BILL ANALYSIS                                                                                                                                                                                                    



                                                                  SB 173
                                                                  Page  1

          Date of Hearing:   June 23, 2009

                            ASSEMBLY COMMITTEE ON HEALTH
                                  Dave Jones, Chair
                     SB 173 (Florez) - As Amended:  June 1, 2009

           SENATE VOTE  :   26-12
           
          SUBJECT  :   Food safety: testing and recalls.

           SUMMARY  :   Authorizes the State Public Health Officer (PHO) to  
          adopt regulations for the voluntary recall of food suspected of  
          carrying an illness, infection, pathogen, contagion, toxin, or  
          condition that, without intervention, could kill or seriously  
          affect the health of humans.

           EXISTING LAW  :

          1)Establishes the PHO to serve as the Director of the Department  
            of Public Health (DPH).  Requires the PHO to be a licensed  
            physician and surgeon who has demonstrated medical, public  
            health, and management experience.

          2)Confers upon DPH duties required by law for the detection and  
            prevention of the adulteration of articles used for food and  
            drink, and for the punishment of persons guilty of violating  
            any law protecting against adulteration.

          3)Authorizes the State Veterinarian to quarantine or destroy, if  
            he or she believes that, based upon scientific evidence, a  
            population of domestic animals, or food product from animals,  
            has contracted, or may carry, an illness, infection, pathogen,  
            contagion, toxin, or condition that, without intervention,  
            could kill or seriously damage other animals or humans, as  
            specified. 

          4)Establishes the Food and Drug Branch within DPH to regulate  
            the manufacture, processing, storage, and distribution of food  
            products in California.

          5)Requires DPH, or its authorized agent, to detain or embargo  
            any food, drug, device, or cosmetic, in the event that DPH or  
            its authorized agent finds, or has probable cause to believe,  
            that the item is adulterated, misbranded, or falsely  
            advertised.  Authorizes DPH, or its authorized agent, to  








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            condemn or destroy detained or embargoed items, as specified.

          6)Imposes specified fines and/or imprisonment for failure to  
            comply with an order by DPH to remove from sale any product  
            linked to an outbreak of illness, injury, or product  
            tampering.

          7)Requires a facility that manufactures, processes, or stores  
            food products in California to register with DPH and meet  
            prescribed sanitation requirements for food safety.

          8)Requires a meat or poultry supplier, distributor, broker, or  
            processor that sells a meat- or poultry-related product in  
            California that meets the criteria for a federal Class I or  
            Class II recall to immediately notify DPH and provide to DPH a  
            list of all customers that have received or will receive any  
            product subject to recall that the supplier, distributor,  
            broker, or processor has handled or anticipates handling, as  
            specified.

          9)Permits DPH to notify appropriate local health officers and  
            environmental health directors, and inform the public, as  
            specified, that a supplier, distributor, broker, processor, or  
            retailer in the local jurisdiction has handled or received, or  
            anticipates handling or receiving, a meat- or poultry-related  
            product that is subject to a voluntary federal recall. 

           FISCAL EFFECT  :   The current provisions of this bill have not  
          yet been analyzed by a fiscal committee.

           COMMENTS :

           1)PURPOSE OF THIS BILL  .  According to the author, this bill is  
            intended to provide the PHO with the necessary authority to  
            effectively manage and protect public health in the event of a  
            food-borne illness outbreak.  The author notes that,  
            presently, DPH lacks the statutory authority to issue  
            mandatory recalls and does not have any regulations to guide  
            such actions.  This bill allows DPH to adopt regulations  
            governing the appropriate actions to take during a food-borne  
            illness recall and empowers public health officials to act  
            quickly to improve the safety of the state's food supply.

           2)BACKGROUND  .  The federal Centers for Disease Control estimates  
            that 76 million Americans get sick, 300,000 are hospitalized,  








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            and 5,000 die from food-borne illnesses each year.  In 2006,  
            spinach from California tainted with E.coli bacteria was  
            identified as the source of food-borne contamination,  
            resulting in 204 cases of illness, 104 hospitalizations, and  
            three deaths across 26 impacted states.  Over the course of  
            the investigation, the source of the bacteria was traced to  
            four fields in Monterey and San Benito counties.  In addition,  
            the Salinas Valley area of California has also been the source  
            of at least seven confirmed cases of E.coli bacteria found in  
            leafy greens.  

          Most recently, Setton Farms in Terra Bella, California,  
            initiated a voluntary nationwide recall in March 2009 of its  
            pistachios because they were found to be contaminated with  
            salmonella. 
          The federal Food and Drug Administration (FDA) has since  
            completed its inspection of salmonella contamination in  
            pistachios and pistachio products at Setton and the FDA  
            indicates that most of the products associated with the recall  
            appear to have been identified.  The FDA reports that, to  
            date, there is no conclusive evidence that links the recalled  
            pistachio products to cases of human illness, although a  
            connection cannot be completely ruled out.  The number of new  
            recalls has dropped dramatically, and very few additions are  
            being made to the FDA's recall database at this time.   
            According to the FDA, actions have been taken to remove the  
            recalled products from the food supply, and it is advising  
            consumers and retailers to continue to safely dispose of any  
            recalled products they have in their pantries or stockrooms.   
            As an additional consumer protection, the FDA has also advised  
            wholesalers, retailers, and operators of restaurants and  
            food-service establishments not to sell or serve pistachios or  
            pistachio-containing products unless it can be determined that  
            they do not contain the recalled Setton products. 

           3)FEDERAL RECALL ACTION  .  FDA regulations define a recall as a  
            firm's removal or correction of a marketed product that the  
            FDA considers to be in violation of the laws it administers  
            and against which the agency would initiate legal action.   
            Currently, FDA's statutory authority to issue mandatory  
            recalls is limited to infant formula, medical devices, and  
            certain biological products.  It does not have authority to  
            order a recall of a food or dietary supplement.  FDA's  
            regulations provide general guidance for the voluntary recall  
            of products, including those recalls initiated by a firm on  








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            its own and those initiated at FDA's request.  FDA's recall  
            guidance describes actions that FDA and the industry can take  
            to carry out their respective recall responsibilities.   

          FDA assigns recalls to one of three categories according to the  
            level of hazard associated with the violative product that is  
            being recalled.  Class I recalls are those where there is a  
            reasonable probability that the use of, or exposure to, a  
            violative product, such as food found to contain botulinum  
            toxin (botulism) or salmonella, will cause serious adverse  
            health consequences or death.  Class II recalls are those in  
            which use of, or exposure to, a violative product may cause  
            temporary or medically reversible adverse health consequences  
            or where the probability of serious adverse health  
            consequences is remote.  Class III recalls are those in which  
            use of, or exposure to, a violative product is not likely to  
            cause adverse health consequences, such as a food product sold  
            at retail with a label that does not contain the required  
            information in English.  

          The FDA reserves a formal "request" for a recall, although still  
            voluntary, for urgent situations in which violative  
            distributed products pose a hazard to the consumer.  In most  
            instances, companies are willing either to conduct voluntary  
            recalls of their own accord or after a formal request from  
            FDA.  If a firm refuses to recall a violative product, the FDA  
            is authorized to pursue a legal remedy, such as a seizure or  
            court injunction.  FDA may also choose to issue press releases  
            to warn the public about violative products that are in the  
            marketplace.  The FDA maintains that, throughout the course of  
            a recall, it is the recalling firm's responsibility to  
            determine whether the recall is progressing satisfactorily by  
            performing effectiveness checks.  These checks help to verify  
            that all known, affected merchandise shippers have received  
            notification about a recall and have taken appropriate action.  
             At the same time, FDA conducts audit checks to assess the  
            effectiveness of a firm's recall efforts.  The FDA also has  
            field recall coordinators located throughout the country to  
            act as the point of contact for a recalling firm and to assist  
            firms with a recall.

           4)RECENT FEDERAL HEARING  .  At a March 2009 hearing of the House  
            Subcommittee on Regulations and Healthcare, the FDA testified  
            to its limited recall authority and highlighted a need for  
            enhancing its statutory authority to protect consumers from  








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            food-borne outbreaks.  The FDA stated that it is currently  
            reviewing with the U.S. Department of Health and Human  
            Services prior legislative requests it has made to strengthen  
            its authority to require recalls.  According to the FDA's  
            testimony, one of the areas under discussion is mandatory  
            recall authority, which it argues, would be a useful tool  
            that, in some circumstances, could result in faster removal of  
            implicated products from commerce.  The FDA also testified  
            that it is currently discussing the need for new or enhanced  
            authority with regard to requiring preventive controls;  
            enhancing access to food records during routine inspections;  
            and, requiring food facilities to renew their registrations  
            more frequently.

           5)STATE RECALL AUTHORITY  .  DPH reports that it does not  
            currently have specific authority to recall food, nor does it  
            have statutory authority to develop mandatory recall  
            regulations. While DPH indicates that it does not have  
            authority to recall food that is believed to be contaminated  
            with a microbial pathogen or harmful chemical, it can initiate  
            an embargo of adulterated food and issue press releases  
            advising consumers not to purchase the suspect food.  Current  
            law provides authority to an authorized agent of DPH to enter  
            and inspect any factory, warehouse, or establishment in which  
            food is manufactured, packed, or held.  An authorized agent of  
            DPH can also review and collect documents related to the  
            production, testing, and distribution of food products and  
            collect samples.   

          While DPH states that voluntary recalls are initiated by the  
            responsible business, it notes that, through its existing  
            authorities, DPH helps mitigate risks associated with recalled  
            products.  For example, according to DPH, it works to provide  
            information to the public through press releases and  
            collaborates with local, state, and federal agencies to  
            minimize public harm by coordinating contaminated product  
            distribution information, performing laboratory analysis, and  
            conducting recall effectiveness audits when feasible.  DPH  
            also assists the responsible firm in notifying their  
            merchandise shippers and the public about the recall.

           6)RELATED LEGISLATION  .

             a)   AB 1021 (Emmerson) would permit authorized agents of  
               DPH, upon identifying conditions likely to result in  








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               illness or injury at a food processing establishment (FPE),  
               to immediately suspend the license or registration of the  
               FPE and order the FPE to close immediately pending an  
               administrative hearing.  AB 1021 is pending in the Assembly  
               Health Committee.

             b)   AB 1372 (Feuer) would have required specified FPEs to  
               adopt and implement a Hazard Analysis and Critical Control  
               Point plan; conduct regular testing of ingredient and  
               product samples or specimens; and, report any test result  
               that is positive for poisonous or deleterious substances to  
               DPH within 24 hours, as specified.  AB 1372 was held on the  
               Assembly Appropriations Committee suspense file.

           7)PRIOR LEGISLATION  .

             a)   SB 200 (Florez) of 2008 would have authorized the State  
               PHO to adopt recall, quarantine, and sanitary regulations  
               necessary to prevent or eliminate conditions where produce  
               or food processed from produce may carry an illness,  
               infection, pathogen, contagion, toxin, or condition that  
               could kill or seriously affect the health of humans.   
               However, this bill was gutted and amended to, among other  
               things, prohibit the serving of food from downed cattle, as  
               defined, to students as part of a school meal program and  
               revise notification requirements for meat- or  
               poultry-related recalls.  SB 200 failed passage in the  
               Assembly Agriculture Committee.

             b)   SB 611 (Speier), Chapter 592, Statutes of 2006, requires  
               a meat or poultry supplier, distributor, broker, or  
               processor to immediately notify the Department of Health  
               Services (DHS now DPH), as specified, when meat or poultry  
               products they sell are subject to a federal Class I or  
               Class II recall, as specified.

             c)   SB 162 (Ortiz), Chapter 241, Statutes of 2006, transfers  
               public health programs from DHS to a new DPH.  The State  
               PHO serves as the Executive Officer of DPH and is a  
               Governor-appointed physician and surgeon with substantial  
               scientific, medical, public health, leadership, and  
               management experience.

           8)DOUBLE-REFERRAL  .  This bill has been double-referred.  Should  
            this bill pass out of this committee, it will be referred to  








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            the Assembly Committee on Agriculture.

           9)POLICY COMMENT  .  A prior version of this bill provided DPH  
            with mandatory recall authority.  Since a voluntary recall by  
            its nature requires the recalling firm to be responsible for  
            the protection of public health, a more effective state  
            enforcement mechanism may be to provide DPH with the authority  
            to issue a mandatory recall. 

           REGISTERED SUPPORT / OPPOSITION  :

           Support 
           
          None on file.
           
            Opposition 
           
          None on file.


           Analysis Prepared by  :    Cassie Rafanan / HEALTH / (916)  
          319-2097