BILL ANALYSIS Ó SB 746 Page 1 SENATE THIRD READING SB 746 (Lieu) As Amended August 30, 2011 Majority vote SENATE VOTE :25-9 JUDICIARY 6-2 Business & ProFESSIONS 6-1 ----------------------------------------------------------------- |Ayes:|Feuer, Atkins, Dickinson, |Ayes:|Hayashi, Allen, Butler, | | |Huber, Monning, | |Eng, Hill, Ma | | |Wieckowski | | | | | | | | |-----+--------------------------+-----+--------------------------| |Nays:|Beth Gaines, Jones |Nays:|Smyth | | | | | | ----------------------------------------------------------------- APPROPRIATIONS 11-5 ----------------------------------------------------------------- |Ayes:|Fuentes, Blumenfield, | | | | |Bradford, Charles | | | | |Calderon, Campos, Davis, | | | | |Hall, Hill, Lara, | | | | |Mitchell, Solorio | | | | | | | | |-----+--------------------------+-----+--------------------------| |Nays:|Donnelly, Gatto, Nielsen, | | | | |Norby, Wagner | | | | | | | | ----------------------------------------------------------------- SUMMARY : Prohibits minors from using ultraviolet tanning devices. EXISTING LAW requires customers between the ages of 14 and 18 to give the tanning facility a written consent from their parent or legal guardian stating that the parent or guardian had read and understands the warnings and consents to the minor's use of the tanning facility. FISCAL EFFECT : According to the Assembly Appropriations Committee, potential minor costs to local enforcement agencies, offset to some extent by penalty revenues. (A first violation SB 746 Page 2 of the Act constitutes an infraction, and subsequent violations are misdemeanors. Violations are also subject to civil penalties of $2,500 per day.) COMMENTS : This bill seeks to prevent persons under the age of 18 from being exposed to potentially dangerous ultraviolet (UV) radiation by tanning in UV tanning devices. The author states in support: The connection between skin cancer and UV tanning is no longer anecdotal. Children who use indoor tanning methods can be exposed up to 12 times the normal amount of ultraviolet radiation per year, which makes them 74% more likely to be a victim of melanoma. Melanoma is the most deadly type of skin cancer and is one of the most common cancers diagnosed among young adults. It is the leading cause of cancer death in women ages 25 - 30 and is second only to breast cancer in women ages 30 -34. As a result, the World Health Organization elevated tanning beds to a level 1 carcinogen in 2009, alongside plutonium, mustard gas, and cigarettes. The United States Department of Health and Human Services and the United States Food and Drug Administration have also added these UV emitting tanning beds to the their list of most dangerous forms of cancer-causing substances in humans. And in February, the American Academy of Pediatrics joined the world-wide chorus that governments need to ban minors' access to UV tanning beds. As of today, several countries have banned tanning for minors, including sun-rich Brazil, where they have passed a complete ban on tanning, regardless of age. Several states and local governments have tougher bans than California. Surprisingly, Texas has the most stringent. SB 746 is a simple solution to a dangerous problem - it will prevent minors from accessing dangerous ultraviolet tanning devices. The health risk is just too great for children. According to the American Academy of Dermatology prolonged, unprotected exposure to ultraviolet radiation can be as carcinogenic as cigarette smoke. In 2011, the American Academy of Pediatrics noted that there has been a rapid increase in the rate of skin cancer occurrences in the United States over the past 30 years. Skin cancer rates are growing fastest, 3% per year, in young women ages 15 to 39 (the group most likely to SB 746 Page 3 tan). Alarmingly, skin cancer has overtaken all other forms of cancer to become the most common cancer in the United States with one in four Americans expected to suffer from some form of skin cancer in their lifetime. The California Nurses Association notes that "Melanoma is the leading cause of cancer death in women ages 25-30 and is second only to breast cancer women aged 30-34." In response to increased exposure to UV radiation, the skin will tan in order to protect itself. Cosmetically, tanning has become extremely popular with many teenagers and young adults to the point that many are seeking artificial sources of UV radiation to increase their tans. Nearly one-quarter of all "tanners" are between the ages of 13 and 19, and studies suggest 35% of teenage girls tan regularly. Important in considering this legislation, overall 70% of those who tan regularly reportedly are females ages 16 to 29. An American Academy of Pediatrics survey of 62 randomly chosen tanning facilities found that UV tanning devices were actually exposing customers to extremely high levels of UVA radiation 10 to 15 times greater than that emitted by the midday sun. This increased exposure to radiation has been shown to dramatically increase the cancer rate of frequent tanners. The American Academy of Dermatology notes that a person that frequently tans before the age of 35 (defined as tanning more than 50 hours or 100 sessions per year) has a 70% greater chance of developing skin cancer than somebody who never tans. Indeed, the increased risk of UV tanning devices has led the World Health Organization (WHO) to deem tanning devices a carcinogenic. Many states, including California, currently regulate aspects of the indoor tanning industry. However a recent study showed that only one of 32 randomly selected tanning facilities was fully compliant will all Food and Drug Administration (FDA) and state regulations. The same study identified an average of seven infractions per facility. The FDA study noted that 95% of tanners did not comply with FDA exposure guidelines, with some tanners exposing themselves to three times the level of UV radiation recommended by the FDA. Furthermore, the American Academy of Dermatology cites a study determining that many tanning facility staff members were unequipped to properly inform customers of the risks of tanning, and that many staffers failed to properly supervise patrons. SB 746 Page 4 Given the reported lack of compliance with federal and state guidelines evident in some if not many indoor tanning facilities, parents who provide their teenage tanner with consent may not realize the full extent of the risk for skin damage facing their children. (And of course there is no way of knowing how many children's "parental consent" forms have been forged.) Existing California law requires a parent or legal guardian to sign consent forms, in person, once per year to enable their teenage children to use tanning facilities. After the initial consent, the parent is not required to supervise or accompany their child to tanning facilities so long as the consent form remains valid. If the tanning facility is failing to properly warn or supervise tanners, teenagers may overuse the facility and increase the harm to their skin from overexposure to UV radiation. Current analyses of the issue appear to make clear a parental consent approach to this health and safety issue is problematic, invites potential abuse by teenage children, and is extremely difficult if not impossible for tanning agencies to effectively oversee. Proponents of indoor tanning have claimed that artificial tanning devices can help individuals suffering from a Vitamin D deficiency. In 2010, the Federal Trade Commission (FTC) went so far as to criticize and issue a citation against the Indoor Tanning Association (ITA) for making false health and safety claims about the benefits of indoor tanning. In response to the false advertisements, the FTC required the ITA to disclose the risks of developing skin cancer related to the use of UV tanning devices. Despite the FTC's warnings, the author notes that the tanning industry continues to make these claims in public. The ITA strongly opposes the bill claiming, among other things, that the bill is based on distorted scientific claims: Proponents have failed to consider the many studies demonstrating the benefits of ultraviolet light on overall health and disease prevention through the creation of Vitamin D in the skin. Most teens do not get enough vitamin D from their diets, and vitamin D has been shown to protect against breast and other cancers, lymphoma, cardiovascular disease, multiple sclerosis, osteoporosis and other chronic conditions. SB 746 Page 5 Furthermore, the ITA argues that, "Teenagers interviewed regarding this and similar legislation in other states have flatly stated that they will just go out in the sun. That will mean more sunburns, which truly do create more melanoma risk." Additionally, the industry argues that prohibiting minors will have a negative economic impact. Lewis Shender, the President & CEO of Hollywood Tans, states that banning minors from UV tanning devices would eliminate 5-10% of the consumer base for sunless tanning facilities. Finally, opponents argue that this bill denies parents the right to make decisions for their children. Analysis Prepared by : Drew Liebert / JUD. / (916) 319-2334 FN: 0002322