BILL ANALYSIS AB 1963 Page 1 CONCURRENCE IN SENATE AMENDMENTS AB 1963 (Nava) As Amended August 4, 2010 Majority vote ----------------------------------------------------------------- |ASSEMBLY: |50-27|(June 1, 2010) |SENATE: |22-14|(August 23, | | | | | | |2010) | ----------------------------------------------------------------- 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 Page 2 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 Page 3 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 FN: 0005700