AB 2317: Whistleblower protection: county patients’ rights advocates.
- Session Year: 2017-2018
- House: Assembly
- Latest Version Date: 2018-08-27
Existing law prohibits an employer, as defined, or any person acting on behalf of the employer, as defined, from, among other things, preventing an employee from, or retaliating against an employee for, providing information to, or testifying before, any public body conducting an investigation, hearing, or inquiry, if the employee has reasonable cause to believe that the information discloses a violation of a law, regardless of whether disclosing the information is part of the employees job duties. A violation of these provisions is a crime.
This bill would extend the protections afforded to employees under these provisions to county patients rights advocates appointed or under contract to provide services relating to mental health advocacy. The bill would provide that prohibitions against retaliation by an employer apply to the state or local contracting agency under these provisions.
Because this bill would create a new crime, it 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 no reimbursement is required by this act for a specified reason.
Existing law prohibits an employer, as defined, or any person acting on behalf of the employer, as defined, from, among other things, preventing an employee from, or retaliating against an employee for, providing information to, or testifying before, any public body conducting an investigation, hearing, or inquiry, if the employee has reasonable cause to believe that the information discloses a violation of a law, regardless of whether disclosing the information is part of the employees job duties. A violation of these provisions is a crime.
This bill would extend the protections afforded to employees under these provisions to independent contractors and contracted entities working for state and local government who are tasked with receiving and investigating complaints from facilities, services, and programs operated by state and local government. county patients rights advocates appointed or under contract to provide services relating to mental health advocacy. The bill would provide that prohibitions against retaliation by an employer apply to the state or local contracting agency under these provisions.
Because this bill would create a new crime, it 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 no reimbursement is required by this act for a specified reason.
Existing law prohibits an employer, as defined, or any person acting on behalf of the employer, as defined, from, among other things, preventing an employee from, or retaliating against an employee for, providing information to, or testifying before, any public body conducting an investigation, hearing, or inquiry, if the employee has reasonable cause to believe that the information discloses a violation of a law, regardless of whether disclosing the information is part of the employees job duties. A violation of these provisions is a crime.
This bill would extend the protections afforded to employees under these provisions to independent contractors and contracted entities working for state and local government who are tasked with monitoring, and receiving and investigating complaints from, from facilities, services, and programs operated by state and local government. The bill would provide that prohibitions against retaliation by an employer apply to the state or local contracting agency under these provisions.
Because this bill would create a new crime, it 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 no reimbursement is required by this act for a specified reason.
Existing law prohibits an employer, as defined, or any person acting on behalf of the employer, as defined, from, among other things, preventing an employee from, or retaliating against an employee for, providing information to, or testifying before, any public body conducting an investigation, hearing, or inquiry, if the employee has reasonable cause to believe that the information discloses a violation of a law, regardless of whether disclosing the information is part of the employees job duties. A violation of these provisions is a crime.
This bill would extend the protections afforded to employees under these provisions to independent contractors working for state and local government who are tasked with monitoring, and receiving complaints from, facilities, services, and programs operated by state and local government.
Because this bill would create a new crime, it 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 no reimbursement is required by this act for a specified reason.
Notwithstanding any other law, the rights and protections afforded to employees under Section 1102.5 shall apply to all county patients rights advocates, as described in Section 5520 of the Welfare and Institutions Code. The prohibitions against retaliation by an employer in Section 1102.5 shall apply to the state or local contracting agency.
SEC. 2.Section 5550 of the Welfare and Institutions Code is amended to read:5550.(a)Any person participating in filing a complaint or providing information pursuant to this chapter or participating in a judicial proceeding resulting therefrom shall be presumed to be acting in good faith and unless the presumption is rebutted shall be immune from any liability, civil or criminal, and shall be immune from any penalty, sanction, or restriction that otherwise might be incurred or imposed.
(b)No person shall knowingly obstruct any county patients rights advocate in the performance of duties as described in this chapter, including, but not limited to, access to clients or potential clients, or to their records, whether financial, medical, or otherwise, or to other information, materials, or records, or otherwise violate the provisions of this chapter.
(c)No facility to which the provisions of Section 5325 are applicable shall discriminate or retaliate in any manner against a patient or employee on the basis that such patient or employee has initiated or participated in any proceeding specified in this chapter. Any attempt by a facility to expel a patient, or any discriminatory treatment of a patient, who, or upon whose behalf, a complaint has been submitted to a county patients rights advocate within 120 days of the filing of the complaint shall raise a rebuttable presumption that such action was taken by the facility in retaliation for the filing of the complaint.
(d)No county patients rights advocate shall knowingly violate any provision of this chapter concerning client privacy and the confidentiality of personally identifiable information.
(e)Any person or facility found in violation of subdivision (b) or (d) shall pay a civil penalty, as determined by a court, of not less than one hundred dollars ($100), or more than one thousand dollars ($1,000) which shall be deposited in the county general funds.
(f)All county patients rights advocates shall have the protection provided pursuant to Section 1102.51 of the Labor Code.
SEC. 3.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
Notwithstanding any other law, the rights and protections afforded to employees under Section 1102.5 shall apply to all state and local independent contractors and contracted entities tasked with receiving and investigating complaints from facilities, services, and programs operated by state and local government. county patients rights advocates, as described in Section 5520 of the Welfare and Institutions Code. The prohibitions against retaliation by an employer in Section 1102.5 shall apply to the state or local contracting agency.
SEC. 2.Section 5550 of the Welfare and Institutions Code is amended to read:5550.(a)Any person participating in filing a complaint or providing information pursuant to this chapter or participating in a judicial proceeding resulting therefrom shall be presumed to be acting in good faith and unless the presumption is rebutted shall be immune from any liability, civil or criminal, and shall be immune from any penalty, sanction, or restriction that otherwise might be incurred or imposed.
(b)No person shall knowingly obstruct any county patients rights advocate in the performance of duties as described in this chapter, including, but not limited to, access to clients or potential clients, or to their records, whether financial, medical, or otherwise, or to other information, materials, or records, or otherwise violate the provisions of this chapter.
(c)No facility to which the provisions of Section 5325 are applicable shall discriminate or retaliate in any manner against a patient or employee on the basis that such patient or employee has initiated or participated in any proceeding specified in this chapter. Any attempt by a facility to expel a patient, or any discriminatory treatment of a patient, who, or upon whose behalf, a complaint has been submitted to a county patients rights advocate within 120 days of the filing of the complaint shall raise a rebuttable presumption that such action was taken by the facility in retaliation for the filing of the complaint.
(d)No county patients rights advocate shall knowingly violate any provision of this chapter concerning client privacy and the confidentiality of personally identifiable information.
(e)Any person or facility found in violation of subdivision (b) or (d) shall pay a civil penalty, as determined by a court, of not less than one hundred dollars ($100), or more than one thousand dollars ($1,000) which shall be deposited in the county general funds.
(f)All county patients rights advocates shall have the protection provided pursuant to Section 1102.51 of the Labor Code.
SEC. 2.SEC. 3.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
Notwithstanding any other law, the rights and protections afforded to employees under Section 1102.5 shall apply to all state and local independent contractors and contracted entities tasked with monitoring, and receiving and investigating complaints from, from facilities, services, and programs operated by state and local government. The prohibitions against retaliation by an employer in Section 1102.5 shall apply to the state or local contracting agency.
SEC. 2.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
Notwithstanding any other law, the rights and protections afforded to employees under Section 1102.5 shall apply to all state and local independent contractors tasked with monitoring, and receiving complaints from, facilities, services, and programs operated by state and local government.
SEC. 2.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
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Date
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Status
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|---|---|
| Sep 19, 2018 | Vetoed by Governor. |
| Aug 30, 2018 | Enrolled and presented to the Governor at 4:30 p.m. |
| Aug 24, 2018 | In Assembly. Ordered to Engrossing and Enrolling. |
| Aug 24, 2018 | Read third time. Passed. Ordered to the Assembly. |
| Aug 21, 2018 | Ordered to special consent calendar. |
| Aug 17, 2018 | From committee: Do pass. (Ayes 7. Noes 0.) (August 16). |
| Aug 6, 2018 | In committee: Referred to APPR. suspense file. |
| Jun 20, 2018 | From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 7. Noes 0.) (June 19). Re-referred to Com. on APPR. |
| Jun 13, 2018 | Referred to Com. on JUD. |
| Jun 4, 2018 | In Senate. Read first time. To Com. on RLS. for assignment. |
| May 31, 2018 | Read third time. Passed. Ordered to the Senate. |
| May 29, 2018 | Read second time. Ordered to third reading. |
| May 25, 2018 | From committee: Amend, and do pass as amended. (Ayes 12. Noes 0.) (May 25). |
| May 9, 2018 | In committee: Set, first hearing. Referred to APPR. suspense file. |
| Apr 26, 2018 | From committee: Do pass and re-refer to Com. on APPR. (Ayes 7. Noes 0.) (April 25). Re-referred to Com. on APPR. |
| Apr 17, 2018 | Re-referred to Com. on L. & E. |
| Apr 16, 2018 | From committee chair, with author's amendments: Amend, and re-refer to Com. on L. & E. Read second time and amended. |
| Mar 22, 2018 | Referred to Com. on L. & E. |
| Feb 14, 2018 | From printer. May be heard in committee March 16. |
| Feb 13, 2018 | Read first time. To print. |
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Date
|
Description
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Location
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Votes
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|
|---|---|---|---|---|
| Aug 24, 2018 | Special Consent AB2317 | Senate Floor |
Passed |
|
| Aug 16, 2018 | Do pass | Senate Standing Committee on Appropriations |
Passed |
|
| Aug 6, 2018 | Placed on suspense file | Senate Standing Committee on Appropriations |
Passed |
|
| Jun 19, 2018 | Do pass, but first be re-referred to the Committee on [Appropriations] with the recommendation: To Consent Calendar | Senate Standing Committee on Judiciary |
Passed |
|
| May 31, 2018 | AB 2317 EGGMAN Assembly Third Reading | Assembly Floor |
Passed |
|
| May 25, 2018 | Do pass as amended. | Assembly Standing Committee on Appropriations |
Passed |
|
| Apr 25, 2018 | Do pass and be re-referred to the Committee on [Appropriations] | Assembly Standing Committee on Labor and Employment |
Passed |
This list shows positions taken on this bill by organizations on the date displayed, which is linked to the original source.
Positions by individuals are not included.
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Organization
|
Position
|
Date
|
|---|---|---|
| American Civil Liberties Union of California | ** Support | Aug 18, 2018 |
| California Association Of Mental Health Patients' Rights Advocates | ** Support | Aug 18, 2018 |
| California Behavioral Health Planning Council | ** Support | Aug 18, 2018 |
| California Conference Board Of The Amalgamated Transit Union | ** Support | Aug 18, 2018 |
| California Conference Of Machinists | ** Support | Aug 18, 2018 |
| California Employment Lawyers Association | ** Support | Aug 18, 2018 |
| California Federation of Teachers, AFL-CIO | ** Support | Aug 18, 2018 |
| California Teamsters Public Affairs Council | ** Support | Aug 18, 2018 |
| Disability Rights California | ** Support | Aug 18, 2018 |
| Engineers and Scientists of CA, Local 20 | ** Support | Apr 23, 2018 |
| International Longshore & Warehouse Union | ** Support | Aug 18, 2018 |
| Mental Health America of California | ** Support | Aug 18, 2018 |
| Professional And Technical Engineers, Ifpte Local 21 Afl-Cio | ** Support | Aug 18, 2018 |
| Unite-Here Afl-Cio | ** Support | Aug 18, 2018 |
| Utility Workers of America | ** Support | Aug 18, 2018 |
GOVERNOR'S VETO
GV Bill Id:AB 2317
Author:(Eggman)
As Enrolled Ver:August 30, 2018
2/3 vote
Committee | Votes | Ayes | Noes |
Labor | 7-0 | Thurmond, Flora, Gonzalez Fletcher, Jones-Sawyer, Kalra, McCarty, Melendez | |
Appropriations | 12-0 | Gonzalez Fletcher, Bloom, Bonta, Calderon, Carrillo, Chau, Eggman, Friedman, Eduardo Garcia, Nazarian, Quirk, Reyes |
|
ASSEMBLY: | 77-0 | (May 31, 2018) | SENATE | 39-0 | (August 24, 2018) |
SUMMARY: Extends whistleblower protections afforded to employees to county patients' rights advocates, appointed or under contract, who receive and investigate complaints regarding mental health services.
EXISTING LAW: Prohibits an employer, as defined, or any person acting on behalf of the employer, as defined, from, among other things, preventing an employee from, or retaliating against an employee for, providing information to, or testifying before, any public body conducting an investigation, hearing, or inquiry, if the employee has reasonable cause to believe that the information discloses a violation of a law, regardless of whether disclosing the information is part of the employee's job duties.
FISCAL EFFECT: According to the Assembly Appropriations Committee, minor and absorbable costs.
COMMENTS: According to the author, the intent of the bill is to "protect independent contractors with state and local government from retaliation, in the event that they must disclose that their contracted employer violated a policy. This bill would provide a layer of whistleblower protection not currently seen by employees in contracted positions, by extending to them the invaluable retaliation protection afforded by Labor Code Section 1102.5."
The author states this bill is needed for contracted Patients' Rights Advocates (PRAs) who conduct oversight of county mental health facilities and receive and investigate complaints at those facilities. According to the author, "there have been reports of retaliation against PRAs who were only guilty of conducting the advocacy work for which they were hired. That retaliation could come in the form of a contract not being renewed, and there are no whistleblower protections in place for them."
This measure has no known opposition.
Related Legislation
AB 403 (Melendez) Chapter 2, Statutes of 2018 known as the "Legislative Employee Whistleblower Protection Act," prohibits a Member of the Legislature or legislative employee, from interfering with or retaliating against a legislative employee's exercise of the right to make a protected disclosure.
This bill would extend whistleblower protections afforded to employees to patients' rights advocates regardless of whether they are an employee, an independent contractor, or a business entity.
While I am supportive of the larger policy goal of this bill, to protect the work of patient rights advocates, this is not the appropriate framework. The bill would expand the Labor Commissioner's jurisdiction beyond the typical employer-employee relationship into larger contract disputes between independent contractors and local governments. I do not believe such a broad change in law is warranted when there is limited evidence of a problem.
Analysis Prepared by: Megan Lane / L. & E. / (916) 319-2091 FN: 0005253
Office of Senate Floor Analyses (916) 651-1520 Fax: (916) 327-4478 | AB |
THIRD READING
Bill No: AB 2317
:
SENATE JUDICIARY COMMITTEE: 7-0, 6/19/18
AYES: Jackson, Moorlach, Anderson, Hertzberg, Monning, Stern, Wieckowski
SENATE APPROPRIATIONS COMMITTEE: 7-0, 8/16/18
AYES: Portantino, Bates, Beall, Bradford, Hill, Nielsen, Wiener
ASSEMBLY FLOOR: 77-0, 5/31/18 - See last page for vote
SOURCE: California Association of Mental Health Patients’ Rights Advocates
California Behavioral Health Planning Council
DIGEST: This bill extends whistleblower protections to individuals and entities that have contracts with state or local government to oversee compliance with patients’ rights in county mental health treatment facilities.
ANALYSIS:
Existing law:
- Sets forth, as part of the the Lanterman-Petris-Short Act, a series of rights that mental health patients have when residing in a licensed health or community care facility. (Welf. & Inst. Code Sec. 5000 et seq.)
- Requires local mental health directors to appoint one or more “county patients’ rights advocates” to: receive and investigate complaints of violations of the rights of patients residing in licensed health or community care facilities; to monitor facilities for compliance; to provide training on patients’ rights; and to ensure that patients are notified about their rights. (Welf. & Inst. Code Sec. 5520.)
- Prohibits an employer, as defined, or any person acting on behalf of the employer, as defined, from, among other things, preventing an employee from, or retaliating against an employee for, providing information to, or testifying before, any public body conducting an investigation, hearing, or inquiry, if the employee has reasonable cause to believe that the information discloses a violation of a law, regardless of whether disclosing the information is part of the employee’s job duties. (Lab. Code Sec. 1102.5.)
This bill extends existing legal whistleblower protections for employees to all county patients’ rights advocates, whether appointed or under contract.
The Lanterman-Petris-Short Act sets forth what is, in effect, a bill of rights for mental health patients who reside in licensed facilities. (Welf. & Inst. Code Sec. 5000 et seq.) For example, such patients have the right to challenge involuntary holds; the right to refuse medical treatment or medication except under limited circumstances; the right to social interaction, the right to participate in certain activities, the right to physical exercise and recreational opportunities; and the right to be free from abuse, among other things.
To help ensure enforcement of these rights, each county mental health director is required to have one or more county patients’ rights advocates. (Welf. & Inst. Code Sec. 5520.) The role is something like an ombudsperson for mental health patients. It includes monitoring facilities for compliance, ensuring that patients are aware of their rights, conducting trainings, and investigating complaints of violations. Carrying out these duties properly will naturally produce some tension between the county patients’ rights advocates and the facilities that they are overseeing. Not surprisingly, the author of this bill reports that some patients’ rights advocates receive pushback from those facilities and sometimes from the county itself.
When a county patients’ rights advocate is an employee of the county, the advocate enjoys legal protections through existing laws that shield whistleblowers. Those laws prohibit employers from trying to prevent their employees from “blowing the whistle” on unlawful conduct. Specifically, employers cannot try to stop their employees from providing information to, or testifying before, any public body conducting an investigation, hearing, or inquiry, if the employee has reasonable cause to believe that the information discloses a violation of a law, regardless of whether disclosing the information is part of the employee’s job duties. (Lab. Code Sec. 1102.5(a).) The same laws also prohibit employers from retaliating against employees after those employees have blown the whistle. (Lab. Code Sec. 1102.5(b).)
The problem is that not all county patients’ rights advocates are employees. Many operate as independent contractors or are organizational entities that contract with the local health director to carry out the county patients’ rights advocate role. Either way, because these county patients’ rights advocates are not employees, they do not benefit from the whistleblower protections that employees have.
In order to ensure that county patients’ rights advocates feel free to carry out their duties and to blow the whistle on anything they reasonably believe to be unlawful activity, this bill would extend the existing whistleblower protections for employees to all county patients’ rights advocates, even if they are operating under a contractual arrangement rather than as an employee.
Comments
Practical effect may be to impose “for cause” requirement for non-renewal of contracts. Given the nature of the role, it is likely that Patients’ Rights Advocates will do something during the term of their contract that could qualify for retaliation protections under the whistleblower statutes. As a practical matter, therefore, every time a Patients’ Rights Advocate’s contract is up for renewal, the county will either need to renew the contract or be prepared to document and provide a lawful justification for why it did not. Otherwise, the county will be exposing itself to the possible conclusion – and an associated lawsuit -- that the reason for decision not to renew the current contract is to retaliate for the current contract holder’s efforts to hold county mental health facilities accountable for violations of the rights of their patients.
Protections for a specific role. As introduced, this bill would have provided whistleblower protections to all independent contractors hired by state or local governments and tasked with oversight over, and investigation of, state and local government programs. In its current form, the bill only addresses the specific role of Patients’ Rights Advocates. It is not hard to imagine the same dynamic playing out in other contexts in which oversight of government programs is carried out by independent contractors, however. In the future, the Legislature may want to examine other contexts in which similar whistleblower protections for independent contractors might serve the public policy aim of ensuring witnesses to unlawful activity feel safe reporting what they have observed.
FISCAL EFFECT: Appropriation: Fiscal Com.: Local:
According to the Senate Appropriations Committee, the Department of Industrial Relations indicates that it would incur first-year costs of $647,000, and ongoing costs of $624,000 annually thereafter to implement the provisions of the bill (Labor Enforcement and Compliance Fund).
California Association of Mental Health Patients’ Rights Advocates (co-source)
California Behavioral Health Planning Council (co-source)
American Civil Liberties Union of California
California Conference Board of the Amalgamated Transit Union
California Conference of Machinists
California Employment Lawyers Association
California Federation of Teachers, AFL-CIO
California Teamsters Public Affairs Council
Disability Rights California
Engineers and Scientists of California, IFTPE Local 20, AFL-CIO
International Longshore & Warehouse Union
Mental Health America of California
Professional and Technical Engineers, IFPTE Local 21 AFL-CIO
UNITE-HERE AFL-CIO
Utility Workers of America
OPPOSITION: (Verified 8/17/18)
None received
ARGUMENTS IN SUPPORT: According to the author, “Over the years, there have been reports of retaliation against contracted PRAs who were only guilty of conducting the advocacy work for which they were hired. That retaliation could come in the form of a contract not being renewed, and there are no whistleblower protections in place for them. Since the job of a PRA exists to govern the wellbeing of patients – not the hospitals in which they reside – this bill seeks to protect those individuals and the populations whom they serve.”
In support of the bill, Mental Health America of California writes:
Patients’ Rights Advocates (PRAs) conduct some of the most challenging and vital work in California’s mental health system by protecting the rights of those with mental illness, who are some of our most vulnerable community members. […]
In order to effectively advocate for patients, PRAs must be able to respond to patient complaints of abuse or neglect, and reach out to state regulatory officials, when necessary, to report a violation. Sometimes this means they must file complaints against county facilities, yet they are directly hired by the county. In such cases, while county employees benefit from whistleblower protections under the law, PRAs who are hired as independent contractors are not protection from retaliation from their employer. A recent survey… found that a concerning number of PRAs reported that fear about their employment effects how strongly they advocate against practices and policies they believe violate their clients’ rights. Furthermore, written comments from several PRAs expressed serious concerns about retaliation.
MHAC believes that AB 2317 will support the work of PRAs and ultimately protect the patients for whom they advocate.
ASSEMBLY FLOOR: 77-0, 5/31/18
AYES: Acosta, Aguiar-Curry, Travis Allen, Arambula, Baker, Berman, Bigelow, Bloom, Bonta, Brough, Burke, Caballero, Calderon, Carrillo, Cervantes, Chau, Chávez, Chen, Chiu, Choi, Chu, Cooley, Cooper, Cunningham, Dahle, Daly, Eggman, Flora, Fong, Frazier, Friedman, Gallagher, Cristina Garcia, Eduardo Garcia, Gipson, Gloria, Gonzalez Fletcher, Gray, Grayson, Harper, Holden, Irwin, Jones-Sawyer, Kalra, Kamlager-Dove, Kiley, Lackey, Levine, Limón, Low, Maienschein, Mathis, Mayes, McCarty, Medina, Melendez, Mullin, Muratsuchi, Nazarian, Obernolte, O'Donnell, Patterson, Quirk, Quirk-Silva, Reyes, Rodriguez, Rubio, Salas, Santiago, Steinorth, Mark Stone, Thurmond, Ting, Voepel, Waldron, Weber, Rendon
NO VOTE RECORDED: Wood
8/18/18 16:12:12
**** END ****
SENATE COMMITTEE ON APPROPRIATIONS
Senator Anthony Portantino, Chair
2017 - 2018 Regular Session
AB 2317 (Eggman) - Whistleblower protection: county patients’ rights advocates
Version: May 25, 2018 | Policy Vote: JUD. 7 - 0 |
Urgency: No | Mandate: Yes |
Hearing Date: August 6, 2018 | Consultant: Robert Ingenito |
This bill meets the criteria for referral to the Suspense File.
Bill Summary:
AB 2317 would extend whistleblower protections to individuals and entities that have contracts with state or local government to oversee compliance with patients’ rights in county mental health treatment facilities.
Fiscal Impact:
The Department of Industrial Relations (DIR) indicates that it would incur first-year costs of $647,000, and ongoing costs of $624,000 annually thereafter to implement the provisions of the bill (Labor Enforcement and Compliance Fund).
Background:
The Lanterman-Petris-Short Act sets forth what is, in effect, a bill of rights for mental health patients who reside in licensed facilities. For example, among other things, such patients have the right to (1) challenge involuntary holds, (2) refuse medical treatment or medication except under limited circumstances, (3) have social interaction, (4) participate in certain activities, (5) engage in physical exercise and recreational opportunities, and (6) be free from abuse.
To help ensure enforcement of these rights, each county mental health director is required to have one or more county patients’ rights advocates. The role is akin to being an ombudsperson for mental health patients, and entails monitoring facilities for compliance, ensuring that patients are aware of their rights, conducting trainings, and investigating complaints of violations. Executing these duties will naturally produce some tension between the county patients’ rights advocates and the facilities that they are overseeing. Some patients’ rights advocates reportedly receive pushback from the facilities and sometimes from the county itself.
When a county patients’ rights advocate is an employee of the county, the advocate enjoys legal protections through existing laws that shield whistleblowers. Those laws prohibit employers from trying to prevent their employees from “blowing the whistle” on unlawful conduct. Specifically, employers cannot try to stop their employees from providing information to, or testifying before, any public body conducting an investigation, hearing, or inquiry, if the employee has reasonable cause to believe that the information discloses a violation of a law, regardless of whether disclosing the information is part of the employee’s job duties. The same laws also prohibit employers from retaliating against employees after those employees have blown the whistle.
However, not all county patients’ rights advocates are considered employees. Many operate as independent contractors or are organizational entities that contract with the local health director to carry out the county patients’ rights advocate role. In these cases, because these county patients’ rights advocates are not employees, they do not benefit from the aforementioned whistleblower protections.
Proposed Law:
This bill would extend existing employee legal whistleblower protections to all county patients’ rights advocates, whether appointed or under contract.
Related Legislation:
- AB 2316 (Eggman, 2018) would establish training requirements for Patients’ Rights Advocates to ensure that they are educated on the full spectrum of laws that the job entails. The bill is currently pending on the Senate Floor.
- AB 595 (Bates, Chapter 841, Statutes of 1981) required each county health director to appoint a Patients’ Rights Advocate to oversee compliance and enforcement of patients’ rights in county mental health facilities.
Staff Comments:
In order to ensure that county patients’ rights advocates can carry out their duties and to blow the whistle on anything they reasonably believe to be unlawful activity, this bill would extend the existing whistleblower protections for employees to all county patients’ rights advocates, even if they are operating under a contractual arrangement rather than as an employee.
DIR’s fiscal estimate is based on an assumption that there are approximately 200 Patients’ Rights Advocates in the State that would be covered by the protections of the bill. The number of claims that this bill this could generate is unknown. Additionally, DIR notes that the bill’s proposing to extend retaliation protections to independent contractors and contract entities would raise unique legal concerns, and thus require additional staff resources. Consequently, DIR estimates that the additional staffing cost of implementing the requirements of this bill would be $647,000 in the initial year and $624,000 in subsequent years.
Any local government costs resulting from the mandate in this measure are not state-
reimbursable because the mandate only involves the definition of a crime or the penalty for conviction of a crime.
-- END --
Senator Hannah-Beth Jackson, Chair
2017-2018 Regular Session
Bill No: AB 2317 (Author:Eggman)
Version: May 25, 2018
Hearing Date: June 19, 2018
Fiscal: Yes
Urgency: No
Consultant: TSG
SUBJECT
Whistleblower protection: county patients’ rights advocates
DESCRIPTION
This bill would extend whistleblower protections to individuals and entities that have contracts with state or local government to oversee compliance with patients’ rights in county mental health treatment facilities.
BACKGROUND
The Lanterman-Petris-Short Act sets forth what is, in effect, a bill of rights for mental health patients who reside in licensed facilities. (Welf. & Inst. Code Sec. 5000 et seq.) For example, such patients have the right to challenge involuntary holds; the right to refuse medical treatment or medication except under limited circumstances; the right to social interaction, the right to participate in certain activities, the right to physical exercise and recreational opportunities; and the right to be free from abuse, among other things.
To help ensure enforcement of these rights, each county mental health director is required to have one or more county patients’ rights advocates. (Welf. & Inst. Code Sec. 5520.) The role is something like an ombudsperson for mental health patients. It includes monitoring facilities for compliance, ensuring that patients are aware of their rights, conducting trainings, and investigating complaints of violations. Carrying out these duties properly will naturally produce some tension between the county patients’ rights advocates and the facilities that they are overseeing. Not surprisingly, the author of this bill reports that some patients’ rights advocates receive pushback from those facilities and sometimes from the county itself.
When a county patients’ rights advocate is an employee of the county, the advocate enjoys legal protections through existing laws that shield whistleblowers. Those laws prohibit employers from trying to prevent their employees from “blowing the whistle” on unlawful conduct. Specifically, employers cannot try to stop their employees from providing information to, or testifying before, any public body conducting an investigation, hearing, or inquiry, if the employee has reasonable cause to believe that the information discloses a violation of a law, regardless of whether disclosing the information is part of the employee’s job duties. (Lab. Code Sec. 1102.5(a).) The same laws also prohibit employers from retaliating against employees after those employees have blown the whistle. (Lab. Code Sec. 1102.5(b).)
The problem is that not all county patients’ rights advocates are employees. Many operate as independent contractors or are organizational entities that contract with the local health director to carry out the county patients’ rights advocate role. Either way, because these county patients’ rights advocates are not employees, they do not benefit from the whistleblower protections that employees have.
In order to ensure that county patients’ rights advocates feel free to carry out their duties and to blow the whistle on anything they reasonably believe to be unlawful activity, this bill would extend the existing whistleblower protections for employees to all county patients’ rights advocates, even if they are operating under a contractual arrangement rather than as an employee.
CHANGES TO EXISTING LAW
Existing law, the Lanterman-Petris-Short Act, sets forth a series of rights that mental health patients have when residing in a licensed health or community care facility. (Welf. & Inst. Code Sec. 5000 et seq.)
Existing law requires local mental health directors to appoint one or more “county patients’ rights advocates” to: receive and investigate complaints of violations of the rights of patients residing in licensed health or community care facilities; to monitor facilities for compliance; to provide training on patients’ rights; and to ensure that patients are notified about their rights. (Welf. & Inst. Code Sec. 5520.)
Existing law prohibits an employer, as defined, or any person acting on behalf of the employer, as defined, from, among other things, preventing an employee from, or retaliating against an employee for, providing information to, or testifying before, any public body conducting an investigation, hearing, or inquiry, if the employee has reasonable cause to believe that the information discloses a violation of a law, regardless of whether disclosing the information is part of the employee’s job duties. (Lab. Code Sec. 1102.5.)
This bill would extend existing legal whistleblower protections for employees to all county patients’ rights advocates, whether appointed or under contract.
COMMENT
1. Stated need for the bill
According to the author:
Over the years, there have been reports of retaliation against contracted PRAs who were only guilty of conducting the advocacy work for which they were hired. That retaliation could come in the form of a contract not being renewed, and there are no whistleblower protections in place for them. Since the job of a PRA exists to govern the wellbeing of patients – not the hospitals in which they reside – this bill seeks to protect those individuals and the populations whom they serve.
In support of the bill, Mental Health America of California (MHAC), writes:
Patients’ Rights Advocates (PRAs) conduct some of the most challenging and vital work in California’s mental health system by protecting the rights of those with mental illness, who are some of our most vulnerable community members. […]
In order to effectively advocate for patients, PRAs must be able to respond to patient complaints of abuse or neglect, and reach out to state regulatory officials, when necessary, to report a violation. Sometimes this means they must file complaints against county facilities, yet they are directly hired by the county. In such cases, while county employees benefit from whistleblower protections under the law, PRAs who are hired as independent contractors are not protection from retaliation from their employer. A recent survey… found that a concerning number of PRAs reported that fear about their employment effects how strongly they advocate against practices and policies they believe violate their clients’ rights. Furthermore, written comments from several PRAs expressed serious concerns about retaliation.
MHAC believes that AB 2317 will support the work of PRAs and ultimately protect the patients for whom they advocate.
2. Practical effect may be to impose “for cause” requirement for non-renewal of contracts
Given the nature of the role, it is likely that Patients’ Rights Advocates will do something during the term of their contract that could qualify for retaliation protections under the whistleblower statutes. As a practical matter, therefore, every time a Patients’ Rights Advocate’s contract is up for renewal, the county will either need to renew the contract or be prepared to document and provide a lawful justification for why it did not. Otherwise, the county will be exposing itself to the possible conclusion – and an associated lawsuit -- that the reason for decision not to renew the current contract is to retaliate for the current contract holder’s efforts to hold county mental health facilities accountable for violations of the rights of their patients.
3. Protections for a specific role
As introduced, this bill would have provided whistleblower protections to all independent contractors hired by state or local governments and tasked with oversight over, and investigation of, state and local government programs. In its current form, the bill only addresses the specific role of Patients’ Rights Advocates. It is not hard to imagine the same dynamic playing out in other contexts in which oversight of government programs is carried out by independent contractors, however. In the future, the Legislature may want to examine other contexts in which similar whistleblower protections for independent contractors might serve the public policy aim of ensuring witnesses to unlawful activity feel safe reporting what they have observed.
Support: American Civil Liberties Union of California; California Conference Board of the Amalgamated Transit Union; California Conference of Machinists; California Employment Lawyers Association; California Federation of Teachers, AFL-CIO; California Teamsters Public Affairs Council; Disability Rights California; Engineers and Scientists of California, IFTPE Local 20, AFL-CIO; International Longshore & Warehouse Union; Mental Health America of California; Professional and Technical Engineers, IFPTE Local 21 AFL-CIO; UNITE-HERE AFL-CIO; Utility Workers of America
Opposition: None known
HISTORY
Source: California Association of Mental Health Patients’ Rights Advocates; California Behavioral Health Planning Council
Related Pending Legislation: AB 2316 (Eggman, 2018) would establish training requirements for Patients’ Rights Advocates to ensure that they are educated on the full spectrum of laws that the job entails.
Prior Legislation:
AB 595 (Bates, Ch. 841, Stats. 1981) required each county health director to appoint a Patients’ Rights Advocate to oversee compliance and enforcement of patients’ rights in county mental health facilities.
SB 677 (Short, Ch. 1667, Stats. 1967) established the Lanterman-Petris-Short Act, which sets forth a bill of rights for patients residing in mental health treatment facilities.
Prior Vote:
Assembly Floor (Ayes 77, Noes 0)
Assembly Appropriations Committee (Ayes 12, Noes 0)
Assembly Labor and Employment Committee (Ayes 7, Noes 0)
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ASSEMBLY THIRD READING
ATR Bill Id:AB 2317
Author:(Eggman)
As Amended Ver:May 25, 2018
Majority vote
Committee | Votes | Ayes | Noes |
Labor | 7-0 | Thurmond, Flora, Gonzalez Fletcher, Jones-Sawyer, Kalra, McCarty, Melendez | |
Appropriations | 12-0 | Gonzalez Fletcher, Bloom, Bonta, Calderon, Carrillo, Chau, Eggman, Friedman, Eduardo Garcia, Nazarian, Quirk, Reyes |
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SUMMARY: Extends whistleblower protections afforded to employees to county patients' rights advocates, appointed or under contract, who receive and investigate complaints regarding mental health services.
EXISTING LAW: Prohibits an employer, as defined, or any person acting on behalf of the employer, as defined, from, among other things, preventing an employee from, or retaliating against an employee for, providing information to, or testifying before, any public body conducting an investigation, hearing, or inquiry, if the employee has reasonable cause to believe that the information discloses a violation of a law, regardless of whether disclosing the information is part of the employee's job duties.
FISCAL EFFECT: According to the Assembly Appropriations Committee, minor and absorbable costs.
COMMENTS: According to the author, the intent of the bill is to "protect independent contractors with state and local government from retaliation, in the event that they must disclose that their contracted employer violated a policy. This bill would provide a layer of whistleblower protection not currently seen by employees in contracted positions, by extending to them the invaluable retaliation protection afforded by Labor Code Section 1102.5."
The author states this bill is needed for contracted Patients' Rights Advocates (PRAs) who conduct oversight of county mental health facilities and receive and investigate complaints at those facilities. According to the author, "there have been reports of retaliation against PRAs who were only guilty of conducting the advocacy work for which they were hired. That retaliation could come in the form of a contract not being renewed, and there are no whistleblower protections in place for them."
This measure has no known opposition.
Related Legislation
AB 403 (Melendez) Chapter 2, Statutes of 2018 known as the "Legislative Employee Whistleblower Protection Act," prohibits a Member of the Legislature or legislative employee, from interfering with or retaliating against a legislative employee's exercise of the right to make a protected disclosure.
Analysis Prepared by: Megan Lane / L. & E. / (916) 319-2091 FN: 0003145
Date of Hearing: May 9, 2018
ASSEMBLY COMMITTEE ON APPROPRIATIONS
Lorena Gonzalez Fletcher, Chair
ABPCA Bill Id:AB 2317
Author:(Eggman) – As Amended Ver:April 16, 2018
Policy Committee: | Labor and Employment | Vote: | 7 - 0 |
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Urgency: No State Mandated Local Program: Yes Reimbursable: No
SUMMARY:
This bill extends current-law employment retaliation protections to all state and local independent contractors and contracted entities tasked with receiving and investigating complaints from facilities, services, and programs operated by state and local government.
FISCAL EFFECT:
Ongoing special fund costs of $900,000 to support additional staff resources for the Retaliation Complaint Investigation Unit within the Division of Labor Standards Enforcement (DLSE).
COMMENTS:
- Background and purpose. Existing law prohibits an employer from preventing an employee from, or retaliating against an employee for, providing information to any public body conducting an investigation, hearing, or inquiry, if the employee has reasonable cause to believe that the information discloses a violation of a law. According to the author, AB 2317 will provide certain independent contractors with state and local government these same protections.
- Patients’ Rights Advocates (PRAs). California law requires each county to assign a PRA to represent clients’ rights and interests through direct assistance and training. PRAs, who generally are employed within county mental health systems, do not have whistleblower protections. The author notes these contractors have been retaliated against in certain instances through an employer’s refusal to renew a contract. It is unclear if AB 2317 is intended to apply only to PRAs. If that is the case, the bill’s provisions could be further narrowed, which would significantly reduce costs.
- Recent legislation. AB 1509 (Hernández), Chapter 792, Statutes of 2015, extended current-law employment retaliation protections to an employee who is a family member of a person engaged in the protected conduct.
Analysis Prepared by: Luke Reidenbach / APPR. / (916) 319-2081
Date of Hearing: April 25, 2018
ASSEMBLY COMMITTEE ON LABOR AND EMPLOYMENT
Tony Thurmond, Chair
ABPCA Bill Id:AB 2317 (
Author:Eggman) – As Amended Ver:April 16, 2018
SUBJECT: Whistleblower protection: state and local independent contractors
SUMMARY: Extends whistleblower protections afforded to employees to independent contractors and contracted entities working for state and local government who are tasked with receiving and investigating complaints from, facilities, services, and programs operated by state and local government.
EXISTING LAW: Prohibits an employer, as defined, or any person acting on behalf of the employer, as defined, from, among other things, preventing an employee from, or retaliating against an employee for, providing information to, or testifying before, any public body conducting an investigation, hearing, or inquiry, if the employee has reasonable cause to believe that the information discloses a violation of a law, regardless of whether disclosing the information is part of the employee’s job duties.
FISCAL EFFECT: Unknown
COMMENTS: According to the author, the intent of the bill is to “protect independent contractors with state and local government from retaliation, in the event that they must disclose that their contracted employer violated a policy. This bill would provide a layer of whistleblower protection not currently seen by employees in contracted positions, by extending to them the invaluable retaliation protection afforded by Labor Code Section 1102.5.”
The author states this bill is particularly needed for contracted Patients’ Rights Advocates (PRAs) who conduct oversight of county mental health facilities and receive and investigate complaints at those facilities. According to the author, “there have been reports of retaliation against PRAs who were only guilty of conducting the advocacy work for which they were hired. That retaliation could come in the form of a contract not being renewed, and there are no whistleblower protections in place for them.”
In support of the bill, Mental Health America of California, argues that “this measure will support the work of PRAs and ultimately protect the patients for whom they advocate. While PRAs are one critical example of a position commonly held by independent contractors, this bill will protect others in similar positions as well by extending whistleblower protections to all independent contractors working in watchdog roles with state and local government facilities.”
Related Legislation
AB 403 (Melendez) Chapter 2, Statutes of 2018 known as the “Legislative Employee Whistleblower Protection Act,” prohibits a Member of the Legislature or legislative employee, from interfering with or retaliating against a legislative employee’s exercise of the right to make a protected disclosure.
REGISTERED SUPPORT / OPPOSITION:
Support
ACLU of California
CA Conference Board of the Amalgamated Transit Union
CA Conference of Machinists
California Employment Lawyers Association
California Federation of Teachers
California Teamsters Public Affairs Council
Disability Rights California
Engineers and Scientists of CA, Local 20
International Longshore & Warehouse Union
Mental Health America of California
Professional and Technical Engineers, Local 21
UNITE-HERE
Utility Workers of America
Opposition
None on file.
Analysis Prepared by: Megan Lane / L. & E. /
Discussed in Hearing
Senate Standing Committee on Appropriations
Assembly Floor
Assembly Standing Committee on Labor and Employment
Bill Author
Bill Co-Author(s):