BILL ANALYSIS                                                                                                                                                                                                    



                                                                  AB 2269
                                                                  Page  1

          Date of Hearing:   April 7, 2010

                           ASSEMBLY COMMITTEE ON INSURANCE
                                 Jose Solorio, Chair
                 AB 2269 (Adams) - As Introduced:  February 18, 2010
           
          SUBJECT  :   Workers' compensation: presumptions

           SUMMARY  :   Extends the rule that heart related conditions that  
          afflict defined safety officers are presumed to be work-related  
          to "security officer" employees of specified facilities.   
          Specifically,  this bill  :  

          1)Provides that the existing presumption that heart conditions  
            are job related for defined safety officers, including  
            security officers at Atascadero State Hospital, shall be  
            extended to security officers at the following facilities:

             a)   Coalinga State Hospital,
             b)   Metropolitan State Hospital,
             c)   Napa State Hospital,
             d)   Patton State Hospital,
             e)   Porterville Developmental Center,
             f)   Lanterman  Developmental Center,
             g)   Sonoma Developmental Center,
             h)   Fairview Developmental Center, and
             i)   Canyon Springs Community Facility.

          EXISTING LAW  :

          1)Provides for a comprehensive system of workers' compensation  
            benefits to compensate employees who are injured in or during  
            the course of employment.

          2)Provides that heart conditions suffered by certain safety  
            officers (police, sheriff, and firefighter employees),  
            including security officers at Atascadero State Hospital, are  
            presumed to be work-related injuries.

          3)Allows an employer to rebut this presumption with medical  
            evidence that the condition is not work-related.

           FISCAL EFFECT  :   Undetermined impact on the General Fund to the  
          extent that conditions previously not handled as workers'  
          compensation injuries become workers' compensation claims.








                                                                  AB 2269
                                                                  Page  2


           COMMENTS  :   

           1)Purpose  .  According to the author, and the sponsor the  
            California Statewide Law Enforcement Association (CSLEA), this  
            bill is necessary to conform existing law to the changes that  
            have occurred in the State Hospital system since the "heart  
            presumption" was initially enacted.  According to the author  
            and sponsor, at the time the presumption was created,  
            Atascadero State Hospital was the only "forensic medical  
            facility" in the state and therefore there was no need to  
            include language broader than a specification of Atascadero  
            State Hospital.  However, in the 40-some years since the heart  
            presumption was created, the State Hospital system has  
            expanded, and the very same class of employees that staff  
            Atascadero also staff numerous other facilities.

           2)Peace officers employed at state mental health facilities  .   
            According to CSLEA, the security officers employed at  
            Atascadero State Hospital are peace officers pursuant to  
            Section 830.38 of the Penal Code.  These are fully  
            POST-certified peace officers, whose authority extends  
            throughout the state.  The security officers employed at all  
            of the other facilities listed in the bill are also Section  
            830.38 peace officers.  Thus, the argument is made that there  
            is no reason to treat the same type of employee at the same  
            type of facility any different than the way the Atascadero  
            employees are treated.

           3)Nature of the affected facilities  .  There are two types of  
            facility impacted by the bill - state hospitals and  
            developmental facilities.  The same class of peace officer is  
            employed at both type of facility, although there are larger  
            numbers of these employees at the state hospitals due to the  
            higher risk associated with the patient population.  The  
            patients at these facilities include the following:

             a)   People who have been adjudicated to be incompetent to  
               stand trial,
             b)   People who have been determined to be not guilty by  
               reason of insanity,
             c)   People who have been determined to be not fit to be  
               released from the prison system,
             d)   People who have been determined to be sexually violent  
               predators, and 








                                                                  AB 2269
                                                                  Page  3

             e)   People who are prisoners in the state prison system who  
               have been transferred to the facility for mental health  
               evaluations.

            The most violent and dangerous of these populations are housed  
            in the State Hospital system.  Those of lower risk may be  
            housed in the state's developmental system.  As a result, most  
            of the employees affected by the bill are state hospital  
            employees, although some Section 830.38 peace officers are  
            employed in the developmental system.

           4)Proposed amendment  .  The existing statute uses the term  
            "security officer" to describe the employees to whom the  
            presumption would apply.  The proper term is "peace officer"  
            and the bill should be amended accordingly.

           5)Opposition  .  The opposition objects to the concept of  
            presumptions of compensability, and believes that the "no  
            fault" nature of the system, and the rule that the workers'  
            compensation laws are to be "liberally construed" to extend  
            benefits to injured employees, are sufficient protections, and  
            that the injured employee should have to establish that the  
            condition is work-related.  They believe this bill is a  
            "slippery slope" toward adding more presumptions of  
            compensability to the system.

           REGISTERED SUPPORT / OPPOSITION  :   

           Support 
           
          California Statewide Law Enforcement Association

           Opposition 
           
          California Chamber of Commerce
          California Association of Joint Powers Authorities (CAJPA)
          Allied Medical Care
          Acclamation Insurance Management Services
           
          Analysis Prepared by  :    Mark Rakich / INS. / (916) 319-2086