Amended IN Assembly March 20, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 2846Introduced by Assembly Member GipsonFebruary 16, 2018 An act to add Section 7161 to the Health and Safety Code, relating to public health. health, and making an appropriation therefor.LEGISLATIVE COUNSEL'S DIGESTAB 2846, as amended, Gipson. Organ and tissue transplantation: minority communities and low-income communities. uninsured individuals.Existing law, the Uniform Anatomical Gift Act, authorizes the making of a donation of all or part of a human body or a pacemaker to take effect upon or after death, as specified. Existing law also requires each general acute care hospital to develop a protocol for identifying potential organ and tissue donors, as specified. donors. Existing law requires an application for an original or renewal driver's license or identification card to contain a space for the applicant to enroll in the Donate Life California Organ and Tissue Donor Registry.Existing law required the former State Department of Health Services to consult with the Legislature on or before December 31, 1991, to evaluate and make recommendations to improve the effectiveness of organ transplantation for the general public and in minority communities and low-income communities in California and authorize the department to utilize various specified sources.This bill would declare the intent of the Legislature to enact provisions that would improve the effectiveness of organ transplantation for the general public and in minority communities and low-income communities in California.This bill would require the State Department of Public Health to establish a program to reimburse hospitals for the costs of performing organ and tissue transplants for individuals who do not have health insurance or a government-provided health care benefit. The bill would require the department, on or before January 1, 2021, to report to the committees of the California State Senate and Assembly with jurisdiction over health care issues on the outcomes of the program.The bill would appropriate $10 million dollars from the General Fund to the department for the purposes of funding the program. By appropriating these moneys from the General Fund, the bill would make an appropriation. The bill would establish the Organ Transplant Equity Fund and transfer the appropriated moneys into the fund. The bill would make legislative findings and declarations in support of its provisions.Digest Key Vote: MAJORITY2/3 Appropriation: NOYES Fiscal Committee: NOYES Local Program: NO Bill TextThe people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares all of the following:(a) Increasing general awareness and participation among all Californians in organ and tissue donation is a high priority for public health, but it is also a high priority to ensure equity among who receives donated organs and tissues. While Californians donate their organs and tissues regardless of their financial circumstances, their ability to receive them can be limited by their income and access to health insurance or benefits.(b) California is home to a large immigrant population that is estimated to include over 2 million undocumented immigrants. Undocumented immigrants who are residents of California have the ability to obtain a California drivers license and therefore participate in a statewide organ and tissue donation program facilitated by the Department of Motor Vehicles. Since undocumented immigrants have been able to obtain a California drivers license, the organ and tissue registry has benefited from a dramatic increase in participation of new registered donors. Many undocumented immigrants, however, cannot benefit from receiving a donated organ or tissue transplant because they do not have health insurance or benefits to assist in paying the costs of the necessary medical procedures.(c) All Californians, including those who cannot afford an organ or tissue transplant, should have an equitable ability to benefit from a statewide organ and tissue registry supported by the state.SEC. 2. Section 7161 is added to the Health and Safety Code, to read:7161. (a) There is in the State Treasury the Organ Transplant Equity Fund for the purpose of accepting moneys to support the program established pursuant to this section. Private donations may be deposited into the Organ Transplant Equity Fund.(b) The State Department of Public Health shall establish a program to reimburse hospitals for the costs of performing organ and tissue transplants for individuals who do not have health insurance or a government provided health care benefit, including Medi-Cal or Medicare.(c) (1) On or before January 1, 2021, the State Department of Public Health shall report to the committees of the California State Senate and Assembly with jurisdiction over health care issues on the outcomes of the program established pursuant to this section.(2) The report required pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.SEC. 3. (a) The sum of ten million dollars ($10,000,000) is hereby appropriated from the General Fund to the State Department of Public Health for the purpose of funding the program established in Section 7161 of the Health and Safety Code.(b) The Controller shall transfer the ten million dollars ($10,000,000) appropriated pursuant to subdivision (a) to the Organ Transplant Equity Fund, established pursuant to Section 7161 of the Health and Safety Code.SECTION 1.It is the intent of the Legislature to enact provisions that would improve the effectiveness of organ transplantation for the general public and in minority communities and low-income communities in California. Amended IN Assembly March 20, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 2846Introduced by Assembly Member GipsonFebruary 16, 2018 An act to add Section 7161 to the Health and Safety Code, relating to public health. health, and making an appropriation therefor.LEGISLATIVE COUNSEL'S DIGESTAB 2846, as amended, Gipson. Organ and tissue transplantation: minority communities and low-income communities. uninsured individuals.Existing law, the Uniform Anatomical Gift Act, authorizes the making of a donation of all or part of a human body or a pacemaker to take effect upon or after death, as specified. Existing law also requires each general acute care hospital to develop a protocol for identifying potential organ and tissue donors, as specified. donors. Existing law requires an application for an original or renewal driver's license or identification card to contain a space for the applicant to enroll in the Donate Life California Organ and Tissue Donor Registry.Existing law required the former State Department of Health Services to consult with the Legislature on or before December 31, 1991, to evaluate and make recommendations to improve the effectiveness of organ transplantation for the general public and in minority communities and low-income communities in California and authorize the department to utilize various specified sources.This bill would declare the intent of the Legislature to enact provisions that would improve the effectiveness of organ transplantation for the general public and in minority communities and low-income communities in California.This bill would require the State Department of Public Health to establish a program to reimburse hospitals for the costs of performing organ and tissue transplants for individuals who do not have health insurance or a government-provided health care benefit. The bill would require the department, on or before January 1, 2021, to report to the committees of the California State Senate and Assembly with jurisdiction over health care issues on the outcomes of the program.The bill would appropriate $10 million dollars from the General Fund to the department for the purposes of funding the program. By appropriating these moneys from the General Fund, the bill would make an appropriation. The bill would establish the Organ Transplant Equity Fund and transfer the appropriated moneys into the fund. The bill would make legislative findings and declarations in support of its provisions.Digest Key Vote: MAJORITY2/3 Appropriation: NOYES Fiscal Committee: NOYES Local Program: NO Amended IN Assembly March 20, 2018 Amended IN Assembly March 20, 2018 CALIFORNIA LEGISLATURE 20172018 REGULAR SESSION Assembly Bill No. 2846 Introduced by Assembly Member GipsonFebruary 16, 2018 Introduced by Assembly Member Gipson February 16, 2018 An act to add Section 7161 to the Health and Safety Code, relating to public health. health, and making an appropriation therefor. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 2846, as amended, Gipson. Organ and tissue transplantation: minority communities and low-income communities. uninsured individuals. Existing law, the Uniform Anatomical Gift Act, authorizes the making of a donation of all or part of a human body or a pacemaker to take effect upon or after death, as specified. Existing law also requires each general acute care hospital to develop a protocol for identifying potential organ and tissue donors, as specified. donors. Existing law requires an application for an original or renewal driver's license or identification card to contain a space for the applicant to enroll in the Donate Life California Organ and Tissue Donor Registry.Existing law required the former State Department of Health Services to consult with the Legislature on or before December 31, 1991, to evaluate and make recommendations to improve the effectiveness of organ transplantation for the general public and in minority communities and low-income communities in California and authorize the department to utilize various specified sources.This bill would declare the intent of the Legislature to enact provisions that would improve the effectiveness of organ transplantation for the general public and in minority communities and low-income communities in California.This bill would require the State Department of Public Health to establish a program to reimburse hospitals for the costs of performing organ and tissue transplants for individuals who do not have health insurance or a government-provided health care benefit. The bill would require the department, on or before January 1, 2021, to report to the committees of the California State Senate and Assembly with jurisdiction over health care issues on the outcomes of the program.The bill would appropriate $10 million dollars from the General Fund to the department for the purposes of funding the program. By appropriating these moneys from the General Fund, the bill would make an appropriation. The bill would establish the Organ Transplant Equity Fund and transfer the appropriated moneys into the fund. The bill would make legislative findings and declarations in support of its provisions. Existing law, the Uniform Anatomical Gift Act, authorizes the making of a donation of all or part of a human body or a pacemaker to take effect upon or after death, as specified. Existing law also requires each general acute care hospital to develop a protocol for identifying potential organ and tissue donors, as specified. donors. Existing law requires an application for an original or renewal driver's license or identification card to contain a space for the applicant to enroll in the Donate Life California Organ and Tissue Donor Registry. Existing law required the former State Department of Health Services to consult with the Legislature on or before December 31, 1991, to evaluate and make recommendations to improve the effectiveness of organ transplantation for the general public and in minority communities and low-income communities in California and authorize the department to utilize various specified sources. This bill would declare the intent of the Legislature to enact provisions that would improve the effectiveness of organ transplantation for the general public and in minority communities and low-income communities in California. This bill would require the State Department of Public Health to establish a program to reimburse hospitals for the costs of performing organ and tissue transplants for individuals who do not have health insurance or a government-provided health care benefit. The bill would require the department, on or before January 1, 2021, to report to the committees of the California State Senate and Assembly with jurisdiction over health care issues on the outcomes of the program. The bill would appropriate $10 million dollars from the General Fund to the department for the purposes of funding the program. By appropriating these moneys from the General Fund, the bill would make an appropriation. The bill would establish the Organ Transplant Equity Fund and transfer the appropriated moneys into the fund. The bill would make legislative findings and declarations in support of its provisions. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1. The Legislature finds and declares all of the following:(a) Increasing general awareness and participation among all Californians in organ and tissue donation is a high priority for public health, but it is also a high priority to ensure equity among who receives donated organs and tissues. While Californians donate their organs and tissues regardless of their financial circumstances, their ability to receive them can be limited by their income and access to health insurance or benefits.(b) California is home to a large immigrant population that is estimated to include over 2 million undocumented immigrants. Undocumented immigrants who are residents of California have the ability to obtain a California drivers license and therefore participate in a statewide organ and tissue donation program facilitated by the Department of Motor Vehicles. Since undocumented immigrants have been able to obtain a California drivers license, the organ and tissue registry has benefited from a dramatic increase in participation of new registered donors. Many undocumented immigrants, however, cannot benefit from receiving a donated organ or tissue transplant because they do not have health insurance or benefits to assist in paying the costs of the necessary medical procedures.(c) All Californians, including those who cannot afford an organ or tissue transplant, should have an equitable ability to benefit from a statewide organ and tissue registry supported by the state.SEC. 2. Section 7161 is added to the Health and Safety Code, to read:7161. (a) There is in the State Treasury the Organ Transplant Equity Fund for the purpose of accepting moneys to support the program established pursuant to this section. Private donations may be deposited into the Organ Transplant Equity Fund.(b) The State Department of Public Health shall establish a program to reimburse hospitals for the costs of performing organ and tissue transplants for individuals who do not have health insurance or a government provided health care benefit, including Medi-Cal or Medicare.(c) (1) On or before January 1, 2021, the State Department of Public Health shall report to the committees of the California State Senate and Assembly with jurisdiction over health care issues on the outcomes of the program established pursuant to this section.(2) The report required pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code.SEC. 3. (a) The sum of ten million dollars ($10,000,000) is hereby appropriated from the General Fund to the State Department of Public Health for the purpose of funding the program established in Section 7161 of the Health and Safety Code.(b) The Controller shall transfer the ten million dollars ($10,000,000) appropriated pursuant to subdivision (a) to the Organ Transplant Equity Fund, established pursuant to Section 7161 of the Health and Safety Code.SECTION 1.It is the intent of the Legislature to enact provisions that would improve the effectiveness of organ transplantation for the general public and in minority communities and low-income communities in California. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: SECTION 1. The Legislature finds and declares all of the following:(a) Increasing general awareness and participation among all Californians in organ and tissue donation is a high priority for public health, but it is also a high priority to ensure equity among who receives donated organs and tissues. While Californians donate their organs and tissues regardless of their financial circumstances, their ability to receive them can be limited by their income and access to health insurance or benefits.(b) California is home to a large immigrant population that is estimated to include over 2 million undocumented immigrants. Undocumented immigrants who are residents of California have the ability to obtain a California drivers license and therefore participate in a statewide organ and tissue donation program facilitated by the Department of Motor Vehicles. Since undocumented immigrants have been able to obtain a California drivers license, the organ and tissue registry has benefited from a dramatic increase in participation of new registered donors. Many undocumented immigrants, however, cannot benefit from receiving a donated organ or tissue transplant because they do not have health insurance or benefits to assist in paying the costs of the necessary medical procedures.(c) All Californians, including those who cannot afford an organ or tissue transplant, should have an equitable ability to benefit from a statewide organ and tissue registry supported by the state. SECTION 1. The Legislature finds and declares all of the following:(a) Increasing general awareness and participation among all Californians in organ and tissue donation is a high priority for public health, but it is also a high priority to ensure equity among who receives donated organs and tissues. While Californians donate their organs and tissues regardless of their financial circumstances, their ability to receive them can be limited by their income and access to health insurance or benefits.(b) California is home to a large immigrant population that is estimated to include over 2 million undocumented immigrants. Undocumented immigrants who are residents of California have the ability to obtain a California drivers license and therefore participate in a statewide organ and tissue donation program facilitated by the Department of Motor Vehicles. Since undocumented immigrants have been able to obtain a California drivers license, the organ and tissue registry has benefited from a dramatic increase in participation of new registered donors. Many undocumented immigrants, however, cannot benefit from receiving a donated organ or tissue transplant because they do not have health insurance or benefits to assist in paying the costs of the necessary medical procedures.(c) All Californians, including those who cannot afford an organ or tissue transplant, should have an equitable ability to benefit from a statewide organ and tissue registry supported by the state. SECTION 1. The Legislature finds and declares all of the following: ### SECTION 1. (a) Increasing general awareness and participation among all Californians in organ and tissue donation is a high priority for public health, but it is also a high priority to ensure equity among who receives donated organs and tissues. While Californians donate their organs and tissues regardless of their financial circumstances, their ability to receive them can be limited by their income and access to health insurance or benefits. (b) California is home to a large immigrant population that is estimated to include over 2 million undocumented immigrants. Undocumented immigrants who are residents of California have the ability to obtain a California drivers license and therefore participate in a statewide organ and tissue donation program facilitated by the Department of Motor Vehicles. Since undocumented immigrants have been able to obtain a California drivers license, the organ and tissue registry has benefited from a dramatic increase in participation of new registered donors. Many undocumented immigrants, however, cannot benefit from receiving a donated organ or tissue transplant because they do not have health insurance or benefits to assist in paying the costs of the necessary medical procedures. (c) All Californians, including those who cannot afford an organ or tissue transplant, should have an equitable ability to benefit from a statewide organ and tissue registry supported by the state. SEC. 2. Section 7161 is added to the Health and Safety Code, to read:7161. (a) There is in the State Treasury the Organ Transplant Equity Fund for the purpose of accepting moneys to support the program established pursuant to this section. Private donations may be deposited into the Organ Transplant Equity Fund.(b) The State Department of Public Health shall establish a program to reimburse hospitals for the costs of performing organ and tissue transplants for individuals who do not have health insurance or a government provided health care benefit, including Medi-Cal or Medicare.(c) (1) On or before January 1, 2021, the State Department of Public Health shall report to the committees of the California State Senate and Assembly with jurisdiction over health care issues on the outcomes of the program established pursuant to this section.(2) The report required pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code. SEC. 2. Section 7161 is added to the Health and Safety Code, to read: ### SEC. 2. 7161. (a) There is in the State Treasury the Organ Transplant Equity Fund for the purpose of accepting moneys to support the program established pursuant to this section. Private donations may be deposited into the Organ Transplant Equity Fund.(b) The State Department of Public Health shall establish a program to reimburse hospitals for the costs of performing organ and tissue transplants for individuals who do not have health insurance or a government provided health care benefit, including Medi-Cal or Medicare.(c) (1) On or before January 1, 2021, the State Department of Public Health shall report to the committees of the California State Senate and Assembly with jurisdiction over health care issues on the outcomes of the program established pursuant to this section.(2) The report required pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code. 7161. (a) There is in the State Treasury the Organ Transplant Equity Fund for the purpose of accepting moneys to support the program established pursuant to this section. Private donations may be deposited into the Organ Transplant Equity Fund.(b) The State Department of Public Health shall establish a program to reimburse hospitals for the costs of performing organ and tissue transplants for individuals who do not have health insurance or a government provided health care benefit, including Medi-Cal or Medicare.(c) (1) On or before January 1, 2021, the State Department of Public Health shall report to the committees of the California State Senate and Assembly with jurisdiction over health care issues on the outcomes of the program established pursuant to this section.(2) The report required pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code. 7161. (a) There is in the State Treasury the Organ Transplant Equity Fund for the purpose of accepting moneys to support the program established pursuant to this section. Private donations may be deposited into the Organ Transplant Equity Fund.(b) The State Department of Public Health shall establish a program to reimburse hospitals for the costs of performing organ and tissue transplants for individuals who do not have health insurance or a government provided health care benefit, including Medi-Cal or Medicare.(c) (1) On or before January 1, 2021, the State Department of Public Health shall report to the committees of the California State Senate and Assembly with jurisdiction over health care issues on the outcomes of the program established pursuant to this section.(2) The report required pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code. 7161. (a) There is in the State Treasury the Organ Transplant Equity Fund for the purpose of accepting moneys to support the program established pursuant to this section. Private donations may be deposited into the Organ Transplant Equity Fund. (b) The State Department of Public Health shall establish a program to reimburse hospitals for the costs of performing organ and tissue transplants for individuals who do not have health insurance or a government provided health care benefit, including Medi-Cal or Medicare. (c) (1) On or before January 1, 2021, the State Department of Public Health shall report to the committees of the California State Senate and Assembly with jurisdiction over health care issues on the outcomes of the program established pursuant to this section. (2) The report required pursuant to subdivision (a) shall be submitted in compliance with Section 9795 of the Government Code. SEC. 3. (a) The sum of ten million dollars ($10,000,000) is hereby appropriated from the General Fund to the State Department of Public Health for the purpose of funding the program established in Section 7161 of the Health and Safety Code.(b) The Controller shall transfer the ten million dollars ($10,000,000) appropriated pursuant to subdivision (a) to the Organ Transplant Equity Fund, established pursuant to Section 7161 of the Health and Safety Code. SEC. 3. (a) The sum of ten million dollars ($10,000,000) is hereby appropriated from the General Fund to the State Department of Public Health for the purpose of funding the program established in Section 7161 of the Health and Safety Code.(b) The Controller shall transfer the ten million dollars ($10,000,000) appropriated pursuant to subdivision (a) to the Organ Transplant Equity Fund, established pursuant to Section 7161 of the Health and Safety Code. SEC. 3. (a) The sum of ten million dollars ($10,000,000) is hereby appropriated from the General Fund to the State Department of Public Health for the purpose of funding the program established in Section 7161 of the Health and Safety Code. ### SEC. 3. (b) The Controller shall transfer the ten million dollars ($10,000,000) appropriated pursuant to subdivision (a) to the Organ Transplant Equity Fund, established pursuant to Section 7161 of the Health and Safety Code. It is the intent of the Legislature to enact provisions that would improve the effectiveness of organ transplantation for the general public and in minority communities and low-income communities in California.