BILL ANALYSIS                                                                                                                                                                                                    �



                                                                            



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                                    THIRD READING


          Bill No:  SB 573
          Author:   Lieu (D)
          Amended:  1/15/14
          Vote:     21

           
           SENATE TRANSPORTATION & HOUSING COMMITTEE  :  11-0, 1/14/14
          AYES:  DeSaulnier, Gaines, Beall, Cannella, Galgiani, Hueso,  
            Lara, Liu, Pavley, Roth, Wyland

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8


           SUBJECT  :    Vehicles:  emergency vehicles

           SOURCE  :     Cedars-Sinai Medical Center


           DIGEST  :    This bill makes vehicles owned and operated by  
          specified hospitals and used exclusively for specified emergency  
          response activities eligible for authorized emergency vehicle  
          permits.

           ANALYSIS  :    An authorized emergency vehicle permit allows a  
          vehicle's owner to equip it with and use red lights, flashing  
          headlights, a siren, and other equipment.  In addition, state  
          law exempts an authorized emergency vehicle from most rules of  
          the road when its flashing lights are on and it is using its  
          siren as necessary.

          Existing law allows the Commissioner of the California Highway  
          Patrol (CHP) to issue an authorized emergency vehicle permit for  
          a specified vehicle if the commissioner makes a finding that the  
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          vehicle is used in responding to emergency calls for fire or law  
          enforcement, for the immediate preservation of life or property,  
          or for the apprehension of law violators.

          Eligible vehicles include publicly or privately owned vehicles  
          operated by a marshal, deputy marshal, police personnel, or  
          sheriff's department personnel; firefighting equipment;  
          hazardous materials response vehicles; privately-owned  
          ambulances; and vehicles owned by private ambulance operators to  
          transport medical supplies, lifesaving equipment, or personnel  
          to the scene of an emergency when requested by a person or  
          public agency responsible for providing emergency medical  
          transportation.

          This bill:

          1.Adds to the list of vehicles eligible for an authorized  
            emergency vehicle permit any vehicle owned and operated by a  
            hospital that the Los Angeles County Department of Health has  
            designated as a disaster resource center hospital, provided  
            that the vehicle is used exclusively to transport  
            mass-casualty decontamination apparatus medical supplies,  
            lifesaving equipment, or personnel to the scene of an  
            emergency at the request of the Los Angeles County Office of  
            Emergency Services or the California Emergency Management  
            Agency.

          2.Requires the hospital maintain insurance coverage for the  
            vehicle; provide emergency vehicle operations training to the  
            designated vehicle operators; maintain a record of that  
            training in the vehicle; and ensure that the designated  
            vehicle operators maintain an appropriate class of driver's  
            license.

           Comments
           
          According to the author, this bill was introduced at the request  
          of Cedars-Sinai Medical Center in Los Angeles so that it could  
          operate emergency response equipment with flashing lights  
          outside of the Vehicle Code's rules of the road.  

          The author reports that 13 disaster resource center hospitals  
          within Los Angeles County, including Cedars-Sinai, have  
          purchased emergency response equipment, trailers, and vehicles  

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          with federal government grant funds in order to improve the  
          capabilities of the healthcare system to respond to an  
          emergency.  The Los Angeles County Emergency Medical Services  
          Agency coordinates these centers and would request that they  
          deploy their resources during a declared emergency.  Two of the  
          13 hospitals (UCLA and LA County/USC) are public entities that  
          also have police forces and so are eligible to receive emergency  
          vehicle permits from the CHP, but Cedars-Sinai and the other  
          private hospitals are not, primarily because they do not operate  
          their own ambulance services.  

          While CHP may issue a private ambulance a permit to operate an  
          emergency support vehicle to move these types of disaster  
          response equipment, supplies, and personnel, Cedars-Sinai  
          Medical Center does not operate, nor does it intend to operate,  
          an ambulance service.  This bill provides CHP with the authority  
          to issue Cedars-Sinai and other private hospitals a permit even  
          though they do not operate ambulances.

          Currently, the LA County Emergency Medical Services Agency  
          provides magnets and stickers to the disaster resource center  
          vehicles and trailers to place on the sides of vehicles in times  
          of emergency deployment, as well as a letter indicating that the  
          vehicles and trailers are carrying emergency equipment that is  
          destined for the impacted emergency/disaster location or  
          healthcare facility.  Cedars-Sinai notes that these decals and  
          letter are helpful, but believes that when a disaster occurs  
          these types of identification would be inadequate to move the  
          emergency vehicles through emergency access control lines and  
          navigate through traffic congestion.

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

           SUPPORT :   (Verified  1/21/14)

          Cedars-Sinai Medical Center (source) 
          Beverly Hills Fire Department
          Beverly Hills Police Department
          California Hospital Association
          California Hospital Medical Center 
          Centinela Hospital Medical Center
          City of Beverly Hills
          City of West Hollywood

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          Culver City Fire Department 
          HCH at Brotman Medical Center
          Henry Mayo Newhall Memorial Hospital
          LAC+USC Medical Center
          Marina Del Rey Hospital
          PIH Health Hospital
          Pomona Valley Hospital Medical Center
          Saint John's Health Center
          St. Mary Medical Center Disaster Resource Center
          UCLA Medical Center
          West Hollywood Mayor Jeffrey Prang

          JA:nl  1/21/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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