Fail: 6,071,863 / 48.0% Yes votes ...... 6,570,777 / 52.0% No votes

See Also: Index of all Propositions

Summary Prepared by the State Attorney General:

• Changes California Constitution to prohibit abortion for unemancipated minor until 48 hours after physician notifies minor's parent or legal guardian.
• Permits notification to certain adult relatives if doctor reports parent to law enforcement or Child Protective Services.
• Provides notification exceptions for medical emergency or parental waiver.
• Permits courts to waive notice based on clear and convincing evidence of minor's maturity or best interests.
• Mandates reporting requirements, including reports from physicians regarding abortions on minors.
• Authorizes damages against physicians for violation.
• Requires minor's consent to abortion, with exceptions.

Fiscal Impact from the Legislative Analyst:

Potential unknown net state costs of several million dollars annually for health and social services programs, court administration, and state health agency administration combined.

Meaning of Voting Yes/No

A YES vote on this measure means:

The State Constitution would be changed to require that a physician notify, with certain exceptions, a parent or legal guardian of a pregnant minor at least 48 hours before performing an abortion.

A NO vote on this measure means:

Minors would continue to receive abortion services to the same extent as adults. Physicians performing abortions for minors would not be subject to notification requirements.

In 1953, a state law was enacted that allowed minors to receive, without parental consent or notification, the same types of medical care for a pregnancy that are available to an adult. Based on this law and later legal developments related to abortion, minors were able to obtain abortions without parental consent or notification.

In 1987, the Legislature amended this law to require minors to obtain the consent of either a parent or a court before obtaining an abortion. However, due to legal challenges, the law was never implemented, and the California Supreme Court ultimately struck it down in 1997. Consequently, minors in the state currently receive abortion services to the same extent as adults. This includes minors in various state health care programs, such as the Medi-Cal health care program for low-income individuals.

PROPOSAL

Notification Requirements

This measure amends the State Constitution to require, with certain exceptions, a physician (or his or her representative) to notify the parent or legal guardian of a pregnant minor at least 48 hours before performing an abortion involving that minor. (This measure does not require a physician or a minor to obtain the consent of a parent or guardian.) This measure applies only to cases involving an "unemancipated" minor. The measure identifies an unemancipated minor as being a female under the age of 18 who has not entered into a valid marriage, is not on active duty in the armed services of the United States, and has not been declared free from her parents' or guardians' custody and control under state law.

A physician would provide the required notification in either of the following two ways:

Personal Written Notification. Written notice could be provided to the parent or guardian personally--for example, when a parent accompanied the minor to an office examination.

Mail Notification. A parent or guardian could be sent a written notice by certified mail so long as a return receipt was requested by the physician and delivery of the notice was restricted to the parent or guardian who must be notified. An additional copy of the written notice would have to be sent at the same time to the parent or guardian by first-class mail. Under this method, notification would be presumed to have occurred as of noon on the second day after the written notice was postmarked.

Exceptions to Notification Requirements

The measure provides the following exceptions to the parental notification requirements:

Medical Emergencies. The notification requirements would not apply if the physician certifies in the minor's medical record that the abortion is necessary to prevent the mother's death or that a delay would "create serious risk of substantial and irreversible impairment of a major bodily function."

Waivers Approved by Parent or Guardian. A minor's parent or guardian could waive the notification requirements and the waiting period by completing and signing a written waiver form for the physician. The parent or guardian must specify on this form that the waiver would be valid either (1) for 30 days, (2) until a specified date, or (3) until the minor's 18th birthday. The form would need to be notarized unless the parent or guardian delivered it personally to the physician.

Notice to Adult Family Member and Report of Abuse. The physician could notify an adult family member instead of notifying the minor's parent based on the minor's written statement that (1) she fears physical, sexual, or severe emotional abuse from a parent who would otherwise be notified, and (2) that her fear is based on a pattern of such abuse of her by a parent. The measure defines an adult family member as a person at least 21 years of age who is the grandparent, stepparent, foster parent, aunt, uncle, sibling, half-sibling, or first cousin of the minor. The manner of notice to an adult family member must be consistent with that required for parental notice. In addition, the measure requires the physician to make a written report of known or suspected child abuse to the appropriate law enforcement or public child protection agency. The physician would also be required to include with the notice a letter informing the adult family member about the report of abuse.

Waivers Approved by Courts. The pregnant minor could ask a juvenile court to waive the notification requirements. A court could do so if it finds that the minor is sufficiently mature and well-informed to decide whether to have an abortion or that notification would not be in the minor's best interest. If the waiver request is denied, the minor could appeal that decision to an appellate court.

A minor seeking a waiver would not have to pay court fees, would be provided other assistance in the case by the court, and would be entitled to an attorney appointed by the court. The identity of the minor would be kept confidential. The court would generally have to hear and issue a ruling within three business days of receiving the waiver request. The appellate court would generally have to hear and decide any appeal within four business days.

The measure also requires that, in any case in which the court finds evidence of physical, sexual, or emotional abuse, the court must refer the evidence to the appropriate law enforcement or public child protection agency.

State Reporting Requirements

Physicians are required by this measure to file a form reporting certain information to the state Department of Health Services (DHS)¹ within one month after performing an abortion on an unemancipated minor. The reporting form would include the date and facility where the abortion was performed, the minor's month and year of birth, and certain other information about the minor and the circumstances under which the abortion was performed. The forms that physicians would file would not identify the minor or any parent or guardian by name. Based on these forms, the department would compile certain statistical information relating to abortions performed on minors in an annual report that would be available to the public.

The courts are required by the measure to report annually to the state Judicial Council the number of petitions filed and granted or denied. The reports would be publicly available. The measure also requires the Judicial Council to prescribe a manner of reporting that ensures the confidentiality of any minor who files a petition.

Penalties

Any person who performs an abortion on a minor and who fails to comply with the provisions of the measure would be liable for damages in a civil action brought by the minor, her legal representative, or by a parent or guardian wrongfully denied notification. The measure would require such a legal action to commence within four years of the minor's 18th birthday or later, under specified circumstances. Any person, other than the minor or her physician, who knowingly provides false information that notice of an abortion has been provided to a parent or guardian would be guilty of a misdemeanor punishable by a fine.

Relief From Coercion

The measure allows a minor to seek help from the juvenile court if anyone attempts to coerce her to have an abortion. A court would be required to consider such cases quickly and could take whatever action it found necessary to prevent coercion.

¹Effective July 1, 2007, DHS was divided into two departments: the Department of Health Care Services and the Department of Public Health. The measure does not specify which of these departments would perform these activities and incur the related costs.

Fiscal Effects

The fiscal effects of this measure on state government would depend mainly upon how these new requirements affect the behavior of minors regarding abortion and childbearing. Studies of similar laws in other states suggest that the effect of this measure on the birthrate for California minors would be limited, if any. If it were to increase the birthrate for California minors, the net cost to the state would probably not exceed several million dollars annually for health and social services programs, the courts, and state administration combined. We discuss the potential major fiscal effects of the measure below.

Savings and Costs for State Health Care Programs

Studies of other states with laws similar to the one proposed in this measure suggest that it could result in a reduction in the number of abortions obtained by minors within California. This reduction in abortions performed in California might be offset to an unknown extent by an increase in the number of out-of-state abortions obtained by California minors. Some minors might also avoid pregnancy as a result of this measure, further reducing the number of abortions for this group. If, for either reason, this measure reduces the overall number of minors obtaining abortions in California, it is also likely that fewer abortions would be performed under the Medi-Cal Program and other state health care programs that provide medical services for minors. This would result in unknown state savings for these programs.

This measure could also result in some unknown additional costs for state health care programs. If this measure results in a decrease in minors' abortions and an increase in the birthrate of children in low-income families eligible for publicly funded health care, the state would incur additional costs. These could include costs for medical services provided during pregnancy, deliveries, and follow-up care.

The net fiscal effect, if any, of these or other related cost and savings factors would probably not exceed costs of a few million dollars annually to the state. These costs would not be significant compared to total state spending for programs that provide health care services. The Medi-Cal Program alone is estimated to cost the state $14.1 billion in 2007+08.

State Health Agency Administrative Costs

The state would incur first-year costs of up to $350,000 to develop the new forms needed to implement this measure, establish the physician reporting system, and prepare the initial annual report containing statistical information on abortions obtained by minors. The ongoing state costs to implement this measure could be as much as $150,000 annually.

Juvenile and Appellate Court Administrative Costs

The measure would result in increased state costs for the courts, primarily as a result of the provisions allowing minors to request a court waiver of the notification requirements. The magnitude of these costs is unknown, but could reach several million dollars annually, depending primarily on the number of minors that sought waivers. These costs would not be significant compared to total state expenditures for the courts, which are estimated to be $2.2 billion in 2007+08.

Social Services Program Costs

If this measure discourages some minors from obtaining abortions and increases the birthrate among low-income minors, expenditures for cash assistance and services to needy families would increase under the California Work Opportunity and Responsibility to Kids (CalWORKs) program. The magnitude of these costs, if any, would probably not exceed a few million dollars annually. The CalWORKs program is supported with both state and federal funds, but because all CalWORKs federal funds are capped, these additional costs would probably be borne by the state. These costs would not be significant compared to total state spending for CalWORKs, which is estimated to cost about $5.3 billion in state and federal funds in 2007+08. Under these circumstances, there could also be a minor increase in child welfare and foster care costs for the state and counties.

Arguments Submitted to the Secretary of State

Summary of Arguments FOR Proposition 4:

Doctors, nurses, teachers, and LAW ENFORCEMENT endorse Proposition 4--Sarah's Law. Notification laws in thirty other states are reducing teen pregnancy and sexually transmitted diseases and protecting young girls from being victimized by older men. STOP SEXUAL PREDATORS. Join California District Attorneys who say VOTE YES on Prop. 4.

Summary of Arguments AGAINST Proposition 4:

Prop. 4 is dangerous. Mandatory reporting laws can't force scared, pregnant teenagers to talk to parents, but may force them into back alleys, or worse. Prop. 4 won't protect teens from predators. Prop. 4 won't work, fosters more lawsuits, and puts teens at risk. To protect teens, Vote NO. (http://www.NoonProposition4.org)

Contact FOR Proposition 4:

Friends of Sarah
YES on 4 / Child and Teen Safety
and Stop Predator Act: Sarah's Law
1703 India Street
San Diego, CA 92101
(866) 828-8355
info@YESon4.net
http://www.YESon4.net

Contact AGAINST Proposition 4:

Campaign for Teen Safety
555 Capitol Mall, Suite 510
Sacramento, CA 95814
(916) 804-4456
http://www.NoonProposition4.org

League of Women Voters

• Easy Voter Guide on Prop 4 - 16-page guide available in 7 languages from Easyvoter.org
• Pros & Cons of Proposition 4 - available in PDF for printing
• In Depth Analysis of Proposition 4

• Healthvote.org on Prop 4 - includes analysis, money, news, polls, and more
• Ballotpedia on Proposition 4
• Institute of Governmental Studies on Prop 4 - includes summary, background, major contributors, for/against, reports & studies, polls, and more
• List of Supporters and Opponents of all Propositions - from Institute of Government Studies
• Legislative Analysts's Office Analysis

Public Radio Programs

• KPCC/FM Report on Prop 4 - Patricia Nazario, 4 min.
• KQED/FM California Report on Prop 4 - about 8 minutes
• KQED/FM Forum on Proposition 4 - Host Michael Krasny, 30 min. audio

• Voter Minutes - 1 minute videos from the Center for Governmental Studies

• Please check your county's Smart Voter page for meetings held by League organizations discussing the Pros & Cons of all propositions in your community. To find: key in your zip code (without street address) into the ballot lookup.

Secretary of State

• Official Results for Prop 4
• Official Voter Information Guide on Proposition 4

California Voter Foundation

• How to Follow the Money

• Cal-Access - how much money is being raised and spent on Prop 4

• Late Contributions - By date: updated hourly (for all campaigns)

Google News Search

• On Proposition 4

About Ballot Measures from LWVC

• Bond Financing
• How to Evaluate
• Initiative Process

If you use our website for your research, please encourage your readers to go to smartvoter.org!