BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 460
                                                                  Page  1

          Date of Hearing:   August 21, 2013

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                    SB 460 (Pavley) - As Amended:  August 19, 2013

          Policy Committee:                             HealthVote:18-0

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

           SUMMARY  

          This bill requires the California Department of Public Health  
          (CDPH) to include information regarding environmental health in  
          the California Prenatal Screening Program Prenatal Patient  
          Booklet (booklet), including a specified statement and link to  
          web sites discussing environmental health.

          It also requires CDPH to send an informational notice to all  
          distributors of the booklet, and requires CDPH to update the  
          booklet with the specified information only when the booklet is  
          otherwise revised and reprinted.

           FISCAL EFFECT  

          Ongoing costs, not likely to exceed $50,000, to review  
          information related to environmental health and develop a new  
          page in the booklet with a specified statement and links to  
          information. 

           COMMENTS  

           1)Rationale  . According to the author, exposure to certain  
            chemicals during pregnancy can have ill effects on the  
            development of an unborn child, resulting in health conditions  
            later in life. Common reproductive toxins include mercury and  
            lead, as well as less obvious chemicals in consumer products.  
            The author states many pregnant women are unaware of their  
            level of exposure to harmful reproductive toxins.  

           2)Prenatal Screening Program  . The Prenatal Screening Program  
            provides pregnant women with a risk assessment for numerous  
            birth defects, such as open neural tube defects and Down  








                                                                  SB 460
                                                                  Page  2

            syndrome, through one or two blood tests.  A booklet is  
            provided by CDPH to educate women on the program and  
            conditions it screens for, in order to ensure the women can  
            meaningfully consent to the testing and interpret results.   
            CDPH states the booklet was last updated in April 2013 and a  
            year's supply was printed at that time.  

           3)Related Legislation  . SB 962 (Migden), Chapter 517, Statutes of  
            2007, among other things, mandated that information be added  
            to the Prenatal Patient Booklet regarding prenatal cord blood  
            banking and information was added in January of 2008.

           Analysis Prepared by  :    Lisa Murawski / APPR. / (916) 319-2081