BILL ANALYSIS                                                                                                                                                                                                    Ó






                             SENATE COMMITTEE ON HEALTH
                          Senator Ed Hernandez, O.D., Chair

          BILL NO:       SB 768
          AUTHOR:        De León
          AMENDED:       May 1, 2013
          HEARING DATE:  May 8, 2013
          CONSULTANT:    Robinson-Taylor

          SUBJECT  :  Cigarette and tobacco product taxes: California  
          Tobacco Tax Act of 2014 (Tax Levy).
           
          SUMMARY  :  Enacts the California Tobacco Act of 2014 (2014  
          Tobacco Act) which imposes an additional cigarette tax at a rate  
          of $2.00 per package of 20 cigarettes.  
          
          Existing federal law.  Provides for a $1.01 tax per pack of 20  
          cigarettes with the majority of the funds being used to fund  
          children's health programs.
          
          Existing state law:
          1.Imposes a tax on distributors of cigarettes and tobacco  
            products, set at 87 cents per pack of 20 cigarettes.  Requires  
            the taxes on cigarette and tobacco products to 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.  

          2.Establishes the Board of Equalization (BOE) and requires BOE  
            to administer the tobacco tax provisions, including collecting  
            the tax.  

          3.Requires BOE to annually set a tax on other tobacco products,  
            such as cigars and chewing tobacco, at an amount equivalent to  
            the tax on cigarettes.  

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

          5.Establishes the Department of Public Health (DPH) and grants  
            it responsibility for public health programs, including  
            tobacco control.

          This bill:
          Cigarette Tax Increase and Annual Adjustment
                                                         Continued---



          SB 768 | Page 2




          1.Enacts the 2014 Tobacco Act which imposes an additional  
            cigarette tax at a rate of $2.00 per package.  

          2.Requires BOE, in order to offset the effects of inflation, to  
            calculate, on or before March 1 of each year, the percentage  
            increase from the preceding calendar year based on the  
            California Consumer Price Index.  Requires BOE to adjust the  
            2014 Tobacco Act tax to reflect the percentage increase.   
            Requires the adjusted tax be effective during the state's next  
            fiscal year.  Prohibits the adjusted tax from ever being less  
            than the rate imposed pursuant to the Tobacco Act of $2.00 per  
            package of cigarettes.

          3.Requires BOE to deposit all revenues in the newly created  
            Tobacco Tax Fund, which this measure creates in the State  
            Treasury.  Establishes the Tobacco Tax Fund as a trust fund.   
            Requires Tobacco Tax Fund moneys to be transferred in  
            unspecified percentages to the:

                  a.        Tobacco Prevention and Education Account for  
                    transfer to DPH, State Department of Education, and  
                    the University of California;

                  b.        Tobacco Disease Related Health Care Account  
                    for transfer to the State Department of Health Care  
                    Services to improve quality and access to specified  
                    health care programs; and,

                  c.        Tobacco Law Enforcement Account for transfer  
                    to BOE, the Department of Justice, and DPH for the  
                    purpose of supplementing funding for the enforcement  
                    of laws that regulate the distribution and sale of  
                    cigarettes and other tobacco products, including, but  
                    not limited to, laws that prohibit cigarette  
                    smuggling, counterfeiting, selling untaxed tobacco,  
                    selling tobacco without a proper license, selling  
                    tobacco to minors, and enforcing tobacco-related laws,  
                    court judgments, and settlements. 

          4.Prohibits more than 2 percent of the 2014 Tobacco Act tax from  
            being used to fund any department's administrative costs.

          Cigarette and Tobacco Products Tax
          5.Amends several sections within the Cigarette and Tobacco  
            Products Law to add conforming and necessary code section  
            references that allow the BOE to properly administer the  




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            surtax in a manner consistent with the existing cigarette and  
            tobacco products tax.
          
          Floor Stock Tax
          6.Imposes a compensating floor stock tax on every dealer and  
            wholesaler, for the privilege of holding or storing cigarettes  
            for sale, use, or consumption.  Requires the dealer or  
            wholesaler to pay for each cigarette in his or her possession  
            or control at 12:01 a.m. on the operative date of the 2014  
            Tobacco Act tax.  Imposes, in addition, upon every licensed  
            distributor a cigarette indicia adjustment tax on affixed and  
            unaffixed cigarette tax stamp inventory at 12:01 a.m. on the  
            operative date of the 2014 Tobacco Act tax.  Requires that the  
            floor stock tax return and taxes be paid to BOE on or before  
            the first day of the first calendar quarter commencing more  
            than 180 days after the effective date of the 2014 Tobacco  
            Act.

          Backfill Provisions
          7.Requires BOE to determine, within one year of passage and  
            annually thereafter, the effect that the 2014 Tobacco Act tax  
            and the resulting indirect tobacco products tax increase has  
            had on cigarette and tobacco products consumption in the  
            state.  

          8.Requires BOE, if results from 7) above show a decrease, to  
            determine the fiscal effect the consumption decrease has had  
            on the California Children and Families Trust Fund, the  
            Cigarette and Tobacco Products Surtax Fund, the Breast Cancer  
            Fund, and the General Fund.

          9.Requires BOE to transfer money from the Tobacco Tax Fund to  
            the California Children and Families Trust Fund, the Hospital  
            Services Account, the Physician Services Account, the  
            Cigarette and Tobacco Products Surtax Fund, the Breast Cancer  
            Fund, and the General Fund, to offset the revenue decrease  
            that directly results from the 2014 Tobacco Act tax and  
            indirect tobacco products tax.

          Operative Date
          10.Contains an urgency clause that will make this bill effective  
            upon enactment.

           FISCAL EFFECT  :  This bill has not been analyzed by a fiscal  
          committee.




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           COMMENTS  :  
           1.Author's statement.  The treatment of cancer, heart disease  
            and stroke, lung disease, diabetes, and other tobacco-related  
            diseases imposes a significant burden on California's  
            overstressed health care system.  The impacts are staggering -  
            diseases related to smoking cost our state roughly $9.1  
            billion in medical expenses each year, and the cost of lost  
            productivity due to tobacco use is an estimated $8.5 billion  
            annually.  The author maintains that tobacco use is the single  
            most preventable cause of death and disease in California,  
            claiming the lives of more than 36,000 people every year.   
            California has approximately 3.4 million adult smokers and  
            200,000 youth smokers.

          The author argues that increasing the tobacco tax will have an  
            immediate effect on smoking and is the most appropriate  
            mechanism to fund services to prevent tobacco use, help people  
            quit smoking, mitigate the impacts and health care costs of  
            tobacco-related diseases, and discourage many people from  
            taking up smoking.  According to the author, SB 768, the 2014  
            Tobacco Act, will save lives and reduce health care costs by  
            decreasing smoking rates, raise needed resources to improve  
            and expand access to health care, and also advance  
            California's tobacco prevention and control programs.
          
          2.Tobacco taxation in California.  According to BOE, there are  
            two types of excise taxes for cigarettes and tobacco products  
            distributed in California: 1) the cigarette tax; and, 2) the  
            cigarette and tobacco products surtax.  While cigarettes are  
            subject to both the cigarette tax and the cigarette and  
            tobacco products surtax, tobacco products are subject only to  
            the cigarette and tobacco products surtax. Tobacco products  
            include all forms of cigars, smoking tobacco, chewing tobacco,  
            and snuff, as well as other products containing at least 50  
            percent tobacco.  The tax and the surtax are paid by  
            distributers through the use of tax stamps which are purchased  
            from BOE and affixed to each packet of cigarettes before  
            distribution.  In the 1960's the Legislature passed a 10 cent  
            cigarette tax that was allocated to the General Fund.  The  
            Legislature and voters have adopted the following three  
            additional tobacco tax measures since 1988:

               a.     Assembly Bill 478 (B. Friedman) Chapter 660,  
                 Statutes of 1993 and Assembly Bill 2055 (B. Friedman)  
                 Chapter 661, Statutes of 1993, added an cigarette excise  




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                 tax of 2 cents per package of 20 cigarettes for breast  
                 cancer research and early detection services;

               b.     Proposition 99, from the November 1988 ballot, was  
                 passed and imposed a cigarette and tobacco product surtax  
                 of 25 cents per package of 20 cigarettes and is used for  
                 the following purposes: Tobacco-related health education  
                 programs and disease research; Medical and hospital care  
                 and treatment of patients who cannot afford those  
                 services, and for whom payment will not be made by any  
                 private coverage or federal program; programs for fire  
                 prevention, environmental conservation, protection,  
                 restoration, enhancement, and maintenance of fish,  
                 waterfowl, and wildlife habitat areas; and, enhancement  
                 of state and local parks and recreation; and,

               c.     Proposition 10, passed November 3, 1998, imposed an  
                 additional cigarette and tobacco product surtax of 50  
                 cents per package of 20 cigarettes and is used for  
                 programs that encourage proper childhood development,  
                 including: the development of professional and parental  
                 education and training; informed selection of childcare;  
                 development and education of childcare providers; and,  
                 research into best practices and standards for all  
                 programs and services relating to early childhood  
                 development. 

          3.Smoking prevalence in California.  According to the 2012  
            Surgeon General's Report, nearly 90 percent of smokers in the  
            United States started smoking by the age of 18, and 99 percent  
            started by age 26.  In California, 64 percent of smokers start  
            by the age of 18 and 96 percent start by age 26.  According to  
            DPH in 2010, 36.8 percent of high school students had smoked a  
            whole cigarette by 13 or 14 years of age and, in 2012, illegal  
            tobacco sales to minors rose from 5.6 percent in 2011 to 8.7  
            percent.  

          According to DPH, the state's adult smoking rate has hit a  
            record low.  In 2010, 11.9 percent of the state's adults  
            smoked, down from 13.1 percent in 2009, making California one  
            of only two states to reach the federal Healthy People 2020  
            target of reducing the adult smoking prevalence rate to 12  
            percent.  However, research highlights that the burdens of  
            smoking do not fall evenly across the state.  According to the  
            American Lung Association (ALA), African-American men and  




          SB 768 | Page 6




            women have the highest smoking usage rate at 21.3 percent and  
            17.1 percent respectively, followed by white men at 17.2  
            percent and Latino men at 16 percent.  The ALA reports that  
            Korean men have an unusually high tobacco usage rate at 27.9  
            percent as do Lesbian, Gay, Bisexual and Transgender women who  
            smoke at almost triple the rate of women in general.

          4.Tobacco-related diseases in California.  Every year, an  
            estimated 443,000 people in the United States die from tobacco  
            and smoking-related illnesses or exposure to secondhand smoke,  
            according to the Centers for Disease Control and Prevention  
            (CDC).  The CDC also reports that another 8.6 million people  
            suffer from serious smoking-related illnesses.  According to  
            DPH, smoking causes ischemic heart disease, cancer, stroke,  
            and chronic lower respiratory diseases which are the leading  
            causes of death and disability among adults in California.   
            Smoking-attributed diseases are an economic burden due not  
            only to health care expenses, but also productivity losses  
            related to disability or early death.  DPH asserts, since the  
            1988 passage of Proposition 99 in California, adult smoking  
            rates declined by more than 40 percent from 22.7 percent to  
            13.3 percent in 2008.  As smoking rates declined, mortality  
            and morbidity rates for diseases related to smoking also  
            declined.  This parallel trend, according to DPH, supports  
            causal association between these conditions and smoking.  

          5.California Tobacco Control Program.  The California Tobacco  
            Control Program (CTCP) is a program administered by DPH.   
            Established in 1990 through the passage of Proposition 99,  
            CTCP funds and coordinates the efforts of local communities in  
            California to create smoke-free environments, prevent illegal  
            sales of tobacco to youth, counter the aggressive marketing  
            practices of the tobacco industry, and help smokers to quit.   
            To ensure that federal, state, and local laws are followed,  
            CTCP works closely with law enforcement agencies.  CTCP  
            currently works in all 58 counties in partnership with many  
            non-profit community-based organization around the state.  A  
            key component of CTCP's comprehensive approach is its focus on  
            changing social norms rather than a frontal attack designed to  
            market cessation services directly to tobacco users.   
            According to a recent study conducted by UC San Francisco,  
            while CTCP has cost $2.4 billion over the span of the over 20  
            years of the program's existence, CTCP has reduced health care  
            costs by $134 billion.
               
          6.Tobacco taxes and other states.  California's tobacco tax rate  




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            ranks 33rd when compared to the rates of other states.  The  
            national mean cigarette excise tax is $1.48 per pack.  The  
            highest tobacco tax rate is in New York at $4.35 per pack and  
            the lowest is Virginia at $0.30 per pack.  Some local  
            governments, such as New York City ($5.85 per pack total tax  
            rate) and Chicago ($5.66 per pack total tax rate), have their  
            own tax in addition to the state tax.  California has not  
            raised its cigarette excise tax since 1998.  According to the  
            Campaign for Tobacco-Free Kids, the average price for a pack  
            of cigarettes in California is $5.44 with all taxes included. 

          7.Impacts of higher cigarette prices.  According to the  
            Legislative Analyst's Office (LAO), most revenue estimates  
            assume that an increased excise tax on cigarettes would raise  
            the retail prices of cigarettes and other tobacco products to  
            include the new cost.  This could potentially result in  
            consumers reducing the quantity of taxable products they  
            consume.  Additionally, the state and local governments in  
            California incur costs for providing: 1) healthcare for  
            low-income and uninsured persons; and, 2) health insurance  
            coverage for state and local government employees and  
            retirees.  Consequently, changes in state law, such as the  
            2014 Tobacco Act tax that affect the health of the general  
            population and low-income and uninsured persons and public  
            employees in particular, could affect publicly-funded health  
            care costs.  The LAO further reports, since the use of tobacco  
            products has been linked to various adverse health effects, an  
            increase in a cigarette excise tax could reduce state and  
            local government health-care spending on tobacco-related  
            diseases over the long-term. 
          
          DPH maintains that higher taxes are particularly effective in  
            reducing smoking among vulnerable populations, such as youth,  
            pregnant women, and low-income smokers.  Increases in tobacco  
            prices affect the behavior of the young and low-income, who  
            tend to be more responsive to price changes, than older and  
            wealthier individuals.  Higher tobacco taxes could encourage  
            more low-income smokers to quit.  According to the Federal  
            Trade Commission Cigarette Report, since three out of every  
            four smokers expected to quit because of cigarette tax  
            increase are estimated to be low-income, the public health  
            benefits of reduced tobacco-related illnesses from smoking  
            will also be borne by lower-income households.  However, if  
            individuals considered to be low-income do not quit, the  
            tobacco tax increase could be considered a regressive tax  




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            because these populations would be spending more of their  
            income on the product.  

          Higher cigarette prices through tax or fee increases can also  
            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 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, Statutes of 2003) which  
            establishes a comprehensive licensing program for retailers,  
            manufacturers, distributors and importers of cigarettes and  
            tobacco products.  According to BOE, the California Cigarette  
            and Tobacco Licensing Act of 2003 has been successful in  
            reducing illegal sales.

          8.Double referral. This bill will be heard in the Senate  
            Governance and Finance Committee on May 8, 2013.

          9.Prior legislation. 

               a.     SB 330 (Padilla) of 2011 would have increased the  
                 tobacco tax by $1.50 per pack and dedicated 85 percent of  
                 revenue to the general Fund and 15 percent to tobacco  
                 control and lung cancer efforts.  The tobacco tax  
                 provisions were amended out of SB 330 before hearing in  
                 Senate Health Committee.

               b.     SB 600 (Padilla) of 2009 was substantially similar  
                 to SB 330.  SB 600 was held in the Senate Rules  
                 Committee.
               
               c.     AB 89 (Torlakson) of 2009 would have increased the  
                 tobacco tax by $2.10 per pack.  Revenues would have been  
                 directed to education, children's health care, cessation  
                 services, lung cancer research and general health care.   
                 AB 89 was never heard and died in the Assembly  
                 Governmental Organization Committee.

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




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               e.     AB 35 (Vargas) of 2003 would have imposed an  
                 additional tax on the distribution of cigarettes at the  
                 rate of $1.50 per package of cigarettes.  The bill was  
                 subsequently amended to a different subject.
               
               f.     SB 1890 (Ortiz) of 2002 would have increased  
                 cigarette tax by 65 cents per package with the proceeds  
                 being used for health-related programs.  The bill was  
                 held in the Senate Revenue and Taxation Committee.

          10.Support.  The American Cancer Society Action Network, the  
            American Heart Association, ALA, Health Access California, and  
            SEIU California, co-sponsors of this legislation, write in  
            support that the best way to reduce the wasteful spending  
            related to tobacco and to protect millions of California  
            residents is through investing in the California Tobacco  
            Control Program, which has successfully reduced smoking rates  
            and cigarette consumption in our state.  The sponsors maintain  
            that SB 768 will generate $1.2 billion in revenues that will  
            be used to fund proven and effective tobacco prevention and  
            cessation programs, as well as improved access to health care  
            for low-income families. 

          The Health and Social Policy Institute (HASPI) writes in support  
            that studies have shown that every 10 percent increase in the  
            cost of cigarettes reduces smoking rates by 4 percent among  
            adults and 7 percent among youth.  The California Black Health  
            Network (CBHN) writes in support that we know the rates of  
            disease among lower income and ethnic communities tend to be  
            higher because of high uninsured rates and lack of consistent  
            access to health care.  CBHN maintains that an increase in the  
            tobacco tax, which has not been increased since 1998, will  
            improve access to health care services, tobacco prevention and  
            cessation programs and enforcement of laws that relate to the  
            distribution and sale of cigarettes and other tobacco  
            products.  

          11.Opposition.  The California Chamber (CalChamber) writes in  
            opposition that according to the Governor's 2013 proposed  
            budget, the consumption of tobacco products has continued to  
            decline.  Accordingly, CalChamber asserts, imposing an  
            additional excise tax on cigarettes will only accelerate this  
            decline, which will simultaneously decrease the revenues the  
            various programs set forth in this legislation are to receive.  




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             CalChamber argues that this decrease in revenue will place  
            more pressure on the General Fund to support these existing  
            programs.  Reynolds American, Inc. also writes in opposition  
            that higher cigarette prices through tax or fee increases can  
            exacerbate tax evasion and foster illegal cigarette sale.   
            Reynolds American, Inc. also points out in opposition that it  
            is not significant that California voters expressed their  
            opposition to proposed increases to a state excise tax when  
            the voters defeated Proposition 29 in 2012 and Proposition 86  
            in 2006.

          12.Policy Concerns.  
               
               a.     The higher revenue levels obtained by a cigarette  
                 tax increase have shown to decline over time as smoking  
                 rates continue to go down.  While this bill allows for  
                 the 2014 Tobacco Act tax to be adjusted based on the rate  
                 of inflation according to the Consumer Price Index to  
                     offset this decline, there is still some concern  
                 regarding the potential impact to funded programs.

               b.     This bill currently leaves the percentages for the  
                 allocated funding streams unspecified.  While the bill  
                 generally indicates the intended uses for the 2014  
                 Tobacco Act tax revenues, the lack of specificity for the  
                 actual use of revenues, at this time, is uncertain.
          
           SUPPORT AND OPPOSITION  :
          Support:  American Cancer Society Cancer Action Network  
                    (co-sponsor)
                    American Heart Association (co-sponsor)
                    American Lung Association in California (co-sponsor)
                    Health Access California (co-sponsor)
                    SEIU California (co-sponsor)
                    African American Tobacco Control Leadership Council
                    Association of Northern California Oncologists
                    California Black Health Network
                    California Primary Care Association
                    California Public Health Association-North
                    ChangeLab Solutions
                    Coalition for a Tobacco-Free San Bernardino County
                    Coalition for a Tobacco-Free Sonoma County
                    Communities Against Substance Abuse
                    ConsumersUnion
                    Health and Social Policy Institute - HAPSI
                    March of Dimes California Chapter




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                    Medical Oncology Association of Southern California,  
                    Inc.
                    Operation Samahan
                    Pasadena Tobacco Prevention Coalition
                    Petaluma Coalition to Prevent Alcohol, Tobacco and  
                    Other Drug Problems
                    San Diego Regional Asthma Coalition
                    San Luis Obispo County Tobacco Control Coalition
                    Smoking & Tobacco Outreach/Prevention Program
                    SUNSET Russian Tobacco Education Project
                    1 individual
          
          Oppose:   California Chamber of Commerce
                    Reynolds American, Inc.


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