BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 65
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 65 (Hayashi)
          As Amended July 23, 2009
          Majority vote
           
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          |ASSEMBLY:  |51-24|(June 3, 2009)  |SENATE: |22-15|(September 2,  |
          |           |     |                |        |     |2009)          |
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           Original Committee Reference:   P.E.,R. & S.S.

          SUMMARY  :  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 (CalPERS) effective on or before January 1, 2011.   
          Specifically,  this bill  :  

          1)Authorizes CalPERS to contract with one or more vision care  
            plans, as specified, in order to provide the vision care  
            program for retired 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.

          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.








                                                                  AB 65
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          7)Requires the CalPERS Board to implement the program on or  
            before January 1, 2011.

           The Senate amendments  make technical clarifying changes to the  
          bill.  
           
           EXISTING LAW  requires the Department of Personnel Administration  
          to establish and administer the Program for State Annuitants.   
          Currently, the premium cost to participate in the Program for  
          State Annuitants is paid for entirely by the participant.  [AB  
          2242 (P. E., R. & S. S. Committee), Chapter 611, Statutes of  
          2006].

          AB 1288 (Hayashi), Chapter 331, Statutes of 2007, establishes  
          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).  Under this program, the retiree is responsible  
          for the full cost of the vision care premium.

          SB 235 (Negrete McLeod), Chapter 344, Statutes of 2007, allows  
          annuitants of the California State University (CSU) system to  
          participate in the newly created California State University  
          Annuitant Vision Care Program.  This bill requires the Office of  
          the Chancellor of the CSU to administer the program for all  
          participating annuitants of the institution.

           AS PASSED BY THE ASSEMBLY,  this bill was substantially similar  
          to the version approved by the Senate.

           FISCAL EFFECT  :  According to the Assembly Appropriations  
          Committee, annual cost for vision care is entirely self-funded  
          through premiums charged to members participating in the  
          program.  Administrative costs to CalPERS, about $200,000 per  
          year, will also be covered by the premiums charged to members.   
          First year costs would need to be covered through a loan either  
          from the General Fund or from the contracting vision care plans.  
           These loans would be repaid from premium payments collected  
          over time.

           COMMENTS  :  According to the sponsor, "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.   








                                                                  AB 65
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          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, "AB 65 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 vision care treatment,  
          at an affordable price, resulting in a greater number of  
          retirees and California residents utilizing vision care  
          services."

          This bill is similar to AB 1997 (Hayashi) of 2008 which was  
          vetoed by the Governor due to the 2008-2009 State Budget delay.

          In his veto message of AB 1997, the Governor stated, "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."
           

          Analysis Prepared by  :    Karon Green / P.E., R. & S.S. / (916)  
          319-3957 


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