BILL ANALYSIS                                                                                                                                                                                                    �







                      SENATE COMMITTEE ON PUBLIC SAFETY
                            Senator Loni Hancock, Chair              S
                             2011-2012 Regular Session               B

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          SB 796 (Blakeslee)                                          
          As Amended April 25, 2011 
          Hearing date:  May 3, 2011
          Welfare and Institutions Code
          SM:mc

                         STATE HOSPITALS: SMUGGLING CONTRABAND  

                                       HISTORY

          Source:  California Statewide Law Enforcement Association

          Prior Legislation: SB 26 (Padilla) - pending in Senate 
                       Appropriations
                       SB 525 (Padilla) - 2010, vetoed  
                       SB 434 (Benoit) - 2009, died on suspense in 
                       Assembly Appropriations
                       SB 1730 (Padilla) - 2008, died on suspense in 
                       Senate Appropriations 
                       AB 3010 (Blakeslee) - Ch. 505, Stats. 2008
                       SB 1267 (Leslie) - 2006, died on suspense in Senate 
                       Appropriations 
                       SB 1831 (Margett) - 2006, died in Senate Public 
          Safety 

          Support: American Federation of State, County, and Municipal 
                   Employees (AFSCME), AFL-CIO

          Opposition:California Public Defenders Association; Disability 
                   Rights California; Legal Services for Prisoners with 
                   Children; California Coalition for Women Prisoners






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                                                         SB 796 (Blakeslee)
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                                      KEY ISSUES
           
          SHOULD POSSESSION WITH THE INTENT TO DELIVER, OR DELIVERY, TO A 
          PATIENT IN A STATE HOSPITAL OF A WIRELESS COMMUNICATION DEVICE, 
          TOBACCO PRODUCTS OR CURRENCY, EXCEPT AS AUTHORIZED, BE A 
          MISDEMEANOR, PUNISHABLE BY A FINE NOT TO EXCEED $1,000 FOR EACH 
          ITEM?

                                                                (CONTINUED)



          SHOULD A PERSON VISITING A PATIENT IN A STATE HOSPITAL WHO, UPON 
          BEING SEARCHED OR SUBJECTED TO A METAL DETECTOR, IS FOUND TO BE IN 
          POSSESSION OF A WIRELESS COMMUNICATION DEVICE, TOBACCO PRODUCTS OR 
          CURRENCY, EXCEPT AS AUTHORIZED, BE SUBJECT TO HAVING THE ITEM 
          CONFISCATED, AS SPECIFIED?  

          SHOULD NOTICE OF THESE PROVISIONS BE POSTED IN ALL AREAS WHERE 
          VISITORS ARE SEARCHED PRIOR TO VISITATION WITH A PATIENT?


                                       PURPOSE

          The purpose of this bill is to provide that (1) except as 
          specified, a person who possesses with the intent to deliver, or 
          delivers, to a patient in a state hospital a wireless 
          communication device, tobacco products or currency, except as 
          authorized, is guilty of a misdemeanor, punishable by a fine not 
          to exceed $1,000 for each item; (2) notwithstanding the above 
          provisions, if a person visiting a patient in a state hospital, 
          upon being searched or subjected to a metal detector, is found 
          to be in possession of any of these items, the item shall be 
          subject to confiscation but shall be returned on the same day 
          the person visits the inmate or ward, unless the item is held as 
          evidence in a case where the person is cited for smuggling 
          contraband, as specified; and (3) notice of this provision shall 
          be posted in all areas where visitors are searched prior to 
          visitation with a patient.




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                                                         SB 796 (Blakeslee)
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           Existing law  requires the state Department of Mental Health 
          (DMH) to administer several public mental health programs and 
          manage the care and treatment of severely mentally ill patients 
          at California's five state mental hospitals: Atascadero, 
          Metropolitan, Napa, Coalinga, and Patton State Hospitals.  
          (Welf. & Inst. Code �� 4011, 4100.)

           Existing law  provides that DMH has general control and direction 
          of the property and concerns of each state hospital specified in 
          Section 4100. DMH shall:


                 Establish such bylaws, rules, and regulations as it 
               deems necessary and expedient for regulating the duties of 
               officers and employees of the hospital, and for its 
               internal government, discipline, and management.

                 Take care of the interests of the hospital, and see that 
               its purpose and its bylaws, rules, and regulations are 
               carried into effect, according to law.  (Welf. & Inst. Code 
               � 4109.)

           


          Existing law  provides that, under the Lanterman-Petris-Short 
          (LPS) Act, persons who, by reason of mental disorders, are 
          "dangerous to others or to themselves or who are gravely 
          disabled" may be  involuntarily held for 72 hours, treated for 
          14 additional days, and 180 days following a judicial hearing.   
          (Welf. & Inst. Code �� 5000 et seq.)

           Existing law  provides that a prisoner found to be a mentally 
          disordered offender (MDO) can be required to receive mental 
          treatment as a condition of parole and may be civilly confined 
          after his or her parole expires.  (Welf. & Inst. Code � 7227 and 
          Penal Code �� 2960 et seq.)

           Existing law  allows prisoners found to be sexually violent 




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          predators (SVPs) to be civilly confined based on a judicial 
          commitment.  An "SVP" is defined as a person who has been 
          convicted of a sexually violent offense, as specified, against 
          two or more victims for whom he or she received a determinate 
          sentence.  An SVP must have a diagnosable mental disorder that 
          makes the person a danger to the health and safety of others in 
          that it is likely that he or she will engage in sexually violent 
          criminal behavior.  (Welf. & Inst. Code �� 6600 to 6608.)

           Existing law  provides that, upon receiving a request from the 
          director of a state hospital listed in Section 4100, the 
          Director of Mental Health may prohibit the possession or use of 
          tobacco products on the grounds of the requesting facility, as 
          specified.  (Welf. & Inst. Code � 4138.)

           Existing law  prohibits wireless communication devices, as 
          specified, within a State Hospital.  (9 Cal. Code of Regulations 
          � 4350.)
          
           This bill  would provide that, except as specified, a person who 
          possesses with the intent to deliver, or delivers, to a patient 
          in a state hospital a wireless communication device, tobacco 
          products or currency, except as authorized, is guilty of a 
          misdemeanor, punishable by a fine not to exceed $1,000 for each 
          item.

           This bill  would provide that, if a person visiting a patient in 
          a state hospital, upon being searched or subjected to a metal 
          detector, is found to be in possession of a wireless 
          communication device, tobacco products or currency, except as 
          authorized, the item shall be subject to confiscation but shall 
          be returned on the same day the person visits the inmate or 
          ward, unless the item is held as evidence in a case where the 
          person is cited for smuggling contraband, as specified.  If, 
          upon investigation, it is determined that no prosecution will 
          take place, the item shall be returned to the owner at the 
          owner's expense.  Notice of this provision shall be posted in 
          all areas where visitors are searched prior to visitation with a 
          patient.





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                    RECEIVERSHIP/OVERCROWDING CRISIS AGGRAVATION
          
          For the last several years, severe overcrowding in California's 
          prisons has been the focus of evolving and expensive litigation. 
           As these cases have progressed, prison conditions have 
          continued to be assailed, and the scrutiny of the federal courts 
          over California's prisons has intensified.  

          On June 30, 2005, in a class action lawsuit filed four years 
          earlier, the United States District Court for the Northern 
          District of California established a Receivership to take 
          control of the delivery of medical services to all California 
          state prisoners confined by the California Department of 
          Corrections and Rehabilitation ("CDCR").  In December of 2006, 
          plaintiffs in two federal lawsuits against CDCR sought a 
          court-ordered limit on the prison population pursuant to the 
          federal Prison Litigation Reform Act.  On January 12, 2010, a 
          three-judge federal panel issued an order requiring California 
          to reduce its inmate population to 137.5 percent of design 
          capacity -- a reduction at that time of roughly 40,000 inmates 
          -- within two years.  The court stayed implementation of its 
          ruling pending the state's appeal to the U.S. Supreme Court.  

          On Monday, June 14, 2010, the U.S. Supreme Court agreed to hear 
          the state's appeal of this order and, on Tuesday, November 30, 
          2010, the Court heard oral arguments.  A decision is expected as 
          early as this spring.  

          In response to the unresolved prison capacity crisis, in early 
          2007 the Senate Committee on Public Safety began holding 
          legislative proposals which could further exacerbate prison 
          overcrowding through new or expanded felony prosecutions.     

           This bill  does not appear to aggravate the prison overcrowding 
          crisis described above.


                                      COMMENTS





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          1.  Need for This Bill  

          According to the author:

               The State mental hospital population is now 92 percent 
               forensic.  This means that at least 92 percent of 
               these patients have spent time in prison or county 
               jail, thus many of the learned behaviors are making 
               their way into the hospital system.  DMH hospitals are 
               ill equipped to handle this change in clientele and 
               have made little progress in creating an environment 
               where staff can work safely and less functioning 
               patients can receive the treatment they need.

               Currently, many items on the contraband list are being 
               smuggled into the mental health hospitals that are 
               being used as currency by patients and can create a 
               dangerous situation for staff and patients alike.  For 
               example, a can of rolling tobacco that costs 
               approximately $12, can go for as much as $300 if 
               smuggled inside one of the facilities.  Many of the 
               malingering patients have set up operations where they 
               are often preying on the less functioning individuals 
               by loaning cigarettes on the promise to pay at a later 
               date.  When those less functioning patients cannot 
               come up with the currency, they are often threatened 
               and assaulted, sometimes violently.      

               Furthermore, cell phones have become a problem inside 
               the facilities.  As more and more hospitals receive 
               patients from prisons, the amount of smuggled cell 
               phones has increased.  SB 26 (Padilla) would create a 
               misdemeanor when a nonemployee intends to deliver to 
               an inmate a cell phone.  If it is harder for inmates 
               to receive cell phones in prison, many of them have 
               learned that it is relatively easy to game the system 
               by faking a mental condition that would result in a 
               transfer to a mental hospital where it is easier to 
               access contraband items due to less stringent 
               regulations and greater staffing shortages.  SB 796 




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               differs from SB 26 by holding accountable staff, as 
               well as visitors, for violations of smuggling 
               contraband into hospitals.      

               SB 796 represents a common-sense solution to help curb 
               the stream of contraband into the already dangerous 
               working environment at the mental hospitals while 
               providing less functioning patients that desperately 
               need treatment and staff with a more secure setting to 
               work and treat these individuals.

          2.  Due Process Issues and What This Bill Would Do  

          The proliferation of cellular phones and other wireless 
          communication devices has been widely recognized as a growing 
          security problem in prisons nationwide.  This Committee has 
          approved several bills in recent years to address this problem.  
          Earlier this year, this Committee approved SB 26 (Padilla), 
          which would impose misdemeanor penalties for possession with 
          intent to smuggle a wireless communication device to a state 
          prisoner.  SB 26 is currently pending in the Senate 
          Appropriations Committee.  SB 139 (Alquist) would require the 
          Department of Corrections and Rehabilitation to perform 
          spot-searches of prison staff for unauthorized wireless devices. 
           SB 139 is scheduled to be heard in this Committee on the same 
          day as this bill. 

          Last year the Department of Mental Health promulgated 
          regulations specifically prohibiting the possession of wireless 
          communication devices in a state hospital.  (9 Cal. Code of 
          Regulations � 4350.)  In 2008, AB 3010 (Blakeslee) (Ch. 505, 
          Stats. of 2008) authorized the DMH, at the request of a director 
          of a state mental hospital, to prohibit the possession or use of 
          tobacco products on the grounds of the requesting facility.  
          This bill would create criminal penalties for possession with 
          intent to deliver to a state hospital patient, a wireless 
          communication device, tobacco products or currency, except as 
          authorized.  The penalty would be a fine of up to $1,000 per 
          item.





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          Inmates in state prisons and patients in state hospitals may not 
          be subject to the same treatment or conditions of confinement.  
          Because state hospital patients may be confined as a result of a 
          civil commitment rather than a criminal conviction, the purpose 
          of their commitment is treatment rather than punishment.  (See, 
          e.g., Welf. & Inst. Code � 6250, regarding persons committed as 
          sexually violent predators, ". . . as far as possible and 
          consistent with the rights of persons subject to commitment, 
          those persons shall be treated, not as criminals, but as sick 
          persons.")  The courts have recognized that, where the 
          commitment is not for a punitive purpose, patients may not be 
          treated the same way as criminals.  "Persons who have been 
          involuntarily committed are entitled to more considerate 
          treatment and conditions of confinement than criminals whose 
          conditions of confinement are designed to punish."  (Youngberg 
          v. Romeo, 457 U.S. 307, 321-322 (1982).)  However, this must be 
          balanced against the state's interest in the security of the 
          facility.  The Federal Court of Appeal has stated:


























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               At a bare minimum, then, an individual detained under 
               civil process -- like an individual accused but not 
               convicted of a crime -- cannot be subjected to 
               conditions that "amount to punishment." Bell, 441 U.S. 
               at 536. Following Bell, we have recognized that 
               punitive conditions may be shown (1) where the 
               challenged restrictions are expressly intended to 
               punish, or (2) where the challenged restrictions serve 
               an alternative, non-punitive purpose but are 
               nonetheless "excessive in relation to the alternative 
               purpose," or "are employed to achieve objectives that 
               could be accomplished in so many alternative and less 
               harsh methods." Legitimate, non-punitive government 
               interests include ensuring a detainee's presence at 
               trial, maintaining jail security, and effective 
               management of a detention facility.  (  Jones v. Blanas  , 
               393 F.3d 918, 931-932 (9th Cir. Cal. 2004).)

          While it is not clear whether current restrictions on wireless 
          communications devices, tobacco products or money as applied to 
          state hospital patients amount to punishment,<1> this bill does 
          not impose those restrictions, inasmuch as they already exist.  
          Rather, SB 796 would prohibit providing or attempting to provide 
          those items to state hospital patients in an unauthorized 
          manner.  

          SHOULD THESE PENALTIES BE IMPOSED?

          3.  Technical Amendment  

          On page 2, lines 22-23, where this bill refers to "inmate or 
          ward" it should have used the term "patient."  The author may 
          wish to consider amending the bill to correct this oversight.
          ---------------------------
          <1> A lawsuit by a state hospital patient challenging the 
          regulation prohibiting wireless communication devices was 
          dismissed last year by a federal court magistrate-judge for, 
          inter alia, lack of ripeness because DMH had not yet confiscated 
          the patient's laptop computer.  (Rotroff v. Ahlin, 2010 U.S. 
          Dist. LEXIS 74027 (E.D. Cal. July 21, 2010). 



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          SHOULD THIS AMENDMENT BE TAKEN?

          4.  Argument in Support  

          AFSCME states:

               Safety, for both patients and employees, is becoming 
               an increasingly urgent issue for California's 
               psychiatric hospitals.  Violent incidents have been on 
               the rise for years, culminating in the death of Donna 
               Gross, a psychiatric technician at Napa State 
               Hospital, in October 2010.  By strengthening the rules 
               that prevent patients from gaining access to 
               prohibited items, Senate Bill 796 would contribute to 
               the large-scale safety reform of those facilities.

          5.  Argument in Opposition  

          Disability Rights California states:

               If �a] goal of this subsection is to prevent staff 
               from bringing prohibited items for residents, this 
               bill does not address that goal.  Further, in our 
               experience, at times, staff bring prohibited items, 
               not to give to residents, but to taunt or harass them. 
                For example, in the past we received complaints from 
               state hospital residents regarding staff that bring 
               nude photographs and show them to residents of the 
               opposite sex, or staff bring pornographic images and 
               show them to individuals under a sexually violent 
               predator commitment knowing that these items are 
               prohibited.  These actions are harmful to a resident's 
               treatment.


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