Macdonald H R, Glantz S A
Department of Medicine, University of California, San Francisco 94143-0124, USA.
Tob Control. 1997 Spring;6(1):41-54. doi: 10.1136/tc.6.1.41.
To prepare a history of the enactment of California Assembly Bill 13 (AB 13), a state law prohibiting smoking in most workplaces passed in 1994, and to discuss its initial impacts.
Data were gathered from open ended interviews with representatives of voluntary health organisations, local government organisations, and principal legislators involved in the process, as well as observers around the state who could provide insight into the legislative process. Information was also obtained from legislative hearings and debates, public documents, letters and personal communications, internal memoranda, and news reports.
The success of local tobacco control legislation in California led to a situation in which some health groups were willing to accept state preemption in order to attract the support of the state restaurant association for a bill. The decision to accept this preemption compromise was made by the state level offices of the voluntary health agencies without consulting the broader tobacco control community within California. In contrast, local tobacco control advocates did not accept this compromise, in part because of their belief that local legislation was a better device to educate the public, generate media coverage, and build community support for enforcement and implementation of clean indoor air and other tobacco control laws. Enactment of AB 13 was associated with a slowing of all local tobacco control legislation, including youth oriented laws.
Because its supporters initially doubted that AB 13 would pass, there was never an effort to reconcile the policy differences between state oriented and locally oriented tobacco control policies. This lack of consensus, combined with the political realities inherent in passing any state legislation, led to a bill with ambiguous preemption language which replaced the "patchwork of local laws" with a "patchwork of local enforcement."
编写加利福尼亚州议会法案13(AB 13)的制定历史,这是一项1994年通过的禁止在大多数工作场所吸烟的州法律,并讨论其初步影响。
通过对参与该过程的志愿健康组织、地方政府组织和主要立法者的代表进行开放式访谈收集数据,以及向全州范围内能够深入了解立法过程的观察人士收集数据。还从立法听证会和辩论、公共文件、信件和个人通信、内部备忘录以及新闻报道中获取信息。
加利福尼亚州地方烟草控制立法的成功导致了一种情况,即一些健康组织愿意接受州政府的优先控制权,以便吸引州餐馆协会对一项法案的支持。接受这种优先控制权妥协的决定是由志愿健康机构的州级办公室做出的,而没有咨询加利福尼亚州更广泛的烟草控制团体。相比之下,地方烟草控制倡导者不接受这种妥协,部分原因是他们认为地方法规是更好的工具,可以用来教育公众、获得媒体报道,并为实施清洁室内空气和其他烟草控制法律建立社区支持。AB 13的颁布与所有地方烟草控制立法的放缓相关,包括面向青少年的法律。
由于其支持者最初怀疑AB 13能否通过,因此从未努力调和以州为导向和以地方为导向的烟草控制政策之间的政策差异。这种缺乏共识,再加上通过任何州立法所固有的政治现实,导致了一项优先控制权语言含糊不清的法案,该法案用“地方执法拼凑”取代了“地方法规拼凑”。