BILL ANALYSIS                                                                                                                                                                                                    �




                                                                  AB 1819
                                                                  Page A

          ASSEMBLY THIRD READING
          AB 1819 (Hall)
          As Introduced  February 18, 2014
          Majority vote 

           HUMAN SERVICES      5-2         GOVERNMENTAL ORGANIZATION      
          14-0                
          
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          |Ayes:|Stone, Ammiano, Ian       |Ayes:|Hall, Campos, Chesbro,    |
          |     |Calderon, Garcia, Hall    |     |Cooley, Dababneh, Gray,   |
          |     |                          |     |Roger Hern�ndez,          |
          |     |                          |     |Jones-Sawyer, Levine,     |
          |     |                          |     |Medina, Perea, V. Manuel  |
          |     |                          |     |P�rez, Salas, Wilk        |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Maienschein, Grove        |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           
          APPROPRIATIONS      12-4                                        
           
           ----------------------------------------------------------------- 
          |Ayes:|Gatto, Bocanegra,         |     |                          |
          |     |Bradford,                 |     |                          |
          |     |Ian Calderon, Campos,     |     |                          |
          |     |Eggman, Gomez, Holden,    |     |                          |
          |     |Pan, Quirk,               |     |                          |
          |     |Ridley-Thomas, Weber      |     |                          |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Bigelow, Allen, Donnelly, |     |                          |
          |     |Wagner                    |     |                          |
          |     |                          |     |                          |
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           SUMMARY  :  Expands the existing prohibition against smoking in a  
          family day care home from only during the hours of operation to  
          at any time. 

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee:

          1)Unknown, likely minor, costs to the Department of Social  
            Services (DSS) for staff training and any increased complaint  









                                                                  AB 1819
                                                                  Page B

            response against licensed facilities for violation of the  
            24-hour smoking ban. 

          2)Any local government costs resulting from the mandate in this  
            measure would not be state-reimbursable because the mandate  
            only involves the definition of a crime or penalty for  
            conviction of a crime.
          
           COMMENTS  :  This bill seeks to increase the safety of family day  
          care program settings by extending the current ban on smoking  
          while children are present to a complete ban on smoking in  
          family day care homes, even during hours of nonoperation.

          The dangers of secondhand smoke:  It is clear, based on numerous  
          reports and studies, that smoking and the exposure to secondhand  
          smoke is detrimental to a person's health, especially the health  
          of young children.  This year, the Surgeon General of the United  
          States released its 32nd report on the dangers of smoking to  
          honor the 50th anniversary its first-ever report on the health  
          risks associated with smoking entitled "Smoking Health Report of  
          the Advisory Committee of the Surgeon General of the Public  
          Health Service" in 1964.  In the 50th Anniversary report, the  
          Surgeon General states that:

               ?smoking is now causally associated with age-related  
               macular degeneration, diabetes, colorectal cancer,  
               liver cancer, adverse health outcomes in cancer  
               patients and survivors, tuberculosis, erectile  
               dysfunction, orofacial clefts in infants, ectopic  
               pregnancy, rheumatoid arthritis, inflammation, and  
               impaired immune function.<1>

          He goes on to further state that "exposure to secondhand smoke  
          has now been causally associated with an increased risk for  
          stroke." Additionally, a previous report issued by the Surgeon  
          General in 2006, entitled The Health Consequences of Involuntary  
          Exposure to Tobacco Smoke, demonstrated that the efforts to  
          accommodate for smoking and smoke-free areas are ineffective in  
          combating the consequences of exposure to secondhand smoke:

          ---------------------------
          <1> "The Health Consequences of Smoking - 50 Years of Progress."  
          A Report of the Surgeon General. United States Public Health  
          Service; United States Department of Health and Human Services.  
          2014








                                                                  AB 1819
                                                                  Page C

               Research reviewed in this report indicates that  
               smoke-free policies are the most economic and  
               effective approach for providing protection from  
               exposure to secondhand smoke.  But do they provide the  
               greatest health impact?  Separating smokers and  
               nonsmokers in the same airspace is not effective, nor  
               is air cleaning or a greater exchange of indoor with  
               outdoor air.  Additionally, having separately  
               ventilated areas for smoking may not offer a  
               satisfactory solution to reducing workplace exposures.  
                Policies prohibiting smoking in the workplace have  
               multiple benefits.  Besides reducing exposure of  
               nonsmokers to secondhand smoke, these policies reduce  
               tobacco use by smokers and change public attitudes  
               about tobacco use from acceptable to unacceptable.

          Emerging findings on the health impacts of thirdhand smoke  
          exposure:  Over the last several years, research has begun to  
          reveal the health impacts of thirdhand smoke.  Described as the  
          residual chemicals left on indoor surfaces as a result of  
          smoking, it is commonly considered to be the left over residue  
          from secondhand smoke, which includes cancer-causing chemicals  
          such as nicotine and benzene, toxic metals like chromium and  
          lead, and harmful gases like carbon monoxide and ammonia.   
          Particularly alarming is the presence and increased health risks  
          presented by thirdhand smoke.  In many cases, thirdhand smoke  
          can remain long after smoking has stopped and become imbedded in  
          common household items, such as carpets, curtains, tables, etc.   
          In the case of children, especially infants and toddlers,  
          thirdhand smoke presents an even greater health risk.  As they  
          explore and put their hands or toys in their mouths, they could  
          touch, swallow or inhale compounds from thirdhand smoke.  Their  
          age and early developmental stages make them more vulnerable  
          than adults to the effects of environmental hazards due to their  
          developing immune system, and thus, are more likely to be  
          exposed to thirdhand smoke. 

          In a report released in June 2013 by the University of  
          California Lawrence Berkeley National Laboratory, entitled  
          Thirdhand smoke causes DNA damage in human cells, it was found  
          that "thirdhand smoke-the noxious residue that clings to  
          virtually all surfaces long after the secondhand smoke from a  
          cigarette has cleared out-cause's significant genetic damage in  
          human cells."  Specifically, the research demonstrated that  









                                                                  AB 1819
                                                                  Page D

          thirdhand smoke has the potential to become more damaging to a  
          person's health than acute smoke or secondhand smoke exposure  
          due to the interaction of residual chemicals of thirdhand smoke  
          with existing indoor pollutants.  Long after a person smokes,  
          the lingering nicotine and other chemicals can become more  
          condensed and potent, and in some cases become new pollutant  
          compounds that are carcinogenic, thus presenting greater  
          long-term health risks, such as uncontrolled cell growth and the  
          formation of cancerous tumors later in life.   

          These findings are particularly disturbing, indicating that  
          thirdhand smoke cannot be eliminated by the airing out of indoor  
          spaces or restricting exposure to secondhand smoke.  Rather, the  
          safest environment is a smoke-free environment where cigarette  
          smoke and fumes are never present.  

          Need for the bill:  Stating the need for the bill, the author  
          writes:

               AB 1819 requires licensed family day care homes to  
               maintain a smoke free environment for the children  
               that are under their care and protection.  The measure  
               is consistent with similar requirements in nine other  
               states and the District of Columbia.  Exposure to  
               second and third hand smoke leads to lifelong health  
               issues that will require continued medical attention  
               and increased healthcare costs.  

               This measure will have a direct impact on reducing  
               childhood exposure to second and third hand smoke and  
               decrease the chance of a child developing health  
               issues related to smoking.


           Analysis Prepared by  :    Chris Reefe / HUM. S. / (916) 319-2089 


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