An act
to amend Section 11837 of the Health and Safety Code,
relating to driving under the influence.

The people of the State of California do enact as follows:


SECTION 1.
The Legislature finds and declares the following:
(a) Great strides have been made over the last three decades in raising awareness about the dangers of driving under the influence (DUI). Nationwide educational campaigns, extensive policy and statutory changes, and required participation in DUI education and counseling programs for offenders have substantially reduced the alcohol-related traffic fatality rate. However, the latest California DUI report issued by the Department of Motor Vehicles identifies a troubling trend in that alcohol-involved crash fatalities increased by 1.6 percent in 2011 and 7.3 percent in 2012. More needs to be done to address, in particular, the incidence of repeat DUI violators.
(b) To improve public safety and improve health outcomes, additional screening and assessment of both repeat DUI offenders and first-time offenders with extremely high blood alcohol content is necessary to determine if alcohol dependence issues exist. The use of the American Society for Addiction Medicine (ASAM) criteria, a widely used and nationally recognized set of guidelines to assess, place, and discharge persons with addiction and co-occurring conditions, would expand the use of data and science to address alcohol abuse, promote referrals to medically necessary treatment, when appropriate, and reduce fatalities and serious injuries on public roads.
(c) In 2007, the National Highway Traffic Safety Administration (NHTSA), at the request of the California Office of Traffic Safety, conducted an assessment of the state’s alcohol- and drug-impaired-driving countermeasures program. The NHTSA’s work resulted in identification of key issues of concern around impaired driving and produced dozens of recommendations to improve the state’s DUI countermeasures program. Among the recommendations offered in the 2007 Impaired Driving Technical Assessment of the State of California was a recommendation to enact legislation to require all defendants convicted of driving under the influence or reckless driving with alcohol or drugs be screened to determine if a defendant requires treatment for addiction and chemical dependency.
(d) California and the Centers for Medicare and Medicaid Services already require the use of the ASAM in other treatment settings. Under the federally approved Drug Medi-Cal Organized Delivery System waiver, counties will be required to use the ASAM tool with the Drug Medi-Cal population.
SEC. 2.
Section 11837 of the Health and Safety Code is amended to read:
11837.
(a) Pursuant to the provisions of law relating to suspension of a person’s privilege to operate a motor vehicle upon conviction for driving while under the influence of any alcoholic beverage or drug, or under the combined influence of any alcoholic beverage and any drug, as set forth in paragraph (3) of subdivision (a) of Section 13352 of the Vehicle Code, the Department of Motor Vehicles shall restrict the driving privilege pursuant to Section 13352.5 of the Vehicle Code, if the person convicted of that offense participates for at least 18 months in a driving-under-the-influence program that is licensed pursuant to this chapter.
(b) In determining whether to refer a person, who is ordered to participate in a program pursuant to Section 668 of the Harbors and Navigation Code, in a licensed alcohol and other drug education and counseling services program pursuant to Section 23538 of the Vehicle Code, or, pursuant to Section 23542, 23548, 23552, 23556, 23562, or 23568 of the Vehicle Code, in a licensed 18-month or 30-month program, the court may consider any relevant information about the person made available pursuant to a presentence investigation, that is permitted but not required under Section 23655 of the Vehicle Code, or other screening procedure. That information shall not be furnished, however, by any person who also provides services in a privately operated, licensed program or who has any direct interest in a privately operated, licensed program. In addition, the court shall obtain from the Department of Motor Vehicles a copy of the person’s driving record to determine whether the person is eligible to participate in a licensed 18-month or 30-month program pursuant to this chapter. When preparing a presentence report for the court, the probation department may consider the suitability of placing the defendant in a treatment program that includes the administration of nonscheduled nonaddicting medications to ameliorate an alcohol or controlled substance problem. If the probation department recommends that this type of program is a suitable option for the defendant, the defendant who would like the court to consider this option shall obtain from his or her physician a prescription for the medication, and a finding that the treatment is medically suitable for the defendant, prior to consideration of this alternative by the court.
(c) (1) The court shall, as a condition of probation pursuant to Section 23538 or 23556 of the Vehicle Code, refer a first offender whose concentration of alcohol in his or her blood was less than 0.20 percent, by weight, to participate for at least three months or longer, as ordered by the court, in a licensed program that consists of at least 30 hours of program activities, including those education, group counseling, and individual interview sessions described in this chapter.
(2) Notwithstanding any other
provision of
law, in granting probation to a first offender described in this subdivision whose concentration of alcohol in the person’s blood was 0.20 percent or more, by weight, or the person refused to take a chemical test, the court shall order the person to participate, for at least nine months or longer, as ordered by the court, in a licensed program that consists of at least 60 hours of program activities, including those education, group counseling, and individual interview sessions described in this chapter.
(d) (1) The State Department of Health Care Services may specify in regulations the activities required to be provided in the treatment of participants receiving nine months of licensed program services under Section 23538 or 23556 of the Vehicle Code.
(2) Any program licensed pursuant to this chapter may provide treatment services to participants receiving at least six months of licensed program services under Section 23538 or 23556 of the Vehicle Code.
(e) The court may, subject to Section 11837.2, and as a condition of probation, refer a person to a licensed program, even though the person’s privilege to operate a motor vehicle is restricted, suspended, or revoked. An 18-month program described in Section 23542 or 23562 of the Vehicle Code or a 30-month program described in Section 23548, 23552, or 23568 of the Vehicle Code may include treatment of family members and significant other persons related to the convicted person with the consent of those family members and others as described in this chapter, if there is no increase in the costs of the program to the convicted person.
(f) The clerk of the court shall indicate the duration of the program in which the judge has ordered the person to participate in the abstract of the record of the court that is forwarded to the department.
(g) The court shall order, as a condition of probation for the following persons, the administration of the American Society for Addiction Medicine (ASAM) criteria to assess alcohol dependence and to inform the development of an individual’s comprehensive treatment plan:
(1) A first-time offender whose concentration of alcohol in his or her blood was 0.16 percent or greater.
(2) A person referred to an 18-month program described in Section 23542 or 23562 of the Vehicle Code.
(3) A person referred to a 30-month program described in Section 23548, 23552, or 23568 of the Vehicle Code.
(h) The entity administering the assessment required by subdivision (g) shall advise the person subject to the assessment of all of the following:
(1) That the person should consult with his or her physician to discuss the results of the assessment, including any medically necessary services.
(2) If the person’s physician determines that substance use disorder treatment is medically necessary, that the person should be referred to a licensed residential or certified outpatient treatment program.
(3) That there are medications approved by the Federal Drug Administration that can address alcohol dependence.
(i) The goal of the assessment required by subdivision (g) is to assist persons participating in the program to recognize their chemical dependency and to assist them in their recovery.
SECTION 1.
It is the intent of the Legislature to enact legislation that would require American Society of Addiction Medicine assessments for certain individuals who are repeat offenders of driving under the influence of alcohol or who were driving under the influence with excessive blood alcohol levels to determine if the individual needs treatment and to refer the individual for additional services, as appropriate, including, but not limited to, physician services, counseling, treatment facility services, and medication-assisted treatment for alcohol abuse.

Summary: Existing law makes it an offense to drive a vehicle while under the influence of alcohol.
Existing law requires the court to impose as a condition of probation for a conviction for a first violation of driving under the influence, in a county where the board of supervisors has approved, and the State Department of Health Care Services has licensed, a driving-under-the-influence program, that the driver successfully complete the program in the driver’s county of residence or employment, as designated by the court. Existing law provides that enrollment and participation in, and completion of, an approved program shall be subsequent to the date of the current violation.
This bill would require a court to impose an alcohol dependence assessment, as specified, as a condition of probation for a person in an 18-month or 30-month driving-under-the-influence program, or for a first offender who had a specified blood alcohol level. The bill would require the entity administering the assessment to advise the person, among other things, that there are medications that can address alcohol dependence, and that the person should consult his or her physician regarding the results of the assessment. The bill would state findings and declarations of the Legislature regarding driving under the influence.
This bill would express the intent of the Legislature to enact legislation that would require American Society of Addiction Medicine assessments for certain individuals who are repeat offenders of driving under the influence of alcohol or who were driving under the influence with excessive blood alcohol levels, to determine if the individual needs treatment, and to refer the individual for additional services, as appropriate, including, but not limited to, physician services, counseling, treatment facility services, and medication-assisted treatment for alcohol abuse.