BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                   AB 568|
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                                 THIRD READING


          Bill No:  AB 568
          Author:   Skinner (D)
          Amended:  5/27/11 in Senate
          Vote:     21

           
           SENATE PUBLIC SAFETY COMMITTEE  :  6-0, 06/07/11
          AYES:  Hancock, Anderson, Harman, Liu, Price, Steinberg
          NO VOTE RECORDED:  Calderon

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8

           ASSEMBLY FLOOR  :  70-0, 05/12/11 - See last page for vote


           SUBJECT  :    Pregnant inmates and wards:  least restrictive 
          restraints

           SOURCE  :     American Congress of Obstetricians and 
          Gynecologists
                      ACLU
                      California Commission on the Status of Women
                      Center for Young Womens Development
                      Legal Services for Prisoners with Children
                      Time for Change Foundation


           DIGEST  :    This bill provides (1) pregnant inmates or wards 
          may not be shackled by the wrists, ankles, around the 
          abdomen, or to another person, unless deemed necessary for 
          the safety and security of the inmate, the staff, or the 
          public; (2) in cases where restraints are deemed necessary, 
          the least restrictive means shall be used, which may 
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          include cuffing an inmate's wrists in front, consistent 
          with the legitimate security needs of each inmate; (3) the 
          restraints shall remain in place only as long as the threat 
          exists; (4) these provisions apply to, but are not limited 
          to, movement within the correctional facility, transport to 
          and from the facility, and time spent outside of the 
          facility to receive medical or dental care, to attend 
          court, or any other appointment; (5) the Corrections 
          Standards Authority (CSA) shall develop standards regarding 
          the shackling of pregnant women as stated above as part of 
          its biennial review of the standards established pursuant 
          to this section; and (6) make uncodified legislative 
          findings and declarations concerning methods of restraining 
          pregnant inmates and wards, as specified.

           ANALYSIS  :    Current law provides that pregnant inmates 
          temporarily taken to the hospital outside the prison for 
          purposes of child-birth shall be transported in the least 
          restrictive way possible, consistent with the legitimate 
          security needs of each inmate.  Upon arrival at the 
          hospital, once the inmate has been declared by the 
          attending physician to be in active labor, the inmate shall 
          not be shackled by the wrists, ankles, or both, unless 
          deemed necessary for the safety and security of the inmate, 
          the staff, and the public.  (Penal Code � 5007.7.)

          Current law requires the Corrections Standards Authority 
          ("CSA")  to establish minimum standards for state and local 
          correctional facilities.  CSA shall review those standards 
          biennially and make any appropriate revisions.  The 
          standards shall include, but not be limited to, the 
          following: health and sanitary conditions, fire and life 
          safety, security, rehabilitation programs, recreation, 
          treatment of persons confined in state and local 
          correctional facilities, and personnel training.  (Penal 
          Code � 6030(a) and (b).)

          Current law provides that the standards require inmates who 
          are received by the facility while they are pregnant are 
          provided all of the following (Penal Code � 6030(e)):

                 A balanced, nutritious diet approved by a doctor;
                 Prenatal and postpartum information and health 
               care, including, but not limited to, access to 

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               necessary vitamins as recommended by a doctor;
                 Information pertaining to childbirth education and 
               infant care; and,
                 A dental cleaning while in a state facility.

          Current law states that the standards shall provide that at 
          no time shall a woman who is in labor be shackled by the 
          wrists, ankles, or both including during transport to a 
          hospital, during delivery, and while in recovery after 
          giving birth, except as provided in Penal Code Section 
          5007.7.  (Penal Code � 6030(f).)

          Current law requires CSA to seek the advice of the 
          California State Sheriffs' Association, the Chief Probation 
          Officers' Association of California, and other interested 
          persons, when establishing minimum standards for female 
          inmates and pregnant inmates in local adult and juvenile 
          facilities.  (Penal Code � 6030(g)(5).)

          Current law provides that any female prisoner shall have 
          the right to summon and receive the services of any 
          physician and surgeon of her choice in order to determine 
          whether she is pregnant.  If the prisoner is found to be 
          pregnant, she is entitled to a determination of the extent 
          of the medical services needed by her and to the receipt of 
          these services from the physician and surgeon of her 
          choice.  Any expenses occasioned by the services of a 
          physician and surgeon whose services are not provided by 
          the institution shall be borne by the prisoner.  (Penal 
          Code� 3406.)

          Current law states that any woman inmate who would give 
          birth to a child during her term of imprisonment may be 
          temporarily taken to a hospital outside the prison for the 
          purposes of childbirth, and the charge for hospital and 
          medical care shall be charged against the funds allocated 
          to the institution.  (Penal Code � 3423.)

          Current law requires that any female in the custody of a 
          local juvenile facility, defined as any city, county, or 
          regional facility used for the confinement of juveniles for 
          more than 24 hours, shall have the right to summon and 
          receive the services of any physician and surgeon of her 
          choice in order to determine whether she is pregnant.  If 

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          she is found to be pregnant, she is entitled to a 
          determination of the extent of the medical services needed 
          by her and to the receipt of those services from the 
          physician and surgeon of her choice.  (Welfare and 
          Institutions Code �� 222(a) and 1774(a).)

          Current law provides that a ward shall not be shackled by 
          the wrists, ankles, or both during labor, including during 
          transport to a hospital, during delivery, and while in 
          recovery after giving birth, subject to the security needs 
          described in this section.  Pregnant wards temporarily 
          taken to a hospital outside the facility for the purposes 
          of childbirth shall be transported in the least restrictive 
          way possible, consistent with the legitimate security needs 
          of each ward.  Upon arrival at the hospital, once the ward 
          has been declared by the attending physician to be in 
          active labor, the ward shall not be shackled by the wrists, 
          ankles, or both, unless deemed necessary for the safety and 
          security of the ward, the staff, and the public.  (Welfare 
          and Institutions Code �� 222(b) and 1774(d).)

          Current law provides that mechanical restraints shall not 
          be placed on an adult inmate during labor, including during 
          transport to a hospital, during delivery, and while in 
          recovery after giving birth, unless circumstances exist 
          that require the immediate application of mechanical 
          restraints to avoid the imminent threat of death, escape, 
          or great bodily injury, and only for the period during 
          which such threat exists.  (15 Cal. Code of Regs. � 
          3268.2.)

          This bill amends current law to provide:

                 An inmate or ward known to be pregnant shall not be 
               shackled by the wrists, ankles, around the abdomen, or 
               to another person, unless deemed necessary for the 
               safety and security of the inmate, the staff, or the 
               public. 
                 In cases where restraints are deemed necessary, the 
               least restrictive means shall be used, which may 
               include cuffing an inmate's wrists in front, 
               consistent with the legitimate security needs of each 
               inmate. 
                 The restraints shall remain in place only as long 

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               as the threat exists. 
                 These provisions apply to, but are not limited to, 
               movement within the correctional facility, transport 
               to and from the facility, and time spent outside of 
               the facility to receive medical or dental care, to 
               attend court, or any other appointment.

          This bill requires that the standards developed by CSA for 
          state and local correctional facilities provide that a 
          woman known to be pregnant shall not be shackled by the 
          wrists, ankles, around the abdomen, or to another person, 
          except as provided in Section 5007.7.  This includes, but 
          is not limited to, time spent outside a correctional 
          facility, during transport to or from a correctional 
          facility, during labor, during delivery, and while in 
          recovery after giving birth, except as provided in Section 
          5007.7.  CSA shall develop standards regarding the 
          shackling of pregnant women pursuant to the amendments made 
          to this subdivision as part of its biennial review of the 
          standards established pursuant to this section.

          This bill makes uncodified legislative findings and 
          declarations concerning methods of restraining pregnant 
          inmates and wards, as specified.
          This bill makes certain non-substantive technical changes 
          to law.

           Prior Legislation
           
          AB 478 (Lieber), Chapter 608, Statutes of 2005, which 
          passed the Senate Floor on 8/23/05 (26-14).

          AB 1900 (Skinner) of 2010, which passed the Senate Floor on 
          8/23/10
          (35-0), and was vetoed by Governor Schwarzenegger.  The 
          veto message stated:

               This bill would prohibit the shackling of pregnant 
               inmates and wards during transport to and from 
               correctional facilities except when other less 
               restrictive restraints are deemed necessary.  
               Additionally, this bill would require the Corrections 
               Standards Authority (CSA) to develop guidelines 
               concerning the shackling of pregnant inmates and wards 

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               during transport.  However, CSA's mission is to 
               regulate and develop standards for correctional 
               facilities, not establish policies on transportation 
               issues to and from other locations.

               Since this bill goes beyond the scope of CSA's 
               mission, I am unable to sign this bill.

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

           SUPPORT  :   (Verified  6/27/11)

          American Congress of Obstetricians and Gynecologists 
          (co-source) 
          ACLU (co-source) 
          California Commission on the Status of Women (co-source) 
          Center for Young Women's Development (co-source) 
          Legal Services for Prisoners with Children (co-source) 
          Time for Change Foundation (co-source) 
          A New Way of Life Reentry Project
          AAUW
          ACT for Women and Girls
          California Attorneys for Criminal Justice
          California Catholic Conference, Inc.
          California Coalition for Women Prisoners
          California Communities United Institute
          California Correctional Peace Officers Association
          California Maternal, Child, and Adolescent Health Directors
          California Medical Association
          California National Organization for Women
          California Nurses Association
          California Public Defenders Association
          California Women's Law Center 
          Californians United for a Responsible Budget
          Community Works West
          Correctional Association of New York
          Directors of Public Health Nursing
          Drug Policy Alliance
          East Bay Community Law Center
          Ella Baker Center/Books not Bars
          Equal Justice Society
          Families to Amend California's Three Strikes
          Friends Committee on Legislation of California

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          Girls & Gangs
          Great Beginnings for Black Babies, Inc.
          House of Ruth, Inc.
          Just Detention International
          Justice Now
          Law Students for Reproductive Justice
          Lawyers' Committee for Civil Rights of the SF Bay Area
          National Center for Youth Law
          National Council of Jewish Women
          Prison Activist Resource Center
          Prison Law Office
          Rainbow Services, Ltd.
          Rebecca Project for Human Rights
          San Francisco Board of Supervisors' Public Safety Committee
          San Francisco Juvenile Probation Department
          SEIU, Local 1000
          Violence Prevention Coalition
          Women's Community Clinic
          Women's Foundation of California
          Youth and Family Services, Inc. of Solano County
          Youth Law Center

           ARGUMENTS IN SUPPORT  :    According to the author:

               Pregnant women in correctional facilities are more 
               likely to experience miscarriage, preeclampsia, 
               preterm birth, and low-birth weight infants.  Studies 
               indicate that the incidence of minor trauma, 
               especially falls, increases as pregnancy progresses 
               and excessive restraints poses undue health risks to a 
               woman throughout her pregnancy.  Despite the dangers 
               of restraints, correctional facilities have 
               inconsistent policies and practices for restraining 
               pregnant incarcerated women. 

               Pregnant women are frequently restrained by the 
               ankles, wrists, abdomen, behind the back, and even to 
               another person while being transported to and from a 
               correctional facility.  Most pregnant women receive 
               sentences of less than 1 year in duration, often for 
               first-time nonviolent, nonserious offenses.  
               Nevertheless, women as far along as 8  months 
               pregnant have been shackled in the most restrictive 
               ways.  To avoid threatening the health of pregnant 

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               women and potential legal challenges, it is critical 
               that policies are adopted ensuring that restraints are 
               properly used with this vulnerable population.

               AB 568 clarifies Corrections Standards Authority's 
               standards for how pregnant women are restrained during 
               transport to and from facilities.  AB 568 will protect 
               counties and the state from being sued and ensure the 
               health and safety of incarcerated women and their 
               pregnancy.


           ASSEMBLY FLOOR  :  70-0, 05/12/11
          AYES:  Achadjian, Allen, Ammiano, Atkins, Beall, Bill 
            Berryhill, Block, Blumenfield, Bonilla, Bradford, 
            Brownley, Buchanan, Butler, Charles Calderon, Campos, 
            Carter, Chesbro, Cook, Davis, Dickinson, Donnelly, Eng, 
            Feuer, Fletcher, Fong, Fuentes, Furutani, Beth Gaines, 
            Galgiani, Gatto, Gordon, Grove, Hagman, Halderman, Hall, 
            Harkey, Hayashi, Hill, Huber, Hueso, Huffman, Jeffries, 
            Jones, Knight, Lara, Logue, Ma, Mansoor, Mendoza, Miller, 
            Monning, Morrell, Nestande, Nielsen, Norby, Olsen, Pan, 
            Perea, V. Manuel P�rez, Silva, Skinner, Smyth, Solorio, 
            Swanson, Valadao, Wagner, Wieckowski, Williams, Yamada, 
            John A. P�rez
          NO VOTE RECORDED:  Alejo, Cedillo, Conway, Garrick, Gorell, 
            Roger Hern�ndez, Bonnie Lowenthal, Mitchell, Portantino, 
            Torres


          RJG:nl  6/28/11   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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