BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 1278
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          Date of Hearing:   January 19, 2012

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

                    AB 1278 (Hill) - As Amended:  January 4, 2012 

          Policy Committee:                              HealthVote:12-5

          Urgency:     No                   State Mandated Local Program: 
          No     Reimbursable:              No

           SUMMARY  
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          |This bill bans smoking in hospitals and on hospital grounds.     |
          |Specifically, this bill:                                         |
          |                                                                 |
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          1) Prohibits smoking in all areas of a general acute care 
            hospital, including buildings, parking areas, sidewalks, and 
            other areas of a hospital campus. 

          2)Exempts sidewalks adjacent to the general acute care hospital 
            but not owned by the hospital, and property that is not part 
            of the principal medical campus and that is not used for 
            patient care.   

          3)Prohibits enforcement of this more comprehensive smoking ban 
            through fines. 

           FISCAL EFFECT  

          1)Negligible state fiscal impact to the Department of Public 
            Health to continue oversight of hospital licensure.  

          2)To the extent that this more comprehensive smoking ban on 
            hospital campuses reduces the number of cigarettes purchased 
            by hospital employees, visitors, and patients, there could be 
            a minor reduction in revenues to various state tobacco tax 
            funds.  As fewer people smoke and as those who smoke consume 
            fewer cigarettes, tobacco tax revenues have consistently been 
            declining by several percentage points per year. It is 
            difficult to estimate a direct contribution of this bill to 
            the continuing decline in tobacco tax revenues, but it would 








                                                                  AB 1278
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            likely be minimal. 

           COMMENTS  

           1)Rationale  . According to the author and supporters, smoke-free 
            hospitals encourage patients, visitors, and employees to quit 
            smoking while reducing health problems caused by secondhand 
            smoke.  This bill is supported by lung disease advocacy groups 
            and the California Hospital Association.

           2)Background  . Under current law, smoking is restricted in 
            patient care areas, waiting rooms, and visiting rooms of a 
            health facility.  Over 70 California hospitals currently have 
            voluntarily prohibited smoking throughout their campuses.  
            Many hospitals nationally have smoke-free campuses.  Workplace 
            smoking restrictions have been shown to reduce secondhand 
            smoke exposure and smoking in the workplace.  

           Analysis Prepared by  :    Lisa Murawski / APPR. / (916) 319-2081