BILL ANALYSIS Ó AB 2125 Page 1 Date of Hearing: March 29, 2016 ASSEMBLY COMMITTEE ON HEALTH Jim Wood, Chair AB 2125 (Chiu) - As Introduced February 17, 2016 SUBJECT: Healthy Nail Salon Recognition Program. SUMMARY: Requires the California Department of Public Health (DPH) to develop and publish guidelines for local governments to implement local healthy nail salon recognition (HNSR) programs with specified criteria, including the use of less toxic nail polishes and polish removers and improved ventilation. Requires DPH to develop awareness campaigns, model ordinances for local governments, and post specified information on its Internet Website. Specifically, this bill: 1)Requires DPH to create guidelines for cities, counties, and cities and counties to implement local HNSR programs. Specifies that HNSR program qualifications including, but not limited to: a) Prohibiting the use of nail polish, nail polish removers, and nail polish thinners containing specified chemicals; b) Requiring that salon staff wear nitrile gloves when using nail products; AB 2125 Page 2 c) Requiring proper ventilation in the salon, and having designated, ventilated areas for artificial nail services; d) Requiring all salon staff to be trained in the HNSR program criteria; e) Requiring the salon to make a commitment to adopting safer nail products; and, f) Prohibiting customers from bringing in products unless the products meet the program criteria. 2)Requires DPH to promote the HNSR program by doing all of the following: a) Solicit and support voluntary implementation of HNSR programs through awareness campaigns directed at nail salon business owners and local governments; b) Develop and implement a consumer education program to promote awareness about HNSR programs; c) Develop and adopt one or more models for an HNSR program or ordinance that local governments may adopt and implement to reduce chemical exposure and improve the health and safety of consumers and workforce members at nail salons; d) Consult with representatives of local agencies with existing HNSR programs, personnel of private nonprofit entities who have experience and skills in implementing HNSR programs, and members of affected communities, among others, throughout the development of the model program or AB 2125 Page 3 ordinance; e) Develop and either distribute or post on its Internet Website information for local entities, including, but not limited to, suggestions for successful implementation of HNSR programs and resource lists that include names and contact information of vendors, consultants, or providers of financial assistance or loans for purchases of ventilation equipment; and, f) Develop an Internet Website or a section on DPH's Internet Website that links to local HNSR programs, and recognized salons. 3)Encourages local jurisdictions that implement a local HNSR program to do all of the following: a) Coordinate with other local HNSR programs to assist businesses with achieving and moving beyond regulatory compliance; b) Encourage businesses to implement strategies to reduce toxic exposures to chemicals in nail salon products, improve ventilation strategies, and achieve greater understanding of products and their impacts on health; c) Promote improved community health outcomes, economic vitality, and sustainable business approaches; d) Provide small businesses with a level and quality of consultation on environmentally preferable business practices to which small businesses otherwise may have limited access; AB 2125 Page 4 e) Require a training element for owners and staff to ensure thorough knowledge of safe and environmentally friendly procedures; and, f) Provide an approved seal or certificate upon meeting all requirements to be hung in full public view in the business. EXISTING LAW: 1)Establishes DPH, which oversees various public health programs that optimize the health and well-being of the people of California, including protecting the public from unhealthy and unsafe environments. 2)Authorizes DPH to establish the Occupational Health Branch as a program devoted to improving worker health and safety through prevention activities. 3)Establishes the California Safe Cosmetics Act of 2005, which requires that manufacturers provide DPH with a list of any ingredients in their products which are "known to cause cancer or reproductive toxicity." 4)Establishes the Department of Industrial Relations to protect and improve health, safety, and economic well-being of workers in California, including programs to administer and enforce workplace health and safety under the Division of Occupational Safety and Health (Cal/OSHA) AB 2125 Page 5 5)Establishes the Barbering and Cosmetology Act under the Board of Barbering and Cosmetology (BBC) FISCAL EFFECT: This bill has not yet been analyzed by a fiscal committee. COMMENTS: 1)PURPOSE OF THIS BILL. According to the author, voluntary local HNSR programs across the state have begun to create safer and healthier nail salon communities. The author states that this bill will expand these programs and help incentivize nail salons to choose healthier alternatives to dangerous chemicals through recognition, education and outreach. In return, the author states that nail salons will gain more customers and a happier, healthier workforce. The author asserts that currently, the spread of these programs to immigrant women worker population has rested on the shoulders of small non-profit organizations. Education and outreach by the DPH will significantly improve local governments' awareness of these important programs that address immigrant community vitality, environmental justice, and women and workers' health. Additionally, a well-organized consumer awareness campaign across California is needed to help raise the health and safety standards through consumer knowledge and pressure. 2)BACKGROUND. According to the Department of Toxic Substance Control (DTSC), nail products containing the "toxic-trio" of the chemicals, which are dibutyl phthalate (DBP), toluene, and formaldehyde, pose health and safety risks to both consumers and roughly 121,000 nail salon technicians in more than 48,000 salons throughout California. These chemicals have been the subject of ongoing public scrutiny from non-government organizations, environmental and worker rights groups, and AB 2125 Page 6 various regulatory agencies over concerns about nail product safety. Exposure to toxic-trio chemicals is associated with cancer, birth defects, asthma, and other chronic health conditions. In 2011, out of concern for the accuracy of nail product labeling, DTSC sampled 25 nail products purchased in the San Francisco Bay Area. The report "Summary of Data and Finding from Testing of a Limited Number of Nail Products" published in April 2012, found that 10 of 12 products with "toluene-free" claims did, in fact, contain toluene. The study also found that five of the seven "three-free" product (those claiming to lack DBP, toluene, and formaldehyde) claims could not be substantiated. Chemicals were also detected whose purpose, property, human toxicity, and environmental fate are unknown to DTSC. 3)REGULATORY AUTHORITY. Several agencies are pivotal to achieving health and safety in nail salons. The California Safe Cosmetics Program within DPH collects information from manufacturers regarding ingredients known or suspected to cause cancer, birth defects, or other reproductive harm, as required by the California Safe Cosmetics Act, and makes the data available to the public. Protecting workers from safety hazards at the workplace is the jurisdiction of the Cal/OSHA. The Office of Environmental Health Hazard Assessment (OEHHA) with the California Environmental Protection Agency (Cal/EPA) assesses health risks to the public. The BBC is responsible for protecting and educating consumers who seek barbering, cosmetology, and electrology services. BBC also regulates the individuals who provide these services and the salons in which the services are performed. 4)Informational hearing. On August 26, 2015, the Legislature held an informational hearing on the "Labor Practices, Health, and Safety in California Nail Salons." The hearing was jointly hosted by the Assembly Select Committee on Women in the Workplace, the Assembly Select Committee on Girls and Women of Color, and the Assembly Committees on Health, AB 2125 Page 7 Business and Professions, and Labor. The purpose of the hearing was to obtain information, address concerns, and discuss policy recommendations regarding nail salon practices from state agencies, advocates, and industry. Among many other recommendations, one of the policy recommendations discussed by panelists was the statewide expansion of voluntary recognition and incentive-based programs that recognize nail salons that implement healthy practices for workers and consumers was discussed. 5)HEALTHY NAIL SALON RECOGNITION PROGRAMS. In 2010, San Francisco became the first city in the country to create a formal voluntary recognition program for salons which do not use products containing specific toxic chemicals. Created by a City ordinance, the voluntary HNSR Program is administered by the San Francisco Department of the Environment. Since 2010, Alameda, San Mateo, and Santa Clara counties and the city of Santa Monica have adopted and are implementing voluntary recognition programs that encourage salons to use less toxic nail polishes and other products. Nail salons are also required to improve ventilation and participate in trainings on best safety and health practices. Salons that meet the program criteria are given recognition with a certificate, window sticker, or poster, and/or by being listed as a healthier nail salon on a local government's Website. According to the California Healthy Nail Salon Collaborative (CHNSC), co-sponsor of this bill, nail salon owners report that being a healthy nail salon is better for their health and good for business too. In a survey conducted by CHNSC and Asian Health Services (AHS), the large majority of recognized salons said that by participating in the program, their employees are healthier. Most also reported that their revenues increased, and that the safety and health trainings were effective. AB 2125 Page 8 Currently, an established working group, comprising the above counties and city as well as worker health groups, meets regularly and shares information and resources. Standardized Healthy Nail Salon Program materials are established, translated and used by all participating counties, reducing start up and operating costs for each local government program interested in implementing an HNSR program. 6)SUPPORT. The California Healthy Nail Salon Collaborative, cosponsor of the bill, asserts that this bill will lead to nail salons voluntarily choosing less toxic products and practices, benefitting the overall health of the nail salon industry, including its workforce and consumers. AHS, cosponsor of the bill, writes that a significant number of the patients in their clinics are nail salon workers. AHS states that this bill is critical for protecting the health of this workforce and the sustainability of an industry that serves as the economic cornerstone to so many Asian immigrants. The California Labor Federation writes in support that each day, nail salon workers handle products identified as carcinogens by leading international research organizations, and that these chemicals have been clinically proven to cause respiratory, neurological, and reproductive harm. 7)PREVIOUS LEGISLATION. a) AB 2689 (Tran) of 2007, would have established the Vietnamese Nail Worker Information Act, requiring manufacturers and certain other persons that sell or use professional use-only nail care products to prepare, translate and provide material safety data sheets in the Vietnamese language to purchasers of the products as well as licensed professional nail care employees upon request. AB 2689 was held on suspense in the Assembly Committee on Appropriations. AB 2125 Page 9 b) SB 484 (Migden), Chapter 729, Statutes of 2005, establishes the California Safe Cosmetics Act of 2005, which requires cosmetic manufacturers to disclose to DPH a list of their products' chemical ingredients that cause cancer or reproductive harm. 8)DOUBLE REFERRAL. This bill is double referred; upon passage in this committee, this bill will be referred to the Assembly Committee on Environmental Safety and Toxic Materials. 9)POLICY COMMENTS. a) Collaboration with other Agencies. There are several agencies within California that work on issues pivotal in achieving health and safety in nail salons. Along with DPH, Cal/OSHA administers and enforces workplace safety standards. OEHHA, within Cal/EPA, assesses health risks of chemicals to the public. The Safer Consumer Products program within the Department of Toxic Substance Control works to reduce toxic chemicals in products that consumers buy and use. The BBC is responsible for ensuring the health and safety of consumers by promoting ethical standards and by enforcing the laws of the barbering and beauty industry. The author may wish to consider whether DPH should consult with some or all of these other agencies when developing guidelines and best practices for HNSR programs. b) Avoiding Regrettable Substitutions. Single chemical bans often result in companies replacing one harmful chemical with another, less-studied but also harmful chemical. In response to consumer demand, the nail industry has voluntarily begun to remove some specific AB 2125 Page 10 toxic chemicals of interest, the science regarding harmful toxics and carcinogens is rapidly changing. The federal government and state of California scientifically establish and maintain lists of chemicals known to have harmful properties for the population, such as the list of list of chemicals known to the State to cause cancer or reproductive toxicity established by the Safe Drinking Water and Toxic Enforcement Act of 1986 (Proposition 65). The Committee may wish to consider whether this bill should reference existing authoritative lists of chemicals, instead of naming only specific chemicals which may be outdated or replaced in the near future. 10)SUGGESTED AMENDMENTS. To further clarify the intent of the author, Committee staff recommends the following amendments: a) Timeframe. To ensure timely implementation, the author may wish to include a timeframe for DPH to develop the HNSR program guidelines. b) Additional Guidelines. The author may wish to give DPH the authority to include additional guidelines or best practices that further the goals of the HNSR program. c) Outreach Prioritization. The author may wish to authorize DPH to prioritize outreach to counties with the greatest number of nail salons and that have the highest pollution burdens and vulnerabilities as determined by California EnviroScreen. d) HNSR Program Implementation. Move section 108961 of the bill which encourages cities and counties to perform specified activities in implementing the HNSR Program and include those provisions in the subsection requiring DPH to AB 2125 Page 11 promote the HNSR program. REGISTERED SUPPORT / OPPOSITION: Support Asian Health Services (cosponsor) California Healthy Nail Salon Collaborative (cosponsor) ACT for Women and Girls Alameda County Department of Environmental Health American Lung Association American Sustainable Business Council Asian & Pacific Islander American Health Forum Asian Americans Advancing Justice - Asian Law Caucus Asian Americans Advancing Justice - Los Angeles Asian Immigrant Women Advocates AB 2125 Page 12 Asian Pacific Environmental Network Association of Asian Pacific Community Health Organizations Black Women for Wellness Breast Cancer Action Breast Cancer Fund California Immigrant Policy Center California Labor Federation California Pan-Ethnic Health Network Center for Environmental Health Center on Race, Poverty & the Environment City of Los Angeles, Office of the Mayor Eric Garcetti CHANGE Coalition Clean Water Action California AB 2125 Page 13 Coalition for Clean Air Community Action Marin Community Health Partnership Environmental Working Group Immigrant Resettlement and Cultural Center Mexican American Legal Defense and Education Fund National Council of Jewish Women - California National Employment Law Project Natural Resources Defense Council OCA - Asian Pacific American Advocates: East Bay Chapter Orange County Asian and Pacific Islander Community Alliance Physicians for Social Responsibility - San Francisco Bay Area Chapter AB 2125 Page 14 Physicians for Social Responsibility - Los Angeles The Women's Foundation of California UCLA Labor Occupational Safety and Health Program Vietnamese American Community Center of the East Bay Women's Voices for the Earth Worksafe Opposition None on file. Analysis Prepared by:Dharia McGrew / HEALTH / (916) 319-2097 AB 2125 Page 15