BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 1963
                                                                  Page 1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 1963 (Nava)
          As Amended  August 4, 2010
          Majority vote
           
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          |ASSEMBLY:  |50-27|(June 1, 2010)  |SENATE: |22-14|(August 23,    |
          |           |     |                |        |     |2010)          |
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           Original Committee Reference:    E.S. & T.M.  

           SUMMARY  :  Requires clinical laboratories that perform  
          cholinesterase (ChE) testing for the purpose of determining  
          workers' pesticide exposure to electronically report test  
          results to the Department of Pesticide Regulation (DPR).

           The Senate amendments  made the following changes to the bill:

          1)Adds  the date of birth of the person being tested to the  
            information that laboratories submit to the DPR.  
           
          2)Deletes the authority for the Department of Public Health  
            (DPH) to assess a fine against laboratories that knowingly  
            fail to meet the reporting requirements of this bill.

          3)Sunset the provision of this bill on  December 31, 2016.

           AS PASSED BY THE ASSEMBLY  ,  this bill required clinical  
          laboratories that perform ChE testing for the purpose of  
          determining workers' pesticide exposure to electronically report  
          test results to the DPR.  Specifically, as passed by the  
          Assembly  this bill  :  

          1)Required laboratories that perform ChE testing to report to  
            the DPR the test results for every person tested and other  
            specified information in the laboratory's possession.

          2)Required the medical supervisor ordering the ChE testing to  
            indicate the purpose of the test and to provide a copy of the  
            ChE test results or any recommendations to the tested  
            individual within 14 days of receiving the information.

          3)Specifies that all information reported under this bill will  
            be confidential, except that the Office of Environmental  








                                                                  AB 1963
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            Health Hazard Assessment (OEHHA), DPR, and the DPH may share  
            the information only for the purpose of surveillance, case  
            management, investigation, environmental assessment,  
            environmental remediation, or abatement with the appropriate  
            county agricultural commissioner or local health officer.

          4)Required DPR to prepare a report on the ChE testing program by  
            December 31, 2015, in consultation with OEHHA and DPH, and  
            specifies issues the report may examine, including but not  
            limited to, evaluating and assessing the program's  
            effectiveness and making recommendations to the Legislature.

          5)Authorized DPH to assess a fine of up to $200 per person  
            against any laboratories that knowingly fails to meet the  
            reporting requirements of this bill.
           
          FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, this bill would result in minor absorbable costs to  
          OEHHA and DPR.

           COMMENTS  :   According to the author, this bill is necessary to  
          enable state agencies to effectively monitor the existing ChE  
          medical supervision program and to better protect California  
          farm workers who are routinely exposed to pesticides that  
          suppress ChE levels.  ChE is a nerve enzyme, the suppression of  
          which can lead to impaired reproductive function; birth defects;  
          a weakened immune system; an increased risk of non-Hodgkin's  
          lymphoma and leukemia; nerve damage; severe neurological effects  
          and even death.  Overexposure to organophosphate and carbamate  
          pesticides can suppress workers' ChE to dangerously low levels.   
          Currently, the cholinesterase medical supervision program does  
          not include a requirement for ChE testing data to be delivered  
          to any state agency responsible for worker health; therefore,  
          more than three decades after this program was enacted, the  
          state has little oversight authority and it is impossible to  
          judge the program's effectiveness.

          California has two systems for worker and consumer pesticide  
          reporting and investigations.  One program requires the  
          reporting of all known or suspected cases of pesticide poisoning  
          to the local health officer, who in turn reports it to state and  
          local agriculture and worker safety agencies.  The second  
          program, the ChE medical supervision program, is a pesticide  
          poisoning prevention program.  Workers who are regularly using  
          organophosphate and carbamate pesticides, both of which suppress  








                                                                  AB 1963
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          ChE, are required to be under medical supervision, including  
          regular blood tests to determine whether the pesticides are  
          affecting the workers' ChE levels.  If a worker's ChE levels are  
          suppressed, the employer must remove the employee from the work  
          environment and take steps to further reduce employees'  
          over-exposure.  This bill requires that information gathered  
          through the cholinesterase medical supervision program is  
          transferred to the state, so the state can meaningfully oversee  
          the program.   
           

           Analysis Prepared by  :    Robert Fredenburg / E.S. & T.M. / (916)  
          319-3965 


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