BILL ANALYSIS                                                                                                                                                                                                    Ó



          SENATE COMMITTEE ON HEALTH
                          Senator Ed Hernandez, O.D., Chair

          BILL NO:                    SB 1100             
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          |AUTHOR:        |Monning                                        |
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          |VERSION:       |April 11, 2016                                 |
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          |HEARING DATE:  |April 20, 2016 |               |               |
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          |CONSULTANT:    |Vince Marchand                                 |
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           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  







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            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,  








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            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  








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            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  








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            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.








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          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.








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           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

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