BILL ANALYSIS                                                                                                                                                                                                    �



                                                                            



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                                    THIRD READING


          Bill No:  AB 373
          Author:   Mullin (D)
          Amended:  3/19/13 in Assembly
          Vote:     21

           
           SENATE PUBLIC EMPLOYMENT & RETIREMENT COMM.  :  4-0, 6/10/13
          AYES:  Beall, Block, Gaines, Yee
          NO VOTE RECORDED:  Walters

           SENATE APPROPRIATIONS COMMITTEE  :  7-0, 6/24/13
          AYES:  De Le�n, Walters, Gaines, Hill, Lara, Padilla, Steinberg

           ASSEMBLY FLOOR  :  48-26, 4/25/13 - See last page for vote


           SUBJECT  :    Public Employees Long-Term Care Act

           SOURCE  :     California Public Employees Retirement System Board  
          of
                      Administration


           DIGEST  :    This bill expands enrollment eligibility criteria for  
          the California Public Employees Retirement System (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 also provides 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.

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           ANALYSIS  :    

          Existing law:

          1.Authorizes 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.

          2.Requires program participants to pay the full cost of premiums  
            for the CalPERS LTC insurance plan.

          This bill:

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

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

          3.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.

          4.Clarifies that eligibility criteria are subject to federal law  
            governing the federal tax exempt qualification of the LTC  
            program.

           Comments
           
           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, according to the Senate Public Employment and  
          Retirement Committee analysis, 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  

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          provisions.

           LTC Program Premium Issue  .  According to the Senate Public  
          Employment and Retirement Committee analysis, 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, this bill is part of CalPERS'  
          Stabilization and Open Application Period Project, 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 overall risk.

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

          According to the Senate Appropriations Committee:

                 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.

           SUPPORT  :   (Verified  6/24/13)

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

           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."

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          "[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."

           ASSEMBLY FLOOR  :  48-26, 4/25/13
          AYES:  Achadjian, Alejo, Ammiano, Atkins, Bloom, Blumenfield,  
            Bocanegra, Bonilla, Bonta, Bradford, Brown, Buchanan, Ian  
            Calderon, Campos, Chau, Cooley, Daly, Dickinson, Eggman, Fong,  
            Fox, Frazier, Garcia, Gatto, Gomez, Gordon, Hall, Roger  
            Hern�ndez, Holden, Jones-Sawyer, Medina, Mitchell, Mullin,  
            Muratsuchi, Pan, Perea, V. Manuel P�rez, Quirk, Rendon,  
            Skinner, Stone, Ting, Torres, Weber, Wieckowski, Williams,  
            Yamada, John A. P�rez
          NOES:  Allen, Bigelow, Ch�vez, Conway, Dahle, Donnelly, Beth  
            Gaines, Gorell, Grove, Hagman, Harkey, Jones, Levine, Linder,  
            Logue, Maienschein, Mansoor, Melendez, Morrell, Nestande,  
            Olsen, Patterson, Quirk-Silva, Wagner, Waldron, Wilk
          NO VOTE RECORDED:  Chesbro, Gray, Lowenthal, Nazarian, Salas,  
            Vacancy


          JL:nl  6/25/13   Senate Floor Analyses 

                           SUPPORT/OPPOSITION:  SEE ABOVE

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