BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 2125


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          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;










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             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  








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               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;









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             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)










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          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  








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            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,  








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            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.










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            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.









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             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  








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               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  








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               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








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          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








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          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










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          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


















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