BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                   SB 913|
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                                 THIRD READING


          Bill No:  SB 913
          Author:   Pavley (D)
          Amended:  4/14/11
          Vote:     21

           
           SENATE PUBLIC SAFETY COMMITTEE  :  7-0, 04/05/11
          AYES:  Hancock, Anderson, Calderon, Harman, Liu, Price, 
            Steinberg


           SUBJECT  :    Juvenile offenders:  medical care

           SOURCE  :     Los Angeles County Board of Supervisors


           DIGEST  :    This bill provides that probation officers with 
          the statutory authority to order a medical exam for an 
          arrested minor, as specified; and order medical, surgical, 
          dental or other remedial care recommended by an attending 
          health care professional for an arrested minor where the 
          officer has made reasonable efforts to notify and obtain 
          the consent of a parent or guardian, and the parent or 
          guardian does not object, as specified.

           ANALYSIS  :    Current law generally authorizes a peace 
          officer to take a minor into temporary custody without a 
          warrant where the officer has reasonable cause to believe 
          the minor is delinquent, a ward of the court, or in need of 
          medical care, as specified. (Welfare and Institutions Code 
          ("WIC") � 625.)

          Current law generally provides statutory authority for how 
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          minors who have been taken into temporary custody can 
          receive medical, surgical, dental or other remedial care.  
          (WIC � 739.)  

          Current law specifically provides that the "probation 
          officer shall notify the parent, guardian, or person 
          standing in loco parentis of the person, if any, of the 
          care found to be needed before the care is provided, and if 
          the parent, guardian, or person standing in loco parentis 
          objects, the care shall be given only upon order of the 
          court in the exercise of its discretion."  If there is no 
          parent or other person capable or willing to authorize 
          treatment, current law authorizes the court to make an 
          order for the performance of the necessary care, as 
          specified. 

          This bill provides statutory authority for the probation 
          officer to authorize a medical exam that complies with the 
          regulations promulgated by the Corrections Standards 
          Authority.

          This bill authorizes probation officers to authorize any 
          follow-up treatment recommended by the physician as a 
          result of the medical exam, if the minor remains in the 
          temporary custody of the probation officer.

          This bill further provides that if the person is in need of 
          medical care, surgical, dental, or other remedial care, and 
          the probation officer has made a reasonable, but 
          unsuccessful effort to notify the parent, guardian, or 
          person standing in loco parentis of the person, the 
          probation officer would be authorized to order the care if 
          the officer makes "reasonable efforts to notify and obtain 
          the consent" of a parent or guardian, as specified.  The 
          bill retains existing law which provides that if the parent 
          or guardian, as specified, objects, the care shall be given 
          only upon order of the court.

          This bill provides that nothing in the section this bill is 
          amending "shall be construed to interfere with a minor's 
          right to make medical decisions pursuant to existing law."

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







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           SUPPORT  :   (Verified  4/28/11)

          Los Angeles County Board of Supervisors (source) 
          California State Association of Counties
          Chief Probation Officers of California
          Los Angeles County Probation Department
          California Probation, Parole and Correctional Association

           ARGUMENTS IN SUPPORT  :    According to the author's office:

               State regulations require a routine physical 
               examination of all minors within 96-hours of being 
               taken into custody and detained in juvenile halls.  
               The routine physical examination includes, but is not 
               limited to, blood tests and other lab work, 
               immunizations, administration of medication, x-rays, 
               all of which requires the consent of a parent or legal 
               guardian.  In most cases, the parent or legal guardian 
               cannot be found or does not respond to requests for 
               consent, which could leave the minor, as well as other 
               juvenile detainees, at risk for undetected medical 
               conditions.  It is critical that statutory authority 
               be given to County Probation Officers to provide 
               consent for routine medical examinations if the parent 
               or legal guardian cannot be found or does not respond 
               to requests for consent.  A minor's health could be 
               jeopardized without receiving prompt medical attention 
               once detained, as well as the health of the other 
               detainees and the staff of the Probation Department. 

               State law mandates that consent from a parent or legal 
               guardian be obtained in order to perform or administer 
               blood tests and other lab work, immunizations, 
               medications, and x-rays on a minor.  There are many 
               cases when a minor's medical care is delayed because 
               medical consent cannot be obtained from a parent or 
               legal guardian.  Delay in treatment may ultimately 
               land the child in the emergency room, thus aggravating 
               overcrowded ERs and exacerbating costs. 


          RJG:nl  4/28/11   Senate Floor Analyses 








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                         SUPPORT/OPPOSITION:  SEE ABOVE

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