BILL ANALYSIS Ó AB 768 Page 1 CONCURRENCE IN SENATE AMENDMENTS AB 768 (Gatto and Ma) As Amended August 15, 2011 2/3 vote. Urgency ---------------------------------------------------------------------- |ASSEMBLY: | |(May 26, 2011) |SENATE: |37-0 |(August 30, 2011) | ---------------------------------------------------------------------- (vote not relevant) ------------------------------------------------------------------------ |COMMITTEE VOTE: |9-0 |(August 31, 2011) |RECOMMENDATION: |concur | |(L. GOV.) | | | | | ------------------------------------------------------------------------ Original Committee Reference: NAT. RES. SUMMARY : Precludes any city, county, or city and county from prohibiting or restricting the practice of male circumcision, or the exercise of parental authority to have a child circumcised. The Senate amendments delete the Assembly version of this bill, and instead: 1)Provide that no city or county, or city and county statute, ordinance, regulation or any administrative action may prohibit or restrict the practice of male circumcision, or the exercise of a parent's authority to have a child circumcised. 2)Declare that the provision of the measure shall apply to general law and charter cities, general law and charter counties, and charter city and counties as part of a stated need to have uniform application of laws affecting male circumcision throughout the state. 3)Add an urgency clause, allowing this bill to take effect immediately upon enactment. EXISTING LAW : 1)Precludes a city or county from prohibiting a person or group of persons, authorized by one of the agencies in the Department of Consumer Affairs by a license, certificate, or other such means AB 768 Page 2 to engage in a particular business, from engaging in that business, occupation, or profession or any portion thereof. 2)States that no city, county, or city and county shall prohibit a healing arts professional licensed with the state from engaging in any act or performing any procedure that falls within the professionally recognized scope of practice of that licensee. 3)States that resolutions, orders for the payment of money, and all ordinances require a recorded majority vote of the total membership of the city council. 4)Provides, under the California Constitution, that a city may make and enforce within its limits all local, police, sanitary, and other ordinances and regulations not in conflict with general laws. 5)Authorizes a legislative body to pass ordinances not in conflict with the Constitution and laws of the state or the United States. 6)States that any proposed ordinance may be submitted to the legislative body of the city by a petition filed with the elections official of the legislative body, in the manner hereinafter prescribed, after being signed by not less than the number of voters specified in this article. 7)Provides that if a majority of the voters voting on a proposed ordinance vote in its favor, the ordinance shall become a valid and binding ordinance of the city. 8)Provides that no ordinance that is either proposed by initiative petition and adopted by the vote of the legislative body of the city without submission to the voters, or adopted by the voters, shall be repealed or amended except by a vote of the people, unless provision is otherwise made in the original ordinance. AS PASSED BY THE ASSEMBLY , this bill dealt with air pollution. COMMENTS : The U.S. Constitution provides in part that Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof. The California Constitution provides that free exercise and enjoyment of religion without discrimination or preference are guaranteed. Existing law also specifies that this liberty of conscience does not excuse acts that are licentious or inconsistent with the peace or safety of the AB 768 Page 3 state. Existing law also provides that the Legislature shall make no law respecting an establishment of religion. Existing case law recognizes that the due process clause protects "a realm of personal liberty which the government may not enter," including the right of parents to direct the upbringing of their children. Planned Parenthood v. Casey (1992) 505 U.S. 833, 847. Existing case law also holds that "the interest of parents in the care, custody, and control of their children . . . is perhaps the oldest of the fundamental liberty interests." Troxel v. Granville (2000) 530 U.S. 57, 65. According to a 2005 policy statement by the American Association of Pediatrics (AAP) "the percentage of male infants circumcised varies by geographic location, by religious affiliation, and, to some extent, by socioeconomic classification. Circumcision is uncommon in Asia, South America, Central America, and most of Europe. In Canada, 48% of males are circumcised. Some groups such as followers of the Jewish and Islamic faiths practice circumcision for religious and cultural reasons." The AAP has stated that circumcision has both risks and benefits and further states that parents should be given all the information available to make an informed decision as to whether or not to circumcise their sons. The American Civil Liberties Union states that "a local ban or criminalization of male circumcision interferes with a parents' right to direct the medical treatment and the religious upbringing of their children." According to the author "there have been recent efforts by some to enact local ordinances banning the very personal parental choice of whether or not to circumcise their male child. A local initiative in the City of San Francisco had qualified for the ballot this November that would have banned this otherwise legal practice." The initiative would have banned the practice of male circumcision, comparing it with female genital mutilation, which is prohibited by state and federal statute. Specifically, the proposed San Francisco measure would have made the practice of circumcision a misdemeanor offense punishable by a fine of up to $1,000 or up to one year in jail. The measure did not provide for religious exemptions. Sufficient signatures were also obtained in Santa Monica to place a similar measure on the ballot, but that measure was later removed voluntarily. Opponents of the San Francisco male circumcision ban filed suit in Superior Court, seeking the removal of the measure from the AB 768 Page 4 November ballot. The American Civil Liberties Union and the San Francisco City Attorney's Office both filed amicus briefs in favor of removing the measure from the ballot. On July 28, 2011, several weeks after the introduction of this bill, a San Francisco Superior Court judge ruled in favor of the male circumcision ban's opponents, removing the measure from the November ballot. The judge's ruling states that "the proposed ballot Initiative is expressly preempted by California Business and Professions ÝCode] §460(b). The evidence presented is overwhelmingly persuasive that circumcision is a widely practiced medical procedure. California Business and Professions Code §460(b) applies to medical services provided by a wide range of health care professionals. The statute speaks directly to the issue of local regulation of medical procedures and leaves no room for localities to regulate in this area. In fact, the legislative history of §460(b) confirms that the legislature intended to prevent cities and counties from regulating medical services which is a matter Ýof] statewide concern. Because the proposed ballot initiative attempts to regulate a medical procedure, the proposed ordinance is expressly preempted." (Jewish Community Relations Council of San Francisco, et al v. John Arntz, in his official capacity as Director of Elections, et al) According to the author, "AB 768 seeks to nullify such a ban on circumcision in the event a higher court puts the San Francisco initiative back on the ballot and it passes this coming November, by occupying the field at the state level as it pertains to male circumcision. This measure would further serve to deter anyone from trying to introduce a similar initiative either in San Francisco or anywhere else in the State, and would save money in legal costs by eliminating the need for lawsuits challenging the constitutionality of such measures if they are brought up in other localities." Although this bill would prevent a local ordinance, regulation or administrative action from prohibiting or restricting the practice of male circumcision, or the exercise of a parent's authority to have a child circumcised, there is nothing in the measure that would prevent a group like the ballot proponents in San Francisco from attempting to place an initiative on the ballot. Individuals or groups are free to introduce initiatives; it would only be if anyone challenged the actual measure before it was voted on, or if it was passed by the voters and became an ordinance, would a court use the provisions of this bill to determine if the local initiative was a preemption of state law. AB 768 Page 5 Support arguments: Proponents state that male circumcision has health benefits, including a lower risk for HIV and HPV infection, and that a local ban or criminalization interferes with the parents' right to direct the medical treatment and religious upbringing of their children. The California Medical Association states that it is "generally concerned of any local jurisdictions passing an ordinance that will interfere with the practice of medicine." Opposition arguments: Opponents of the bill argue that male circumcision has the same harmful consequences for boys as female genital mutilation performed for nonmedical purposes does for girls. Female genital mutilation, which is prohibited by state law, is found to constitute a major health risk to women, with lifelong physical, psychological, and human rights consequences. Analysis Prepared by : Katie Kolitsos / L. GOV. / (916) 319-3958 FN: 0002513