BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 999
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 999 (Bonta)
          As Amended  September 3, 2013
          Majority vote
           
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          |ASSEMBLY:  |48-27|(May 29, 2013)  |SENATE: |22-13|(September 9,  |
          |           |     |                |        |     |2013)          |
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           Original Committee Reference:    PUB. S.  

           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 sufficient  
          donations being made to CDCR.

           The Senate amendments  specify that if CDCR demonstrates that  
          implementation of the program at a particular prison would be  
          unsafe for a reason that is unique to that prison, CDCR may  
          decline to implement the program at that prison after stating a  
          reason as specified.

           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 human immunodeficiency  
            virus/acquired immunodeficiency syndrome (HIV/AIDS) within  
            prison and jail populations presents a grave danger to inmates  
            within those populations, law enforcement personnel, and other  








                                                                  AB 999
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            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.  

           AS PASSED BY THE ASSEMBLY  , this bill required 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.
           
          FISCAL EFFECT  :  According to the Senate Appropriations  
          Committee:

          1)Based on reported data from the pilot project, first year  
            costs for a statewide program would cost approximately  
            $200,000 based on a cost per inmate of $1.50 in the first  
            year, including the initial cost of the dispensers, decreasing  
            to $100,000 statewide, based on a cost of $0.76 per inmate for  
            subsequent years.








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          2)Potential future annual costs to the CDCR in the range of  
            $100,000 (General Fund) to the extent sufficient donations are  
            no longer received after initial implementation of the  
            program.  While implementation of the program is contingent  
            upon sufficient donations to CDCR, ongoing operation of the  
            program is not similarly subject to this requirement.

          3)Annual CDCR costs of less than $25,000 (General Fund) to  
            administer and monitor the program.

          4)Potential out-year significant savings in medical-related  
            costs to the CDCR and community at large to the extent the  
            availability of condoms results in fewer cases of HIV/AIDS.   
            It is estimated that very few HIV infections (less than four  
            cases) would need to be prevented for a cost-neutral program.

           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  








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          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  
          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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