BILL ANALYSIS Ó Senate Committee on Labor and Industrial Relations Ted W. Lieu, Chair Date of Hearing: July 6, 2011 2011-2012 Regular Session Consultant: Gideon L. Baum Fiscal:No Urgency: No Bill No: AB 585 Author: Fong Version: June 21, 2011 SUBJECT Workers' compensation: cancer presumption. KEY ISSUE Should the Legislature extend a disputable presumption of cancer being an occupational injury for firefighters who work on U.S. governmental installations? PURPOSE To extend a presumption, which may be disputed by evidence, that an active firefighter who develops cancer did so in the course of his or her employment. ANALYSIS Existing law establishes a workers' compensation system that provides benefits to an employee who suffers from an injury or illness that arises out of and in the course of employment, irrespective of fault. This system requires all employers to secure payment of benefits by either securing the consent of the Department of Industrial Relations to self-insure or by securing insurance against liability from an insurance company duly authorized by the state. Existing law creates, through the William Dallas Jones Cancer Presumption Act of 2010 , a disputable presumption that if a firefighter, as defined, develops cancer, the cancer is considered an occupational injury for the purposes of the workers' compensation system. The compensation awarded for occupationally-related cancer must include full hospital, surgical, medical treatment, disability indemnity, and death benefits, as provided by workers compensation law. This presumption runs for 10 years, commencing on their last day of employment. (Labor Code §3212.1 (b), (c), and (d)) Existing law provides that the presumptions listed above are disputable and may be controverted by evidence. However, unless controverted, the Workers' Compensation Appeals Board must find is accordance with the presumption. (Labor Code §3212.1 (d)) Existing law provides that the following firefighting members are eligible for the above-discussed cancer presumption: a) A fire department of a city, county, city and county, district, or other public or municipal corporation or political subdivision; b) A fire department of the University of California and the California State University; c) The Department of Forestry and Fire Protection; d) A county forestry or firefighting department or unit; and e) Active firefighting members of a fire department that serves a United States Department of Defense installation and who are certified by the Department of Defense as meeting its standards for firefighters. (Labor Code § 3212.1 (a)) Existing law provides that the State Fire Marshal, with policy guidance and advice from the State Board of Fire Services, must manage and direct a comprehensive training and education program for all of California's firefighting personnel. (Health and Safety Code §§ 13155 to 13159.4) This bill would extend the disputable presumption of cancer as Hearing Date: July 6, 2011 AB 585 Consultant: Gideon L. Baum Page 2 Senate Committee on Labor and Industrial Relations an occupational injury to active firefighting members of a fire department that serve a United States government installation and who adhere to training standards discussed above. COMMENTS 1. Need for this bill? The statutory provision for a rebuttable presumption of cancer being an occupational injury dates back to 1982. When originally created, the presumption was only extended to city, county, city and county and municipal fire departments, as well as the University of California and the California State University fire departments. Over time, this exemption was extended to additional groups of firefighters, including fire departments on Department of Defense installations. Several studies have suggested that firefighters have a higher incidence of certain cancers. A May 2007 Study from the School of Public Health at UC Berkeley found an increased incidence of testicular cancer (odds ratio = 1.54, 95% confidence interval: 1.18-2.02), melanoma (1.50, 1.33-1.70), brain cancer (1.35, 1.06-1.72), esophageal cancer (1.48, 1.14-1.91), and prostate cancer (1.22, 1.12-1.33). While a 2008 RAND study disputed that there was a higher incidence of cancer among firefighters, other studies done in Massachusetts, Florida, and Seattle and Tacoma, Washington found similar results to the UC Berkeley study. AB 585 would extend the rebuttable presumption of cancer being an occupational injury to active firefighting departments on National Aeronautics and Space Administration (NASA) installations. California currently has two NASA facilities; the Ames Research Center in Mountain View and the Jet Propulsion Laboratory in Pasadena. The sponsor and author note that both facilities have large amounts of jet fuel and exotic metals and materials; when combusted, these items can give off significant carcinogens that the firefighters are exposed to Hearing Date: July 6, 2011 AB 585 Consultant: Gideon L. Baum Page 3 Senate Committee on Labor and Industrial Relations both through inhalation and skin exposure. The sponsor and author also note that these firefighters are not employees of the federal government, and are therefore within the purview of California Labor Law. 2. Who was William "Dallas" Jones? William "Dallas" Jones was a dedicated firefighter in Los Angeles County for nearly 35 years. The passion and professionalism with which he conducted his duties as President for Los Angeles County Firefighters Local 1014 and later as Secretary/Treasurer for California Professional Firefighters made him highly qualified to lead the state Office of Emergency Services (OES) as Director from 1999-2004. During his time at OES, Dallas responded to and was on the ground during a myriad of emergencies, including the devastating fire storms in 2003 that engulfed Southern California. After leaving that post, he continued his work by returning as Secretary-Treasurer for the California Professional Firefighters, even after he was diagnosed with cancer in 2007. He ultimately succumbed to cancer in 2008. 3. Possible Amendments: Currently, AB 585 references firefighters who work on federal government installations and who are trained as per state law. While the author and sponsor are specific that this bill is for active firefighters at National Aeronautics and Space Administration (NASA) installations, the language is currently non-specific. For the sake of specificity, the Committee may wish to consider the following amendment: On page 3, line 2, strike "United States government" and insert "National Aeronautics and Space Administration". 4. Proponent Arguments : Proponents note that current law does not extend a cancer presumption to active firefighters on National Aeronautics and Space Administration (NASA) installations, despite the fact Hearing Date: July 6, 2011 AB 585 Consultant: Gideon L. Baum Page 4 Senate Committee on Labor and Industrial Relations that they are trained as per California requirements and exposed to significant chemical hazards. Proponents note that at Mountain View's NASA Ames Research Center and Pasadena's NASA Jet Propulsion Laboratory, firefighters are in constant contact with exotic metals and carbon fiber, which are highly toxic when involved in a fire. On a daily basis, these firefighters are exposed to extremely hazardous chemicals and thousands of gallons of jet fuel that are stored in these facilities. While protecting the civil and military personnel on these facilities, these firefighters are exposed to the same hazardous materials, fires, and dangers as their counterparts in the public sector. Therefore, the proponents believe that is important that the existing cancer presumption for firefighting personnel be extended to NASA installation firefighters. 5. Concerns : The California Chamber of Commerce is concerned about AB 585. The Chamber notes that existing law requires that the workers compensation system is a no-fault system where judges are required to construe the laws in a liberal manner in order to protect persons injured through the course of employment. The Chamber notes that they have traditionally opposed the expansion of presumptions, as the Chamber believes that it could be a bad precedent for the system. The Chamber argues that the existing bill is written too broadly, and therefore urges the author to specifically cite NASA facilities in order to ensure that AB 585 doesn't open the door to other groups in the future. 6. Prior Legislation : AB 2253 (Coto), Chapter 672, Statutes of 2010, lengthens the statute of limitations for a workers' compensation cancer presumption for peace officers and firefighters from 5 years to 10 years. SB 1271 (Cedillo), Chapter 747, Statutes of 2008, extends the rebuttable presumption of cancer as an occupational injury for Hearing Date: July 6, 2011 AB 585 Consultant: Gideon L. Baum Page 5 Senate Committee on Labor and Industrial Relations firefighters to firefighters on Department of Defense installations. AB 3011 (Torres), Chapter 1568, Statutes of 1982, created the initial rebuttable presumption of cancer as an occupational injury for firefighters. SUPPORT California Professional Firefighters (Sponsor) Glendale Fire Fighters' Association Local 776 Los Angeles County Fire Fighters Local 1014 Moffett Field Firefighter's Association Local I-79 Palo Alto Professional Fire Fighters Local 1319 San Jose Fire Fighters Local 230 Santa Clara County Fire Fighters Local 1165 8 Individuals CONCERNS The California Chamber of Commerce OPPOSITION None on file. Hearing Date: July 6, 2011 AB 585 Consultant: Gideon L. Baum Page 6 Senate Committee on Labor and Industrial Relations