BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2029
                                                                  Page  1


          ASSEMBLY THIRD READING
          AB 2029 (Cooley)
          As Amended  May 8, 2014
          Majority vote 

           PUBLIC SAFETY       6-0         APPROPRIATIONS      13-0        
           
           ----------------------------------------------------------------- 
          |Ayes:|Ammiano, Jones-Sawyer,    |Ayes:|Gatto, Bocanegra,         |
          |     |Quirk, Skinner, Stone,    |     |Bradford,                 |
          |     |Waldron                   |     |Ian Calderon, Campos,     |
          |     |                          |     |Eggman, Gomez, Holden,    |
          |     |                          |     |Linder, Pan, Quirk,       |
          |     |                          |     |Ridley-Thomas, Weber      |
           ----------------------------------------------------------------- 

           SUMMARY  :  Requires a coroner to inquire into and determine the  
          circumstances, manner, and cause of death where a child, who is  
          one year of age or older but under 18 years of age, dies  
          suddenly or unexpectedly.  Specifically,  this bill  :  

          1)Requires a coroner to inquire into and determine the  
            circumstances, manner, and cause of death where a child, who  
            is one year of age or older but under 18 years of age, dies  
            suddenly or unexpectedly, or where the suspected cause of  
            death is sudden unexplained death in childhood (SUDC).

          2)Defines "sudden unexplained death in childhood" to mean the  
            sudden death of a child one year of age or older but under 18  
            years of age that is unexplained by the history and where a  
            thorough postmortem fails to demonstrate an adequate cause of  
            death.

          3)Makes an autopsy by a coroner discretionary if an attending  
            physician desires to certify 
          that the cause of death is SUDC.  If a coroner performs an  
            autopsy pursuant to the above provisions, he or she shall  
            certify the cause of death.

          4)Provides that a coroner may take tissue samples from children  
            who have died suddenly and unexpectedly without consent of the  
            responsible adult if the tissue removal is not likely to  
            result in visible disfigurement, and a coroner shall not be  
            liable in a civil action for any act or omission in compliance  








                                                                  AB 2029
                                                                  Page  2


            with the sudden unexpected death in childhood autopsy  
            requirement.

           EXISTING LAW  :

          1)Requires a coroner to investigate the circumstances, manner,  
            and cause of specified types of deaths, including violent,  
            sudden, or unusual deaths; unattended deaths; and deaths where  
            the deceased has not been attended to by a physician within 20  
            days before the death occurred.  Affords the coroner with the  
            discretion to determine the extent of the inquiry into a death  
            occurring under natural circumstances, and allows the coroner  
            to authorize a physician to sign the certificate of death if  
            the physician has sufficient knowledge to reasonably state the  
            cause of a death occurring under natural circumstances.

          2)Provides that a coroner shall, within 24 hours, or as soon as  
            feasible thereafter, where the suspected cause of death is  
            sudden infant death syndrome, take possession of the body, and  
            make or cause to be made a postmortem examination or autopsy  
            thereon, and the detailed medical findings resulting from an  
            examination of the body or autopsy by an examining physician  
            must either be reduced to writing, or permanently preserved,  
            as specified.

          3)Defines "sudden infant death syndrome" to mean the sudden  
            death of an infant that is unexpected by the history of the  
            infant and where a thorough postmortem fails to demonstrate an  
            adequate cause of death.

          4)Requires that an autopsy conducted where it is suspected that  
            the cause of death is sudden infant death syndrome be  
            conducted pursuant to a standardized protocol developed by
          the State Department of Public Health.  The protocol shall be  
            developed and approved by July 1, 1990.

          5)Requires that all coroners, throughout the state, follow the  
            established protocol when conducting autopsies where the  
            suspected cause of death is sudden infant death syndrome, and  
            requires a coroner to state on the certificate of death that  
            sudden infant death syndrome  was the cause of death when the  
            findings are consistent with the definition of sudden infant   
            death syndrome.









                                                                  AB 2029
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          6)Requires a coroner to perform or arrange for an autopsy on a  
            decedent upon a written request of the surviving spouse, or in  
            certain circumstances, a child, parent, or other legal  
            next-of-kin; and requires the cost of the autopsy to be borne  
            by the person requesting the autopsy. 

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee:  

          1)Unknown minor local costs to the extent coroners opt to take  
            tissue samples for research purposes.

          2)Unknown, likely minor potentially reimbursable local costs to  
            conduct additional autopsies when the suspected cause of death  
            is SUDC.

           COMMENTS  :  According to the author, "Though emergency personnel  
          and law enforcement are required to be provided training to  
          handle cases involving Sudden Infant Death Syndrome, they do not  
          receive training on the handling of cases where the suspected  
          cause of death is Sudden Unexplained Death in Childhood.  As a  
          result, parents whose children die under these circumstances are  
          often left with little or no information on how to process the  
          death of their children or how to address further  
          investigation."

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

          Analysis Prepared by :    Gregory Pagan / PUB. S. / (916)  
          319-3744 


                                                                FN: 0003402