BILL ANALYSIS                                                                                                                                                                                                    






          SENATE PUBLIC EMPLOYMENT & RETIREMENT     BILL NO: SB 628
          Lou Correa, Chair            Hearing date: April 27, 2009
          SB 628 (Ashburn)    as amended  4/22/09     FISCAL:   YES

           PEMHCA:  PROPOSED LOWER TIER OF EMPLOYER CONTRIBUTIONS FOR  
          EMPLOYEES HIRED AFTER JANUARY 1, 2010
           

           HISTORY  :

              Sponsor:  Placer County Board of Supervisors
                       Shasta County Board of Supervisors

              Prior legislation:  none


           SUMMARY  :
          
          Would allow governmental agencies that participate in the  
          Public Employees Medical and Hospital Care Act (PEMHCA) to  
          negotiate a lower tier of employer health care contributions  
          for employees hired after January 1, 2010, if agreed to in a  
          Memorandum of Understanding (MOU) with exclusive employee  
          representatives.


           BACKGROUND  :  
          
           1)   What is PEMHCA who is covered by the plan, how is PEMHCA  
          coverage achieved and how is it terminated ?  
           
          The committee is advised that the Public Employees Medical  
          and Hospital Care Act (PEMHCA) is a health plan administered  
          by the California Public Employees Retirement System (PERS)  
          that provides health benefits for all active and retired  
          state employees.

          Local governmental entities such as cities, counties, school  
          districts and special districts can also opt to participate  
          in PEMHCA.  Upon choosing to provide health benefits under  
          PEMHCA for their employees and retirees, participating local  
          governmental entities enter into a contract with the PERS  
          Board of Administration.  These "contracting agencies" then  
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          Date:  4/22/09                                         Page 1  










          pay the health benefit premiums to PERS in the manner  
          specified in  existing PEMHCA law  .

          Contracting agencies can terminate their PEMHCA contract with  
          PERS in the time and manner prescribed in  existing PEMHCA  
          law  , should they choose to do so.

          2)   Are PEMHCA coverage and monthly health benefit premiums  
          different for active and retired employees  ?

          A basic feature of PEMHCA is that all participating members,  
          active and retired employees of state or contracting  
          agencies, are covered by the  same benefit structure  and have  
          the  same monthly premiums  .

          3)   What type of health plans are offered under PEMHCA  ?

          Participants are permitted to choose an HMO, PPO or  
          fee-for-service health plan offered under PEMHCA.  All of the  
          PEMHCA-offered health plans provide the same basic coverage  
          with some variation between plans, but often significantly  
          different monthly cost.  Any monthly cost  that exceeds the  
          employer contribution is paid for by the participant  .

          4)   Can PEMHCA participants switch health plans  ?

          There is an annual "open enrollment" period in the fall  
          during which PEMHCA participants can change their health plan  
          from one offered plan to another.

          5)   How is the employer contribution towards monthly PEMHCA  
          health benefit premiums determined under existing law  ?

            a)   The employer PEMHCA contribution for represented and  
            non-represented active local agency employees.

               The employer PEMHCA contribution for  represented  active  
              local employees is determined in collective bargaining.   
               All represented employees in a local agency within the  
              same bargaining unit must receive the same employer  
              PEMHCA contribution under existing law.  

              The employer PEMHCA contribution for  non-represented   
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          Date:  4/22/09                                         Page 2  










              active local employees (managers and supervisors) is  
              determined by the employer.   All non-represented  
              employees in a local agency must receive the same  
              employer PEMHCA contribution under existing law.  

            b)   The employer PEMHCA contribution for retirees of local  
            contracting agencies  .

              There are two irrevocable contract options that the local  
              contracting agencies can utilize at the time they first  
              enter into a contractual relationship with the PERS Board  
              to provide PEMHCA benefits to their employees and  
              retirees, as follows:

                1)  the employer can choose to provide equal employer  
                PEMHCA contributions for active and retired employees,  
                or

                2)  the employer can choose to provide a minimum  
                employer PEMHCA contribution of $1 per month per  
                retiree, but existing law then requires that the  
                employer PEMHCA contribution increase by 5% each year  
                until, in the 20th year of retirement, the employer  
                PEMHCA contribution for the retired employees is equal  
                to that made for active employees.
















          David Felderstein
          Date:  4/22/09                                         Page 3  










           ANALYSIS  :

          1)   This bill  would:

            a)  allow PEMHCA local agencies to negotiate a lower tier  
            of employer health care contributions for employees hired  
            after January 1, 2010, if agreed to in an MOU with  
            exclusive employee representatives,

            b)  provide that the employer cannot take the issue of  
            employer PEMHCA contributions to impasse in labor  
            negotiations, and

            c)  provide that employees hired before the effective date  
            of an MOU that provides a new, lower tier of employer  
            PEHMCA contributions for new hires shall retain that status  
            after they retire and not be eligible for inclusion in a  
            lower tier of employer contributions.


           COMMENTS  :

          1)   Arguments in support 

          In their letter of support, the sponsor states:

            "Current law limits public agencies that contract with  
            CalPERS for health insurance under the Public Employees  
            Medical Care and Hospital Act (PEMCHA), to a limited number  
            of options to pay for employee and retiree health insurance  
            premium contribution.  This means that contracting agencies  
            such as Placer and Shasta counties have very little  
            flexibility to set benefits for county employees.

            SB 628 will enhance contracting agencies' ability to  
            provide two-tiered benefits systems through CalPERS.  The  
            costs associated with CalPERS establishing two-tiered  
            systems for contracting agencies would be born by those  
            contracting agencies.

            This measure is an appropriate and needed authority for  
            CalPERS contracting agencies to address their ongoing  
            benefit needs."
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          Date:  4/22/09                                         Page 4  











          2)   Arguments in opposition  

          In their letter of opposition, the California Association of  
          Professional Scientists (CAPS) states:

            "As we understand it, the sponsors of the bill would like  
            to change existing law to allow for counties to be able to  
            provide a two-tiered health benefits system for county  
            annuitants which they are currently prohibited from doing.   
            If a county wants to proceed in this manner, they should  
            sit own and negotiate it with the affected labor group in  
            the county and then proceed with the legislation for that  
            particular county, if needed."



























          David Felderstein
          Date:  4/22/09                                         Page 5  










          3)   OPPOSITION  :

               California Association of Professional Scientist (CAPS)
               California School Employees Association
               California Professional Firefighters (CPF)
               Peace Officer's Research Association of California  
          (PORAC)




































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          Date:  4/22/09                                         Page 6  













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          David Felderstein
          Date:  4/22/09                                         Page 7