When an engine runs, some cylinder pressure leaks by the rings and creates pressure in the crankcase. This pressure must be vented or it will force it's way out of the crankcase and usually take oil with it - leaking gaskets and seals. Years ago, they would simply run a big tube from the side of the crankcase down under the car. Frequently they also ventilated the oil fill cap (the original 'breather') to vent the top of the engine as well. EPA decided they didn't want all that oil and hydrocarbon laden mess entering the air, and they required the valve cover to be vented into the air cleaner. After that, manufacturers began connecting the crankcase to the intake manifold via the pcv valve. Since the manifold 'sucks' on the crankcase, there has to be a path for air to get into the crankcase so you don't pull a vacuum on the crankcase - breathers use to do that too (let air in). But with efi cars, there's usually a connection between the throttle body and the valve cover (like our 5.0s) to let metered air enter the crankcase where it's returned to the intake via the pcv. That did away with breathers.
I'd think you'd have a hard time getting one past the emission inspection in CA.