BILL ANALYSIS                                                                                                                                                                                                    �






          SENATE PUBLIC EMPLOYMENT & RETIREMENT    BILL NO:  AB 373
          Jim Beall, Chair             HEARING DATE:  June 10, 2013
          AB 373 (Mullin)    as amended   3/19/13      FISCAL:  YES

           PUBLIC EMPLOYEES:  LONG-TERM CARE ELIGIBILTY
           
           HISTORY  :

            Sponsor:  California Public Employees' Retirement System  
            (CalPERS)

            Other legislation: AB 1908 (Cohn),
                           Chapter 871, Statutes of 2002
                           AB 824 (Cohn),
                           Chapter 185, Statutes of 2001

           ASSEMBLY VOTES  :

            PER & SS                 5-2       4/10/13
            Appropriations           12-5      4/17/13
            Assembly Floor           48-26     4/25/13
           
          SUMMARY  :

          AB 373 would expand enrollment eligibility criteria for the  
          CalPERS Long-Term Care (LTC) program to include, subject to  
          federal law, the adult children and domestic partners of  
          CalPERS members and annuitants.  This bill would also provide  
          the CalPERS Board authority to expand eligibility to all  
          classes of persons who meet specified requirements, including  
          applicable federal law that governs eligibility for a  
          federally qualified state long-term care plan.

           BACKGROUND AND ANALYSIS  :
          
          1)   Existing law  :

            a)  authorizes the California Public Employees' Retirement  
              System (CalPERS) to offer, on a voluntary basis,  
              long-term care insurance coverage to all California  
              public employees, their spouses, parents, parents-in-law  
              and siblings.

          Glenn A. Miles
          Date:  May 29, 2013                                     Page  
          1









            b)  requires program participants to pay the full cost of  
              premiums for the CalPERS long-term care insurance plan.

          2)   This bill  :

            a)  expands the classes of persons eligible to enroll in  
              the LTC program to include the adult children and  
              domestic partners of California public employees.

            b)  defines, for purposes of the LTC program, adult  
              children, domestic partners, and spouses, respectively,  
              as:  1) children who are at least 18 years of age; 2)  
              adults in a domestic partnership as defined under  
              California law; and 3) parties in a marital relationship  
              as recognized under federal law.

            c)  provides authority to the Board to further expand  
              enrollment eligibility for the LTC program to all classes  
              of person who meet criteria established under state and  
              federal law governing eligibility for federally qualified  
              state long-term care plans.

            d)  clarifies that eligibility criteria are subject to  
              federal law governing the federal tax exempt  
              qualification of the LTC program.

           FISCAL: 

          According to the Assembly Appropriations Committee, AB 373  
          would result in negligible fiscal impact to CalPERS.

           COMMENTS :
          
          1)  Eligibility of Domestic Partners and Same-sex Spouses
           
          Currently, federal law governing the tax qualification of  
          state operated LTC plans does not recognize domestic partners  
          or same-sex spouses as persons eligible to enroll in the LTC  
          program.  However, upon a change in federal law, domestic  
          partners and same-sex spouses would automatically become  
          eligible to enroll in the CalPERS LTC program under this  
          bill's provisions.  
           
          Glenn A. Miles
          Date:  May 29, 2013                                     Page  
          2









          2)  LTC Program Premium Issue
           
          The LTC program has experienced significant premium increases  
          due to several factors including prior mispricing of risk  
          during the program's start-up phase, higher benefit  
          utilization by participants than anticipated, higher price  
          inflation for benefits provided, lower investment return due  
          to the financial crisis, and, most recently, a reallocation  
          of the LTC fund portfolio to more conservative assets with a  
          lower expected investment return.

          According to CalPERS, AB 373 is part of CalPERS'  
          Stabilization and Open Application Period Project (SOAPP), a  
          multi-part strategy to stabilize and sustain the LTC program  
          by redesigning the LTC benefit structure, improving the  
          underwriting criteria, reopening the LTC program to new  
          enrollments, and attracting new and younger participants into  
          the LTC insurance pool to lower the pool's risk overall.

          3)  Arguments in Support  :

          According to the sponsor, by "expanding eligibility to add  
          additional and possibly younger policy holders to the risk  
          pool, [AB 373] will help improve the sustainability of this  
          Program."

          "[The bill] would add adult children to the list of those  
          eligible for the CalPERS Long-term Care Program.  It would  
          also expand eligibility to other individuals that may be  
          permitted to participate in a federally qualified State  
          maintained long-term care plan in the future, such as  
          same-sex spouses and registered domestic partners."

          Furthermore, the sponsor notes that the LTC program "?is a  
          voluntary, self-funded program that is entirely funded by  
          member premiums and is not an employer-paid benefit.  After  
          recent Board actions to stabilize the CalPERS Long-term Care  
          Program and reopen enrollment to new participants, expanding  
          eligibility to add additional and possibly younger policy  
          holders to the risk pool, will help improve the  
          sustainability of this Program."

          4)   SUPPORT  :
          Glenn A. Miles
          Date:  May 29, 2013                                     Page  
          3










            California Public Employees' Retirement System Board of  
             Administration (CalPERS),     Sponsor
            American Federation of State, County and Municipal  
            Employees (AFSCME), ALF-CIO
            California School Employees Association (CSEA)
            California Medical Association (CMA)

          5)   OPPOSITION  :

            None to date




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          Glenn A. Miles
          Date:  May 29, 2013                                     Page  
          4