BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   SB 942|
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                                 THIRD READING


          Bill No:  SB 942
          Author:   Migden (D)
          Amended:  5/8/07
          Vote:     21

           
           SEN. LABOR & INDUSTRIAL RELATIONS COMMITTEE  :  3-2, 4/25/07
          AYES:  Migden, Kuehl, Padilla
          NOES:  Wyland, Ackerman


           SUBJECT  :    Workers compensation

           SOURCE  :     California Labor Federation
                      California Teamsters Public Affairs Council


           DIGEST  :    This bill strengthens anti-discrimination  
          provisions of workers' compensation law relating to injured  
          workers' rights to return to work and predesignate their  
          treating physician.  The bill removes impediments to  
          eligibility for supplemental job displacement (retraining)  
          benefits.

           ANALYSIS  :    Existing law requires employers to secure the  
          payment of workers' compensation, including medical  
          treatment, for injuries incurred by their employees that  
          arise out of, or in the course of, employment.  In  
          addition, workers' compensation law:

          1.Declares that it is the policy of the state that there  
            should not be discrimination against workers who are  
            injured in the course or scope of their employment.
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          2.Specifies that an employer is guilty of a misdemeanor if  
            the employer in any manner discriminates against any  
            employee because the employee filed or made known his or  
            her intention to file a claim for compensation or an  
            application for adjudication or because the employee has  
            received a rating, award, or settlement.

          3.Provides that an employer found guilty of a misdemeanor,  
            as described, shall be required to reinstate the  
            employee, reimburse the employee for lost wages and  
            benefits, and increase the employee's compensation by  
            one-half, but in no event more than $10,000, together  
            with costs and expenses not in excess of $250.

          4.Provides that an insurer is guilty of a misdemeanor if  
            the insurer advises, directs, or threatens an insured  
            employer under penalty of cancellation or a raise in  
            premium or other reason, to discharge an employee because  
            he or she has filed or made known his or her intention to  
            file a claim for compensation or an application for  
            adjudication, or has received a rating, award, or  
            settlement.

          5.Provides that an employer, or an insurer, is guilty of a  
            misdemeanor if the employer or insurer discriminates  
            against an employee because the employee testified or  
            made known their intention to testify in another  
            employee's case before the Workers' Compensation Appeals  
            Board.

          Existing law also:

          1.Grants specified employees the right to predesignate a  
            treating physician who shall treat the employee in the  
            event of a later on-the-job (occupational) injury

          2.For injuries occurring on or after January 1, 2004, gives  
            an injured worker the right to obtain supplemental job  
            displacement benefits in the form of a non-transferable  
            voucher for education-related retraining or skill  
            enhancement at state-approved or accredited schools if  
            the injury causes permanent partial disability and the  
            injured worker does not return to work within 60 days of  







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            the termination of temporary disability.  If a worker  
            qualifies, the vouchers are distributed as follows:

             A.    Up to $4000 for permanent partial disability  
                awards of less than 15 percent.

             B.    Up to $6000 for PPD awards between 15 percent and  
                25 percent.

             C.    Up to $8000 for PPD awards between 26 percent and  
                49 percent

             D.    Up to $10,000 for PPD awards between 50 percent  
                and 99 percent.

          3.Specifies that the employer shall not be liable for  
            supplemental job displacement benefits if the employer  
            meets either of the following conditions:

             A.    Within 30 days of the termination of temporary  
                disability payments, the employer offers and the  
                employee rejects, or fails to accept, modified work  
                (as defined in L.C. 4658.1(b)] accommodating the  
                employee's work restrictions, lasting at least 12  
                months.

             B.    Within 30 days of the termination of temporary  
                disability payments, the employer offers and the  
                employee rejects, or fails to accept, alternative  
                work [as defined in L.C. 4658.1(c)] lasting at least  
                12 months.  The employee must have the ability to  
                perform the essential functions of the job provided.

          This bill:

           1.Adds a declaration that it is the policy of this state  
             that there should be no discrimination against employees  
             who attempt to exercise their rights under subdivision  
             (d) of Section 4600.  Section 4600(d) is the Labor Code  
             section granting specified employees the right to  
             predesignate their treating physician.

           2.Specifies that an employer shall reinstate an employee  
             to his or her preinjury job within five working days  







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             after receipt of a written statement by the treating  
             physician that the employee is able to perform the  
             essential functions of the employee's regular position,  
             notwithstanding the risks inherent in the position,  
             without a risk of further injury to the employee being  
             increased due to the effects of the injury or illness,  
             and where the employee is willing and available to  
             return to work.  If an employer refuses to reinstate  
             such an employee to his or her preinjury job, the  
             employer shall be required to reimburse the employee for  
             lost wages and work benefits.

           3.Specifies that no employer shall require an employee to  
             perform additional physical duties, as a condition of  
             returning to work, that the employee did not have to do  
             prior to the workplace injury, unless the additional  
             duties are reasonably required to accommodate the  
             employee's disability.  An employer shall reimburse the  
             employee for lost wages and work benefits for any time  
             the employee is unable to work due to the imposition of  
             additional physical duties that are not reasonably  
             required to accommodate the disability. 

           4.Establishes civil penalty provisions for an employer  
             that refuses to reinstate an employee in accordance with  
             the requirements of the bill in the amount of $100 per  
             day for each day in violation, and the employee shall be  
             entitled to reimbursement for lost wages and benefits.

           5.Allows the employer to object to the opinion of the  
             treating physician and to have the employee undergo an  
             evaluation by an agreed medical evaluator or qualified  
             medical evaluator, as set forth in L.C. Section 4062.   
             The employee shall continue to be entitled to  
             reimbursement for lost wages and benefits during the  
             time an employer is objecting.  The evaluation must be  
             based on an in-person physical examination.

           6.Provides that if the report of the agreed medical  
             evaluator or qualified medical evaluator states that the  
             employee is unable to perform the essential functions of  
             the employee's regular position, or is unable to do so  
             without the risk of further injury or illness to the  
             employee or the risk of injury being increased due to  







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             the effects of the injury or illness, then the employer  
             has no further obligations to pay the employee full  
             wages and benefits for any period after the date of  
             service of the report and is not liable.  The bill also  
             provides that the employee is not liable for repayment  
             of any lost wages or benefits received pursuant to this  
             section, if the agreed medical evaluator or qualified  
             medical evaluator report does not concur with the report  
             from the treating physician.

           7.Specifies that it shall be presumed that an employer has  
             discriminated against an employee if the employer denies  
             a qualified employee the right to predesignate a  
             treating physician prior to an injury or illness or if  
             the employer denies an employee the right to see that  
             predesignated physician or a medical provider to whom  
             the predesignated physician has referred the employee  
             after occupational injury or illness.

           8.Makes a technical correction assigning the appropriate  
             code reference relating to the alternative dispute  
             resolution system in the horse racing industry.

           9.With respect to supplemental job displacement benefits,  
             for injuries occurring on or after January 1, 2008, SB  
             942 changes the trigger date for eligibility from 60  
             days from the termination of temporary disability  
             payments to 60 days after the disability becomes  
             permanent and stationary, thereby allowing supplemental  
             job displacement benefits in cases where temporary  
             disability benefits ended some significant time before  
             an injured worker reached maximum medical improvement  
             (i.e., permanent and stationary condition).

          10.Provides that the supplemental job displacement benefits  
             vouchers shall be available for the uses described in  
             current law, but the amount of the voucher payable by  
             semester or quarter or other academic term into which  
             the school divides the academic year shall be prorated  
             for the academic term at a rate not to exceed $5000 per  
             year.   Total supplemental job displacement benefits  
             would be limited to $10,000.

          11.Specifies that the employer shall not be liable for  







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             supplemental job displacement benefits if the employer  
             offers the employee regular work, modified work, or  
             alternative work in the form and manner prescribed by  
             the administrative director of the Division of Workers'  
             Compensation, lasting for a period of at least 12  
             months.  Taking into account the definitions of modified  
             work and alternative work in existing L.C. Sections  
             4658.1 (b) & (c), the bill eliminates the redundant  
             language in Section 4658.6.

           Comments

          Need for the Bill  ?  What evidence is there that injured  
          workers are being refused the right to return to work after  
          receiving a doctor's clearance?

          What evidence exists that injured workers are being denied  
          their rights with respect to predesignation of a treating  
          physician?

          With respect to these two issues, the author and the  
          supporters believe this bill supports the important  
          principles of the injured workers rights to return to work  
          and to predesignate.  In addition, this bill is said to be  
          a preventative measure - that strengthening  
          anti-discrimination measures and attaching fines to  
          violations will deter potential discrimination.  There have  
          been no studies known to the staff of the committee  
          documenting the incidence of the two forms of  
          discrimination as described in the bill.  However, the  
          committee and sponsors have received anecdotal reports of  
          this discrimination.

          What evidence is there that the eligibility window for the  
          Supplemental Job Displacement Benefits training vouchers  
          needs to be changed?

          The Commission on Health and Safety and Workers'  
          Compensation (CHSWC) has reported to the committee that  
          they have conducted a series of round-table discussions on  
          this matter.  CHSWC states that employer, injured worker,  
          and insurance company representatives agreed in these  
          meetings that the current trigger for eligibility for  
          supplemental job displacement benefits, allowing  







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          eligibility when the injured worker does not return to work  
          within 60 days of the termination of temporary disability,  
          effectively deprives some injured workers of the right to  
          retraining benefits who should not be so deprived.  It may  
          be apparent that (1) an injured worker is not going to be  
          able to return to the previous job sometime before the  
          termination of TD, and/or (2) with the most serious  
          injuries, the two-year limit on TD may cause a worker to  
          pass the deadline for SJDB before his or her condition has  
          reached maximum medical improvement (i.e., permanent and  
          stationary).

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  No    
          Local:  No

           SUPPORT  :   (Verified  5/9/07)

          California Labor Federation, AFL-CIO (co-source)
          California Teamsters Public Affairs Council (co-source)
          American Federation of State, County and Municipal  
          Employees, AFL-CIO
          California Applicants' Attorneys Association 
          California Conference Board of the Amalgamated Transit  
          Union
          California Conference of Machinists
          California Federation of Teachers
          California Professional Firefighters 
          California School Employees Association, AFL-CIO
          California State Employees Association 
          Engineers and Scientists of California
          International Association of Fire Fighters
          International Longshore and Warehouse Union
          Peace Officers Research Association of California 
          Professional and Technical Engineers Local 21, 
          Service Employees International Union 
          Strategic Committee of Public Employees, Laborers'  
            International Union of N. America
          UNITE HERE! 
          United Food & Commercial Workers Union, Western States  
          Council

           OPPOSITION  :    (Verified  5/9/07)

          American Insurance Association 







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          Association of California Insurance Companies 
          Association of California Water Agencies 
          California Association of Joint Powers Authorities 
          California Chamber of Commerce
          California Coalition on Workers' Compensation 
          California Manufacturers and Technology Association 
          California Spa & Pool Industry Education Council
          California State Association of Counties Excess Insurance  
            Authority 
          Independent Maintenance Contractors Association
          League of California Cities
          Los Angeles County Board of Supervisors
          Regional Council of Rural Counties
          Torrance Area Chamber of Commerce

           ARGUMENTS IN SUPPORT  :    Proponents state this bill makes  
          essential changes to ensure that injured workers who are  
          physically able to go back to work are not wrongfully kept  
          off the job.  They argue that the passage of SB 899 reduced  
          permanent disability benefits so significantly some  
          employers find it cheaper to keep workers on PD than put  
          the worker back to work.  Others have used the system to  
          get rid of older workers, who have often been on the job  
          longer and who tend to have higher wages and better  
          benefits.  Employers are refusing to put workers back on  
          the job even after they are cleared to return by a treating  
          physician.  This bill, supporters say, will reduce conflict  
          between employers and employees by providing clear rules  
          for the return to work process that respect the  
          recommendation of the treating physician, penalize  
          employers who discriminate against injured workers,  
          prohibit employers from changing job requirement to prevent  
          workers from returning, and prohibit discrimination against  
          a worker for exercising their right to predesignate their  
          doctor.  This bill would also allow the appropriate and  
          timely provision of supplemental job displacement benefits.

           ARGUMENTS IN OPPOSITION  :    Opponents argue that this bill  
          creates unreasonable requirements for employers when  
          bringing injured employees back to work.  The bill does not  
          take into account many typical scenarios that may justify a  
          delay in return to work, including changes in the job or  
          questions over the medical release.  This bill's  
          presumption of a Labor Code Section 132a violation puts the  







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          employer on the defensive; decisions regarding return to  
          work should be made based on the facts, not fear about  
          getting penalized, sued, or committing a crime.  Opponents  
          object to the creation of a new Labor Code Section 132a  
          cause of action.  This provision is unnecessary and simply  
          opens the door to more claims.  Opponents emphasize that  
          historically the burden of proving discrimination has been  
          placed on the employee, but this bill reverses that by  
          establishing a rebuttable presumption.  Moreover, this bill  
          proposes that the employer will be allowed to go to an  
          agreed medical evaluator over the issue of the clearance to  
          return to work only if the employer reinstates the  
          employee, which provision opponents claim is neither needed  
          nor appropriate.  
           

          NC:cm  5/10/07   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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