BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



           ------------------------------------------------------------ 
          |SENATE RULES COMMITTEE            |                   AB 217|
          |Office of Senate Floor Analyses   |                         |
          |1020 N Street, Suite 524          |                         |
          |(916) 651-1520         Fax: (916) |                         |
          |327-4478                          |                         |
           ------------------------------------------------------------ 
           
                                         
                                 THIRD READING


          Bill No:  AB 217
          Author:   Carter (D)
          Amended:  7/2/12 in Senate
          Vote:     21

           
           SENATE HEALTH COMMITTEE  :  7-2, 6/6/12
          AYES:  Hernandez, Alquist, Anderson, De Le�n, DeSaulnier, 
            Rubio, Wolk
          NOES:  Harman, Blakeslee

           SENATE LABOR & INDUSTRIAL RELATIONS COMM.  :  5-0, 6/27/12
          AYES:  Lieu, DeSaulnier, Leno, Padilla, Yee
          NO VOTE RECORDED:  Wyland, Runner

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8

           ASSEMBLY FLOOR  :  50-26, 05/16/11 - See last page for vote


           SUBJECT  :    Workplace smoking prohibition:  long-term 
          health care
                      facilities 

           SOURCE  :     Author


           DIGEST  :    This bill restricts smoking in long-term health 
          care facilities by only allowing smoking in a designated 
          patient smoking area that is outdoors, in an area that 
          reasonably prevents smoke from entering the facility or 
          patient rooms, and that is not located in a patient's room.

                                                           CONTINUED





                                                                AB 217
                                                                Page 
          2

           ANALYSIS  :    Existing law:

          1.Prohibits an employer from knowingly or intentionally 
            permitting the smoking of tobacco products in an enclosed 
            space at a place of employment.

          2.Exempts the following places of employment from the 
            prohibition on smoking tobacco products in an enclosed 
            space:

             A.   Hotel or motel lobbies that meet certain size 
               requirements;  
              B.   Meeting and banquet rooms in hotels or motels;  
              C.   Retail or wholesale tobacco shops and private 
               smokers' lounges, as defined;  
              D.   Warehouse facilities, as defined;  
              E.   Gaming clubs, bars and taverns;  
              F.   Patient smoking areas in long-term health care 
               facilities;  
              G.   Break rooms designated for smoking by an employer; 
               and  
              H.   Employers with five or fewer employees, subject to 
               specified requirements. 
           
           1.Establishes a $100 fine for the first violation, $200 
            fine for the second violation, and a $500 fine for a 
            third and subsequent violation of the above provisions.  
            Enforcement of the smoking prohibition is carried out by 
            local law enforcement agencies, unless an employer has 
            been found guilty of three or more violations which will 
            require an investigation by the Division of Occupational 
            Safety and Health (DOSH).  

          2.Defines a long term care health facility to be one of the 
            following: 

             A.   Skilled nursing facility;
             B.   Intermediate care facility;
             C.   Intermediate care facility/developmentally 
               disabled;
             D.   Intermediate care facility/developmentally disabled 
               habilitative;
             E.   Intermediate care facility/developmentally 
               disabled-nursing;

                                                           CONTINUED





                                                                AB 217
                                                                Page 
          3

             F.   Congregate living health facility;
             G.   Nursing facility;
             H.   Intermediate care facility/developmentally 
               disabled-continuous nursing; or a
             I.   Pediatric day health and respite care facility 

          This bill:

          1.Narrows an exemption in current law that authorizes 
            smoking in "patient smoking areas" in long-term health 
            care facilities to only have the exemption apply where 
            all of the following conditions are met:

             A.   The patient smoking area is not located in a 
               patient's room;

             B.   The patient smoking area is located outdoors, in a 
               courtyard or patio, or other outdoor space that can be 
               monitored by facility staff; and,

             C.   The patient smoking area is located in an area that 
               reasonably prevents smoke from entering the facility 
               or patient rooms.

          1.Allows a long-term health care facility to continue or 
            implement a smoke-free policy inside and outside the 
            facility.

          2.States that a long-term health care facility may prohibit 
            a resident from smoking in a patient smoking area as 
            necessary to protect resident from inclement weather 
            conditions.

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

           SUPPORT  :   (Verified  8/7/12)

          Atlantic Memorial Healthcare Center
          Breathe California
          California Chapter of the American College of Emergency 
          Physicians
          California Medical Association
          ChangeLab Solutions

                                                           CONTINUED





                                                                AB 217
                                                                Page 
          4

          Coalition for a Tobacco Free San Bernardino County
          El Sol Neighborhood Educational Center
          Evemore Church
          Health and Wellness Center, Crafton Hills College
          Kaiser Permanente
          Libreria del Pueblo, Inc.
          Southland Care Center
          United States Hispanic Women Grocers
          Valdor Youth Foundation


           ARGUMENTS IN SUPPORT  :    Breathe California writes that 
          tobacco is the single greatest cause of disease and 
          premature death in America today, and according to the 
          Surgeon General is responsible for more than 435,000 deaths 
          annually.  Supporters contend secondhand smoke is a known 
          human carcinogen, and a smoke-free environment helps create 
          a safer, healthier workplace and living environment.  The 
          California Chapter of the American College of Emergency 
          Physicians writes this bill protects non-smoking workers 
          and patients who are chronically or terminally ill, and who 
          work or reside inside long-term health care facilities by 
          removing exposure to secondhand tobacco smoke.   The 
          California Medical Association writes that this bill offers 
          important protections for those residents and workers who 
          do not wish to be exposed to harmful smoke.


           ASSEMBLY FLOOR  :  50-26, 05/16/11
          AYES:  Alejo, Allen, Ammiano, Atkins, Beall, Block, 
            Blumenfield, Bonilla, Bradford, Brownley, Buchanan, 
            Butler, Charles Calderon, Campos, Carter, Cedillo, Davis, 
            Dickinson, Eng, Feuer, Fong, Fuentes, Furutani, Galgiani, 
            Gatto, Gordon, Hall, Hayashi, Hill, Huber, Hueso, 
            Huffman, Lara, Bonnie Lowenthal, Ma, Mendoza, Mitchell, 
            Monning, Pan, Perea, V. Manuel P�rez, Portantino, 
            Skinner, Solorio, Swanson, Torres, Wieckowski, Williams, 
            Yamada, John A. P�rez
          NOES:  Achadjian, Bill Berryhill, Conway, Cook, Donnelly, 
            Fletcher, Beth Gaines, Garrick, Grove, Hagman, Halderman, 
            Harkey, Jeffries, Jones, Knight, Logue, Mansoor, Miller, 
            Morrell, Nestande, Nielsen, Olsen, Silva, Smyth, Valadao, 
            Wagner
          NO VOTE RECORDED:  Chesbro, Gorell, Roger Hern�ndez, Norby

                                                           CONTINUED





                                                                AB 217
                                                                Page 
          5



          CTW:n  8/8/12   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

                                ****  END  ****






































                                                           CONTINUED