Amended IN Senate August 05, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1859Introduced by Assembly Member AlanisJanuary 18, 2024 An act to add Section 102863 to the Health and Safety 27523 to the Government Code, relating to coroners. LEGISLATIVE COUNSEL'S DIGESTAB 1859, as amended, Alanis. Coroners: duties.Existing law requires a county coroner to inquire into and determine the circumstances, manner, and cause of certain deaths. Existing law either requires or authorizes a county coroner, under certain circumstances, to perform, or cause to be performed, an autopsy on a decedent. Existing law imposes certain requirements on a coroner conducting a postmortem examination or autopsy on an unidentified body or human remains. Existing law requires a coroner to investigate deaths that occurred under specified conditions, including without medical attendance, to ascertain as many of the facts as possible. This bill would require a coroner to test the bodily fluid of a deceased person for the presence of xylazine if the coroner reasonably suspects the person died from an accidental or intentional opioid overdose or if the person was administered an overdose intervention drug prior to death and was unresponsive to the drug. The bill would also require the coroner to report a positive result to the State Department of Public Health and the Overdose Detection Mapping Application Program. Program and provide the State Department of Public Health with a quarterly report on positive results, as specified. The bill would require the department to post the number of positive results specified information, including, among other things, the total number of xylazine-positive results by county, on the California Overdose Surveillance Dashboard located on the departments internet website. By imposing additional duties upon local officials, the bill would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES Bill TextThe people of the State of California do enact as follows:SECTION 1.Section 102863 is added to the Health and Safety Code, to read:102863.(a)A coroner shall test bodily fluid extracted during an autopsy of a deceased person to determine whether the bodily fluid contained any amount, including a trace amount, of xylazine at the time of the persons death if either of the following occur:(1)The coroner reasonably suspects the cause of a persons death to be the accidental or intentional overdose of an opioid.(2)The person was administered an overdose intervention drug prior to death and was unresponsive to the overdose intervention drug.(b)The coroner shall report a positive result indicating the presence of xylazine to the State Department of Public Health and the Overdose Detection Mapping Application Program managed by the Washington/Baltimore High Intensity Drug Trafficking Area program.(c)The department shall post the number of positive results on the California Overdose Surveillance Dashboard located on the departments internet website.SECTION 1. Section 27523 is added to the Government Code, to read:27523. (a) A coroner shall test the bodily fluid extracted during the autopsy of a deceased person to determine if any amount, including a trace amount, of xylazine was present at the time of the persons death in either of the following circumstances:(1) The coroner reasonably suspects that the cause of the persons death was an accidental or intentional overdose of an opioid.(2) The person was administered an overdose intervention drug prior to death and was unresponsive to the overdose intervention drug.(b) The coroner shall report a positive result indicating the presence of xylazine to the Overdose Detection Mapping Application Program managed by the Washington/Baltimore High Intensity Drug Trafficking Area program and provide the State Department of Public Health with a quarterly report on positive results that includes the total number of tests performed and the Secretary of State file number from the death certificate of each positive case.(c) The department shall post the following information on the California Overdose Surveillance Dashboard located on the departments internet website:(1) The total number of xylazine-positive results reported to the department.(2) The number of xylazine-positive results by county.(3) The number of xylazine-positive overdose deaths, per 100,000 population.SEC. 2. If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code. Amended IN Senate August 05, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1859Introduced by Assembly Member AlanisJanuary 18, 2024 An act to add Section 102863 to the Health and Safety 27523 to the Government Code, relating to coroners. LEGISLATIVE COUNSEL'S DIGESTAB 1859, as amended, Alanis. Coroners: duties.Existing law requires a county coroner to inquire into and determine the circumstances, manner, and cause of certain deaths. Existing law either requires or authorizes a county coroner, under certain circumstances, to perform, or cause to be performed, an autopsy on a decedent. Existing law imposes certain requirements on a coroner conducting a postmortem examination or autopsy on an unidentified body or human remains. Existing law requires a coroner to investigate deaths that occurred under specified conditions, including without medical attendance, to ascertain as many of the facts as possible. This bill would require a coroner to test the bodily fluid of a deceased person for the presence of xylazine if the coroner reasonably suspects the person died from an accidental or intentional opioid overdose or if the person was administered an overdose intervention drug prior to death and was unresponsive to the drug. The bill would also require the coroner to report a positive result to the State Department of Public Health and the Overdose Detection Mapping Application Program. Program and provide the State Department of Public Health with a quarterly report on positive results, as specified. The bill would require the department to post the number of positive results specified information, including, among other things, the total number of xylazine-positive results by county, on the California Overdose Surveillance Dashboard located on the departments internet website. By imposing additional duties upon local officials, the bill would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YES Amended IN Senate August 05, 2024 Amended IN Senate August 05, 2024 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1859 Introduced by Assembly Member AlanisJanuary 18, 2024 Introduced by Assembly Member Alanis January 18, 2024 An act to add Section 102863 to the Health and Safety 27523 to the Government Code, relating to coroners. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 1859, as amended, Alanis. Coroners: duties. Existing law requires a county coroner to inquire into and determine the circumstances, manner, and cause of certain deaths. Existing law either requires or authorizes a county coroner, under certain circumstances, to perform, or cause to be performed, an autopsy on a decedent. Existing law imposes certain requirements on a coroner conducting a postmortem examination or autopsy on an unidentified body or human remains. Existing law requires a coroner to investigate deaths that occurred under specified conditions, including without medical attendance, to ascertain as many of the facts as possible. This bill would require a coroner to test the bodily fluid of a deceased person for the presence of xylazine if the coroner reasonably suspects the person died from an accidental or intentional opioid overdose or if the person was administered an overdose intervention drug prior to death and was unresponsive to the drug. The bill would also require the coroner to report a positive result to the State Department of Public Health and the Overdose Detection Mapping Application Program. Program and provide the State Department of Public Health with a quarterly report on positive results, as specified. The bill would require the department to post the number of positive results specified information, including, among other things, the total number of xylazine-positive results by county, on the California Overdose Surveillance Dashboard located on the departments internet website. By imposing additional duties upon local officials, the bill would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above. Existing law requires a county coroner to inquire into and determine the circumstances, manner, and cause of certain deaths. Existing law either requires or authorizes a county coroner, under certain circumstances, to perform, or cause to be performed, an autopsy on a decedent. Existing law imposes certain requirements on a coroner conducting a postmortem examination or autopsy on an unidentified body or human remains. Existing law requires a coroner to investigate deaths that occurred under specified conditions, including without medical attendance, to ascertain as many of the facts as possible. This bill would require a coroner to test the bodily fluid of a deceased person for the presence of xylazine if the coroner reasonably suspects the person died from an accidental or intentional opioid overdose or if the person was administered an overdose intervention drug prior to death and was unresponsive to the drug. The bill would also require the coroner to report a positive result to the State Department of Public Health and the Overdose Detection Mapping Application Program. Program and provide the State Department of Public Health with a quarterly report on positive results, as specified. The bill would require the department to post the number of positive results specified information, including, among other things, the total number of xylazine-positive results by county, on the California Overdose Surveillance Dashboard located on the departments internet website. By imposing additional duties upon local officials, the bill would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that, if the Commission on State Mandates determines that the bill contains costs mandated by the state, reimbursement for those costs shall be made pursuant to the statutory provisions noted above. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1.Section 102863 is added to the Health and Safety Code, to read:102863.(a)A coroner shall test bodily fluid extracted during an autopsy of a deceased person to determine whether the bodily fluid contained any amount, including a trace amount, of xylazine at the time of the persons death if either of the following occur:(1)The coroner reasonably suspects the cause of a persons death to be the accidental or intentional overdose of an opioid.(2)The person was administered an overdose intervention drug prior to death and was unresponsive to the overdose intervention drug.(b)The coroner shall report a positive result indicating the presence of xylazine to the State Department of Public Health and the Overdose Detection Mapping Application Program managed by the Washington/Baltimore High Intensity Drug Trafficking Area program.(c)The department shall post the number of positive results on the California Overdose Surveillance Dashboard located on the departments internet website.SECTION 1. Section 27523 is added to the Government Code, to read:27523. (a) A coroner shall test the bodily fluid extracted during the autopsy of a deceased person to determine if any amount, including a trace amount, of xylazine was present at the time of the persons death in either of the following circumstances:(1) The coroner reasonably suspects that the cause of the persons death was an accidental or intentional overdose of an opioid.(2) The person was administered an overdose intervention drug prior to death and was unresponsive to the overdose intervention drug.(b) The coroner shall report a positive result indicating the presence of xylazine to the Overdose Detection Mapping Application Program managed by the Washington/Baltimore High Intensity Drug Trafficking Area program and provide the State Department of Public Health with a quarterly report on positive results that includes the total number of tests performed and the Secretary of State file number from the death certificate of each positive case.(c) The department shall post the following information on the California Overdose Surveillance Dashboard located on the departments internet website:(1) The total number of xylazine-positive results reported to the department.(2) The number of xylazine-positive results by county.(3) The number of xylazine-positive overdose deaths, per 100,000 population.SEC. 2. If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: (a)A coroner shall test bodily fluid extracted during an autopsy of a deceased person to determine whether the bodily fluid contained any amount, including a trace amount, of xylazine at the time of the persons death if either of the following occur: (1)The coroner reasonably suspects the cause of a persons death to be the accidental or intentional overdose of an opioid. (2)The person was administered an overdose intervention drug prior to death and was unresponsive to the overdose intervention drug. (b)The coroner shall report a positive result indicating the presence of xylazine to the State Department of Public Health and the Overdose Detection Mapping Application Program managed by the Washington/Baltimore High Intensity Drug Trafficking Area program. (c)The department shall post the number of positive results on the California Overdose Surveillance Dashboard located on the departments internet website. SECTION 1. Section 27523 is added to the Government Code, to read:27523. (a) A coroner shall test the bodily fluid extracted during the autopsy of a deceased person to determine if any amount, including a trace amount, of xylazine was present at the time of the persons death in either of the following circumstances:(1) The coroner reasonably suspects that the cause of the persons death was an accidental or intentional overdose of an opioid.(2) The person was administered an overdose intervention drug prior to death and was unresponsive to the overdose intervention drug.(b) The coroner shall report a positive result indicating the presence of xylazine to the Overdose Detection Mapping Application Program managed by the Washington/Baltimore High Intensity Drug Trafficking Area program and provide the State Department of Public Health with a quarterly report on positive results that includes the total number of tests performed and the Secretary of State file number from the death certificate of each positive case.(c) The department shall post the following information on the California Overdose Surveillance Dashboard located on the departments internet website:(1) The total number of xylazine-positive results reported to the department.(2) The number of xylazine-positive results by county.(3) The number of xylazine-positive overdose deaths, per 100,000 population. SECTION 1. Section 27523 is added to the Government Code, to read: ### SECTION 1. 27523. (a) A coroner shall test the bodily fluid extracted during the autopsy of a deceased person to determine if any amount, including a trace amount, of xylazine was present at the time of the persons death in either of the following circumstances:(1) The coroner reasonably suspects that the cause of the persons death was an accidental or intentional overdose of an opioid.(2) The person was administered an overdose intervention drug prior to death and was unresponsive to the overdose intervention drug.(b) The coroner shall report a positive result indicating the presence of xylazine to the Overdose Detection Mapping Application Program managed by the Washington/Baltimore High Intensity Drug Trafficking Area program and provide the State Department of Public Health with a quarterly report on positive results that includes the total number of tests performed and the Secretary of State file number from the death certificate of each positive case.(c) The department shall post the following information on the California Overdose Surveillance Dashboard located on the departments internet website:(1) The total number of xylazine-positive results reported to the department.(2) The number of xylazine-positive results by county.(3) The number of xylazine-positive overdose deaths, per 100,000 population. 27523. (a) A coroner shall test the bodily fluid extracted during the autopsy of a deceased person to determine if any amount, including a trace amount, of xylazine was present at the time of the persons death in either of the following circumstances:(1) The coroner reasonably suspects that the cause of the persons death was an accidental or intentional overdose of an opioid.(2) The person was administered an overdose intervention drug prior to death and was unresponsive to the overdose intervention drug.(b) The coroner shall report a positive result indicating the presence of xylazine to the Overdose Detection Mapping Application Program managed by the Washington/Baltimore High Intensity Drug Trafficking Area program and provide the State Department of Public Health with a quarterly report on positive results that includes the total number of tests performed and the Secretary of State file number from the death certificate of each positive case.(c) The department shall post the following information on the California Overdose Surveillance Dashboard located on the departments internet website:(1) The total number of xylazine-positive results reported to the department.(2) The number of xylazine-positive results by county.(3) The number of xylazine-positive overdose deaths, per 100,000 population. 27523. (a) A coroner shall test the bodily fluid extracted during the autopsy of a deceased person to determine if any amount, including a trace amount, of xylazine was present at the time of the persons death in either of the following circumstances:(1) The coroner reasonably suspects that the cause of the persons death was an accidental or intentional overdose of an opioid.(2) The person was administered an overdose intervention drug prior to death and was unresponsive to the overdose intervention drug.(b) The coroner shall report a positive result indicating the presence of xylazine to the Overdose Detection Mapping Application Program managed by the Washington/Baltimore High Intensity Drug Trafficking Area program and provide the State Department of Public Health with a quarterly report on positive results that includes the total number of tests performed and the Secretary of State file number from the death certificate of each positive case.(c) The department shall post the following information on the California Overdose Surveillance Dashboard located on the departments internet website:(1) The total number of xylazine-positive results reported to the department.(2) The number of xylazine-positive results by county.(3) The number of xylazine-positive overdose deaths, per 100,000 population. 27523. (a) A coroner shall test the bodily fluid extracted during the autopsy of a deceased person to determine if any amount, including a trace amount, of xylazine was present at the time of the persons death in either of the following circumstances: (1) The coroner reasonably suspects that the cause of the persons death was an accidental or intentional overdose of an opioid. (2) The person was administered an overdose intervention drug prior to death and was unresponsive to the overdose intervention drug. (b) The coroner shall report a positive result indicating the presence of xylazine to the Overdose Detection Mapping Application Program managed by the Washington/Baltimore High Intensity Drug Trafficking Area program and provide the State Department of Public Health with a quarterly report on positive results that includes the total number of tests performed and the Secretary of State file number from the death certificate of each positive case. (c) The department shall post the following information on the California Overdose Surveillance Dashboard located on the departments internet website: (1) The total number of xylazine-positive results reported to the department. (2) The number of xylazine-positive results by county. (3) The number of xylazine-positive overdose deaths, per 100,000 population. SEC. 2. If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code. SEC. 2. If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code. SEC. 2. If the Commission on State Mandates determines that this act contains costs mandated by the state, reimbursement to local agencies and school districts for those costs shall be made pursuant to Part 7 (commencing with Section 17500) of Division 4 of Title 2 of the Government Code. ### SEC. 2.