referrals; and provide educational and outreach  
          materials to families.  

          This bill would require the Department of Education (CDE) to  
          develop an unbiased, comprehensive, and evidence-based pamphlet  
          about visual and auditory communication and language options,  
          including, but not limited to, American Sign Language (ASL), and  
          Listening and Spoken Language, that is sufficient to allow a  
          parent to make an informed decision.  The bill would require  
          that the pamphlet take into account the different values and  
          beliefs of the parents of the deaf and hard of hearing children,  
          contain benefits and risks of all options, as specified.  The  
          pamphlet would be required to provide information would also  
          include information about educational programs provided by local  
          education agencies, the California Schools for the Deaf,  
          nonpublic schools and agencies and parent-to-parent support  
          resources. The pamphlet 
          Page 2
          AB 2072 (Mendoza)

          would be distributed by 1) an audiologist immediately upon  
          identification of a newborn or infant as deaf or hard of  
          hearing, and 2) by a local provider for the Early Start program  
          upon initial contact with the parents of a newborn or infant  
          newly identified as deaf or hard of hearing.  

          CDE would further be required to convene an advisory stakeholder  
          panel to contribute to the development of the pamphlet, as  
          specified.  The panel would be required to commence operations  
          on January 1, 2012, and provide recommendations for the pamphlet  
          within six months.  The panel would be composed of 11 members:

             1.   A deaf or hard-of-hearing adult who uses auditory-oral  
               language, appointed by the Governor.
             2.   A deaf or hard-of-hearing adult who uses visual  
               language, appointed by the Governor.
             3.   An educator of the deaf in an auditory-oral language  
               setting, appointed by the Governor.
             4.   An educator of the deaf in a visual language setting,  
               appointed by the Governor.
             5.   A parent representative of a child who primarily uses  
               auditory-oral communication methods, appointed by the  
               Governor.
             6.   A parent representative of a child who primarily uses  
               visual methods, appointed by the Governor.










             7.   A representative of a nonprofit organization that serves  
               primarily auditory-oral learners, appointed by the Speaker  
               of the Assembly.
             8.   A representative of a nonprofit organization that serves  
               primarily visual language learners, appointed by the  
               Speaker of the Assembly.
             9.   A researcher engaged in the study of auditory-oral  
               communication for persons who are deaf or hard of hearing,  
               appointed by the Governor.
             10.            A researcher engaged in the study of visual  
               language communication for persons who are deaf or hard of  
               hearing, appointed by the Governor.
             11.            The Secretary for Education.  

          CDE would be required to review and, if necessary, revise the  
          pamphlet every two years, with the assistance of a reconvened  
          advisory panel, as specified.  The panel would remain in  
          existence until January 1, 2017.

          The bill would also express the Legislature's intent that every  
          newborn and infant that does not pass a preliminary hearing  
          screening receive a followup no later than three months of age.   
          According to DHCS, this is current policy, and 66 percent of  
          infants that are deaf or hard of hearing are diagnosed within  
          three months.

          The bill would also create a new fund for the purposes of  
          collecting donations and federal funds for use in implementing  
          the bill's provisions.  The bill specifies that no entity may  
          contribute funds if it participates in a lobbying activity or  
          has a financial relationship or any other conflict of interest  
          with any panel members, or if the entity stands to benefit from  
          the outcome of the pamphlet development.  The bill specifies  
          that no state funds shall be used to implement the bill, and  
          that no moneys shall be 

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          AB 2072 (Mendoza)

          expended from the fund until the Department of Finance  
          determines that sufficient funds are available implement the  
          bill.  

          The Department of Education estimates that annual operating  
          costs to staff the work of the committee would be $200,000 per  
          year.  Additionally, costs for travel and other meeting expenses  










          would be approximately $40,000 to $50,000 annually, though this  
          figure would vary depending on the number of annual meetings  
          (the bill does not specify this detail).  There would also be  
          relatively minor costs for printing and distribution of the  
          pamphlets (between $1,500 and $2,000 annually).  

          While the bill indicates that implementation costs are to be  
          borne through nonstate funds, the committee views measures  
          intended to be funded through donations as a pressure on the  
          general fund.   Staff further notes that the restrictions placed  
          on contributors may create administrative complexity.  

          Author's proposed amendments would:

                 Prohibit an audiologist from counseling a parent beyond  
               the scope of his or her practice.
                 Modify and expand the composition of the panel.
                 Restrict the number of annual panel meetings and hold  
               the meetings at the Department of Education headquarters.
                 Require the Department to provide a video of the  
               pamphlet on its website that is presented in ASL with  
               captioning written in English.
                 Lift restrictions on contributors.