BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 564
                                                                  Page  1

          Date of Hearing:  June 17, 2014

                            ASSEMBLY COMMITTEE ON HEALTH
                                 Richard Pan, Chair
                     SB 564 (Monning) - As Amended:  May 15, 2014

           SENATE VOTE  :  Not relevant.
           
          SUBJECT  :  Ski resorts: accident reports.

           SUMMARY  :  Requires ski resorts to submit monthly accident  
          reports to the Department of Public Health (DPH), authorizes DPH  
          to request additional safety-related information, and requires  
          DPH to post the reports on its Internet Website.  Specifically,  
           this bill :  

          1)Requires ski resorts and snow sports facilities, by the 15th  
            calendar day after the end of each full or partial calendar  
            month that a facility is used as a snow sport facility, to  
            submit a report to the Injury Surveillance and Epidemiology  
            Unit of the Safe and Active Communities Branch within DPH in  
            an electronic format acceptable to DPH.  Allows DPH to request  
            additional safety-related information as it deems necessary  
            and is available to the resort.

          2)Requires the reports to contain all of the following  
            information:

             a)   The number of accidents reported to a resort during the  
               reporting period that occurred on its lifts, slopes, or  
               trails; 

             b)   The number of accidents that resulted in a death, either  
               at the site of the accident, during the subsequent  
               emergency transport, or at a medical care facility;

             c)   The number of accidents that resulted in nonfatal  
               injuries requiring transportation by air or ground  
               ambulance to a medical care facility; and, 

             d)   The number of skier days and the number of days of full  
               or partial operation during the reporting period.

          3)Requires any information relating to an accident victim's  
            identity to be redacted by the resort prior to submitting the  








                                                                  SB 564
                                                                  Page  2

            report to DPH.

          4)Requires DPH to post all reports onto its publicly accessible  
            Internet Website. 

           EXISTING LAW  :  

          1)Establishes DPH which, among other things, is dedicated to  
            optimizing the health and well-being of the people in  
            California, and includes the Safe and Active Communities  
            Branch which is the focal point for DPH's injury prevention  
            efforts, including both epidemiological investigations and  
            implementation of prevention programs to reduce intentional  
            and unintentional injuries.

          2)Provides that the federal Secretary of Agriculture is  
            authorized to issue permits for the use and occupancy of lands  
            within the National Forest for nordic and alpine skiing  
            operations and purposes.

          3)Establishes the federal Ski Area Recreational Opportunity  
            Enhancement Act of 2011 which permits, on National Forest  
            lands, additional snow sports as well as year-round activities  
            such as zip lines, and mountain bike terrain parks and trails.

           FISCAL EFFECT  :  This bill, as amended, has not been analyzed by  
          a fiscal committee.

           COMMENTS  :

           1)PURPOSE OF THIS BILL  .  According to the author, there is a  
            clear and significant but as yet undefined personal injury and  
            public safety risk at California's 26 ski resorts.  The author  
            contends that more than 11,500 injured skiers and snowboarders  
            are seen in California hospital emergency rooms (ERs) and more  
            than 600 are admitted to California hospitals every year.  The  
            author states there is no regulation or independent oversight  
            of safety on resort slopes and trails and that good public  
            policy is impossible without access to the injury and safety  
            information kept by resorts.

           2)BACKGROUND  .  The Safe and Active Communities Branch in DPH  
            works on a wide variety of projects designed to prevent and  
            track injuries in California including developing an  
            electronic reporting system for local coroners to report  








                                                                  SB 564
                                                                  Page  3

            detailed information on suicides and homicides and creating a  
            compendium of data on drug and alcohol abuse for county mental  
            health agencies.  DPH evaluations of prevention projects have  
            documented sharp reductions in injuries from threats as  
            diverse as senior falls, pedestrian incidents and shaken baby  
            syndrome.

            The Injury Surveillance and Epidemiology Section within DPH  
            has established a multi-year, statewide, online injury  
            database (EpiCenter) using coded hospital patient discharge  
            and ER visit information for California residents from the  
            Office of Statewide Health Planning and Development.  The  
            EpiCenter database supports customized, injury-specific  
            reports, however only some of the applicable injury codes  
            (unintentional falls from skis and snowboards) are exclusively  
            specific to ski and snowboard injuries.  Other skiing  
            injuries, such as those resulting from collisions, may be  
            reported in other injury codes and cannot be specifically  
            identified or quantified.  

           3)SUPPORT .  The California Ski & Snowboard Safety Organization  
            (CSSSO) is the sponsor of this bill and states that limited  
            injury statistics available from statewide hospital discharge  
            and ER visit data expose the magnitude of a significant gap in  
            available ski resort accident, injury and safety information.   
            CSSSO contends that this bill will provide public health  
            officials and policy makers with information to evaluate and  
            monitor public safety at ski resorts.

            The California Chapter of the American College of Emergency  
            Physicians (California ACEP) states that during the winter  
            months California ACEP members treat patients with injuries  
            resulting from ski and snowboard accidents and that many of  
            these injuries could be avoided if patrons were aware of the  
            potential hazards at ski resorts.  The California Medical  
            Association also supports this bill, writing that physicians  
            support the availability of accurate data on the incidences of  
            ski and snowboard injuries and deaths so that consumers have  
            the information to make informed choices.
            The American Academy of Pediatrics (AAP) writes that ski  
            resorts attract millions of visitors annually and are not  
            subject to the same reporting regulation that is imposed on  
            highways, theme parks, and waterways.  AAP contents that this  
            lack of accountability and transparency leads to a dearth of  
            information regarding injuries and that children and  








                                                                  SB 564
                                                                  Page  4

            adolescents are particularly likely to suffer serious harm  
            from these activities.  AAP concludes that increasing  
            reporting standards would allow resort goers to make more  
            educated decisions and would subsequently result in fewer  
            overall injuries.

           4)OPPOSITION  .  The California Ski Industry Association (CSIA)  
            writes in opposition to this bill that injury information is  
            already reported to DPH and is made available to the public on  
            the DPH website.  CSIA further contends that there has been no  
            demand for this information from the general public and they  
            believe this additional reporting of raw statistical  
            information would provide little or no benefit to the skiing  
            and snowboarding public.  CSIA argues that skiing and  
            snowboarding by the very nature of the sport involve  
            well-recognized inherent risks including fluctuating and  
            unpredictable weather and snow conditions, variations in  
            terrain and natural features, and can also be exacerbated or  
            ameliorated by an individual's relative level of personal  
            conditioning and/or training.  Finally, CSIA notes that, as  
            their resorts grapple with the crippling effects of an  
            extremely low snow-pack as a result of the ongoing historic  
            drought in California, they are concerned that exposing their  
            members to additional litigation would be extremely  
            detrimental to the industry and to California tourism in  
            general.

            Sierra at Tahoe opposes this bill, stating they believe the  
            data would be used almost exclusively in litigation against  
            ski resort owners and operators to contend that one resort is  
            safer than another based on the number or type of incidents  
            that have occurred, and that these types of comparisons fail  
            to consider the vast differences in each resort's terrain, the  
            relative ability of skiers, ever-changing weather conditions,  
            and myriad other significant factors.  

            The California Travel Association is also opposed, and writes  
            that the travel and tourism sectors generate more than $96.7  
            billion for the state economy, employ over 924,100  
            Californians, and bring in approximately $2.2 billion in local  
            taxes.  The Travel Association further notes that California's  
            ski resorts draw thousands of visitors to the state each year  
            and contribute substantially to our status as a premier travel  
            destination and this bill will force the ski industry to  
            comply with overly burdensome and prescriptive regulations  








                                                                  SB 564
                                                                  Page  5

            that will compromise the enjoyment of snow sports and thereby  
            the number of visitors to California.

            The California Chamber of Commerce opposes this bill, arguing  
            that it will expose California ski resorts to increased  
            liability by imposing burdensome and unnecessary new reporting  
            requirements regarding accidents.

           5)PREVIOUS LEGISLATION  .  

             a)   SB 278 (Gaines) of 2011 was very similar to this bill  
               and would have required ski resorts to prepare an annual  
               safety plan and make it available to the public.  SB 278  
               required a monthly report with specified details about any  
               fatal incidents at the resort which resulted from a  
               recreational activity, and required a ski resort to  
               establish a signage policy and a safety padding policy.  SB  
               278 was vetoed by Governor Brown stating that, "the measure  
               is unnecessary -yet another exercise of the State's  
               regulatory power for objectives that, in the ordinary  
               course, are handled by private business or the people  
               themselves."
             b)   SB 1652 (Jones) of 2010 would have required ski resorts  
               to prepare an annual safety plan, and make the safety plan  
               available to the public upon 30 days of receipt of a  
               request.  SB 1652 also would have required a ski resort to  
               establish its own signage policy and its own safety padding  
               policy for the resort.  SB 1652 was vetoed by Governor  
               Schwarzenegger stating that, "this bill may place an  
               unnecessary burden on resorts, without the assurance of a  
               significant reduction in ski and snowboard-related injuries  
               and fatalities."

             c)   SB 880 (Yee), Chapter 278, Statutes of 2010, requires  
               any person under 18 years of age to wear a properly fitted  
               and fastened snow sport helmet, that meets specified  
               standards, while downhill skiing or snowboarding, or while  
               riding upon a seat or other device that is attached, and  
               imposes a fine of $25 for a violation of this requirement.

             d)   AB 990 (Jones) of 2009 would have required ski resorts  
               to prepare and file an annual safety report with the  
               California Occupational Safety and Health Administration  
               (Cal/OSHA) and to report to the Cal/OSHA on a quarterly  
               basis any serious injuries or fatalities involving patrons  








                                                                  SB 564
                                                                  Page  6

               at the ski resort.  AB 990 died on the Suspense File in the  
               Assembly Appropriations Committee.

             e)   SB 284 (Cox) of 2009 would have required, among other  
               provisions, ski resorts to file an annual safety plan with  
               the division, make the safety plan available on demand,  
               report to the division within 24 hours any fatalities  
               involving patrons at the resort, and standardize safety  
               signage and equipment.  SB 284 was set for a hearing in the  
               Senate Labor and Industrial Relations Committee, but the  
               hearing was cancelled at the request of the author. 

             f)   AB 2218 (Keeley) of 2002 would have created the  
               California Ski Safety Commission in order to adopt uniform  
               signs and provide a copy of its standards and  
               recommendations to all ski areas doing business in  
               California.  AB 2218 failed passage in the Senate  
               Appropriations Committee.

           6)SUGGESTED AMENDMENTS  .  

             a)   As currently drafted the bill defines accidents as any  
               occurrence resulting in a death or an injury or injuries  
               other than those requiring only minimal first aid, such as  
               minor abrasions and bruises.  The Committee may wish to  
               consider amending this bill to require DPH to develop more  
               specific definitions of the various types of injuries that  
               ski resorts are required to report, so that, for example, a  
               sprained ankle and a concussion would not be lumped into  
               the same category. 

             b)   This bill also allows DPH to request additional  
               safety-related information as it deems necessary or  
               desirable and is available to the resort, and requires the  
               resort to respond to such requests on a timely basis.   
               These provisions would not be self-implementing and would  
               most likely require regulations.  The Committee may wish to  
               delete this provision from this bill.  





          REGISTERED SUPPORT / OPPOSITION :









                                                                  SB 564
                                                                  Page  7

           Support 
           
          California Ski & Snow Board Safety Organization (sponsor)
          American Academy of Pediatrics
          American Nurses Association\California
          California Chapter of the American College of Emergency  
          Physicians
          California Medical Association
           
            Opposition 
           
          Big Bear Mountain Resorts
          Big Bear Visitors Bureau
          Boreal Mountain Resort
          City of Big Bear Lake
          California Chamber of Commerce
          California Ski Industry Association
          California Travel Association
          Dodge Ridge Ski Area
          Mammoth Mountain Ski Area
          Mt. Shasta Ski Park
          National Ski Patrol
          Northstar California
          Sierra at Tahoe
          Four individuals


           Analysis Prepared by  :    Lara Flynn / HEALTH / (916) 319-2097