BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 939
                                                                  Page 1

          Date of Hearing:   April 17, 2013

                           ASSEMBLY COMMITTEE ON EDUCATION
                                Joan Buchanan, Chair
                AB 939 (Melendez) - As Introduced:  February 22, 2013

          [Note: This bill is doubled referred to the Assembly Judiciary  
          Committee and will be heard as it relates to issues under its  
          jurisdiction.]
           
          SUBJECT  :   Pupil and personnel health: automatic external  
          defibrillators

           SUMMARY  :   Encourages all public schools to acquire and maintain  
          an automatic external defibrillator (AED) and provides immunity  
          from civil damages to the employee of the school district and to  
          the school district resulting from civil damages resulting from  
          the use of an AED.  Specifically,  this bill  :  

          1)Identifies the intent of the Legislature that all public  
            schools acquire and maintain an AED.

          2)Permits a school to solicit and receive non-state funds to  
            acquire and maintain an AED and use these funds to provide  
            training to school employees on the use of an AED.

          3)Requires that if a school has an AED, it does all of the  
            following:

             a)   Place the AED in a centralized location;

             b)   Make the AED available for use at a school-sponsored  
               athletic event;

               i)     Defines school-sponsored athletic event as a  
                 school-sponsored athletic activity, which includes  
                 practice for and competition in interscholastic athletic  
                 sporting event held at any location;

             c)   Maintains records of AED maintenance and readiness;

             d)   Prepare a written medical emergency preparedness plan  
               that describes the procedures to be followed in the event  
               of a medical emergency that may involve the use of an AED;  
               and








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             e)   Ensure that all employees expected to administer an AED  
               in an emergency to complete a training course in  
               cardiopulmonary resuscitation (CPR) and AED.

          4)Provides immunity from civil liability to school districts and  
            their employees for damages resulting from the use, attempted  
            use, or nonuse of an AED.  Such immunity does not, however,  
            extend to instances of gross negligence or willful or wanton  
            misconduct on the part of the person who uses attempts to use,  
            or maliciously fails to use an AED to render emergency care or  
            treatment.

           EXISTING LAW  : There are currently no requirements in Education  
          Code relating to the acquisition, maintenance, or use of AEDs.


           California Civil Code  :

          1)Specifies that any person who, in good faith and not for  
            compensation, renders emergency care or treatment by the use  
            of AED at the scene of an emergency is not liable for any  
            civil damages resulting from any acts or omissions of the  
            person rendering care. 

          2)Extends immunity from liability to those entities that train  
            persons in CPR and AED use, the person or entity that acquires  
            an AED for emergency use so long as that person or entity has  
            complied with the applicable provisions of Health and Safety  
            Code, and to a physician who is involved in the placement of  
            the AED if that physician has complied with the applicable  
            provisions of Health and Safety Code.

          3)Clarifies that immunity does not extend to cases of gross  
            negligence or willful or wanton misconduct of the person who  
            renders emergency care or treatment by the use of an AED.

          4)Clarifies that this section does not exempt the manufacturer,  
            designer, developer, distributer, installer, or supplier of an  
            AED of any liability under existing laws.

           California Health and Safety Code:  

          1)Specifies that immunity from civil liability resulting from  
            the acts or omissions in the rendering of emergency care may  








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            be extended so long as the person or entity that has acquired  
            an AED does all of the following:

             a)   Complies with all regulations governing the placement of  
               the AED

             b)   Maintains and regularly tests the AED according to the  
               guidelines set forth by the manufacturer, the American  
               Heart Association, the American Red Cross, and any other  
               applicable rules and regulations set forth by the federal  
               Food and Drug Administration.

             c)   Notifies the emergency medical services (EMS) system as  
               soon as possible and reports the used of the AED to the  
               licensed physician and the local EMS agency.

             d)   Maintains a ratio of trained employee to AEDs.

             e)   Maintains a written plant that describes the procedures  
               to be followed in the event of an emergency involving the  
               use of an AED.

             f)   Specifies that when an AED is placed in a public or  
               private K-12 school, the principal shall ensure that the  
               school administrator and staff annual receive a brochure,  
               approved as to content and style by the American Heart  
               Association.

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

           COMMENTS  :    According to the author, the majority of  
          California's children spend around 14,000 hours away from their  
          parents and under the supervision of the state while they  
          receive an education at California's K-12 public schools.  While  
          under this supervision, parents should be confident that their  
          children are protected. 

          According to the American Heart Association, sudden cardiac  
          arrest kills over 300,000 people a year and is the leading cause  
          of death in the United States.  Medical experts opine that the  
          key to survival is timely initiation of a "chain of survival",  
          including CPR and the use of an AED.  Trained non-medical  
          personnel can use these simplified electronic machines to treat  
          a person in cardiac arrest. The AED device guides the user  








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          through the process by audible or visual prompts without  
          requiring any discretion or judgment. The American Heart  
          Association notes that at least 20,000 lives could be saved  
          annually by prompt use of AEDs. Ultimately, with broad  
          deployment of AEDs among trained responders, as many as 50,000  
          deaths due to sudden cardiac arrest could be prevented each  
          year. 

          In extending immunity from civil damages to a school district  
          and its employees when using an AED, the author intends to  
          encourage schools to acquire these life-saving devices.  This  
          bill is intended to provide certainty to school districts and  
          their employees if an AED is used on campus they are immune from  
          civil liability and thereby encourage the acquisition of AEDs to  
          promote public safety for our state's children. Further, this  
          bill permits a school to receive non-state funds to remove any  
          financial barriers the school may face in acquiring and  
          maintaining an AED and training their employees in the use of an  
          AED.

           Previous Legislation  : SB 1346 (Lowenthal), Chapter 71, Statutes  
          of 2012, extended indefinitely, the minimum training standards  
          and immunity from civil damages in connection with the use of  
          AEDs. This measure was not heard by the Assembly Education  
          Committee.

          SB 63 (Price) (2011) required all public high schools to acquire  
          and maintain at least one AED.  This bill died in the Senate  
          Appropriations Committee.

          Staff recommends amendments to clarify that the intent of the  
          Legislature is to encourage schools to acquire and maintain AEDs  
          and that this is not a new requirement on schools or districts.   
          Staff recommends additional edits be made to encourage schools  
          to make available an AED at all schools-sponsored athletic  
          events, remove redundant and unnecessary language, and should a  
          school choose to acquire an AED, the requirements for its use  
          and maintenance be placed in Education Code rather than Health  
          and Safety code for clarity of purpose and ease of access for  
          school principals.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           California Medical Association








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          California State Parent Teachers Association 
          Emergency Nurses Association

           Opposition 
           California School Employees Association
           
          Analysis Prepared by  :    Jill Rice / ED. / (916) 319-2087