BILL ANALYSIS                                                                                                                                                                                                    Ó



                                                                    AB 1109


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          Date of Hearing:  April 23, 2015


                             ASSEMBLY COMMITTEE ON RULES


                                Richard Gordon, Chair


          AB 1109  
          (Wilk) - As Introduced February 27, 2015


          SUBJECT:  Legislature:  health benefits coverage.


          SUMMARY:  Limits Members of the Legislature to health benefit  
          plans available through the California Health Benefit Exchange.   
          Specifically, this bill:  


          1)Requires that the only health benefit plans available to  
            Members of the Legislature shall be health benefit plans  
            offered through the California Health Benefit Exchange. 

          2)Requires the state to reimburse a Member for the cost of  
            coverage in an amount not to exceed the amount of the state  
            employer's contribution.

          EXISTING LAW:  Proposition 112 establishes the Citizens  
          Compensation Commission (Commission) to set the salaries and  
          medical, dental, insurance and other similar benefits of Members  
          of the Legislature and the state's other elected officials.  It  
          also directs the Commission to consider specified criteria in  
          establishing salaries and benefits.


          FISCAL EFFECT:  Indeterminable, should this bill pass the Rules  
          Committee it will be referred to the Appropriations Committee  








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          for fiscal analysis.  


          COMMENTS:  According to the author, "the legislature is  
          responsible for passing the laws that govern how Covered  
          California operates and as such, how Californian's will receive  
          their benefits within the parameters of the ACA.  There is no  
          better way to understand how the Exchange is working than for  
          Legislators themselves to share in the same benefits program  
          that Californian's are required to participate in.   
          Additionally, this could lower health care costs for Legislators  
          depending on which plan they chose to enroll in, thereby saving  
          the state money in both real and administrative costs." 


          The annual salaries and medical, dental, insurance, and other  
          similar benefits of Members of the Legislature are determined by  
          the California Citizens Compensation Commission pursuant to  
          Article 3, Section 8 of the California Constitution.   
          Consequently, changing that authority would require a  
          constitutional amendment.


          The bill would require the state to reimburse the Member for the  
          cost of coverage in an amount not to exceed the state employer's  
          contribution as of December 31, 2015.  This provision is  
          problematic because it does not take into account future changes  
          to premiums or policy. This bill would lock-in contribution  
          rates as of December 31, 2015, regardless of premium increases.   
          Also, further clarification on the reimbursement may be  
          necessary; it is not clear how the reimbursement process would  
          impact administrating entities. 


          Opposition: According to Health Access California, "the  
          Legislature is a large employer with more than 50 employees:  
          employees of large employers are not eligible to participate in  
          Covered California unless their employer fails to offer them  
          coverage that is of at least 60% minimum value or that costs  








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          more than 9.5% of their income."


          Prior legislation. AB 1246 (Nestande) failed passage in this  
          Committee in the 2013-2014 session year.  


          REGISTERED SUPPORT / OPPOSITION:




          Support


          None on file




          Opposition


          Health Access California


          AFSCME California 




          Analysis Prepared by:Mukhtar Ali / RLS. / (916) 319-2800















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