BILL ANALYSIS Ó Senate Appropriations Committee Fiscal Summary Senator Kevin de León, Chair AB 373 (Mullin) - Public Employees: Long-Term Care Amended: March 19, 2013 Policy Vote: PE&R 4-0 Urgency: No Mandate: No Hearing Date: June 24, 2013 Consultant: Maureen Ortiz This bill does not meet the criteria for referral to the Suspense File. Bill Summary: AB 373 expands enrollment eligibility for the CalPERS Long-Term Care program to include the adult children, domestic partners, and same-sex spouses if permitted under the Internal Revenue Code and other applicable law, of CalPERS' members and annuitants. Fiscal Impact: Minor administrative costs to CalPERS (Special Fund). There are no state costs associated with administrative expenses as plan participants pay a surcharge to the third-party administrator to manage the program. Background: The CalPERS Long-Term Care (LTC) Program was implemented in 1995 and has over 148,000 members and approximately $3.8 billion in Long-Term Care Fund assets. The program is a voluntary, self-funded, not-for-profit program that is funded entirely by policyholder premiums and investment earnings. It is a tax-qualified plan under federal law and member benefits are exempt from federal taxation. The CalPERS LTC Program is available to all California public employees and retirees, as well as their spouses, parents, parents-in-law and adult siblings between the ages of 18 and 79. Proposed Law: AB 373 expands enrollment eligibility for the CalPERS Long-Term Care program to include the adult children, domestic partners, and same-sex spouses if permitted under the Internal Revenue Code and other applicable law, of members and AB 373 (Mullin) Page 1 annuitants of the following pension systems: CalPERS, CalSTRS, the Judges' Retirement System, the Judges' Retirement System II, the Legislators' Retirement System, as well as members of the California Assembly and Senate, and classified school employees. The bill also grants CalPERS with the authority to expand eligibility in the future to other individuals as permitted under federal law. Staff Comments: The CalPERS LTC has experienced significant premium increases lately. In fact, the board recently approved an 85 percent premium increase for certain policies bought by early purchasers, which will be applied over a two-year period starting in 2015. In 2012, the CalPERS board took numerous actions to restructure the Long-Term Care Program including approving a more conservative investment portfolio, and lowering the discount rate to 5.75 to reflect expected investment returns. Additionally, the board approved a new benefit design and pricing of a fourth generation product, and beginning in December 2013 will provide for a continuous open enrollment period. AB 373 is intended to help stabilize the program by opening it to new and younger participants. The United States Supreme Court is reviewing the Defense of Marriage Act this year which could affect Internal Revenue Code provisions governing federally-qualified long-term care plans. AB 373 will allow the CalPERS board to streamline any changes into the Long-Term Care Program.