BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                AB 768
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        CONCURRENCE IN SENATE AMENDMENTS
        AB 768 (Gatto and Ma)
        As Amended  August 15, 2011
        2/3 vote.  Urgency
         
         
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        |ASSEMBLY: |     |(May 26, 2011)  |SENATE: |37-0 |(August 30, 2011)    |
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             (vote not relevant)


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        |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 








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          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 








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        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 








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        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. 








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        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

             
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