BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2261
                                                                  Page  1


          ASSEMBLY THIRD READING
          AB 2261 (Valadao)
          As Amended  April 18, 2012
          Majority vote 

           PUBLIC SAFETY       5-0                                         
           
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          |Ayes:|Ammiano, Knight, Hagman,  |     |                          |
          |     |Mitchell, Skinner         |     |                          |
          |     |                          |     |                          |
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           SUMMARY  :  Increases from $3 to $5 the fee charged for each 
          inmate-initiated medical visit by an inmate confined in a county 
          or city jail.

           EXISTING LAW  :

          1)Provides that a sheriff, Director of the Department of 
            Corrections, or chief of police is authorized to charge a fee 
            in the amount of $3 for each inmate-initiated medical visit of 
            an inmate confined in a county or city jail.  

          2)States that the fee shall be charged to the inmate's personal 
            account at the facility.  If the inmate has no money in his or 
            her personal account, there shall be no charge for the medical 
            visit.  

          3)Provides that an inmate shall not be denied medical care 
            because of a lack of funds in his or her personal account.  

          4)Provides that the medical provider may waive the fee for any 
            inmate-initiated treatment and shall waive the fee for any 
            life-threatening or emergency situation, defined as those 
            health services required for alleviation of severe pain or for 
            immediate diagnosis and treatment of unforeseen medical 
            conditions that if not immediately treated could lead to 
            disability or death.  

          5)States that follow-up medical visits at the direction of the 
            medical staff shall not be charged to the inmate.  

          6)Provides that the Director of the Department of Corrections is 
            authorized to charge a fee in the amount of $5 for each 








                                                                  AB 2261
                                                                  Page  2


            inmate-initiated medical visit of an inmate confined in the 
            state prison.  

           FISCAL EFFECT  :  Unknown.  This bill is keyed non-fiscal by the 
          Legislative Counsel.

           COMMENTS  :  According to the author, "Under existing law, a 
          sheriff, director of corrections, or chief of police is 
          authorized to charge a fee in the amount of $3 for each inmate 
          co-pay in a county or city jail for medical care.  The 
          Legislature set this $3 co-pay in 1994 and has not increased it 
          since, even though health care costs have skyrocketed over the 
          past 18 years.  The fee is necessary to reduce frivolous 
          requests, staff time, and hold the inmate responsible to 
          participate in their own health needs.  Since the cost of a 
          medical visit for a county inmate is so low it causes some 
          inmates to abuse the system, for example, some common reasons to 
          seek a non-medical visit are drug seeking, wanting to see a 
          specific person, wanting to get out of his/her cell, and now 
          with overcrowding some inmates just want to have some privacy.  
          AB 2261 will increase the co-pay from $3 to $5 which will better 
          align the amount charged to them with the cost of care while 
          deterring unnecessary and frivolous use of medical services.  
          This small increase will also bring the co-pay to the current $5 
          fee that inmates currently pay in prison and would have paid if 
          it were not for realignment.  AB 2261 is an important first step 
          towards reducing frivolous access to care in our county jails."

          Please see the policy committee analysis for a full discussion 
          of this bill.
           

          Analysis Prepared by  :    Gregory Pagan / PUB. S. / (916) 
          319-3744 


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