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HomeMy WebLinkAboutMINUTES - 10071986 - 2.2 THE BOARD OF SUPERVISORS OF CONTRA COSTA COUNTY, CALIFORNIA Adopted this Order on October 7 , 1986 , by the following vote: AYES: Supervisors Fanden, Schroder, McPeak, Torlakson, Powers NOES: None ABSENT: None ABSTAIN: None ----------------------------------------------------------------- ----------------------------------------------------------------- SUBJECT: Smoking Policies In response to referrals of the Board relative to the implementation of the County' s Smoking Ordinance No. 85-57 regu- lating smoking in enclosed places, the County Administrator sub- mitted the attached report setting forth recommendations regarding smoking policies within the County. Supervisor Sunne McPeak referred to Item 2 in Recommendation #1 and expressed some concern relative to the County's ability to refuse to hire safety retirement members who smoke. She advised that at the time she voted for the original referral it was not her intent to ban hiring people who smoke. The Board then reviewed the attached report from the Director of Personnel, dated October 1 , 1986 , advising of a meeting with employee organizations regarding smoking. The Personnel Director submitted the recommendations of the employee organization representatives, expressing their support of any and all employer efforts to encourage all employees who smoke to quit. He submitted three implementing procedures to accomplish a smoke-free work environment. Board members being in agreement, IT IS ORDERED that the recommendations set forth in the report from the County Administrator and the report from the Director of Personnel are APPROVED. IT IS FURTHER ORDERED that the following actions are APPROVED: 1 . Emphasized the enforcement of the County's and cities ' smoking ordinances ; 2. Requested citizens observing violations to report these to the Health Department or a Supervisors ' office; 3. Requested County Counsel to investigate the current status of laws relative to the sale of tobacco pro- ducts to minors and the distribution of free tobacco product samples in public, and report on the feasibility of the County adopting ordinances reinforceing these prohibitions; 4. Requested the Contra Costa Health Plan to work with the Contra Costa Health Coalition to establish a working task force with other health care providers to consider establishing a rate structure based on actuarial costs of smokers versus non-smokers ; 5 . Requested that PSA be asked to consider banning smoking on flights to and from Contra Costa County during the Great American Smoke-Out; and 1 6 . Requested the Personnel Director to provide sta- tistics on safety personnel who are on disability so as to determine if there is a correlation between smoking and disability incidence. cc: County Administrator Personnel Director County Counsel Risk Manager Health Services Director CCHP 1 hereby certify that this is a true and correct copy of an action taken and entered on the rninutes of the Board of Supervisors on the date shown. ATTESTED: �'�'� �� 2 u6 PHIL BATCHELOR, C:erk of the Board of Supervisors and County Administrator By -[�-�.[� , Deputy 2 IrO: BOARD OF SUPERVISORS ¢¢ FROM: Phil Batchelor l.�ortra County Administrator Cosmo DATE: October 7 , 1986 � m SUBJECT: Smoking Policies SPECIFIC REQUESTS) OR. RECOMMENDATION(S) & BACKGROUND AND JUSTIFICATION RECOMMENDATIONS: I . Accept status report from the County Administrator on: 1. Implementation of the County Smoking Ordinance; 2 . Ability of the County to refuse to hire safety retirement members who smoke; 3 . Endorsement of the American Medical Association and Contra Costa Health Coalition goals for a tobacco-free society by the year 2000 and supporting certain actions relating thereto; 4 . Communicating the County' s position relating to item No. 3 to our legislative delegation requesting support; 5. Requesting the Smoking Education Coalition to develop a community education campaign to achieve the objectives in item No. 3 ; 6. Directing the Contra Costa Health Plan and requesting other health insurance plans marketing in Contra Costa to cooperate in an effort to identify the costs for smokers versus non-smokers and develop rates that more accurately reflect the true expenditure experience; 7 . Requesting Pacific -Southwest Airlines to voluntarily prohibit smoking on all flights to and from Contra Costa County; 8 . Referral to County Counsel and the County Administrator for review and report to the Board a proposed ordinance to prohibit the advertising of cigarettes on advertising display signs. II . Authorize Health Services Director to apply to the Federal Government for a new rating system for the Contra Costa Health Plan. CONTINUED ON ATTACHMENT: _1 YES SIGNATURE: �//AA ,4�� X RECOMMENDATION OF COUNTY A M I N H STRATOR RECOMENUM MDAT I ON Op BDARD cmm=I TTEE X APPROVE OTHER S IGMTURE I S): &d"`h In LW16� A ON OF. BOARD ON October 7, 1986 APPROVED AS REac OTIIEaa VOI OF SUPERVISORS I *MMEW CMr I FY TMT THOS IS A T9WE _ UNANIIMXUS (ABSETITAM T CCIPY OF AN ACTIKIN ZPAUM AYES' SES= CIN TIFF NIMUTES CIF THE BMMW ABSENT': ABSTAIN: OF SCRS cm TW ®ATE Smm cc: County Administrator ATTESTM _ — County Counsel PHIL EAT OF THE I O Stunwui ¢ uIN UsIrRATMOR Page 2 BACKGROUND• 1 . Ordinance Number 85-57 ( Smoking Regulation in Public and Work Places) was passed by the Board on September 24, 1985, and became effective 30 days thereafter. The Ordinance regulates smoking in enclosed places, including places of employment within the unincorporated areas of the County and within County-owned facilities. The Ordinance requires that each employer and each place of employment affected shall adopt a written smoking policy containing specific workplace rules and regulations necessary to implement this Ordinance. On April 4, 1986, a comprehensive listing of actions taken in the business community in the unincorporated areas and by departments in County facilities was presented to the Board by the. County Administrator. During the past year the Department of Health Services Prevention Program has provided dozens of consultations to local employees on the Ordinance' s implementation requirements. Consultations have been initiated by either employers, or their employees, after on-the-job problems have occurred. The Prevention Program staff sees the need for additional training for employees to assure adequate implementation and compliance with the Ordinance. The first anniversary of the Smoking Control Ordinance on the Great American Smokeout, November 20, 1986, is an opportunity to provide further information and training to employers. Two training programs are planned: one in late October for Department Heads on policy enforcement, and one on November 19 open to anyone, particularly local employers, who would like more information on implementation and enforcement. One-on-one consultation will continue in person or by telephone with employers and employees. A continued need for workplace "walk-through" training for health and safety personnel, and for policy review, is seen and will be provided. To prepare for the November 19 training, an extensive media outreach campaign will be conducted through the Prevention Program. Press releases, public service announcements, and community newsletters will be used to inform the citizens of the Ordinance anniversary and training opportunity. This media campaign is critical because of the difficulty of identifying and reaching businesses in the unincorporated area. 2. On November 19, 1985, the Board referred to the County Administrator, County Counsel, and Sheriff a Holden, Massachusetts contract for review and to report back on its applicability for Contra Costa County. The Personnel Department contacted the law firm which negotiated the smoking law for new police hires for the City of Holden. At the time the City negotiated the agreement, only two members of the twenty ( 20) member police force were smokers. The City has hired only two new police officers since the hiring law on smokers was instituted in November, 1985. Finally, we were informed that had the City of Holden attempted to negotiate a retroactive smoking law for all officers, the Police Officers' Union would not have agreed. Page 3 Since this item was referred to the County Administrator, the Personnel Department has been surveying agencies throughout the State on this issue and discussing it with representatives of employee organizations. A copy of the Personnel Director' s October 1, 1986 report on Meeting with Employee Organizations Regarding Smoking is attached. Finding employee organization representatives supportive of efforts to encourage all employees who smoke to quit, the Personnel Department is taking the following actions: a. Modifying the Personnel Department job announcement "flyers" to advertise that Contra Costa County believes in and is working toward a smoke-free work environment and will encourage new appointees who smoke to attend smoke-cessation classes. b. Including materials in the orientation packet provided to new employees explaining the hazards of smoking and stating the County strongly supports a smoke-free work environment. C. Establishing through the Department' s Benefits Manager a Smoking Cessation Program for all County employees who smoke, with attendance to be voluntary, but on County time and at County expense. 3 . The Board of Supervisors on August 18, 1986 adopted a comprehensive list of recommendations to promote greater wellness and reduce medical care costs through the control of smoking and tobacco use. Their position is to endorse the AMA and Contra Costa Health Coalition goal for a tobacco-free society by the year 2000, and to support the following actions: a. ban advertising of tobacco products; b. require stronger health warnings on tobacco products; C. require labels listing ingredients in cigarette tobacco and other tobacco products; d. prohibit smoking on any common carrier; e. designate smokeless tobacco as a health hazard; f. eliminate federal price supports for tobacco and increase taxes on tobacco products; g. support local ordinances to prohibit sale of cigarettes and other tobacco products to minors, to eliminate the distribution of free cigarette samples on public property, and to protect the rights of non-smokers. 4 . The Board' directed that their position on the above actions be communicated to our legislative delegation requesting support. A copy of the letter to Congressman Miller is attached. . 5 . In connection with the above recommendations, the Board directed that the Smoking Education Coalition be requested to develop a community education campaign to achieve those objectives. A copy of the request is attached. Page 4 6. The Board in its August 18, 1986 Order directed the Contra Costa Health Plan, and asked that health insurance plans marketing in Contra Costa cooperate in an effort to identify the costs for smokers versus non-smokers and develop rates that more accurately reflect the true expenditure experience. The Health Services Director reports that, as a federally ,qualified health maintenance organization, the Plan is now required to use community rating in establishing its premiums. Under this method, premium rates are based on the average cost of health care used by all subscribers in a specific geographic area or industry. The Plan is seeking Board approval to submit a request to the federal government to allow the new rating system to include the following factors in establishing premiums: a. age b. sex c. family size d. marital status e. lifestyle A copy of the Health Services Director' s September 29, • 1986 memo, subject: "Request to Federal Government" is attached. The Employee Benefits Manager sent a letter to health insurance plans marketing in Contra Costa County asking if the plans would provide the County with a reduced medical premium for non-smoking employees if the County is able to provide a significant non-smoking population ( 800-900 population base) . A copy of the September 22, 1986 letter and list of addressees is attached. 7 . A letter was sent to Pacific Southwest Airlines, as the Board directed, requesting that the Airline voluntarily prohibit smoking on all flights to and from Contra Costa County. A copy of the letter is attached. 8 . The proposed Ordinance to prohibit . cigarette advertising on display signs referred to .County Counsel on September 16, 1986 is under review. v Contra Personnel Department Costa Administration Bldg. 651 Pine Street Court Martinez, California 94553-129 DATE: October 1, 1986 TO: Phil Batchelor, County Administrator FROM: Harry D. Cisterman, Director of PersonnelA 0 SUBJECT: Report on Meeting With Employee Organizations Regarding Smoking --------------------------------------------------------------7----------------- On Friday, September 5, 1986 I met with representatives of employee organizations regarding the issue of "smoking" with particular reference to the hiring of new employees. While employee organization representatives are in general agreement with the Board's current ordinance which restricts smoking in the work place, a majority of these representatives would not support a hiring ban against public safety job applicants who smoke. Employee organization representatives, including United Professional Fire Fighters, Local 1230 and the Deputy Sheriffs' Association, believe a hiring ban against smokers would be unenforceable and probably would result in litigation against the County. These same representatives are of the opinion that the County cannot mandate new employees who smoke to attend compulsory smoking cessation classes. Conversely they believe the County should take whatever steps necessary to encourage all employees who smoke to attend cessation classes. Parenthetically, it should be noted that, since my meeting with the employee organization representative, we have been advised that both the American Cancer Society and the American Lung Association advise that mandating attendance a smoking cessation classes by smokers does not work and is ineffective in getting smokers to quit. In addition to talking with representatives of employee organizations, we contacted the law firm that negotiated the smoking ban for new police hires for the City of Holden, Massachusetts. At the time the city negotiated the agreement only two members of the city's twenty (20) member police force were smokers. Both have since quit. However, as might be expected turnover is low and the city has only hired two new police officer since the hiring ban against smokers was instituted in November, 1985; both are non-smokers. Finally, we were informed that had the City of Holden attempted to negotiate a retroactive smoking ban for all police officers, the Police Officers' Union would not have agreed. State-wide we are aware of no city, county or special district which has or is seriously considering a smoking ban 'for new hires. In discussing the issue with one labor representative, we were cautioned that since smoking is addictive an argument can be made that smokers are handicapped and therefore a hiring ban against smokers would be discriminatory. Additionally, we were advised that the t Phil Batchelor, . County Administrator -2- October 1, 1986 ' California State Constitution protects the "Right of Privacy" and therefore what someone does off duty is his/her own business. Lastly, we were advised that an absolutely solid "nexus" would have to be advanced between job performance and off duty conduct. On the up side employee organization representatives are supportive of any and all employer efforts we might undertake to encourage all employees who smoke to quit. Consequently, I am directing my staff to implement the following steps: a. Modify the Personnel Department job announcement "flyers" to adver tise the fact that Contra Costa County believes in and is working toward a smoke-free work environment and will encourage new appointees who smoke to attend smoking cessation classes. b. Include material in the orientation packet provided each new employee which explain the hazards of smoking and stating that Contra Costa County strongly supports a smoke-free work environment; c. Establish through the Personnel Department's Benefit Manager a Smoking Cessation Program for all employees who smoke, attendance to be voluntary but on County time and at County expense. The Benefits Manager will also query health plan carriers regarding reduced medical premiums based on a significant non-smoking employee population. I will continue to monitor smoking policy changes throughout governmental agencies in California and report any significant events to you. HDC/WPH:tm