BILL ANALYSIS Ó SENATE COMMITTEE ON HEALTH Senator Ed Hernandez, O.D., Chair BILL NO: SB 1100 --------------------------------------------------------------- |AUTHOR: |Monning | |---------------+-----------------------------------------------| |VERSION: |April 11, 2016 | --------------------------------------------------------------- --------------------------------------------------------------- |HEARING DATE: |April 20, 2016 | | | --------------------------------------------------------------- --------------------------------------------------------------- |CONSULTANT: |Vince Marchand | --------------------------------------------------------------- SUBJECT : Worker occupational safety and health training and education program SUMMARY : Expands the duties of the worker occupational safety and health training and education program to include collaboration with the Occupational Health Branch of the Department of Public Health, as well as with the University of California occupational health centers, in order to increase coordination between occupational health centers and clinics, and to provide training with the goal of preventing occupational injuries suffered by the most vulnerable workers. Existing law: 1)Establishes the Commission on Health and Safety and Workers' Compensation (CHSWC), composed of eight voting members, as specified. Requires the Commission to establish a worker occupational safety and health training and education program (WOSHTEP). Levies fees on workers' compensation insurers to fund this purpose, not to exceed $100 or 0.0286% of paid workers' compensation indemnity amounts for claims for the previous calendar year. 2)Requires CHSWC to establish an advisory board for WOSHTEP to guide the development of curricula, teaching methods, and specific course material about occupational safety and health. 3)Requires WOSHTEP to include the development and provision of a core curriculum addressing competencies for effective participation in workplace injury and illness prevention programs, and to develop additional training programs as specified. 4)Requires WOSHTEP to operate one or more libraries and SB 1100 (Monning) Page 2 of ? distribution systems of occupational safety and health training material, and to annually prepare a written report evaluating the use and impact of programs developed. 5)Requires the Department of Industrial Relations (DIR) to develop a long range program for expanding the resources of the State of California in the area of occupational health and medicine, and requires this program to include a contractual agreement with the University of California for the creation of occupational health centers affiliated with regional schools of medicine serving the northern and southern parts of the state. Requires the primary function of these occupational health centers to be the training of occupational physicians and nurses, toxicologists, epidemiologists, and industrial hygienists, and to serve as referral centers for occupational illnesses. 6)Requires the Department of Public Health (DPH) to maintain a program on occupational health and occupational disease prevention, including investigations into the causes of morbidity and mortality from work-induced diseases, development of recommendations for improved control of work-induced diseases, maintenance of a thorough knowledge of the effects of industrial chemicals and work practices on the health of California workers, the provision of technical assistance in matters of occupational health to DIR and other governmental and nongovernmental agencies, organizations and private individuals. This bill: 1)Enacts the "Dr. Julia Quint Program for Research and Prevention of Occupational Injuries and Illnesses," and states that the intent is to establish a California occupational research agenda, increase coordination between community occupational health clinics and the centers for occupational and environmental health, and provide training with the goals of preventing occupational injuries suffered by the most vulnerable workers, including non-English speakers working in high-risk occupations, and reducing the consequences and costs of those injuries through early intervention with appropriate care. 2)Expands the stated purpose of WOSHTEP, which is established by existing law, to include increasing the number of, and continued capacity of, nonprofit provider organizations, SB 1100 (Monning) Page 3 of ? including labor-management cooperation committees, joint labor-management apprentice programs, labor unions, community or faith-based organizations that focus on vulnerable workers, and state government-supported postsecondary education institutions. 3)Requires WOSHTEP, in addition to its current duties and functions, to work in collaboration with the Occupational Health Branch of DPH to develop and implement a California occupational research agenda focused on the prevention of occupational injuries and illnesses that are most prevalent, serious, and costly for California employers and employees. 4)Requires WOSHTEP, in addition to its current duties and functions, to work in collaboration with the University of California occupational health centers affiliated with regional schools of medicine to increase coordination and collaboration, including providing training to community-based health clinics that serve vulnerable workers, including non-English Speakers, working in high-risk occupations. 5)Requires the WOSHTEP advisory board, which is established by existing law, to include employer and worker representatives and experts in occupational safety and health. FISCAL EFFECT : This bill has not been analyzed by a fiscal committee. COMMENTS : 1)Author's statement. According to the author, while authoring SB 193 (Chapter 830, Statutes of 2014), it was revealed how employees who were exposed to the chemical Diacytil and seeking treatment for the adverse effects to their lungs at the community clinics paid a tremendous price with their health because the physicians were not asking questions about their workplaces to make a connection to the chemical. By increasing outreach and training to the community clinics, both workers and employers can be better protected from the devastating workers' compensation outcomes. By increasing the scope of reach of WOSHTEP beyond education to include research and training for the community clinics, it will provide a comprehensive outreach program to better protect workers and workplaces. 2)Data on workplace injuries in California. According to DIR, in SB 1100 (Monning) Page 4 of ? 2014 (the most recent data available), there were a total of 460,000 reportable injury and illness cases, of which 265,000 cases involved lost work-time. This represented the lowest incidence of nonfatal occupational injuries in 13 years. However, DIR noted in its report on the 2014 data that Latino workers continue to experience the highest incidence of occupational injuries, comprising 59% of all reported days away from work cases. In construction, manufacturing, mining and natural resources, three out of four workers injured on the job are Latino. Additionally, in private industry, new hires and young workers have higher rates of injury, where one out of four injured workers had been on the job for less than a year. Teenagers from 16 to 19 years of age suffered the highest incidence of days away from work due to injury compared to all other age groups. 3)Background on WOSHTEP. CHSWC is a joint labor-management body that was created by the workers' compensation reform legislation of 1993, charged with examining the health and safety and workers' compensation systems in California and of the state's activities to prevent industrial injuries and occupational illnesses. In 2002, additional workers' compensation reform legislation established WOSHTEP, to be administered by CHSWC, to sponsor workplace health and safety training programs. WOSHTEP is operated through interagency agreements with the Labor Occupational Health Program at the University of California at Berkeley, serving Northern California, the Western Center for Agricultural Health and Safety at the University of California at Davis, serving California's Central Valley, and the Labor Occupational Safety and Health Program at the University of California, Los Angeles, serving Southern California. According to CHSWC, WOSHTEP places special emphasis on reaching employers and workers in industries with significant injuries, illnesses and workers' compensation cost, and that focus is also on groups with special needs, such as those who do not speak English as their first language, workers with limited literacy, young workers, and other traditionally underserved industries or groups of workers. 4)Occupational Health Branch of DPH. The Occupational Health Branch is a non-regulatory program in DPH devoted to improving worker health and safety through prevention activities. Specifically, the Occupational Health Branch operates the following programs: the Hazard Evaluation System and SB 1100 (Monning) Page 5 of ? Information Service (HESIS), which evaluates hazards to provide information and technical assistance on new or unappreciated hazards; the Occupational Health Surveillance and Evaluation Program, which conducts research on work-related illness, injury and death in California to understand the causes and identify preventive measures; the Occupational Lead Poisoning Prevention Program; which provides information and assistance to identify lead hazards and prevent work-related lead poisoning; and, the California Safe Cosmetics Program, to collect and provide information on hazardous ingredients in cosmetic products sold in California. 5)Who is Dr. Julia Quint? This bill is entitled the "Dr. Julia Quint Program for Research and Prevention of Occupational Injuries and Illnesses." Dr. Quint was a public health scientist and toxicologist from the San Francisco Bay area who died in 2015. Dr. Quint devoted her career to protecting workers, communities and the environment, with an emphasis on occupational health. She retired from DPH as Chief of the Hazard Evaluation System and Information Service. Prior to joining DPH in 1981, she worked as a research scientist at UC San Francisco and the Lawrence Berkeley Laboratory. She served on the World Trade Center Scientific and Technical Advisory Committee for the National Institute for Occupational Safety and Health. From 2009-2011, Dr. Quint served on the National Academy of Sciences Committee on Health Impact Assessment, which was focused on improving health in the United States using Health Impact Assessments as a tool to achieve that goal. Dr. Quint earned her PhD in Biochemistry from the University of Southern California. 6)Double referral. This bill was heard in the Senate Labor and Industrial Relations Committee on April 6, 2016, and passed with a 5-0 vote. 7)Related legislation. SB 1420 (Mendoza) would require all licensed caregivers for children to complete a one-time training on occupational health and safety risks specific to the child care profession and how to identify and avoid those risks. This bill also requires State Department of Education (SDE) to develop the curriculum for the training, in consultation with DPH, and to contract with a specified entity to provide the training, provides for compensation for caregivers attending the training. SB 1420 is also set for hearing on April 20, 2016 in this Committee. SB 1100 (Monning) Page 6 of ? 8)Prior legislation. SB 193 (Monning of 2014), Required, except as specified, chemical manufacturers, formulators, suppliers, distributors, importers, and their agents to provide to HESIS the names and addresses of their customers who have purchased specified chemicals or commercial products containing those chemicals, and certain other information related to those shipments, upon written request of HESIS, for every product the final destination of which may be a place of employment in California. AB 749 (Calderon, Chapter 6, Statutes of 2002), increased workers' compensation benefits and implemented cost-saving reforms in the administration of the workers' compensation system. AB 749 also established an occupational safety and health training center and created a job safety education program. 9)Support. This bill is supported by the California Immigrant Policy Center (CIPC), which states that occupational injury and illness take a significant toll in California, both in terms of health impacts and costs. CIPC states that this bill will provide a cost effective, focused, and modest expansion of funding for programs that will save both California workers and their families from the economic ravages of work-related injuries. The California Labor Federation states that no comprehensive California-focused research agenda exists to prevent injury and illnesses, and that when workers are injured, those who are treated in community clinics may not be linked to medical providers with specialized expertise in work-related injuries. The director of the University of California, Davis Agricultural Ergonomics Research Center states that the partnership between the DPH and DIR will be critical in the implementation of a broad and visionary occupational health research agenda. The Labor and Employment Committee of the National Lawyers Guild states that this bill can bring together the existing statewide network of trainers developed by WOSHTEP and engage them with experts and government to identify priorities for research and improved treatment. The San Francisco Bay Area Chapter of Physicians for Social Responsibility supports an expanded role for DPH in conducting occupational health surveillance and data analyses, and looks forward to providing input along with other stakeholders in the establishment and implementation of a California occupational research agenda. SB 1100 (Monning) Page 7 of ? SUPPORT AND OPPOSITION : Support: California Immigrant Policy Center California Labor Federation California Rural Legal Assistance Foundation Consumer Attorneys of California Los Angeles County Professional Peace Officers Association National Employment Law Project National Lawyers Guild Labor and Employment Committee Physicians for Social Responsibility, San Francisco Bay Area Chapter State Building and Construction Trades Council, AFL-CIO United Steelworkers Union Local 5 Worksafe Several individuals Oppose: None received -- END --