BILL ANALYSIS                                                                                                                                                                                                    �




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de Le�n, Chair


          AB 939 (Melendez) - Automatic External Defibrillators
          
          Amended: July 8, 2013           Policy Vote: Education 9-0;  
          Judiciary 6-0
          Urgency: No                     Mandate: No
          Hearing Date: August 12, 2013                                
          Consultant: Jacqueline Wong-Hernandez                       
          
          This bill meets the criteria for referral to the Suspense File. 

          
          Bill Summary: AB 939 encourages schools to acquire and maintain  
          at least one automatic external defibrillator (AED), and  
          encourages schools to follow specified procedures for placement  
          and use of that AED. 

          Fiscal Impact: Substantial cost pressure for each of the  
          approximately 10,000 public schools in the state of California  
          to acquire and maintain at least one AED, and provide required  
          training.

          Background: Existing law authorizes a school district or school  
          to provide a comprehensive program in first aid or  
          cardiopulmonary resuscitation training, or both, to pupils and  
          employees, and requires the program to be developed using  
          specified guidelines. Neither schools nor school districts are  
          required to provide such a program, nor are they required to  
          have AEDs onsite. The Education Code is silent relative to the  
          acquisition, maintenance, or use of AEDs.

          Existing law states that any person or entity that acquires a  
          defibrillator is not liable for any civil damages resulting from  
          any acts or omissions in the rendering of the emergency care if  
          that person or entity complies with all regulations governing  
          the placement of a defibrillator, and ensures all of the  
          following: a) the defibrillator is maintained and regularly  
          tested, as specified; b) the defibrillator is checked for  
          readiness, as specified; c) any person who uses the  
          defibrillator activates the emergency medical services system  
          and reports any use of the defibrillator to the licensed  
          physician and local Emergency Medical Services agency; d) for  
          every defibrillator acquired up to five units, at least one  








          AB 939 (Melendez)
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          person per defibrillator must complete training, as specified;  
          and, e) a written plan is in place that describes the procedures  
          to follow in the event of an emergency.

          Under existing law, when a defibrillator is placed in a public  
          or private K-12 school, a school principal is required to: a)  
          ensure administrators and staff annually receive a brochure  
          describing the proper use of the defibrillator, and that similar  
          information is posted next to every defibrillator, as specified;  
          b) annually notify school employees as to the location of all  
          defibrillators on the campus; and, c) designate the trained  
          employees who shall be available to respond to an emergency that  
          may involve the use of a defibrillator during the hours of  
          classroom instruction and during any school-sponsored activity  
          occurring on school grounds. (Health and Safety Code � 1797.196)  


          Proposed Law: AB 939 states the intent of the Legislature to  
          encourage all public schools to acquire and maintain at least  
          one AED, and would authorize a public school to solicit and  
          receive nonstate funds to acquire and maintain an AED. This bill  
          would, if a school decides to acquire and maintain an AED, or  
          continue to use and maintain an existing AED, encourage the  
          school to comply with specified requirements. This bill also  
          provides that the school district and its employees are not  
          liable for civil damages resulting from certain uses, attempted  
          uses, or nonuses of an AED, except as provided. This bill would  
          instead require that a principal 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 during normal  
          operating hours. The bill further states the intent of the  
          Legislature that school employees not be required to pay the  
          cost of any training that may be required on the proper use of  
          an AED.

          Related Legislation: SB 63 (Price) 2011 was substantially  
          similar to this bill, but applied only to public high schools.  
          That bill was held under submission in this Committee.

          Staff Comments: This bill states the intent of the Legislature,  
          codified in statute, that all public high schools acquire and  
          maintain at least one AED. This provision creates cost pressure  
          for every high school to acquire at least one AED. This bill  
          authorizes high schools to seek nonstate funds to purchase  








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          defibrillators, which they can already do without specific  
          statutory authorization, but does not require that only nonstate  
          funds be used for purchase and maintenance of AEDs.



          This bill specifies that if a public school acquires an AED, or  
          continues to use and maintain an existing AED, the bill would  
          require the school to comply with specified requirements  
          regarding maintenance of the device, and employee training. This  
          places new requirements, and potentially new costs, on schools  
          that already have AEDs. These requirements would also add to the  
          expense of acquiring and maintaining AEDs, should schools  
          currently without AEDs do so. While these are not direct state  
          costs, they are costs for schools and school districts, which  
          are primarily funded by Proposition 98 General Fund.



          This bill also states the intent of the Legislature that school  
          employees (who have volunteered to be trained on use of AEDs)  
          not be required to pay the cost of any training that may be  
          required on the proper use of an AED. This provision creates  
          additional cost pressure for schools to pay to train employees  
          who have elected to be designated as AED volunteers.