BILL ANALYSIS Ó SENATE COMMITTEE ON APPROPRIATIONS Senator Ricardo Lara, Chair 2015 - 2016 Regular Session SB 667 (Jackson) - Disability insurance: eligibility: waiting period ----------------------------------------------------------------- | | | | | | ----------------------------------------------------------------- |--------------------------------+--------------------------------| | | | |Version: April 6, 2015 |Policy Vote: L. & I.R. 5 - 0 | | | | |--------------------------------+--------------------------------| | | | |Urgency: No |Mandate: No | | | | |--------------------------------+--------------------------------| | | | |Hearing Date: May 4, 2015 |Consultant: Robert Ingenito | | | | ----------------------------------------------------------------- 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 SB 667 (Jackson) Page 1 of ? 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 SB 667 (Jackson) Page 2 of ? 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. -- END --