BILL ANALYSIS                                                                                                                                                                                                    Ó




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de León, Chair


          AB 1035 (J. Perez) - Workers' Compensation: Firefighters and  
          Peace Officers
          
          Amended: March 27, 2014 - as proposed to be amended by RN: 14  
          09444
          
                                          Policy Vote: L&IR 4-0
          Urgency: No                     Mandate: No
          Hearing Date: April 21, 2014                            
          Consultant: Robert Ingenito     
          
          This bill meets the criteria for referral to the Suspense File.


          Bill Summary: AB 1035 would extend the time frame for dependents  
          to request death benefits for firefighters and peace officers,  
          from 240 weeks to 420 weeks from the date of injury (but no more  
          than one year from the date of death), if specified criteria are  
          met.

          Fiscal Impact: This bill would result in an increase in workers'  
          compensation costs related to state employees who are  
          firefighters and peace officers, as specified. The specific  
          state departments that would be impacted are the Department of  
          Forestry and Fire Protection (CAL FIRE) and the California  
          Highway Patrol (CHP). The amount of the increase is unknown (see  
          Staff Comments).

          Background: Presumptions for peace officers and firefighters  
          have been included in workers' compensation law since 1917.   
          While their scope has grown, the fundamental idea behind each  
          presumption is similar: such injuries are intuitively likely to  
          be job related, and therefore occupational injuries compensable  
          in the workers' compensation system, but are difficult for the  
          employee to prove. 

          Current law requires, with certain exceptions, that the  
          collection of workers' compensation death benefits must be  
          commenced one year from (1) the date of death where death occurs  










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          within one year from date of injury; or (2) the date of last  
          furnishing of any benefits where death occurs more than one year  
          from the date of injury; or (3) the date of death, where death  
          occurs more than one year after the date of injury and  
          compensation benefits have been furnished. No such proceedings  
          may be commenced more than one year after the date of death, nor  
          more than 240 weeks from the date of injury.

          Advances in medical science are allowing patients with cancer or  
          infectious diseases to have a longer lifespan than was  
          previously the case.  The National Cancer Institute reported in  
          2011-12 that the cancer survival rate is increasing;  
          specifically, two-thirds of patients diagnosed in 2003 survived  
          five years from diagnosis.  New drug treatments are also  
          allowing Hepatitis C and HIV patients to enjoy a longer  
          lifespan.  An employee with a work-related injury of cancer,  
          tuberculosis, blood-borne infectious disease, or MRSA skin  
          infection, may not succumb to the illness until after the  
          current limit of 240 weeks (almost five years) from the date of  
          injury has elapsed, thus denying death benefits for the  
          surviving family.

          Proposed Law: This bill would increase the time frame, from a  
          maximum 240 weeks to 420 weeks from the date of injury, for  
          family members of a deceased peace officer or firefighter, as  
          specified, to file a workers' compensation death benefits claim  
          if the death of the employee resulted from any of the following:  
          (1) Cancer; (2) Tuberculosis; (3) Methicillin-resistant  
          Staphylococcusaureus (MRSA) skin infections; or (4) Bloodborne  
          infectious disease. It is not retroactive to previously  
          adjudicated or finalized claims. This provision would sunset on  
          January 1, 2019.

          Related Legislation: AB 1373 (Perez) from 2013 would have  
          allowed dependents of a firefighter or peace officer who dies of  
          certain occupational ailments to file for workers' compensation  
          death 480 weeks from the date of injury.  AB 1373 was vetoed by  
          the Governor.

          Staff Comments: The Office of the Legislative Counsel has keyed  
          this bill "non-fiscal."  However, the purview of this Committee,  
          pursuant to Joint Rule 10.5, is to review and analyze bills that  
          would, among other things, result in a substantial expenditure  









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          of state money. Thus, even though AB 1035 was keyed  
          "non-fiscal," the Committee requested the bill to examine the  
          extent to which it might potentially increase state costs. 

          Under current Appropriations Committee rules, bills are referred  
          to its suspense file if they increase costs for any state fund,  
          in any fiscal year, by specified thresholds. Those thresholds  
          are $50,000 for the General Fund, and $150,000 for most other  
          state funds. 

          Current state law refers to peace officers/firefighters in at  
          least 57 civil service position classifications across 22 state  
          departments. AB 1035 appears to be limited to peace  
          officers/firefighters in just two state departments: CAL FIRE  
          and CHP. The former is predominantly funded from the General  
          Fund, while the latter's funding comes from a special fund.

          Generally speaking, data at the state level specifically  
          quantifying death claims and related costs from employees (both  
          past and present) who have died from presumption-related  
          injuries do not exist, as state departments do not break out  
          related data to that fine of a degree. Nevertheless, available  
          data do indicate that each accepted death benefit claim adds  
          approximately $50,000 to state departments' annual workers  
          compensation expenditures. Using this statistic, it would take a  
          single claim resulting from the bill's extended timeframe to CAL  
          FIRE or three claims to CHP for costs to reach the Committee's  
          suspense file threshold. With respect to CHP, the three claims  
          need not be in a single fiscal year, as the aggregate impact of  
          one claim in each of three different years would result in costs  
          of $150,000 in one year, thus exceeding the Committee's suspense  
          threshold.

          This potential in increased costs to the State would most likely  
          result from deaths related to cancer, as medical advances allow  
          those patients to have a longer lifespan. With respect to the  
          other three causes of death identified in the bill, current  
          medical science and treatment are such that the timeframe  
          between date of injury and death is less likely to exceed the  
          240 weeks in current law.

          As noted above, in 2013 the Governor vetoed AB 1373, which was  
          substantially similar to this bill. In his veto message, the  









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          Governor cited the bill's fiscal impacts and the lack of  
          relevant data. Specifically, the Governor noted an in-process  
          review by the National Institute for Occupational Safety and  
          Health (NIOSH) of risks of death to firefighters from cancer. In  
          October 2013, NIOSH published initial results regarding  
          mortality and cancer incidence for roughly 30,000 firefighters  
          in three cities (Philadelphia, Chicago, and San Francisco) since  
          1950. Compared to the general population, the study found "small  
          to moderate increases in risk for several cancer sites and for  
          all cancers combined." The NIOSH study only focused on  
          firefighters and cancer. It did not study the impacts of the  
          other three classifications of illness included in AB 1035, nor  
          did it examine AB 1035's full population impact (which includes  
          peace officers). 

          In March 2014, the Department of Industrial Relations'  
          Commission on Health and Safety and Workers' Compensation heard  
          a presentation that attempted to quantify the costs of extending  
          the timelines for collection of workers' compensation death  
          benefits for firefighters and peace officers. This presentation  
          used the timeline proposed by AB 1373 (480 weeks) in its  
          analysis, and focused on active employees. Using these  
          parameters, it estimated an annual cost of $4.25 million to $5  
          million. Given that the timeline extension in this bill is 25  
          percent shorter than the 480 weeks contained in AB 1373,  
          assuming claims are evenly distributed over the extended  
          timeline, this presentation suggests that annual costs could  
          range between $3.2 to $3.8 million. The study does not break out  
          the data for state and local employees (firefighters and peace  
          officers), respectively; consequently, projected state costs  
          would represent a small percentage of this amount, as the number  
          of state-level employees affected by the bill would be small  
          compared to the number at the local level. Instead, the fiscal  
          impact of this bill would be felt disproportionately by local  
          jurisdictions. 

          Finally, the study concentrated on cancer claims, not the other  
          illnesses impacted by AB 1035. This suggests that the reported  
          costs could be understated if the extended timeframe in the bill  
          impacts public safety officers who contract one of the other  
          specified illnesses.











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