BILL ANALYSIS                                                                                                                                                                                                    �






                             SENATE COMMITTEE ON HEALTH
                          Senator Ed Hernandez, O.D., Chair

          BILL NO:       SB 1381
          AUTHOR:        Pavley
          INTRODUCED:    February 24, 2012
          HEARING DATE:  March 28, 2012
          CONSULTANT:    Bain

           SUBJECT  :  Mental retardation: change of term to intellectual 
          disability.
           
          SUMMARY  :  Deletes in state law references to "mental 
          retardation" or a "mentally retarded person" and instead 
          replaces them with "intellectual disability" or "a person with 
          an intellectual disability."  

          Existing law:  Refers to "mental retardation" or "a mentally 
          retarded person" in numerous state statutory provisions, 
          including provisions relating to psychiatric technician 
          regulation, the state's unfair competition statute, educational 
          and social services, commitment to state facilities, and 
          criminal punishment.

          This bill:
          1.Deletes references to mental retardation or a mentally 
            retarded person and instead replaces them with "intellectual 
            disability" or "a person with an intellectual disability."  

          2.Prohibits this bill from being construed as making a 
            substantive change in law or a change to services being 
            provided or eligibility standards in effect at the time of 
            enactment of this bill.

          3.States legislative intent to increase respect for people with 
            disabilities by eliminating use of the outdated, offensive, 
            and misleading terms "mental retardation" and "mentally 
            retarded."

           FISCAL EFFECT  :  This bill is keyed non-fiscal.
           
          COMMENTS  :  
           1.Author's statement.  According to the author, it is estimated that 
            seven to eight million Americans or one in ten families in the 
            United States, experience intellectual disabilities. SB 1381 is a 
            simple measure that provides an important terminology change to 
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          SB 1381 | Page 2




            the disabled community throughout California. As society has 
            become accustomed to casually using the "R-word" as a way of 
            deflating or condemning something's value, it's shaped the 
            perception of and, undoubtedly, the self-worth of those with 
            intellectual disabilities. The use of the "R-word" is profoundly 
            hurtful, outdated and not in current professional use in agencies 
            or associations. Furthermore, on October 5, 2010, President Obama 
            signed "Rosa's Law," S. 2781, removing the term "mental 
            retardation" and "mentally retarded" from federal health, 
            education and labor policy, replacing them with "intellectual 
            disability" or "individual with intellectual disabilities." 
            Federal and state laws are currently incompatible because of this 
            conflicting terminology; SB 1381 is needed to correct this 
            conflict.
            
          2.Background.  The Resource Network International contracted 
            with the Kansas University Center for the Study of Family, 
            Neighborhood and Community Policy to do an in-depth study 
            related to the past and current use of the term "mental 
            retardation" in the context of government programs. Published 
            in 2002, the study, entitled "Usage of the Term 'Mental 
            Retardation:' Language, Image and Public Education," found 
            there are many definitions of mental retardation but four are 
            the most prevalent; the term "mental retardation" is used 
            consistently in the United States far more than other terms 
            and the next most consistent equivalent term is "intellectual 
            disability," which is used in British Commonwealth countries 
            and by the International Society for the Scientific Study of 
            Intellectual Disabilities; there has recently been a move away 
            from the term "mental retardation" but no substitute has been 
            agreed upon; the general consensus among activists and 
            responders to surveys (advocates, clinicians, families, 
            parents, or other professionals) is that the term has negative 
            connotations, although many concede that any substitute for 
            the same population will also soon develop stigmatizing 
            qualities; there is also fear among some that a name change 
            will endanger entitlement programs, but the current momentum 
            is to change the term.

          3.Related legislation.  AB 2370 (Mansoor) is similar to this 
            bill in that it would revise various statutes to delete 
            references to "mentally retarded persons" and instead refer to 
            "persons with an intellectual disability" or "intellectually 
            disabled." AB 2370 would also state that nothing in that 
            measure is to be construed as making changes to services being 
            provided or eligibility standards in effect at the time of 




                                                      SB 1381 | Page 3


          

            enactment.

          4.Support.  This bill is sponsored by The Arc and United 
            Cerebral Palsy in California, a coalition of people with 
            intellectual and other disabilities and their families, 
            friends and service providers whose goal is to eliminate the 
            "R-word" in state law. The sponsors argue eliminating this 
            stigmatized, hurtful term in all usage is a high priority for 
            the developmental disabilities community in order to build 
            respect for people with intellectual disabilities. The 
            sponsors state the "R-word" was once intended to be a term of 
            respect, but times and terms have changed, and it is now used 
            to inflict intentional or unintentional pain, including 
            bullying and hate crimes.

          5.Proposed author's amendments.  To address the fiscal impact of 
            implementation of this bill, the author proposes two 
            substantive amendments. The first amendment would require, as 
            used in state regulations or state publications or other 
            writings, the terms "mental retardation" and "mentally 
            retarded person" to have the same meaning as the terms 
            "intellectual disability" and "person with intellectual 
            disability" unless the context or an explicit provision of 
            federal or state law clearly requires a different meaning. The 
            second amendment would state legislative intent that state 
            agencies revise state regulations and state publications and 
            other writings to change the terminology as required by this 
            bill when there is another reason to revise the regulation, 
            publication, or other writing, thus eliminating any additional 
            state cost.
            
           SUPPORT AND OPPOSITION  :
          Support:  The Arc and United Cerebral Palsy in California 
                    (sponsor)
                    Advance Education Inc.
                    Autism Speaks
                    Best Buddies California
                    California Academy of Child and Adolescent Psychiatry
                    California Disability Services Association
                    California Speech-Language Hearing Association
                    California Supported Living Network
                    California Toolworks, Inc.
                    Community Integrated Work Program Inc.
                    Contra Costa ARC
                    Developmental Disabilities Board Area 5
                    Disability Rights Education & Defense Fund




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                    Futures Explored
                    Goodwill Southern California
                    The Help Group
                    Imperial County Office of Education
                    Interdisciplinary Council on Developmental and 
                              Learning
                    Jay Nolan Community Services
                    National Association of Social Workers, California 
                              Chapter
                    North Bay Regional Center
                    PRIDE Industries
                    Regional Center of the East Bay
                    ResCare Friendship Developmental Services
                    Sacramento | Yolo Mutual Housing Association
                    San Diego-Imperial Counties Developmental Services, 
                              Inc.
                    San Luis Obispo County Special Education Local Plan 
                              Area
                    San Ramon Valley Unified School District
                    Service Employees International Union California
                    Special Needs Network, Inc.
                    Spectrum Center Schools and Programs
                    United Cerebral Palsy of Sacramento and Northern 
                              California
          
          Oppose:   None received.
          

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