BILL ANALYSIS                                                                                                                                                                                                    






                                 SENATE HEALTH
                               COMMITTEE ANALYSIS
                        Senator Elaine K. Alquist, Chair


          BILL NO:       SB 600                                       
          S
          AUTHOR:        Padilla and Steinberg                        
          B
          AMENDED:       June 9, 2009                                
          HEARING DATE:  June 17, 2009                                
          6
          REFERRAL:      Revenue and Taxation                         
          0
          CONSULTANT:                                                 
          0
          Dunstan/cjt                                                
          
                                        
                                     SUBJECT
                                         
           Cigarette and Tobacco Products: Tax and Health Protection  
                                      Fund

                                     SUMMARY  

          Imposes a $1.50 tax on cigarettes and, indirectly, an  
          equivalent tax on tobacco products.  Provides that 85  
          percent of the funds resulting from the tax will be  
          deposited into the General Fund and 15 percent into the  
          Tobacco Tax and Health Protection Fund, which is created by  
          the bill, for tobacco control, tobacco disease research,  
          and lung cancer research.

                             CHANGES TO EXISTING LAW  

          Existing federal law:
          Establishes a $1.00 tax per pack of 20 cigarettes with the  
          majority of the funds being used to fund children's health  
          programs.

          Existing state law:
          Imposes a tax on distributors of cigarettes and tobacco  
          products, with the cigarette tax set at 87 cents per pack  
          of 20 cigarettes.  

                                                         Continued---



          STAFF ANALYSIS OF SENATE BILL  SB 600 (Padilla &  
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          Provides that the taxes on cigarette and tobacco products  
          shall fund a variety of programs and services including:  
          health education, research, hospital care, fire prevention,  
          environmental conservation, breast cancer research and  
          early detection services, and early childhood development  
          programs.  The existing taxes are allocated in the  
          following manner:
           10 cents to the General Fund.
           25 cents to the Cigarette and Tobacco Products Surtax  
            Fund (created by Proposition 99 in 1988).
           2 cents to the Breast Cancer Fund (created by AB 478 in  
            1993).
           50 cents to the California Children and Families Trust  
            Fund (created by Proposition 10 in 1998).

          Requires the Board of Equalization (BOE) to administer the  
          tobacco tax provisions, including collecting the tax.   
          Existing law also directs that BOE determine an appropriate  
          equivalent tax on tobacco products that is based on the  
          combined rate of all taxes on cigarettes.  

          Requires retailers of cigarettes and tobacco products to be  
          licensed by BOE.  

          Establishes the Department of Public Health (DPH) and  
          grants it responsibility for public health programs,  
          including tobacco control.
          
          This bill:
          Imposes an additional tax equal to $1.50 per pack of  
          cigarettes and, indirectly, an equivalent amount on tobacco  
          products.  Creates the Tobacco Control and Lung Cancer  
          Research Account within the Tobacco Tax and Health  
          Protection Fund, also created by the bill.  Creates the  
          Tobacco Tax General Fund Account within the state's General  
          Fund.

          Requires BOE to adjust the tax rate to reflect any changes  
          in the California Consumer Price Index (CCPI).

          Provides that 85 percent of the revenues from the tax shall  
          be deposited into the Tobacco Tax General Fund Account and  
          15 percent into the Tobacco Control and Lung Cancer  
          Research Account.  





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          Specifies requirements on licensed cigarette distributors,  
          dealers and wholesalers related to imposition of the tax.

          Requires BOE to determine annually the reduction in tax  
          revenues for existing programs that results from the  
          imposition of the new $1.50 tax, and requires the transfer  
          of funds for backfill from the newly created Tobacco Tax  
          and Health Protection Fund to the Cigarette and Tobacco  
          Products Surtax Fund (Prop 99), Breast Cancer Fund and  
          California Children and Families Trust Fund (Prop 10).

          Requries 15 percent of the total funds raised be deposited  
          in the Tobacco Control and Lung Cancer Research Account.   
          Allocates that 15 percent of the monies be shared between  
          the Department of Public Health, Department of Education,  
          the University of California and law enforcement efforts.  

                 Provides that the Department of Public Health shall  
               receive 45 percent of the Tobacco Control and Lung  
               Cancer Research Account funds, and shall use the funds  
               for tobacco prevention and control programs, including  
               tobacco cessation, public relations programs, disease  
               prevention, and grants to locals for tobacco control,  
               and oversight and evaluation of programs.  

                 Directs that 10 percent of the Tobacco Control and  
               Lung Cancer Research Account funds to the Department  
               of Education, to be used solely for programs to  
               prevent or reduce the use of tobacco products.  

                 Provides that the University of California receive  
               30 percent of the amount deposited into the Tobacco  
               Control and Lung Cancer Research Account under the  
               bill, 20 percent of the account proceeds going for the  
               creation of an early detection program for lung  
               cancer, and 10 percent for research on tobacco control  
               and on prevention, causes and treatment of  
               tobacco-related disease.

                 Provides that 15 percent of the amount deposited  
               into the Tobacco Control and Lung Cancer Research  
               Account to reduce cigarette smuggling, tobacco tax  
               evasion, tobacco products counterfeiting, reduce  
               illegal sales of tobacco products to minors, to  
               enforce legal settlement provisions, and conduct law  




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               enforcement training and technical assistance  
               activities for tobacco-related statutes. Provides that  
               this 15 percent shall be allocated in the following  
               manner:

                  o         Forty percent to BOE for tobacco tax law  
                    enforcement.
                  o         Forty percent to DPH for reducing illegal  
                    sales to minors and provides that DPH may grant  
                    funds to local law enforcement agencies.
                  o         Twenty percent to the Attorny General for  
                    enforcement of tobacco tax and sales laws.

          Requires that the funds deposited in the Tobacco Tax and  
          Health Protection Fund be used to supplement existing  
          levels of service and shall not be used to supplant state  
          or local General Fund money.  This bill provides that it  
          would take effect immediately as a tax levy.


                                  FISCAL IMPACT  

          According to BOE, this bill would raise about $1.2 billion  
          annually.

                            BACKGROUND AND DISCUSSION  

          According to the author, the revenues generated by SB 600  
          would benefit the state in two ways.  Eighty-five percent  
          of the revenues will be directed to the General Fund,  
          generating a significant amount of revenue for the state to  
          address deficits and fund programs impacted by last year's  
          budget compromise.  More importantly, the remaining 15  
          percent will be used to advance California's tobacco  
          prevention, enforcement, cessation, lung cancer research  
          programs and enforcement of tobacco law.   

          The author also notes that California has not increased its  
          tobacco tax for over a decade.  The last two times  
          California voters approved a tobacco tax (1988 and later  
          1998), the author points out, that smoking rates in the  
          state dropped significantly.  The author notes that studies  
          confirm that increasing the price of tobacco products  
          lowers smoking rates, especially among youth, and that this  
          bill would not only generate revenue for the state, fund  




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          Steinberg)Page 5


          

          tobacco prevention and lung cancer research, but by  
          default, will also lower smoking rates and improve overall  
          public health in the state  The author states that, after  
          voters approved the tax increases in 1988 (Prop 99) and in  
          1998 (Prop 10), essential tobacco prevention and  
          anti-tobacco marketing programs resulted in California  
          having the second lowest adult smoking rate of all the  
          states.  

          

          Background
          According to the Surgeon General, tobacco use remains the  
          number one cause of preventable disease and death in the  
          United States.  Each year more than one million young  
          people become regular smokers and almost 400,000 adults die  
          from tobacco-related diseases.  According to DPH, cigarette  
          smoking continues to be the leading cause of preventable  
          death in California.  

          The overall smoking rate among adults in California is  
          about 14 percent, but the rate varies by gender, race,  
          ethnicity and income.  In 2005, 20 percent of low-income  
          adults smoked.  Despite California's relatively low smoking  
          prevalence, the federal Centers for Disease Control and  
          Prevention (CDC) estimated that smoking caused the deaths  
          of over 37,000 Californians age 35 years and older.   
          Smokers incur $17,500 more in health care costs than  
          non-smokers.  A 2004 UC study estimated the annual cost of  
          smoking, without considering the cost of tobacco, is $3,331  
          per smoker, including $1,810 in medical costs and $1,521 in  
          lost productivity costs. 

          Impacts of higher cigarette prices 
          Consumers respond to higher cigarette prices by reducing  
          consumption, either through quitting or smoking less.   
          There are secondary benefits, as smokers smoke less, in  
          terms of improved health and reduced health care costs.

          Higher cigarette prices through tax or fee increases can  
          exacerbate tax evasion and foster illegal cigarette sales.   
          These illegal activities include increased smuggling of  
          cigarettes and tobacco products into California and the  
          sale of counterfeit cigarette stamps and products.   
          According to the BOE, cigarette tax evasion is highly  




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          correlated with cigarette prices and excise tax rates.  It  
          is precisely this concern regarding illegal sales that led  
          to the enactment of the California Cigarette and Tobacco  
          Products Licensing Act of 2003 (AB 71, J. Horton, Chapter  
          890 of 2003).  This act establishes a comprehensive  
          licensing program for retailers, manufacturers,  
          distributors and importers of cigarettes and tobacco  
          products.  According to BOE, the act has been successful in  
          reducing illegal sales.
          
          Tobacco cessation services
          The Centers for Prevention and Disease Control (CDC) report  
          that smoking cessation treatments which are programs to  
          help smokers stop smoking, have been found to be safe and  
          effective.  The California Health Benefits Review Program  
          (CHBRP) conducted a comprehensive review of tobacco  
          cessation studies, and reported that tobacco cessation  
          services increase the likelihood of abstaining from  
          smoking.  CHBRP also reported that studies examining the  
          effects of reductions in tobacco use generally find that  
          smoking cessation is cost-effective.  Two studies,  
          published in November 2007, and conducted by Kaiser  
          Permanente's Center for Health Research (Kaiser), show that  
          providing nicotine replacement therapy with counseling  
          nearly doubles the quit rates when compared with counseling  
          alone.  

          Tobacco taxation
          The Legislature and voters have adopted three tobacco tax  
          measures since 1988:
           Proposition 10, passed November 3, 1998, effective  
            January 1, 1999, imposed an additional surtax of 50 cents  
            per package of 20 cigarettes and also created a  
            proportionately larger increase in the tax on tobacco  
            products.  The revenues are used to fund early childhood  
            development programs.

           Assembly Bill 478 (B. Friedman) Chapter 660, Statutes of  
            1993 and Assembly Bill 2055 (B. Friedman) Chapter 661,  
            Statutes of 1993, effective January 1, 1994, added an  
            excise tax of 2 cents per package of 20 cigarettes for  
            breast cancer research and early detection services.

           Proposition 99, from the November 1988 ballot, was passed  
            and became effective January 1, 1989.  It imposed a  




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          Steinberg)Page 7


          

            surtax of 25 cents per package of 20 cigarettes, and also  
            created an equivalent tax on tobacco products.  Proceeds  
            from the taxes fund health education, disease research,  
            hospital care, fire prevention, and environmental  
            conservation

          California's tobacco tax rate ranks 32nd when compared to  
          the rates of other states.  The highest is Rhode Island  
          with $3.46 per pack and the lowest is South Carolina at 7  
          cents per pack.  Some local governments, such as New York  
          City, have their own tax in addition to the state tax.

          Prior legislation
          SB 564 (Torlakson, 2004) would have imposed an additional  
          tax on the distribution of cigarettes at the rate of $2.00  
          per each package of cigarettes.  This bill was held in the  
          Senate Revenue and Taxation Committee.

          AB 35 (Vargas, 2003) would have imposed an additional tax  
          on the distribution of cigarettes at the rate of $1.50 per  
          each package of cigarettes.  The bill was subsequently  
          amended to a different subject.

          SB 1890 (Ortiz, 2002) would have increased the cigarette  
          tax by 65 cents per package with the proceeds to have been  
          used for health-related programs.  The bill was held in the  
          Senate Revenue and Taxation Committee.

          Arguments in support
          Supporters argue that increasing the tobacco tax has proven  
          to reduce smoking, especially among youth.  They argue that  
          enacting this measure will save hundreds of thousands of  
          lives, reduce medical costs and provide needed funding for  
          the state's general fund.  The bill's sponsors argue that  
          the bill would be particularly effective in driving down  
          the smoking rate because it will provide much needed  
          funding for the state's proven tobacco control program.   
          They note that years of inflation have reduced the buying  
          power of the existing program and that the tobacco control  
          program in California is funded at 20 percent of the level  
          recommended by the U.S. Centers for Disease Control and  
          Prevention.  

          The American Lung Association, one of the bill's  
          co-sponsors, argues that this bill, by increasing the tax  




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          Steinberg)Page 8


          

          on cigarettes, is investing in prevention in the single  
          most effective strategy to reduce teen smoking and will  
          prevent thousands of children from smoking.  Another  
          co-sponsor, the American Cancer Society argues that the  
          increase is long overdue and since California's last  
          tobacco tax increase, 44 states have increased their  
          tobacco taxes.  The American Heart Association, also a  
          co-sponsor, argues that this bill will help reduce heart  
          disease, which is the number one killer in the United  
          States.

          The California Dental Association supports the bill arguing  
          that nearly all adult smokers begin this habit in their  
          early teens and have become addicted by the time they are  
          an adult and are mature enough to make a different  
          decision.  The Lung Cancer Alliance supports the bill, but  
          states that they are concerned about the level of funding  
          for lung cancer research.  They point out that lung cancer  
          is the leading cancer killer in California and 60 percent  
          of those diagnosed have quit smoking or have never smoked.   
          They propose that approximately $100 million of the funds  
          should go to lung cancer research.

          Arguments in opposition
          Opponents argue that an increase in taxes at this time of  
          economic difficulties will harm the economy and retard  
          recovery.  The California Chamber of Commerce points out  
          that cigarette taxes are a declining source of revenues,  
          but that SB 600 creates new government programs and  
          spending that may become locked into the state budget.  The  
          Association for Los Angeles Deputy Sheriffs argues that an  
          unintended consequence of a tax increase of this magnitude  
          is an increase in crime.  They are also concerned that the  
          bill's provisions would violate provisions of the Master  
          Settlement Agreement between the states and tobacco  
          companies, thereby jeopardizing revenues for state and  
          local governments.  

          Reynolds American, Inc opposes the bill because, when  
          combined with the recent $.62 increase in federal cigarette  
          taxes, it creates a thriving environment in the state for  
          tobacco counterfeiting, smuggling and tax evasion.  They  
          reference a recent study which cites that increasing  
          tobacco tax revenues may become increasingly difficult to  
          achieve given the likely growth in cigarette smuggling.   




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          They also argue that this bill could reverse the gains made  
          against illegal cigarette sales through enactment of a  
          comprehensive tobacco licensing scheme in California in  
          2001.

          The California Taxpayers Association states that part of  
          their reason for opposing the bill is the regressive nature  
          of tobacco taxes, meaning that a greater burden in paying  
          the tax is borne by lower-income individuals.  The  
          California Distributors Association argues that the  
          proposal to vest discretion in the BOE to increase taxes by  
          the CCPI is a significant flaw and that the setting of tax  
          should not be disconnected from the economics of tobacco  
          pricing.  They also argue that it is unconstitutional; as  
          raising taxes is solely a matter for the Legislature to act  
          upon, hence, any tax increase would require an annual  
          2/3rds vote of the Legislature.


                                    POSITIONS  


          Support:  American Cancer Society (co-sponsor)
                 American Heart Association (co-sponsor)
                 American Lung Association (co-sponsor)
                 Alameda County Board of Supervisors
                 American Dental Association
                 America Federation of State, County and Municipal  
               Employees, (AFSCME) 
                 Asian & Pacific Islander American Health Forum
                 Breathe California
                 California Chapter of the American College of  
               Cardiology
                 California Dental Association
                 California Emergency Nurses Association
                 California Hospital Association
                 California Medical Association
                 California Thoracic Society
                 Consumer Attorneys of California
                 Los Angeles County Office of Education
                 MAGNA Systems Incorporated
                 Marin County Board of Supervisors
                 The Lung Cancer Alliance-California 
                 One individual





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          Oppose:  Asian Business Council
                 Association for Los Angeles Deputy Sheriffs
                 Brawley Chamber of Commerce
                 California Black Chamber of Commerce
                 California Chamber of Commerce
                 California Distributors Association
                 California Grocers Association
                 California Independent Grocers Association
                 California Licensed Beverage Association
                 California Manufacturers and Technology Association
                 California Retailers Association
                 California Statewide Law Enforcement Association
                 California Taxpayers Association
                 Cigar Association of America
                 Commonwealth Brands, Inc.
                 El Centro Chamber of Commerce
                 Garden Grove Chamber of Commerce
                 Lake Elsinore Valley Chamber of Commerce
                 Long Beach Area Chamber of Commerce
                 Menifee Chamber of Commerce
                 Murrieta Chamber of Commerce
                 Neighborhood Market Association
                 Redondo Beach Chamber of Commerce & Visitor's Bureau
                 Regional Black Chamber of Commerce of San Fernando  
          Valley
                 Reynolds American, Inc.
                 Southwest California Legislative Council
                 Temecula Valley Chamber of Commerce
                 West Covina Chamber of Commerce
                 Wildomar Chamber of Commerce
                 One individual



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