BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 358
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          Date of Hearing:  April 30, 2013

                            ASSEMBLY COMMITTEE ON HEALTH
                                 Richard Pan, Chair
                    AB 358 (Holden) - As Amended:  March 19, 2013
           
          SUBJECT  :  Lead hazard evaluation.

           SUMMARY  :  Requires that lead hazard evaluation for public and  
          residential buildings be conducted in a manner that provides  
          quantitative or qualitative results, as determined by the  
          Department of Public Health (DPH), using tests recognized by the  
          United States (U.S.) Environmental Protection Agency (EPA).   

           EXISTING LAW  :  

          1)Establishes within DPH an occupational lead poisoning  
            prevention program, to perform specific tasks including, but  
            not limited to, the following: a) developing a system for  
            monitoring laboratory reports of cases of adult lead toxicity  
            in order to create an occupational lead poisoning registry; b)  
            following up on reported cases of occupational lead poisoning  
            to ascertain the source of lead exposure; c) conducting  
            investigations in cases where take-home exposure may be  
            occurring, where there is likelihood of identifying additional  
            cases, or where a previously unidentified risk factor may be  
            present; d) conducting training of employers, employees, and  
            health professionals regarding prevention of occupational lead  
            poisoning; and, e) making recommendations for the prevention  
            of lead poisoning. 

          2)Establishes within DPH, the California Lead-Related  
            Construction Program (Program) to meet the requirements of the  
            federal Residential Lead-Based Paint Hazard Reduction Act of  
            1992 (Act).  Provides that the Program is responsible for  
            evaluating and accrediting training providers who teach lead  
            specialists how to find and abate lead hazards, and for  
            evaluating the qualifications of applicants for lead  
            certification, as specified.

          3)Defines lead poisoning as the disease present when the  
            concentration of lead in whole venous blood reaches or exceeds  
            levels constituting a health risk, as specified, or in the  
            most recent U.S. Centers for Disease Control and Prevention  
            (CDC) guidelines for lead poisoning, as specified.








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          4)Requires DPH to establish a standard of care where all  
            children are evaluated for the risk of lead poisoning by  
            health care providers during each child's periodic health  
            assessment.  

          5)Prohibits any person from performing lead-related construction  
            work on any residential or public building in a manner that  
            creates a lead hazard.  Requires that specific persons who are  
            engaged in lead construction work must obtain a certificate.   
            Requires accreditation of providers who perform health and  
            safety training to employees who engage in or supervise  
            lead-related construction work.  

          6)Defines, under regulations, a lead hazard evaluation as the  
            on-site investigation, for compensation, of lead-based paint  
            or lead hazards for public and residential buildings, but does  
            not include:

             a)   Activities intended to determine adequacy of  
               containment;
             b)   Air monitoring for lead, as specified; or,
             c)   Testing components removed from a residential or public  
               building for lead to determine the applicability of  
               hazardous water requirements, as specified.

          7)Establishes, by initiative, Proposition 65 which requires the  
            state to publish a list of chemicals, including lead, known to  
            cause cancer or birth defects or other reproductive harm, and  
            requires businesses to notify Californians about significant  
            amounts of chemicals in the products they purchase, in their  
            homes or workplaces, or that are released in the environment.   

           
          FISCAL EFFECT  :  This bill has not yet been analyzed by a fiscal  
          committee.

           COMMENTS  :

           1)PURPOSE OF THIS BILL  .  3M is the sponsor of this measure.   
            According to the author, California's lead detection  
            regulations do not reflect current EPA approved lead testing  
            standards.  Existing DPH standards reference U.S. Department  
            of Housing and Urban Development (HUD) Guidelines published in  
            1995 which did not authorize qualitative chemical tests.   








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            Recent HUD guidelines, published in 2012, authorize the use of  
            three EPA-approved qualitative chemical tests, however DPH  
            regulations remain out-of-date.  This bill authorizes the use  
            of EPA-recognized qualitative chemical tests to detect the  
            presence of lead until DPH updates its regulations to  
            reference HUD guidelines on the evaluation and control of  
            lead-based paint hazards in housing. 

           2)BACKGROUND  .  

              a)   Lead  .  According to the CDC, lead is a bluish-gray metal  
               with various useful properties, such as low melting point,  
               pliability, and resistance to corrosion.  Lead has been  
               used in many products and is harmful to the human body.   
               Human lead exposure occurs when dust and fumes are inhaled  
               and when lead is ingested via lead-contaminated hands,  
               food, water, cigarettes, and clothing.  Lead entering the  
               respiratory and digestive systems is released into the  
               blood and distributed throughout the body.  More than 90%  
               of the total body burden of lead is accumulated in the  
               bones, where it is stored for decades.  Lead in bones may  
               be released into the blood and re-exposes organ systems  
               long after the original environmental exposure.  This  
               process can also expose the fetus to lead in pregnant  
               women.  Children under six years old are also at high risk  
               of the harmful effects of lead poisoning.  Young children  
               under six years of age who spend time in homes, childcare  
               centers, or buildings built before 1978 that have chipping  
               or peeling paint, and young children who play in bare soil  
               are among those who are at high risk of getting lead into  
               their bodies.  Adults who work in jobs or hobbies where  
               they work with lead may bring the lead dust home on their  
               clothes or equipment and expose household members.  The  
               common sources of lead include lead-based paint (pre-1978),  
               lead-contaminated soil, certain cosmetics, pottery,  
               candies, and tableware with leaded glaze.  According to the  
               CDC, at least four million households have children living  
               in them who are being exposed to lead.  There are  
               approximately half a million U.S. children ages one to five  
               with blood lead levels above five micrograms per deciliter  
               (?g/dL), the reference level at which CDC recommends public  
               health actions be initiated.  Lead exposure can affect  
               nearly every system in the body, and because lead exposure  
               often occurs with no obvious symptoms, it frequently goes  
               unrecognized.








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              b)   Childhood Lead Poisoning Prevention Act  .  In California,  
               the Childhood Lead Poisoning Prevention Act established the  
               Childhood Lead Poisoning Prevention Program which is  
               administered by DPH to: compile information concerning the  
               prevalence, causes, and geographic occurrence of childhood  
               blood lead levels; identify and target areas of the state  
               where childhood lead exposures are especially significant;  
               and, analyze information collected, as specified, and where  
               indicated, design and implement a program of medical  
               followup and environmental abatement and followup that will  
               reduce the incidence of excessive childhood lead exposures  
               in California.  Health plans and health insurers are also  
               required to provide lead screening for children.  A  
               laboratory that performs a blood lead analysis on a  
               specimen of human blood must report specified information  
               to DPH, including test results in ?g/dL, the name of the  
               person tested, the name and address of the analyzing  
               laboratory, the accession number of the specimen, and the  
               date the analysis was performed.  If the result of the  
               blood lead analysis is a level equal to or greater than 10  
               ?g/dL of blood, the report must be submitted within three  
               working days of the analysis and if the result is less than  
               10 ?g/dL, the report must be submitted within 30 calendar  
               days. 

              c)   Guidelines for the Evaluation and Control of Lead-Based  
               Paint Hazards in Housing  (Guidelines).  As indicated above,  
               adults are also exposed to lead, most notably construction  
               workers.  The Residential Lead-Based Paint Hazard Reduction  
               Act, which is also administered by DPH, was established to  
               implement the federal Act, which is designed to direct the  
               nation's response to the public health problem of  
               lead-based paint hazards in housing and to increase the  
               protection for workers exposed to lead hazards throughout  
               the construction industry.  As part of this Act, the  
               Guidelines were issued by HUD.  The Guidelines complement  
               regulations issued by HUD., the EPA, and the national  
               Occupational Safety and Health Administration and policies  
               from the CDC on how to identify and control lead-based  
               paint and related hazards in housing and to help property  
               owners, government agencies, and private contractors  
               sharply reduce childhood exposure to lead without  
               unnecessarily increasing the cost of renovation.  These  
               Guidelines can be used by those who are required to  
               identify and control lead paint hazards, as well as  








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               property owners, landlords, and child-care center  
               operators.  They offer helpful advice on renovations in  
               older housing, lead-based paint inspections and risk  
               assessments, and where to go for help.  The Guidelines also  
               outline what users have to do to meet requirements and  
               recommendations; identify training, and if applicable,  
               certification required for people who conduct the work;  
               and, describe how the work should be done.  The first  
               edition of the Guidelines was first published in 1995, and  
               the second edition was published in 2012.  

              d)   Evaluating Lead Hazards  .  According to the Guidelines,  
               the principal lead hazard evaluation methods are the  
               following: 

                i)     Risk Assessment or Lead Hazard Screen  .  Risk  
                 assessment is an onsite investigation of a residential  
                 building for lead-based paint hazards and includes, but  
                 may not be limited to: a visual inspection; targeted  
                 environmental sampling of dust, soil, and deteriorated  
                 paint; and, a report of the results that identifies  
                 acceptable abatement and interim control strategies for  
                 controlling any identified lead-based paint hazards.   
                 Risk assessments and paint inspections can be combined to  
                 provide a more comprehensive evaluation of lead hazards.   
                 Lead Hazard Screen is a limited assessment of hazards  
                 performed in accordance with the methods and standards  
                 made by the state or EPA, as appropriate.  A lead hazard  
                 screen may identify the need for a follow-up risk  
                 assessment.  
                
                ii)    Risk Assessment Combined with Lead-Based Paint  
                 Inspection  .  Lead-based paint inspection is a  
                 surface-by-surface investigation of all painted surfaces  
                 - interior and exterior - in common areas of multi-family  
                 buildings, as well as, in dwelling units. The inspection  
                 uses portable X-ray fluorescent (XRF) analyzers and/or  
                 laboratory analysis of paint samples to determine the  
                 presence of lead-based paint and provides a report of the  
                 results.  Inspections to identify the presence of  
                 lead-based paint should not be confused with clearance  
                 examinations, risk assessments, or investigations of  
                 homes with lead-poisoned children.  Adding a visual  
                 assessment will identify the presence of deteriorated  
                 paint that is a hazard.








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                iii)   Lead-Based Paint Inspection Combined with Visual  
                 Assessment  .  Visual Assessment alone is an alternative to  
                 evaluation.  Under some circumstances, such as for  
                 dwelling units occupied by families with tenant-based  
                 rental assistance or as part of ongoing lead-based paint  
                 maintenance, property owners or housing quality  
                 inspectors may conduct a visual assessment to identify  
                 any deteriorated paint, unusual amounts of visible dust,  
                 or other conditions that suggest the possible existence  
                 of lead hazards. HUD does not consider a visual  
                 assessment by itself to constitute an "evaluation"  
                 because it does not include a scientific test for the  
                 presence of lead.  Nevertheless, a visual assessment that  
                 is combined with a lead-based paint inspection can  
                 identify the presence of lead-based paint hazards.

                iv)    Chemical Test Kits  .  Chemical test kits, also known  
                 as spot test kits, are intended to show a color change  
                 when a part of the kit makes contact with the lead in  
                 lead-based paint.  Because of how long it has been since  
                 the application of lead-based paint in residential units  
                 was banned, often the surface coat does not contain  
                 significant levels of lead.  Many spot test kits require  
                 exposing all the layers of paint by slicing or some other  
                 method.  One type of chemical test kit is based on the  
                 formation of lead sulfide, which is black, when lead in  
                 paint reacts with sodium sulfide.  Another is based on  
                 the formation of a red or pink color when lead in paint  
                 reacts with sodium rhodizonate.  As of the publication of  
                 the Guidelines, three chemical test kits for lead have  
                 been approved by the EPA.  Specifically, when a certified  
                 renovator obtains a negative response from an  
                 EPA-recognized test kit, indicating that lead-based paint  
                 is not detected, the certified renovator may use the  
                 response to determine whether the renovation project is  
                 exempt from the Renovation, Repair & Painting Rule  
                 (requires workers to be certified and trained in the use  
                 of lead-safe work practices, and requires renovation,  
                 repair, and painting firms to be EPA-certified).   
                 Similarly, when a certified inspector or risk assessor  
                 obtains a negative response from an EPA-recognized test  
                 kit, but not a positive response, the response may be  
                 included in a lead-based paint inspection, hazard screen  
                 or risk assessment report. 








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           3)SUPPORT  .  According to 3M, this bill allows DPH to include EPA  
            recognized test kits in its lead testing programs.  By  
            allowing more options for lead testing, more lead would be  
            detected and eradicated.

           4)DOUBLE REFERRAL  .  This bill is double referred, it was heard  
            on April 16, 2013, in the Assembly Environmental Safety and  
            Toxic Materials Committee and passed out on 7-0 vote.

           5)SUGGESTED TECHNICAL AMENDMENTS  .  To be consistent with the  
            lead hazard evaluation methods that are approved by the EPA,  
            this bill should be amended as follows:

          Lead hazard evaluation for public and residential buildings  
            shall be conducted in a manner  that provides quantitative or  
            qualitative results  ,  as  determined by the department, using  
             tests   lead hazard evaluation methods  recognized by the United  
            States Environmental Protection Agency.


           REGISTERED SUPPORT / OPPOSITION  :  

           Support 
           
          3M (sponsor)
          California Chamber of Commerce

           Opposition 
           
          None on file.
           
          Analysis Prepared by  :    Rosielyn Pulmano / HEALTH / (916)  
          319-2097