BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 796
                                                                  Page  1


          Date of Hearing:   June 21, 2011
          Counsel:        Gabriel Caswell


                         ASSEMBLY COMMITTEE ON PUBLIC SAFETY
                                 Tom Ammiano, Chair

                   SB 796 (Blakeslee) - As Amended:  June 15, 2011


           SUMMARY  :   Creates a misdemeanor for any person to possess with 
          the intent to deliver to a patient in a state hospital specified 
          prohibited items.  Specifically,  this bill  :  

          1)States that, unless authorized to do so, a person who 
            possesses with the intent to deliver, or delivers, to a 
            patient in a state hospital any of the following items, when 
            the patient has been prohibited from possessing the items by 
            either statute or regulation, is guilty of a misdemeanor 
            punishable by a fine not exceed $1,000 for each item.  The 
            prohibited items include:  

             a)   A cellular phone or other wireless communication device 
               or any component thereof, including but not limited to, a 
               subscriber identity card (SIM card) or memory storage 
               device.  

             b)   Tobacco products, if the state hospital has a ban on 
               tobacco products.  

             c)   Money, in excess of the limitations and restrictions 
               adopted by the state hospital.  

          2)States that if a person visiting a patient in a state 
            hospital, upon being searched of subjected to a metal 
            detector; is found to be in possession of a prohibited item, 
            the item shall be subject to confiscation but shall be 
            returned on the same day the person visits the patient, unless 
            the item is held as evidence in a case where it was believed 
            that the visitor was in possession with intent to deliver the 
            item to a patient.  

          3)Notice of the prohibition on items shall be posted in all 
            areas where visitors are searched, and outside of the facility 








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            in a location easily visible to visitors.  

           EXISTING LAW  :

          1)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.  
            �Welfare and Institutions Code (WIC) Sections 4011 and 4100.]

          2)Provides that DMH has general control and direction of the 
            property and concerns of each state hospital specified in WIC 
            Section 4100.  DMH shall (WIC Section 4109):

             a)   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.

             b)   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.  

          3)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.   (WIC 
            Section 5000 et seq.)

          4)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.  (WIC Section 7227 and Penal Code Section 
            2960 et seq.)

          5)Allows prisoners found to be sexually violent predators (SVPs) 
            to be civilly confined based on a judicial commitment.  A 
            "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.  A 
            SVP must have a diagnosable mental disorder that makes the 
            person a danger to the health and safety of others in that it 








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            is likely that he or she will engage in sexually violent 
            criminal behavior.  (WIC Sections 6600 to 6608.)

          6)Provides that, upon receiving a request from the director of a 
            state hospital listed in WIC Section 4100, the Director of DMH 
            may prohibit the possession or use of tobacco products on the 
            grounds of the requesting facility, as specified.  (WIC 
            Section 4138.)

          7)Prohibits wireless communication devices, as specified, within 
            a state hospital.  (9 Cal. Code of Regulations Section 4350.)

           FISCAL EFFECT  :  Unknown

           COMMENTS  :   

           1)Author's Statement  :  According to the author, "The State 
            mental hospital population is now 92% forensic.  This means 
            that at least 92% 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. 

          "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."








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           2)Prohibited Items in State Hospitals  :  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 California Department of 
            Corrections and Rehabilitation to perform "spot searches" of 
            prison staff for unauthorized wireless devices.  SB 139 will 
            be heard by this Committee today. 

          Last year, DMH promulgated regulations specifically prohibiting 
            the possession of wireless communication devices in a state 
            hospital.  (9 Cal. Code of Regulations Section 4350.)  In 
            2008, AB 3010 (Blakeslee), Chapter 505, Statutes 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 
            creates 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 is a fine of up to $1,000 per item.

          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., WIC Section 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 








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            the facility.  The Federal Court of Appeal has stated:

          "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, this bill 
            does not impose those restrictions, inasmuch as they already 
            exist.  Rather, SB 796 prohibits providing or attempting to 
            provide those items to state hospital patients in an 
            unauthorized manner.  

           3)Argument in Support  :  According to the  American Federation of 
            State, County and Municipal Employees  , "�s]afety, 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."

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          American Federation of State, County and Municipal Employees

           Opposition 








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          None

           
          Analysis Prepared by  :    Gabriel Caswell / PUB. S. / (916) 
          319-3744