3440
. (a) Sterilization for the purpose of birth control,
including, but not limited to, during labor and delivery, of an
individual under the control of the department or a county and
imprisoned in the state prison or a reentry facility, community
correctional facility, county jail, or any other institution in which
an individual is involuntarily confined or detained under a civil or
criminal statute, is prohibited.
(b) Sterilization of an individual under the control of the
department or a county and imprisoned in the state prison or a
reentry facility, community correctional facility, county jail, or
any other institution in which an individual is involuntarily
confined or detained under a civil or criminal statute, through tubal
ligation, hysterectomy, oophorectomy, salpingectomy, or any other
means rendering an individual permanently incapable of reproducing,
is prohibited except in either of the following circumstances:
(1) The procedure is required for the immediate preservation of
the individual's life in an emergency medical situation.
(2) The sterilizing procedure is medically necessary, as
determined by contemporary standards of evidence-based medicine, to
treat a diagnosed condition, and all of the following requirements
are satisfied:
(A) Less invasive measures to address the medical need are
nonexistent, are refused by the individual, or are first attempted
and deemed unsuccessful by the individual, in consultation with his
or her medical provider.
(B) A second physician, independent of, and not employed by, but
authorized to provide services to individuals in the custody of, and
to receive payment for those services from, the department or county
department overseeing the confinement of the individual, conducts an
in-person consultation with the individual and confirms the need for
a medical intervention resulting in sterilization to address the
medical need.
(C) Patient consent is obtained after the individual is made aware
of the full and permanent impact the procedure will have on his or
her reproductive capacity, that future medical treatment while under
the control of the department or county will not be withheld should
the individual refuse consent to the procedure, and the side effects
of the procedure.
(c) If a sterilization procedure is performed pursuant to
paragraph (1) or (2) of subdivision (b), presterilization and
poststerilization psychological consultation and medical followup,
including providing relevant hormone therapy to address surgical
menopause, shall be made available to the individual sterilized while
under the control of the department or the county.
(d) (1) The department shall, if a sterilization procedure is
performed on one or more individuals under its control, annually
publish on its Internet Web site data related to the number of
sterilizations performed, disaggregated by race, age, medical
justification, and method of sterilization.
(2) (A) Each county jail or other institution of confinement
shall, if a sterilization procedure is performed on one or more
individuals under its control, annually submit to the Board of State
and Community Corrections data related to the number of
sterilizations performed, disaggregated by race, age, medical
justification, and method of sterilization.
(B) The Board of State and Community Corrections shall annually
publish the data received pursuant to subparagraph (A) on its
Internet Web site.
(e) The department and all county jails or other institutions of
confinement shall provide notification to all individuals under their
custody and to all employees who are involved in providing health
care services of their rights and responsibilities under this
section.
(f) An employee of the department or of a county jail or other
institution of confinement who reports the sterilization of an
individual performed in violation of this section is entitled to the
protection available under subparagraphs (A) and (B) of paragraph (2)
of subdivision (a) of Section 6129, or under the California
Whistleblower Protection Act (Article 3 (commencing with Section
8547) of Chapter 6.5 of Division 1 of Title 2 of the Government Code)
or the Whistleblower Protection Act (Article 10 (commencing with
Section 9149.20) of Chapter 1.5 of Part 1 of Division 2 of Title 2 of
the Government Code).