BILL ANALYSIS                                                                                                                                                                                                    Ó




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                                UNFINISHED BUSINESS 


          Bill No:  SBX2 5
          Author:   Leno (D), et al.
          Amended:  3/2/16 
          Vote:     21  

           SENATE PUBLIC HEALTH & DEV. SERVICES COMMITTEE:  9-3, 8/19/15
           AYES:  Hernandez, Beall, Hall, Leno, McGuire, Mitchell,  
            Monning, Pan, Wolk
           NOES:  Morrell, Moorlach, Nielsen
           NO VOTE RECORDED:  Anderson

           SENATE APPROPRIATIONS COMMITTEE:  5-2, 8/24/15
           AYES:  Lara, Beall, Hill, Leyva, Mendoza
           NOES:  Bates, Nielsen

           SENATE FLOOR:  25-13, 8/27/15
           AYES:  Allen, Beall, Block, Glazer, Hall, Hancock, Hernandez,  
            Hertzberg, Hill, Hueso, Jackson, Lara, Leno, Leyva, Liu,  
            McGuire, Mendoza, Mitchell, Monning, Pan, Pavley, Roth, Stone,  
            Wieckowski, Wolk
           NOES:  Anderson, Bates, Berryhill, Cannella, Fuller, Gaines,  
            Huff, Moorlach, Morrell, Nguyen, Nielsen, Runner, Vidak
           NO VOTE RECORDED:  De León, Galgiani

           ASSEMBLY FLOOR:  52-21, 3/3/16 - See last page for vote

           SUBJECT:   Electronic cigarettes


          SOURCE:    American Cancer Society Cancer Action Network
                     American Heart Association/American Stroke  
          Association
                     American Lung Association in California










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          DIGEST:  This bill 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; and  
          requires electronic cigarette cartridges to be child-resistant.


          Assembly Amendments:

          1)Revise the fee for the license that retailers must obtain to  
            an annual rate of $265 to be effective January 1, 2017.

          2)Incorporate changes made to law that became effective January  
            1, 2016, pursuant to SB 413 (Wieckowski, Chapter 765, Statutes  
            of 2015) and AB 731 (Gallagher, Chapter 303, Statutes of  
            2015).

          3)Double-joint this bill to SBX2 6 (Monning) and ABX2 7 (Mark  
            Stone) because of changes made to the same sections of  
            statute, and to SBX2 7 (Hernandez) and ABX2 8 (Wood), which  
            would raise the minimum age for purchasing tobacco products  
            from 18 to 21.

          4)Exempt active duty military personnel who are 18 years of age  
            or older and have an identification card issued by the United  
            States Armed Forces as proof of age from the requirement of  
            being 21 years of age or older to purchase tobacco products. 

          5)Add Senator Pavley as a co-author.
          
          ANALYSIS:

          Existing law:

          1)Authorizes the California 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  








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            furnishes tobacco products to a person who is under the age of  
            18.

          2)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 as an infraction.

          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.

          4)Defines "electronic cigarette" as a device that can provide an  
            inhalable dose of nicotine by delivering a vaporized solution.  
            Prohibits a person from selling or otherwise furnishing an  
            electronic cigarette to a person under the age of 18.

          5)Requires the Board of Equalization (BOE), under the Cigarette  
            and Tobacco Products Licensing Act, to administer a statewide  
            program to license cigarette and tobacco products  
            manufacturers, importers, distributors, wholesalers, and  
            retailers. Prohibits selling tobacco products without a valid  
            license, and makes violations punishable as a misdemeanor.  

          6)Requires a retailer, for purposes of collecting a tobacco tax,  
            to obtain a separate license for each retail location that  
            sells cigarettes and tobacco products and pay a one-time fee  
            of $100. Requires BOE to suspend or revoke a retailer's  
            license upon notification by DPH of certain STAKE Act  
            violations.

          This bill: 

          1)Recasts and broadens the definition of  "tobacco product" to  
            include a product  made or derived from tobacco or nicotine  
            that is intended for human consumption, whether smoked,  
            heated, chewed, absorbed, dissolved, inhaled, snorted,  
            sniffed, or ingested by any other means,  and includes  








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            electronic devices that deliver nicotine or other substances  
            to the person inhaling from the device, including, but not  
            limited to, an electronic cigarette, cigar, pipe, or hookah;  
            and any component, part, or accessory of a tobacco product,  
            whether or not sold separately. By broadening the definition  
            of "tobacco products," this bill extends all existing laws  
            that relate to tobacco products to electronic cigarettes.

          2)Exempts from the definition of "tobacco product" a product  
            that has been approved by the Food and Drug Administration  
            (FDA) for sale as a tobacco cessation product or for other  
            therapeutic purposes where the product is marketed and sold  
            solely for such an approved purpose.

          3)Requires retailers of electronic cigarettes, which are not  
            subject to a tobacco tax, to apply for a license and pay an  
            annual license fee of $265 beginning January 1, 2017.

          4)Incorporates changes made to law that became effective January  
            1, 2016, pursuant to SB 413 (Wieckowski, Chapter 765, Statutes  
            of 2015) and AB 731 (Gallagher, Chapter 303, Statutes of  
            2015).

          5)Double-joints this bill to SBX2 6 (Monning) and ABX2 7 (Mark  
            Stone), related to smoking in the workplace, and to SBX2 7  
            (Hernandez) and ABX2 8 (Wood), which would raise the minimum  
            age for purchasing tobacco products from 18 to 21, to avoid  
            conflicts in statute.

          6)Exempts active duty military personnel who are 18 years of age  
            or older and have an identification card issued by the United  
            States Armed Forces as proof of age from the requirement of  
            being 21 years of age or older to purchase tobacco products. 

          7)Requires all cartridges for electronic cigarettes and  
            solutions for filling or refilling an electronic cigarette to  
            be in child-resistant packaging, as defined by the Code of  
            Federal Regulations. 

          Comments

          1)Author's statement. According to the author, California has  








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            invested 25 years and $2.5 billion in public health measures  
            aimed at reducing tobacco use. However, that investment is now  
            threatened by a new tobacco product: electronic cigarettes.  
            According to a DPH report, e-cigarette aerosol contains at  
            least 10 chemicals that are on California's Proposition 65  
            list of chemicals known to cause cancer, birth defects or  
            other reproductive harm. Despite industry claims that  
            e-cigarettes do not present secondhand smoke concerns, studies  
            have found formaldehyde, benzene, and tobaccospecific  
            nitrosamines (a carcinog2)en) coming from the secondhand  
            emissions of ecigarettes. 

            Despite these potentially serious risks to public health,  
            e-cigarette use is growing nationwide. The Centers for Disease  
            Control and Prevention found that more than a quarter of a  
            million youth who had never smoked a cigarette used  
            e-cigarettes in 2013. E-cigarettes come in enticing flavors  
            such as gummy bear and mango. While California currently bans  
            the sale of e-cigarettes to minors under the age of 18, many  
            youth are still able to access the product. 
            
            DPH recommends that "[e]xisting laws that currently protect  
            minors and the general public from traditional tobacco  
            products should be extended to cover e-cigarettes." SBX2 5  
            will do exactly this by including e-cigarettes within  
            California's smoke-free laws and the STAKE Act.

          3)DPH report. The California State Health Officer released a  
            report in January 2015, "A Community Health Threat," about  
            electronic cigarettes that cites, among other things, the  
            concern about the health risks of electronic cigarettes, the  
            growing number of electronic cigarette users, and the  
            unrestricted marketing tactics for electronic cigarettes.  
            Electronic cigarette poisonings increased from seven in 2012  
            to 154 in 2014. By the end of 2014, electronic cigarette  
            poisonings to young children tripled in one year, making up  
            more than 60% of all electronic cigarette poisoning calls,  
            according to the report. The state health officer also noted  
            that in California, use of electronic cigarettes among those  
            between the ages of 18 and 29 tripled in one year, from 2.3%  
            to 7.6%. Nearly 20% of these young adult electronic cigarette  
            users had never smoked traditional cigarettes.








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            Electronic cigarette marketing continues to claim they are a  
            safer alternative to traditional cigarettes. To date, the  
            effectiveness of electronic cigarettes as cessation aids has  
            not been proven or approved by the FDA as such. The report  
            states that a number of studies actually show that electronic  
            cigarette users are no more likely to quit than regular  
            smokers, and in one study, 89 % of electronic cigarette users  
            were still using them one year later. Dual use of electronic  
            cigarettes and traditional cigarettes continues to rise,  
            which, according to the report, may be attributed to the  
            unrestricted marketing of electronic cigarettes. Electronic  
            cigarette 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,  
            and sponsoring sport and music events and giving out free  
            samples, according to the report. The State Health Officer  
            concludes that there is a high need to educate the public  
            about electronic cigarette 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 electronic cigarettes.

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


          According to the Senate Appropriations Committee:


          1)One-time costs of about $180,000 to revise regulations and  
            educational materials relating to the prohibition on the sale  
            of tobacco products to minors by the DPH (General Fund or  
            tobacco tax funds).


          2)Ongoing costs in the tens of thousands to low hundreds of  
            thousands per year for additional survey activities at retail  
            stores selling electronic cigarettes (General Fund or tobacco  
            tax funds). 









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          3)Ongoing costs in the hundreds of thousands per year for  
            enforcement actions relating to illegal sales of electronic  
            cigarettes to minors (General Fund or tobacco tax funds). 


          4)Ongoing licensing costs of about $300,000 for the BOE to  
            license retailers who sell electronic cigarettes but are not  
            currently licensed because they do not sell tobacco products  
            (Compliance Fund). These costs would be offset by an increase  
            in the licensing fee, from the current one-time $100 to an  
            annual licensing fee of $265.


          No anticipated change in tobacco tax revenue (General Fund and  
          special fund). This bill does not change the definition of  
          "tobacco product" in the Revenue and Taxation Code to include  
          electronic cigarettes. Thus, this bill does not extend the  
          state's existing tax on those products to electronic cigarettes.


          SUPPORT:   (Verified 2/29/16)


          American Cancer Society Cancer Action Network (co-source)
          American Heart Association/American Stroke Association  
          (co-source)
          American Lung Association in California (co-source)
          Attorney General Kamala Harris
          Alameda County Board of Supervisors
          American Academy of Pediatrics
          Americans for Nonsmokers' Rights
          Association of California Healthcare Districts
          Association of Northern California Oncologists
          Breathe California
          California Academy of Family Physicians
          California Academy of Preventive Medicine
          California Black Health Network
          California Chapter of the American College of Emergency  
          Physicians
          California Chronic Care Coalition
          California College and University Police Chiefs 








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          California Dental Association
          California Medical Association
          California Narcotic Officers' Association 
          California Optometric Association
          California Pan-Ethnic Health Network
          California Peace Officers Association
          California Pharmacists Association
          California Police Chiefs Association
          California Primary Care Association
          California Society of Addiction Medicine
          California State Association of Counties
          Common Sense Kids Action
           Community Action Fund of Planned Parenthood Orange and San  
            Bernardino Counties
          County Health Executives Association of California
          First 5 Association of California
          Health Officers Association of California
          Kaiser Permanente
          Los Angeles City Attorney Mike Feuer
          March of Dimes California Chapter
          Medical Oncology Association of Southern California
          Planned Parenthood Action Fund of the Pacific Southwest
          Planned Parenthood Advocacy Project Los Angeles
          Planned Parenthood Mar Monte
          Planned Parenthood Northern California Action Fund
          San Dieguito Alliance for Drug Free Youth
          San Francisco Bay Area Rapid Transit District
          San Mateo County Tobacco Education Coalition
          Santa Clara County Board of Supervisors
          Save Lives California
          SEIU California
          Sonoma County Board of Supervisors
          Tobacco Education and Research Oversight Committee

          OPPOSITION:  (Verified 2/29/16)

          Smoke-Free Alternatives Trade Association 

          ARGUMENTS IN SUPPORT:  The American Cancer Society Cancer Action  
          Network, the cosponsor of this bill, the California Primary Care  
          Association, and the California Black Health Network state that  
          defining electronic cigarettes as a tobacco product in the STAKE  








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          act tackles the issue of retailers selling electronic cigarettes  
          to minors, which is critical in preventing youth tobacco use.  
          The cosponsor also states that this bill will address the issue  
          of second-hand exposure to electronic cigarette aerosol by  
          prohibiting the use of electronic cigarettes in all places where  
          smoking is currently prohibited.  The American Lung Association,  
          another cosponsor of the bill, and Kaiser Permanente, state that  
          SBX2 5 aligns state laws with proposed federal regulations that  
          define electronic cigarettes as tobacco products per FDA  
          oversight. Breath California states that SBX2 5 is the best way  
          to face the threat that electronic cigarettes pose to young  
          people. The California Dental Association states that SBX2 5  
          will ensure electronic cigarettes receive the same oversight and  
          regulation as other harmful tobacco products sold at the retail  
          level. SEIU California, Common Sense Kids Action, Association of  
          Northern California Oncologists, and the Medical Oncology  
          Association of Southern California state that although  
          California bans the sale of electronic cigarettes to minors many  
          youth are still able to access these products due to lack of  
          oversight and enforcement. The California Medical Association  
          states that electronic cigarettes should be classified as  
          tobacco products because they contain derived nicotine. 

          ARGUMENTS IN OPPOSITION:  The Smoke-Free Alternatives Trade  
          Association states that enactment of SBX2 5 would shut down  
          hundreds of small business-owned vape shops throughout the  
          state, and that the existing statutory definition of electronic  
          cigarettes can achieve the public policy goals of protection of  
          children and minors. 

          ASSEMBLY FLOOR:  52-21, 3/3/16
          AYES:  Achadjian, Alejo, Baker, Bloom, Bonilla, Bonta, Brown,  
            Burke, Calderon, Campos, Chau, Chiu, Chu, Cooley, Cooper,  
            Dababneh, Daly, Dodd, Eggman, Cristina Garcia, Eduardo Garcia,  
            Gipson, Gomez, Gonzalez, Gordon, Gray, Hadley, Roger  
            Hernández, Holden, Irwin, Jones-Sawyer, Levine, Lopez, Low,  
            McCarty, Medina, Mullin, Nazarian, O'Donnell, Quirk, Rendon,  
            Ridley-Thomas, Rodriguez, Salas, Santiago, Mark Stone,  
            Thurmond, Ting, Weber, Williams, Wood, Atkins
          NOES:  Travis Allen, Bigelow, Brough, Chávez, Dahle, Beth  
            Gaines, Gallagher, Gatto, Harper, Jones, Kim, Lackey, Linder,  
            Mathis, Mayes, Melendez, Obernolte, Patterson, Steinorth,  








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            Wagner, Wilk
          NO VOTE RECORDED:  Chang, Frazier, Grove, Maienschein, Olsen,  
            Waldron


          Prepared by:Reyes Diaz / P.H. & D.S. /
          3/4/16 12:56:45


                                   ****  END  ****