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SECTION 1. This act shall be known and may be cited as the "California State Prohibition of Female Genital Mutilation Act."

SEC. 2. The Legislature hereby finds and declares all of the following:

(a) Female genital mutilation is an extreme form of child abuse and a violation of women's basic human rights. Female genital mutilation is a medically unnecessary modification of the female genitalia which typically occurs at about seven years of age, but is known to be practiced on girls any time between infancy and puberty. Female genital mutilation involves the excision of a young girl's clitoris and other parts of the external genitalia. The most extreme form of this mutilation, known as i nfibulation, also involves the sewing together of the two sides of the vulva, leaving only a small opening for the passage of menstrual blood and urine.

(b) Female genital mutilation is known to be practiced in 28 nations in the African continent, in a few countries in the Arab Peninsula, among some minority communities in Asia, and among migrants from these areas who have settled in Europe, Aus tralia, and North America. This practice has come to California with the influx of recent immigrant groups from countries that practice female genital mutilation.

(c) Preliminary research suggests that female genital mutilation is occurring in California and that young girls in some new immigrant populations are at high risk of the practice. Researchers have identified young girls at risk of female genit al mutilation in several immigrant populations in California, along with clear evidence among recently immigrated parents residing in San Diego that they intend to mutilate their daughters who have not yet had the procedure. These parents stated that they will find a local provider or send their daughters back to visit the country of origin for this purpose. Further, a few individuals have acknowledged performing the practice in California. Clusters of immigrants from nations where the practice of female genital mutilation is common have been identified in the San Francisco Bay area, in San Diego, and in Los Angeles.

(d) Female genital mutilation constitutes a major health risk to women, with lifelong physical, psychological, and human rights consequences. Complications due to female genital mutilation include, shock, hemorrhage, infection, tetanus and sept icemia from unsterilized instruments, bladder infection, and even death. Long-term complications include chronic vaginal and uterine infections, severe pain during urination, menstruation, and sexual intercourse, and obstetric complications due to obstruc tion of the birth canal by scar tissue. For the obstructed infant, labor can lead to brain damage or death.

(e) This 4,000-year-old cultural practice is not a requirement of any major religion. According to the World Health Organization, most families allow their daughters to undergo female genital mutilation out of fear that no man will want to marr y an "uncircumcised" woman and that she will be ostracized from the community. Further, some women believe that clitoridectomy or infibulation are not only more hygienic, but will also increase a woman's fertility. In some tribes, infibulation is perfor med to protect family lineage through ensuring that wives are virgins at marriage and that the children are verifiably the men's descendants.

(f) The World Health Organization, which urges the elimination of the practice, estimates that 2,000,000 girls undergo female genital mutilation each year. Worldwide, approximately 128,000,000 girls and women, now living, have been subject to t he procedure.

(g) It is time for this state to join with other states, nations, and major health care and human rights organizations to condemn this harmful and outdated procedure. The state must take a proactive role to prevent these mutilations through edu cation and outreach activities to make recent immigrants aware of California laws, standards, and expectations for child protection. Heightened awareness among child protective services workers, health care providers, educators, and law enforcement perso nnel will also aid in achieving this end. Finally, criminal investigations and prosecutions should be carried out, when necessary, to send a strong message that California abhors this practice and views its abolition as paramount to the health and welfare of these young girls.

SEC. 3. Article 8 (commencing with Section 124170) is added to Chapter 3 of Part 2 of Division 106 of the Health and Safety Code, to read: Article 8. Female Genital Mutilation Prevention

124170. The State Department of Health Services, in consultation with the State Department of Social Services and the appropriate federal agency or department, shall establish and implement appropriate education, preventative, and outreach acti vities, focusing on the new immigrant populations that traditionally practice female genital mutilation, for the purpose of informing members of those communities of the health risks and emotional trauma inflicted by this practice and informing those comm unities and the medical community of the prohibition and ramifications of Section 273.4 of the Penal Code. SEC. 4. Section 273.4 is added to the Penal Code, to read:

273.4. (a) If the act constituting a felony violation of subdivision (a) of Section 273a was female genital mutilation, as defined in subdivision (b), the defendant shall be punished by an additional term of imprisonment in the state prison for one year, in addition and consecutive to the punishment prescribed by Section 273a.

(b) "Female genital mutilation" means the excision or infibulation of the labia majora, labia minora, clitoris, or vulva, performed for nonmedical purposes.

(c) Nothing in this section shall preclude prosecution under Section 203, 205, or 206 or any other provision of law.

Approved , 1995