BILL ANALYSIS                                                                                                                                                                                                    Ó



          SENATE COMMITTEE ON PUBLIC HEALTH AND DEVELOPMENTAL SERVICES
                          Senator Ed Hernandez, O.D., Chair

          BILL NO:                    ABX2 7    
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          |AUTHOR:        |Mark Stone                                     |
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          |VERSION:       |March 3, 2016    Amended                       |
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          |HEARING DATE:  |March 7, 2016  |               |               |
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          |CONSULTANT:    |Alma Perez-Schwab                              |
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           SUBJECT  :  Smoking in the workplace

           SUMMARY  :  Removes many (but not all) exemptions in existing law that  
          allow tobacco smoking in certain indoor workplaces and expands  
          the prohibition on smoking in a place of employment to include  
          owner-operated businesses.
          
          Existing law:
          1) 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 by an infraction. 

          2)Prohibits employers from knowingly or intentionally permitting  
            the smoking of tobacco products in an enclosed space at a  
            place of employment.  

          3)Defines "enclosed space" as including lobbies, lounges,  
            waiting areas, elevators, stairwells, and restrooms that are a  
            structural part of the building and not specifically exempt. 

          4)Exempts the following from the workplace smoking prohibition:

               a)     Sixty-five percent of guestrooms in a hotel, motel,  
                 or similar lodging establishment;  
                b)     Hotel or motel lobbies that meet certain size  
                 requirements;  
                c)     Meeting and banquet rooms in hotels or motels,  
                 except as specified;  
                d)     Retail or wholesale tobacco shops and private  







          ABX2 7 (Mark Stone)                                Page 2 of ?
          
          
                 smokers' lounges, as defined;  
                e)     Warehouse facilities, as defined;  
                f)     Gaming clubs, bars and taverns;  
                g)     Private residences, except for those licensed as  
                 family day care homes;
               h)     Patient smoking areas in long-term health care  
                 facilities;  
                i)     Break rooms designated for smoking by an employer;  
                 and  
                j)     Businesses with five or fewer employees.  
           
          1)Makes a violation of the indoor smoking prohibition an  
            infraction punishable by a fine not to exceed $100 for a first  
            violation, $200 for a second violation within one year, and  
            $500 for a third and each subsequent violation within one  
            year. 

          2)Requires local law enforcement agencies to enforce these  
            provisions, including local health departments, unless an  
            employer has been found guilty of three or more violations  
            which will require an investigation by the Division of  
            Occupational Safety and Health (DOSH).  

          3)Authorizes employers to prohibit smoking in enclosed places of  
            employment for any reason.

          
          This bill:
             1)   Extends the workplace smoking prohibition to include  
               owner-operated businesses in which the owner-operator is  
               the only worker and there are no employees, independent  
               contractors, or volunteers.

             2)   Expands the definition of "enclosed space" where smoking  
               is prohibited to include covered parking lots. 

             3)   Reduces from 65% to 20% the amount of guestroom  
               accommodations in a hotel, motel, or similar transient  
               lodging establishment in which smoking is allowed.  

             4)   Eliminates several exemptions in law which currently  
               allows the smoking of tobacco products in certain work  
               environments, thereby prohibiting the smoking of tobacco  
               products indoors at the following locations:









          ABX2 7 (Mark Stone)                                Page 3 of ?
          
          
                  a)        Hotel or motel lobbies;
                  b)        Meeting and banquet rooms in a hotel or motel;
                  c)        Warehouse facilities;
                  d)        Gaming clubs;
                  e)        Bars and taverns;
                  f)        Employee break rooms; and,
                  g)        Businesses with a total of five or fewer  
                    employees.

             5)   Deletes obsolete references to regulations that would  
               have permitted smoking at gaming clubs, bars and taverns  
               had these been adopted before January 1, 1998 by the  
               Occupational Safety and Health Standards Board if a safe  
               level of exposure to secondhand smoke were found that  
               prevents anything other than insignificant harmful effects  
               to exposed employees. No such regulations were ever  
               adopted.

             6)   Contains double-jointing language to address chaptering  
               out issues with SBX2 6 (Monning), ABX2 6 (Cooper), and SBX2  
               5 (Leno) of the current extraordinary legislative session. 


           FISCAL  
          EFFECT  :  According to the Assembly Finance Committee, minor and  
          absorbable costs for the Department of Public Health to provide  
          local public health departments, law enforcement, and the media  
          with information about these new statutory changes, and minor  
          enforcement costs to local law enforcement agencies, including  
          health departments.

           PRIOR  
          VOTES  :  
          
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          |Assembly Floor:                     |49-25                       |
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          |Assembly Appropriations Committee:  |6-3                         |
          |------------------------------------+----------------------------|
          |Assembly Public Health and          |10 - 3                      |
          |Developmental Services Committee:   |                            |
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          ABX2 7 (Mark Stone)                                Page 4 of ?
          
          

          COMMENTS  :
          1)Author's statement.  According to the author, California's workers  
            and business patrons are integral to maintaining a strong  
            California economy and it is vital that California protect the  
            health and safety of these people.  The author states that  
            secondhand smoke is a toxic air contaminant and it is well known  
            that there is no safe amount of exposure to these dangerous  
            chemicals.  The author notes secondhand smoke contributes to many  
            cases of lung cancer, heart disease, and strokes which can lead to  
            death, and due to the many workplace smoking exemptions,  
            California cannot join 26 other states including Washington D.C.  
            in being named "smoke-free" by the Centers for Disease Control and  
            Prevention (CDC).  The author concludes, in order to protect  
            California's workers and to take one step closer to joining the 26  
            other states, it is imperative that California remove exemptions  
            to its smoke-free workplace laws.

          2)Health impacts of secondhand smoke. According to the U.S.  
            Department of Health and Human Services and the U.S. Surgeon  
            General, secondhand smoke exposure can cause harmful health  
            effects that include stroke, heart disease, heart attacks, lung  
            cancer, asthma and chronic respiratory problems, among others. The  
            U.S. Environmental Protection Agency classifies secondhand smoke  
            as a Class "A" human carcinogen (cancer causing agent), the same  
            class as asbestos.  The California Air Resources Board has  
            declared secondhand smoke to be a toxic air contaminant, in the  
            same category as diesel exhaust. According to the Department of  
            Public Health, (DPH) non-smokers who are frequently exposed to  
            high levels of secondhand smoke increase their risk of developing  
            heart disease by 25-30%, and lung cancer by 20-30%.  The U.S.  
            Surgeon General has concluded that there is no risk-free level of  
            exposure to secondhand smoke, ventilation cannot eliminate  
            exposure of non-smokers to secondhand smoke, and establishing  
            smoke-free environments is the only proven way to prevent  
            exposure.  (The Health Consequences of Involuntary Exposure to  
            Tobacco Smoke: A Report of the Surgeon General, 2006).  According  
            to a 2014 report by the U.S. Surgeon General, if smoking persists  
            at the current rate among young adults, 5.6 million of today's  
            Americans younger than 18 years of age are projected to die  
            prematurely from a smoking-related illness. (The Health  
            Consequences of Smoking - 50 Years of Progress, 2014).  The 2014  
            report also finds that the value of lost productivity due to  
            premature deaths caused by exposure to secondhand smoke is  
            estimated to be $5.6 billion per year ($150 billion productivity  








          ABX2 7 (Mark Stone)                                Page 5 of ?
          
          
            loss for smoking deaths).  

          3)History of smoking in the workplace in California. For years  
            California had been the leader in the effort to fight the  
            smoking epidemic and was often referred to as "America's  
            Non-Smoking Section," a reputation that came about when  
            California became the first state in the country to ban  
            smoking in nearly every workplace; effectively banning smoking  
            in indoor public spaces.  California's workplace smoking  
            prohibition was enacted by AB 13 (Friedman Chapter 310,  
            Statutes of 1994), Restaurants were included in the ban, and  
            bars, taverns, and gaming clubs were phased in by 1998. The  
            law covers all "enclosed" places of employment; therefore,  
            patio or outdoor dining facilities may allow smoking. 

            While California's law is restrictive, a number of exemptions are  
            allowed which have prevented our state from being considered a  
            100% smoke-free state by the CDC, 25 other states are currently  
            considered 100% indoor workplace smoke-free. Many local  
            jurisdictions have closed the loop on these exemptions through the  
            enactment of local ordinances. In addition, gaming facilities not  
            under the jurisdiction of the State (tribal casinos) are not  
            required to comply, although some have done so voluntarily for the  
            health of their employees and patrons. 

            Unfortunately, these efforts have not been enough to protect  
            people from the harmful effects of secondhand smoke as evidenced  
            by the high number of casualties.  DPH estimates that the  
            loopholes in California's smoke free workplace law currently allow  
            one in seven employees to work in an employment setting where they  
            could be exposed to secondhand smoke. The patrons who visit, and  
            the employees who work in these unsafe environments, are receiving  
            unequal protection under the law as long as these exemptions are  
            in place. 
             
          4)Related legislation.   SBX2 5 (Leno) recasts and broadens the  
            definition of "tobacco product" in current law to include  
            electronic cigarettes as specified; extends 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; requires electronic  
            cigarette cartridges to be child-resistant; and exempts active  
            duty military personnel, as specified, from the requirement of  
            being 21 years of age or older to purchase tobacco products. SBX2  








          ABX2 7 (Mark Stone)                                Page 6 of ?
          
          
            5 is pending on the Senate Floor.

            SBX2 7 (Hernandez) increases the minimum legal age to purchase  
            or consume tobacco from 18 to 21. The bill also removes  
            penalty provisions for those under 21 in possession of tobacco  
            and exempts military personnel from the age increase. SBX2 7  
            is pending on the Senate Floor.

            ABX2 9 (Thurmond) extends current tobacco use prevention  
            funding eligibility and requirements for county offices of  
            education and school districts to include charter schools;  
            broadens the definition of products containing tobacco and  
            nicotine, as specified, and prohibits their use in specified  
            areas of schools and school districts, regardless of funding;  
            and requires specified signs to be prominently displayed at  
            all entrances to school property. ABX2 9 will be heard in this  
            committee on March 7, 2016. 

            ABX2 10 (Bloom) allows counties to impose a tax on the  
            privilege of distributing cigarettes and tobacco products.  
            ABX2 10 will be heard in this committee on March 7, 2016.

            ABX2 11 (Nazarian) revises the Cigarette and Tobacco Products  
            Licensing Act of 2003 to change the retailer license fee from  
            a $100 one-time fee to a $265 annual fee, and increase the  
            distributor and wholesaler license fee from $1,000 to $1,200.  
            ABX2 11 will be heard in this committee on March 7, 2016.
            
          5)Prior legislation.  SB 575 (DeSaulnier, 2011), and AB 1467  
            (DeSaulnier, 2007), were almost identical to this bill and would  
            have eliminated most of the exemptions in code which permit  
            smoking in certain work environments.  SB 575 died in Assembly  
            Governmental Organization Committee, and, AB 1467 was vetoed by  
            the Governor.

            AB 217 (Carter, 2011), would have restricted smoking in long-term  
            health care facilities by only allowing smoking in a designated  
            patient smoking area that is outdoors, as specified.  AB 217 was  
            vetoed by the Governor.

            AB 2067 (Oropeza, Chapter 736, Statutes of 2006), prohibits  
            smoking in covered parking lots and adds to the definition of  
            "enclosed spaces" lobbies, lounges, waiting areas, elevators,  
            stairwells and restrooms that are a structural part of the  
            building, thereby prohibiting smoking in those areas.








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            AB 846 (Vargas, Chapter 342, Statutes of 2003), prohibits smoking  
            inside a public building and within 20 feet of a main exit,  
            entrance, or operable window of a public building.

          6)Support.  Proponents argue that tobacco use is the single most  
            preventable cause of death and disease, nearly 40,000 Californians  
            lost their lives to tobacco related illnesses last year.  There is  
            overwhelming scientific evidence that secondhand tobacco smoke is  
            a direct cause of heart disease, the number one killer of both men  
            and women in California.  According to the American Lung  
            Association in California, smoking costs the state of California  
            $23 billion a year in both health costs and lost productivity with  
            $3.5 billion directly linked to Medi-Cal.  Proponents argue that  
            every Californian deserves to work in a healthy environment and  
            should not have to make a choice between a good job and good  
            health.  Given the human cost and the economic burden of smoking,  
            proponents believe it is time for California to become a 100%  
            smoke-free state. 

           SUPPORT AND OPPOSITION  :
          Support:  American Lung Association in California
                    Association of Northern California Oncologists
                    California Academy of Family Physicians
                    California Academy of Preventive Medicine
                    California Chapter of the American College of  
                 Emergency Physicians
                    California Chronic Care Coalition
                    California Dental Association
                    California Labor Federation
                    California Optometric Association
                    California Pan-Ethnic Health Network
                    California Society of Anesthesiologists
                    Cancer Action Network, American Cancer Society
                     County Health Executives Association of California
                    First 5 Association of California
                     Health Access California
                    Health Officers Association of California
                    March of Dimes
                    Medical Oncology Association of Southern California
                    Planned Parenthood Affiliates of California
                    San Francisco Tobacco Free Coalition
                    SEIU California
                    State of California Tobacco Education and Research  
                 Oversight Committee 








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          Oppose:   None received
          
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