BILL ANALYSIS                                                                                                                                                                                                    







                      SENATE COMMITTEE ON PUBLIC SAFETY
                         Senator Elaine K. Alquist, Chair            A
                             2005-2006 Regular Session               B

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          AB 522 (Plescia)                                            
          As Amended June 23, 2005 
          Hearing date:  June 28, 2005
          Penal, Welfare and Institutions Codes  (URGENCY)
          AA:br


                               REGISTERED SEX OFFENDERS  :  

                     MEDI-CAL COVERAGE FOR SPECIFIED CONDITIONS  


                                       HISTORY

          Source:  Health and Human Services Agency; Department of Health  
          Services

          Prior Legislation: None

          Support: California Department of Corrections

          Opposition:None known

          Assembly Floor Vote:  N/A


                                        KEY ISSUES
           
          SHOULD THE Department of Health Services ("DHS") BE PROHIBITED from  
          paying for any prescription drug or other therapy to treat erectile  
          dysfunction for registered sex offenders, as specified?

          SHOULD THE Department of Justice BE AUTHORIZED TO share information  




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          with DHS concerning registered sex offenders for this purpose, as  
          specified?



                                       PURPOSE
          
          The purpose of this bill is to 1) prohibit the Department of  
          Health Services ("DHS") from paying for any prescription drug or  
          other therapy to treat erectile dysfunction for registered sex  
          offenders, as specified; 2) authorize the Department of Justice  
          to share information with DHS concerning registered sex  
          offenders for this purpose, as specified; and 3) make unrelated  
          substantive changes to the law concerning pharmacy services.
          
           Current law  generally requires people who have been convicted of  
          specified sex offenses to register at least annually with the  
          chief of police of the city in which he or she is residing, or  
          the sheriff of the county if where he or she is residing is  
          located in an unincorporated area or city that has no police  
          department, and, additionally, with the chief of police of a  
          campus of the University of California, the California State  
          University, or community college if he or she is residing upon  
          the campus or in any of its facilities, within five working days  
          of coming into, or changing his or her residence within, any  
          city, county, or city and county, or campus in which he or she  
          temporarily resides, for the rest of his or her life while  
          residing in California, or while attending school or working in  
          California, as specified.  (Penal Code  290.)

           Current law  expressly provides that except as specifically  
          allowed, the statements, photographs, and fingerprints required  
          by this provision shall not be open to inspection by the public  
          or by any person other than a regularly employed peace officer  
          or other law enforcement officer.  (Penal Code  290(i).)
           
          Under current law  , the Department of Justice ("DOJ") is required  
          to make information about registered sex offenders available to  
          the public via an Internet Web site, as specified.  (Penal Code  




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           290.46.)

           Current law  specifically provides that except as authorized, use  
          of any information that is disclosed pursuant to these  
          provisions for purposes relating to any of the following is  
          prohibited:

                 Health insurance;
                 Insurance;
                 Loans;
                 Credit;
                 Employment;
                 Education, scholarships, or fellowships;
                 Housing or accommodations; and
                 Benefits, privileges, or services provided by  
               any business establishment.  (Penal Code   
               290.469j)(2).)

           Current law  provides that the Medi-Cal Benefits Program  
          comprises a department-administered uniform schedule of health  
          care benefits.  (Welfare and Institutions Code ("WIC")  14131;  
          see 14132.)   Current law  provides that the "purchase of  
          prescribed drugs is covered subject to the Medi-Cal List of  
          Contract Drugs and utilization controls."  (WIC  14132(d).)

           This bill  would provide that, notwithstanding any other law, DHS  
          "shall not provide or pay for any prescription drug or other  
          therapy to treat erectile dysfunction for any person who is  
          required to register pursuant to Section 290 of the Penal Code,  
          except to the extent required under federal law."

           This bill  would provide that DHS "may require from the  
          Department of Justice the information necessary to implement  
          this section."

          This bill  would provide that, "notwithstanding any other law,  
          DOJ would be required to provide, upon written request, the  
          names and relevant information pertaining to persons who are  
          required to register pursuant to Section 290 to any state  




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          governmental entity responsible for authorizing or providing  
          publicly funded prescription drugs or other therapies to treat  
          erectile dysfunction of those persons.  State governmental  
          entities shall use information received pursuant to this section  
          to protect public safety by preventing the use of prescription  
          drugs or other therapies to treat erectile dysfunction by  
          convicted sex offenders."

           This bill  would provide that the use "or disclosure of the  
          information obtained pursuant to this section is prohibited for  
          any purpose other than authorized," as specified in this bill.

           This bill  would authorize DOJ to establish a fee for requests  
          including all actual and reasonable costs associated with the  
          service.

           This bill  additionally would provide that "(n)otwithstanding any  
          other law, any state governmental entity responsible for  
          authorizing or providing publicly funded prescription drugs or  
          other therapies to treat erectile dysfunction may use the sex  
          offender data base authorized by Section 290.46 (the Megan's Law  
          Web site) to protect public safety by preventing the use of such  
          drugs or therapies to convicted sex offenders."

           This bill  is an urgency measure.

                                      COMMENTS

          1.  Stated Need for This Bill

           The author states:

              AB 522 would give state agencies access to the  
              information necessary to ensure that taxpayers do not  
              finance erectile dysfunction treatments for known sex  
              offenders.  Federal guidelines prohibit state  
              Medicaid programs (Medi-Cal in California) from  
              covering erectile dysfunction treatments for  
              convicted sex offenders, and California could be  




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              subject to financial penalties if Medi-Cal does not  
              comply with these guidelines.  Without access to the  
              registered sex offender database, state agencies will  
              have no way of knowing if a beneficiary should be  
              denied access to such treatments.

              As Governor Schwarzenegger correctly noted in his  
              executive order on May 26, 2005, this is also a  
              public safety issue.  We have an obligation to  
              exercise an abundance of caution and ensure that  
              state agencies have access to the criminal databases  
              necessary to prevent the use of these treatments by  
              known sex offenders.

          2.  What This Bill Would Do
           
          As explained in detail above, this bill would prohibit DHS from  
          providing or paying for any prescription drug or therapy to  
          treat erectile dysfunction for a registered sex offender.  The  
          bill would provide a mechanism for DHS to access, either by  
          using the Megan's Law Web site or obtaining information from  
          DOJ, information from DOJ identifying persons who are registered  
          sex offenders.  This bill also would authorize DOJ to establish  
          a fee for its costs associated with providing this information.

          3.  Background - Medicaid, Erectile Dysfunction Drugs and  
          Registered Sex Offenders
           
          Numerous press accounts this Spring reported that registered sex  
          offenders in at least 14 states got Medicaid-paid prescriptions  
          for Viagra and other prescription drugs used to treat erectile  
          dysfunction.  In response to these and other reports, on May 23  
          of this year the Center for Medicaid and State Operations issued  
          a "guidance to remind states there are a number of options to  
          prevent the inappropriate use of such drugs and to inform states  
          that we believe they should restrict the coverage of such drugs  
          in the case of individuals convicted of a sex offense. . . .  We  
          believe that, . . . the use of these drugs in the case of a sex  
          offender is not appropriate and Medicaid should not pay for the  




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          cost of such drugs in such circumstances.

                 Effective immediately, states should use their  
                 drug use review program and procedures . . . and  
                 work with physicians and pharmacists to prevent  
                 inappropriate Medicaid payment for such drugs in  
                 the case of a sex offender.  Failure to perform  
                 such a review and implement appropriate controls  
                 may result in sanctions.<1>

          On May 26, 2005, Governor Schwarzenegger announced that he had  
          issued a directive to all applicable state agencies in  
          California to immediately stop providing known sex offenders  
          with taxpayer-funded medications such as Viagra, Levitra or  
          Cialis, to treat erectile dysfunction ("ED").

          It is estimated that 137 registered sex offenders in California  
          may have been prescribed ED drugs under Medi-Cal in the last  
          year.

          4.  Background:  ED Treatment
           
          The following information, compiled by the Senate Office of  
          Research, explains the purpose and effect of Viagra, which is a  
          commonly-used prescription drug for ED.
          
              From the FDA's Center for Drug Evaluation and  
              Research  :

              Viagra is used to treat impotence in men.  Viagra  
              increases the body's ability to achieve and  
              maintain an erection during sexual stimulation.   
              How does Viagra work?  An erection is the result  
              of an increase in blood flow into certain internal  
              areas of the penis.  Viagra works by enhancing the  
              --------------------
          <1>  Letter dated May 23, 2005 from Dennis G. Smith, Director of  
          the Center for Medicaid and State Operations, Department of  
          Health & Human Services, addressed to "Dear State Medicaid  
          Director."



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              effects of one of the chemicals the body normally  
              releases into the penis during sexual arousal.   
              This allows an increase of blood flow into the  
              penis.

               Patient Summary Information about Viagra from  
              Pfizer  :

              VIAGRA is a pill used to treat erectile  
              dysfunction (impotence) in men.  It can help many  
              men who have erectile dysfunction get and keep an  
              erection when they become sexually excited  
              (stimulated).  You will not get an erection just  
              by taking this medicine.  VIAGRA helps a man with  
              erectile dysfunction get an erection only when he  
              is sexually excited.  VIAGRA does not cure  
              erectile dysfunction.  It is a treatment for  
              erectile dysfunction.  VIAGRA is not a hormone or  
              an aphrodisiac.

               From Aetna InteliHealth  :

              In most men, erectile dysfunction is caused by  
              inadequate flow of blood into the penis.  PDE5  
              drugs (Viagra) work by helping the blood vessels  
              relax, which increases blood flow.  They do not  
              cause an erection without sexual stimulation, and  
              the penis will return to its normal size and  
              flaccid state after ejaculation.  They also have  
              no effect on sexual desire (libido) and do not  
              change sensation in the penis.  PDE5 drugs are not  
              habit forming or addictive.  They do not increase  
              sexual desire or sexual enjoyment, other than by  
              helping a man to achieve and maintain an erection.


          5.  Background:  Sex Offending; ED Drugs and Sex Offense  
          Behavior





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          Medical treatment for ED, many assert, helps sex offenders  
          commit sex offenses.  "The federal government is inadvertently  
          facilitating the sexual assault of children," Laura Ahearn,  
          executive director of Parents for Megan's Law, told the  
          Associated Press earlier this year.<2>  In his May 26 press  
          release, Governor Schwarzenegger stated:

              Our first responsibility is to keep our citizens  
              safe, and providing these drugs to known sex  
              offenders is a policy that only threatens more  
              innocent people.

          Others, however, contend that drugs treating ED are unrelated to  
          sexual offending:

              Viagra is often misunderstood to be an aphrodisiac  
              - actually it does nothing to enhance sexual  
              motivation, said Dr. Fred Berlin, a psychiatrist  
              at Johns Hopkins University and an expert on the  
              treatment of sex offenders. . . .  

              Berlin said he's never heard of a sex offender  
              using Viagra to reoffend.<3>

          According to a 2004 law review article on sex offender  
          management written by authors from the Center for Effective  
          Public Policy and the Center for Sex Offender Management, the  
          generally accepted treatment approach for sex offenders  
          addresses a broad range of factors, none of which necessarily  
          appear to center on physical performance:

              While historical efforts to treat sex offenders  
              were widely varied, sex offender treatment has been  
              refined significantly over the past few decades,  
              and has a generally accepted approach.  At present,  
              ---------------------
          <2>  USA Today, May 23, 2005.
          <3>  Associated Press, June 22, 2005 (State Helped Pay for  
          Viagra for 137 Sex Offenders.)



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              most sex offender treatment programs throughout the  
              country employ cognitive-behavioral methods that  
              include relapse prevention components.   
               Contemporary etiological theories suggest that sex  
              offending behaviors are the result of a complex  
              interaction of sociocultural, biological, and  
              psychological processes  .  As such, sex offender  
              treatment is designed to be relatively  
              comprehensive and holistic, with goals that  
              generally include accepting responsibility for sex  
              offending and other harmful behaviors; modifying  
              cognitive distortions that support offending  
              behaviors; managing negative mood or affect;  
              developing positive relationship skills; managing  
              deviant sexual arousal or interest; maintaining  
              control over unhealthy impulses; enhancing empathy  
              for victims; understanding the sequence of events  
              and risk factors associated with offending; and  
              developing effective coping skills to manage  
              identified risk factors.<4>

          Sexual assault has come to be generally understood as a crime of  
          power and control.  As explained by the federal Office on  
          Violence Against Women on its Web site:















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          ---------------------------
          <4>  Carter, Bumby and Talbot, SYMPOSIUM: Promoting Offender  
          Accountability and Community Safety through the Comprehensive  
          Approach to Sex Offender Management (34 Seton Hall L. Rev. 1273  
          (2004) (citations omitted) (emphasis added).)









              The belief that only young, pretty women are  
              sexually assaulted stems from the myth that sexual  
              assault is based on sex and physical attraction.   
              Sexual assault is a crime of power and control and  
              offenders often choose people whom they perceive  
              as most vulnerable to attack or over whom they  
              believe they can assert power.<5>

          Similarly, in its Megan's Law Web site, the California Attorney  
          General's Office includes the following fact about sex  
          offenders:

              While some offenders do seek sexual gratification  
              from the act, sexual gratification is often not a  
              primary motivation for a rape offender.  Power,  
              control, and anger are more likely to be the  
              primary motivators.<6>

          Members of the Committee may wish to explore further the causes  
          of sexual offending, and how the relationship between ED  
          treatments and sexual offending may impact these causes and  
          public safety.

          6.  Constitutional Considerations
           
          "An ex post facto law is a retrospective criminal statute  
          applying to crimes committed before its enactment, and  
          substantially injuring the accused, by punishing an act innocent  
          when done,  or increasing the punishment  , or taking away a  
          defense related to an element of the crime or an excuse or  
          justification for the conduct, or altering the rules of evidence  
          so that a conviction may be obtained on less or different  
          testimony than was required when the crime was committed."<7>   
          In upholding California's sex offender registration laws against  
          an ex post facto challenge, the California Supreme Court  
          reasoned:
          ---------------------------
          <5>  http://www.ojp.usdoj.gov/vawo/SexAssaultInfo.htm.
          <6>  http://www.meganslaw.ca.gov/facts.htm.
          <7>  1 Witkin Cal. Crim. Law Intro. Crimes  10.



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              The sex offender registration requirement serves  
              an important and proper remedial purpose, and it  
              does not appear that the Legislature intended the  
              registration requirement to constitute punishment.  
               Nor is the sex offender registration requirement  
              so punitive in fact that it must be regarded as  
              punishment, despite the Legislature's contrary  
              intent.  Although registration imposes a  
              substantial burden on the convicted offender, this  
              burden is no more onerous than necessary to  
              achieve the purpose of the statute.<8>



          Members may wish to discuss whether the provisions of this  
          bill, notwithstanding the stated purposes of public safety  
          contained in its provisions, would be so punitive in fact as to  
          constitute punishment and violate the ex post facto clauses of  
          the California (Art. I  9) and U.S. (Art. I  10)  
          Constitutions.

          7.  Similar Bill
           
          This bill is similar to AB 240 (Berm?dez), which was amended on  
          June 20, 2005; that measure appears to reflect an earlier  
          version of this bill.  Both of these bills are before the  
          Committee on June 28.  With respect to limiting ED drugs and  
          treatment for registered sex offenders, these bills appear to be  
          identical in intent.  The bills differ in the following  
          respects:

           AB 240 is silent on who would pay to identify Medi-Cal  
            ED claims deriving from registered sex offenders; this  
            bill would authorize DOJ to establish a fee for their  
            actual and reasonable costs;
           AB 240 would amend the sex offender registration  


          ------------------------
          <8>  People v. Castellanos, 21 Cal. 4th 785 (1999) (citations  
          omitted).











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            statute (Penal Code  290) to authorize DOJ to provide  
            the identifying information about registrants to other  
            state entities, as specified; this bill instead enacts  
            a new section of law to establish this authority;
           This bill authorizes limited access to the Megan's Law  
            Web site by state entities performing functions  
            necessary to identify registrants on the Medi-Cal ED  
            drug claim tape; AB 240 does not provide that  
            authority; and
           Additional technical drafting differences exist between  
            these bills; AB 522 is generally drafted with more  
            specificity than AB 240.



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