Lead Opinion
Opinion
We consider in this case whether a prosecution for involuntary manslaughter (Pen. Code, § 192, subd. (b)) and felony child endangerment (id., § 273a, subd. (1)) can be maintained against the mother of a child who died of meningitis after receiving treatment by prayer in lieu of medical attention. We conclude that the prosecution is permitted by statute as well as the free exercise and due process clauses of the state and federal Constitutions.
Defendant Laurie Grouard Walker is a member of the Church of Christ, Scientist (hereafter the Church). Her four-year-old daughter, Shauntay, fell
The People charged defendant with involuntary manslaughter and felony child endangerment based on allegations that her criminal negligence proximately caused Shauntay’s death. Defendant moved to dismiss the prosecution (Pen. Code, § 995) on the grounds that (1) her conduct was specifically protected by law, and (2) the statutes under which she had been charged failed to provide fair notice that her conduct was criminal. The court denied her motion.
Defendant petitioned the Court of Appeal for a writ of prohibition and a stay. (Pen. Code, § 999a.) The petition and stay request were summarily denied, and defendant petitioned for review in this court. We granted the petition and transferred the matter to the Court of Appeal with directions to issue an alternative writ of prohibition. After further briefing and oral argument, the Court of Appeal again denied defendant’s petition. She thereafter filed a second petition for review in this court, which we also granted.
I. Statutory Contentions
A. Section 270 as a complete defense to prosecution
Defendant first contends that the provisions of Penal Code section 270 (hereafter section 270) provide a complete defense to any prosecution based on her treatment of Shauntay’s illness with prayer rather than medical care. Section 270 enumerates certain necessities that parents must furnish their children and imposes misdemeanor liability for the failure to do so. As enacted in 1872, the statute provided that “Every parent of any child who willfully omits, without lawful excuse, to perform any duty imposed upon him by law, to furnish necessary food, clothing, shelter, or medical attendance for such child, is guilty of a misdemeanor.” (Pen. Code (1st ed. 1872) § 270.) The Legislature amended the provision in 1925 by inserting the phrase “or other remedial care” after “medical attendance.” (Stats. 1925, ch. 325, § 1, p. 544.) The statute was again amended in 1976 to specify that “treatment by spiritual means through prayer alone” constitutes “other remedial care.” (Stats. 1976, ch. 673, § 1, p. 1661.)
1.
As a threshold consideration we must ascertain whether prayer treatment constitutes an acceptable substitute for medical care under the terms of section 270, as defendant contends. If it does not, then a fortiori the statute provides no defense to prosecutions under separate manslaughter and child endangerment provisions for the use of prayer in lieu of medicine. This determination hinges on whether “other remedial care,” defined in section 270 to include prayer, represents an alternative to “medical attendance” or rather identifies a distinct and additional necessity that parents must provide their children.
While the Arnold decision predates the 1976 amendment specifying that “other remedial care” includes prayer, the court’s reasoning remains fatal to a defense based on treatment by spiritual means: regardless of its content, “other remedial care” constitutes “one of the multiple necessities” under Arnold, thus operating in addition to rather than in lieu of the responsibility to furnish medical attendance. Because the 1976 amendment “did not address the contention [in Arnold] that other remedial care could not act as a substitute to standard medical treatment,” the Court of Appeal in the case at bar concluded that defendant’s provision of prayer did not supplant her separate responsibility to furnish medical care under section 270.
Well-settled principles guide our review of the statutory analysis set forth in Arnold and embraced by the decision below. “ ‘ “The fundamental rule of statutory construction is that the court should ascertain the intent of the Legislature so as to effectuate the purpose of the law. [Citations.]” ’ In determining such intent, the court turns first to the words of the statute. ‘[W]here . . . the language is clear, there can be no room for interpretation.’ ” (Regents of University of California v. Public Employment Relations Bd. (1986)
Section 270 requires that parents “furnish necessary clothing, food, shelter or medical attendance, or other remedial care . . . .” In our view, this language is sufficiently clear to reject the dictum in Arnold and conclude that the Legislature intended “other remedial care” to constitute a substitute for “medical attendance.” We begin by noting the repetition of “or” to introduce both “medical attendance” and “other remedial care.” The first use of the word, preceding “medical attendance,” denotes that clothing, food, shelter, and medical attendance represent distinct necessities each of which must be provided a child; it would be superfluous if the succeeding phrase, “or other remedial care,” introduced yet another necessity into the statutory scheme. We have often observed that courts
The definition of certain pivotal words in the statute bolsters this interpretation. “Remedial” is defined as “affording a remedy: intended for a remedy or for the removal or abatement of a disease or of an evil.” (Webster’s New Internat. Diet. (3d ed. 1961) p. 1920.) “Remedy,” in turn, is defined as “something that relieves or cures a disease: a medicine or application that serves or helps to terminate disease and restore health.” {Ibid.) Finally, “other” is defined as “not the same: different.” {Id. at p. 1598.) When these definitions are substituted for the words of the statute, the provision penalizes parents who fail to provide “clothing, food, shelter or medical attendance, or [different] care [intended to relieve or cure a disease].” It thus is apparent that the Legislature intended “other remedial care” to represent an alternative to medical attendance under the terms of section 270.
Any doubt regarding this interpretation cannot survive examination of the legislative history of the 1976 amendment defining “other remedial care” to include prayer. When the members of the Assembly considered the amendment, contained in Assembly Bill No. 3843, 1975-1976 Regular Session, they had before them the third reading analysis of the legislation prepared by the Assembly Office of Research. The analysis stated: “Under this bill, the parents may not be liable for failing to provide for the health of the child because they choose treatment by prayer rather than common medical treatment . . . .” (Assem. Office of Research, 3d reading analysis of Assem. Bill No. 3843 (1975-1976 Reg. Sess.).) Similarly, the members of the Senate received an analysis of the legislation prepared by either the Republican or Democratic Caucus. Both caucus analyses stated that the amendment would shield from liability those parents who provide prayer in lieu of medical care for their children. (Sen. Democratic Caucus, 3d reading analysis of Assem. Bill No. 3843 (1975-1976 Reg. Sess.); Sen. Republican Caucus, 3d reading analysis of Assem. Bill No. 3843 (1975-1976 Reg. Sess.).) While these materials are not dispositive evidence of legislative intent (Shippen v. Department of Motor Vehicles (1984)
2.
We next consider whether section 270 bars the prosecution of defendant under the manslaughter and child endangerment statutes. (§§ 192(b), 273a(l).) Again we turn to its plain language for initial guidance. Citing the statutory provision that “treatment by spiritual means through prayer alone . . . shall constitute ‘other remedial care’, as used in this section ” (italics added), the Court of Appeal concluded that section 270 expressly precludes any extension of its religious exemption to other statutes. This analysis confuses the statutory limitation on the definition of “other remedial care” with a limitation on possible defenses implied by that definition.
Following the rule of the last antecedent, the phrase “as used in this section” must modify “other remedial care.” (See People v. Baker (1968)
Defendant conversely asserts that the plain language of section 270 requires the extension of its religious exemption to her prosecution. She focuses on the reference in the statute to the provision of “necessary clothing, food, shelter or medical attendance, or other remedial care . . . .” (Italics added.) Observing that “necessary” is defined, inter alia, as “absolutely required: essential, indispensable” (Webster’s New Internat. Diet. (3d ed. 1961) p. 1511), she contends that there can be no circumstance involving the illness of a child in which the use of prayer in lieu of medicine is unlawful.
It is true that the statute recognizes “other remedial care” as an acceptable substitute for “medical attendance” when care is “necessary”;
“Rather than punishment of the neglectful parents, the principal statutory objectives [of section 270] are to secure support of the child and to protect the public from the burden of supporting a child who has a parent able to support him.” (People v. Sorensen (1968)
Disputing this settled understanding of section 270 as a fiscal support provision, defendant asserts that the objective of the statute is to protect children from serious injury rather than to secure certain routine necessities at parental expense.
Yet even if we were to so assume, the cases fail to substantiate defendant’s interpretation. She emphasizes that each involved allegations of a child suffering physical injury as a result of a parent’s failure to provide basic necessities, and asserts that child endangerment was thus the harm to be
We thus reaffirm our determination in Sorensen, supra,
In the absence of support from the plain language and purpose of section 270, defendant points to the legislative history of certain amendments to the
Defendant next contends that the 1976 amendment identifying prayer treatment as a form of “other remedial care” was similarly intended to shield Christian Scientists from manslaughter prosecutions. She observes that the amendment was sponsored by the Church in response to our dictum in Arnold, a case involving a misdemeanor-manslaughter prosecution. While legislative materials demonstrate that the amendment was indeed sponsored by the Church in response to Arnold, there is no evidence that the Legislature intended the modification to affect manslaughter, as opposed to misdemeanor, liability. (See Sen. Com. on Judiciary, Analysis of Assem. Bill No. 3843 (1975-1976 Reg. Sess.); Sen. Republican Caucus, 3d reading analysis of Assem. Bill No. 3843, supra.) The portion of the Arnold opinion cited in the legislative materials as inspiring the amendment focused exclusively on the underlying misdemeanor liability of the parent; none of the documents mentions the relationship between the discussion of section 270 in Arnold and the manslaughter charge elsewhere involved in the case. (Ibid.) While the ensuing amendment necessarily precluded
The historical materials documenting the enactment of Assembly Bill No. 3843 demonstrate that the members of the Legislature were well aware the legislation left open the possibility of manslaughter and child endangerment prosecutions, but simply declined to extend their amendatory efforts beyond section 270. A staff analysis prepared for the Assembly Committee on Criminal Justice observed that “The bill appears unclear in two respects. First, Section 273a makes it a wobbler (10 year top) for any person to permit a minor under his care or custody to suffer any physical harm or injury. Thus, though the parents may not be hable for failing to provide for the health of the child because they choose treatment by prayer rather than common medical treatment, they would be liable if the child suffered any physiological harm. Second, no exception is made under the manslaughter statutes for parental liability should the child die. If treatment by prayer is to be recognized in part, the parents should not be liable for the results of using a permitted mode of healing.” (Assem. Com. on Criminal Justice, Analysis of Assem. Bill No. 3843 (1975-1976 Reg. Sess.).) Despite the opinion offered in the final sentence of the staff analysis, no amendments were made to eliminate potential liability under sections 192(b) and 273a(l). The committee passed the bill on April 29, 1976.
When the full Assembly considered the legislation on May 6, 1976, its members had before them the third reading analysis of the bill prepared by the Assembly Office of Research. This analysis incorporated, nearly verbatim, the observations regarding manslaughter and child endangerment liability contained in the earlier analysis prepared for the Criminal Justice Committee. (Assem. Office of Research, 3d reading analysis of Assem. Bill No. 3843, supra.) Again, no amendments were offered in response to the observations. The bill passed and moved to the Senate.
The Senate Committee on Judiciary received a four-page analysis of the legislation. Under the heading “Comment” and entirely capitalized, unlike
The ineluctable conclusion we must draw from these materials is that the members of the Legislature were fully conscious of the potential liability remaining under sections 192(b) and 273a(l) for conduct they had legalized with respect to section 270, but simply chose to leave the matter unaddressed. Needless to say, considered silence is an insufficient basis to infer that the Legislature, by amending a misdemeanor support provision, actually exempted from felony liability all parents who offer prayer alone to a dying child. “The failure of the Legislature to change the law in a particular respect when the subject is generally before it and changes in other respects are made is indicative of an intent to leave the law as it stands in the aspects not amended.” (Cole v. Rush (1955)
B. Expressions of legislative intent in related statutes
Defendant next contends that an intent to exempt prayer treatment from conduct within the reach of sections 192(b) and 273a(l) is implied by a number of other civil and criminal measures relating to the provision of prayer in lieu of medical care to children. She first cites a plethora of statutes exempting prayer practitioners and their facilities from medical licensure requirements
More useful are statutes dealing with the definition of neglected or abused children for purposes of the state’s child welfare services program (Welf. & Inst. Code, § 16500 et seq.), the activities of the Office of Child Abuse Prevention (id. § 18950 et seq.), and a criminal provision requiring certain individuals to report instances of suspected child abuse (Pen. Code, § 11165 et seq.). Utilizing substantially similar language, each of these three statutes provides that children receiving treatment by prayer shall not “for that reason alone” be considered abused or neglected for its purposes. (Welf. & Inst. Code, §§ 16509.1 (hereafter W&I section 16509.1) and 18950.5 (hereafter W&I section 18950.5); Pen. Code, § 11165.2 (hereafter section 11165.2).) Defendant cites these provisions as evidence that the Legislature does not consider prayer treatment to be a threat to the health of children, and thus that the imposition of criminal liability for the results of its use is inconsistent with legislative intent.
The Attorney General urges a different construction of the statutory language. He contends that the phrase “for that reason alone ” (italics added) denotes that a child receiving prayer treatment can still fall within the reach of the statutory definitions if the provision of such treatment, coupled with a grave medical condition, combine to pose a serious threat to the physical well-being of the child.
The code section immediately preceding W&I section 16509.1 in the child welfare services chapter strongly corroborates the interpretation offered by the Attorney General. That section reads: “Cultural and religious child-rearing practices and beliefs which differ from general community standards shall not in themselves create a need for child welfare services unless the practices present a specific danger to the physical or emotional safety of the child.” (Welf. & Inst. Code, § 16509 (hereafter W&I section 16509).) It is fundamental that “the language of a particular code section must be construed in light of and with reference to the language of other sections accompanying it and related to it with a view to harmonizing the several provisions and giving effect to all of them.” (Johnson v. Superior Court (1984)
Finally, the most telling indication that the statutes should be construed together in the manner urged by the Attorney General is their mutual interrelation with the child dependency provisions of Welfare and Institutions Code section 300 (hereafter W&I section 300). Furnishing the state with its most powerful tool to intercede on behalf of children threatened at the hands of their parents, W&I section 300 delineates the circumstances under which a child can be removed from parental custody and declared a dependent of the court. Section 11165.2 and W&I sections 16509.1 and 18950.5 are each components of separate acts connected in some significant fashion to the child dependency proceedings outlined in W&I section 300. In sum, the three acts (1) require that suspected instances of child abuse or neglect be reported to the agency responsible for initiating child dependency proceedings under W&I section 300 (Pen. Code, § 11166, subds. (a), (b), & (g)); (2) provide services to neglected or abused children identified through dependency proceedings (Welf. & Inst. Code, §§ 16506, subd. (a), 16507, 16508, subd. (a)); and (3) fund child-abuse prevention projects in cooperation with local welfare agencies responsible for supervising dependency
On September 30, 1987, the Governor signed into law Senate Bill No. 243, 1987-1988 Regular Session, which revised W&I section 300 in its entirety. (Stats. 1987, ch. 1485, § 4 [No. 5 Deering’s Adv. Legis. Service, pp. 5779-5780].) Although the legislation will not take effect until January 1, 1989, its provisions dealing with the relationship of prayer treatment to dependency proceedings are critically significant to our interpretive task insofar as they represent the Legislature’s most recent and detailed articulation of the protection to be assured seriously ill children receiving such care.
Newly amended W&I section 300 provides in pertinent part: “Any minor who comes within any of the following descriptions is within the jurisdiction of the juvenile court which may adjudge that person to be a dependent child of the court. . . . [fl] (b) The minor has suffered, or there is substantial risk that the minor will suffer, serious physical harm or illness, ... by the willful or negligent failure of the parent... to provide the minor with adequate food, clothing, shelter, or medical treatment. . . . Whenever it is alleged that a minor comes within the jurisdiction of the court on the basis of the parent’s . . . willful failure to provide adequate medical treatment or specific decision to provide spiritual treatment through prayer, the court shall give deference to the parent’s . . . medical treatment, nontreatment, or spiritual treatment through prayer alone in accordance with the tenets and practices of a recognized church or religious denomination by an accredited practitioner thereof and shall not assume jurisdiction unless necessary to protect the minor from suffering serious physical harm or illness.'” (Italics added.)
Thus in any circumstance involving the threat of “serious physical harm or illness,” the Legislature has empowered the juvenile court to intercede and assume custody for the express purpose of assuring medical care for a child whose parent is furnishing spiritual treatment by prayer alone. The expression of legislative intent is clear: when a child’s health is seriously jeopardized, the right of a parent to rely exclusively on prayer must yield. This intent is implicit in the enumeration of necessities a parent must furnish to avert a dependency proceeding under W&I section 300; conspicuously absent from the list is any substitute for adequate medical treatment.
While dependency proceedings are civil rather than criminal, their relevance to our inquiry is plain. Parents possess a profound interest in the custody of their children. (In re Carmaleta B. (1978)
Defendant’s argument by analogy to civil neglect and dependency provisions therefore corroborates rather than refutes our previous determination that the Legislature has created no exemption under sections 192(b) and 273a(l) for parents who are charged with having killed or endangered the lives of their seriously ill children by providing prayer alone in lieu of medical care. The legislative design appears consistent: prayer treatment will be accommodated as an acceptable means of attending to the needs of a child only insofar as serious physical harm or illness is not at risk. When a child’s life is placed in danger, we discern no intent to shield parents from the chastening prospect of felony liability.
C. Defendant’s conduct and the standard for criminal culpability
Taking a wholly different tack, defendant next contends that she cannot be convicted under either the manslaughter or felony child-endangerment
She first contends that the defenses recognized at English common law are available to her under Civil Code section 22.2, which reads: “The common law of England, so far as it is not repugnant to or inconsistent with the Constitution of the United States, or the Constitution or laws of this State, is the rule of decision in all the courts of this State.” She cites two English cases from the 19th century in support of the proposition that the common law recognized treatment by prayer in lieu of medicine as legally insufficient to constitute criminal negligence.
The opinion of the court in Regina v. Wagstaffe (Cen.Crim.Ct. 1868) 10 Cox. Crim. Cas. 530, consists of a vaguely worded jury charge. The court instructed the jury that criminal negligence “was a very wide question. . . . At different times people had come to different conclusions as to what might be done with a sick person. . . . [A] man might be convicted of manslaughter because he lived in a place where all the community was of a contrary opinion, and in another he might be acquitted because they were all of his opinion. . . .” (Id. at p. 532.) The court asked rhetorically wheth
The second case cited by defendant makes this point quite clearly. In Regina v. Hines (1874) 80 Cent. Crim. Ct. 309, the court dismissed an indictment for manslaughter against a parent who had exclusively prayed for an ill child.
Defendant next contends that her actions are legally insufficient to constitute criminal negligence under the definition of that conduct established in the decisions of this court. Emphasizing her sincere concern and good faith in treating Shauntay with prayer, she claims that her conduct is incompatible with the required degree of culpability. Defendant does not dispute, however, that criminal negligence must be evaluated objectively. (People v. Watson (1981)
The significance of this principle was well illustrated in People v. Burroughs (1984)
In view of this standard, we must reject defendant’s assertion that no reasonable jury could characterize her conduct as criminally negligent for purposes of sections 192(b) and 273a(l). As the court in People v. Atkins (1975)
Defendant’s arguments to the contrary are not persuasive. She first asserts that the various statutory exemptions enacted for Christian Scientists demonstrate a legislative acceptance of the reasonableness of their spiritual care that is incompatible with a finding of “gross, culpable, or reckless”
The two cases cited by defendant in support of her claim are clearly distinguishable. In People v. Rodriguez (1960)
In sum, we reject the proposition that the provision of prayer alone to a seriously ill child cannot constitute criminal negligence as a matter of law. Whether this defendant’s particular conduct was sufficiently culpable to justify conviction of involuntary manslaughter and felony child endangerment remains a question in the exclusive province of the jury.
II. Constitutional Defenses
A. Free exercise under the First Amendment
In the absence of a statutory basis to bar defendant’s prosecution, we necessarily reach her constitutional claims. Defendant and the Church first contend that her conduct is absolutely protected from criminal
The First Amendment bars government from “prohibiting the free exercise” of religion. Although the clause absolutely protects religious belief, religiously motivated conduct “remains subject to regulation for the protection of society.” (Cantwell v. Connecticut (1940)
Defendant does not dispute the gravity of the governmental interest involved in this case, as well she should not. Imposition of felony liability for endangering or killing an ill child by failing to provide medical care furthers an interest of unparalleled significance: the protection of the very lives of California’s children, upon whose “healthy, well-rounded growth . . . into full maturity as citizens” our “democratic society rests, for its continuance . . . .” (Prince v. Massachusetts (1944)
Regardless of the severity of the religious imposition, the governmental interest is plainly adequate to justify its restrictive effect. As the United States Supreme Court stated in Prince v. Massachusetts, supra,
In an attempt to avoid this inexorable conclusion, the Church argues at length over the purportedly pivotal distinction between the governmental compulsion of a religiously objectionable act and the governmental prohibition of a religiously motivated act. Accepting arguendo the force of the distinction, we find that it has no relevance in a case involving an interest of this magnitude. As the court in Prince recognized, parents have no right to free exercise of religion at the price of a child’s life, regardless of the prohibitive or compulsive nature of the governmental infringement. Furthermore, the United States Supreme Court has specifically sustained the compulsion of religiously prohibited conduct for interests no more compelling than here implicated. In Jacobson v. Massachusetts (1905)
The imposition of felony liability for failure to seek medical care for a seriously ill child is thus justified by a compelling state interest. To survive a First Amendment challenge, however, the policy must also represent the least restrictive alternative available to the state. Defendant and the Church argue that civil dependency proceedings advance the governmental interest in a far less intrusive manner. This is not evident. First, we have already observed the profoundly intrusive nature of such proceedings; it is not clear that parents would prefer to lose custody of their children pursuant to a disruptive and invasive judicial inquiry than to face privately the prospect of criminal liability. Second, child dependency proceedings advance the
We conclude that an adequately effective and less restrictive alternative is not available to further the state’s compelling interest in assuring the provision of medical care to gravely ill children whose parents refuse such treatment on religious grounds. Accordingly, the First Amendment and its California equivalent do not bar defendant’s criminal prosecution. (Accord, Craig v. State (1959)
B. Due process right to fair notice of illegal conduct
Article I, section 7, of the California Constitution and the Fourteenth Amendment to the United States Constitution both assure that no person shall be deprived of “life, liberty, or property without due process of law.” Among the implications of this constitutional command is that the state must give its citizenry fair notice of potentially criminal conduct. This requirement has two components: “due process requires a statute to be definite enough to provide (1) a standard of conduct for those whose activities are proscribed and (2) a standard for police enforcement and for ascertainment of guilt.” (Burg v. Municipal Court (1983)
We initially observe that these statutes do not invite standardless law enforcement. Unlike typical due process challenges involving an ambiguously worded statute applied in an arbitrary and unforeseeable manner (see, e.g„ Lanzetta v. New Jersey (1939)
With respect to the remaining component of the due process analysis, defendant makes two arguments why the statutory scheme fails to provide fair notice. She first contends that sections 192(b) and 273a(1) provide no notice of the point at which lawful prayer treatment becomes unlawful, thus requiring her “at peril of life, liberty or property to speculate as to the meaning of penal statutes.” (Lanzetta v. New Jersey, supra,
Defendant contends in conclusion that the statutory scheme violates her right to fair notice by allowing punishment under sections 192(b) and 273a(l) for the same conduct that is assertedly accommodated under section 270. She argues in essence that the statutes issue “inexplicably contradictory commands” (Raley v. Ohio (1959)
In considering whether a legislative proscription is sufficiently clear to satisfy the requirements of fair notice, “we look first to the language of the statute, then to its legislative history, and finally, to California decisions construing the statutory language.” (Pryor v. Municipal Court (1979)
As we have discussed at length above, the purposes of the statutes here at issue are evidently distinguishable: sections 192(b) and 273a(l)
III. Disposition
We conclude that the prosecution of defendant for involuntary manslaughter and felony child endangerment violates neither statutory law nor the California or federal Constitution. The judgment of the Court of Appeal is affirmed.
Lucas, C. J., Panelli, J., Arguelles, J., Eagleson, J., and Kaufman, J., concurred.
Notes
Members of the Church “believe that disease is a physical manifestation of errors of the mind.” (Comment, Religious Beliefs and the Criminal Justice System: Some Problems of the Faith Healer (1975) 8 Loyola L.A. L.Rev. 396, 397, fn. 7.) The use of medicine is believed to perpetuate such error and is therefore discouraged. (Schneider, Christian Science and the Law: Room for Compromise? (1965) 1 Colum. J.L. & Soc. Probs. 81, 87-88.) Nonetheless, “the Church sets up no abstract criteria for determining what diseases or injuries should be treated by prayer or other methods but, rather, leaves such questions to individual decision in concrete instances. ... If some turn in what they think is an urgent time of need to medical treatment for themselves or their children, they are not—contrary to some recent charges— stigmatized by their church.” (Talbot, The Position of the Christian Science Church (1983) 26 N.E. Med. J. 1641, 1642, italics in original.)
The Church describes in an amicus curiae brief the role of Christian Science practitioners and nurses: “[Christian Science practitioners are] individuals who devote their full time to healing through prayer, or spiritual treatment. These individuals are approved for listing by the Church in The Christian Science Journal, after having given evidence of moral character and healing ability. Practitioners determine their own charges, usually from seven to fifteen dollars per day of treatment, and are paid by their patients. . . . The practitioner’s work, however, is a religious vocation, a ministry of spiritual healing in its broadest sense. [j[] Christian Scientists may also call upon the services of a Christian Science nurse, who provides such practical care as dressing of wounds for those having spiritual treatment.”
The statute thus reads in pertinent part: “If a parent of a minor child willfully omits, without lawful excuse, to furnish necessary clothing, food, shelter or medical attendance, or other remedial care for his or her child, he or she is guilty of a misdemeanor . . . . [ffl If a parent provides a minor with treatment by spiritual means through prayer alone in accordance with the tenets and practices of a recognized church or religious denomination, by a duly accredited practitioner thereof, such treatment shall constitute ‘other remedial care’, as used in this section.”
This analysis reflects the rule that different statutes should be construed together only if they stand in pari materia. “Statutes are considered to be in pari materia when they relate to the same person or thing, to the same class of person of things, or have the same purpose or object. Characterization of the object or purpose is more important than characterization of subject matter in determining whether different statutes are closely enough related to justify interpreting one in light of the other. It has been held that where the same subject is treated in several acts having different objects the statutes are not in pari materia. ‘The adventitious occurrence of. . . similar subject matter, in laws enacted for wholly different ends will normally not justify applying the rule.’ ” (2A Sutherland, Statutory Construction (Sands, 4th ed. 1984) § 51.03, p. 467, citations and fns. omitted.) Even if statutes stand in pari materia, “each retains its independence and a violation of one is not necessarily a violation of the other.” (Id. at p. 468.) Similarly, a defense to one is not necessarily a defense to the other.
Defendant acknowledges that the dispositional provisions of section 270d substantiate the contrary conclusion reached by this court in Sorensen. She maintains that section 270d should be ignored because it was added to the Penal Code after the original passage of section 270. Her contention contradicts the established principle that in construing a statute to discern its purpose, its provisions should be read together “so that all may be harmonized and have effect.” (Moore v. Panish (1982)
This conclusion disposes of defendant’s separate contention that both section 270 and section 273a(l) address the same object—child endangerment—and therefore that she must be charged under the provision more specifically encompassing her conduct. (See In re Williamson (1954)
Defendant posits a causal relationship between a misdemeanor-manslaughter prosecution detailed in the 1920 report and the 1925 amendment to section 270, briefly extolled in the latter report. However, the cited passage of the 1925 report simply recites the language of the amendment and terms the legislation “a forward step . . . .” No mention is made of any relationship between the amendment and manslaughter liability in general nor the specific manslaughter prosecution discussed in the earlier report. In an attempt to forge the missing causal link, defendant disingenuously observes that in “a [misdemeanor-manslaughter] case cited in those . . . materials,” a judge purportedly ruled from the bench that prayer is “a legal, lawful means of healing disease in the State of California as contemplated by Section 270 or any other section of the laws of the State of California . . . .” On the basis of this ruling, defendant concludes that the 1925 legislation had afforded “a parent who provides his/her child with treatment by prayer as an alternative to medical attendance with a complete statutory defense to manslaughter charges . . . .” (Italics in original.) What defendant fails to note is that the discussion of the ruling appeared in the 1920 annual report. The case therefore predated the 1925 amendment by at least five years, obviously lends nothing to its interpretation, and was flatly erroneous in light of the language of section 270 existing prior to 1925, which recognized no substitute for the provision of medical attendance. (See Pen. Code (1st ed. 1872) § 270.)
Section 192(b) defines involuntary manslaughter as the unlawful killing of a human being without malice “in the commission of an unlawful act, not amounting to felony; or in the commission of a lawful act which might produce death, in an unlawful manner, or without due caution or circumspection.” The information charging defendant with manslaughter alleges that she killed her daughter “without malice but in the commission of a lawful act which might produce death in an unlawful manner and without due caution and circumspection.”
See, e.g., Business and Professions Code sections 2063, 2731, and 2789; Health and Safety Code sections 430.8, 1270, 1505, subdivision (f), 1569.145, subdivision (c), 1569.31, 1709, and 1738. As we long ago observed, the exemption of spiritual practitioners from licensure
See, e.g, Welfare and Institutions Code sections 7104, 14004, 14059, and 14132, subdivision (a); Education Code section 44978; Unemployment Insurance Code sections 2627.5, subdivision (c)(4), and 2709.
The Attorney General’s interpretation duplicates an earlier construction of precisely the same words offered from a surprising quarter: the Christian Science Church. The Church-sponsored legislation containing the 1976 amendment to section 270 originally included an additional amendment to section 600 (now section 300) of the Welfare and Institutions Code, which sets forth the circumstances under which children can be declared dependents of the court and taken from their parents. The amendment, deleted from the legislation prior to its passage, provided that “No child who in good faith is under treatment solely by spiritual means through prayer alone . . . shall, for that reason alone, be considered a person described by Section 600.” (Assem. Bill No. 3843 (1975-1976 Reg. Sess.), as introduced Mar. 17, 1976, italics added.) When the Director of the Department of Health questioned whether the amendment would bar children receiving prayer treatment from being declared dependents even if their health became endangered, the Christian Science official sponsoring the legislation gave the following response in a letter dated June 16, 1976: “The general counsel for the Christian Science Committee on Publication for Southern California . . . gave us his considered opinion that [the amendment] does not preclude the court’s taking custody of a
The Colorado Supreme Court has reached the same conclusion with respect to nearly identical statutory language: “In our view, the meaning of the statutory language, ‘for that reason alone,’ is quite clear. It allows a finding of. . . neglect for other ‘reasons,’ such as where the child’s life is in imminent danger, despite any treatment by spiritual means. In other words, a child who is treated solely by spiritual means is not, for that reason alone, . . . neglected, but if there is an additional reason, such as where the child is deprived of medical care necessary to prevent a life-endangering condition, the child may be adjudicated . . . ne
W&I section 18950.5 reads: “For the purposes of. . . [the Office of Child Abuse Prevention] chapter, a child receiving treatment by spiritual means as provided in [section 16509.1] of the Welfare and Institutions Code shall not for that reason alone be considered an abused or neglected child.” (W&I section 18950.5 actually cites former section 16508 of the Welfare and Institutions Code, where the language of W&I section 16509.1 was previously codified in nearly identical terms prior to a 1982 amendment that renumbered the provisions of the child welfare services chapter. (Stats. 1982, ch. 978, § 62.) The reference in W&I section 18950.5 to the superseded code section was apparently overlooked at the time of the 1982 amendment.)
Section 11165.2 reads in pertinent part: “For the purposes of this chapter, a child receiving treatment by spiritual means as provided in Section 16509.1 of the Welfare and Institutions Code . . . shall not for that reason alone be considered a neglected child.”
Although more than a century old, the cases represent the last word of the English courts on the common law question of criminal negligence in such circumstances. Parliament thereafter passed the Poor Law Amendment Act of 1868 imposing a statutory duty on parents to provide their children with medical care. (Trescher & O’Neill, Medical Care for Dependent Children: Manslaughter Liability of the Christian Scientist (1960) 109 U. Pa. L.Rev. 203, 206-207.)
While this decision postdates the passage of the Poor Law Amendment Act of 1868, the court apparently disregarded the statute and applied common law principles. (Trescher & O’Neill, op. cit. supra, 109 U. Pa. L.Rev. at p. 206.)
We note that in the one other English case apparently decided under the common law, a parent was convicted of unlawfully neglecting to provide medical aid after praying for an ailing child. (Reg. v. Hurry (1872) 76 Cent. Crim. Ct. 63; see Trescher & O’Neill, op. cit. supra, 109 U. Pa. L.Rev. at p. 206, fn. 16.)
Compare LaFave and Scott’s comment that “an honest belief that prayer is a better cure than medicine, that Providence can heal better than doctors, might serve to negative the awareness of risk which is required for manslaughter in those states which use a subjective test of criminal negligence.” (LaFave & Scott, Criminal Law (1972) p. 590, fn. 23, italics added.)
The Attorney General contends that we should analyze this question under the “reasonable reliance” doctrine rather than as a traditional fair-notice issue. Unlike fair notice, which addresses the validity and enforceability of a statute, “reasonable reliance” is an exception to the rule that ignorance of the law is no excuse. (Kratz v. Kratz (E.D.Pa. 1979)
The issue before us is clearly of a different sort. Section 270 is not an erroneous statement or interpretation of sections 273a(1) and 192(b); it is a separate statute with full legal force and effect. The significance of this distinction is borne out by the cases analyzed under the reasonable reliance doctrine. (Compare Raley v. Ohio, supra,
The American Civil Liberties Union argues in an amicus curiae brief that these allegedly conflicting statutes warrant particularly close scrutiny because they impinge on conduct protected by the First Amendment. Amicus curiae cites authority supporting the proposition that vague laws which chill protected expression are a cause for serious concern. (See, e.g., Groyned v. City of Rockford (1972)
Concurrence Opinion
My opinion prepared for the court holds as a matter of statutory construction that Penal Code section 270 (hereafter section 270) provides no religious defense to charges arising under the manslaughter and felony child-endangerment statutes. Because of this holding, the majority chose not to reach the Attorney General’s separate contention that an extension of section 270’s religious exemption to this felony prosecution would import into the proceeding a defense that offends the establishment clauses of the state and federal Constitutions. The issue, however, has been timely raised and thoroughly briefed, and its importance is manifest. I believe we should address it in this case for the guidance of the Legislature, so that any further legislative efforts to accommodate religious
The California and federal Constitutions admonish the Legislature “to make no law respecting an establishment of religion.” (U.S. Const., 1st Amend.; Cal. Const., art. I, § 4.) Two broad classes of legislation fall under this proscription: laws “affording a uniform benefit to all religions” and laws “that discriminate among religions.” (Larson v. Valente (1982)
Laws in the second class strike closer to the heart of the establishment clause prohibition and thus require more demanding scrutiny. (Larson v. Valente, supra,
The court in Larson considered a provision exempting from the reporting and registration requirements of a charitable solicitations act only those
Section 270 similarly allocates its religious benefit on a selective basis. The statute excludes from criminal liability any parent who provides a minor with “treatment by spiritual means through prayer alone in accordance with the tenets and practices of a recognized church or religious denomination, by a duly-accredited practitioner thereof’’'' (Italics added.) The provision thus affords no protection for parents who otherwise treat their children “by spiritual means through prayer alone.” Specifically denied the exemption are (1) parents not affiliated with a “recognized” church or religious denomination who nonetheless provide prayer treatment on the basis of personal religious beliefs or the teachings of an unrecognized sect, and (2) parents who provide prayer treatment in accordance with the tenets of a recognized denomination that does not “accredit” prayer “practitioners.”
These excluded believers are not the fanciful product of a strained reading of the statutory language. In People v. Arnold (1967)
Also denied the statutory exemption are parents whose use of prayer treatment stems from personal religious beliefs rather than the tenets of a recognized church or denomination. In other jurisdictions such parents have repeatedly prevailed on establishment and equal protection grounds against similarly formulated provisions. In Davis v. State (1982)
The one group of parents squarely protected by the terms of the statute are Christian Scientists, whose denomination sponsored the 1976 amendment to section 270 enacting its religious exemption. It is thus more than fortuity that the word “practitioner,” used by Christian Scientists to formal
By sparing the favored from criminal liability while condemning others for failure to cloak identical conduct in the mantle of a sanctioned denomination or procedure, the religious exemption of section 270 operates without neutrality “in matters of religious theory, doctrine, and practice,” and thus cannot survive in the absence of a compelling state interest in its discriminatory effect. Unlike the exemption in Larson, however, which advanced an independent secular objective, the only discernible state interest in this exemption is religious accommodation per se. While accommodation has been sustained as a legitimate objective when it “reflects nothing more than the governmental obligation of neutrality in the face of religious differences” (Sherbert v. Verner (1963)
If the Legislature wishes to exempt from criminal liability those parents who rely on prayer treatment in lieu of medical care, the establishment clause requires at a minimum that the exemption be granted irrespective of denominational affiliation or practice. (Gillette v. United States (1971)
The exemption in section 270 is also invalid under the criteria set forth in Lemon v. Kurtzman, supra, 403 U.S. at pages 612-613 [29 L.Ed.2d at pages 755-756], even though “the Lemon v. Kurtzman ‘tests’ are intended to apply to laws affording a uniform benefit to all religions, and not to provisions . . . that discriminate among religions.” (Larson v. Valente, supra,
I have already observed that the accommodative purpose of this statutory exemption reflects a nonsecular preference among adherents of prayer treatment rather than a neutral governmental response to genuine religious differences. While one might charitably argue that the exemption has the effect of identifying indicia of sincere religious conduct, thus facilitating administration of the statute, discrimination subject to the strictest scrutiny
To apply section 270, law enforcement officials and courts are required to evaluate “the tenets and practices” of various religions, searching for a doctrinal sanction of “spiritual treatment by prayer alone”; they are called upon to consider whether individual healers have been “duly accredited” by a particular denomination; and most disturbing, they are required to ascertain whether a particular religious group is “recognized.” This last inquiry requires prosecutors and law enforcement officials to judge in their discretion whether a particular religious group has reached the critical mass of size and acceptance necessary for statutory protection, and leaves courts with nothing but subjective experience and belief to guide the required determination.
The assistant legal affairs secretary to the Governor clearly anticipated the foregoing troubling scenario in her preenactment analysis of the 1976 amendment to section 270: “The bill requires that the religion or denomination be ‘recognized.’ No further definition is provided. While this would constitute a severe problem in the medical emergency situation, it would not present a problem where there is sufficient opportunity to argue the problem of religion.” It is precisely the entangling prospect of public officials arguing “the problem of religion” as an aspect of their ongoing enforcement of section 270, coupled with the politically divisive implications of their judgments, that the establishment clause seeks to avert. (Larson v. Valente, supra, 456 U.S. at pp. 252-255 [72 L.Ed.2d at pp. 52-55].)
Defendant maintains that even if the statutory exemption violates the establishment clause, courts should nevertheless construe it in an edited fashion to avert the constitutional difficulties raised by its facially preferential language. This cannot be done. It is of course fundamental that “If feasible within bounds set by their words and purposes, statutes should be construed to preserve their constitutionality.” (Conservatorship of Hofferber (1980)
The Legislature has repeatedly designed statutory exemptions for parental use of prayer treatment with precisely the language found in section 270. Welfare and Institutions Code section 16509.1 excludes from its definition of neglect the provision of “treatment solely by spiritual means through prayer alone in accordance with the tenets and practices of a recognized church or religious denomination by a duly accredited practitioner thereof . . . .” Section 11165.2 of the Penal Code and Welfare and Institutions Code section 18950.5 incorporate this definition by reference in their separate provisions defining the relationship of prayer treatment to child abuse and neglect. Finally, newly amended Welfare and Institutions Code section 300 adopts the language nearly verbatim in its provision defining the relationship of prayer treatment to child dependency proceedings. (See also Welf. & Inst. Code, § 5006.) Repeated use of the precise language evinces a legislative affinity for an invalid formulation that cannot be ignored.
Had the Legislature confronted the choice of extending its religious exemption to all parents who sincerely rely on prayer treatment, no matter how unorthodox or unconventional their creed may appear, or alternatively to none at all, one cannot presume that it would have chosen the former rather than the latter option. The statutory provision thus must be considered as written. If the Legislature seeks to accommodate the practice of prayer treatment, it must more clearly evince its intent to do so in a nonpreferential manner to avert the fatal constitutional defects afflicting section 270.
Kaufman, J., concurred.
Under the California Constitution this value is explicit. Article I, section 4, assures that “free exercise and enjoyment of religion without discrimination or preference are guaranteed.” In view of this provision, “Preference thus is forbidden even when there is no discrimination.” (Fox v. City of Los Angeles (1978)
Consider for example the case of Arthur Charles Grady, who was described in another case as “a self-styled ‘peyote preacher’ and ‘way shower.’ ” (In re Grady (1964)
It is of course a separate question whether a blanket exemption under section 270 for all parents who sincerely provide children with prayer treatment would survive under the establishment clause. However, an exemption discriminating among parents who provide prayer treatment as a matter of sincere religious practice surely amounts to an unconstitutional establishment of religion.
Defendant and the Church cite three cases in which exemptions reserved for adherents of a “recognized” church or denomination were upheld. (Jaggard v. Comr. of Internal Revenue (8th Cir. 1978)
The court in Kleid considered an exemption from a compulsory immunization statute reserved for “members of a nationally recognized and established church or religious denomination.” (Kleid v. Board of Education, supra,
Concurrence Opinion
I agree with the majority that a prosecution may be maintained against petitioner for involuntary manslaughter. (Pen. Code, § 192, subd. (b).)
Section 270 provides in part: “If a parent of a minor child willfully omits, without lawful excuse, to furnish necessary . . . medical attendance ... he or she is guilty of a misdemeanor . . .”
We must interpret the statutes “in accordance with applicable rules of statutory construction, fundamental among which are those which counsel that the aim of such construction should be the ascertainment of legislative intent so that the purpose of the law may be effectuated [citation]; that a statute should be construed with reference to the entire statutory system of which it forms a part in such a way that harmony may be achieved among the parts [citations]; and that courts should give effect to statutes ‘according to the usual, ordinary import of the language employed in framing them.’ [Citations.]” (Merrill v. Department of Motor Vehicles (1969)
When we follow the fundamental rules of statutory construction it is clear that sections 270 and 273a are both concerned with the protection of the health and person of children, that section 270 is applicable to a willful failure to provide necessary care and that section 273a is not applicable to a failure to provide medical care but to willful active conduct causing harm or endangering the child’s health or person.
There can be no rational doubt that the Legislature intended that section 270 should be applicable where a parent fails to provide medical care endangering the health or person of a child. The language of the section speaks of the omission to “furnish necessary . . . medical attendance.” Medical attendance is only necessary when the health or person of the child is
Section 270 is not merely an economic regulation requiring reimbursement of those providing medical attendance. While the third sentence of the section provides that a parent is not relieved of criminal liability because another furnishes the medical care, that sentence may not be read as prohibiting criminal liability when no one provides the necessary support. People v. Sorenson (1968)
Accordingly section 270, like section 273a, is applicable to child endangerment, and both sections are applicable whether or not the child is injured (see People v. Peabody (1975)
We cannot reject application of the pari materia rule on the grounds that section 270 deals not only with child endangerment but also with reimbursement or that section 273a deals not only with child endangerment but also with child abuse. If the pari materia rule were limited to identical statutes, it would serve no purpose at all and could never be applied. The basis of the pari materia rule is that both statutes share the same purpose or
When we harmonize the statutes, the result is clear. Section 270 imposes a duty upon parents to provide the identified “necessary . . . medical attendance,” and imposes criminal liability when the parent “willfully omits” to do so, thereby endangering the child. Section 273a imposes criminal liability for willfully causing or permitting child endangerment. To avoid conflict between the sections, section 273a should not be construed to apply when the asserted criminal conduct is the omission to perform the duties imposed by section 270, but only when the basis of the child endangerment is active conduct endangering the child, willfully causing or permitting child endangerment. The only active conduct shown by the evidence is that petitioner prayed. Prayer is not prohibited by section 273a.
Moreover, even if it is concluded that the failure to provide necessary medical attendance is punishable under section 273a in cases where the section 270 prayer exemption is inapplicable, we may not apply section 273a to cases where that exemption applies. The conclusion is unavoidable that the Legislature intended to exempt parents who utilize prayer treatment from the statutory requirement to provide “necessary . . . medical attendance.” As pointed out above, medical attendance is necessary when its absence endangers the health or person. To hold that section 273a applies to parents who utilize prayer treatment in accordance with the exemption in section 270 means that those exempt may always be prosecuted under section 273a for child endangerment and that, since injury is unnecessary for child endangerment, it would be irrelevant whether God answered the prayers.
The legislative intent to provide some exemption from criminal liability is overwhelmingly clear, although the extent of the exemption may not be clear. The exemption is obviously directed at the duty to protect the child by securing medical attendance imposed by section 270. It would be unrealistic and contrary to all of the legislative history we have been furnished to conclude that the exemption is directed at the economic aspect of section 270.
The religious exemption must be applied to the child endangerment provisions of section 273a or the legislative intent is totally defeated. It must be applied to cases where the failure to provide necessary medical attendance endangers the child’s health but does not result in harm.
I would reverse the judgment of the Court of Appeal with directions to grant the petition for writ of prohibition insofar as it seeks dismissal of the section 273a charge and to deny it insofar as it seeks dismissal of the manslaughter charge.
Petitioner’s application for a rehearing was denied January 9, 1989.
All further statutory references are to the Penal Code unless otherwise indicated.
Section 270 provides: “If a parent of a minor child willfully omits, without lawful excuse, to furnish necessary clothing, food, shelter or medical attendance, or other remedial care for his or her child, he or she is guilty of a misdemeanor punishable by a fine not exceeding two thousand dollars ($2,000), or by imprisonment in the county jail not exceeding one year, or by both such fine and imprisonment. If a court of competent jurisdiction has made a final adjudication in either a civil or a criminal action that a person is the parent of a minor child and the person has notice of such adjudication and he or she then willfully omits, without lawful excuse, to furnish necessary clothing, food, shelter, medical attendance or other remedial care for his or her child, this conduct is punishable by imprisonment in the county jail not exceeding one year or in a state prison for a determinate term of one year and one day, or by a fine not exceeding two thousand dollars ($2,000), or by both such fine and imprisonment. This statute shall not be construed so as to relieve such parent from the criminal liability defined herein for such omission merely because the other parent of such child is legally entitled to the custody of such child nor because the other parent of such child or any other person or organization voluntarily or involuntarily furnishes such necessary food, clothing, shelter or medical attendance or other remedial care for such child or undertakes to do so.
“Proof of abandonment or desertion of a child by such parent, or the omission by such parent to furnish necessary food, clothing, shelter or medical attendance or other remedial care for his or her child is prima facie evidence that such abandonment or desertion or omission to furnish necessary food, clothing, shelter or medical attendance or other remedial care is willful and without lawful excuse.
“The court, in determining the ability of the parent to support his or her child, shall consider all income, including social insurance benefits and gifts.
“The provisions of this section are applicable whether the parents of such child are or were ever married or divorced, and regardless of any decree made in any divorce action relative to alimony or to the support of the child. A child conceived but not yet born is to be deemed an existing person insofar as this section is concerned.
“The husband of a woman who bears a child as a result of artificial insemination shall be considered the father of that child for the purpose of this section, if he consented in writing to the artificial insemination.
“If a parent provides a minor with treatment by spiritual means through prayer alone in accordance with the tenets and practices of a recognized church or religious denomination, by a duly accredited practitioner thereof, such treatment shall constitute ‘other remedial care’, as used in this section.”
Section 273a provides: “(1) Any person who, under circumstances or conditions likely to produce great bodily harm or death, willfully causes or permits any child to suffer, or inflicts thereon unjustifiable physical pain or mental suffering, or having the care or custody of any child, willfully causes or permits the person or health of such child to be injured, or willfully causes or permits such child to be placed in such situation that its person or health is endangered, is punishable by imprisonment in the county jail not exceeding one year, or in the state prison for 2, 4, or 6 years.
“(2) Any person who, under circumstances or conditions other than those likely to produce great bodily harm or death, willfully causes or permits any child to suffer, or inflicts thereon unjustifiable physical pain or mental suffering, or having the care or custody of any child, willfully causes or permits the person or health of such child to be injured, or willfully causes or permits such child to be placed in such situation that its person or health may be endangered, is guilty of a misdemeanor.”
I agree with the majority conclusion that no weight may be given to the Assembly staff report urging that section 273a should be amended to incorporate the religious exemption or to the Senate staff report raising questions as to a possible conflict between the exemption and the child harm provisions of section 273a. (See maj. opn., pp. 128-129.) We cannot tell whether the members of the Legislature decided the amendment was undesirable, was unnecessary or should be deferred so as to avoid interruption of the enactment process.
I would also point out that neither report focused on child endangerment; both were concerned with the necessity for amendment of section 273a with respect to the child abuse por
