A Health Impact Assessment of California's Cap-and-Trade Greenhouse Mitigation Policy

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    Spring 09!!

    !

    Health!Impact

    !Assessment

    !of

    !Californias

    !

    ap"and"Trade!Greenhouse!Gas!Mitigation!

    olicy!

    !

    !

    !

    !

    !

    !

    Prepared!for:!!Ann!Lindsay,!MD,!Health!Officer,!Humboldt!County;!and!Linda!Rudolph,!MD,!MPH,

    Deputy!Director,!Center!for!Chronic!Disease!Prevention!and!Health!Promotion,!

    California!Department!of!Public!Health!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    !

    ! !

    Prepared!by:!Ellen!Avis,!Caroline!Chen,!Lisa!Foster,!Jess!Lynch,!Marisa!Rimland,!!

    Michelle!Ross!&!Ayrin!Zahner!

    !May!11,!20

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    !

    Contributors!and!Acknowledgments!

    !

    The!authors!of!this!report!would!like!to!acknowledge!the!following!people!and!organizations!for!

    their!contribution

    !to

    !this

    !research:

    !!

    !

    For!guidance!in!HIA!methods:!

    !

    Rajiv!Bhatia,!MD,!MPH!

    Director,!Occupational!&!Environmental!Health,!

    San!Francisco!Department!of!Public!Health!

    Assistant!Clinical!Professor!of!Medicine,!UCSF!

    !

    Jason!

    Corburn,!

    PhD!

    Assistant!Professor!

    Department!of!City!&!Regional!Planning!

    University!of!California,!Berkeley!

    !

    Edmund!Seto,!PhD!

    Associate!Researcher!

    Environmental!Health!Sciences!

    School!of!Public!Health!

    University!

    of!

    California,!

    Berkeley!

    !

    For!contributions!of!data:!!

    !

    Zev!Ross!

    President,!Zev!Ross!Spatial!Analysis!

    !

    National!Resources!Defense!Council!

    !

    !

    !

    !

    !

    !

    !

    !U C ! B e r k e l e y , ! P H ! 2 6 7 D ! H e a l t h ! I m p a c t ! A s s e s s m e n t ; ! R a j i v ! B h a t i a , ! M D ; ! P r o f e s s o r !J a s o n ! C o r b u r n ; ! P r o f e s s o r ! E d m u n d ! S e t o . !California!Cap"and"Trade!HIA,!Page!|!2!

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    !California!Cap"and"Trade!HIA,!Page!|!3!

    !

    !

    Table!of!Contents!

    !

    EXECUTIVE!SUMMARY............................................................................................................. 5

    !

    REPORT!CONTENTS!AND!STRUCTURE .................................................................................... 10!

    BACKGROUND ....................................................................................................................... 10!

    Health!Impact!Assessment!Defined .............................................................................................. 10!

    Screening:!!Why!conduct!this!HIA?............................................................................................... 11!

    Scoping!of!Analysis!&!Major!Research!Questions ........................................................................ 12!

    Current!

    Conditions ........................................................................................................................ 16!

    ASSESSMENT ......................................................................................................................... 17!

    Overview!of!Process!Equity!Health!Concerns............................................................................... 17!

    Overview!of!Income!Effects!from!Cap"and"Trade ........................................................................ 20!

    Overview!of!Air!Pollution!Health!Concerns .................................................................................. 24!

    Potential!Scenarios!under!Cap"and"Trade.................................................................................... 30!

    Key!Assumptions!Regarding!Industry!Reaction ............................................................................ 30!

    Air!Quality

    !Monitoring

    !around

    !Stationary

    !Sources ...................................................................... 33

    !

    DISCUSSION!OF!ALTERNATIVE!POLICIES................................................................................. 37!

    CAP"AND"TRADE!POLICY!DESIGN!RECOMMENDATIONS ........................................................ 38!

    Auction/Allocation!of!Allowances................................................................................................. 38!

    Offsets:!Minimized,!Incentivized,!and!Localized........................................................................... 38!

    Equitable!Participatory!Processes!for!Implementation,!Enforcement!and!Monitoring............... 39!

    Supplementary!Policies!for!Green!Jobs ..................................................................................... 39!

    Air!Pollution ...................................................................................................................... ............ 40

    REFERENCES .......................................................................................................................... 41!

    !!

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    !

    Table!of!Maps!

    Map!1:!Carbon!Emitters!in!Phase!I!of!CA!Cap"and"Trade............................................................. 13!

    Map!2:!Vulnerable!Communities!and!Stationary!Sources............................................................ 27!

    Map!3:

    !Vulnerable

    !Populations

    !in

    !the

    !L.A.

    !Area........................................................................... 28

    !

    Map!4:!Children!&!Elders!in!the!L.A.!Area .................................................................................... 29!

    Map!5:!Interpolation!of!NO2!Emissions!in!the!Bay!Area .............................................................. 36!

    !

    Table!of!Figures!

    Figure!1:!Policy!to!Health!Pathways!Overview ............................................................................. 14!

    Figure!2:!!Pathways!Overview!!Process!Equity ........................................................................... 17!

    Figure!3:!Pathways!Overview!!Income!Effects............................................................................ 21!

    Figure!4:!Pathways!Overview!!Criteria!Pollutants....................................................................... 24!

    !

    Table!of

    !Tables

    !

    Table!1:!The!HIA!Process............................................................................................................... 11!

    Table!2:!Emissions!Reductions!below!Business!as!Usual!(BAU) ................................................... 32!

    Table!3:!Avoided!Emissions!from!Top!Emitters!in!LA!in!2020,!tons!per!day ................................ 33!

    !

    APPENDICES!

    !

    !California!Cap"and"Trade!HIA,!Page!|!4!

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    EXECUTIVE!SUMMARY! !The!California!Air!Resources!Board!(ARB)!conducted!an!initial!assessment!of!the!public!health!

    implications!of!Assembly!Bill!32!(AB!32),!Californias!Global!Warming!Solutions!Act,!in!the!

    recently!adopted

    !Scoping

    !Plan

    !(June

    !2008).

    !This

    !analysis

    !explicitly

    !focuses

    !on

    !the

    !health

    !

    benefits!of!reduced!air!pollution!that!follow!from!a!suite!of!strategies!included!in!the!Plan;!ARB!

    expects!most!air!pollution!reductions!to!come!from!transportation"related!measures!and!

    existing!regulations!under!the!Clean!Air!Act!(CAA).!ARBs!health!analysis!does!not!address!the!

    proposed!cap"and"trade!program,!because!of!the!difficulty!in!predicting!in!which!sectors!

    reductions!might!occur.!While!ARBs!health!analysis!gives!examples!of!air"pollution!reduction!

    benefits!in!regional!and!community!scales,!it!assumes!a!rosy!scenario:!it!states!that!stationary!

    industrial!sources!will!reduce!emissions!10!percent!across!the!board!(ARB,!2008a).!!!

    !

    This!Health

    !Impact

    !Assessment

    !(HIA)

    !attempts

    !to

    !fill

    !some

    !potential

    !gaps

    !in

    !ARBs

    !health

    !

    assessment!by!identifying!health!impacts!associated!with!the!first!phase!of!AB!32s!proposed!

    cap"and"trade!program,!which!concerns!stationary!source!emitters.!Our!analysis!focuses!on!

    three!health!determinants:!

    ! Process!equity:!!How!equitable!was!the!policy"making!process!and!whose!contributions!most!shaped!the!outcomes?!

    ! Economic!effects:!!How!will!the!policy!affect!costs!and!incomes!for!vulnerable!communities?!!

    ! Distribution!of!air!pollution!impacts:!!Where!will!mitigation!measures!occur?!This!analysis

    !will

    !pay

    !particular

    !attention

    !to

    !communities

    !that

    !are

    !already

    !experiencing

    !

    heavy!impacts!from!air!pollution.!

    !

    Cap"and"trade!and!Procedural!Equity!!

    Public!involvement!and!participation!in!decision"making!is!essential!to!a!healthy!democracy.!

    The!World!Health!Organization!(WHO)!and!the!United!Nations!Human!Development!Report!

    (2002)!assert!that,!Democracy!has!proven!to!be!the!system!of!governance!most!capable!of!

    mediating!and!preventing!conflict!and!of!securing!and!sustaining!well"being.!Inclusive,!

    transparent,!participatory!democratic!processes!contribute!to!building!important!health!

    determinants!such

    !as

    !equality,

    !empowerment,

    !and

    !social

    !capital.

    !We

    !maintain

    !that

    !procedural

    !

    equity!in!the!scoping!and!implementation!of!AB32!has!important!implications!for:!(1)!achieving!

    efficacy!in!achieving!greenhouse!gas!(GHG)!reductions!targets!and!maximizing!overall!health!co"

    benefits;!(2)!ensuring!that!vulnerable!populations!can!share!in!those!co"benefits;!and!(3)!

    empowering!communities!through!participation!in!the!policy"making!process.!

    !

    !

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    !California!Cap"and"Trade!HIA,!Page!|!6!

    !

    Findings:!

    ! Public!health!professionals!have!a!very!important!role!to!play,!in!collaboration!with!ARB!and!other!stakeholders,!to!refine!methods!for!identifying!local!impacts!associated!with!

    mitigation!

    policies!

    and!

    to!

    make!

    sure!

    those!

    methods!

    are!

    used!

    in!

    policy!

    decision"

    making.!

    ! Implementation!of!Cap"and"trade!provides!an!opportunity!for!Public!Health!to!support!community!based!participatory!research!and!capacity"building!so!that!vulnerable!

    communities!are!able!to!participate!effectively!in!decision"making!processes!that!impact!

    health.!

    !

    Impact!of!Energy!Markets!on!Low"Income!Communities!

    Household!income!and!employment!status!influences!health!(Krieger,!2003).!Low!

    socioeconomic!status""defined!by!income,!education,!and!occupation""is!associated!with!many!

    types!

    of!

    poor!

    health!

    outcomes,!

    including!

    low!

    birth!

    weight,!

    cardiovascular!

    disease,!

    hypertension,!arthritis,!diabetes,!and!cancers!(Pamuck,!Heck,!Reuben,!&!Lochner,!1998).!

    Evidence!finds!differences!in!male!mortality!by!social!class!(as!defined!by!occupation)!(Harding,!

    1995).!Unemployed!people!have!a!higher!prevalence!of!poor!health!outcomes!(Bartley,!1994).!

    ARB!expects!its!GHG!reductions!policies!to!stimulate!the!economy!rather!than!harm!it!(ARB,!

    2008d).!However,!this!optimistic!economic!analysis!focuses!on!the!results!of!the!full!suite!of!

    GHG!reduction!policies,!not!just!cap"and"trade.!Some!economic!analysts!have!perceived!this!as!

    over"generalization!(EPA,!2007).!

    !

    Findings:!

    ! Cap"and"trade,!by!itself,!is!equivalent!to!a!tax!on!economic!activity,!which!may!slow!economic!growth!(Roland"Holst,!2009).!Furthermore,!job"loss!from!decreased!economic!

    activity!may!have!a!negative!health!impact!for!vulnerable!populations.!

    ! Industrial!emitters!and!utilities!may!pass!along!the!cost!of!allowances!and!offsets!to!consumers,!causing!the!price!of!electricity,!cement,!and!petroleum!to!increase.!This!will!

    affect!low"income!consumers!who!already!spend!a!high!proportion!of!their!incomes!on!

    energy.!!

    ! In!the!short"term,!there!may!be!little!change.!Industry!may!choose!to!buy!allowances!and!offsets!before!investing!in!emission"reduction!technologies.!!In!this!case,!

    communities!will!not!benefit!from!new!jobs!or!local!emissions!reductions!(EPA,!2007).!

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    !California!Cap"and"Trade!HIA,!Page!|!8!

    !

    Findings!

    ! The!top!17!emitters!in!the!state!contribute!over!50!percent!of!the!CO2e!emissions!from!stationary!sources.!!!

    !Eight

    !

    of!

    these!

    are!

    large!

    oil!

    refineries,!

    located!

    in!

    Richmond!

    and!

    Los!

    Angeles/Long!

    Beach!

    in!

    high!density,!low"income!communities!of!color.!

    ! Current!air!quality!monitoring!devices!are!often!located!far!from!large!polluters.!This!distance!makes!them!ineffective!at!notifying!nearby!communities!of!potential!pollution!

    threats!and!enabling!those!communities!to!take!health!protective!actions.!

    !

    Policy!Design!Levers!

    Design!details!of!cap"and"trade!(i.e.!allowance!auctioning!and!revenue!investment,!offsets!

    location!guidelines,!rules!regarding!banking,!addition!of!price!ceilings/floors!for!a!single!ton!of!

    CO2e,!

    etc.)!

    can!

    greatly!

    influence!

    the!

    impact!

    of!

    GHG!

    cap"

    and"

    trade,!

    determining!

    whether!

    the!

    policy!will!bestow!co"benefits!or!inflict!additional!burdens!on!vulnerable!populations!(Paltsev!&!

    Massachusetts!Institute!of!Technology!Center!for!Energy!and!Environmental!Policy!Research,!

    2007).!A!brief!discussion!of!important!design!details!follows.!

    !

    Allowance!Allocation:!!Carbon!credits!are!allocated!in!two!ways:!they!can!either!be!auctioned!or!

    given!away,!the!number!of!credits!based!on!current!pollution!levels!of!each!emitter.!Auctioning!

    initially!allows!market!forces!set!the!price,!but!may!result!in!higher!costs!being!passed!on!to!

    consumers.!Giving!away!allowances,!in!contrast,!may!result!in!a!direct!transfer!of!wealth!to!

    large!polluters!as!the!market!price!of!carbon!determines!what!costs!are!translated!to!

    consumers.!Auctioning!also!provides!a!source!of!revenue!that!can!be!invested!in!a!progressive!

    spending!plan.!

    !

    !Recommendations: !

    ! Advocate!for!100%!auction!of!allowances!to!maximize!revenue.!Suggested!uses!include:!o Directing!subsidies!to!stabilize!the!budgets!of!low"income!households!and!to!

    assist!in!adaptation;!!

    o Stimulating!job!growth!in!the!renewable!energy!and!energy!efficiency!sectors.!!o Improving!local!air!quality!measurements!by!placing!monitors!close!to!emitters.!!

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    !California!Cap"and"Trade!HIA,!Page!|!9!

    !

    Offsets:!!Current!policy!recommendations!allow!up!to!49%!of!emissions!reductions!to!be!met!

    through!international!offsets.!Offsets!are!often!the!cheapest!way!for!industry!to!reduce!

    emissions;!consumers!would!also!share!this!savings!by!enjoying!lower!costs,!meaning!lower!

    costs!for!consumers.!These!offsets!are!controversial!because!they!can!be!difficult!to!verify,!

    possibly!leading!to!unsuccessful!mitigation!efforts.!Moreover,!local!emitters!would!not!have!to!

    reduce!their!emissions!and!potential!local!health!and!economic!co"benefits!would!be!lost.!!!

    !

    Recommendations: !

    ! Advocate!for!reductions!in!allowable!offsets!and!incentivize!offsets!that!create!local!public!health!co"benefits.!!

    !

    Price!Controls:!!Banking,!borrowing,!price!floors!and!ceilings!are!all!ways!of!controlling!the!

    carbon!market!and!reducing!price!volatility.!!!!

    !

    Considerations!outside!Cap"and"Trade:!

    Cap"and"trade!itself!will!not!ensure!that!vulnerable!communities!are!not!adversely!impacted!by!

    air!pollution!and!increasing!energy!prices.!!We!suggest!the!following!complementary!policies:!

    ! Define! and! institutionalize! collaborative! roles! for! other! state! agencies,! like! Public!Health.!

    ! Advocate!for!the!creation!of!complementary!policies!that!encourage!renewable!energy!use,! energy! efficiency,! and! green!jobs! training.! (Roland"Host,! 2009;! Apollo! Alliance,!

    Green! for! All,! Center! for! American! Progress,! &! Center! on! Wisconsin! Strategy,! 2008;!

    Jones,!2009)!

    ! Consider!direct!regulation!of!the!top!emitters!or!other!mechanisms!to! reduce!carbon!and!pollution!in!heavily!impacted!communities.!

    ! Require!public!reporting!of!GHGs!emissions!and!trading!details.!

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    !California!Cap"and"Trade!HIA,!Page!|!10!

    !

    !

    REPORT!CONTENTS!AND!STRUCTURE!

    This!report!begins!with!background!information!that!led!to!our!decision!to!conduct!this!Health!

    Impact!Assessment.!We!then!discuss!the!scoping!process,!outlining!how!we!determined!what!

    policy!and!health!determinants!to!include!in!the!analysis.!Next,!we!assess!three!health!

    determinants!that!cap"and"trade!will!impact.!We!conclude!with!an!analysis!of!cap"and"trade!

    policy!design!features!that!could!affect!health,!and!provide!a!series!of!recommendations!to!

    ensure!the!best!public!health!outcomes.!

    BACKGROUND!!

    !!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!

    Health!Impact!Assessment!Defined1!

    Health!Impact!Assessment!(HIA)!seeks!to!identify!health!risks!and!opportunities!before!they!

    actually!happen,!to!avoid!the!transfer!of!these!hidden!costs!and!promote!multi"sectoral!

    responsibility!for!health!and!well"being!(Quigley!et!al.,!2006).!There!is!no!universal!definition!

    for!HIA,!but!the!World!Health!Organization!(WHO)!definition!is!cited!in!multiple!papers!(Cole!BL,!

    et!al.,!2005;!Dannenberg!et!al.,!2006;!Dannenberg!et!al.,!2008)!as!a!combination!of!

    procedures,!methods,!and!tools!by!which!a!policy,!program,!or!project!may!be!judged!as!to!its!

    potential!effects

    !on

    !the

    !health

    !of

    !a!population,

    !and

    !the

    !distribution

    !of

    !those

    !effects

    !within

    !the

    !population!(European!Centre!for!Health!Policy,!WHO!Regional!Office!for!Europe,!1999).!

    !

    HIA!uses!a!broad!definition!of!health,!and!looks!for!both!positive!and!negative!health!effects!

    (Cole!BL,!et!al.,!2005).!It!utilizes!a!multi"disciplinary!approach,!and!may!consider!a!wide!range!of!

    factors!ranging!from!biology,!economics,!political!climate,!socio"cultural!dynamics,!the!physical!

    environment,!the!availability!of!public!services,!to!the!impact!of!existing!public!policies.!HIAs!

    vary!in!scope,!from!rapid!to!comprehensive!(Krieger!et!al.,!2003).!The!most!comprehensive!HIAs!

    include!the!six!steps!outlined!in!Table!1.!

    !1!This!section!includes!research!from!an!unpublished!graduate!student!paper!entitled!Bringing!Health!

    Considerations!into!Planning!Decisions:!Health!Impact!Assessment!as!a!Potential!Tool!by!Lisa!C.!Foster,!one!of!the!

    authors!of!this!report.