California Unintentional Injury Prevention Strategic Plan Older Teen Aged Novice Drivers Taking Public Health Approach for GDL in California

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California Unintentional Injury Prevention Strategic Plan Older Teen Aged Novice Drivers Taking Public Health Approach for GDL in California March 27, 2017 By Steve Barrow, Program Director CA Coalition for Children s Safety and Health s AHEAD CA Program & Co-Chair CA Unintentional Injury Prevention Strategic Plan Project scbarrow88@gmail.com 1

Presentation Overview Issue Slide Number Platform for Taking on GDL Age Changes in California 3 Traffic Related Parts of the Project s Top Ten Issues Action Plan 4 AB 63 (Frazier) GDL Age Change Bill 6 How to Win AB 63 7 Messaging Issues 8 Unintentional Injury Platform and Why 9 Building a larger Choir of support 10 AB 63 (Frazier) GDL age change bill choir 13 CA DMV challenges taking GDL to age 21 14 Next Steps 15 Closing remarks 19 2

Platform for Taking on GDL Age Changes in California Part of larger public health unintentional injury prevention statewide project CA Unintentional Injury Prevention Strategic Plan Project Created in 2013 The two leading goals of the project: Save CA Children and Youth lives and protect them from harm End Unintentional Injury s reign as the leading cause of death and hospitalization for CA s children and youth 3

Project s Top Ten Issue Action Plan Include Traffic Related Issues Teen Driver Safety and GDL Age Change Priority It is the Goal of the California Unintentional Injury Prevention Strategic Plan Project Stakeholders to: Have all California novice teen drivers 16 to 21 years required to go through GDL Have all children grow up with an appreciation for and knowledge of safety, including driver safety, so they grow up supportive of GDL as a positive thing in their lives 4

Traffic Related Parts of the Project s Top Ten Issues Action Plan Teen driver safety GDL age range legislation AB 63 Institutionalize funding for front line hands on safety organizations Establish higher standards for driver education schools Bicycle safety Update CA s Bicycle Helmet Safety law Increase access to free or reduced cost helmets Incentives for local law enforcement and schools engaged in bike helmet safety Pedestrian safety Fully addressing Hot Spots -- Increase collaboration, communication and cooperation between traffic safety and road development and maintenance agencies 5

AB 63 (Frazier) GDL Age Change Bill AB 63 moves CA s GDL program s age range from 18 to 21 years old Currently CA s GDL only covers 15 ½, 16 and 17 year old novice drivers CA DMV data show around 35% of CA teens wait until age 18 or older to obtain first drivers license Economic reasons and some to avoid GDL AB 63 also contains funding mechanism to cover DMV implementing costs 6

How to Win AB 63 Need to Go Back to UI Prevention SP Project Creating new collaboration between unintentional injury prevention silos of interest Using a Public Health platform Involving unusual mix of public and private interests Collaboratively agreed on the Top Ten Issue areas to focus on Moving forward on multiple fronts including: legislation, courts, agency level policy initiatives, supporting coalition building at local level 7

Messaging Issues Public Health Issue The numbers In CA 2006-2013 more than 4,000 people were killed in motor vehicle crashes involving drivers ages 15 to 20 The numbers Teen driver involved crash kills more than 400 people a year The public cost -- Hospital and ER costs largely state and taxpayer burden Debunking myth GDL blocks access to driver s license and driving 8 Downward pressure on auto insurance rates Lifesavers 2017 CA Unintentional Inj Prevention Proj's Teen Driver Safety Overview

Bringing New Urgency to Unintentional Injury Prevention Traffic Related and Teen Driver Safety Issues Part of Larger Issues Unintentional injury is the leading cause of death and hospitalization for CA s children and youth Every ten years in CA Unintentional Injury causes the death of nearly 10,000 CA children and youth, hospitalizes 240,000 kids and teens, and sends more than 4 million children to the emergency room The initial hospital costs of unintentional injury in CA if more than $617 million a year and $3.4 billion when you combine medical and wage costs 9

Another Way To Look At Childhood Unintentional Injury in CA Each year in CA unintentional injury: Equivalent to the death of every child in three elementary schools Equivalent to sending every child from 60 elementary schools to the hospital Equivalent to sending every child from 1,000 elementary schools to the ER 10 Lifesavers 2017 CA Unintentional Inj Prevention Proj's Teen Driver Safety Overview

Initial Set of Project Stakeholders Initial set of 70+ stakeholders Example list of those represented: Children s Hospitals: Oakland, L. Packard, Central CA, LA, Shriners Public Health: Health Officers Assoc of CA, County Offices of Health Insurance Company Associations: Assoc CA Life Health Ins Co (ACLHIC), CA Assoc Health Plans State Agencies: Emergency Med Services Authority, CA Department Public Health Safe and Active Communities Federal Agencies: Consumer Product Safety Commission Healthcare: American Academy of Pediatricians CA, Hospitals First Responders: EMSA, Firefighters, Children s Injury Prevention and Health and Safety Groups: Ex: Safe Kids CA, CA Coalition for Children s Safety and Health, Drowning Prevention Foundation, Childrens Safety Network, KidAndCars.org, Impact Teen Drivers 11

Continue Expanding Project s Stakeholder Roster Examples: Property casualty insurance companies First responders Healthcare associations and unions Employers and corporations School superintendents, administrators, boards, teacher and parent/teacher organizations More levels of local law enforcement Sports leagues and organizations 12

Using the Project as a Base AB 63 Will be Backed by Large Choir Partial list of AB 63 support organizations: CA Association Highway Patrolmen Impact Teen Drivers CA Coalition for Children s Safety and Health Assoc CA Life Health Insurance Companies Allstate Insurance Personal Insurance Federation of CA American Academy of Pediatrics of CA CA Professional Firefighters National Safety Council Advocates for Highway and Auto Safety Safe Kids US and CA Chapters Children s Hospital of Philadelphia Health Officers Association of CA CA PTA Children s Hospitals LA, Oakland, Central CA, L. Packard 13 Lifesavers 2017 CA Unintentional Inj Prevention Proj's Teen Driver Safety Overview

CA DMV challenges taking GDL to age 21 DMV implementation work paid for CA DMV has long list of major systems upgrades on its plate: enhanced wireless phone use changes, updating CA DUI program, self driving vehicles, immigrant driver s licenses, etc. CA DMV software based on old Cobalt platform, limiting available staffing CA Governor very strict when it comes to allowing agencies to move forward independently in areas they have expertise in 14

Next Steps for AB 63 GDL Age Change Bill Heard March 20 in Assembly Transportation Committee Five more Committee and Floor votes to pass CA Legislature Most difficult hurdle will be gaining Governor Browns Signature 15

AB 63 GDL Bill Check List of Other Issues Pressure to exempt teens volunteering for military service Addressing emancipated minors and GDL Cost of GDL for low income teens Primary stop for GDL violations unauthorized passengers, hands free cell phone use Use of sticker s signifying vehicle driven by GDL driver Updating work or class schedule related allowed documentation 16

More Complete Overview CA Unintentional Injury Prevention SP Project s home and structure Working Subcommittees organized around eight leading causes of Unintentional Injury Traffic related (vehicle, bicycle, pedestrian) Non-Traffic related (kids left in cars, backovers, frontovers) Burns (home and kitchen fires) Poisoning (primarily misuse of Rx meds) Suffocation (primarily sleep suffocation infants and babies, ingestion small objects) Drowning (residential pools and open bodies of water) Falls (primarily window falls) Sports related (primarily concussion, heat stroke and cardiac arrest) Subcommittee rosters made up of 44 experienced national, state and local safety experts Project housed under 501c3 CA Coalition for Children s Safety and Health (CCCSH) Admin and staffing through CCCSH AHEAD CA, a Program under CCCSH 17

Current Actions and Activities Legislation to put in place updated laws and institutionalize best practices Examples: AB 2007 of 2016 sports concussion AB 63 GDL age change SB 442 Update Pool Safety Act Pending: Bicycle helmet law update Window fall prevention Prescription med poisoning prevention Initiatives Examples Safety Seat Technicians Reinstate safety education in all school districts Reinstate fire district community education and community resource positions Support expansion sleep suffocation prevention local programs 18 Lifesavers 2017 CA Unintentional Inj Prevention Proj's Teen Driver Safety Overview

Closing Remarks Big tent approach Parents, caregivers and schools support is HUGE Local police need CEUs on GDL Get more employers involved especially those who employ drivers Data, Data, Data - Agreeing on the numbers Understanding the media s viewpoint Recruit and maintain policymaker legislative and agency champions Going way upstream Growing children s safety competency 19

Questions 20