BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                    AB 65|
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                                 THIRD READING


          Bill No:  AB 65
          Author:   Hayashi (D), et al
          Amended:  7/23/09 in Senate
          Vote:     21

           
           SENATE PUBLIC EMP. & RET. COMMITTEE  :  4-2, 6/22/09
          AYES:  Correa, Liu, Padilla, Wiggins
          NOES:  Ashburn, Benoit
          NO VOTE RECORDED:  Ducheny

           SENATE APPROPRIATIONS COMMITTEE  :  8-5, 8/27/09
          AYES:  Kehoe, Corbett, Hancock, Leno, Oropeza, Price, Wolk,  
            Yee
          NOES:  Cox, Denham, Runner, Walters, Wyland

           ASSEMBLY FLOOR  :  51-24, 6/3/09 - See last page for vote


           SUBJECT  :    Public employee:  health benefits

           SOURCE  :     Retired Public Employees Association


           DIGEST  :    This bill establishes a self-funded vision care  
          program for retired local members, school members and  
          university members to be administered by the California  
          Public Employees' Retirement System effective on or before  
          January 1, 2011.

           ANALYSIS  :    

          Existing law:
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          1. Requires the Department of Personnel Administration  
             (DPA) to establish and administer the Vision Care  
             Program for State Annuitants.

          2. Provides, pursuant to Chapter 611 of 2006, that the  
             premium cost to participate in the Vision Care Program  
             for State Annuitants is paid for entirely by the  
             participant.

          3. Establishes, pursuant to Chapter 331 of 2007, the County  
             Retirement System Vision Care Program to provide vision  
             care benefits to retired employees of counties operating  
             retirement systems under the County Employees'  
             Retirement Law of 1937 ('37 Act), providing that the  
             retiree is responsible for the full cost of the vision  
             care premium.

          4. Allows, pursuant to Chapter 344 of 2007,  annuitants of  
             the California State University (CSU) system to  
             participate in the newly created California State  
             University Annuitant Vision Care Program, and requires  
             the Office of the Chancellor of the CSU to administer  
             the program for all participating annuitants of the  
             institution.

          This bill:

          1. Authorizes the California Public Employees' Retirement  
             System (CalPERS) to contract with one or more vision  
             care plans, as specified, in order to provide the vision  
             care program for retired CalPERS local, school, and  
             university members.

          2. Specifies that the retiree electing coverage is  
             responsible for the monthly vision care premium and  
             requires the premium to be deducted from the  
             participant's monthly retirement allowance.

          3. Creates the Retired Public Employees Vision Care Program  
             Fund in the State Treasury, as specified, where all  
             premiums received from participants in the program will  
             be deposited.








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          4. Specifies that any contract entered into by the CalPERS  
             Board will only take effect if funds have been made  
             available to cover the program's startup costs.

          5. Specifies that the vision care premiums are to be used  
             for the cost of providing benefits to enrollees, the  
             payment of claims for vision care benefits,  
             administrative costs, and any reasonable startup costs  
             incurred by the CalPERS Board.

          6. Allows the CalPERS Board to discontinue the program,  
             upon written notice to the enrollees, if the Board  
             determines that it is not economically feasible to  
             continue its operation; enrollees must be informed of  
             the plan termination at least three months prior to the  
             termination date.

          7. CalPERS Board to implement the program on or before  
             January 10, 2010.

           Previous legislation
           
          This bill is similar to AB 1997 (Hayashi) of 2008 which was  
          vetoed by the Governor due to the 2008-2009 State Budget  
          delay.  The veto message states, "The historic delay in  
          passing the 2008-2009 State Budget has forced me to  
          prioritize the bills sent to my desk at the end of the  
          year's legislative session.  Given the delay, I am only  
          signing bills that are the highest priority for California.  
           This bill does not meet that standard and I cannot sign it  
          at this time."

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

          Senate Appropriations Committee analysis states, although  
          this bill specifies that the program and administrative  
          costs will be paid by participants who choose to enroll in  
          the vision care program, CalPERS has indicated that minimal  
          start-up costs would likely be $325,000 before the program  
          can be fully implemented.  After that time, it is  
          anticipated that fees charged to participants would  
          completely support the administrative functions.  However,  
          CalPERS has indicated that ongoing administration of this  







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          program would require four staff positions to administer,  
          maintain, and audit the system side of the program with  
          costs of $280,000 annually.  It is uncertain at this time  
          whether participation and the amount of the fee that would  
          need to be charged would actually be sufficient to entirely  
          fund this program.  The full costs of the vision care  
          provider will be paid from premiums by retired members who  
          choose to participate.  

           SUPPORT  :   (Verified  9/1/09)

          Retired Public Employees' Association (source)
          American Federation of State, County and Municipal  
          Employees 
          California Alliance for Retired Americans 
          California Federation of Teachers 
          California Professional Firefighters
          CalPERS Board of Administration, support if amended
          Glendale City Employees Association 
          Organization of SMUD Employees
          San Bernardino Public Employees Association
          San Luis Obispo County Employees Association
          Santa Rosa City Employees Association


           ARGUMENTS IN SUPPORT  :    According to the sponsor, the  
          Retired Public Employees' Association, "Vision care is an  
          important, yet under appreciated preventive health care  
          service.  In 2006, the National Institute of Health  
          estimated that over 11 million Americans had an uncorrected  
          visual impairment.  Vision loss is often accepted as a  
          normal part of aging, but regular eye exams and conscious  
          vision care can make a difference - not just in how well we  
          see, but in our overall health and quality of life.  Eye  
          exams can detect diseases, such as diabetes and  
          hypertension, that otherwise might go undiagnosed and  
          therefore untreated.  As Californians live longer lives,  
          maintaining good vision is an important part of staying  
          active and independent."

          Supporters conclude this bill will make vision care  
          available for retired local government employees similar to  
          the vision care now available for retired state employees.   
          This legislation will allow them the necessary access to  







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          vision care treatment, at an affordable price, resulting in  
          a greater number of retirees and California residents  
          utilizing vision care services."

           ASSEMBLY FLOOR  : 
          AYES:  Ammiano, Arambula, Beall, Blumenfield, Brownley,  
            Buchanan, Caballero, Charles Calderon, Carter, Chesbro,  
            Conway, Coto, Davis, De La Torre, De Leon, Eng, Evans,  
            Feuer, Fong, Fuentes, Furutani, Galgiani, Hall, Hayashi,  
            Hernandez, Hill, Huber, Huffman, Jones, Krekorian, Lieu,  
            Bonnie Lowenthal, Ma, Mendoza, Monning, Nava, John A.  
            Perez, V. Manuel Perez, Portantino, Price, Ruskin, Salas,  
            Saldana, Skinner, Solorio, Swanson, Torlakson, Torres,  
            Torrico, Tran, Bass
          NOES:  Adams, Anderson, Tom Berryhill, Blakeslee, Cook,  
            DeVore, Emmerson, Fletcher, Fuller, Gaines, Garrick,  
            Gilmore, Hagman, Harkey, Jeffries, Knight, Logue,  
            Nestande, Niello, Nielsen, Silva, Smyth, Audra  
            Strickland, Villines
          NO VOTE RECORDED:  Bill Berryhill, Block, Duvall, Miller,  
            Yamada


          DLW:do  9/1/09   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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