BILL ANALYSIS Ó Senate Committee on Labor and Industrial Relations Senator Ben Hueso, Chair Date of Hearing: June 11, 2014 2013-2014 Regular Session Consultant: Gideon L. Baum Fiscal:Yes Urgency: No Bill No: AB 1746 Author: Alejo As Introduced/Amended: March 20, 2014 SUBJECT Workers' compensation: proceedings: expedited hearings. KEY ISSUE Should the Legislature require that issues relating to whether an injured worker suffered injury while employed by an illegally uninsured employer be resolved at an expedited hearing before the Workers' Compensation Appeals Board (WCAB)? ANALYSIS Existing law establishes a workers' compensation system that provides benefits to an employee who suffers from an injury or illness that arises out of and in the course of employment, irrespective of fault. This system requires all employers to secure payment of benefits by either securing the consent of the Department of Industrial Relations to self-insure or by securing insurance against liability from an insurance company duly authorized by the state. Existing law provides that medical, surgical, chiropractic, acupuncture, and hospital treatment, including nursing, medicines, medical and surgical supplies, crutches, and apparatuses, including orthotic and prosthetic devices and services, that is reasonably required to cure or relieve the injured worker from the effects of his or her injury shall be provided by the employer. (Labor Code §4600) Existing law provides that, if an employer fails to pay the compensation to an injured worker, the award, upon application by the injured worker or his or her beneficiaries, the compensation must be paid by the director from the Uninsured Employers Benefits Trust Fund (UEBTF). The UEBTF is funded through surcharges on workers' compensation insurance policies. (Labor Code §3716) Existing law provides that, if an award is issued from the UEBTF, the amount of the award constitutes a liquidated damage against the illegally uninsured employer, which may be pursued by the director the Department of Industrial Relations in the Superior Court of any county. (Labor Code §§ 3717 and 5806) Existing law requires the administrative director of the Division of Workers' Compensation (DWC) to create a priority conference calendar for cases where the injured worker is represented by an attorney and the issues in dispute are employment or injury arising out of employment or in the course of employment. The conference must be conducted by a workers' compensation administrative law judge within 30 days after the declaration of readiness to proceed. (Labor Code §5502) This bill would require the administrative director to include injured workers who are or were employed by an illegally uninsured employer on the priority conference calendar when the issues in dispute are employment or injury arising out of employment or in the course of employment. COMMENTS 1. The Underground Economy and AB 1746: The State of California faces significant challenges from the underground economy, which is defined by the Employment Development Department as individuals and businesses that deal in cash and/or use other schemes to conceal their activities and their true tax liability from government licensing, Hearing Date: June 11, 2013 AB 1746 Consultant: Gideon L. Baum Page 2 Senate Committee on Labor and Industrial Relations regulatory, and taxing agencies. Nowhere is this challenge more difficult than in the enforcement of California's workers' compensation system. Illegally uninsured employers have an advantage over insured employers as they have lower costs, and these uninsured employers' failure to secure insurance leads to higher premium costs in their industries. Adding insult to injury, while existing law allows for an injured worker to pursue his or her claims against an uninsured employer through the WCAB, the uninsured employer may not be able to pay the full claim. In that situation, the injured worker's rightful compensation comes from the UEBTF, which is funded by employers who legally procure insurance. In short, an employer who follows the law faces unfair competitive disadvantages and higher premiums due to scofflaw employers, and indirectly must pay for the conduct of the scofflaw employers through the UEBTF. AB 1746 would provide expedited hearings for workers who claim to have been injured in the course of or arising out of employment with an uninsured employer. Such an expedited hearing process would allow for an expedited resolution for an aggrieved employee, quickly identify an illegally uninsured employer or employers, and allow the UEBTF and/or the director to take appropriate action. 2. Proponent Arguments : Proponents argue that AB 1746 is a necessary reform that will help some of the most vulnerable injured workers and assist California in its fight against the underground economy. Specifically, proponents argue that injured workers who work for illegally uninsured employers do not have the same access to medical care, as insurers are required by law to provide medical benefits in a timely manner with a significant pool of medical providers. As injured workers who work or worked for an illegally uninsured employer have none of these protections, AB 1746 will ensure that they receive an expedited hearing so that they can quickly receive the medical care they need. Additionally, proponents note that AB 1746 allow for the rapid identification of illegally uninsured employers, giving California another important tool in the Hearing Date: June 11, 2013 AB 1746 Consultant: Gideon L. Baum Page 3 Senate Committee on Labor and Industrial Relations fight against the underground economy. 3. Opponent Arguments : None on file. 4. Prior Legislation : AB 576 (Perez), Statutes of 2013, Chapter 614, creates a multiagency team consisting of the Franchise Tax Board, Department of Justice, State Board of Equalization, and Employment Development Department, known as the Revenue Recovery and Collaborative Enforcement Team, to collaborate in combating criminal tax evasion associated with the underground economy. SUPPORT American Federation of State, County and Municipal Employees, AFL-CIO Association of California Healthcare Districts California Chamber of Commerce California Coalition on Workers' Compensation California Labor Federation, AFL-CIO California Professional Firefighters Pacific Compensation Insurance Company Rural County Representatives of California Salud Para La Gente The California Applicant Attorneys Association Watsonville Law Center Worksafe OPPOSITION None on file. Hearing Date: June 11, 2013 AB 1746 Consultant: Gideon L. Baum Page 4 Senate Committee on Labor and Industrial Relations