BILL ANALYSIS                                                                                                                                                                                                    Ó




                   Senate Appropriations Committee Fiscal Summary
                           Senator Christine Kehoe, Chair

                                          AB 300 (Ma)
          
          Hearing Date: 6/27/2011         Amended: 6/14/2011
          Consultant: Katie Johnson       Policy Vote: Health 9-0
          _________________________________________________________________
          ____
          BILL SUMMARY: AB 300 would enact the Safe Body Art Act; it would 
          provide for minimum statewide standards for the regulation of 
          individuals in the business of tattooing, body piercing, and the 
          application of permanent cosmetics. The provisions would take 
          effect July 1, 2012.
          _________________________________________________________________
          ____
                            Fiscal Impact (in thousands)

           Major Provisions         2011-12      2012-13       2013-14     Fund
           Local Enforcement        unknown, likely in the millions of 
          dollars       Local*
          Agency (LEA) start-up,   annually; fully supported by local 
          fees,
          ongoing administration   commencing July 1, 2012
          and enforcement 

          *Although this bill would enact a state-mandated local program, 
          it would not meet the criteria for state reimbursement because 
          LEAs would have the authority to impose fees for the 
          administrative and enforcement costs of this program.
          _________________________________________________________________
          ____

          STAFF COMMENTS: 

          There would be minimal fiscal effect on the California 
          Department of Public Health (CDPH) since this bill would 
          delegate the enforcement of the Safe Body Art Act to local 
          enforcement agencies (LEAs). LEAs would have the authority to 
          increase local fees to provide for the administration and 
          enforcement costs of implementing this program. Additionally, 
          although this constitutes a state-mandated local program, since 
          the LEAs would have the authority to charge fees to cover the 
          cost of the program, local costs would be ineligible for 
          reimbursement by the state. This bill would take effect July 1, 
          2012.








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          Existing Law and Guidelines
          Existing law, AB 186 (Brown), Chapter 742, Statutes of 1997, 
          requires the California Conference of Local Health Officers 
          (CCLHO) to establish sterilization, sanitation, and safety 
          standards for persons engaged in the business of tattooing, body 
          piercing, or permanent cosmetics and requires the Department of 
          Health Services (now CDPH and the Department of Health Care 
          Services) to provide the necessary resources to support the 
          development of these standards. CDPH was to receive the 
          standards by July 1, 1998, for "review and consultation." Within 
          30 days of adoption, AB 186 required the department to 
          distribute the standards to all county health departments.

          AB 186 further requires every person engaged in the business of 
          tattooing, body piercing, or permanent cosmetics to register 
          with the county in which that business is located by December 
          31, 1998, to obtain a copy of the county's sterilization, 
          sanitation, and safety standards, as developed by CCLHO and 
          reviewed by CDPH, and to pay a one-time registration fee of $25, 
          an annual inspection fee of $105, and any other fee that the 
          county assesses in order to provide for the cost of registration 
          and inspection. A person who fails to register or who violates 
          safety standards is liable for a civil penalty of up to $500. 
          Counties are permitted to establish standards that do not 
          conflict with or that are more comprehensive than those existing 
          in current law or adopted by CDPH.

          CCLHO has developed standards, but CDPH has not adopted them as 
          regulations. In 2008, the Legislative Counsel opined that CDPH 
          is not required by AB 186 to adopt the CCLHO standards in order 
          for those standards to be enforceable. However, CCLHO remains 
          concerned that those standards would be "underground" 
          regulations. This bill would place statewide body art health 
          standards into statute and thus resolve the AB 186 
          interpretation dispute between CDPH and CCLHO.

          AB 300 Standards for Tattooing, Branding, and Other Body Art
          This bill would repeal current standards by enacting the Safe 
          Body Art Act. This bill would establish statewide restrictions 
          on the performance of body art and would prohibit minors from 
          being offered or receiving a tattoo, permanent cosmetics 
          application, genital piercing, or branding, regardless of a 
          parent's consent, as specified. This bill would also establish 








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          procedures, techniques, and training necessary to ensure safe 
          body art practices, including an Infection Prevention and 
          Control Plan, decontamination and sanitation area requirements, 
          sterilization procedures, the types of inks, dyes, and pigments 
          that may be used and how, and standards for the use and disposal 
          of needles, needle bars, grommets, and razors.

          The act would require temporary and permanent body art 
          facilities and body art practitioners to register with the LEA, 
          which is defined as being the local health agency of the city, 
          county, or city and county, and to meet specified health and 
          safety criteria. Registration would be required to be renewed 
          annually, or as appropriate for temporary facilities. LEAs would 
          be required to set participant and facility registration fees at 
          amounts sufficient to cover the actual costs of administering 
          and enforcing the program. The act would also establish 
          enforcement and non-compliance procedures and associated 
          penalties for violations, including the authority for an LEA to 
          assess an administrative penalty of $25 - $1,000. This bill 
          would provide that performing body art without being registered, 
          operating a body art facility without a health permit, or 
          operating a temporary body art event without a permit would be a 
          misdemeanor. The creation of a new crime would constitute a 
          non-reimbursable state-mandated local program. To the extent 
          that an LEA exercises its enforcement authority, penalty revenue 
          could be generated.

          Staff recommends that the bill be amended to:
             1)   Define "sponsor" of a temporary body art facility.
             2)   Permit an LEA to set fees that are sufficient to cover 
               the administrative and enforcement costs of providing 
               permits to the sponsor of and practitioner related to 
               temporary body art facilities.
             3)   Clarify that the sponsor and the practitioner would both 
               be responsible for obtaining all relevant permits to 
               conduct the business of a temporary body art facility and 
               would both be subject to penalties if found in violation.
          Ear Piercing
          This bill would also set ear piercing with a mechanical device 
          apart from the definition of body art and would establish 
          requirements for its performance. This bill would permit an LEA 
          to require ear piercing facilities to notify the LEA of the 
          provision of ear piercing services. If an LEA requires 
          notification, it would have the authority to charge a one-time 








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          fee in an amount between $25 and $45 for each facility operating 
          within its jurisdiction. The fee should not exceed the amount 
          reasonably necessary to cover the actual administrative costs. 
          After December 31, 2015, a county would be permitted to charge a 
          different fee, to be set by local ordinance that would be 
          required to cover no more than the cost of the program.

          Prior Legislation
          AB 300 is similar to AB 517 (Ma, 2009) and AB 223 (Ma, 2010), 
          which were both vetoed by Governor Schwarzenegger. The 
          Governor's AB 223 veto message states, "It is a common complaint 
          within the business community that "overregulation" is driving 
          businesses out of California. Look no further than AB 223 for 
          such an example?it is not appropriate to tell tattoo artists 
          through the statute how to wash their hands and fold their 
          trashbags one inch over the rim of a trashcan. If the sponsors 
          wanted a bill that addressed the purported problem, a simple 
          statutory authorization for the Department of Public Health to 
          promulgate standardized regulations would have been acceptable." 


          This bill is co-sponsored by the Alliance of Professional 
          Tattooists, the Association of Professional Piercers, the 
          California Association of Environmental Health Administrators, 
          and the Health Officers Association of California and addresses 
          parts of the veto message by replacing the requirement that 
          trashbags be folded one inch over the rim of the trashcan and 
          the 150 foot-candles of light requirement with "lined waste 
          containers" and "adequate light".

          AB 517 and AB 223 both passed out of the Senate Appropriations 
          Committee with votes of 8-2 and 9-0, respectively.