BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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          |SENATE RULES COMMITTEE            |                   SB 773|
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                                 THIRD READING


          Bill No:  SB 773
          Author:   Florez (D) and Steinberg (D)
          Amended:  5/19/09
          Vote:     21

           
           SENATE LAB. & INDUS. RELATIONS COMMITTEE  :  4-1, 5/13/09
          AYES:  DeSaulnier, Ducheny, Leno, Yee
          NOES:  Hollingsworth
          NO VOTE RECORDED:  Wyland


           SUBJECT :    Workers compensation:  disability benefits

           SOURCE  :     Author


           DIGEST  :    This bill, effective January 1, 2010, increases  
          the maximum average weekly wage that is allowed to be used  
          for the purpose of calculating weekly disability benefit  
          payments.  Also, for injuries occurring on or after January  
          1, 2010, increases the number of weeks of benefit payments  
          to permanently disabled workers for specified percentages  
          of permanent disability.

           ANALYSIS  :    

          Existing law:

          1. Establishes, in the California Constitution and in State  
             Code, a workers' compensation system, administered by  
             the Administrative Director of the Division of Workers'  
             Compensation, that generally requires employers to  
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             provide workers' compensation for employees who are  
             injured in the course and scope of their employment. 

          2. Provides for specified permanent partial disability  
             (PPD) indemnity payments and permanent total disability  
             (PTD) payments to workers that suffer a permanent  
             disability.  The amount and duration of these indemnity  
             payments are based on formulas in the Labor Code and on  
             an individual's percentage permanent disability rating  
             that is derived from a calculation involving evaluated  
             bodily impairment, estimated future earnings losses, and  
             an age and occupation adjustment. 

          3. Provides, in the Labor Code formulas, for minimum and  
             maximum weekly indemnity payments that amount to  
             two-thirds of specified minimum and maximum average  
             weekly earnings, which in turn increase with the  
             severity of the disability (i.e. as the disability  
             rating increases). 

          4. Provides that the duration (the number of weeks) of  
             permanent disability payments also rises as the  
             disability rate increases.  (The injured worker receives  
             a specified number of weeks of payments for each  
             percentage point of the disability rating, and the  
             number of weeks increases for each percentage point as  
             the level of the disability rating rises.) 
           
          Finally, it is important to note that the various elements  
          of the formulas (minimum and maximum average weekly wage  
          for various levels of disability, number of weeks of  
          benefits for each percentage point of disability rating)  
          have altered over the years, and both the older and current  
          specifications are still set forth in the Labor Code.
           
           This bill:

          1.Makes certain Legislative Findings and Declarations  
             relating to the importance of providing fair  
             compensation to injured workers, the need to adjust  
             permanent partial disability payments to ensure that  
             they are adequate and more in line with benefits paid to  
             workers in other states, and that it is not the  
             intention of the Legislature to undermine the positive  







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             effect workers' compensation reform has had on employers  
             and employees in the state.

          2.Increases, effective January 1, 2010, the maximum average  
             weekly wage that is allowed to be used for the purpose  
             of calculating weekly benefit payments.

          A.For permanent partial disability ratings of less than 70  
             percent, the specified maximum is raised from $345 to  
             $555.  Since the weekly benefit amount is two-thirds of  
             the allowed maximum weekly wage, the new maximum weekly  
             benefit would be raised from $230 to $370 (.666 x $555 =  
             $370).

          B.For permanent partial disability ratings of 70 percent or  
             greater, the specified maximum is raised from $405 to  
             $615.  Since the weekly benefit amount is two-thirds of  
             the allowed maximum weekly wage, the new maximum weekly  
             benefit for workers with these ratings would be raised  
             from $270 to $410 (.666 x $615 = $410).

          3.For injuries occurring on or after January 1, 2010,  
            increases the number of weeks of benefit payments to  
            permanently disabled workers for specified percentages of  
            permanent disability, as shown on the chart below:

                                   Proposed Schedule of Increases 
           -------------------------------------------------- 
          |Range of         |Current number |Weeks allowed   |
          |percentage of    |of weeks for   |effective       |
          |permanent        |which 2/3 of   |1/1/2010        |
          |disability       |average weekly |                |
          |incurred         |earnings are   |                |
          |                 |allowed for    |                |
          |                 |each 1% of     |                |
          |                 |permanent      |                |
          |                 |disability     |                |
          |-----------------+---------------+----------------|
          |0 - 9.75         |3              |4               |
          |-----------------+---------------+----------------|
          |10 -14.75        |4              |5               |
          |-----------------+---------------+----------------|
          |15 - 24.75       |5              |7               |
          |-----------------+---------------+----------------|







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          |25 - 29.75       |6              |8               |
          |-----------------+---------------+----------------|
          |30 - 49.75       |7              |9               |
          |-----------------+---------------+----------------|
          |50 - 69.75       |8              |11              |
          |-----------------+---------------+----------------|
          |70 - 99.75       |16             |21              |
          |                 |               |                |
           -------------------------------------------------- 

           Comments
           
          The existing procedure for determining an injured worker's  
          permanent disability rating was adopted by the  
          administrative director subsequent to the passage of SB 899  
          (Poochigian), Chapter 34, Statutes of 2004.  The procedure  
          adopted by the administrative director was a major  
          departure from the prior procedure for rating permanent  
          disability.  The resulting permanent disability rating  
          schedule (as distinct from maximum or minimum average  
          weekly wages or the schedule of weeks of indemnity  
          payments) has resulted in a general decline in PD ratings  
          and thus in a decline in indemnity payments to injured  
          workers.  The California Commission on Health and Safety  
          and Workers' Compensation (CHSWC) has estimated that  
          permanent disability indemnity benefits have declined by  
          over 50 percent due to the new PD rating schedule.  CHSWC  
          also noted that many workers no longer receive any rating  
          under the new procedure.

           Prior Legislation  :

          Three bills designed to increase permanent disability  
          indemnity payments have been introduced over the past three  
          years.  These bills are SB 815 (Perata) of 2006, SB 936  
          (Perata) of 2007, and SB 1717 (Perata) of 2008.  All three  
          bills were identical and sought to increase indemnity  
          payments by doubling, over a three-year period, the number  
          of weeks of payments for each percentage of disability  
          rating.  All three bills were vetoed by the governor.  In  
          his veto message on the last of these three bills the  
          governor said:

            "The workers' compensation reforms I enacted in 2004  







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            have worked.  Costs to employers have decreased and  
            return-to-work rates for injured workers have  
            increased.  Our work, however, is not done.  Medical  
            costs in the workers' compensation system are climbing,  
            leading the Workers' Compensation Insurance Rating  
            Bureau to recommend a 16 percent increase in premiums  
            starting next year.  Given this fact, we must proceed  
            cautiously before adding any other costs to the system.  
             As such, the billion dollar benefit increase proposed  
            by this bill cannot be justified at this time.  For  
            these reasons, I am returning this bill without my  
            signature."

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

           SUPPORT  :   (Verified  5/19/09)

          American Federation of State, County and Municipal  
          Employees, AFL-CIO
          Association for Los Angeles Deputy Sheriffs
          California Applicants' Attorneys Association
          California Labor Federation
          California Nurses Association/National Nurses Organizing  
          Committee
          California School Employees Association
          California State Employees Association
          Peace Officers Association of California 
          Riverside Sheriffs' Association

           OPPOSITION  :    (Verified  5/19/09)

          Alpha Fund
          Associated Builders and Contractors of California
          California Association of Joint Powers Authorities
          California Chamber of Commerce
          California Coalition on Workers' Compensation
          California Grocers Association
          California Hospital Association
          California Independent Grocers Association
          California League of Food Processors
          California Manufacturers and Technology Association
          California Restaurant Association
          California Special Districts Association







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          California State Association of Counties
          CSAC-Excess Insurance Authority
          League of California Cities
          Lumber Association of California and Nevada
          National Federation of Independent Business
          Regional Council of Rural Counties

           ARGUMENTS IN SUPPORT  :    The author's office and supporters  
          of this bill argue that increases in permanent disability  
          indemnity payments to injured workers are urgently needed.   
          An independent RAND study found that benefits under the  
          old, pre-2005 schedule replaced only 37 percent of lost  
          wages.  The 2004 law (SB 899 [Poochigian], Chapter 34) and  
          the new rating schedule has cut the prior meager permanent  
          disability benefits by 70 percent, affecting more than  
          400,000 injured workers and their dependents so far, and  
          many more will be affected.  According to the U.S. Chamber  
          of Commerce, California's PD benefits are now among the  
          lowest in the nation.  This bill would not restore benefits  
          to their pre-2005 levels; it would result in only a minor  
          increase in benefit costs.  The worker's comp industry  
          reported unprecedented profits in each of the last four  
          years; they have collected $84.5 billion in premiums but  
          paid out only $34.5 billion for all benefits medical and  
          indemnity for injured workers.  Insurers thus kept $50  
          billion, 60 percent of premium dollars, $26.1 billion in  
          profits and $23.9 billion for expenses.  Proponents of this  
          bill, say it would neither create any additional burden for  
          employers nor harm the state's business climate.  The  
          Governor stated that he had no intention of harming injured  
          workers, and if the data bore it out he would support  
          necessary corrections.  The data are in, and they  
          overwhelmingly confirm the magnitude of the benefit cuts.   
          This bill is a good first step in restoring balance to the  
          system, supporters conclude.

           ARGUMENTS IN OPPOSITION  :    Opponents of this bill opposes  
          this bill because it increases costs for employers.  They  
          cite the past high costs of the workers' compensation  
          system and say they believe legislation to alter the  
          formulas established in SB 899 (Poochigian), Chapter 34,  
          Statutes of 2004, should be based on the actual experience  
          of employers and employees under the current system  
          consistent with the analysis completed by the Division of  







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          Workers' Compensation.  The California Association of Joint  
          Powers Authorities agrees that some workers may be  
          under-compensated, but not all workers.  An  
          across-the-board increase as proposed in this bill in not  
          the answer, and will only serve to increase system  
          utilization and litigation, and encourage system gaming.  
           

          AGB:do  5/19/09   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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