BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                      



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          |SENATE RULES COMMITTEE            |                   AB 947|
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                                 THIRD READING


          Bill No:  AB 947
          Author:   Solorio (D)
          Amended:  9/2/11 in Senate
          Vote:     21

           
           SENATE LABOR & INDUST. RELATIONS COMMITTEE  :  5-0, 6/22/11
          AYES:  Lieu, DeSaulnier, Leno, Padilla, Yee
          NO VOTE RECORDED:  Wyland, Runner
           
          SENATE APPROPRIATIONS COMMITTEE  :  6-3, 8/25/11
          AYES:  Kehoe, Alquist, Lieu, Pavley, Price, Steinberg
          NOES:  Walters, Emmerson, Runner
           
          ASSEMBLY FLOOR  :  46-26, 5/12/11 - See last page for vote


           SUBJECT  :    Workers compensation:  temporary disability 
          payments

           SOURCE  :     California Applicants Attorneys Association


           DIGEST  :    This bill authorizes up to 240 weeks of 
          temporary disability benefits for workers who (1) on the 
          advice of a workers compensation system physician, delayed 
          surgery while less expensive or invasive treatment was 
          tried, (2) used up to 104 weeks of temporary disability 
          benefits during that time, and (3) required surgery and 
          post-surgery recovery period exhausted any remaining weeks 
          of temporary disability benefits.

           Senate Floor Amendments  of 9/2/11 ensure that the extension 
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          of additional temporary disability benefits for certain 
          injured workers in prospective in nature, and also to 
          clarify the role of the primary treating physician.

           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 provides for the payment of indemnity benefits 
          if the occupational injury causes temporary or permanent 
          disability which prevents the worker from returning to 
          his/her job.  In the case of temporary disability payments, 
          the benefit is two-thirds of the weekly loss in wages due 
          to disability for up to 104 weeks within five years.

          Existing law extends up to 240 weeks of temporary 
          disability benefits for workers who suffer from the 
          following occupational injuries:

          1. Acute and chronic hepatitis B;
          2. Acute and chronic hepatitis C;
          3. Amputations;
          4. Severe burns;
          5. Human immunodeficiency virus (HIV);
          6. High-velocity eye injuries;
          7. Chemical burns to the eyes;
          8. Pulmonary fibrosis;
          9. Chronic lung disease;
          10.An injury or condition occurring on or after January 1, 
             2012.

          This bill authorizes up to 240 weeks of temporary 
          disability benefits for workers who (1) on the advice of a 
          workers' compensation system physician, delayed surgery 
          while less expensive or invasive treatment was tried, (2) 
          used up to 104 weeks of temporary disability benefits 
          during that time, and (3) required surgery and post-surgery 
          recovery period exhausted any remaining weeks of temporary 

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          disability benefits.  

          This bill prohibits the extension of additional temporary 
          disability benefits if the need for the additional 
          treatment was caused by the willful failure of the worker 
          to undergo recommended medical treatment necessary to reach 
          maximum medical improvement.

           Comments
           
          The author introduced this bill to address circumstances 
          where medical treatment that is required to cure the 
          injured worker's injuries takes longer, through no fault of 
          the injured worker, than the 104 weeks of temporary 
          disability benefits allowed by law.  The author's goal is 
          that the extension of additional temporary disability 
          benefits is for cases involving substantial injuries where 
          the injured worker is simply not able to work during the 
          recovery period.  Examples could include cases where 
          conservative treatments are attempted for an extended 
          period, but ultimately surgery is necessary, or prolonged 
          pain management challenges due to injury or surgery.

           Prior Legislation

           AB 2397 (Solorio), 2009-10 Session, would have permitted 
          law enforcement employees to extend paid leave of absence 
          due to temporary disability by up to an additional year by 
          mutual agreement with their employer through the collective 
          bargaining process.  The bill was vetoed by Governor 
          Schwarzenegger.  His veto statement read:

            "This bill would amend Labor Code section 4850 to provide 
            that an injured employee and his or her employer may 
            mutually agree to extend the employee's leave of absence 
            without loss of salary in lieu of temporary disability 
            payments or maintenance allowance payments beyond the one 
            year period of disability."

           FISCAL EFFECT :    Appropriation:  No   Fiscal Com.:  No   
          Local:  No

          According to the Senate Appropriations Committee:


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                         Fiscal Impact (in thousands)

           Major Provisions      2011-12     2012-13     2013-14     Fund  

          Workers' compensation         Unknown likely significant 
          costs                         General/
          disability payments              beginning January 2014   
                                        Special*
          extension               
                                           
          * 55 percent General Fund, 45 percent special funds.  The 
          maximum cost per claim beginning 2012 would be $137 over 
          current law (136 weeks x $1,010.50 week)

           SUPPORT  :   (Verified  8/30/11)

          California Applicants' Attorneys Association (source)
          California Labor Federation, AFL-CIO

           OPPOSITION  :    (Verified  8/31/11)

          Acclamation Insurance Management Services
          Allied Managed Care
          Alpha Fund
          Office of Mayor Antonio R. Villaraigosa, City of Los 
          Angeles
          California Association of Joint Powers Authorities
          California Special Districts Association
          California Coalition on Workers Compensation

           ARGUMENTS IN SUPPORT  :    Proponents note that since the 
          passage of former Governor Schwarzenegger's workers' 
          compensation reforms in 
          SB 899 (Poochigian), Chapter 34, Statutes of 2004, 
          temporary disability benefit awards and durations have 
          decreased significantly, placing the livelihood and family 
          life of injured workers in significant jeopardy.  

          Proponents note that the lack of temporary disability 
          benefits is particularly difficult for seriously injured 
          workers who have not been cured within a two year period.  
          These injured workers, according to the proponents, are 
          left without few options are frequently must rely on 
          California's safety net, shifting costs to state and local 

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          governments that are more appropriately absorbed by the 
          workers' compensation system.

           ARGUMENTS IN OPPOSITION  :    Opponents argue that the 104 
          week cap was one of the major reforms that have helped 
          control workers' compensation costs.  Opponents also argue 
          that extending the duration of temporary disability 
          benefits does little to improve medical treatment, but 
          rather causes cases to be delayed, with negative 
          implications for both injured workers and employers.  
          Opponents also believe that the language of this bill is 
          too open-ended and would allow any physician to extend 
          temporary disability benefits in most cases.  In 
          particular, the California Association of Joint Powers 
          Authorities suggests that a study be conducted to determine 
          whether there are cases that require extended temporary 
          disability, and to identify those types of cases. 
           

           ASSEMBLY FLOOR  :  46-26, 5/12/11
          AYES:  Alejo, Allen, Ammiano, Atkins, Beall, Block, 
            Blumenfield, Bonilla, Bradford, Brownley, Butler, Charles 
            Calderon, Campos, Carter, Chesbro, Davis, Dickinson, Eng, 
            Feuer, Fong, Fuentes, Furutani, Galgiani, Gatto, Hall, 
            Hayashi, Roger Hernández, Hill, Huber, Hueso, Huffman, 
            Lara, Bonnie Lowenthal, Ma, Mendoza, Mitchell, Monning, 
            Pan, V. Manuel Pérez, Skinner, Solorio, Swanson, 
            Wieckowski, Williams, Yamada, John A. Pérez
          NOES:  Achadjian, Bill Berryhill, Conway, Cook, Donnelly, 
            Fletcher, Beth Gaines, Grove, Hagman, Halderman, Harkey, 
            Jeffries, Jones, Knight, Logue, Mansoor, Miller, Morrell, 
            Nestande, Nielsen, Norby, Olsen, Silva, Smyth, Valadao, 
            Wagner
          NO VOTE RECORDED:  Buchanan, Cedillo, Garrick, Gordon, 
            Gorell, Perea, Portantino, Torres


          PQ:kc  9/6/11   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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