BILL ANALYSIS                                                                                                                                                                                                    Ó




                   Senate Appropriations Committee Fiscal Summary
                            Senator Kevin de León, Chair


          AB 1373 (Perez, J) - Workers Compensation: Firefighters and  
          Peace Officers
          
          Amended: July 1, 2013           Policy Vote: L&IR 4-0
          Urgency: No                     Mandate: No
          Hearing Date: August 19, 2013                           
          Consultant: Robert Ingenito     
          
          This bill meets the criteria for referral to the Suspense File.


          Bill Summary: AB 1373 would double the time frame to request  
          death benefits for firefighters and peace officers, from 240  
          weeks to 480 weeks from the date of injury, if specified  
          criteria are met.

          Fiscal Impact: There would be an increase in workers'  
          compensation costs for 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  
          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.









          AB 1373 (John Perez)
          Page 1


          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 surviving  
          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 480 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.

          Related Legislation: AB 2451 (Perez) 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 2451 is identical to AB  
          1373, and was vetoed by the Governor.  In his veto message, the  
          Governor cited the bill's fiscal impacts and the lack of data. 
          
          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  
          of state money. Thus, even though AB 1373 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. 








          AB 1373 (John Perez)
          Page 2



          Current state law refers to peace officers/firefighters in at  
          least 57 civil service position classifications across 22 state  
          departments. AB 1373 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 timeframe between  
          date of injury and death would likely not exceed the 240 weeks  
          in current law.