BILL ANALYSIS SENATE COMMITTEE ON Public Safety Senator Bruce McPherson, Chair A 2003-2004 Regular Session B 3 8 4 AB 384 (Leslie) As Amended March 24, 2003 Hearing date: June 1, 2004 Penal Code and Welfare and Institutions Code SH:br PROHIBITION ON TOBACCO PRODUCTS ADULT AND YOUTH STATE CORRECTIONAL FACILITIES. HISTORY Source: Author Prior Legislation: AB 506 (Aguiar) - 1997-98; heard in the Senate Committee on Public Safety Subcommittee on Prison Construction and Operations and not referred to the full committee Support: California Medical Association; Medical Staff, California Men's Colony (San Luis Obispo); Los Angeles County Board of Supervisors; California Correctional Supervisors Organization, Inc.; Californians for Common Sense Laws; individual letters from inmates and others Opposition:Friends Committee on Legislation of California Assembly Floor Vote: Ayes 66 - Noes 4 KEY ISSUES (More) AB 384 (Leslie) Page 2 SHOULD THE DIRECTORS OF THE CALIFORNIA DEPARTMENT OF CORRECTIONS AND THE CALIFORNIA YOUTH AUTHORITY BE REQUIRED TO ADOPT REGULATIONS PROHIBITING THE POSSESSION OF TOBACCO PRODUCTS IN ALL OF THE CDC AND CYA INSTITUTIONS, AS SPECIFIED? SHOULD RELATED CHANGES IN LAW BE ENACTED? PURPOSE The purpose of this bill is to require that the Directors of the California Department of Corrections and the California Youth Authority adopt regulations prohibiting the possession of tobacco products in all of the CDC and CYA institutions and to make related changes in law. Existing law provides that: The Director of the Department of Corrections is vested with the supervision, management and control of the state prisons and is responsible for the care, custody, treatment, training, discipline and employment of a person confined in those prisons. The Director may prescribe rules and regulations for the administration of the prisons. (Penal Code 5054 and 5058.) Generally provides that state prisoners may, during confinement, be deprived of only such rights as is reasonably related to legitimate penological interests. (Penal Code 2600.) Prohibits any person from supplying tobacco products to a minor (under 18 years of age) but contains an exception for the Director of Corrections which may sell or supply tobacco and tobacco products, including cigarettes and cigarette papers, to any person confined in any institution or facility under its jurisdiction who has attained the age of 16 years, if the parent or guardian of the person consents, and may permit smoking by any such person in any such institution or facility. No officer or employee of the Department of (More) AB 384 (Leslie) Page 3 Corrections shall be considered to have violated the general prohibition if he or she provides tobacco products pursuant to this exception. (Penal Code 308.) Provides that all powers, duties, and functions pertaining to the care and treatment of wards provided by any provision of law and not specifically and expressly assigned to the Youthful Offender Parole Board shall be exercised and performed by the Director of the Youth Authority. (Welfare and Institutions Code 1712.) Provides that no public employee or member of the public shall smoke any tobacco product inside a public building, or in an outdoor area within 20 feet of a main exit, entrance, or operable window of a public building, or in a passenger vehicle, owned by the State. (Government Code 7597(a).) Provides that this section shall not preempt the authority of any county, city, city and county, California Community College campus, campus of the California State University, or campus of the University of California to adopt and enforce additional smoking and tobacco control ordinances, regulations, or policies that are more restrictive than the applicable standards required by this chapter. (Government Code 7597(b).) States that, except as provided in Government Code Section 7597, a public employee or other person may smoke in any outdoor area of a public building unless otherwise prohibited by state law or local ordinance and a sign describing the prohibition is posted by the state, county, or city agency or other appropriate entity. (Government Code 7598.) Provides that not later than January 31, 1994, and thereafter upon initial employment, each state agency shall inform its employees about the smoking prohibition contained in Government Code Section 7597, areas where smoking is permitted, and the availability of tobacco smoking control programs. (Government Code 19994.33(c).) (More) AB 384 (Leslie) Page 4 Executive Order W-180-98 (signed June 24, 1998) provides that: Effective on or before September 1, 1998, the CDC shall prepare all necessary policies and regulations, in accordance with Administrative Procedures Act, to implement the total ban of tobacco product for inmates in the buildings and the grounds of any CDC Reception Center and CRC [California Rehabilitation Center at Norco], except for departmentally approved inmate religious ceremonies; defines tobacco products expansively; indicates that steps will be evaluated for a system-wide ban on tobacco products, including in visiting areas; and provides that the CDC is to consider voluntary smoke free facilities for staff and inmates at selected institutions. This bill does the following: Requires that the Director of Corrections adopt regulations prohibiting the possession of tobacco products by inmates in all institutions and prison facilities under the jurisdiction of the Department of Corrections and provides that a violation of this prohibition is a serious rule violation, as specified. Requires that the Director of the Youth Authority adopt regulations prohibiting the possession of tobacco products by inmates in all institutions and camps under the jurisdiction of the Department of the Youth Authority. Deletes the existing authority for the CDC and the CYA to sell tobacco at a commissary or canteen. Deletes the existing authority of the Department of Corrections to provide tobacco products to an inmate who is 16 years of age or older, if the parent or guardian consents, in all Department institutions. (More) AB 384 (Leslie) Page 5 COMMENTS 1. Need for This Bill The author's background includes: A recent study released by the Department of Health Services reported that it costs an average of $3,500 each year in health care costs per smoker in California. With approximately 160,000 inmates in our state prisons - roughly half of them smokers - it is expected this will help drastically reduce the state's health care expenses for inmates. The state spends approximately $266 million in smoking-related health care costs for inmates. At Wasco State Prison, prior to banning smoking, the institution had numerous cases of asthma each year. Two years ago, after the ban went in place, the prison had only one. Indeed, according to state corrections officials, banning tobacco in prisons is not a new idea. Reception areas and virtually all county and local jails have been tobacco free for some time. Three state institutions - Wasco State Prison, the California Men's Colony in San Luis Obispo, and the California Medical Facility in Vacaville - have all gone tobacco free in recent years. No residual behavioral problems have been noted as a result of the ban. This bill is both a great way to save the state money, and it will help make our prison population healthier. We're not looking to further punish prisoners. We see this as a way of helping them, that if they can survive their quitting this habit, then maybe they can reform their lives in other ways, too. (More) AB 384 (Leslie) Page 6 2. Current State of Tobacco in the CDC The Department of Corrections and CYA - both staff, inmates, and wards - are subject to the same general restrictions on smoking as any other state agencies, which prohibit smoking - not the use of smokeless tobacco products - in state buildings and within prescribed distances of entrances, exits, and operable windows of state agencies. [See Comment #9, below, for specific comments about the CYA.] In addition, existing law and regulations authorize the implementation of a no-smoking policy. Directors have broad authority in supervising correctional facilities and discretionary control over the existence of canteens and their inventory. (Penal Code 5005; 15 CCR 3188(b)(2), (e).) Possession and use of tobacco is prohibited in CYA facilities, with the exception that the director may, but is not required to, permit smoking by an inmate 16 year old or older with his or her parent's written consent. (15 CCR 4698(a); Penal Code 308(f).) Information provided by the CDC at the request of Committee staff includes the following: Pursuant to Executive Order W-180-98, the CDC banned inmates from possessing tobacco products in all of the Reception Centers and at the California Rehabilitation Center. Since that time, the following six institutions have also banned inmates from possessing tobacco products: March 1, 2002 Pelican Bay State Prison April 1, 2002 California State Prison, Sacramento May 1, 2002 Wasco State Prison (RC ban extended to entire prison) July 1, 2002 California Men's Colony September 1, 2002 California Medical Facility January 1, 2003 Deuel Vocational Institution (RC ban extended to entire prison) (More) AB 384 (Leslie) Page 7 Based in part on the following information received from those institutions that have banned tobacco, the transition seems to have been successful. Participating institutions provided advance notice in writing to all inmates, staff, and visitors. Canteen sales of tobacco products were stopped several months before the date of the ban, allowing inmates to exhaust existing personal supplies of tobacco. A pronounced reduction in asthma-related complaints and in respiratory complications in general is reported at two prisons. No discernible negative impact on medical services has been noted. There has been a slight increase in the total number of rules violation reports concerning tobacco. However, the total effect of these rules violation reports is so negligible that no significant impact has resulted. The number of tobacco related inmate appeals continues to steadily decline. Since the enactment of the tobacco ban, there have been no lawsuits or habeas corpus matters filed. The American Civil Liberties Union (ACLU) has provided information concerning court decisions in other venues which indicate that there is no constitutional right to smoke in prison and that a ban on smoking is not "cruel and unusual punishment." In order to assist the inmate population during the transition to a tobacco-free environment, smoking cessation groups or videos were made available to the inmate population at Pelican Bay State Prison, California Men's Colony, and California State Prison, Sacramento. An overall reduction in maintenance and repair to housing units was reported by California Men's Colony and California State Prison, Sacramento. This decline is attributed to a (More) AB 384 (Leslie) Page 8 decrease in damages to electrical switches, outlets, and devices associated with inmates attempting to light their cigarettes. Tobacco use cessation assistance is offered to the inmate population in the form of tobacco use cessation classes, support groups, videotapes, and the distribution of printed tobacco cessation materials. These are the same materials that are recommended by, and available (often at no cost) to the general public, by the American Cancer Society, the American Lung Association, the American Heart Association, the U.S. Department of Health and Human Services, and the Center for Disease Control. Concerns have been raised regarding whether the CDC should be required to offer nicotine replacement cessation materials to help inmates cope with the withdrawal from nicotine. Over the counter nicotine replacement materials include nicotine gum (i.e. Nicorette), nicotine lozenges (i.e. Commit), and nicotine patches (i.e. Nicoderm). Additionally, prescription nicotine replacement materials include a nicotine nasal spray and a nicotine inhaler (i.e. Nicotrol). It should be noted that the issue of offering nicotine replacement cessation materials to the inmate population was reviewed and considered by the CDC; however, for a variety of reasons, it was determined that nicotine replacement cessation materials would not be offered to the inmate population. Nicotine is an addictive and potentially dangerous drug. Each of the nicotine replacement materials listed above contains anywhere from 2 mg of nicotine (lozenge and gum) to 21 mg of nicotine (patch), and each carries its own significant negative side effects, including headaches, dizziness, upset stomach, weakness, blurred vision, itching and burning of the skin, diarrhea, coughing, and throat irritation. Additionally, nicotine replacement materials must be used exactly as directed, as the minimum acute lethal dose for nicotine in adults is reported to be 40 to 60 mg. Because of the potential for personal misuse of nicotine (More) AB 384 (Leslie) Page 9 replacement cessation materials, or of their possible use as barter material within the inmate population, these materials would have to be dispensed in the same manner as medication. CDC's health care staff would have to dispense and monitor this kind of treatment, which would require significant additional staffing. Additionally, the U.S. Surgeon General reported that nicotine withdrawal symptoms peak within the first few days and subside within a few weeks. Withdrawal symptoms can include irritability, craving, cognitive and attention deficits, sleeping disturbance and increased appetite; however, if an inmate were to experiences withdrawal symptoms so severe that it creates a medical situation, medical treatment would be provided. 3. Other States' Experience The CDC additionally provided at Committee staff's request the following information pertaining to other states: ------------------------------------------------------------------ |State |Inmates |Staff | |-----------+--------------------------+---------------------------| | | | | |-----------+--------------------------+---------------------------| |Colorado |Complete ban |Complete ban | |-----------+--------------------------+---------------------------| |Delaware |Complete ban |Complete ban | |-----------+--------------------------+---------------------------| |Idaho |Complete ban |Complete ban | |-----------+--------------------------+---------------------------| |Indiana |Complete ban |Complete ban | |-----------+--------------------------+---------------------------| |Maine |Complete ban |Complete ban | |-----------+--------------------------+---------------------------| |Minnesota |Complete ban |Complete ban | |-----------+--------------------------+---------------------------| |Nebraska |Complete ban |Complete ban | |-----------+--------------------------+---------------------------| (More) AB 384 (Leslie) Page 10 |Maryland |Complete ban since 2001 |Outside, designated areas | | | |only, away from people (to | | | |avoid secondhand smoke | | | |possibility) | |-----------+--------------------------+---------------------------| |Texas |Complete ban |Banned in buildings, can | | | |smoke outside | |-----------+--------------------------+---------------------------| |Michigan |Banned in buildings, can |Banned in buildings, can | | |smoke outside |smoke outside | |-----------+--------------------------+---------------------------| |South |Banned in buildings, can |Banned in buildings, can | |Carolina |smoke outside |smoke outside | |-----------+--------------------------+---------------------------| |Missouri |Smoking allowed in cells, |Can smoke in outside areas | | |smokers housed with other |designated for "smoking" | | |smokers | | ------------------------------------------------------------------ 4. Economic Effect of This Bill Also at Committee staff's request, the CDC provided the following evaluation of the economic impact of this bill on CDC tobacco sales: Based on 2003 tobacco-related sales at CDC of about $5.4 million, which generated about $1 million in tobacco taxes and about $370,000 in sales tax, the State would potentially lose a corresponding amount of tax revenue. The potential sales tax loss could be offset to a significant degree, by a tendency for inmates to spend their money on other canteen options when tobacco is not an option. Loss of tobacco tax proceeds would not be offset and based on these figures, would lead to a General Fund reduction of about $100,000, a reduction to the California Children and Families First Trust Fund of about $500,000, a reduction of about $250,000 to the Cigarette and Tobacco Products Surcharge Fund, and a minor reduction to the Breast Cancer Fund. (More) AB 384 (Leslie) Page 11 5. Support for This Bill The California Correctional Supervisor Organization (CCSO) letter in support of this bill includes: We truly believe that this measure will save the California taxpayers hundreds of millions of dollars each year in health care costs for state prison inmates and help to provide a healthier and more productive environment for the employees and inmates. By eliminating tobacco in prisons you will also: Reduce workers' compensation claims and secondhand smoke litigations; Help the inmates' families by making more money available for other needs instead of having to purchase tobacco for an addicted inmate; Benefit inmates by helping them lead non-smoking life styles well after they finish their prison term and become active members of society. CCSO representatives stated in person that since tobacco is an addiction, it is unrealistic to place those smoking tobacco in a position where they can smoke outside of buildings when they are routinely confined for 2/3's of the day inside where they cannot legally smoke and that that leads to smoking in cells, where creative ways must be found to light cigarettes, since lighting materials are not allowed in cells (prison yards routinely have electronic cigarette lighters). Further, they indicated that inmates in county jails are not allowed to smoke as is the case in the CDC's reception centers, so that inmates routinely are in a non-smoking situation for months before being returned to a smoking environment at other CDC facilities that are not tobacco-free. (More) AB 384 (Leslie) Page 12 In addition, the author's office also indicates that: It is inconsistent to ban prisoners from smoking at local jails and at CDC Reception Centers only to give them the opportunity to get addicted once again at the state prison. There are also many inmates who do not smoke. They become victims of secondhand smoke and all the residual illnesses caused by breathing tobacco fumes. AB 384 is a great opportunity to foster a healthier state prison system as well as save taxpayers money in health-related costs. 6. Opposition to This Bill The Friends Committee on Legislation letter in opposition to this bill includes: . . . While we very much appreciate the goal to reduce tobacco use and improve the health of prisoners, and we fully recognize the dangers posed to nonsmokers by second-hand smoke, we disagree with the punitive means employed by this legislation. Because nicotine is highly addictive, more than 90 percent of smokers who try to quit smoking on their own will fail, and most will be smoking again within a few days of attempting to quit (National Institute of Drug Abuse). Because tobacco can be purchased cheaply on the outside and sold at huge markups inside the prison walls, it appears that tobacco is becoming the number one contraband item in some prisons where tobacco has been banned. Contrarily, employing a public health approach is more likely to reduce tobacco use. Pharmacological treatments can double the rate of successful cessation. Nicotine replacement therapies, such as the nicotine patch, nasal spray and inhaler and nicotine lozenges have little potential for abuse (More) AB 384 (Leslie) Page 13 since they do not produce the pleasurable effects of tobacco products. When combined with behavioral modification programs, the success rates are even higher (National Institute of Drug Abuse). Australia has taken a therapeutic approach to reduce tobacco use in prisons. It is our hope that the Legislature will consider doing the same, and we would be happy to work with you towards this important goal. Lastly, please consider this proposal in terms of recent changes made at CDC. Visiting days have been scaled back from three or four to two. Prisoners will no longer be allowed to receive quarterly packages directly from family members, and the governor has proposed reducing meals on weekends. The totality of these restrictions will result in more tension and increases the possibility of violence in our prisons. 7. Possible Drafting Issues Raised by This Bill This bill would enact into statute the penalty to be applicable to violations of the proposed tobacco products ban as "a serious rule violation pursuant to Section 3315 of Division 3 of Title 15 of the California Code of Regulations." The existing penalty applicable in existing tobacco-free CDC institutions is an administrative rule violation pursuant to Section 3314 of Title 15. Section 3315(a)(3)(M) does provide that "A repeated pattern of administrative rule violations for the same offense" may be charged as a serious rule violation. Serious rule violations do require a hearing at the senior hearings officer or higher level while administrative rules violations involve hearings by a lower level hearing officer. WOULD IT BE APPROPRIATE FOR THE AUTHOR TO AMEND THIS BILL TO STATE THAT VIOLATIONS WOULD BE "ADMINISTRATIVE" RATHER THAN "SERIOUS" OR TO LEAVE THE DETERMINATION OF THE PENALTY UP TO THE CDC TO DETERMINE ALTOGETHER? This bill does not contain any exemption for "departmentally approved religious ceremonies" as is contained in the 1998 (More) AB 384 (Leslie) Page 14 Executive Order. WOULD IT BE APPROPRIATE TO ADD A RELIGIOUS EXEMPTION IN THIS BILL? This bill refers on page 5, line 7, to "inmates" of the CYA. The CYA houses "wards" not inmates, although some CDC "inmates" have been housed by the CYA until those inmates attain age 18. SHOULD THAT REFERENCE BY CHANGED TO "WARDS"? This bill would take effect on January 1, 2005, if enacted. It may or may not be appropriate for the author to consider delaying the operative date of all or some of this bill's provisions. As noted in the background provided by the CDC, above, the cessation of the use of tobacco products in state prisons has been planned and phased in. This bill would on January 1, 2005, remove the CDC's authority to sell tobacco products at commissaries and canteens and require the CDC to adopt regulations which themselves will take some time to implement (although the CDC does have broad "emergency regulation" authority). (More) 8. Existing Provisions of the Bargaining Unit #6 MOU Regarding the CDC and Smoking The current MOU for Bargaining Unit #6, Appendix item #14 - Addendum to Section 16.04 - CDC smoking policy, contains a number of detailed items, including the following: 1. The State will post "No Smoking" signs in the outside areas where smoking is prohibited. 2. In the event legislation is introduced to ban tobacco products for the inmates, the Department agrees to duly consider supporting such a bill. 3. It is the intent and expectation of the Department and CCPOA that effective Corrective Action will be taken prior to any Adverse Personnel Action (APA) for violation of the Department's smoking policy. Therefore, as part of the State's process of progressive discipline, an employee who violates the Department's AB on smoking policy will be offered the opportunity to receive medical treatment and/or counseling for smoking cessation. This offer will be made prior to any referral for APA for the employee's first documented violation (i.e., Employee Counseling Record or LOI). . . . 4. The Department agrees to include smoking cessation in the IST (In-Service Training) programs. The Department will ensure that all instructors of the smoking cessation programs are vendor qualified, e.g. American Lung Association, Cancer Society. *** 7. The Department agrees that all inmates will only be allowed to smoke tobacco products on prison yards and, except for safety and security considerations, some yards may be designated no smoking, e.g., (More) AB 384 (Leslie) Page 16 administrative segregation, security housing units. 8. The Department agrees to develop enforcement policies and procedures regarding inmate visitors and members of the public for violation of the Department's smoking policy. 9. The Department agrees not to punitively job change smokers into a job assignment where they do not have the ability to smoke. 9. Impact on the California Youth Authority This bill adds a statutory prohibition on wards of the Department of Youth Authority from using tobacco products. Since at least 1992, the following regulation has been in effect at the Department of Youth Authority: Title 15, Section 4698, California Code of Regulations. Use of Tobacco (a) Wards/inmates, housed in Youth Authority facilities, shall not possess or use tobacco products. IS A STATUTORY CHANGE NEEDED GIVEN THE DEPARTMENT'S EXISTING REGULATIONS? 10. Current CDC Facts The CDC "Facts and Figures - Second Quarter 2004" includes the following: As of February 2002, the maximum prison capacity was approximately 170,100. Upon completion of the administrative segregation housing units and the Delano II maximum-security institution, the California Department of Correction's maximum housing capacity will increase to approximately 176,500. AB 384 (Leslie) Page 17 About Prisons - Facilities : 32 state prisons ranging from minimum to maximum custody; 37 camps, minimum custody facilities located in wilderness areas where inmates are trained as wildland firefighters; 12 community correctional facilities (CCF's); and 5 prisoner mother facilities. Population : All Institutions: 162,120. ***************