BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 999
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          ASSEMBLY THIRD READING
          AB 999 (Bonta)
          As Amended  May 24, 2013
          Majority vote 

           PUBLIC SAFETY       5-2         APPROPRIATIONS      12-0        
           
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          |Ayes:|Ammiano, Jones-Sawyer,    |Ayes:|Gatto, Bocanegra,         |
          |     |Mitchell, Quirk, Skinner  |     |Bradford,                 |
          |     |                          |     |Ian Calderon, Campos,     |
          |     |                          |     |Eggman, Gomez, Hall,      |
          |     |                          |     |Ammiano, Pan, Quirk,      |
          |     |                          |     |Weber                     |
           ----------------------------------------------------------------- 
           -------------------------------- 
          |Nays:|Melendez, Waldron         |
          |     |                          |
           -------------------------------- 
           SUMMARY  :  Requires that the California Department of Corrections  
          and Rehabilitation (CDCR) develop a five-year plan to extend the  
          availability of condoms in all California prisons; commencing on  
          January 1, 2015, that no less than five prisons be incorporated  
          into the program each year; and develop comprehensive plan  
          including every California prison by the final year.  Specifies  
          that implementation shall be contingent upon receipt of  
          sufficient donations by CDCR.

           EXISTING LAW  :  

          1)Proscribes that any person who participates in an act of  
            sodomy with any person of any age while confined in any state  
            prison or local detention facility shall be punished by  
            imprisonment in the state prison or in a county jail for not  
            more than one year.  

          2)Provides that persons participating in an act of oral  
            copulation while confined in any state prison or local  
            detention facility shall be punished by imprisonment in the  
            state prison or in a county jail for a period of not more than  
            one year.  

          3)Declares that the spread of HIV/AIDS within prison and jail  
            populations presents a grave danger to inmates within those  








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            populations, law enforcement personnel, and other persons in  
            contact with a prisoner infected with the AIDS virus, both  
            during and after the prisoner's confinement.  

          4)Prohibits all sex acts, illegal and consensual, between  
            inmates.  

          5)Requires CDCR, contingent on the availability of funding, to  
            provide HIV/AIDS health and prevention information to inmates.  
             

          6)Provides that an inmate may request HIV testing of another  
            inmate if he or she reasonably believes that he or she has  
            come into contact with the other inmate's bodily fluids; the  
            chief medical officer will make the determination whether to  
            require the testing.  

          7)Authorizes the chief medical officer to order a test of an  
            inmate if he or she concludes there are clinical symptoms of  
            HIV/AIDS as recognized by the Centers for Disease Control and  
            Prevention.  

          8)Requires probation and parole officers be notified when an  
            inmate being released from incarceration is infected with  
            AIDS, and permits these officers to notify certain persons who  
            will come into contact with the parolee or probationer if  
            authorized by law.  

           FISCAL EFFECT  :   According to the Assembly Appropriations  
          Committee, the cost of providing condom access to inmates via  
          vending machines, including materials and staff time, is about  
          $1.50 per inmate the first year, decreasing to about $0.75 per  
          inmate in subsequent years, once the dispensers have been  
          purchased and installed.  Assuming a fairly regular need to  
          replace dispensers, and a modicum of additional staff time to  
          monitor and report on program progress, if condom access was  
          provided on this basis systemwide in one year, first-year costs  
          would be about $200,000, declining to about $100,000 in  
          subsequent years. 

          Assuming an incremental implementation of five prisons per year,  
          with an average prison population of 4,000, first year costs  
          would likely be less than $10,000.  Upon full implementation at  
          all 33 prisons in six or seven years, annual costs would likely  








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          be in the range of $150,000, assuming an inmate population of  
          120,000.

          This bill is contingent upon donation of materials.  
          
          Assuming an annual cost of about $41,000 to treat an  
          HIV-positive inmate in state prison, meaning if a condom access  
          program prevents three or four HIV infections annually, the  
          program would pay for itself.

           COMMENTS  :    According to the author, "The Prisoner Protections  
          for Family and Community Health Act (AB 999) is an inexpensive,  
          life-saving measure that will protect prisoners from HIV/AIDS,  
          and thereby protect the families and communities to which they  
          will eventually be released.

          "Notwithstanding the supposed ban on sexual activity in prison,  
          it is no secret that inmates commonly engage in sexual activity.  
           Some of the activity is consensual; some of it is forcible.   
          But whatever the genesis of the act, the fact is that prisoners  
          with HIV/AIDS are spreading the disease to others in the  
          institution and then to additional partners upon release.  This  
          is a vicious cycle of disease that can be immediately improved  
          by introducing condoms in prisons.

          "The HIV infection rate in prison is documented to be five times  
          higher than in the general population.  Most experts believe the  
          actual infection rate to be far higher than what is documented.   
          By not distributing condoms in our prisons, we are not only  
          ignoring the realities of prison, but we are abandoning the  
          predominantly low-income and minority populations outside of  
          prison who will eventually have the most contact with these  
          former inmates. 

          "And if the moral principles of keeping our low-income and  
          minority populations safe from deadly disease isn't sufficient  
          enough of a reason to make condoms available in prison, the  
          financial considerations are also persuasive.  According to the  
          California Department of Health Services the average cost per  
          patient with HIV in the Medi-Cal system is $23,964 per year.   
          Over the life of the patient, a single infection can cost the  
          state hundreds of thousands of dollars.

          "By distributing condoms in prison, our state could not only  








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          save lives, but it could save a fortune in HIV/AIDS treatment  
          costs. 

          "Sex and HIV/AIDS is a fact of life in prison.  Our state must  
          stop ignoring this unsettling and sometimes disturbing subject  
          and realize that the long-term benefits to the state budget and  
          the health of future generations are worth this small  
          inconvenience on CDCR.

          "Other bills that have attempted to address the issue took a  
          broader approach - requiring full implementation upon enactment.  
           AB 999 takes an incremental approach to the problem by using  
          the practical results of the successful Solano State pilot  
          project to guide a more expansive distribution.  While AB 999  
          requires CDCR to develop a five-year plan to offer condoms in  
          all California prisons, the bill give the department discretion  
          to do so within the parameters of the recommendations in the  
          September 2011 report entitled 'Evaluation of a Prisoner Condom  
          Access Pilot Program Conducted in One California Prison  
          Facility.'  

          "It is my intention that the program is implemented in stages,  
          with the insight of CDCR and the lessons learned from the Solano  
          pilot guiding the process."  

          Please see the policy committee analysis for a full discussion  
          of this bill.
           

          Analysis Prepared by  :    Gabriel Caswell / PUB. S. / (916)  
          319-3744 


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