BILL ANALYSIS Ó ABX2 6 Page 1 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 ABX2 6 Page 2 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. ABX2 6 Page 3 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 ABX2 6 Page 4 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. ABX2 6 Page 5 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. ABX2 6 Page 6 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, | | | | ABX2 6 Page 7 |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. ABX2 6 Page 8 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 ABX2 6 Page 9 725 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 ABX2 6 Page 10 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 ABX2 6 Page 11 meet the federal threshold. ABX2 6 Page 12 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| | | | | | | | | | | | | | | | | | | ABX2 6 Page 13 | | | | | | | | | | | | ----------------------------------------------------------------- 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): ABX2 6 Page 14 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 ABX2 6 Page 15 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 ABX2 6 Page 16 None on file. Analysis Prepared by:Andrea Margolis / FINANCE /916-319-2099