BILL ANALYSIS                                                                                                                                                                                                    �



                                                                            



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                                    THIRD READING


          Bill No:  AB 1819
          Author:   Hall (D), et al.
          Amended:  5/15/14 in Senate
          Vote:     21


          SENATE HEALTH COMMITTEE  :  7-2, 6/11/14
          AYES:  Hernandez, Beall, De Le�n, DeSaulnier, Evans, Monning,  
            Wolk
          NOES:  Morrell, Nielsen

           SENATE APPROPRIATIONS COMMITTEE  :  Senate Rule 28.8

           ASSEMBLY FLOOR  :  58-13, 4/21/14 - See last page for vote


           SUBJECT :    Family day care home:  smoking prohibition

           SOURCE  :     Author


           DIGEST  :    This bill extends the existing prohibition against  
          tobacco smoking in a private residence that is licensed as a  
          family day care home to outside the hours of operation of the  
          home.

           ANALYSIS  :    

          Existing law:

          1.Prohibits the smoking of tobacco in a private residence that  
            is licensed as a family day care home during the hours of  
            operation as a family day care home and in those areas of the  
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            family day care home where children are present.

          2.Prohibits existing law from prohibiting a city or county from  
            enacting or enforcing an ordinance relating to smoking in a  
            family day care home if the ordinance is more stringent than  
            the above provision.

          3.Prohibits the smoking of tobacco on the premises of a licensed  
            day care center.

          4.Prohibits employers from knowingly or intentionally allowing,  
            and prohibits individuals from engaging in, the smoking of  
            tobacco products in an enclosed space at a place of  
            employment, with specified exemptions.

          This bill repeals the exemption for family day care homes that  
          permits tobacco smoking in a private residence licensed as a  
          family care home outside of the hours of operation of the home,  
          thereby prohibiting tobacco smoking in these homes.

           Background

          Tobacco use and family day care homes  .  Child day care  
          facilities, including family day care homes, are required to be  
          licensed by the Department of Social Services (DSS) under the  
          California Child Day Care Facilities Act (Act).  A "family day  
          care home" is a home that regularly provides care, protection,  
          and supervision for 14 or fewer children under age 18, in the  
          provider's own home, for periods of less than 24 hours per day,  
          while the parents or guardians are away.  Family day care homes  
          are either a large family day care home (family day care for 7  
          to 14 children) or a small family day care home (eight or fewer  
          children).  Under the Act, any person who willfully or  
          repeatedly violates provisions of law pertaining to child day  
          care facilities is guilty of a misdemeanor.  As of September  
          2013, there were 33,481 family day care homes in California.  AB  
          615 (Gotch, Chapter 335, Statutes of 1993) enacted the current  
          tobacco use restriction in family day care homes.  Complaints  
          for violations of the Act can be made either orally or in  
          writing to the regional Community Care Licensing Division's  
          Child Care Offices within DSS.  Under existing law, when DSS  
          receives a complaint, it is required to make a preliminary  
          review and make an onsite inspection within 10 days after  
          receiving the complaint, unless it determines that the complaint  

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          is willfully intended to harass a licensee or the compliant is  
          without any reasonable basis. 

           Does "thirdhand smoke" (THS)   present a health risk?   Cigarette  
          smoking is a significant health threat for smokers and  
          non-smokers alike.  According to a January 2014 study entitled  
          "Cigarette Smoke Toxins Deposited on Surfaces:  Implications for  
          Human Health," "THS" is defined as the accumulation of  
          secondhand smoke (SHS) on surfaces that ages with time that  
          become progressively more toxic, is a potential health threat to  
          children, spouses of smokers and workers in environments where  
          smoking is, or has been, allowed.  The goal of the study was to  
          investigate the effects of THS on liver, lung, skin healing, and  
          behavior, using an animal model exposed to THS under conditions  
          that mimic exposure of humans.  The study found THS-exposed mice  
          show alterations in multiple organ systems and excrete levels of  
          a tobacco-specific carcinogen biomarker similar to those found  
          in children exposed to SHS (and consequently to THS).  In the  
          liver, THS leads to increased lipid levels and non-alcoholic  
          fatty liver disease, a precursor to cirrhosis and cancer and a  
          potential contributor to cardiovascular disease.  In the lung,  
          THS stimulates excess collagen production and high levels of  
          inflammatory cytokines, suggesting propensity for fibrosis with  
          implications for inflammation-induced diseases such as chronic  
          obstructive pulmonary disease and asthma.  In wounded skin,  
          healing in THS-exposed mice has many characteristics of the poor  
          healing of surgical incisions observed in human smokers.   
          Lastly, behavioral tests show that THS-exposed mice become  
          hyperactive.  The latter data, combined with emerging associated  
          behavioral problems in children exposed to SHS/THS, suggest  
          that, with prolonged exposure, they may be at significant risk  
          for developing more severe neurological disorders.  The authors  
          of the study state the results provide a basis for studies on  
          the toxic effects of THS in humans and inform potential  
          regulatory policies to prevent involuntary exposure to THS.

           Prior Legislation
           
          AB 352 (Hall, Chapter 292, Statutes of 2013) prohibits a person  
          who is licensed or certified to provide residential care in a  
          foster family home or certified family home from smoking or  
          permitting any other person to smoke inside the facility, and,  
          when the child is present, on the outdoor grounds of the  
          facility.

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

           SUPPORT  :   (Verified  6/20/14)

          Alameda County Board of Supervisors
          American Academy of Pediatrics, California
          American Cancer Society Cancer Action Network
          American College of Emergency Physicians - California Chapter 
          American Federation of State, County and Municipal Employees,  
          AFL-CIO
          American Lung Association
          California Alternative Payment Program 
          California State PTA
          March of Dimes California Chapter
          National Association of Social Workers, California Chapter 
          Zero to Three

           ARGUMENTS IN SUPPORT  :    According to the author, while existing  
          law prohibits smoking tobacco products in a family day care home  
          during the hours of operation, this policy only protects  
          children from immediate exposure to SHS.  It does nothing to  
          protect children from tobacco residue that lingers in the air  
          and on surfaces hours after cigarettes have been extinguished.   
          Exposure to SHS and THS leads to lifelong health issues that  
          will require continued medical attention and increased health  
          care costs.  This bill will have a direct impact on reducing  
          childhood exposure to SHS and THS and decreasing the chance of a  
          child developing health issues related to smoking.

          Health care providers and anti-smoking organizations write in  
          support that broad smoke-free policies make non-smoking behavior  
          the norm, encourage smokers to quit or cut down on their  
          smoking, and thus reduce the risk of future smoking-related  
          disease.  Supporters argue tobacco residue continues to linger  
          in the air and on surfaces, such as floors, countertops,  
          upholstery, carpets, clothing and other fabrics, long after a  
          cigarette has been extinguished.  Supporters argue children are  
          the most vulnerable to the effects of SHS as the developing  
          lungs of young children are severely affected by exposure to SHS  
          because children are still developing physically, have higher  
          breathing rates than adults, and have little control over their  
          indoor environments.

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           ASSEMBLY FLOOR  :  58-13, 4/21/14
          AYES:  Alejo, Allen, Ammiano, Bloom, Bocanegra, Bonilla, Bonta,  
            Bradford, Brown, Buchanan, Ian Calderon, Campos, Chau, Ch�vez,  
            Chesbro, Cooley, Dababneh, Daly, Dickinson, Eggman, Fong, Fox,  
            Frazier, Garcia, Gatto, Gomez, Gonzalez, Gordon, Gorell, Gray,  
            Hall, Roger Hern�ndez, Holden, Jones-Sawyer, Levine,  
            Lowenthal, Maienschein, Medina, Mullin, Muratsuchi, Nazarian,  
            Pan, Perea, V. Manuel P�rez, Quirk, Quirk-Silva, Rendon,  
            Ridley-Thomas, Rodriguez, Salas, Skinner, Stone, Ting, Weber,  
            Wieckowski, Williams, Yamada, John A. P�rez
          NOES:  Bigelow, Conway, Donnelly, Beth Gaines, Grove, Hagman,  
            Harkey, 






            Jones, Mansoor, Olsen, Patterson, Wagner, Wilk
          NO VOTE RECORDED:  Achadjian, Atkins, Dahle, Linder, Logue,  
            Melendez, Nestande, Waldron, Vacancy

          JL:e  6/23/14   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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