BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 403
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          Date of Hearing:   May 8, 2013

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                  Mike Gatto, Chair

                    AB 403 (Stone) - As Amended:  April 18, 2013 

          Policy Committee:                              Environmental  
          Safety and Toxic Materials                    Vote: 5-2

          Urgency:     No                   State Mandated Local Program:  
          No     Reimbursable:              

           SUMMARY  

          This bill requires businesses that sell devices intended for the  
          self-injection of medication (medial sharps) to establish a  
          product stewardship plan for home-generated medical waste.
          Specifically, this bill:

          1) Establishes a product stewardship program for home generated  
             hypodermic needles, syringes with needles attached, pen  
             needles, intravenous needles, or any other similar device  
             intended to self-inject medication at home.

          2) Requires medical sharps producers to develop and implement a  
             program to collect transport and process home-generated  
             medical sharps by April 1, 2015.

          3) Requires CalRecyle to review and approve the producers'  
             stewardship plans within 90 days of receipt.  If the plan is  
             not complete, the submitter must revise and resubmit the plan  
             within 90 days.

          4) Allows medical sharp producers to join a non-profit  
             stewardship organization to jointly prepare and execute  
             stewardship plans.  

          5) Requires on or before July 1, 2017, and each year thereafter,  
             the producer or product stewardship organization to submit a  
             report.

          6) Requires the producer or product stewardship organization to  
             submit an annual administrative fee, to be established by  
             CalRecyle, to cover the full costs of administering and  








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             enforcing this bill.

          7) Establishes administrative civil penalties for any person who  
             violates the requirement of this act of $1,000 per violation  
             and $10,000 per violation if the violation is intentional,  
             knowing, or negligent.  

           FISCAL EFFECT  

          1)Calrecyle may impose an annual fee in an amount sufficient to  
            cover the full costs of administering this stewardship  
            program, which are estimated to be:

             a)    One-time costs of $500,000 to develop administrative  
                regulations, review product stewardship plans and develop  
                collections rates for 2018 and beyond.
             b)    On-going costs of $125, 000 per year to administer the  
                program.

           COMMENTS  

           1)Rationale.   According to the California Product Stewardship  
            Council, sharps in the trash pose serious health risks to  
            sanitation workers, water treatment facility operators and the  
            general public.  This bill will ensure more needles are  
            properly disposed by providing a system of affordable and  
            convenient collection opportunities.

           2)Background.   An estimated one million Californians inject  
            medications outside traditional health care facilities, which  
            generate approximately 389 million sharps each year.  The  
            numbers of patients using injectable medications will continue  
            to grow because it is an effective delivery method.  The most  
            common home use of sharps is to manage diabetes.  Other  
            reasons to home-inject include multiple sclerosis,  
            infertility, migraines, allergies, hemophilia and medications  
            for pets.  

             California was one of the first states to address the problems  
            of sharps with the passage of SB 1305 (Figueroa, Chapter 64,  
            Statutes of 2006) to prohibit the disposal of medical sharps  
            in California's landfills.  Although illegal, most of these  
            used needles still end up in household trash and pose a  
            significant risk of injury and/or infection to children,  
            custodial workers and solid waste employees.








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           Analysis Prepared by  :    Jennifer Galehouse / APPR. / (916)  
          319-2081