Teacher:In this task, you are given a text of many news articles seperated by special token "|||||". Your task is to summarize them.
Teacher: Now, understand the problem? Solve this instance: FILE - The California State Auditor on Thursday blasted federal and state oversight of sterilization surgeries for female prison inmates, finding numerous illegal surgeries and violations of the state’s informed consent law. (Photo: Rich Pedroncelli ) 
  
 The California State Auditor on Thursday blasted federal and state oversight of sterilization surgeries for female prison inmates, finding numerous illegal surgeries and violations of the state's informed consent law. 
  
 Assemblywoman Bonnie Lowenthal, D-Long Beach, and Sen. Hannah-Beth Jackson, D-Santa Barbara, of the California Legislative Women's Caucus had requested the audit in August in response to an investigation by The Center for Investigative Reporting. 
  
 Of the 144 inmates who underwent tubal ligations from fiscal years 2005-06 to 2012-13, auditors found nearly one-third were performed without lawful consent, according to the report released Thursday. 
  
 An investigation by the Center for Investigative Reporting found that out of 144 female inmates sterilized over the past 9 yeas, 1/3 of those were done unlawfully. Daniel Simon/The Desert Sun 
  
 In 27 cases, the inmate's physician — the person who would perform the procedure in a hospital or an alternate physician — did not sign the required consent form asserting that the patient appeared mentally competent and understood the lasting effects of the procedure and that the required waiting period had been satisfied. 
  
 (Related:Bill seeks sterilization restrictions in California prisons | California prison doctor linked to sterilizations no stranger to controversy) 
  
 In some cases, physicians falsified the consent forms, indicating the proper waiting period had passed when it clearly had not. The audit also said the "true number" of illegal procedures might be higher, noting that it had found seven cases at one hospital for which health records were lost in a routine purging. 
  
 "It made me sick to my stomach," said state Sen. Ted Lieu, D-Redondo Beach, who was the first to call for an investigation by the Medical Board of California, which is ongoing. Lieu demanded a formal apology from the federal receiver's office, which took over medical care in the state's prisons in 2006. 
  
 "The audit shows systemic failures by the federal receiver in the sterilization of female inmates," Lieu said. "I'm also surprised that the receiver makes the argument that they had no legal duty to make sure the prison employees comply with the consent procedures. That is a ludicrous argument." 
  
 (Recent CIR stories:Use of license-plate readers alarms privacy advocates | Expenses for Judy Olian, Teri Schwartz questioned at UCLA | UC endowment has worst investment returns among largest US college funds | California's lack of online child care records leaves parents in dark | Officials, advocates at odds over how California should handle caregiver abuse cases) 
  
 Auditors have urged federal officials to forward the names of the physicians involved in the illegal surgeries to the Medical Board and the California Department of Public Health for further investigation and disciplinary action. 
  
 The CIR investigation, published in July, found that 132 women received tubal ligations in violation of prison rules from 2006 to 2010 — and perhaps 100 more dating back to the late 1990s. 
  
 Former inmates and prisoner advocates maintain that prison medical staff coerced the women, targeting those deemed likely to return to prison in the future. The audit released Thursday notes that all women receiving tubal ligations had been incarcerated at least once before, indicating that they were repeat offenders. However, prison medical officials have denied any ill intent. 
  
 In a written response to the audit, the state prison health department generally agreed with the findings but noted that it has taken steps to improve. 
  
 CIR found that inmates were signed up for the surgery, also known as getting one's tubes tied, while pregnant at the two women's prisons that housed pregnant inmates: the California Institution for Women in Corona or Valley State Prison for Women in Chowchilla. Valley State became a men's prison in 2013. 
  
 Federal officials said none of the tubal ligations performed since 2006 received signoff by a state-level committee of medical professionals. State prison data indicates that more than half of the surgeries requested during that time period — 74 — came from Valley State. More than two-thirds of those came from Dr. James Heinrich, Valley State's OB-GYN, or a nurse on his staff, according to the prison's medical service request records. 
  
 Heinrich previously told CIR that the money spent sterilizing inmates was minimal "compared to what you save in welfare paying for these unwanted children — as they procreated more." 
  
 In response, Jackson introduced a bill that would ban all inmate sterilizations for birth control purposes. Under SB 1135, such surgeries would be performed only during life-threatening emergencies and to cure physical illness. Prisons performing sterilizations would be required to report annually the number of surgeries by race, age, reason and surgical method. The bill also provides legal protections for any personnel who report abuses. Last month, the state Senate unanimously approved SB 1135, which is now being taken up by the Assembly. 
  
 Read or Share this story: http://desert.sn/1iqhim7 ||||| Click for larger image Credit: Rich Pedroncelli/Associated Press 
  
 UPDATE, June 19, 2014: This story updates throughout with more details about the audit. 
  
 The California state auditor today blasted federal and state oversight of sterilization surgeries for female prison inmates, finding numerous illegal surgeries and violations of the state’s informed-consent law. 
  
 Of the 144 tubal ligations performed on inmates from fiscal years 2005-06 to 2012-13, auditors found, more than a quarter – 39 – were done without lawful consent, according to the report by State Auditor Elaine Howle. The “true number” of illegal procedures might be higher, the audit said, because auditors found seven cases at one hospital for which health records were lost in a routine purging. 
  
 The findings “made me sick to my stomach," said state Sen. Ted Lieu, D-Redondo Beach, who was the first to call for the Medical Board of California to investigate the surgeries after The Center for Investigative Reporting broke the story nearly a year ago. That probe has not been completed. 
  
 Former inmates and prisoner advocates have claimed that prison medical staffers coerced the women, targeting those deemed likely to return to prison after they were released. The new audit notes that all women receiving tubal ligations in state prisons from 2005 to 2013 had been incarcerated at least once before. However, prison medical officials have denied any ill intent. 
  
 In addition, the audit found: 
  
 Inmates receiving tubal ligations typically were between 26 and 40 and had been pregnant five or more times before being sterilized. Fifty white women, 53 Latino women, 35 black women and six women classified as “other” received the procedure. 
  
 Most of the women tested at less than a high school level of reading proficiency, the report stated, with about one-third of the inmates who received the surgery reading below the sixth-grade level. 
  
 In 27 cases, the inmate’s physician – the person who would perform the procedure in a hospital or an alternate physician – did not sign the required consent form asserting that the patient appeared to be mentally competent and understood the lasting effects of the procedure and that the required waiting period had been satisfied . 
  
 There were 18 cases with potential violations of the required waiting period between when the inmate consented and when the surgery actually took place. State law mandates a 30-day wait to ensure patients aren’t pressured or rushed. The audit also found that some doctors falsified the consent forms, indicating the proper waiting period had passed when it clearly had not. 
  
 The audit noted that the federal receiver’s office, which took over medical care in the state’s prisons in 2006, maintains that it has no legal duty to make sure prison employees comply with the consent procedures, which Lieu called “ludicrous.” 
  
 Liz Gransee, spokeswoman for the federal prison receiver, confirmed that the office’s lawyers disagree with the audit’s conclusions. Nonetheless, Gransee said the office will implement the audit’s recommendations. In the audit, the office says it has initiated staff training, among other measures. 
  
 Assemblywoman Bonnie Lowenthal, D-Long Beach, and Sen. Hannah-Beth Jackson, D-Santa Barbara, of the California Legislative Women’s Caucus had requested the state audit in August in response to CIR's investigation. 
  
 Today, Jackson described the results as shocking. 
  
 “Based upon the auditor’s report, the problem is far more systemic,” she said. “We now have clear proof that the prison environment is an environment where consent simply cannot be obtained in a responsible, reliable manner for these procedures.” 
  
 Cynthia Chandler, an adjunct professor at the Golden Gate University School of Law and co-founder of the Oakland-based prisoner rights group Justice Now, called the report a good first step. She also called for state reparation for the women who were sterilized. 
  
 Justice Now has been raising questions about prison sterilizations since the early 2000s, after receiving medical reports and allegations of abuse from incarcerated women. 
  
 “We were dismissed as heretics despite having evidence abuse and illegal sterilizations were occurring,” Chandler said. “This report feels like an incredible step and vindication for people who work toward challenging human rights abuses.” 
  
 The state auditor urged federal officials to forward the names of physicians involved in the illegal surgeries to the Medical Board and the state Department of Public Health for further investigation and disciplinary action. That would include 39 cases, 17 doctors and eight hospitals. 
  
 Lieu said he wants more action. He said he will ask the Medical Board to investigate nearly all of the sterilization cases on the basis that they were done without required state approvals. He also demanded a formal apology from the federal receiver’s office. 
  
 "The federal judiciary took over our state prison system, and they are responsible,” Lieu said. “These gross failures demonstrate again why the judicial branch is ill-equipped to run a large, complex prison system.” 
  
 CIR’s investigation, published in July, found that 132 women received tubal ligations in violation of prison rules from 2006 to 2010. As many as 100 more women may have undergone questionable operations since the late 1990s. 
  
 CIR found that inmates were signed up for the surgery while pregnant at two women’s prisons that housed pregnant inmates: the California Institution for Women in Corona or Valley State Prison for Women in Chowchilla. Valley State became a men’s prison in 2013. 
  
 Federal officials have said none of the tubal ligations performed since 2006 received the required signoff by a state-level committee of medical professionals. 
  
 State prison data indicate that more than half the surgeries from 2006 to 2010 – 74 – were requested by Valley State. More than two-thirds of those requests came from Dr. James Heinrich, Valley State’s OB-GYN, or a nurse on his staff, according to the prison’s medical service request records. 
  
 Heinrich previously told CIR that the money spent sterilizing inmates was minimal “compared to what you save in welfare paying for these unwanted children – as they procreated more.” 
  
 In response to the CIR’s investigation, Jackson introduced a bill that would ban all inmate sterilizations for birth control purposes. Under SB1135, such surgeries would be performed only during life-threatening emergencies and to cure physical illness. 
  
 Prisons performing sterilizations would be required to report annually the number of surgeries by race, age, reason and surgical method. The bill also provides legal protections for any personnel who report abuses. 
  
 The Senate approved the measure last month. It is now before the Assembly. 
  
 This story was edited by Amy Pyle and copy edited by Nikki Frick. ||||| Starting in 1996, Alexa Internet has been donating their crawl data to the Internet Archive. Flowing in every day, these data are added to the Wayback Machine after an embargo period. |||||
Student:
The California prison system illegally had dozens of women sterilized, possibly without their consent, according to a new report from the state auditor. Of the 144 inmates given tubal ligations from fiscal years 2005-06 to 2012-13, at least 39 were done without lawful consent, with physicians either failing to sign forms confirming that patients understood and consented to the procedures, failing to wait the requisite number of days to perform the procedure, or both, according to the Center for Investigative Reporting. The "true number" might be even higher, the report adds, because auditors found seven cases in which health records had been lost entirely. The procedures were performed at hospitals, not at the prisons, and the federal receiver’s office, which oversees medical care in the state’s prisons, says it had no legal duty to ensure consent procedures were followed. "That is a ludicrous argument," one state senator says, according to the Desert Sun. "It made me sick to my stomach." The audit recommends that the doctors involved be reported to the state licensing board, the LA Times reports; officials say they'll follow all recommendations. Pending legislation would prohibit prison sterilizations altogether unless they are medically necessary. The audit came in response to an earlier investigation from the CIR that found that the procedures were all carried out without getting the necessary clearance from a state panel of medical experts. For more on that story, click here.