BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 1395
                                                                  Page  1

          Date of Hearing:   August 4, 2010

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

                   SB 1395 (Alquist) - As Amended:  June 30, 2010 

          Policy Committee:                             HealthVote:19-0
                       Transportation                            14-0

          Urgency:     No                   State Mandated Local Program:   
          No     Reimbursable:              

           SUMMARY  

          This bill increases organ donation-related activities in  
          California. Specifically, this bill:  

          1)Authorizes specified California organ procurement  
            organizations to establish the Altruistic Living Donor  
            Registry (Registry) to maintain information about living  
            potential kidney donors and to promote and assist with live  
            kidney donation, donor chains, paired exchanges and  
            nondirected donations and make specified information available  
            to the public. 

          2)Authorizes the Registry administrator to accept voluntary  
            financial contributions to support the Registry. 

          3)On and after July 1, 2011 requires a Department of Motor  
            Vehicle (DMV) application for a driver's license to include  
            check boxes to mark either" Yes, add my name to the donor  
            registry" or " I do not wish to register at this time".  
            Requires notification to be provided with the check boxes as  
            to the meaning of each answer. Requires DMV to transmit  
            related information weekly to the Registry. 

          4)Requires the submission of an annual report about the summary  
            data of potential donors to legislative policy and fiscal  
            committees. 
           
           FISCAL EFFECT  

          Minor absorbable workload to the DMV to comply with license  
          application form modifications and related reporting on  








                                                                  SB 1395
                                                                  Page  2

          potential donors. The organ procurement organizations addressed  
          in this bill are private, non-profit organizations and are not  
          supported by GF. 

           COMMENTS  

           1)Rationale  . This bill is sponsored by the governor to increase  
            the number of potential organ donors statewide. According to  
            the author, this bill creates the first altruistic living  
            donor registry in the country. Under current law 27% of DMV  
            license applicants designate themselves as potential organ  
            donors, an increase of 20% since the enactment of SB 689  
            (Speier), Chapter 665, Statutes of 2005. SB 689 required DMV  
            to collect organ and tissue donor designation information on  
            drivers' license applications and linked DMV data with Donate  
            Life California, a statewide organ donor registry established  
            in 2004.

           2)Background  . In California, four non-profit, federally  
            designated organ procurement organizations work closely with  
            hospitals and transplant centers to facilitate the organ  
            donation and transplantation process. These four organizations  
            are the California Transplant Donor Network, in northern and  
            central California; the Golden State Donor Services, in the  
            Sacramento region; the Lifesharing Community Organ & Tissue  
            Donation, in San Diego and Imperial Counties; and, OneLegacy,  
            in the Los Angeles area.  

          Donate Life California, the statewide registry, allows adults to  
            donate specific or all organs or tissue upon death.  Children  
            between the ages of 13 and 17 can join the registry, but a  
            parent or legal guardian is authorized to make the final  
            decision about organ and tissue donation. More than one  
            million residents statewide have registered with Donate Life  
            California. 

           3)Organ transplantation  is required when organs fail due to  
            disease or injury. Not all organs can be transplanted. The  
            most common organ transplants and five-year survival rates are  
            the kidney (85%), heart (70%), lung (50%), pancreas (85%), and  
            liver (75%). 

           Analysis Prepared by  :    Mary Ader / APPR. / (916) 319-2081