BILL ANALYSIS                                                                                                                                                                                                    Ó



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          Date of Hearing:   September 8th, 2015


                            ASSEMBLY COMMITTEE ON FINANCE


                                Shirley Weber, Chair


          ABX2 6  
          (Cooper) - As Amended August 27, 2015


          SUBJECT:  Electronic cigarettes


          SUMMARY:  Defines the term smoking for purposes of the Stop  
          Tobacco Access to Kids Enforcement (STAKE) Act; expands the  
          definition of a tobacco product to include electronic cigarettes  
          (e-cigarettes) and extend current restrictions and prohibitions  
          against the use of tobacco products to electronic cigarettes.   
          Extends current licensing requirements for manufacturers,  
          importers, distributors, wholesalers, and retailers of tobacco  
          products to electronic cigarettes.  Specifically, this bill:  


          1)Defines smoking as inhaling, exhaling, burning, or carrying  
            any lighted or heated cigar, cigarette, or pipe, or any other  
            lighted or heated tobacco or plant product intended for  
            inhalation, whether natural or synthetic, in any manner or in  
            any form.  Includes the use of an electronic smoking device  
            that creates an aerosol or vapor, in any manner or in any  
            form, or the use of any oral smoking device for the purpose of  
            circumventing the prohibition of smoking.


          2)Expands the definition of tobacco product to include an  
            electronic device that delivers nicotine or other vaporized  
            liquids to the person inhaling from the device, including, but  








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            not limited to an electronic cigarette, cigar, pipe, or  
            hookah.  Includes in the definition any component, part, or  
            accessory of a tobacco product, whether or not sold  
            separately.


          3)Clarifies that a tobacco product does not include a product  
            that has been approved by the United States Food and Drug  
            Administration (FDA) for sale as a tobacco cessation product  
            or for other therapeutic purposes where the product is  
            marketed and sold solely for such an approved purpose.


          4)Requires all cartridges for electronic cigarettes and solution  
            for filling or refilling an electronic cigarette to be in  
            child-resistant packaging.  Defines child-resistant packaging  
            as packaging that meets current federal regulations. 


          5)Requires the Board of Equalization (BOE) to determine a  
            one-time license fee for retailers of tobacco products who are  
            not subject to tax pursuant to the Cigarette and Tobacco  
            Products Tax Law.


          EXISTING LAW:  


          1)Authorizes the California Department of Public Health (DPH),  
            under the STAKE Act, to assess civil penalties ranging from  
            $400 to $6,000, depending on the number of infractions,  
            against any person, firm, or corporation that sells, gives, or  
            in any way furnishes tobacco products to a person who is under  
            the age of 18.













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          2)Establishes smoke-free laws, which prohibit the smoking of  
            tobacco products in various places, including, but not limited  
            to, school campuses, public buildings, places of employment,  
            apartment buildings, day care facilities, retail food  
            facilities, health facilities, and vehicles when minors are  
            present, and makes a violation of some of the prohibitions  
            punishable as an infraction.

          3)Defines a tobacco product as any product containing tobacco  
            leaf, including, but not limited to, cigarettes, cigars, pipe  
            tobacco, snuff, chewing tobacco, dipping tobacco, bidis, or  
            any other preparation of tobacco.



          4)Defines e-cigarette as a device that can provide an inhalable  
            dose of nicotine by delivering a vaporized solution.   
            Prohibits a person from selling or otherwise furnishing an  
            electronic cigarette to a person under the age of 18.



          5)Requires the Board of Equalization (BOE), under the Cigarette  
            and Tobacco Products Licensing Act, to administer a statewide  
            program to license cigarette and tobacco products  
            manufacturers, importers, distributors, wholesalers, and  
            retailers.  Prohibits selling tobacco products without a valid  
            license, and makes violations punishable as a misdemeanor.  



          6)Requires a retailer, for purposes of collecting a tobacco tax,  
            to obtain a separate license for each retail location that  
            sells cigarettes and tobacco products and pay a one-time fee  








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            of $100. Requires BOE to suspend or revoke a retailer's  
            license upon notification by DPH of certain STAKE Act  
            violations.



          7)Prohibits, under the STAKE Act, any person from distributing  
            or selling tobacco products via the United States Postal  
            Service (USPS), or any other public or private postal or  
            package delivery service, to any purchaser who is a minor.



          8)Bans, under the federal Prevent All Cigarette Trafficking Act  
            (PACT Act), the shipment of tobacco products through the USPS.



          9)Federal law, the Poison Prevention Packaging Act of 1970  
            requires the use of child-resistant packaging for prescription  
            drugs, over-the-counter drugs, household chemicals, and other  
            hazardous materials that could be considered dangerous for  
            children.


          FISCAL EFFECT:  





          1.Approximately $115,00 (Proposition 99) for the Department of  
            Public Health (DPH) for purchasing retailer lists, revising  
            informational materials, and conducting annual scientific  
            surveys, and General Fund cost pressure to increase STAKE Act  
            enforcement activities.











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          2.Approximately $3.8 million in costs for the Board of  
            Equalization in 2015-16,  minor savings in 2016-27, $1.8  
            million in costs in 2017-18, and minor costs in out-years for  
            the proposed BOE licensing program.











































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          DPH estimates the following costs, which are described in the  
          narrative below the chart:





                                                                           


           ----------------------------------------------------------------- 
          |    DPH Cost & Fund Source    |  2015-16  |  2016-17  | 2017-18  |
          |                              |           |           |          |
          |                              |           |           |          |
          |------------------------------+-----------+-----------+----------|
          |Revise regulations (0236      |         $0|    $64,400|        $0|
          |Unallocated Account,          |           |           |          |
          |Proposition 99 Funds)         |           |           |          |
          |                              |           |           |          |
          |                              |           |           |          |
          |------------------------------+-----------+-----------+----------|
          |E-cig retailer lists for      |     $8,000|     $8,000|    $8,000|
          |enforcement (0066 STAKE       |           |           |          |
          |Special Fund)                 |           |           |          |
          |                              |           |           |          |
          |                              |           |           |          |
          |------------------------------+-----------+-----------+----------|
          |Revise informational          |   $107,172|         $0|        $0|
          |materials (0236 Unallocated   |           |           |          |
          |Account, Proposition 99       |           |           |          |
          |Funds)                        |           |           |          |
          |                              |           |           |          |
          |                              |           |           |          |
          |------------------------------+-----------+-----------+----------|
          |Annual scientific survey for  |         $0|   $400,000|  $400,000|
          |monitoring illegal e-cig      |           |           |          |
          |sales to youth (0236          |           |           |          |
          |Unallocated Account,          |           |           |          |








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          |Proposition 99 Funds)         |           |           |          |
          |                              |           |           |          |
          |                              |           |           |          |
          |------------------------------+-----------+-----------+----------|
          |STAKE Act program             | $1,600,000| $1,600,000|$1,600,000|
          |requirements to monitor       |           |           |          |
          |illegal E-cig sales to youth  |           |           |          |
          |(General Fund)                |           |           |          |
          |                              |           |           |          |
          |                              |           |           |          |
          |------------------------------+-----------+-----------+----------|
          |          NET COSTS           | $1,715,172| $2,072,400|$2,008,000|
          |                              |           |           |          |
          |                              |           |           |          |
          |                              |           |           |          |
           ----------------------------------------------------------------- 
          


          Revise regulations. According to DPH, this bill would require  
          the DPH Food and Drug Branch (FDB) to revise STAKE Act  
          regulations for conducting compliance checks in vape shops and  
          vape lounges. DPH, Office of Regulations (OOR) estimates that  
          regulations would be complete within 18 months. Regulations  
          would also be required to be revises related to signage.  





          E-cig retailer lists. In order to incorporate e-cigarette  
          retailers that are not already BOE-licensed as a tobacco  
          retailer into STAKE Act compliance checks, DPH/FDB would  
          purchase an e-cigarette vendor list developed by a database  
          company for an estimated minimum cost of $4,000-$8,000 per year.












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          Revise informational materials. DPH would need to revise STAKE  
          Act signage, educational materials, and training materials to  
          include the e-cigarette provisions. The cost of revising and  
          printing STAKE Act signs and clean air materials (signs,  
          posters, cards, manuals/booklets) and the Tobacco Control Laws  
          brochure is estimated at $100,000. DPH staff time associated  
          with revising educational materials and training materials is  
          estimated at ten percent Full-Time Equivalent (FTE), Health  
          Program Specialist (HPS) I for one year at $7,172.  


           


          Annual scientific survey. Business & Professions Code Section  
          22959 requires the annual transfer of $2 million from the  
          Department of Health Care Services' federal Substance Abuse  
          Prevention & Treatment (SAPT) Block Grant to CDPH to administer  
          the provisions of the Synar Amendment. The FDB STAKE Program's  
          portion of these funds is $1.6 million. This funding is used for  
          conducting STAKE Act compliance inspections that include  
          undercover youth tobacco purchase inspections with an undercover  
          youth decoy, operating a STAKE Act complaint line, and following  
          up on illegal youth tobacco sales complaints. The remaining  
          $400,000 is used to conduct a scientific youth tobacco purchase  
          survey in order to annually report the annual illegal youth  
          sales rate, as required by the federal Synar Amendment. 


           


          Pursuant to guidance received from the federal Center for  
          Substance Abuse Prevention (CSAP) Project Officer, if this bill  
          passes, California would have the option to include e-cigarettes  
          in its Synar inspections since these products would be  
          considered eligible for Synar compliance activities. The annual  
          youth tobacco survey which is a random survey of approximately  








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          725 stores and results in a sample that is sufficient in size to  
          provide a statewide rate. While this bill does not require a  
          separate survey, absent additional resources, DPH would be  
          required to split the funds between two separate enforcement  
          requirements. This could result in a diminished survey on  
          tobacco retailers to accommodate e-cigarette only retailers. For  
          fiscal years beyond 2015-2016, DPH would request additional  
          funds in the amount of $400,000 to augment the annual scientific  
          survey to monitor the illegal e-cigarette sales rate to youth.


                 


          STAKE Act program requirements. The DPH STAKE enforcement  
          program's portion fund is $1.6 million. This funding is used for  
          conducting STAKE Act compliance inspections that include  
          undercover youth tobacco purchase inspections with an undercover  
          youth decoy, operating a STAKE Act complaint line, and following  
          up on illegal youth tobacco sales complaints. Current DPH STAKE  
          Act enforcement activities include any activity subsequent to a  
          violation of the STAKE Act, including issuance of the notice of  
          violation and civil penalty, administrating and preparing the  
          STAKE Act case package for an administrative hearing. Fines and  
          penalties collected as a result of STAKE Act activities are  
          collected by DPH and used to pay for a portion of legal staff.  
          The budget for the STAKE Act program has been flat since the  
          program was created 20 years ago and the funds collected from  
          penalties have decreased due to increased compliance with the  
          tobacco sales to minors law. 


           


          Currently, DPH performs approximately 2,000 buys with the $1.6  
          million block grant funds.  CDPH currently spends approximately  
          $5-$6 per tobacco purchase resulting in approximately $10,000 to  
          $12,000 to buy the cigarettes during compliance buys. DPH  








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          conducted online research and found e-cigarettes range in cost  
          from $10-$50.  The variety in inventory for 


          e-cigarettes and availability from one retailer to another is  
          much wider than for regular cigarettes. 


           


          While this bill authorizes DPH to enforce e-cigarette sales  
          compliance through the STAKE Act, absent additional resources,  
          DPH would be required to enforce both e-cigarette and tobacco  
          sale compliance with the funds available currently for tobacco.  
          Given the comparably high cost of e-cigarettes, this requirement  
          could result in diminished oversight of tobacco retailers to  
          accommodate e-cigarette retailers.  In order to mirror the  
          current STAKE Act program, DPH would request additional funds in  
          the amount of $1.6 million in General Fund to monitor the  
          illegal e-cigarette sales rate to youth. 





          By including electronic devices in the definition of tobacco,  
          this bill could impact California's ability to maintain no more  
          than a 20 percent rate of illegal tobacco sales to minors.   
          Pursuant to 42 United States Code (U.S.C.) 300x-26, commonly  
          known as the Synar Amendment, if California does not meet the 20  
          percent threshold, the Department of Health Care Services (DHCS)  
          could lose up to 40 percent of its SAPT Block Grant allocation.   
          This means that DHCS could lose approximately $100 million of  
          its SAPT Block Grant award if illegal tobacco sales to minors  
          exceeds 20 percent. Nevertheless, it is unclear how likely it is  
          that these new legal requirements threaten California's ability  
          to meet the federal threshold, and also unclear how much new  
          resources would be needed to ensure that California continue to  








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          meet the federal threshold.














































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          The Board of Equalization (BOE) estimates the following costs  
          and revenues:


          


                                                                           


           ----------------------------------------------------------------- 
          |        Costs         |  2015-16  | 2016-17  | 2017-18  |2018-19 |
          |                      |           |          |          |        |
          |                      |           |          |          |        |
          |    (In Millions)     |           |          |          |        |
          |                      |           |          |          |        |
          |                      |           |          |          |        |
          |----------------------+-----------+----------+----------+--------|
          |BOE Administrative    |       $3.8|      $3.1|      $2.5|    $1.3|
          |Costs                 |           |          |          |        |
          |                      |           |          |          |        |
          |                      |           |          |          |        |
          |----------------------+-----------+----------+----------+--------|
          |       Revenue        |           |          |          |        |
          |                      |           |          |          |        |
          |                      |           |          |          |        |
          |    (In Millions)     |           |          |          |        |
          |                      |           |          |          |        |
          |                      |           |          |          |        |
          |----------------------+-----------+----------+----------+--------|
          |BOE Licensing Revenue |         $0|      $3.4|      $0.7|    $0.7|
          |                      |           |          |          |        |
          |                      |           |          |          |        |
          |----------------------+-----------+----------+----------+--------|
          |      NET COSTS       |       $3.8|     -$0.3|      $1.8|    $0.6|
          |                      |           |          |          |        |
          |                      |           |          |          |        |
          |                      |           |          |          |        |








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          |                      |           |          |          |        |
          |                      |           |          |          |        |
           ----------------------------------------------------------------- 
          


          BOE Costs. According to BOE, the bill results in additional BOE  
          administrative costs to identify, notice, and license  
          e-cigarette and tobacco device retailers and to suspend or  
          revoke retailer licenses for e-cigarette and tobacco device  
          sales to minors violations. These costs include: e-cigarette  
          identification, notification, and registration; publication and  
          form revisions; compliance, inspection and enforcement tasks;  
          public inquiry responses; and related computer programming.





          BOE Revenue. The anticipated revenue would be generated by the  
          new licensing fee proposed in the bill to which e-cigarette  
          retailers would be subject. AB X2 11 (Nazarian) addresses  
          related issues that might have an impact on this bill. AB X2 11  
          proposes to increase existing licensing fees on tobacco  
          retailers in light of reported insufficient resources for the  
          tobacco licensing program within the BOE. This bill (AB X2 6)  
          creates a new licensing fee that mirrors the existing fee by  
          creating a one-time fee for e-cigarette retailers who are not  
          already tobacco retailers who have already paid the one-time  
          tobacco licensing fee of $100. 





          COMMENTS:  (According to the Assembly Committee on Public Health  
          and Developmental Services):










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          1)PURPOSE OF THIS BILL.  According to the author e-cigarette  
            usage by youth is exploding, for example, amongst high school  
            students use has shot up from 600,000 in 2013 to around 2  
            million in 2014.  The author states this bill is about  
            preventing an entire new generation of nicotine addicts.  The  
            author contends that licensing e-cigarette retailers like  
            tobacco retailers will prevent young people from accessing  
            e-cigarettes.  The author points out that prohibiting the use  
            of e-cigarettes in all the places where smoking is currently  
            prohibited is important because, while the health effects of  
            e-cigarettes are still being determined, we do know that both  
            inhaled and exhaled e-cigarette aerosol contains particulate  
            matter that has shown to be potentially harmful to the lungs  
            and that 10 chemicals in the Prop 65 warning on chemicals that  
            cause cancer and birth defects have been found in  
            e-cigarettes.  

          2)BACKGROUND.  E-cigarettes are defined in California law as a  
            device that can provide an inhalable dose of nicotine by  
            delivering a vaporized solution.  Typically, they are composed  
            of a rechargeable, battery-operated heating element, a  
            replaceable cartridge that may contain nicotine or other  
            chemicals, and an atomizer that, when heated, converts the  
            contents of the cartridge into a vapor.  This vapor can then  
            be inhaled by the user.  These products are often made to look  
            like such products as cigarettes, cigars, and pipes.  They are  
            also sometimes made to look like everyday items such as pens  
            and USB memory sticks, for people who wish to use the product  
            without others noticing.



          The health effects of e-cigarettes have not been fully studied,  
            so consumers currently don't know the potential risks of  
            e-cigarettes, how much nicotine or other potentially harmful  
            chemicals are being inhaled during use, or whether there are  








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            any benefits associated with using these products.  According  
            to the January 2015 State Health Officer's report on  
            E-Cigarettes, A Community Health Threat, e-cigarette use is  
            rising rapidly.  The report notes that while the long-term  
            health impact resulting from use of this product is presently  
            unknown, it is known that e-cigarettes emit at least 10  
            chemicals that are found on California's Proposition 65 list  
            of chemicals known to cause cancer, birth defects, or other  
            reproductive harm.

          REGISTERED SUPPORT / OPPOSITION:
                                                         



          Support


          American Heart Association / American Stroke Association


          American Lung Association


          Attorney General Kamala Harris


          Children Now


          First 5 of California


          Health Officers Association of California




          Opposition








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          None on file.





          


          Analysis Prepared by:Andrea Margolis  / FINANCE /916-319-2099