BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   SB 212|
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                                 THIRD READING


          Bill No:  SB 212
          Author:   Florez (D)
          Amended:  5/18/09
          Vote:     21


           SENATE EDUCATION COMMITTEE  :  5-2, 4/22/09
          AYES:  Romero, Alquist, Liu, Padilla, Simitian
          NOES:  Huff, Wyland
          NO VOTE RECORDED:  Hancock, Maldonado

           SENATE HEALTH COMMITTEE  :  11-0, 4/29/09
          AYES:  Alquist, Strickland, Aanestad, Cedillo, Cox,  
            DeSaulnier, Leno, Maldonado, Negrete McLeod, Pavley, Wolk  
           
           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8


           SUBJECT :    School safety:  pupil health:  communicable  
          diseases

           SOURCE  :     Author


           DIGEST  :    This bill authorizes each school district with a  
          high school to provide for the annual cleaning and  
          sterilizing of wrestling equipment, and requires the  
          Superintendent of Public Instruction to develop information  
          and guidelines regarding the prevention of communicable  
          diseases at school sites.

           ANALYSIS  :    

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          Existing law:

          1. Requires the governing board of each district  
             maintaining a high school to provide for the annual  
             cleaning, sterilizing and necessary repair of football  
             equipment of their respective schools.

          2. Requires all football equipment actually worn by pupils  
             to be cleaned and sterilized at least once a year, and  
             requires football equipment used in spring training to  
             be cleaned and sterilized before it is used in the  
             succeeding fall term.

          The California Department of Public Health produced "A  
          Parent's Guide to MRSA in California:  What You Need to  
          Know," which is available on the website of the Department  
          of Education (DOE) and has been translated into 23  
          languages (all available on the DOE's website).

          The California Interscholastic Federation (CIF) provides  
          information (warning signs, prevention and a policies and  
          procedures checklist) relative to methicillin resistant  
          Staphylococcus aureus (MRSA) to K-12 coaches, athletic  
          directors and administrators.  CIF's Sports Medicine  
          Handbook also contains information about MRSA.

          The 2007-08 National Federation of State High School  
          Associations Wrestling Rules Book contains guidelines to  
          reduce the incidence and spread of communicable skin  
          conditions among wrestlers.  All sources providing  
          information and guidance stress that frequent  
          washing/showering and sterilization of sports equipment  
          should be adhered to in order to minimize the risk of  
          infection.
           
           This bill authorizes each school district with a high  
          school to provide for the annual cleaning and sterilizing  
          of wrestling equipment, as specified by the Superintendent  
          of Public Instruction (SPI) and the State Board of  
          Education (SBE).  Specifically this bill also:

          1. Requires the SPI to develop information and guidelines  
             regarding the prevention of communicable diseases at  
             schools and submit the information and guidelines to the  

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             SBE for approval.

          2. Requires the information and guidelines, at a minimum,  
             to address the maintenance of locker rooms, athletic  
             equipment, and synthetic ground covers used for athletic  
             fields, and ways to minimize the spread and  
             methicillin-resistant Staphylococcus aureus (MRSA) and  
             meningococcal disease.  Specifies that the information  
             and guidelines shall also include, but not be limited  
             to, information provided to school staff, including  
             classified employees, for training and information to  
             minimize the spread of methicillin-resistant  
             Staphylococcus aureus and meningococcal disease.  

          3. Requires the SPI to post the approved guidelines on the  
             website of the DOE.

           Comments

          MRSA  .  In September 2002, the Los Angeles County Department  
          of Health Services investigated two cases of MRSA among  
          members of a college football team.  There have been  
          numerous reports of MRSA infections in football and rugby  
          players and wrestlers throughout the country.  As its name  
          indicates, MRSA is not killed by penicillin and similar  
          antibiotics.  MRSA can be deadly.  

           Why wrestling  ?  The National Federation of State High  
          School Associations has identified football and wrestling  
          as the two "high risk" sports for skin infections.   
          Existing law addresses the sterilization of football  
          equipment but is silent about wrestling equipment or locker  
          rooms.

           Prior legislation
           
           SB 1058 (Alquist), Chapter 296, Statutes of 2008  ,  
          establishes the Medical Facility Infection Control and  
          Prevention Act, which requires hospitals to implement  
          specified procedures for screening, prevention, and  
          reporting specified health care associated infections also  
          known as hospital associated infections (HAIs).  Requires  
          hospitals to report positive MRSA and other HAI test  
          results to DPH and requires DPH to make specified  

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          information public on its website.

           SB 158 (Florez), Chapter 294, Statutes of 2008  , establishes  
          an infection surveillance, prevention, and control program  
          within DPH to provide oversight of hospital prevention and  
          reporting of general acute care hospital-associated  
          infections, expands the responsibilities of DPH's  
          Healthcare Associated Infection Advisory Committee, and  
          requires all hospitals to institute a patient safety plan  
          for the purpose of improving the health and safety of  
          patients and reducing preventable patient safety events.

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

           SUPPORT  :   (Verified  5/26/09)

          California School Employees Association


           ARGUMENTS IN SUPPORT  :    According to the author's office,  
          a 2007 Centers for Disease Control and Prevention report  
          included a survey of high school and college athletic  
          trainers of which, 53 percent reported treating MRSA.   
          School locker rooms and sports can offer a perfect  
          environment for the transmission of MRSA, which can be  
          fatal.  Unfortunately, schools can sometimes provide the  
          perfect transmission for fatal communicable diseases.  The  
          author's office states that this bill will strengthen the  
          public health at our schools.


          DLW:do  5/27/09   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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