BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                  AB 1263|
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                                 THIRD READING


          Bill No:  AB 1263
          Author:   Yee (D)
          Amended:  9/8/05 in Senate
          Vote:     21

           
           SENATE BUSINESS, PROF. & ECON. DEVELOP. COMM :  4-1, 6/27/05
          AYES: Figueroa, Morrow, Murray, Simitian
          NOES:  Aanestad
          NO VOTE RECORDED:  Campbell, Florez

           SENATE APPROPRIATIONS COMMITTEE  :  8-5, 8/25/05
          AYES:  Migden, Alarcon, Alquist, Escutia, Florez, Murray,  
            Ortiz, Romero
          NOES:  Aanestad, Ashburn, Battin, Dutton, Poochigian

           ASSEMBLY FLOOR  :  74-3, 6/1/05 - See last page for vote


           SUBJECT  :    Barbering and cosmetology:  equipment

           SOURCE  :     AmeriSpa


           DIGEST  :    This bill requires the Board of Barbering and  
          Cosmetology to adopt regulations on or before July 1, 2006,  
          that sets forth standards and proper protocol for the use  
          of disinfectants between patrons in all salons providing  
          manicure and pedicure services.

           Senate Floor Amendments  of 9/8/05 remove the provision  
          exempting court action from being brought against the Board  
          of Barbering and Cosmetology or the state because of any  
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          regulations adopted pursuant to the bill.

           Senate Floor Amendments  of 9/2/05 address the concerns of  
          the Department of Finance regarding the liability for the  
          pedicure equipment being the responsibility of the  
          manufacturer and not the Barbering and Cosmetology Boards.

           ANALYSIS  :    

          Existing law:

          1.   Establishes under the Department of Consumer Affairs  
               (DCA) the Board of Barbering and Cosmetology, which  
               has the full authority provided by the Barbering and  
               Cosmetology Act, to regulate the practice of barbering  
               and the practice of cosmetology, as defined.

          2.   Provides that the practice of cosmetology includes  
               nail care, defined as the practice of cutting,  
               trimming, polishing, coloring, tinting, cleaning, or  
               manicuring the nails of any person or massaging,  
               cleansing, or beautifying the hands or feet of any  
               person.

          3.   Authorizes the Board to provide for an examination and  
               qualification criteria for an applicant to be licensed  
               as a manicurist.  Among conditions that must be  
               satisfied is course completion in nail care from a  
               school approved by the Board.  This nail care course  
               work must include 10 technical hours and 10 practical  
               operation hours of instruction in disinfection and  
               sanitation, as provided for under Board regulations,  
               for disinfecting instruments and equipment  
               regulations.

          4.   Requires that all non-electric instruments be  
               disinfected before use upon a patron by total  
               immersion in an EPA-registered disinfectant with  
               demonstrated bactericidal, fungicidal and virucidal  
               activity, used according to the manufacturer's  
               instruction.

          5.   Requires that all electrical instruments be  
               disinfected prior to each use by an EPA-registered  

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               disinfectant with demonstrated bactericidal,  
               fungicidal and virucidal activity, used according to  
               the manufacturer's instruction.

          6.   Requires that each pedicure spa be disinfected after  
               use upon a patron by an EPA-registered disinfectant  
               with demonstrated bactericidal, fungicidal and  
               virucidal activity, used according to the  
               manufacturer's instruction.

          7.   Requires that each pedicure spa be cleaned and  
               disinfected daily, in addition to after each patron,  
               as specified.

          8.   Requires that each pedicure spa be cleaned and  
               disinfected bi-weekly, in addition to after each  
               patron and daily, as specified.

          9.   Requires that a record be kept by the operator of the  
               pedicure spa equipment as to the time and date of each  
               daily and bi-weekly cleaning and disinfecting, and  
               make related specified conditions as to the  
               availability of the record. 

          10.  Establishes that a violation of any of the regulations  
               relative to disinfecting is a citable offense that may  
               result in a fine or disciplinary action by the Board.

          11.  Authorizes the Executive Officer, upon written notice,  
               to immediately close any establishment which, upon  
               completion of an inspection, is found to have health  
               and safety violations of such a severe nature as to  
               pose an immediate threat to public health and safety.

          12.  Requires the Executive Officer to issue a written  
               notice of suspension of the establishment license  
               including the grounds therefore and a notice of  
               closure.  The notice of closure shall be posted at the  
               establishment so as to be clearly visible to the  
               general public and to patrons.

          13.  Requires the notice of suspension to remain posted  
               until removed by the Executive Officer, but shall be  
               in effect for no longer than 30 days.  Removal of the  

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               notice of suspension by any person other than the  
               Executive Officer or designated representative, or the  
               refusal of an establishment to close upon issuance of  
               the written notice of suspension of the establishment  
               license is a violation of this chapter and may result  
               in sanctions, as authorized.

          This bill:

          1.   Requires the Board to adopt regulations on or before  
               July 1, 2006, that set forth standards and  
               requirements for the use of pedicure equipment that do  
               all of the following:

               A.     Establishes minimum safety specifications for  
                 pedicure equipment.

               B.     Requires the use of disinfectants registered at  
                 a level for instrument disinfection by the Federal  
                 Environmental Protection Agency.

               C.     Establishes procedures to ensure the proper and  
                 safe operation of pedicure spa equipment.

               D.     Establishes proper protocols for disinfecting  
                 all multiuse tools and equipment between patrons in  
                 all salons providing manicure and pedicure services.  
                  The time of contact shall be 10 minutes and the  
                 disinfection shall be by complete immersion on  
                 nonporous items such as, but not limited to, cuticle  
                 nippers, pushers, electric file bits, and nail  
                 files.

               E.     All equipment that holds water for pedicures,  
                 including whirlpool spas, automated systems for  
                 cleaning and disinfecting, pipeless whirlpool spas,  
                 footbaths, basins, tubs, sinks, and bowls shall be  
                 cleaned of all visible debris and residue after use  
                 of each patron with a surfactant detergent or a EPA  
                 registered disinfectant containing high levels of  
                 surfactant detergents, and then disinfected by  
                 circulating, where applicable, or to remain in wet  
                 contact with all surfaces of the pedicure appliance  
                 or equipment, regardless of mechanical  

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                 configuration, the correct dilution of disinfectant  
                 throughout the unit for 10 minutes.  Automated  
                 systems for cleaning and disinfecting in accordance  
                 with this provision are acceptable.

               F.     If the appropriate technology is available,  
                 establishes minimum safety specifications and other  
                 requirements for the manufacture of new whirlpool  
                 pedicure equipment and the modification of existing  
                 whirlpool equipment.

               G.     Establishes accountability procedures and  
                 notification requirements to patrons that proper  
                 cleaning and disinfection procedures have been  
                 followed on all multiuse tools and equipment,  
                 including, but not limited to, automated systems for  
                 cleaning and disinfecting, prior to providing any  
                 manicure and pedicure salon service.

          2.   Requires the Board to keep disinfection standards and  
               protocols current with standards set by the State  
               Department of Health Services, the United States  
               Environmental Protection Agency, and the United States  
               Centers for Disease Control and Prevention.

          3.   Requires the Board to establish, pursuant to Business  
               and Professions Code Section 125.9, penalties, for  
               licensees and establishments that violate regulations  
               adopted pursuant to this section.

          4.   Requires the board to develop a notice to be  
               prominently displayed in pedicure foot spas that  
               advises patrons not to shave or wax their legs prior  
               to a pedicure and not to have a pedicure if they have  
               any open wounds in or near their feet or legs.

          5.   Requires the Board to conspicuously display a notice  
               in a violators place of business or employment if any  
               or all of the following occurs:

               A.     The Board has revoked, suspended, or denied a  
                 license to operate a nail salon or pedicure foot  
                 spa.


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               B.     The Board has assessed a fine or penalty, has  
                 issued a citation, or taken other disciplinary  
                 action against an operator of a nail salon or  
                 pedicure foot spa.

               C.     An operator failed to prominently display to  
                 consumer notice as specified.

           Background
           
          According to the author's office, in 1999 and 2000, there  
          was an outbreak of infection from a pedicure salon in  
          Watsonville, California, affecting more than 100 women.  In  
          November 2004, a growing number of people started  
          complaining of leg lesions and infections on their legs in  
          San Jose.  This time, there were 27 salons involved and  
          over 120 people infected with mycobacterial infections as a  
          result of pedicures.  Although many of these salons were  
          following the cleaning and disinfecting guidelines for foot  
          baths as set by California law, different mycobacteria are  
          involved; mycobacterium chelonea and controlling these  
          requires stronger sanitation practices.  Mycobacterium  
          chelonea are germs that live in tap water and the soil.  It  
          is in the same category of non-tuberculosis mycobacteria,  
          also known as NTM and RGM, Rapidly Growing Mycobacteria, as  
          the previous outbreak in Watsonville, but differs in that  
          mycobacterium chelonea infections can be very difficult to  
          treat, and colonizes more quickly, sometimes in less than  
          three days.

          Unfortunately, current pedicure cleaning and disinfecting  
          rules were not fully protective enough given the tenacity  
          of mycobacterium chelonea and other RGM.  The section of  
          the current California pedicure rule that requires soap be  
          run through the unit for 5 to 10 minutes at the end of each  
          day does not specify that the soap must be a surfactant or  
          enzymatic soap or detergent.  Another factor contributing  
          to the outbreak is that most licensees involved apparently  
          did not understand how to apply the current rules.  For  
          example, few licensees understood that an EPA disinfectant  
          must be circulated through the pedicure equipment for 10  
          minutes after every client; otherwise, it actually  
          increases the risk of infection.


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           Related Legislation
           
          SB 362 (Figueroa, Chapter 788, Statutes of 2003)  
          established authority for the Board of Barbering and  
          Cosmetology to temporarily close an establishment for  
          egregious health and safety violations that constitute an  
          immediate threat to public health and safety.  These  
          provisions were enacted as a result of an outbreak of  
          infections from a pedicure salon in Watsonville in 2000,  
          The legislation was introduced to give greater enforcement  
          authority when an establishment poses an immediate public  
          health and safety threat.  Unfortunately, it was found that  
          the Board lacked the authority to immediately shut down an  
          establishment without having to go through the courts to  
          obtain an interim suspension order.  The bill authorized  
          the Board to suspend the operation of an establishment for  
          up to 30 days upon finding egregious health and safety  
          violations constituting an immediate threat to public  
          health and safety.

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

          According to the Senate Appropriations Committee:

                          Fiscal Impact (in thousands)

           Major Provisions                     2005-06     2006-07     
           2007-08          Fund  
          Draft regulations             $75       $75       $0       
          Special*
          Enforcement              $150      $300      $300       
          Special*

          *Barbering and Cosmetology Fund (fee supported)

           SUPPORT  :   (Verified  8/25/05)

          AmeriSpa (source)
          Amerikleen
          Board of Barbering and Cosmetology

           OPPOSITION  :    (Verified  8/25/05)


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          Department of Finance

           ARGUMENTS IN SUPPORT  :    According to AmeriSpa, LLC, the  
          source of the bill, this is a major health and safety  
          issue.  Many consumers getting manicure and pedicure  
          services are experiencing bacterial infections at various  
          nail salons across the state.  These infections are due to  
          use of disinfectants that are not EPA Registered; improper  
          use of registered disinfectants; and improper procedures in  
          cleaning the pedicure equipment, implements and tools.  

          The consequences of these infections are very serious.   
          Most consumers in affected areas are afraid to have  
          pedicure and nail services of any kind.  This bill would  
          help address these concerns by requiring the Board of  
          Barbering and Cosmetology to establish more stringent  
          safety standards. 

           ARGUMENTS IN OPPOSITION  :    The Department of Finance was  
          opposed to this bill for the following reasons:  (1) it  
          creates additional 2005-06 costs without an appropriation  
          to support the increased expenditures, (2) the revenues  
          that would be generated by this bill do not appear  
          sufficient to support the estimated program costs, (3)  
          provisions in this bill could be interpreted to mean that  
          the Board, in lieu of the manufacturer, would assume  
          liability for the pedicure equipment.  This ambiguity could  
          create significant legal costs for the Board to defend  
          against actions brought by consumers.

           ASSEMBLY FLOOR  :
          AYES:  Aghazarian, Baca, Bass, Benoit, Berg, Bermudez,  
            Blakeslee, Bogh, Calderon, Canciamilla, Chan, Chavez,  
            Chu, Cogdill, Cohn, Coto, Daucher, De La Torre, Dymally,  
            Emmerson, Evans, Frommer, Garcia, Goldberg, Hancock,  
            Harman, Jerome Horton, Shirley Horton, Houston, Huff,  
            Jones, Karnette, Keene, Klehs, Koretz, La Malfa, La Suer,  
            Laird, Leno, Levine, Lieber, Liu, Matthews, Maze,  
            McCarthy, Montanez, Mountjoy, Mullin, Nakanishi, Nation,  
            Nava, Negrete McLeod, Niello, Oropeza, Parra, Pavley,  
            Plescia, Richman, Ridley-Thomas, Sharon Runner, Ruskin,  
            Saldana, Salinas, Spitzer, Strickland, Torrico, Tran,  
            Umberg, Vargas, Villines, Wolk, Wyland, Yee, Nunez
          NOES:  DeVore, Haynes, Walters

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          NO VOTE RECORDED:  Arambula, Gordon, Leslie


          JJA:nl   9/8/05   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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