BILL ANALYSIS                                                                                                                                                                                                    Ó






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                                   THIRD READING 


          Bill No:  ABX2 7
          Author:   Mark Stone (D) 
          Amended:  3/3/16 in Assembly 
          Vote:     21  

           SENATE PUBLIC HEALTH AND DEVELOPMENTAL SERVICES COMMITTEE:   
            9-4, 3/7/16
           AYES:  Hernandez, Beall, Hall, Leno, McGuire, Mitchell,  
            Monning, Pan, Wolk
           NOES:  Morrell, Anderson, Moorlach, Nielsen

           SENATE APPROPRIATIONS COMMITTEE:  Senate Rule 28.8

           ASSEMBLY FLOOR:  49-25, 3/3/16 - See last page for vote

           SUBJECT:   Smoking in the workplace


          SOURCE:    Author


          DIGEST:  This bill 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.


          ANALYSIS: 

          Existing law:

          1)Establishes "smoke-free laws," which prohibit the smoking of  
            tobacco products in various places, including, but not limited  








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            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 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)   Employers with five or fewer employees.  
           
          1)Imposes 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, for any violation of the indoor smoking  
            prohibition. 

          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.  







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          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:

             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. 







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          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  







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            premature deaths caused by exposure to secondhand smoke is  
            estimated to be $5.6 billion per year ($150 billion productivity  
            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. 

          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  







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          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 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 is pending on the Senate Floor. 

          ABX2 10 (Bloom) allows counties to impose a tax on the privilege  
          of distributing cigarettes and tobacco products. ABX2 10 is  
          pending on the Senate Floor. 

          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 is pending on the Senate Floor. 
          
          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 the 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  







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          vetoed by the Governor.

          FISCAL EFFECT:     Appropriation:    No        Fiscal Com.:  
          YesLocal:                        Yes


          According to the Assembly Finance Committee, minor and  
          absorbable costs for DPH 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.




          SUPPORT:   (Verified 3/8/16)


          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 

          OPPOSITION:(Verified   3/8/16)







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          None received

          ARGUMENTS IN 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.


          Prepared by: Alma Perez / P.H. & D.S. /
          3/9/16 14:52:19
                                    ***  END  ***