BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  SB 573
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          Date of Hearing:  June 23, 2014

                        ASSEMBLY COMMITTEE ON TRANSPORTATION
                               Bonnie Lowenthal, Chair
                      SB 573 (Lieu) - As Amended:  June 17, 2014

           SENATE VOTE  :  33-0
           
          SUBJECT  :  Vehicles: emergency vehicles 

           SUMMARY  :  Allows vehicles owned and operated by certain  
          hospitals used exclusively for specific emergency response  
          activities to be eligible for emergency vehicle permits issued  
          by the Commissioner of the California Highway Patrol (CHP).   
          Specifically,  this bill  :  

          1)Makes legislative findings and declarations regarding the need  
            to provide emergency response authority to specific hospitals  
            in Los Angeles County.  

          2)Adds to the list of vehicles eligible for an emergency vehicle  
            permit issued by the CHP Commissioner any vehicle owned and  
            operated by a hospital designated by the Los Angeles County  
            Department of Health Services as a disaster resource center  
            (DRC) hospital.  

          3)Specifies that the eligible vehicle is to be used exclusively  
            to transport emergency medical supplies, lifesaving equipment,  
            or personnel to the scene of an emergency.  

          4)Specifies that emergency response procedures carried out by  
            the hospital and eligible vehicle are to be used only when  
            requested by the Los Angeles County Emergency Medical Services  
            Agency (LAEMA) or the California Office of Emergency Services  
            (CAOES).  

          5)Requires the authorized emergency vehicle to maintain  
            sufficient insurance coverage, as specified, requires  
            emergency vehicles operators to receive and complete emergency  
            vehicle operations training and maintain the appropriate class  
            of driver's license, and requires operator's training records  
            to be kept in the emergency vehicle.  

           EXISTING LAW  :  Allows the CHP Commissioner to issue an  
          authorized emergency vehicle permit for specific vehicles if the  








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          Commissioner determines that the vehicle is used in responding  
          to emergency calls for fires or law enforcement, for the  
          immediate preservation of life or property, or the apprehension  
          of law violators.  

           FISCAL EFFECT  :  Unknown

          COMMENTS  :  Established in 2003, the Urban Areas Security  
          Initiative (UASI) is one of five programs under the Homeland  
          Security Grant Program developed by the United States Department  
          of Homeland Security (DHS) to provide security and emergency  
          preparedness grants to state and local agencies.  The UASI  
          provides funding to state agencies such as the CAOES which then  
          provides grant funding to local agencies and/or DRCs to enhance  
          regional preparedness in major metropolitan areas in order to  
          effectively respond to a natural disaster or terrorist attack.   
          DHS has designated the Los Angeles/Long Beach region and San  
          Francisco Bay region as two of the ten high-risk regional areas  
          within the United States.  


          Presently, 13 hospitals have been designated as a DRC within Los  
          Angeles County.  These DRCs have purchased emergency response  
          equipment, trailers, and vehicles with DHS grant funds in order  
          to improve the capabilities of the healthcare system to respond  
          to an emergency.  The LAEMA coordinates these centers is the  
          agency that would issue a request that the DRCs deploy their  
          resources during a declared emergency.  

          This bill will provide CHP with the authority to issue currently  
          ineligible Los Angeles County DRCs an emergency vehicle permit.   
          The author introduced this bill at the request of Cedars-Sinai  
          Medical Center in Los Angeles so that ineligible DRC hospitals  
          can apply to CHP to allow their DRC vehicles to initiate  
          emergency response equipment at a "code 3" level (flashing  
          lights and sirens) and operate outside of the Vehicle Code's  
          rules of the road when deployment is requested.  This request is  
          due to the fact that 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, along with a number of other LA  
          County DRCs, do not operate an ambulance service and, as a  
          result are not eligible to apply to CHP to receive an emergency  
          response permit.  









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          Currently, the vehicles purchased by LA County DRCs are provided  
          magnets and stickers by LAEMA which can be affixed to and  
          identify DRC vehicles when being deployed to respond to a  
          natural disaster.  Additionally, DRCs have the ability to  
          request escort assistance from local law enforcement when  
          deployment is requested.  It is important to note that since the  
          DRC program was established in 2003, the sponsors of this bill  
          have indicated that their DRC vehicle has not been deployed to  
          transport medical materials to an incident that required an  
          emergency response escort.  

          Writing in support of this bill, Cedars-Sinai Medical Center  
          notes that under existing law, DRC vehicles face the potential  
          of being delayed when deployment is requested to a disaster  
          location or being turned away by emergency personnel based upon  
          the current setup and identification of the vehicle.   
          Cedars-Sinai further asserts the provisions specified in this  
          bill will provide DRC vehicles with the ability to rapidly  
          deploy critical medical equipment, supplies, and personnel to an  
          area impacted by an emergency.  

          In opposition to this bill, the California Professional  
          Firefighters (CPF) writes, that existing emergency response  
          procedures enable disaster response center vehicles to receive  
          an emergency response escort from the appropriate provider per  
          the directive of the County Office of Emergency Services.  CPF  
          further notes that the provisions in this bill may set a  
          precedent that will lead to additional types of vehicles  
          requesting to be granted authority to use emergency lights and  
          sirens and, in turn, potentially cause logistical issues related  
          to emergency response and traffic management.  

           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          Cedars-Sinai Medical Center (sponsor)
          American Federation of State, County, and Municipal Employees  
          (AFSCME) 
          Beverly Hills Fire Department
          Beverly Hills Police Department
            California Association of Highway Patrolman 
          California Hospital Association
          California Hospital Medical Center 
          Centinela Hospital Medical Center








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          City of Beverly Hills
          City of Los Angeles, Emergency Management Department
          City of West Hollywood
          Culver City Fire Department 
          Emergency Management Department of the City of Los Angeles
          HCH at Brotman Medical Center
          Henry Mayo Newhall Memorial Hospital
          LAC+USC Medical Center
          Los Angeles County Board of Supervisors
          Marina Del Rey Hospital
          Olympia Medical Center
          PIH Health Hospital
          Pomona Valley Hospital Medical Center
          Providence Health and Services, Southern California
          Saint John's Health Center
          St. Mary Medical Center
          UCLA Medical Center
          11 Individuals

           Opposition  
           
          California Professional Firefighters 

           
          Analysis Prepared by  :   Manny Leon / TRANS. / (916) 319-2093