Section § 24170

Explanation

This section establishes the title of the chapter as the 'Protection of Human Subjects in Medical Experimentation Act.' It essentially names the act, setting the groundwork for rules and protections concerning people involved in medical experiments.

This chapter shall be known and may be cited as the Protection of Human Subjects in Medical Experimentation Act.

Section § 24171

Explanation

This section emphasizes that while medical experimentation on humans is crucial for progress, it must be conducted with respect for human life and the individual's right to control their body. It acknowledges influential ethical guidelines like the Nuremberg Code and the Declaration of Helsinki, which are not legally enforceable. The law highlights the necessity of safeguarding the rights of research participants against unauthorized or harmful experiments.

The aim is to establish minimum legal protections for individuals in California involved in medical research and to impose penalties on those who violate these protections.

The Legislature hereby finds and declares that medical experimentation on human subjects is vital for the benefit of mankind, however such experimentation shall be undertaken with due respect to the preciousness of human life and the right of individuals to determine what is done to their own bodies.
The Legislature further finds and declares that:
(a)CA Health and Safety Code § 24171(a)  The Nuremberg Code of Ethics in Medical Research was developed after the trial of Nazi war criminals for unethical use of persons in medical experiments; subsequently, the Declaration of Helsinki additionally established recommendations guiding doctors in experimentation involving human subjects.
(b)CA Health and Safety Code § 24171(b)  Neither the Nuremberg Code nor the Declaration of Helsinki are codified under law and are, therefore, unenforceable.
(c)CA Health and Safety Code § 24171(c)  It is necessary that medical experimentation be done in such a way as to protect the rights of the human subjects involved.
(d)CA Health and Safety Code § 24171(d)  There is, and will continue to be, a growing need for protection for citizens of the state from unauthorized, needless, hazardous, or negligently performed medical experiments on human beings.
It is, therefore, the intent of the Legislature, in the enacting of this chapter, to provide minimum statutory protection for the citizens of this state with regard to human experimentation and to provide penalties for those who violate such provisions.

Section § 24172

Explanation

This law outlines the rights of people participating in medical experiments, known as the 'experimental subject’s bill of rights.' Participants must be informed of the experiment’s purpose and procedures, any risks and discomforts, and potential benefits. They should also know about alternative procedures and post-experiment treatments. Individuals are entitled to ask questions, withdraw consent at any time, and receive a signed consent form. Consent must be given freely, without pressure or deceit.

As used in the chapter, “experimental subject’s bill of rights,” means a list of the rights of a subject in a medical experiment, written in a language in which the subject is fluent. Except as otherwise provided in Section 24175, this list shall include, but not be limited to the subject’s right to:
(a)CA Health and Safety Code § 24172(a)  Be informed of the nature and purpose of the experiment.
(b)CA Health and Safety Code § 24172(b)  Be given an explanation of the procedures to be followed in the medical experiment, and any drug or device to be utilized.
(c)CA Health and Safety Code § 24172(c)  Be given a description of any attendant discomforts and risks reasonably to be expected from the experiment.
(d)CA Health and Safety Code § 24172(d)  Be given an explanation of any benefits to the subject reasonably to be expected from the experiment, if applicable.
(e)CA Health and Safety Code § 24172(e)  Be given a disclosure of any appropriate alternative procedures, drugs or devices that might be advantageous to the subject, and their relative risks and benefits.
(f)CA Health and Safety Code § 24172(f)  Be informed of the avenues of medical treatment, if any, available to the subject after the experiment if complications should arise.
(g)CA Health and Safety Code § 24172(g)  Be given an opportunity to ask any questions concerning the experiment or the procedures involved.
(h)CA Health and Safety Code § 24172(h)  Be instructed that consent to participate in the medical experiment may be withdrawn at any time and the subject may discontinue participation in the medical experiment without prejudice.
(i)CA Health and Safety Code § 24172(i)  Be given a copy of the signed and dated written consent form as provided for by Section 24173 or 24178.
(j)CA Health and Safety Code § 24172(j)  Be given the opportunity to decide to consent or not to consent to a medical experiment without the intervention of any element of force, fraud, deceit, duress, coercion, or undue influence on the subject’s decision.

Section § 24173

Explanation

This law defines "informed consent" as permission given for a medical experiment after meeting several requirements. These include providing the experimental subject's bill of rights, a signed consent form, and thorough information about the experiment's details, risks, and benefits. The subject must be fully informed in a language they understand and know they can withdraw at any time without repercussions. The information must also cover who is conducting the experiment, who funds it, and any significant financial interests involved. Consent must be freely given without any pressure or deceit.

As used in this chapter, “informed consent” means the authorization given pursuant to Section 24175 to have a medical experiment performed after each of the following conditions have been satisfied:
(a)CA Health and Safety Code § 24173(a)  The subject or subject’s conservator or guardian, or other representative, as specified in Section 24175, is provided with a copy of the experimental subject’s bill of rights, prior to consenting to participate in any medical experiment, containing all the information required by Section 24172, and the copy is signed and dated by the subject or the subject’s conservator or guardian, or other representative, as specified in Section 24175.
(b)CA Health and Safety Code § 24173(b)  A written consent form is signed and dated by the subject or the subject’s conservator or guardian, or other representative, as specified in Section 24175.
(c)CA Health and Safety Code § 24173(c)  The subject or subject’s conservator or guardian, or other representative, as specified in Section 24175, is informed both verbally and within the written consent form, in nontechnical terms and in a language in which the subject or the subject’s conservator or guardian, or other representative, as specified in Section 24175, is fluent, of the following facts of the proposed medical experiment, which might influence the decision to undergo the experiment, including, but not limited to:
(1)CA Health and Safety Code § 24173(c)(1)  An explanation of the procedures to be followed in the medical experiment and any drug or device to be utilized, including the purposes of the procedures, drugs, or devices. If a placebo is to be administered or dispensed to a portion of the subjects involved in a medical experiment, all subjects of the experiment shall be informed of that fact; however, they need not be informed as to whether they will actually be administered or dispensed a placebo.
(2)CA Health and Safety Code § 24173(c)(2)  A description of any attendant discomfort and risks to the subject reasonably to be expected.
(3)CA Health and Safety Code § 24173(c)(3)  An explanation of any benefits to the subject reasonably to be expected, if applicable.
(4)CA Health and Safety Code § 24173(c)(4)  A disclosure of any appropriate alternative procedures, drugs, or devices that might be advantageous to the subject, and their relative risks and benefits.
(5)CA Health and Safety Code § 24173(c)(5)  An estimate of the expected recovery time of the subject after the experiment.
(6)CA Health and Safety Code § 24173(c)(6)  An offer to answer any inquiries concerning the experiment or the procedures involved.
(7)CA Health and Safety Code § 24173(c)(7)  An instruction to the subject that he or she is free to withdraw his or her prior consent to the medical experiment and discontinue participation in the medical experiment at any time, without prejudice to the subject.
(8)CA Health and Safety Code § 24173(c)(8)  The name, institutional affiliation, if any, and address of the person or persons actually performing and primarily responsible for the conduct of the experiment.
(9)CA Health and Safety Code § 24173(c)(9)  The name of the sponsor or funding source, if any, or manufacturer if the experiment involves a drug or device, and the organization, if any, under whose general aegis the experiment is being conducted.
(10)CA Health and Safety Code § 24173(c)(10)  The name, address, and phone number of an impartial third party, not associated with the experiment, to whom the subject may address complaints about the experiment.
(11)CA Health and Safety Code § 24173(c)(11)  The material financial stake or interest, if any, that the investigator or research institution has in the outcome of the medical experiment. For purposes of this section, “material” means ten thousand dollars ($10,000) or more in securities or other assets valued at the date of disclosure, or in relevant cumulative salary or other income, regardless of when it is earned or expected to be earned.
(d)CA Health and Safety Code § 24173(d)  The written consent form is signed and dated by any person other than the subject or the conservator or guardian, or other representative of the subject, as specified in Section 24175, who can attest that the requirements for informed consent to the medical experiment have been satisfied.
(e)CA Health and Safety Code § 24173(e)  Consent is voluntary and freely given by the human subject or the conservator or guardian, or other representative, as specified by Section 24175, without the intervention of any element of force, fraud, deceit, duress, coercion, or undue influence.

Section § 24174

Explanation

This section defines what qualifies as a "medical experiment" under the law. It includes any procedure that involves cutting, penetrating, or damaging human tissues, using drugs, devices, radiation, heat, cold, or biological substances, which isn't meant to benefit the individual’s health. It also covers testing unapproved drugs or devices and withholding medical treatment unless it's for the person's health benefit.

As used in this chapter, “medical experiment” means:
(a)CA Health and Safety Code § 24174(a)  The severance or penetration or damaging of tissues of a human subject or the use of a drug or device, as defined in Section 109920 or 109925, electromagnetic radiation, heat or cold, or a biological substance or organism, in or upon a human subject in the practice or research of medicine in a manner not reasonably related to maintaining or improving the health of the subject or otherwise directly benefiting the subject.
(b)CA Health and Safety Code § 24174(b)  The investigational use of a drug or device as provided in Sections 111590 and 111595.
(c)CA Health and Safety Code § 24174(c)  Withholding medical treatment from a human subject for any purpose other than maintenance or improvement of the health of the subject.

Section § 24175

Explanation

This law states that you must get informed consent from a person before they can be part of a medical experiment. If the person is under a conservatorship, the consent process depends on whether they have been deemed able to make medical decisions for themselves. This is explained in sections of the Probate Code. If the person has a conservator, sometimes the conservator can give consent instead.

For adults who are gravely disabled and under a conservatorship, they must give consent themselves unless their conservator is authorized to make medical decisions for them, as stated in certain sections of the Welfare and Institutions Code. For adults with developmental disabilities who can't give consent and don't have a conservator, consent must be obtained as per the Welfare and Institutions Code guidelines.

Additionally, when someone other than the person themselves gives consent, it must be for experiments that improve health or provide information about medical conditions.

(a)CA Health and Safety Code § 24175(a)  Except as otherwise provided in this section, no person shall be subjected to any medical experiment unless the informed consent of such person is obtained.
(b)CA Health and Safety Code § 24175(b)  If a person is under a conservatorship of the person or of the person and estate, pursuant to Division 4 (commencing with Section 1400) of the Probate Code, informed consent for a medical experiment involving such person shall be obtained:
(1)CA Health and Safety Code § 24175(b)(1)  As provided in Section 2354 of the Probate Code if the person has not been adjudicated to lack the capacity to give informed consent for medical treatment.
(2)CA Health and Safety Code § 24175(b)(2)  As provided in Section 2355 of the Probate Code if the person has been adjudicated to lack the capacity to give informed consent for medical treatment.
(c)CA Health and Safety Code § 24175(c)  If an adult person is gravely disabled, as defined in subdivision (h) of Section 5008 of the Welfare and Institutions Code, and is under a conservatorship of the person or of the person and estate, pursuant to Chapter 3 (commencing with Section 5350) of Part 1 of Division 5 of the Welfare and Institutions Code, informed consent for a medical experiment involving such person shall be obtained from such person, unless the conservator of such person has the right to consent to medical treatment on behalf of the conservatee, pursuant to subdivisions (c) and (d) of Section 5357 and Section 5358 of the Welfare and Institutions Code.
(d)CA Health and Safety Code § 24175(d)  If an adult person is developmentally disabled, as defined in subdivision (a) of Section 4512 of the Welfare and Institutions Code, and has no conservator and is mentally incapable of giving informed consent, informed consent shall be obtained for a medical experiment involving such person, pursuant to subdivision (c) of Section 4655 of the Welfare and Institutions Code.
(e)CA Health and Safety Code § 24175(e)  Informed consent given by a person other than the human subject pursuant to subdivisions (b) through (d), inclusive, of this section shall only be for medical experiments related to maintaining or improving the health of the human subject or related to obtaining information about a pathological condition of the human subject.

Section § 24176

Explanation

This law outlines the responsibilities and liabilities of those conducting medical experiments in California, particularly around obtaining informed consent from participants. If a person negligently fails to secure informed consent, they may owe up to $10,000 in damages, with a minimum of $500. Willful failure to obtain consent can result in up to $25,000 in damages, with a minimum of $1,000. If this willful failure exposes a participant to serious risk, it can lead to misdemeanor charges with potential jail time or fines up to $50,000. Pharmaceutical company representatives who knowingly conceal risks can also face similar punishments. Each violation of these rules is treated as a separate offense. Attempts to waive these rights are void, and this law does not restrict other modes of legal recovery for damages.

(a)CA Health and Safety Code § 24176(a)  Any person who is primarily responsible for conduct of a medical experiment and who negligently allows the experiment to be conducted without a subject’s informed consent, as provided in this chapter, shall be liable to the subject in an amount not to exceed ten thousand dollars ($10,000), as determined by the court. The minimum amount of damages awarded shall be five hundred dollars ($500).
(b)CA Health and Safety Code § 24176(b)  Any person who is primarily responsible for the conduct of a medical experiment and who willfully fails to obtain the subject’s informed consent, as provided in this chapter, shall be liable to the subject in an amount not to exceed twenty-five thousand dollars ($25,000) as determined by the court. The minimum amount of damages awarded shall be one thousand dollars ($1,000).
(c)CA Health and Safety Code § 24176(c)  Any person who is primarily responsible for the conduct of a medical experiment and who willfully fails to obtain the subject’s informed consent, as provided in this chapter, and thereby exposes a subject to a known substantial risk of serious injury, either bodily harm or psychological harm, shall be guilty of a misdemeanor punishable by imprisonment in the county jail for a period not to exceed one year or a fine of fifty thousand dollars ($50,000), or both.
(d)CA Health and Safety Code § 24176(d)  Any representative or employee of a pharmaceutical company, who is directly responsible for contracting with another person for the conduct of a medical experiment, and who has knowledge of risks or hazards with respect to the experiment, and who willfully withholds information of the risks and hazards from the person contracting for the conduct of the medical experiment, and thereby exposes a subject to substantial risk of serious injury, either bodily harm or psychological harm, shall be guilty of a misdemeanor punishable by imprisonment in the county jail for a period not to exceed one year or a fine of fifty thousand dollars ($50,000), or both.
(e)CA Health and Safety Code § 24176(e)  Each and every medical experiment performed in violation of any provision of this chapter is a separate and actionable offense.
(f)CA Health and Safety Code § 24176(f)  Any attempted or purported waiver of the rights guaranteed, or requirements prescribed by this chapter, whether by a subject or by a subject’s conservator or guardian, or other representative, as specified in Section 24175, is void.
(g)CA Health and Safety Code § 24176(g)  Nothing in this section shall be construed to limit or expand the right of an injured subject to recover damages under any other applicable law.

Section § 24177

Explanation

This law states that the rules in this chapter are to be used alongside, not replace, the existing rules found in two other parts of California law. These parts include certain sections of health and safety regulations and part of the penal code related to the management of hazardous substances or similar issues.

This chapter shall not supersede, but shall be in addition to, Article 4 (commencing with Section 111515) of Chapter 6 of Part 5 of Division 104 of this code and Title 2.1 (commencing with Section 3500) of Part 3 of the Penal Code.

Section § 24177.5

Explanation

This law explains when medical experimental treatments that might benefit patients in life-threatening emergencies can bypass certain regulations. It applies only if several strict conditions are met. These conditions include following federal safety procedures, recognizing the emergency nature of the condition, and acknowledging that the patient cannot give consent due to their condition. The law also requires attempts to contact a legally authorized representative for consent. Moreover, scientific studies supporting the treatment's potential benefits must exist, and an institutional review board must approve consent procedures. Finally, community consultation and transparent communication about the research are necessary, along with oversight by an independent committee.

The law clarifies these exceptions without exempting any party from other legal obligations, like acting responsibly and without negligence.

(a)CA Health and Safety Code § 24177.5(a) This chapter does not apply to a medical experimental treatment that benefits a patient subject to a life-threatening emergency if all of the following conditions are met:
(1)CA Health and Safety Code § 24177.5(a)(1) Care is provided in accordance with the procedures and the additional protections of the rights and welfare of the patient set forth in Part 50 of Title 21 of, and Part 46 of Title 45 of, the Code of Federal Regulations, in effect on April 1, 2012.
(2)CA Health and Safety Code § 24177.5(a)(2) The patient is in a life-threatening emergency necessitating urgent intervention and available treatments are unproven or unsatisfactory.
(3)CA Health and Safety Code § 24177.5(a)(3) The patient is unable to give informed consent as a result of the patient’s medical condition.
(4)CA Health and Safety Code § 24177.5(a)(4) Obtaining informed consent from the patient’s legally authorized representatives is not feasible before the treatment must be administered. The proposed investigational plan shall define the length of time of the potential therapeutic window based on scientific evidence, and the investigator shall commit to attempting to contact a legally authorized representative for each subject within that length of time and, if feasible, to asking the legally authorized representative contacted for consent within that length of time rather than proceeding without consent.
(5)CA Health and Safety Code § 24177.5(a)(5) There is no reasonable way to prospectively identify the individuals likely to become eligible for participation in the clinical investigation.
(6)CA Health and Safety Code § 24177.5(a)(6) Valid scientific studies have been conducted that support the potential for the intervention to provide a direct benefit to the patient. Risks associated with the investigation shall be reasonable in relation to what is known about the medical condition of the potential class of subjects, the risks and benefits of standard therapy, if any, and what is known about the risks and benefits of the proposed intervention or activity.
(7)CA Health and Safety Code § 24177.5(a)(7) The institutional review board has reviewed and approved the informed consent procedures and these procedures are to be used with subjects or their legally authorized representatives in situations where use of the procedures and documents is feasible.
(8)CA Health and Safety Code § 24177.5(a)(8) Additional protections of the rights and welfare of the subjects will be provided, including, but not limited to, all of the following:
(A)CA Health and Safety Code § 24177.5(a)(8)(A) Consultation, including, where appropriate, consultation carried out by the institutional review board, with representatives of the communities in which the research will be conducted and from which the subjects will be drawn.
(B)CA Health and Safety Code § 24177.5(a)(8)(B) Public disclosure to the communities in which the research will be conducted and from which the subjects will be drawn, prior to the initiation of the research, of plans for the research and its risks and expected benefits.
(C)CA Health and Safety Code § 24177.5(a)(8)(C) Public disclosure of sufficient information following the completion of the research to apprise the community and researchers of the study, including demographic characteristics of the research population and the results of the study.
(D)CA Health and Safety Code § 24177.5(a)(8)(D) Establishment of an independent data monitoring committee to exercise oversight of the research.
(b)CA Health and Safety Code § 24177.5(b) This section does not relieve any party of any other legal duty, including, but not limited to, the duty to act in a nonnegligent manner.

Section § 24178

Explanation

This section outlines exceptions and requirements for conducting medical experiments involving participants with cognitive impairments or serious conditions. It specifies when informed consent is needed, especially if participants can't consent themselves. In such cases, a surrogate decisionmaker, like a spouse or adult child, can provide consent, following a specific priority order. If multiple surrogates exist, anyone's refusal to consent prevails. In an emergency room, similar rules apply but with fewer surrogate options. Surrogate decisions must consider the participant's wishes or best interests. Consent providers cannot be financially compensated, and federal rules on informed consent must be followed.

(a)CA Health and Safety Code § 24178(a)  Except for this section and the requirements set forth in Sections 24172 and 24176, this chapter shall not apply to any person who is conducting a medical experiment as an investigator within an institution that holds an assurance with the United States Department of Health and Human Services pursuant to Part 46 of Title 45 of the Code of Federal Regulations and who obtains informed consent in the method and manner required by those regulations.
(b)CA Health and Safety Code § 24178(b)  Subdivisions (c) and (e) shall apply only to medical experiments that relate to the cognitive impairment, lack of capacity, or serious or life-threatening diseases and conditions of research participants.
(c)CA Health and Safety Code § 24178(c)  For purposes of obtaining informed consent required for medical experiments in a nonemergency room environment, and pursuant to subdivision (a), if a person is unable to consent and does not express dissent or resistance to participation, surrogate informed consent may be obtained from a surrogate decisionmaker with reasonable knowledge of the subject, who shall include any of the following persons, in the following descending order of priority:
(1)CA Health and Safety Code § 24178(c)(1)  The person’s agent pursuant to an advance health care directive.
(2)CA Health and Safety Code § 24178(c)(2)  The conservator or guardian of the person having the authority to make health care decisions for the person.
(3)CA Health and Safety Code § 24178(c)(3)  The spouse of the person.
(4)CA Health and Safety Code § 24178(c)(4)  An individual as defined in Section 297 of the Family Code.
(5)CA Health and Safety Code § 24178(c)(5)  An adult son or daughter of the person.
(6)CA Health and Safety Code § 24178(c)(6)  A custodial parent of the person.
(7)CA Health and Safety Code § 24178(c)(7)  Any adult brother or sister of the person.
(8)CA Health and Safety Code § 24178(c)(8)  Any adult grandchild of the person.
(9)CA Health and Safety Code § 24178(c)(9)  An available adult relative with the closest degree of kinship to the person.
(d)Copy CA Health and Safety Code § 24178(d)
(1)Copy CA Health and Safety Code § 24178(d)(1)  When there are two or more available persons who, pursuant to subdivision (c), may give surrogate informed consent and who are in the same order of priority, if any of those persons expresses dissent as to the participation of the person in the medical experiment, consent shall not be considered as having been given.
(2)CA Health and Safety Code § 24178(d)(2)  When there are two or more available persons who are in different orders of priority pursuant to subdivision (c), refusal to consent by a person who is a higher priority surrogate shall not be superseded by the consent of a person who is a lower priority surrogate.
(e)CA Health and Safety Code § 24178(e)  For purposes of obtaining informed consent required for medical experiments in an emergency room environment, and pursuant to subdivision (a), if a person is unable to consent and does not express dissent or resistance to participation, surrogate informed consent may be obtained from a surrogate decisionmaker who is any of the following persons:
(1)CA Health and Safety Code § 24178(e)(1)  The person’s agent pursuant to an advance health care directive.
(2)CA Health and Safety Code § 24178(e)(2)  The conservator or guardian of the person having the authority to make health care decisions for the person.
(3)CA Health and Safety Code § 24178(e)(3)  The spouse of the person.
(4)CA Health and Safety Code § 24178(e)(4)  An individual defined in Section 297 of the Family Code.
(5)CA Health and Safety Code § 24178(e)(5)  An adult son or daughter of the person.
(6)CA Health and Safety Code § 24178(e)(6)  A custodial parent of the person.
(7)CA Health and Safety Code § 24178(e)(7)  Any adult brother or sister of the person.
(f)CA Health and Safety Code § 24178(f)  When there are two or more available persons described in subdivision (e), refusal to consent by one person shall not be superseded by any other of those persons.
(g)CA Health and Safety Code § 24178(g)  Surrogate decisionmakers described in this section shall exercise substituted judgment, and base decisions about participation in accordance with the person’s individual health care instructions, if any, and other wishes, to the extent known to the surrogate decisionmaker. Otherwise, the surrogate decisionmaker shall make the decision in accordance with the person’s best interests. In determining the person’s best interests, the decisionmaker shall consider the person’s personal values and his or her best estimation of what the person would have chosen if he or she were capable of making a decision.
(h)CA Health and Safety Code § 24178(h)  Research conducted pursuant to this section shall adhere to federal regulations governing informed consent pursuant to Section 46.116 of Title 45 of the Code of Federal Regulations.
(i)CA Health and Safety Code § 24178(i)  Any person who provides surrogate consent pursuant to subdivisions (c) and (e) may not receive financial compensation for providing the consent.
(j)CA Health and Safety Code § 24178(j)  Subdivisions (c) and (e) do not apply to any of the following persons, except as otherwise provided by law:
(1)CA Health and Safety Code § 24178(j)(1)  Persons who lack the capacity to give informed consent and who are involuntarily committed pursuant to Part 1 (commencing with Section 5000) of Division 5 of the Welfare and Institutions Code.
(2)CA Health and Safety Code § 24178(j)(2)  Persons who lack the capacity to give informed consent and who have been voluntarily admitted or have been admitted upon the request of a conservator pursuant to Chapter 1 (commencing with Section 6000) of Part 1 of Division 6 of the Welfare and Institutions Code.

Section § 24179

Explanation

This law states that the rules in this chapter don't apply when a pharmacist gives out medication based on a doctor's prescription.

This chapter shall not apply to a pharmacist dispensing drugs upon a prescription.

Section § 24179.5

Explanation

This law states that if an adult is in a terminal condition and has created a directive to withhold or withdraw life-sustaining treatments, this chapter does not apply to them. Furthermore, if there is any conflict, the Probate Code's rules on the matter will take precedence over this chapter.

Notwithstanding any other provision of this chapter, this chapter does not apply to an adult in a terminal condition who executes a directive directing the withholding or withdrawal of life-sustaining procedures pursuant to Section 7188. To the extent of any conflict, Division 4.7 (commencing with Section 4600) of the Probate Code prevails over the provisions of this chapter.