BILL ANALYSIS Ó SENATE HEALTH COMMITTEE ANALYSIS Senator Ed Hernandez, O.D., Chair BILL NO: AB 688 A AUTHOR: Pan B AMENDED: June 23, 2011 HEARING DATE: July 6, 2011 6 CONSULTANT: 8 Trueworthy 8 SUBJECT Food and drugs: sale SUMMARY Prohibits a retailer from selling, or permitting to be sold, infant formula, baby food, and over-the-counter (OTC) drugs, as defined, after the "use by," "use before," or "expiration" date provided on the product's packaging pursuant to federal law. CHANGES TO EXISTING LAW Existing federal law: Provides for the regulation of food, drugs, and cosmetics by the U.S. Food and Drug Administration (FDA) under the Food, Drug and Cosmetic Act. Requires expiration dates to be placed on drugs, as defined, and requires a "use by" date to be included on the product label of infant formula. Existing state law: Establishes the Sherman Food, Drug, and Cosmetic Law (Sherman Act), which is administered by the Department of Continued--- STAFF ANALYSIS OF ASSEMBLY BILL 688 (Pan) Page 2 Public Health (DPH), to regulate the contents, packaging, labeling, and advertising of food, drugs, and cosmetics in California. Provides that it is unlawful to manufacture, sell, deliver, hold, or offer for sale any drug or device that is adulterated, as defined. Establishes that a drug is adulterated if its quality or purity falls below the standards set forth in the drug compendia. Requires infant formulas to bear a "use by," "use before," or "expiration" date on their product labels. Requires drug products, including OTC drugs, to have expiration dates on their label. Establishes that any person who violates any provision of the Sherman Act is subject to imprisonment for not more than one year in the county jail, or a fine of not more than one thousand dollars ($1,000). Allows DPH, upon the request of a health officer, to authorize the local health department of a city, county, city and county, or local health district to enforce the provisions of the Sherman Act and its regulations that pertain to retail food establishments, as defined, if DPH determines that the local health department has sufficient personnel with adequate training to do so, and requires that the enforcement be limited to the area under the jurisdiction of the local health department. This bill: Prohibits a retailer from selling or permitting to be sold infant formula or baby food after the "use by," "use before," or "expiration" date on its packaging as required pursuant to federal law. Prohibits a retailer from selling or permitting to be sold OTC drugs, as defined, after the expiration date on its packaging as required by federal law. Defines infant formula and baby food consistent with the definition under federal regulations. STAFF ANALYSIS OF ASSEMBLY BILL 688 (Pan) Page 3 Defines an OTC drug as a nonprescription drug regulated by the FDA that is required to have an expiration date on its packaging pursuant to federal regulations. Provides that, in lieu of other penalties, any person who violates these prohibitions is guilty of an infraction, punishable by a maximum fine of $10 per day for each item sold, or permitted to be sold, after the "expiration," "use by," or "use before" date. Requires the date of sale to be established by evidence of the proof of purchase, including, but not limited to, a sales receipt. Further directs any fines collected to be deposited as specified. FISCAL IMPACT According to the Assembly Appropriations committee analysis, AB 688 would result in potential minor, absorbable costs to DPH to respond to complaints related to the sale of expired food items and OTC drugs. BACKGROUND AND DISCUSSION According to the author, this bill will protect consumers and the most vulnerable from the risk of serious illness resulting from the consumption of expired baby food and over-the-counter drugs that may be spoiled or that no longer retain potency. The author argues that the "use by," "use before," and "expiration" dates on these products indicate the time at which they will lose their potency as intended and could become dangerous to consume yet there is no prohibition on selling these items after their "use by," "use before," or "expiration" dates. Product dating in California According to the Food and Drug Branch (FDB) of DPH, only a few products require "sell by" dates or "expiration dates" in California. State law requires dairy products to meet "open dating" requirements, which includes a pack date, expiration date, or quality assurance/freshness date. Infant formula and baby foods are required to bear an STAFF ANALYSIS OF ASSEMBLY BILL 688 (Pan) Page 4 expiration date to ensure full nutritional value. Federal regulations, which California adopts, require infant formula to bear a "use by" date on their product labels. Baby foods are not required to declare a "use by" date on their product labels although most food processors voluntarily list a "use by" date on their baby food labels to assist with stock rotation. The "use by" date on the label of infant formula is set by manufacturers based on their tests or other information showing that, until the date and under the normal conditions of handling, storage, preparation, and use, the formula will contain the quantities of each nutrient declared on the label and is otherwise of acceptable quality. The FDA began requiring expiration dates on drugs in 1979 in order to set uniform testing and reporting guidelines. Federal regulations require a drug product to bear an appropriate expiration date as determined by stability testing that analyzes the capacity of the drug to maintain its identity, strength, quality, and purity for the period of shelf life that the manufacturer picks. Expiration dates are also required to be related to any storage conditions specified on the label. Homeopathic drug products and new drug products for investigational use are exempt from federal regulations governing expiration dating. Attorney General investigation In response to consumer reports about expired products on store shelves in Southern California, the Attorney General (AG) launched an undercover shopping operation in March 2008, which found 48 expired products on the shelves of 26 CVS pharmacies in Los Angeles, Orange, and San Diego counties. The investigators found that some of the expired products, which included baby formula, toddler food, and over-the-counter medications, were between four and six months old. The investigation noted that some of the products' "sell by" dates were hidden with price tags or other store stickers. As a result of the investigation, the AG stated that CVS' practice of stocking expired items on its stores' shelves falsely implied that the products met federal standards, and the AG called on the pharmacy to change its policies to ensure that sales of expired products would not occur in the future. STAFF ANALYSIS OF ASSEMBLY BILL 688 (Pan) Page 5 Under the AG settlement agreement between the AG and CVS, CVS is permanently enjoined and restrained from selling or offering to sell expired products to any person at a CVS store in California, among other things. CVS has agreed to comply with several terms and requirements, including: implementation, review, or revision of written policies regarding appropriate practices to provide that infant formula, baby food, eggs, dairy products, and over-the-counter drugs are not sold past their used by or expiration dates; review and /or revise its expired products policies and training materials, including policies and contracts with third-party providers; dissemination of its expired products policies to designated store employees, as specified; require the completion and repetition of training regarding such policies; require stores to check expiration or best-by dates of various categories of specified products at least twice a month; implement a consumer coupon program related to finding expired products in a store; and require prominent posting of notices in the aisles where specified products are offered for sale. California Retail Food Code SB 144 (Runner), Chapter 23, Statutes of 2006, repealed the California Uniform Retail Food Facilities Law and established the California Retail Food Code (CalCode) in order to create uniformity between California's retail food safety laws and those of other states, as well as to enhance food safety laws based on the best available science. CalCode is modeled on the federal Model Food Code, which was drafted by the United States Food and Drug Administration and is updated every two years. CalCode is substantially similar to the Model Food Code in terms of its substantive food safety and sanitation content. Violations of CalCode are considered misdemeanors, unless otherwise specified, and can be punishable by a fine of not less than $25 or more than $1000, by imprisonment in the count jail for up to 6 months, or by both fine and imprisonment. Local enforcement agencies can also charge re-inspection fees and impose administrative penalties. Additionally, local enforcement agencies can require that retail food facilities establish a corrective action plan with timelines to correct violations noted during STAFF ANALYSIS OF ASSEMBLY BILL 688 (Pan) Page 6 inspections. Prior legislation AB 1512 (Lieu and Jones) of 2009 had similar provisions to those contained in AB 688. AB 1512 was vetoed by Governor Schwarzenegger. The veto message stated the bill was unnecessary since current law already had strong provisions and accompanying penalties for adulterated food and drug products. SB 550 (Florez) of 2009 would require a grocery store that uses a point-of-sale system to ensure that when a recalled product is scanned, the point-of-sale system will notify the employee and customer that the product being purchased is subject to a recall. SB 550 was amended to delete these provisions in the Assembly. Arguments in support The Consumer Federation of California, the sponsor of AB 688 write, expired products may be dangerous to consume and could be potentially fatal. Digesting expired products deprives the consumer of the intended benefit of the product. For example, infants who do not consume adequate amounts of nutrients such as DHA and ARA may suffer lessened brain development. Despite this, the sponsor argues, current law allows for the sale of expired infant formula and non-prescription drugs. The Consumer Attorneys of California write that AB 688 ensures product safety and effectiveness by making it a crime for retailers to sell drugs, baby food, and baby formula beyond the printed "use by" date. The California Teamsters Public Affairs Council writes that investigations conducted by the Attorney General of New York and California discovered many retailers covered the "use by" date with stickers. The California Nurses Association writes, California consumers deserve to purchase safe and effective baby food and OTC drugs. Supporters argue AB 688 will bring meaning to the federal government's efforts to protect consumers regarding items that have the most risk of causing potentially dangerous health complications. Arguments in opposition STAFF ANALYSIS OF ASSEMBLY BILL 688 (Pan) Page 7 The California Retailers Association writes that AB 688 is unnecessary and that mechanisms to police the sale of expired baby food, infant formula, and OTC drugs already exist as retailers are currently subject to a host of federal and state food safety inspection regulations. Standard business practices dictate that when a customer purchases an expired product and brings it to the attention of the store, they will either receive an exchange or a full refund. The California Retailers Association argues the recent investigations and settlement by the Attorney General's office against retailers who were found to have expired products on their shelves shows that current enforcement policies work. The California Grocers Association (CGA) writes that grocers work diligently to ensure that all food products sold to customers are safe and of the highest quality, utilizing written stock rotation policies that often call for products to be removed from shelves a full thirty days prior to expiration. CGA is unaware of any grocer that currently refuses to exchange items or offer a full refund should a product be found out-of-date. CGA writes they are concerned AB 688's strict liability approach does not require a consumer to substantiate when or where an "expired" product was purchased nor does it require intent on the part of a grocer. The bill sets up a scenario where individuals with unscrupulous motives could steal or purchase product, wait until the expiration date passes and then pursue remedies against any grocer in California, without ever substantiating when or where the product was purchased or that it was in fact expired upon purchase. CGA further argues that efforts should be spent targeting the bad actors, such as organized retail crime rings who steal quantities of infant formula, drugs, and a variety of other products from grocers and then re-sell them. PRIOR ACTIONS Assembly Health: 12- 5 Assembly Appropriations:12- 5 Assembly Floor: 50- 26 COMMENTS STAFF ANALYSIS OF ASSEMBLY BILL 688 (Pan) Page 8 1. Enforcement. Under current law, retailers, including grocery stores, supermarkets and drug stores, selling any food products are under the jurisdiction of local health departments for these food products. Because AB 688 amends the Sherman Act, the provisions of this bill would be enforceable by DPH. Committee staff recommends amending the bill to give enforcement authority to both DPH and the local health departments. 2. Suggested clarifying amendment. AB 688 prohibits a retailer from "selling" or "permitting to be sold" infant formula, baby food, or OTC drugs. The term "permit to be sold" does not appear to be consistent with the Sherman Act or CalCode. Committee staff recommends replacing the term "permit to be sold" with "offered for sale" which is consistent with the Sherman Act and CalCode. POSITIONS Support: Consumer Federation of California (sponsor) Abbott Laboratories California Nurses Association California Teamsters Public Affairs Council CALPIRG Consumer Attorneys of California International Formula Council Mead Johnson United Food and Commercial Workers - Western States Conference Oppose:California Grocers Association California Retailers Association CVS Pharmacy -- END --