BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 552
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          Date of Hearing:   July 8, 2009

                           ASSEMBLY COMMITTEE ON EDUCATION
                                Julia Brownley, Chair
                    SB 552 (Padilla) - As Amended:  June 11, 2009

           SENATE VOTE :  26-7
           
          SUBJECT  :  Schools: health education.

           SUMMARY  :  Beginning with the 2010-11 school year, requires  
          school districts that offer health classes to grade 9 or 10  
          students to offer at least 15 minutes of instruction on organ  
          procurement and tissue donation that will be designed to develop  
          a knowledge of the potentially life-saving achievement involved  
          in organ and tissue transplantation; requires non-profit organ  
          procurement organizations, including among others, Donate Life  
          California, to provide school districts with the information  
          that will be provided through the required instruction; and,  
          makes findings and declarations related to organ donation. 

           EXISTING LAW  : 

          1)Declares Legislative intent that an adequate health education  
            program in the public schools is essential to continued  
            progress and improvement in the quality of public health in  
            this state and that comprehensive health education, taught by  
            properly trained person, is effective in the prevention of  
            disease and disability.  (Education Code 51881)

          2)Defines "comprehensive health education programs" as all  
            educational programs offered in kindergarten and grades 1 to  
            12 in the public school system designed to ensure that pupils  
            will receive instruction to aid them in making decisions in  
            matters of personal, family, and community health.  (Education  
            Code 51890)

          3)Requires the California Department of Education to prepare and  
            distribute to school districts guidelines for the preparation  
            of comprehensive health education plans.  (Education Code  
            51900)

          4)Requires the State Board of Education to adopt content  
            standards in the curriculum area of health education, based on  
            the recommendations of the Superintendent of Public  








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            Instruction.  (Education Code 51210.8)
           
          FISCAL EFFECT  :  This bill is keyed non-fiscal, however, the  
          Assembly Appropriations Committee has requested this bill be  
          referred to them.  If this bill is passed by the Assembly  
          Education Committee it will be referred to the Committee on  
          Appropriations to consider the fiscal implications.  

           COMMENTS  :  This bill requires school districts that offer health  
          classes to grade 9 or 10 pupils to offer at least 15 minutes of  
          instruction on organ and tissue donation.  The bill also  
          requires non-profit organ procurement organizations, including  
          Donate Life California, to provide school districts with the  
          information that will be provided through the required  
          instruction.  

           Electing to be an Organ Donor .  Currently, there are two ways to  
          register as an organ donor in California.  First, each  
          application for a new or renewal driver's license or  
          identification card provides a place for the applicant to  
          indicate if he or she wants to be an organ donor.  If the person  
          affirms this desire, the pink donor dot symbol is pre-printed on  
          the driver's license or identification card.  Second, the Donate  
          Life California website provides a way to register as an organ  
          donor online.

          According to Donate Life California, there are more than 100,000  
          people on the National Organ Transplant Waiting List, more than  
          21,000 of whom live in California.  Nationwide, approximately 18  
          people die each day awaiting life-saving organ transplants, and  
          a new name is added to the national waiting list every 13  
          minutes.  One Organ donor can save up to eight lives and one  
          tissue donor can improve lives of up to 50 others.  Nationwide,  
          minorities represent 49% of organ transplant candidates and more  
          than 60% of kidney transplants.  In California, Latinos make up  
          32% of those waiting for life-saving transplants, Asians/Pacific  
          Islanders 16%, and African Americans another 14%.

           Health Education Standards & Graduation Requirements  .  Neither  
          the health education standards nor the frameworks include any  
          information about organ procurement or tissue donation.  A  
          revision of the health education frameworks is currently  
          scheduled to be completed in 2011.  California does not require  
          the completion of a health course as a condition for graduation  
          from high school.  Districts are authorized to offer health  








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          education courses to students and may require students to  
          complete health education coursework as a district graduation  
          requirement.  According to Donate Life California, since 2006,  
          more than 80 California high schools have voluntarily hosted  
          organ donation presentations in their classrooms.

          A number of recent bills have sought to amend the curriculum  
          standards and frameworks, and some have required instruction in  
          a particular subject matter, like this bill requires.  Because  
          the education code is permissive, districts can offer health  
          education already, and many if not most already do offer health  
          education in high school.  The committee should consider whether  
          it is appropriate for the Legislature to decide the number of  
          minutes required for instruction in a specific subject matter.   
          The committee should also consider whether organ donation should  
          be included in the 2011 revision of the health frameworks since  
          they are the blueprint for instruction in health courses across  
          the state.

           What Other States are Doing  .  Several other states either  
          require or authorize instruction on organ donation to high  
          school students in health education courses or students in  
          driving training courses.  These states include Illinois,  
          Wisconsin, Iowa, New Mexico, Texas, Oklahoma, Minnesota,  
          Virginia, Arkansas, North Carolina, Indiana, Ohio, Washington,  
          New Jersey, and Louisiana. 

           Committee Amendments  :  The bill requires districts to "offer"  
          instruction in organ procurement and tissue donation, committee  
          staff recommends the bill be amended to require districts to  
          "provide" instruction by including organ donation within the  
          current definition of "comprehensive health education" programs  
          in Education Code 51890.  Staff also recommends the bill be  
          amended to require organ procurement and tissue donation be  
          included in the 2011 revision of the health education  
          frameworks.

           Related legislation  :  AB 1132 (Jones) from 2009, pending in the  
          Senate Transportation and Housing Committee, requires the  
          Department of Motor Vehicles to make information available about  
          organ donation as part of the online vehicle registration  
          renewal process.

           Previous legislation  :  AB 1972 (Steinberg) from 2004, was held  
          on the Assembly Appropriations Suspense File, would have  








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          required at least 30 minutes of instruction regarding organ and  
          tissue donation as part of the driver education course  
          requirement for grades 7-12.   
           
          SB 112 (Speier) Chapter 405, Statutes of 2003, authorized organ  
          procurement organizations to establish an organization known as  
          the California Organ and Tissue Donation Registrar.
           
          REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          American Association of Tissue Banks (Sponsor)
          Auburn 49er Lions Club
          Bellflower Unified School District
          Blood Centers of California
          California Transplant Donor Network
          Donate Life California 
          Geneva Mission Lions Club
          Gift of Hope Organ & Tissue Donor Network
          Golden State Donor Services
          Harbor Mesa Lions Club
          Kentucky Circuit Court Clerks Trust For Life
          Legacy Donor Foundation
          LifeBanc
          Lifeline of Ohio
          LifeSource
          Lions Club of Los Angeles
          OneLegacy
          Palos Verdes Peninsula Lions Club
          Redlands Evening Lions Club
          San Rafael Las Gallinas Lions Club
          South San Francisco Golden Gate Lions Club
          Temecula Lions Club
          The Honorable Tommy Thompson, former U.S. Secretary of Health  
          and Human Services
          Transplant for Life
          Visalia Charter Oak Lions Club
          Numerous Donor Family Members
          Numerous Transplant Recipients
          Numerous Individuals
           
            Opposition 
           
          None on file.








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           Analysis Prepared by  :    Chelsea Kelley / ED. / (916) 319-2087