BILL ANALYSIS                                                                                                                                                                                                    Ó



          SENATE COMMITTEE ON APPROPRIATIONS
                             Senator Ricardo Lara, Chair
                            2015 - 2016  Regular  Session

          SB 667 (Jackson) - Disability insurance:  eligibility:  waiting  
          period
          
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          |Version: April 6, 2015          |Policy Vote: L. & I.R. 5 - 0    |
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          |Urgency: No                     |Mandate: No                     |
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          |Hearing Date: May 4, 2015       |Consultant: Robert Ingenito     |
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          This bill does not meet the criteria for referral to the  
          Suspense File.




          


          Bill  
          Summary: SB 667 would (1) waive the 7-day waiting period for an  
          individual who has already served the 7-day waiting period for  
          the initial claim when that person files a subsequent claim for  
          disability benefits for the same or a related condition within  
          60 days after the initial disability benefit period, and (2)  
          require the Employment Development Department (EDD) to submit a  
          report regarding the effect of the modified waiting period to  
          the Legislature by January 1, 2020, as specified.


          Fiscal  
          Impact:  EDD indicates that it would incur one-time costs of  







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          about $57,000 (Disability Insurance Fund) to implement the  
          provisions of the bill.


          Background:  Under current state law, the State Disability Insurance (SDI)  
          program provides short-term disability insurance (DI) and paid  
          family leave (PFL) benefits to eligible workers temporarily  
          unable to work due to non-work related illness or injury,  
          pregnancy, or childbirth.  Individuals may also be eligible for  
          PFL to care for a seriously ill family member or to bond with a  
          new child. The SDI program is administered by EDD, and is a  
          state-mandated partial wage-replacement insurance plan funded  
          through employee payroll deductions. Eligible individuals can  
          receive disability benefits equal to one-seventh of their weekly  
          benefit amount for each full day during which they are  
          unemployed due to a disability if the director of EDD makes  
          specified findings, including that (1) they have made a claim  
          for disability benefits as required by authorized regulations,  
          and (2) they have been unemployed and disabled for a waiting  
          period of 7-consecutive days during each disability benefit  
          period. During this 7-day waiting period, no disability benefits  
          are payable. 
          Current law defines "disability benefit period" as the  
          continuous period of unemployment and disability beginning with  
          the first day for which the individual files a valid claim for  
          disability benefits, and provides that if an individual receives  
          two consecutive periods of disability due to the same or related  
          cause or condition and separated by a period of not more than 14  
          days, then they are considered as one disability benefit period.




          Proposed Law:  
           This bill would change the current definition of a continuous  
          period of disability for State Disability Insurance (SDI)  
          benefit purposes.  Currently, two consecutive periods of  
          disability due to the same or related cause or condition and  
          separated by a period of not more than 14 days are considered to  
          be one disability benefit period.  If an individual takes a  
          disability leave, goes back to work for more than 14 days, and  
          then goes back out on a disability leave for the same condition,  
          that leave would be considered a new SDI claim and the claimant  
          must serve another unpaid seven-day waiting period.  This bill  








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          would increase the 14-day requirement to 60 days.  The bill  
          would also require the director to submit a report regarding the  
          effect of the modified waiting period to the Legislature by  
          January 1, 2020.


          Staff  
          Comments:  EDD indicates that expanding the 14-day requirement  
          would have a minor impact to the DI Fund. While it is unknown  
          how many additional claims might be eligible for payment if the  
          recovery period were expanded, a review of the claimants who  
          file multiple claims in the same year for the same condition  
          revealed a very small amount of claimants filing multiple  
          initial claims for the same condition. 


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