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. AB 300 (Ma) Page 1 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 AB 300 (Ma) Page 2 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 AB 300 (Ma) Page 3 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.