BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 939
                                                                  Page  1

          Date of Hearing:   May 24, 2013

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                    AB 939 (Melendez) - As Amended:  May 9, 2013 

          Policy Committee:                              Education  
          Vote:5-0
                        Judiciary                                    10-0

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              No

           SUMMARY  

          This bill expresses legislative intent to encourage all public  
          schools to maintain at least one automatic external  
          defibrillator (AED), and establishes requirements once schools  
          obtain the AED.  Specifically, this bill: 

          1)Authorizes a public school to solicit and receive nonstate  
            funds to maintain an AED.  Further requires these funds to  
            only be used to maintain the AED and provide training to  
            school employees.  

          2)Authorizes a public school, if it decides to maintain an AED,  
            to do the following: 

             a)   Place the AED in a centralized location on campus.  
             b)   Have the AED available for use at all school-sponsored  
               athletic events. 
             c)   Keep maintenance records and inspect regulary.
             d)   Prepare a written medical emergency preparedness plan  
               that describes the procedures to be followed in the event  
               of a medical emergency involving an AED, as specified.  
             e)   Require all school employees expected to administer an  
               AED to complete a training course in cardiopulmonary  
               resuscitation (CPR), as specified.  

           FISCAL EFFECT  

          GF/98 cost pressure, likely between $700,000 and $1 million, to  
          public schools to purchase an AED, train staff, and maintain  
          records.  These costs are not state reimbursable mandated costs  








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          because the provisions of this bill are not required by school  
          districts.  This measure, however, deems a school district not  
          liable for damages as a result of its personnel using or not  
          using the AED, but only if the use is consistent with the  
          requirements of this bill.  Therefore, it appears that at least  
          some provisions of the bill must be followed by the districts  
          and schools.  

          There are over 9,000 public schools in the state.  Actual costs  
          will depend on the number of schools that do not have an AED and  
          whether or not they choose to train staff on its use.   

           SUMMARY CONTINUED
           
          3)Deems the school district not liable for civil damages  
            resulting from any act or omission in providing emergency care  
            or treatment if an employee uses, attempts to use, or does not  
            use an AED consistent with the requirements of this measure. 

          4)Specifies the non-liability language referenced above does not  
            apply in the case of personal injury or wrongful death that  
            results from gross negligence, as specified.  

          5)Requires the principal of a public or private K-12 school  
            (when an AED is placed there) to do all of the following: 

             a)   Ensure that all schoolsite personnel annually receive a  
               brochure approved by the American Heart Association (AHA)  
               or the American Red Cross (ARC) that describes the proper  
               use of an AED.  
             b)   Notify at least annually, all school employees of the  
               location of the AED on campus.  
             c)   Designate only school employees who volunteer to be  
               designated as AED volunteers to respond to an emergency  
               that may involve the use of an AED.  

           COMMENTS  

           1)Rationale  .  An AED is a portable device that automatically  
            delivers an electric shock (i.e., defibrillation) to the heart  
            in a cardiac emergency to restore a normal heart rhythm.  

            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  








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            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.  
            Though many of these 300,000 deaths could have been saved with  
            the use of an AED.

            "While children are at school they should be protected from  
            this epidemic, but schools are reluctant to acquire an AED due  
            to existing law. Existing law does not clearly protect school  
            districts from any civil damages if an AED is used in good  
            faith, on campuses, making schools reluctant to obtain an AED  
            because of the threat of unaffordable lawsuits."

           2)Existing law, under the Health and Safety Code  , establishes  
            provisions that ensure any person or entity that acquires an  
            AED is not liable for civil damages resulting from providing  
            emergency care if that person or entity complies with all  
            regulations governing the placement of an AED and makes the  
            following assurances: 

             a)   Regular maintenance/testing of an AED. 
             b)   Any person who provides emergency care/treatment using  
               an AED activates the emergency medical services system as  
               soon as possible. 
             c)   Requires, for every AED unit acquired up to five units,  
               no less than one employee per AED to complete training, as  
               specified.  
             d)   Have a written plan that describes procedures to be  
               followed in an emergency situation that requires the use of  
               an AED, as specified.  

            Statute further requires building owners, when an AED is in  
            their building, to ensure tenants annually receive a brochure  
            approved by the AHA or the ARC on the AED, as specified.   
            Building owners are also required to notify their tenants of  
            the AED's location at least once a year.  

            Current law requires the principal of a public or private K-12  
            school, when an AED is placed in his or her school, to (a)  
            ensure all schoolsite personnel annually receive a brochure  
            approved by the AHA or the ARC that describes the proper use  
            of an AED; (b) notify at least annually, all school employees  
            of the location of the AED on campus; and (c) designate  








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            trained employees to be available to respond to an emergency  
            that may involve the use of an AED during normal operating  
            hours.  Statue defines normal operating hours as the hours of  
            classroom instruction and any school sponsored activity  
            occurring on school grounds.  This measure deletes these  
            provisions and reconstitutes them, with modifications, in the  
            Education Code.   

            This bill models the provisions of this Health and Safety  
            statute with modifications for public schools, as specified.    
             

           Analysis Prepared by  :    Kimberly Rodriguez / APPR. / (916)  
          319-2081