BILL ANALYSIS                                                                                                                                                                                                    Ó




                                                                  AB 1576
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          Date of Hearing:   April 2, 2014

                     ASSEMBLY COMMITTEE ON LABOR AND EMPLOYMENT
                               Roger Hernández, Chair
                     AB 1576 (Hall) - As Amended:  March 26, 2014
           
          SUBJECT  :   Occupational safety and health: adult films.

           SUMMARY  :   Enacts specific requirements related to injury and  
          illness prevention programs in the adult film industry, as  
          specified.  Specifically,  this bill  :  

          1)Defines "adult film" to mean any commercial film, video,  
            multimedia, or other recorded representation during the  
            production of which performers actually engage in sexual  
            intercourse, as specified.

          2)Requires an adult film employer's injury prevention program to  
            include a log of information for all scenes produced or  
            purchased, including, but not limited to, documentation that:

             a)   Each time an employee performing in an adult film  
               engaged in specified acts, personal protective equipment  
               was used to protect the employee from exposure to  
               bloodborne pathogens. This paragraph shall not be construed  
               to require that the personal protective equipment be  
               visible to the consumer in the finished film.

             b)   Each employee performing in an adult film was tested for  
               sexually transmitted infections according to the  
               recommendations of the Centers for Disease Control and  
               Prevention and the State Department of Public Health  
               current at the time the testing takes place, not more than  
               14 days prior to filming any scene in which the employee  
               engaged in specified acts and that the employer paid for  
               the test.

          3)Makes conforming changes to existing law.

           EXISTING LAW  :

          1)Requires every employer to establish, implement, and maintain  
            an effective injury prevention program. 

          2)Requires the program to be written, except as specified, and  









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            to include certain elements, such as the employer's system for  
            identifying and evaluating workplace hazards and the  
            employer's system for communicating with employees on  
            occupational health and safety matters.

          3)Requires each employer having an employee with occupational  
            exposure, defined as reasonably anticipated specified contact  
            with blood or other potentially infectious materials that may  
            result from the performance of an employee's duties, to  
            establish, implement, and maintain an effective exposure  
            control plan designed to eliminate or minimize employee  
            exposure. 

          4)Requires, under specified circumstances, the employer to  
            provide, at no cost to the employee, appropriate personal  
            protective equipment that does not permit blood or other  
            potentially infectious materials to pass through to or to  
            reach the employee, as specified.

           FISCAL EFFECT  :   Unknown

           COMMENTS  :   This bill addresses an issue that has garnered  
          significant attention in recent years among public health  
          officials, occupational safety and health officials, and  
          interested stakeholders - how best to protect workers and  
          performers in the adult film industry from exposure to  
          bloodborne pathogens and other potentially infectious materials.

          This Committee conducted an informational hearing on this topic  
          in June 2004.

          An analysis prepared by the Assembly Committee on Arts,  
          Entertainment, Sports, Tourism and Internet Media on a related  
          prior bill provided the following summary of the nature of the  
          concern:

               "According to information submitted by the bill's  
               supporters, "The US adult film industry (AFI) produces  
               4,000 to 11,000 films and earns an estimated $9 to $13  
               billion in gross revenues annually.  California is the  
               largest center for adult film production worldwide,  
               although adult film production occurs throughout the United  
               States.  An estimated 200 production companies in Los  
               Angeles employ up to 1,500 workers. 










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               The supporters and opponents of this measure provided the  
               committee with voluminous and often contradictory  
               statistics about the incidence of STDs in the AFI, and the  
               threat that exists for performers in being exposed to these  
               pathogens.  There is consensus however, that a number of  
               highly publicized events surrounding outbreaks of the HIV  
               virus within the community of adult performers raised the  
               public profile of this intra-industry issue, and have drawn  
               the attention of various regulatory bodies.  A brief  
               recitation of these events includes a 1980's outbreak which  
               led to a number of deaths and led to the current system of  
               testing within the industry.  Another outbreak in 2004 saw  
               three actors test positive for HIV, and resulted in a  
               voluntary month long shut down of the industry.  In both  
               2009, and 2010, one person was discovered to be infected by  
               the industry testing process, however according to a Los  
               Angeles Times story, LA County Public Health officials  
               believe unreported incidents may be as high as 16 in 2009. 

               Outbreaks such as those detailed above have drawn concern  
               from many quarters, including the American Public Health  
               Association, who wrote the following in their position  
               paper entitled: Prevention and Control of Sexually  
               Transmitted Infections and HIV Among Performers in the  
               Adult Film Industry.

               'The industry's method for responding to outbreaks of STDs  
               and HIV among performers in the heterosexual segment of the  
               industry is voluntary STD/HIV testing.  Although testing  
               can contain the spread of disease, it does not prevent its  
               spread.  Another limitation in the industry's use of  
               STD/HIV testing is the time period in which tests are  
               conducted.  The current industry practice is to test  
               performers every 30 days; however, a performer could be  
               exposed to an STD infection immediately after testing, have  
               no symptoms, be highly infectious, and unknowingly transmit  
               the infection to others.  The 30-day testing requirement is  
               not consistent with incubation periods for most STDs and  
               may therefore miss detection of disease.

               'Despite repeated recommendations from local public health  
               officials, Cal/OSHA, and a Legislative hearing on how to  
               make the AFI safer, industry practices remain unchanged.  ?  
                Flagrant violation of other Cal/OSHA worker protections  
               remains.  Performers must still pay all STD screening tests  









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               - a violation of Cal/OSHA standards, which requires the  
               employer to pay for medical monitoring.  Further, to work,  
               performers must take an STD/HIV test and furnish test  
               results to their employer (production company) who posts  
               and shares these results with other production companies in  
               a database to which production companies and talent  
               agencies subscribe.  Performers with a negative test result  
               can work, and those who are positive cannot work until they  
               receive a negative test.  This practice violates a worker's  
               right to medical confidentiality and is not consistent with  
               the Cal/OSHA Blood-borne Pathogen Standard, which requires  
               employers to maintain a confidential medical record for  
               each employee.'  American Public Health Association Policy  
               Statement 20102, 11/9/2010."

          The industry has implemented voluntary compliance with existing  
          requirement for employers to have an exposure control plan to  
          minimize the risk of employee exposure to blood-borne pathogens.  
           Specifically, the Adult Protection Health and Safety Services  
          (APHSS) has adopted an industry-specific Blood-borne Pathogens  
          Exposure Control Plan.

          APHSS testing protocols require each performer to submit to  
          regular testing for STDs, including HIV.  According to  
          information supplied last year by APHSS, performers must be  
          tested at a minimum of every 28 days<1>, and must take a blood  
          test for HIV (by "PCR RNA" Aptima) and Syphilis (TREP-SURETM)  
          cascading to RPR, and a urine test for Gonorrhea (by  
          "ultra-sensitive DNA amplification") and Chlamydia (by  
          "ultra-sensitive DNA amplification").  Following the results of  
          these tests, the performers are listed as "Available" or  
          "Unavailable" to work on an APHSS database.  Additional testing  
          is recommended for performers new to the industry, and includes  
          specific recommendations for female performers.

           The Existing State Law Bloodborne Pathogen Standard

           The regulations covering occupational health and safety require  
          employers to develop and implement an Illness and Injury  
          Prevention Program (IIPP, Title 8 of the California Code of  
          Regulations § 3203).  Where the work environment includes risk  
          of disease transmission, the Division of Occupational Safety and  
          Health (DOSH) has required employers to address control methods  


          ---------------------------
          <1> However, there are indications that the industry's current  
          protocol is for testing every 14 days.








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          in their IIP.  Many industries develop industry-wide IIPPs that  
          individual businesses can follow in good faith and be deemed in  
          compliance with the regulation.

          DOSH also regulates workplace exposure to blood and other  
          potentially infectious materials controlled by employers through  
          an existing bloodborne pathogen standard (Title 8 of the  
          California Code of Regulations § 5193).



          Among other requirements, the existing standard provides the  
          following with respect to personal protective equipment:

               "Where occupational exposure remains after institution of  
               engineering and work practice controls, the employer shall  
               provide, at no cost to the employee, appropriate personal  
               protective equipment such as, but not limited to, gloves,  
               gowns, laboratory coats, face shields or masks and eye  
               protection, and mouthpieces, resuscitation bags, pocket  
               masks, or other ventilation devices."

          Some have argued that this existing standard, as applied to the  
          adult film industry, would therefore already require the  
          provision of condoms or similar barrier protections.

           Current Petition Before the OSHA Standards Board  

          On December 17, 2009, the AIDS Healthcare Foundation (AHF)  
          submitted a petition to the OSHA Standards Board seeking an  
          amendment to the bloodborne pathogen standard specific to the  
          adult film industry.  In its petition, AHF proposed that the  
          standard be amended to add a new subsection that would clarify  
          required protections for workers in the adult film industry who  
          are exposed to bloodborne pathogens and sexually transmitted  
          diseases.  AHF asserted that, although the existing standard  
          provides protection for employees in the adult film industry,  
          the amendments and enhanced enforcement are called for because  
          there is an epidemic of sexually transmitted disease in the  
          industry and the industry refuses to protect its workers from  
          exposure to potentially infectious materials by requiring the  
          use of condoms and implementing other control measures.

          It has been reported that since the petition was filed in 2009,  
          the OSHA Standards Board has held a number of advisory meetings,  









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          resulting in the circulation of draft language in June 2011.  On  
          October 24, 2013, the OSHA Standards Board released a revised  
          draft for circulation.  An email announcement accompanying the  
          revised draft stated, "The Division has edited the previous  
          draft, which was provided in June 2011.  This draft has been  
          sent to the Board staff for their review.  It is not a  
          rulemaking proposal at this time."  (Emphasis provided).

          The draft language would establish a new standard Section 5193.1  
          specific to sexually transmitted infections, and would cover  
          "all workplaces in which employees have occupational exposure to  
          bloodborne pathogens and/or sexually transmitted pathogens due  
          to one or more employees engaging in sexual activity with  
          another individual."  Among other things, the draft language  
          would require an employer to provide all safeguards required by  
          the proposed section, "including barriers, personal protective  
          equipment, training, and medical services, at no cost to the  
          employee, at a reasonable time and place for the employee, and  
          during the employee's working hours."









           Prior Enforcement Actions
           
          Since 2006, DOSH has issued several workplace safety citations  
          and fines to numerous adult film producers and distributers,  
          including: Next Phase Distribution, Inc. (2006); Evasive Angles  
          and TTB Productions (2006); La Touraine, Inc. (Jan. 15 2009);  
          Hot Desert Knights, Inc. (Mar. 24, 2009); Discount Video (Feb.  
          18, 2009); Hot House Entertainment (June 27, 2008); HDK  
          Distribution (Oct. 3, 2008); Anthony Gladdney d/b/a MVP  
          Entertainment Co. (Mar. 26, 2010); and Media Products, Inc.  
          (June 9, 2010). 

          In August 2009, the Aids Health Care Foundation (AHF) filed  
          workplace safety complaints under DOSH against 16  
          California-based adult film companies, including complaints  
          against Larry Flynt's Hustler Video.  AHF's complaints asserted  
          that the films demonstrate unsafe and potentially  









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          life-threatening behavior in a California workplace, as the  
          sexual acts were filmed without performers using condoms and  
          depicted the unprotected exchange of bodily fluids.

          On March 21, 2011, DOSH issued three citations to Larry Flynt's  
          Hustler Video for workplace safety violations, including the  
          following: 


             §    Violation of Title 8 CCR § 3203. Injury and Illness  
               Prevention Program. Failure to establish, implement, or  
               maintain a written Injury and Illness Prevention Program  
               (IIPP) which met OSHA standards for performers who were  
               exposed to hazards in the course of producing adult videos.  




             §    Violation of Title 8 CCR § 5193(c)(1)(A). Bloodborne  
               Pathogens Program, Exposure 

               Control Plan. Failed to establish, implement or maintain  
               all the required elements of a written Exposure Control  
               Plan for performers who had reasonably anticipated contact  
               with "other potentially infectious materials" (OPIM), in  
               the course of producing adult films.


             §    Violation of Title 8 CCR §5193(d)(4)(A). Bloodborne  
               Pathogens Program, Personal Protective Equipment.  Failure  
               to ensure the use of appropriate personal protective  
               equipment, such as condoms, to performers who had  
               reasonably anticipated contact with "other potentially  
               infectious materials" (OPIM), in the course of producing  
               adult films.


          On April 6, 2011, Larry Flint's Hustler Video filed an appeal of  
          the citations.  The appeal was reportedly settled in a closed  
          session hearing on February 6, 2012.

           DOSH Activity and Employee/Independent Contractor Issues
           
          One of the difficulties faced by DOSH in enforcing the existing  
          standard relates to whether the adult film performers are  









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          employees or independent contractors.  DOSH generally has  
          jurisdiction over occupational health and safety issues only as  
          they relate to employees.  Some of the prior citations issued by  
          DOSH were challenged by adult film companies on the grounds that  
          the performers were independent contractors rather than  
          employees, and that therefore DOSH had no jurisdiction.  

          On March 25, 2010, DOSH issued a series of citations against  
          Treasure Island Media, Inc. (TIM), an adult film production and  
          distribution company.  Among other things, the citation alleged  
          that TIM failed to develop an injury or illness prevention  
          program and failed to establish an exposure control plan under  
          the bloodborne pathogen standard.  TIM appealed the citations  
          and argued, among other things, that (1) there was no employment  
          relationship because the performers were independent contractors  
          rather than employees, and (2) that the bloodborne pathogen  
          standard did not apply to the adult film industry.

          On January 6, 2014, an Administrative Law Judge (ALJ) issued a  
          decision in the case.  After examining the evidence and the  
          legal tests applicable for determining employee/independent  
          contractor status, the ALJ concluded that the production crew  
          and participants hired by TIM were employees and not independent  
          contractors:  "Examining the facts in this case, a preponderance  
          of the evidence established that TIM controlled the work of the  
          participants<2>."

          TIM also challenged whether the bloodborne pathogen standard  
          applied to the adult film industry, arguing that it was enacted  
          in reaction to the HIV/AIDS crisis and its focus was healthcare  
          workers.  However, the ALJ concluded that the standard applies  
          to all workplaces (except those in the construction industry  
          which are specifically excluded) where employees are exposed to  
          blood or other potentially infectious materials.

          TIM has appealed the ALJ's decision to the full OSHA Appeals  
          Board, so the final outcome of the appeal is still pending.

          In addition, while the ALJ's decision in the case (especially  
          with respect to employee and independent contractor status) is  
          significant, it should not be overstated.  Determinations of  
          employee/independent contractor status are very fact-specific  
          analyses and vary from situation to situation.  Therefore,  


          ---------------------------
          <2> In the Matter of the Appeal of Treasure Island Media, Inc.,  
          Dockets 11-R6D1-1093 through 1095 (January 6, 2014).








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          whatever the final outcome of the TIM case, other adult film  
          producers and distributors are likely to argue that the facts of  
          their situation are distinct and different from the TIM case,  
          and will likely continue to argue that their participants or  
          performers are independent contractors rather than employees.

           County of Los Angeles Measure B

           On November, 12, 2012, Los Angeles County citizens approved the  
          County of Los Angeles Safer Sex in the Adult Film Industry Act  
          ("Measure B") initiative by a 57-43% margin.  Measure B requires  
          the use of condoms for specified acts during the production of  
          adult films.  It is reported that nearly 90 percent of all  
          legally distributed adult films made in the United States are  
          filmed in Los Angeles County.

          General Requirements

          Measure B is enforced by requiring individual adult film  
          producers or adult film production companies to obtain public  
          health permits issued by the Los Angeles County Department of  
          Public Health ("Department").  In absence of such permit,  
          individual producers and film production companies cannot film  
          adult films.  Before an individual or production company can  
          retain such permit, the individual must complete a blood  
          pathogen training course approved by the Department.  In the  
          case of a company, all principals and management level  
          employees, including film directors, must complete the course.   
          An application fee for the permit must also be paid. 

          After completion of the course, the individual or production  
          company is issued a health permit that is valid for two years.   
          Measure B requires the public health permit to be displayed at  
          all filming locations and clearly visible to adult film  
          performers.  The permit also requires that a legible sign be  
          displayed, in no less than 36 font, that states "the use of  
          condoms is required for [specified acts] during the production  
          of adult films . . . any public health concerns regarding any  
          activities occurring during the production of adult films should  
          be directed to the Los Angeles County Department of Public  
          Health."

          Permit-Suspension, Revocation and Fines

          The public health permits issued to adult film producers may be  









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          revoked or suspended by the Department for any violation of  
          Measure B or any violation of law that creates a risk of  
          exposing performers to sexually transmitted infections.  Measure  
          B explicitly states that the failure of an adult film producer  
          to require performers to use condoms during specified acts is a  
          violation its provisions. 

          If the Department determines that a violation has occurred, a  
          written notice to comply is issued to the permit holder.  The  
          permit holder has fifteen days to request an administrative  
          review; the failure to do so is a waiver of the right to an  
          administrative review.  Within five days of the administrative  
          review or waiver, the Department must issue a written a notice  
          of decision specifying the penalties imposed on the permit  
          holder and, if the permit is to be suspended or revoked, terms  
          upon which the permit may be reinstated or reissued, if any  
          (emphasis added). After the administrative review, the  
          Department may modify or continue their disciplinary action.  A  
          permit may also be reissued or reinstated if the Department  
          determines that the conditions leading to the permit suspension  
          or revocation is corrected.  

          The Department also has the ability to immediately suspend the  
          permit, impose any fines permitted by the measure, or initiate a  
          criminal complaint if any immediate danger to the public health  
          or safety is found or is reasonably suspected.  The Department  
          must issue to the permit holder a written notice to comply  
          setting forth the acts or omission with which the permit holder  
          is charged.  The permit holder may correct the deficiencies  
          noted and request a re-inspection when the producer is actually  
          filming.  The Department has discretion to reinstate or modify  
          its earlier action after re-inspection.

          Compliance, Enforcement, and Operations
                                                                           
          Measure B also imposes civil fines on individuals who violate  
          the act and makes it misdemeanor for willfully non-compliance of  
          its provisions.  In regards to civil penalties, Measure B gives  
          the Department discretion to impose fines up to five-hundred  
          dollars per violation on individuals who violates its  
          provisions.  For a criminal offence to be found, an individual  
          or entity is guilty of a misdemeanor if he or she violates any  
          of Measure B's provisions, produces or films adult films for  
          commercial purposes without a valid permit, or willfully refuses  
          or neglects to conform to a county health officer's lawful order  









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          or directive attempting to enforce Measure B.  An offence is  
          either punishable by a fine up to $1,000, imprisonment not  
          exceeding six months, or a combination of the two.

          A civil action to enjoin a person or entity from filming in  
          violation of Measure B may also be brought by the county's  
          counsel, the district attorney, or any person directly related  
          to the failure of the person or entity from conforming to  
          Measure B's provisions.

          Finally, Measure B requires producers of adult films to provide  
          a written exposure control plan, approved by the Department,  
          describing how requirements of Measure B will be enforced. 

           Related Ordinances in Other Jurisdictions
           
          During and following the adoption of Measure B, and after  
          concerns were expressed that adult film producers were moving  
          production out of Los Angeles County to avoid the reach of the  
          measure, several neighboring jurisdictions moved to enact  
          similar ordinances.  In April 2012, the Simi Valley City Council  
          approved an ordinance requiring the use of condoms in adult film  
          production.  In May 2013, the Ventura County Board of  
          Supervisors unanimously passed a similar ordinance.  Prior to  
          this, the City of Camarillo enacted a moratorium on the issuance  
          of film permits for adult film production, and recently acted to  
          extend that moratorium for an additional year.

           Current Legal Challenges to Measure B
           
          Attorneys for the adult film industry filed a complaint in  
          January 2013 in the United States District Court, Central  
          District of California seeking an order enjoining and  
          restraining Los Angeles County from enforcing Measure B.   
          Similar complaints were filed by other filmmakers as well as  
          individual performers.  Among other things, the complaints  
          allege that Measure B violates the First Amendment right to the  
          freedom of speech, the Fourteenth Amendment right to due  
          process, and is preempted under California state law.

          The court allowed the official proponents of Measure B to join  
          the case as interveners, and they filed a motion to dismiss the  
          lawsuit.  At the same time, the industry asked for a preliminary  
          injunction to prevent Measure B from being implemented.










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          On August 16, 2013, District Court Judge Dean Pregerson issued a  
          mixed decision.  The court dismissed industry arguments that a  
          ballot initiative cannot implicate First Amendment rights, that  
          state law preempts Measure B, and that Measure B violates their  
          due process rights (with the exception of Fourth Amendments  
          claims related to search and seizure).  However, the court  
          refused to dismiss industry prior restraint claims that Measure  
          B does not provide sufficient procedural safeguards, does not  
          have narrowly tailored requirements, and gives the County of Los  
          Angeles unbridled discretion.

          One legal commentator<3> described the ruling as follows:

               "In his 34-page ruling, Judge Pregerson handed partial  
               victories to the pornographers and to the Foundation.

               Pregerson agreed with the filmmakers that provisions to  
               enforce the law are too sweeping - including powers to  
               revoke permits, conduct warrantless searches of film sets  
               and charge fees for permits.  But Pregerson said the condom  
               law would help protect against sexually transmitted  
               diseases in a 'direct and material way.'

               Finding the pornographers' First Amendment claim 'unlikely  
               to succeed on the merits,' Pregerson denied a preliminary  
               injunction on that issue.

               The ruling cites data from the Department of Public Health  
               showing an increased risk of infection from sexually  
               transmitted diseases among porn actors, including chlamydia  
               and gonorrhea.  The adult film industry claims it protects  
               its performers by regularly testing for STDs. But Pregerson  
               said the data introduced by the AIDS Healthcare Foundation  
               told a different story.  The filmmakers 'by contrast, have  
               presented evidence from individuals in the adult film  
               industry, but not in the public health or medical  
               profession, who claim testing is so effective and universal  
               that condoms are unnecessary,' Pregerson wrote.

               But Pregerson found that a permit fee of $2,000 to $2,500  
               could be unconstitutional because the AIDS Healthcare  
               Foundation failed to show those fees cover only  
               'revenue-neutral' administration costs.  The judge was  


               -------------------------
          <3> Reynolds, Matt.  "Pornographers Seek to Overturn Condom  
          Law."  Courthouse News Service (August 20, 2013).








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               skeptical of a provision that lets the county revoke a  
               producer's permit without judicial review.  He also found  
               the county should not conduct warrantless searches of porn  
               sets to determine whether producers are violating the law.

               That left the question of whether Measure B, stripped of  
               those provisions, will be as effective.  Pregerson said  
               that with some tweaking the county can still enforce the  
               law.  'Here, adult film actors must still use condoms. A  
               permit is still required. Although the permit may not be  
               modified, suspended, or revoked, fines and criminal charges  
               may still be brought against offenders,' Pregerson wrote.   
               'While administrative searches cannot occur, nothing  
               prevents law enforcement from obtaining a warrant to  
               enforce Measure B.'
                    
               On fees, the judge saw 'no reason to believe the  
               Department's Measure B duties cannot be performed without  
               fees - or performed at least until the fees' defect is  
               cured, either by enacting a new, constitutional ordinance  
               or providing this court with evidence of revenue  
               neutrality.'

          The plaintiffs appealed the court's ruling to the Ninth District  
          Court of Appeals, which heard oral argument in the matter on  
          March 3, 2014.  A decision from the Court of Appeal is pending.

           Recent Media Reports on Industry Impact of Measure B  

          According to recent media reports, the number of film permits  
          issued to adult film producers decreased by 95 percent in Los  
          Angeles County following the enactment of Measure B.  As of  
          November 19, 2013, only 24 permits for adult films had been  
          filed in Los Angeles County, compared with 480 filed in the same  
          period in 2012<4>.  Other media reports have indicated that  
          adult film production may have shifted to other jurisdictions<5>  
          to avoid the reach of Measure B, including to Las Vegas,  
          Nevada<6>.

          ---------------------------
          <4> Miles, Kathleen.  "LA Porn Industry Disappears After Condom  
          Law."  Huffington Post (November 19, 2013).
          <5> Also see the discussion above about related ordinances and  
          other measures in neighboring jurisdictions.
          <6> Dreier, Hannah.  "Porn Production Moves to Vegas After LA's  
          Condom Law."  Associated Press (January 1, 2014).








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          Critics of Measure B contend that these reports confirm  
          predictions that the measure would drive the industry out of Los  
          Angeles County or underground (continuing to operate in Los  
          Angeles County but not in compliance with Measure B or other  
          requirements).

           ARGUMENTS IN SUPPORT  :

          The author states the following in support of this bill:

               "Adult film production is a multi-billion dollar industry.  
               California based production of adult films account for the  
               vast majority of this business, employing thousands of  
               Californians and generating millions of dollars in tax  
               revenue. 

               Workers in agriculture, food service, healthcare,  
               construction and many other industries benefit from  
               stringent work place safety requirements that keep workers'  
               compensation costs down and ensure a safe environment to  
               earn a living. The adult film industry, given the type of  
               work required, disproportionately exposes actors to a range  
               of health and safety risks. The industry is largely  
               self-regulated and has done an inadequate job of protecting  
               its employees from disease infection. 

               According to the Los Angeles Department of Public Health  
               (Department), workers in adult films are ten times more  
               likely to be infected with a sexually transmitted disease  
               (STD), such as HIV, than the population at large. In 2013,  
               there were up to five documented HIV transmissions of adult  
               film actors, leading to three separate self-imposed yet  
               unenforced production moratoriums. 

               The result of this unsafe work environment is a public  
               health crisis that would be preventable if reasonable steps  
               were taken to protect these employees in the workplace." 

          Therefore, the author argues that this bill will require adult  
          film industry employers to ensure that  personal protective  
          equipment is used during the production of an adult film. The  
          bill also clarifies that employers must pay for mandatory STD  
          testing of each actor and that adult film actors must be tested  
          for STDs at least every fourteen days. While the bill requires  
          use of personal protective equipment in adult films, it does not  









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          require personal protective equipment to be visible in the  
          film's final product.  The author concludes that this bill will  
          provide statewide uniformity needed to ensure that the thousands  
          of actors employed in this multi-billion dollar industry are  
          given reasonable workplace safety protections needed to reduce  
          exposure to HIV and other communicable diseases.

          The AIDS Healthcare Foundation supports this bill, stating the  
          following:

               "The adult film industry accounts for thousands of  
               workplace disease infections in California every year.   
               During the production of adult films, workers, including  
               but not limited to performers, are exposed to a number of  
               sexually transmitted diseases.  While these exposures fall  
               under California's regulatory definition of 'bloodborne  
               pathogens,' the statute that directs the execution of  
               worker safety protections is unclear about the obligations  
               of adult film employers to document their adherence to the  
               law.

               At any given time, there are approximately 2000-3000  
               Californians who are employed as performers, but the roll  
               call of performers is constantly shifting.  The Los Angeles  
               Department of Public Health has documented an epidemic of  
               sexually transmitted diseases among workers in the adult  
               film industry.  It attributes the epidemic to a variety of  
               high-risk acts which workers are required to engage in, and  
               to a lack of protective equipment for performers, including  
               condoms.  

               LADPH estimates that condoms and other protection are used  
               in less than 20% of hardcore heterosexual adult film.  And  
               in a study of STDs in the Los Angeles adult film  
               industry?published last December in Sexually Transmitted  
               Diseases, researchers found that consistent use of condoms  
               on set was as low as 1%.  Aggravating the situation is the  
               tragic decision by some producers in the gay adult film  
               industry to abandon decades of condom-only production in  
               favor of films in which no protection is afforded to the  
               performers.

               According to LADPH, workers in the adult film industry are  
               ten times more likely to be infected with a sexually  
               transmitted disease than members of the population at  









                                                                  AB 1576
                                                                  Page P
               large.  Also, the study noted above found that 2/3 of the  
               female study subjects and 1/3 of the male subjects had an  
               STD, vastly exceeding the STD rates in the general  
               population, and that 69% of them had worked in an adult  
               film in the previous 30 days.

               The adult film industry has steadfastly refused to take  
               appropriate steps to protect its workers from diseases  
               spread by bloodborne pathogens.  Therefore, [this bill]  
               defines without ambiguity the records that must be kept by  
               the employer to document compliance with the requirements  
               that condoms and other protective barriers have been used  
               in any scene in which exposure to bloodborne pathogens  
               might occur and that employees performing in scenes are  
               tested for STIs frequently."

          In addition, the California Medical Association (CMA) supports  
          this measure and states, "CMA has long been engaged in efforts  
          to prevent the spread of and to encourage early detection and  
          treatment of HIV.  [This bill] is an important public health  
          bill that aligns with that historic body of work.  Adult  
          entertainment workers are at high risk for being infected with a  
          sexually transmitted disease.  Requiring the use of condoms and  
          STI testing are common-sense ways to decrease spread of  
          disease."

           ARGUMENTS IN OPPOSITION  :

          Manwin USA, a leading information technology firm specializing  
          in adult content websites, opposes this measure, which it  
          characterizes as a "misguided effort to expand" Measure B  
          adopted in Los Angeles County.  They contend that this bill  
          raises some of the same constitutional issues at issue in the  
          pending litigation over Measure B:

               "Most provisions of Measure B have already been held  
               unconstitutional and the constitutionality of the remaining  
               provisions are currently before the Ninth Circuit Court of  
               Appeals (Vivid Entertainment, LLC v. Fielding, et al.).   
               The Ninth Circuit heard oral arguments on these remaining  
               issues on March 3, 2014, and will likely issue its ruling  
               on the matter sometime in the next several months.  It is  
               our understanding that the pattern and practice of the  
               Legislature is not to interfere with pending litigation.   
               Accordingly, we request that you reject this measure as  









                                                                  AB 1576
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               premature."
          Similarly, counsel for Vivid Entertainment, LLC states the  
          following:

               "Although the amended version of [this bill] stripped out  
               certain requirements, the remaining provisions still raise  
               the same core constitutional infirmities being addressed by  
               the Ninth Circuit in Vivid Entertainment, LLC v. Fielding  
               et al.  The additional requirement of a government mandated  
               testing program not only fails to alleviate these  
               constitutional concerns, but, in fact raises substantial  
               additional ones?Given the overlapping legal issues raised  
               by both Measure B and [this bill], Vivid Entertainment  
               respectfully requests that the Legislature forgo any action  
               until litigation has concluded." 

          The Valley Industry and Commerce Association (VICA) opposes this  
          measure and states:

               "This bill is clearly fueled by alternative motives to  
               force the adult film industry out of California.  Yet, this  
               six billion dollar industry generates millions in state and  
               local tax revenues annually.  Adult film production is also  
               responsible for a sizeable number of jobs in the San  
               Fernando Valley and Los Angeles County, including sound  
               technicians, propmasters, constumers and craft services  
               that would otherwise be out-of-work due to runaway  
               mainstream film production.  These jobs have depleted since  
               the passage of Measure B, L.A. County's version of this  
               legislation; a statewide mandate will be the final straw."

          Manwin USA raises similar concerns about the potential job and  
          economic impact of this measure, stating the following:

               "Where the impact of [this bill] will be felt the most is  
               on small businesses and the thousands of workers who work  
               directly or indirectly for California's adult entertainment  
               industry.  Adult film production in California directly  
               employs thousands of actors, directors, camera operators,  
               gaffers, and other tradespeople and support staff.  In  
               addition, there are countless jobs indirectly generated  
               from production, with recent data showing that for each  
               direct job we create, approximately 3 other jobs are  
               created indirectly.










                                                                  AB 1576
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               Regardless of whether or not one watches or condones adult  
               films, the industry is responsible for billions of dollars  
               of economic activity in the state, the bulk of which is  
               generated in and around the San Fernando Valley, San Diego,  
               and San Francisco?Now, [this bill] seeks to push adult film  
               productions out of state.

               Proponents of [this bill] argue, without any factual  
               support, that this won't occur, but the numbers tell a much  
               different story.

               Since the passage of Measure B, film permits dropped in Los  
               Angeles County from 456 to 24 during the same time period  
               last year.  This represented a revenue drop in film permits  
               alone of $450,000, not to mention the millions of dollars  
               lost by those ancillary businesses serving the Los Angeles  
               County adult film productions.  Fortunately for California,  
               the scope of the job and revenue loss was mitigated by the  
               local nature of Measure B, as many businesses were able to  
               stay in business by following the productions outside of  
               Los Angeles County.  However, not all of the businesses  
               that moved out of Los Angeles County stayed in California.   
               Numerous productions jumped state lines to Nevada, where  
               Las Vegas now represents the fastest growing adult film  
               location in the country.  Were [this bill] enacted, and  
               restrictions placed on filming anywhere in California,  
               defections would accelerate rapidly."

          Other opponents to this measure argue that current industry  
          protocols not only work, they work well.  They argue that any  
          legislation that would diminish current industry protocols will  
          not only put performers at risk, but also destroy an extremely  
          effective HIV and STI prevention program.  For example, the Free  
          Speech Coalition states, "Currently, the adult movie industry  
          does not require any performer to engage in filming with an  
          HIV-positive individual. The industry adopted the blood borne  
          pathogen plan [BBP) in which EVERY performer is required undergo  
          advanced and regular testing for HIV or wear condoms. Under  
          industry testing protocols, all producers and/or directors  
          require performers to confirm a current negative test panel  
          prior to shooting. Each performer is also entitled to receive  
          confirmation that her partner has current negative test results,  
          thereby protecting EVERY performer from the risk of  
          transmission. The testing protocols are based on recommendations  
          of medical experts. In large part due to the testing protocols,  









                                                                  AB 1576
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          there has not been a single reported incident of on-set  
          transmission in ten years."

           PRIOR RELATED LEGISLATION  :

          AB 332 (Hall) from 2013 required employers engaged in the  
          production of adult films to adopt specified practices and  
          procedures related to protection from sexually transmitted  
          diseases.  Among other things, AB 332 required an employer to  
          maintain engineering and work practice controls sufficient to  
          protect employees from exposure to blood and any potentially  
          infectious materials, including the use of condoms and other  
          protective barriers.  AB 332 was held under submission in the  
          Assembly Appropriations Committee.

          Subsequently, language virtually identical to AB 332 was amended  
          into AB 640 (Hall) in the Senate.  AB 640 was referred to the  
          Senate Rules Committee, where it is still pending.

           COMMITTEE STAFF COMMENTS  :

              1)   Double Referral  

          This bill is double-referred to the Assembly Committee on Arts,  
          Entertainment, Sports, Tourism and Internet Media.

             2)   Employee/Independent Contractor Issues  

          As mentioned above, a major obstacle to DOSH's previous  
          enforcement actions under the existing bloodborne pathogen  
          standard has been the assertion by adult film production  
          companies that the individual performers are independent  
          contractors, rather than employees, and that therefore DOSH has  
          no jurisdiction.  AB 332 from last year attempted to resolve  
          this difficulty by defining an "employee" to mean an employee or  
          independent contractor, thereby statutorily providing that the  
          bill's requirements applied to such individuals regardless of  
          their status as employees or independent contractors.

          This bill is limited to the DOSH context, where jurisdiction is  
          generally limited to occupational health and safety issues only  
          as they relate to employees.  As discussed above, an OSHA  
          Appeals Board ALJ recently concluded that the production crew  
          and participants hired in one case were employees and not  
          independent contractors.  However, as cautioned above,  









                                                                  AB 1576
                                                                  Page T
          determinations of employee/independent contractor status are  
          very fact-specific analyses and vary from situation to  
          situation.  Other adult film producers and distributors are  
                                             likely to continue to argue that the facts of their situation  
          are distinct and different from the prior case, and will likely  
          continue to argue that their participants or performers are  
          independent contractors rather than employees.

              3)   Other Related Issues Raised in Last Year's AB 332  

          Some opponents of AB 332 from last year expressed concerns that  
          the bill may have resulted in a situation where an individual  
          who tests positive may have a claim under reasonable  
          accommodation provisions of the Americans with Disabilities Act  
          or the Fair Employment and Housing Act that they are entitled to  
          employment, regardless of the safety concerns of other  
          performers.

          For example, last year the Free Speech Coalition stated the  
          concern as follows:

               "Currently, the adult movie industry does not require any  
               performer to engage in filming with an HIV-positive  
               individual.  The industry adopted the blood-borne pathogen  
               plan (BBP) in which EVERY performer is required undergo  
               advanced and regular testing for HIV or wear condoms.   
               Under industry testing protocols, all producers and/or  
               directors require performers to confirm a current negative  
               test panel prior to shooting.  Each performer is also  
               entitled to receive confirmation that her partner has  
               current negative test results, thereby protecting EVERY  
               performer from the risk of transmission.  The testing  
               protocols are based on recommendations of medical experts.   
               In large part due to the testing protocols, there has not  
               been a single reported incident of on-set transmission in  
               over eight years.

               Unfortunately, [this bill] will abandon this testing  
               protocol, leaving performers without the ability to  
               identify the status of their sexual partners.  Instead,  
               performers will be forced to engage in sexual activity with  
               individuals who are HIV positive; a significant rollback of  
               the industry's health and safety plan.  According to the  
               FDA, the proper use of condoms still carries a risk of  
               transmission.  Therefore, [this bill] will actually put  









                                                                  AB 1576
                                                                  Page U
               performers in greater risk of infection than under the  
               industry's own standards; currently, a performer is  
               notified of his or her positive test BEFORE any sexual  
               contact and the positive performer is prohibited from  
               participating in a movie shoot."

          The analysis prepared last year by the Assembly Committee on  
          Arts, Entertainment, Sports, Tourism and Internet Media also  
          quoted the following concerns from a recent editorial:

               "Condoms undeniably help lower the risks of HIV infection.   
               But that doesn't mean the government should mandate condom  
               use in adult movies - and it certainly doesn't mean that  
               such regulation is a good idea? Nor would adult film  
               producers be allowed to 'discriminate' by refusing  
               employment to HIV-positive performers.  As a result,  
               untested and HIV-positive performers would be able to work  
               in the industry, raising the risks of HIV outbreaks..."<7>

          Last year, the sponsor of AB 332 responded to these concerns as  
          follows:

               "[This bill] does not change current law; DOSH is already  
               enforcing the bloodborne pathogen standard in adult  
               filmmaking.  As far as we know, there has not been a single  
               case of employment discrimination brought against an adult  
               producer by a person with HIV or another STD who has been  
               refused employment as a performer in an adult film. We  
               cannot predict what a court might conclude if there ever is  
               a situation in which an adult film producer asserts that a  
               person's HIV or STD status is a medical condition that  
               might endanger the health and safety of the performer or  
               others (pursuant to Government Code 12940) and prevents  
               that person from performing.  We cannot predict whether a  
               court would find that the use of a condom or other  
               protective barrier constituted a reasonable accommodation.   
               But again, a case like that could happen now, and [this  
               bill] does not impact that possibility."

          It is worth noting that the Fair Employment and Housing Act  
          provides that the prohibition against discrimination based on  
          disability or medical condition "does not prohibit an employer  
          from refusing to hire or discharging an employee who, because of  


          ---------------------------
          <7> Padilla, Alexandre.  "Not-So-Safe Sex."  Forbes.com  
          (December 7, 2009).








                                                                  AB 1576
                                                                  Page V
          the employee's medical condition, is unable to perform his or  
          her essential duties even with reasonable accommodations, or  
          cannot perform those duties in a manner that would not endanger  
          the employee's health or safety or the health or safety of  
          others even with reasonable accommodations."  (Government Code  
          Section 12940 (a)(2))(Emphasis provided).

          This is similar to the "direct threat" defense under the federal  
          Americans with Disabilities Act (ADA) which provides that an  
          employer may lawfully exclude an individual from employment for  
          safety reasons only if the employer can show that employment of  
          the individual would pose a "direct threat."   The EEOC's ADA  
          regulations explain that "direct threat" means "a significant  
          risk of substantial harm to the health or safety of the  
          individual or others that cannot be eliminated or reduced by  
          reasonable accommodation."

              4)   Recent Amendment Regarding "Purchased" Scenes  

          The most recent set of amendments to this bill provide that an  
          adult film employer's injury prevention program shall include  
          specified information for all scenes produced "or purchased."   
          The author's office indicates that this amendment is intended to  
          make an adult film employer responsible for providing certain  
          information related not only to scenes they produce themselves,  
          but scenes that may have been produced by another individual or  
          entity and purchased by the adult film employer for  
          distribution.

          Opponents have raised a series of additional concerns about this  
          specific amendment to the bill with committee staff, but at the  
          time of preparation of this analysis were still analyzing the  
          amendment and its implications.  However, opponents did provide  
          a brief initial response as follows:

               "The amendment appears to impose burdensome recordkeeping  
               requirements not only on the employer, but also on each  
               entity in the upstream chain of commerce, regardless of the  
               fact that they have no additional knowledge or information  
               regarding the underlying employer/employee relationship.   
               Not only is it unprecedented for an upstream purchaser in  
               this context to be required to keep records of downstream  
               worker safety, but as a practical matter, this will be very  
               costly, complicated, and burdensome to implement.  Many  
               'scenes' are licensed to hundreds of different sites and/or  









                                                                  AB 1576
                                                                  Page W
               distributors (i.e., those who 'purchase scenes').  Under  
               the proposed amendment, each will have to maintain detailed  
               records about the shoot, about which they have no actual  
               knowledge, and which raise serious and complex privacy and  
               compliance concerns (with respect to various state and  
               federal privacy and healthcare laws).  Such concerns are  
               heightened and compounded given that many of those who  
               'purchase scenes' are not large sophisticated operations,  
               but small businesses, who may not have the expertise to  
               manage and protect sensitive information, such as  
               documentation of medical testing.


               In addition, the record keeping provisions would be subject  
               to additional Constitutional challenge, regardless of the  
               outcome of the Ninth Circuit's consideration of Vivid v.  
               Fielding.  As the record keeping requirements are limited  
               to 'adult film employers,' and 'adult films' are defined in  
               the statute based upon content, they are considered  
               content-based restrictions, and are subject to higher  
               constitutional scrutiny.  The breadth of the amendment's  
               requirements, particularly targeting those who have no  
               independent knowledge of facts, cannot meet intermediate  
               scrutiny, let alone strict scrutiny." 

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          AIDS Healthcare Foundation
          American Congress of Obstetricians and Gynecologists
          Beyond AIDS
          California Academy of Preventive Medicine
          California Communities United Institute
          California Employment Lawyers Association
          California Medical Association
          California Public Health Association-North
          California State Association of Occupational Health Nurses
          Fielding School of Public Health, UCLA
          National Coalition of STD Directors
          Planned Parenthood Affiliates of California
          Professor Jeffrey Klausner of Medicine and Public Health, UCLA
          Worksafe

           Opposition 









                                                                 AB 1576
                                                                  Page X
           
          Cutting Edge Testing
          Free Speech Coalition
          Ireland Entertainment
          Manwin USA
          Sean Darcy, MD Professional Corporation
          Unsound Labs
          Valley Industry and Commerce Association
          Vivid Entertainment, LLC
           

          Analysis Prepared by  :    Ben Ebbink / L. & E. / (916) 319-2091