BILL ANALYSIS                                                                                                                                                                                                    






           SENATE TRANSPORTATION COMMITTEE       BILL NO: SB 685
          SENATOR KEVIN MURRAY, CHAIRMAN         AUTHOR:  
          HOLLINGSWORTH
                                                                       
                                     VERSION: 2/21/03
          Analysis by: Randall Henry                                   
                FISCAL:  yes




          SUBJECT:

          Motorcycle helmets.

          DESCRIPTION:

          This bill would exempt persons that have a disability that  
          renders the person unable to wear a safety helmet from the  
          requirements of the mandatory motorcycle helmet law.

          ANALYSIS:

          Existing law makes it unlawful to operate, or to be a  
          passenger on a motorcycle, motor-driven cycle, or motorized  
          bicycle if the driver or any passenger is not wearing a  
          safety helmet that meets certain requirements.

           This   bill   would  :

           Exempt from the safety helmet requirement a person who  
            has on file with the Department of Motor Vehicles a  
            certificate signed by a physician and surgeon or a  
            licensed chiropractor substantiating a disability that  
            renders the person unable to wear a safety helmet as  
            required under existing law.
           Require the certificate to include a description of the  
            nature of the disability, a statement of the reason why  
            the wearing of a safety helmet is inappropriate for the  
            person, and the date, if any, that the disability is  
            expected to terminate.
           Require the physician and surgeon or chiropractor who  
            signs the specified certificate to maintain information  
            sufficient to substantiate the certificate and, upon  
            request of the department, to make the information  
            available for inspection by the Medical Board of  




          SB 685 (HOLLINGSWORTH)                                      
          Page 2

                                                                       
           
            California.


          BACKGROUND:

          Existing law prescribes various requirements that must be  
          met in order to operate a motorcycle, including special  
          licensing and testing provisions for operators as well as  
          specified equipment provisions for the vehicle.  Since  
          1984, the Legislature has enacted several  
          motorcycle-related statutes that have been designed to  
          promote the safer operation of these vehicles, including:

            Mandatory helmet requirement  (AB 2497, 1984)-Required any  
            motorcycle passenger or operator under 15 years of age  
            to wear a safety helmet.  This requirement effectively  
            only applied to motorcycle passengers because it is not  
            legal to operate a motorcycle under 15 years of age.

            Motorcyclist safety program  (AB 412, 1985)-Provides  
            support for motorcycle training projects, classes,  
            activities, and promotional efforts designed to promote  
            operator safety, encourage public awareness of  
            motorcyclists, and support motorcycle safety research.   
            This program, the California Motorcyclist Safety Program  
            (CMSP), which is privately conducted under the auspices  
            of the California Highway Patrol, is funded by the  
            imposition of a $2 annual motorcycle registration fee and  
            any interest income accrued from the fund balance.  In  
            1999, the Legislature approved legislation (AB 975) which  
            required the annual transfer of $250,000 to the safety  
            program from the State Penalty Fund, a fund repository  
            for penalty assessments levied on motor vehicle traffic  
            citations.  Since its inception, the program has trained  
            nearly 250,000 motorcyclists, and training is currently  
            available at nearly 68 sites located throughout the  
            state.  
           
            Mandatory rider training requirement  (AB 3255,  
            1986)-Requires any person under 18 years of age to  
            complete the motorcyclist rider training program before  
            being issued a driver's license to operate a two-wheeled  
            motorcycle.  This requirement became effective January 1,  
            1988, and the requirement was extended to operators under  
            20 years of age in 1991.  
           




          SB 685 (HOLLINGSWORTH)                                      
          Page 3

                                                                       
           
            Mandatory helmet requirement  (AB 7, 1991)-Requires all  
            persons riding on a motorcycle, motor-driven cycle, or  
            motorized bicycle on a street or highway to wear a safety  
            helmet meeting prescribed standards.  
           
          Since 1986, California has annually recorded the following  
          number of motorcycle fatalities, injuries, and  
          registrations:
          
                             Motorcycle                                
          Motorcycle                                      Motorcycle   
                                  
           Year               Fatalities                                   
              Injuries                                         
           Registrations  
          1986               859                                       
                28,997                                            
          699,239
          1987               744                                       
                25,401                                            
          674,742
          1988               603                                       
                21,556                                            
          654,365
          1989               620                                       
                19,527                                            
          631,586
          1990               569                                       
                18,578                                            
          628,860
          1991               512                                       
                16,910                                            
          639,388
          1992               327 (helmet law in effect)        12,234  
                                                    583,222
          1993               303                                       
                11,043                                            
          557,986
          1994               291                                       
                10,238                                            
          527,686
          1995               261                                       
                  8,690                                            
          518,120
          1996               232                                       
                  7,861                                            




          SB 685 (HOLLINGSWORTH)                                      
          Page 4

                                                                       
           
          511,637
          1997               235                                       
                  7,416                                            
          391,080
          1998               200                                       
                  6,330                                            
          397,032
          1999               230                                       
                  6,933                                            
          413,676
          2000               275                                       
                  7,663                                            
          450,303
          2001               295                                       
                  8,357                                            
          495,271

          (Source: California Highway Patrol)

          Travel by a motorcycle is considerably more dangerous than  
          travel by automobile, and motorcycle safety remains a  
          significant concern for traffic safety authorities and law  
          enforcement agencies throughout the nation.  According to  
          the National Highway Traffic Safety Administration (NHTSA),  
          for example, a motorcyclist is approximately 15 times more  
          likely to be killed in a fatal collision than someone  
          traveling in an automobile (based on a per-mile basis).   
          The NHTSA estimates, however, that being equipped with a   
          motorcycle helmet reduces the risk of death in a collision  
          by nearly 30 percent and suffering a fatal head injury by  
          40 percent.

          Despite the documented benefits of motorcycle helmets, the  
          requirement that all motorcycle drivers and passengers in  
          California be equipped with a prescribed safety helmet  
          while operating the vehicle has been a very contentious and  
          controversial issue that has confronted the Legislature a  
          number of times over the past thirty years.  The issue  
          initially dates back to the enactment of the federal  
          Highway Safety Act of 1966 which authorized the federal  
          Department of Transportation to withhold the highway funds  
          of any state that failed to enact a mandatory safety helmet  
          requirement.  The vast majority of the state (47) complied  
          with the federal requirement in a fairly short time frame,  
          but California, Illinois, and Utah balked at imposing such  
          a requirement.  The State of California, however,  




          SB 685 (HOLLINGSWORTH)                                      
          Page 5

                                                                       
           
          eventually came into compliance with the passage of  
          Assembly Bill 7 in 1991.  

          Concerning the effect of these laws, the federal General  
          Accounting Office in 1991 conducted a wide-ranging  
          literature review of studies related to motorcycle helmet  
          laws in the various states and it concluded that the  
          studies "consistently showed that fatality rates were  
          (20-40 percent) lower when (mandatory) helmet laws were in  
          effect."  

          The federal government, however, repealed the penalty  
          sanctions for states without helmet safety laws in 1995,  
          and presently it is the prerogative of the individual  
          states whether to require the mandatory use of motorcycle  
          helmets.  Currently, 20 states and the District of Columbia  
          have laws that require safety helmets for all motorcycle  
          riders, and 27 states have laws covering some riders,  
          generally riders younger than 18 years of age.  In  
          addition, three states, Colorado, Illinois, and Iowa, have  
          no laws whatsoever regarding the mandatory use of  
          motorcycle helmets.

          Commenting on the impact of eliminating or reducing  
          mandatory helmet laws, Joseph M. Cindrich, Regional  
          Administrator for NHSTA, noted that "in states where helmet  
          laws were repealed or limited to under 21 or 18 years,  
          significant increases in fatalities resulted."   
          Specifically, four of the five states that have repealed or  
          softened their helmet laws since 1997 have reported  
          noticeable increases in motorcyclist fatalities.  

          Regarding California's helmet law, the California Highway  
          Patrol notes that the level of compliance has been  
          virtually universal, and in a recently released report on  
          the effectiveness of the law, the California Research  
          Bureau concluded that the mandatory helmet requirement has  
          resulted in "decreased fatalities, decreased severe  
          injuries, decreased hospital stays, and decreased costs  
          associated with those injuries."

          In conclusion, both the proponents and opponents of  
          mandatory safety helmets cite various studies, reports, and  
          analyses in support of their respective positions.  In some  
          instances, the authoritatively documented evidence cited by  
          one side may appear to be in direct conflict with the  




          SB 685 (HOLLINGSWORTH)                                      
          Page 6

                                                                       
           
          contentions of those on the other side of the issue.   
          Nevertheless, a thorough review of the safety, scientific,  
          and medical literature on helmet use and performance  
          reveals that these academic and scholarly communities and  
          sources overwhelmingly conclude that safety helmets are  
          effective in reducing motorcycle rider head injuries and  
          fatalities and the associated medical and societal costs.
           
            
          COMMENTS:

          1.The author points out that a "medical exemption for  
            wearing a seat belt is provided for persons that have  
            undergone surgery or have any other condition where the  
            seatbelt may create discomfort or be harmful to the  
            wearer.  Some motorcyclists have head or neck injuries  
            that make the use of a helmet painful or dangerous.  This  
            measure simply extends the same medical exemption to  
            helmets that is currently provided for motorists."  

            (Vehicle Code Sec. 27315 (g) provides that the mandatory  
            seat belt law does not apply to a "passenger or operator  
            with a physically disabling condition or medical  
            condition which would prevent appropriate restraint in a  
            safety belt, if the condition is duly certified by a  
            licensed physician and surgeon or by a licensed  
            chiropractor who shall state the nature of the condition,  
            as well as the reason the restraint is inappropriate.") 
          
           2.This bill would exempt certain specified motorcycle  
            operators from the requirements of the state's mandatory  
            motorcycle helmet law.  These operators would include  :

                  Persons that have on file with the Department of  
               Motor Vehicles a certificate signed by a physician or  
               chiropractor "substantiating a disability that renders  
               the person unable to wear a safety helmet as required  
               (under existing law)  ."

                     The certificate would be required to include:  
                 (1) a description of the 
                        nature of the disability; (2) a statement  
            explaining the reason that a 
                        safety helmet is inappropriate for the  
            person; and (3) the date, if any, 
                        when the disability is expected to terminate.




          SB 685 (HOLLINGSWORTH)                                      
          Page 7

                                                                       
           

                     The physician or chiropractor that signs the  
                 certificate would be 
                        required "to maintain information sufficient  
            to substantiate the 
                        certificate and, upon request of the  
            department, to make that 
                        information available for inspection by the  
            Medical Board of 
                        California."

          1.In light of this exemption to the mandatory safety helmet  
            law, the Committee may wish to consider the following  
            policy questions:

                 Is this bill necessary?  Are there that many  
               potential motorcyclists with a "safety helmet  
               disability"?  What specific physical disabilities  
               would preclude a person from wearing a safety helmet?   
               If a person is afflicted with such a disability,  
               should that person be operating a motorcycle?  Could  
               that operator in any way be a danger to himself or  
               herself and the motoring public?

                 Will this bill create a compliance problem?  How  
               will law enforcement officers know that a motorcyclist  
               operating without a helmet has submitted a signed  
               certificate to the Department of Motor Vehicles?  Will  
               law enforcement be able to verify that an operator has  
               been exempted from the helmet law even after a traffic  
               stop investigation has been initiated?  Will this  
               exemption cause increased workload for the California  
               Highway Patrol and the other law enforcement agencies?  
                Should exempted motorcyclists be clearly identified  
               in some fashion?

                 Could this exemption lead to a serious erosion in  
               the effectiveness of the mandatory helmet law?  In  
               light of the universal compliance level, should the  
               Legislature refrain from considering any exemption to  
               the law?

                 Will this bill possibly encourage sympathetic  
               physicians and chiropractors to unduly provide  
               certificates to motorcyclists seeking to evade the  
               mandatory helmet law, and in turn potentially enjoy  




          SB 685 (HOLLINGSWORTH)                                      
          Page 8

                                                                       
           
               lucrative fees?  Could a physician or chiropractor be  
               the subject of a malpractice lawsuit from a  
               motorcyclist that has been granted a disability  
               certificate and later suffers a head injury in a  
               traffic accident?   

                 Will this bill result in increased costs to the  
               State of California for the treatment of brain and  
               neck-injured motorcyclists?  (Between 1991-2000, the  
               California Department of Health Services reported that  
               $523,041,183 in public funds were expended for the  
               payment of medical expenses related to motorcycle  
               crash injuries.)

                 Because there is a medical disability exemption as  
               part of the mandatory seat belt law, does that  
               necessarily mean a similar exemption is appropriate  
               and needed in the mandatory motorcycle helmet law? 

          1.Writing in opposition to this measure, the California  
            Medical Association noted that "(p)hysicians have seen  
            the devastation to the victims and their families when  
            motorcycle riders do not wear helmets.  SB 685 is just  
            one more attempt to try and circumvent the historic and  
            lifesaving helmet law."

           2.Technical amendment   

            The bill provides that the Department of Motor Vehicles  
            may request the information from a physician or  
            chiropractor substantiating the helmet disability and  
            make it "available for inspection by the Medical Board of  
            California."  Chiropractors have an equivalent licensing  
            board, the Board of Chiropractic Examiners, and the bill  
            should reflect this entity in reference to any inspection  
            of examination records compiled by a chiropractor.
          
          3.This measure was considered by the Committee on April 29,  
            2003, and it was defeated, 6-7.  The Committee granted  
            reconsideration to the bill.   
          
          POSITIONS:  (Communicated to the Committee before noon on  
          Wednesday,
                     December 17, 2003)






          SB 685 (HOLLINGSWORTH)                                      
          Page 9

                                                                       
           
               SUPPORT:  None received.
               
               OPPOSED:  California Highway Patrol
                         California Medical Association
                                              California State  
          Automobile Association
                                              Automobile Club of  
          Southern California
                         Association of California Insurance  
          Companies
                                              County Health  
          Executives Association of California
                                              Advocates for Highway  
          and Auto Safety