BILL ANALYSIS                                                                                                                                                                                                    Ó






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                                   THIRD READING 


          Bill No:  AB 216
          Author:   Cristina Garcia (D)
          Amended:  6/29/15 in Senate
          Vote:     21  

           SENATE HEALTH COMMITTEE:  8-0, 6/24/15
           AYES:  Hernandez, Nguyen, Mitchell, Monning, Nielsen, Pan,  
            Roth, Wolk
           NO VOTE RECORDED:  Hall

           SENATE APPROPRIATIONS COMMITTEE:  Senate Rule 28.8

           ASSEMBLY FLOOR:  77-0, 5/4/15 - See last page for vote

           SUBJECT:   Product sales to minors: vapor products


          SOURCE:    Author
          
          DIGEST:   This bill prohibits the sale or furnishing of any  
          vapor products, as specified, to a person under 18 years of age,  
          or under 21 years of age, as specified; exempts drugs or medical  
          devices, as specified; and makes the violation of the provisions  
          in this bill an infraction punishable by specified fines.
          
          ANALYSIS:   


          Existing law:

          1)Prohibits the sale or furnishing of electronic cigarettes  
            (e-cigs) to a person under 18 years of age. Defines e-cigs as  
            a device that can provide an inhalable dose of nicotine by  








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            delivering a vaporized solution. 

          2)Authorizes the Department of Public Health (DPH), under the  
            Stop Tobacco Access to Kids Enforcement (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.

          3)Defines "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.
          
          This bill:
          
          1)Prohibits the sale or furnishing of any device intended to  
            deliver a non-nicotine product in a vapor state, to be  
            directly inhaled by the user, to a person under 18 years of  
            age. Raises the minimum age requirement to 21, contingent upon  
            the passage and enactment of SB 151 (Hernandez).

          2)Exempts the sale or furnishing of a drug or medical device  
            that has been approved by the federal Food and Drug  
            Administration (FDA) pursuant to the federal Food, Drug, and  
            Cosmetic Act.

          3)Specifies that a violation of the provisions in this bill is  
            an infraction punishable by a fine not to exceed $500, $1,000,  
            or $1,500 for a first, second, and third or subsequent  
            violation, respectively.

          Comments
          
          1)Author's statement.  According to the author, this bill will  
            make it illegal for retail stores to sell non-nicotine vaping  
            devices/e-cigs to anyone under the age of 18. Current law only  
            prevents minors from purchasing e-cigs with nicotine  
            cartridges. Even though these devices may come without  
            nicotine, they are still a filtration device that can be used  
            for smoking cannabis, nicotine, or other herbal substances.  
            E-cigs and vaping devices often target a younger audience  
            using sweet flavored compounds that carry the names of popular  
            kids' treats, such as gummy bears and Fruit Loops. Although  







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            they may not have nicotine, these compounds have been shown to  
            contain other harmful chemicals, masked by the candy-flavored  
            vapor. Those under the age of 18 are now free to purchase and  
            use these products. Retailers have taken the opportunity to  
            market and sell them to minors. While some individuals may use  
            e-cigs and vaping devices as a way to quit smoking, studies  
            suggest that adolescents who use ecigs are more likely to  
            progress from experimenting with these products to becoming  
            established smokers. In fact, the number of children using  
            e-cigs or vaping devices has doubled every year since 2009.
            
          2)What is vaping? Vaping is generally believed to be the act of  
            inhaling water vapor through a personal vaporizer, or e-cig.  
            When users draw on the e-cig, the battery heats the liquid,  
            which is then atomized into an inhalable water vapor. Vaping  
            products/e-cigs, which can deliver nicotine, flavor, and other  
            chemicals, are available in specialty stores and convenience  
            stores around the U.S. with varying restrictions on purchase  
            by those under 18 years of age. The term "vaping" is used to  
            distinguish e-cigs from traditional cigarettes.  Available  
            information supports that vaping is done with e-cigs, and,  
            therefore, vaping products and e-cigs are one in the same.

          3)E-cigs. According to the FDA, e-cigs are battery-operated  
            products designed to deliver nicotine, flavor (with and  
            without nicotine), and other chemicals. They turn chemicals,  
            including highly addictive nicotine, into an aerosol that is  
            inhaled by the user. Most e-cigs are manufactured to look like  
            conventional cigarettes, cigars, or pipes. Some resemble  
            everyday items, such as pens and USB memory sticks. 

          4)Are e-cigs safe? The FDA states that the safety and efficacy  
            of e-cigs has not been fully studied. Some of the uncertainty  
            stems from the wide variety of devices and liquids available,  
            and therefore separate components need to be studied,  
            including the e-cig device, the e-liquid, the inhaled aerosol,  
            and the exhaled aerosol that may be inhaled secondhand. E-cig  
            devices vary in their engineering, battery voltage, and  
            ability to heat the e-liquid, meaning e-liquids can deliver a  
            different aerosol or nicotine dose depending on the device.  
            E-liquids currently have no requirements for labeling, and the  
            National Institutes of Health states that there is poor  
            correlation between label statements and actual nicotine  
            content.







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            According to a 2013 study entitled "Does electronic cigarette  
            consumption cause passive vaping?," aerosol exhaled by e-cig  
            smokers often contains nicotine, formaldehyde, and other  
            chemicals, although at much lower levels than emissions from  
            conventional cigarettes, and nicotine metabolites were found  
            in non-smokers exposed to the exhaled aerosol. A 2012  
            publication from Reproductive Toxicology showed a wide variety  
            of toxicity on human cells, and that toxicity did not  
            correlate with nicotine concentration but did correlate with  
            the amount of flavor additives that were used. Since  
            California passed legislation prohibiting the sale of e-cigs  
            to minors, the Attorney General's office has been  
            investigating a number of e-cig companies that sell products  
            on the Internet to ensure compliance with the statute, as well  
            as other consumer protection provisions. Many companies are  
            coming into compliance voluntarily.  
          
          5)Health risks and increase in use of e-cigs. DPH's State Health  
            Officer released a report in January 2015, "A Community Health  
            Threat," about e-cigs that cites, among other things, the  
            concern about the health risks of e-cigs and the growing  
            number of e-cig users. E-cig poisonings increased from seven  
            in 2012 to 154 in 2014. By the end of 2014, e-cig poisonings  
            to young children tripled in one year, making up more than 60  
            percent of all e-cig poisoning calls, according to the report.  
            The State Health Officer also noted that in California, use of  
            e-cigs among those between the ages of 18 and 29 tripled in  
            one year, from 2.3 percent to 7.6 percent. Nearly 20 percent  
            of these young adult e-cig users had never smoked traditional  
            cigarettes. The State Health Officer concludes that there is a  
            high need to educate the public about e-cig safety concerns  
            and that existing laws currently in place to protect minors  
            and the general public from traditional tobacco products  
            should be extended to cover e-cigs.

          6)Marketing of e-cigs as cessation devices. The DPH report also  
            cites the unrestricted marketing tactics for e-cigs. E-cig  
            marketing continues to claim they are a safer alternative to  
            traditional cigarettes. To date, the effectiveness of e-cigs  
            as cessation aids has not been proven by e-cig companies or  
            approved by the FDA as such. The report states that a number  
            of studies actually show that e-cig users are no more likely  
            to quit than smokers of traditional cigarettes, and in one  







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            study, 89 percent of e-cig users were still using them one  
            year later. Dual use of e-cigs and traditional cigarettes  
            continues to rise, which, according to the report, may be  
            attributed to the unrestricted marketing of e-cigs. E-cig  
            companies are using tactics previously used by tobacco  
            companies that have since been banned. These include running  
            unrestricted ads and promotions on TV, radio, and social  
            media, and in magazines, newspapers, and retail stores, as  
            well as sponsoring sport and music events and giving out free  
            samples, according to the report. 

          7)Policy comment. According to the Senate Health Committee  
            analysis, this bill is substantially similar to SB 882  
            (Corbett, 2010) and is in line with current bills that seek to  
            regulate e-cigs by fixing existing statute. Created by SB 882,  
            current statute defines e-cig as a device that can provide an  
            inhalable dose of nicotine by delivering a vaporized solution.  
            Therefore, one can surmise that the current e-cig definition  
            also means a device that delivers a non-nicotine product,  
            which this bill seeks to clarify. In the opinion of staff, the  
            author may wish to amend this bill to change the existing  
            e-cig statute to ensure continuity and cohesion in e-cig law,  
            rather than creating a new definition.

          Related Legislation

          SB 151 (Hernandez) raises the minimum age to purchase tobacco  
          products to 21. SB 151 is pending in the Assembly Governmental  
          Organization Committee.

          SB 140 (Leno) recasts and broadens the definition of "tobacco  
          product" in current law to include e-cigs as specified; extends  
          current restrictions and prohibitions against the use of tobacco  
          products to e-cigs; and extends current licensing requirements  
          for manufacturers, importers, distributors, wholesalers, and  
          retailers of tobacco products to e-cigs. SB 140 is pending in  
          the Assembly Governmental Organization Committee.

          SB 24 (Hill) extends STAKE Act requirements to the sale of  
          e-cigs, distinct from the definition of tobacco products;  
          extends current smoke-free laws and penalties to e-cigs;  
          requires e-cig cartridges to be in childproof packaging, as  
          defined; broadens the current definition of e-cigs; requires all  
          retailers of e-cigs to apply for licensure to sell e-cigs; and  







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          raises the minimum age requirement to purchase and use e-cigs to  
          21, as specified. SB 24 failed passage on the Senate Floor, but  
          was granted reconsideration.  
          
          Prior Legislation
          
          SB 648 (Corbett, 2014) would have made the provision of the  
          STAKE Act restricting the sale of cigarette and tobacco products  
          from vending machines applicable to e-cigs, as defined. SB 648  
          died in the Assembly Appropriations Committee.

          SB 882 (Corbett, Chapter 310, Statutes of 2010) made it  
          unlawful, to the extent not preempted by federal law, for a  
          person to sell or otherwise furnish an e-cig to a person under  
          the age of 18.

          SB 400 (Corbett, 2009) would have defined e-cigs as drugs under  
          state law, made them subject to the Sherman Food, Drug, and  
          Cosmetic Law, and allowed DPH to halt the sale, distribution, or  
          offering of e-cigs as part of its enforcement of the STAKE Act.  
          SB 400 was vetoed by Governor Schwarzenegger who stated that  
          while he supported restricting access of e-cigs to children  
          under the age of 18, he could not sign a measure that also  
          declared them a federally regulated drug when the matter is  
          being decided through pending litigation. He noted that items  
          defined as "tobacco products" are legal for anyone over the age  
          of 18, and if adults want to purchase and consume these products  
          with an understanding of the associated health risks, they  
          should be able to do so unless and until federal law changes the  
          legal status of these tobacco products.

          SB 1927 (Hayden, Chapter 1009, Statutes of 1994) enacted the  
          STAKE Act to address the increase in tobacco sales to minors in  
          California and fulfill the federal mandate that prohibited the  
          sale of cigarettes and tobacco products to minors.

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


          SUPPORT:   (Verified7/14/15)


          Breast Cancer Fund







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          California Narcotic Officers' Association
          California School Employees Association
          California State PTA
          City of San Marcos
          Consumer Federation of California


          OPPOSITION:   (Verified7/14/15)


          None received


          ARGUMENTS IN SUPPORT:     Supporters of this bill, health and  
          labor organizations, argue that refill solutions for  
          e-cigs/vaping devices, even if they claim not to contain  
          nicotine, contain a wide range of toxic chemicals found in  
          California's Proposition 65, which could cause serious health  
          consequences. Supporters further state that these devices are  
          increasingly becoming the preferred delivery system for illegal  
          substances.

          ASSEMBLY FLOOR:  77-0, 5/4/15
          AYES:  Achadjian, Alejo, Travis Allen, Baker, Bigelow, Bloom,  
            Bonilla, Bonta, Brough, Brown, Burke, Calderon, Chang, Chau,  
            Chávez, Chiu, Chu, Cooley, Cooper, Dababneh, Daly, Dodd,  
            Eggman, Frazier, Beth Gaines, Gallagher, Cristina Garcia,  
            Eduardo Garcia, Gatto, Gipson, Gomez, Gonzalez, Gordon, Gray,  
            Grove, Hadley, Roger Hernández, Holden, Irwin, Jones,  
            Jones-Sawyer, Kim, Lackey, Levine, Linder, Lopez, Low,  
            Maienschein, Mathis, Mayes, McCarty, Medina, Melendez, Mullin,  
            Nazarian, Obernolte, O'Donnell, Olsen, Patterson, Perea,  
            Quirk, Rendon, Ridley-Thomas, Rodriguez, Salas, Santiago,  
            Steinorth, Mark Stone, Thurmond, Ting, Wagner, Waldron, Weber,  
            Wilk, Williams, Wood, Atkins
          NO VOTE RECORDED:  Campos, Dahle, Harper

          Prepared by:Reyes Diaz / HEALTH / 
          7/15/15 15:05:43


                                   ****  END  ****









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