BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                   AB 211|
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                                 THIRD READING


          Bill No:  AB 211
          Author:   Cedillo (D)
          Amended:  As introduced
          Vote:     21

           
           SENATE LABOR & INDUSTRIAL RELATIONS COMM.  :  5-1, 6/22/11
          AYES:  Lieu, DeSaulnier, Leno, Padilla, Yee
          NOES:  Wyland
          NO VOTE RECORDED:  Runner

           SENATE APPROPRIATIONS COMMITTEE  :  6-3, 8/25/11
          AYES:  Kehoe, Alquist, Lieu, Pavley, Price, Steinberg
          NOES:  Walters, Emmerson, Runner
           
          ASSEMBLY FLOOR  :  54-21, 5/19/11 - See last page for vote


           SUBJECT  :    Workers compensation:  permanent disability 
          benefits

           SOURCE  :     Author


           DIGEST  :    This bill provides, for injuries that cause 
          permanent partial disability and occur on or after January 
          1, 2012, for a supplemental job displacement benefit in the 
          form of a voucher for up to $6,000 to cover various 
          reeducation and skill enhancement expenses which would 
          expire two years after the date the voucher is furnished to 
          the employee or five years after the date of injury, 
          whichever is later.  This bill exempts employers who make 
          an offer of reemployment or continued employment from 
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          providing vouchers.  This bill requires the Administrative 
          Director of the Division of Workers' Compensation within 
          the Department of Industrial Relations to adopt regulations 
          implementing the program.

           ANALYSIS  :    Existing law establishes a workers' 
          compensation system that provides benefits to an employee 
          who suffers from an injury or illness that arises out of 
          and in the course of employment, irrespective of fault.  
          This system requires all employers to secure payment of 
          benefits by either securing the consent of the Department 
          of Industrial Relations to self-insure or by securing 
          insurance against liability from an insurance company duly 
          authorized by the state.

          Existing law provides for the payment of indemnity benefits 
          if the occupational injury causes temporary or permanent 
          disability which prevents the worker from returning to 
          his/her job.  In the case of temporary disability payments, 
          the benefit is two-thirds of the weekly loss in wages due 
          to disability for up to 104 weeks within a five-year period 
          (Labor Code Section 4650, 4653, 4654, and 4656).

          Existing law provides that, except for certain 
          circumstances, when an injury causes permanent partial 
          disability and the injured employee does not return to work 
          for the employer within 60 days of the termination of the 
          temporary disability (TD), the injured employee shall be 
          eligible for a supplemental job displacement benefit 
          (SJDB).  The voucher amounts are as follows:

           Up to $4,000 for permanent partial disability (PPD) 
            awards of less than 15%
           Up to $6000 for PPD awards between 15% and 25%
           Up to $8000 for PPD awards between 26% and 49%
           Up to $10,000 for PPD awards between 50% and 99%

          The voucher must be used for education-related retraining 
          or skill enhancement at state-approved or accredited 
          schools, and uses include tuition, fees, books, and other 
          expenses required by the school.  No more than 10 percent 
          of the voucher can be spent on vocational or return-to-work 
          counseling.  (Labor Code Section 4658.5)
           

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           Existing law provides that an employer is not liable for 
          the SJDB for the injured worker if, within 30 days of the 
          end of TD indemnity payments, the employer offers the 
          employee alternative or modified work and the employee 
          rejects or fails to accept this work.  (Labor Code Section 
          4658.6)

          This bill, starting January 1, 2012, creates a new process 
          for the SJDB.  Specifically, this bill: 

          1. Specifies that the SJDB shall be in the form of a 
             voucher worth $6,000 for qualified expenses, 
             irrespective of level of PPD.

          2. Expands the purposes for which the voucher may be used 
             to include up to $1,000 for the purchase of computer 
             equipment, payment of occupational licensing, 
             certification, or examination fees, the purchase of 
             necessary tools, and up to $500 for miscellaneous 
             expenses that would not require documentation.

          3. Provides that an employer is not liable for the SJDB if 
             an offer of qualifying employment is made no later than 
             60 days after the first report by a treating physician, 
             qualified medical evaluator, or an agreed medical 
             evaluator that indicates there will be PPD and the 
             injury is permanent and stationary.

          4. Provides that if the employer or claims administrator 
             has provided the physician with a job description for 
             the employee's regular work, proposed modified work, or 
             proposed alternative work, the physician shall evaluate 
             whether the work limitations are compatible with the 
             physical requirements set forth in that job description.

          5. Requires the employer to provide the supplemental job 
             displacement voucher no later than 20 days after the 
             time to make a qualifying job offer has expired. 

          6. Specifies that the voucher shall be valid for two years.

          7. Provides that an agreement to settle or release a claim 
             for the SJDB is valid only if approved by a workers' 
             compensation judge.

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           Comments  

           Need for this bill  .  Starting in 2006, both employers and 
          advocates of injured workers began sitting down and 
          discussing in earnest the challenges of return to work and 
          the shortcomings of the supplemental job displacement 
          voucher.  This bill is the most recent attempt to address 
          these concerns and create a voucher system that is better 
          for both employers and injured workers.

          Currently, an injured worker who suffers permanent injury 
          becomes eligible for retraining vouchers if he/she does not 
          return to work within 60 days of the termination of TD.  An 
          employer must make a decision about whether or not to offer 
          the injured worker modified or alternative work within 30 
          days of the termination of TD payments.  A determination of 
          an injured workers' longer-term level of disability or 
          permanent disability rating, however, may not be reached 
          until a significant period of time after the termination of 
          TD benefits.  

          Neither injured worker nor employer may know enough about 
          the lasting medical condition of the injured worker at the 
          time of the termination of TD to make a decision about a 
          return to work or whether the employee should contemplate 
          accessing retraining benefits in order to prepare for a 
          change of employment.  Also, retraining benefits may not 
          currently be disbursed until there is an actual PD rating 
          award.  This creates a situation where it is known that the 
          injured worker is due to receive some kind of benefit, but 
          the exact amount is not clear, preventing the use of 
          retraining funds when they are most needed.

          This bill seeks to address these issues in several ways.  
          For one, the clock on eligibility for SJDB does not begin 
          until the employer has received the medical report of 
          disability, rather than the termination of TD benefits.  If 
          the employer makes an offer of employment, this bill 
          ensures that the relevant physician for the injured worker 
          is involved with the decision.  The voucher amount is also 
          flat, irrespective of the amount of disability, and the 
          bill also opens up the voucher for additional uses.  
          Finally, this bill protects the injured worker's benefit by 

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          requiring that settling the voucher can only be done in 
          front of a workers' compensation judge.

           Prior Legislation  

          SB 3 (Cedillo, 2009) was nearly identical to this bill.  It 
          was held in the Senate Appropriations Committee.

          SB 1189 (Cedillo, 2008) sought to establish a time limit 
          within which eligible injured workers had to be granted 
          supplemental job displacement benefits and would have 
          created a procedure for estimating and delivering earlier 
          retraining benefits in specified circumstances.  The bill 
          was held under submission by the Senate Appropriations 
          Committee. 

          SB 942 (Migden, 2007) sought to clarify when an injured 
          worker could receive SJDBs to improve return to work rates. 
           SB 942 was vetoed by Governor Schwarzenegger.

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

          According to the Senate Appropriations Committee:

                           Fiscal Impact (in thousands)

             Major Provisions                2011-12     2012-13       
             2013-14               Fund  

            Fixed benefit       Unknown, increase or decrease in 
            benefit             General/
            payment level       payments over current tiered 
            levels*Special

            Regulations         One-time minor, absorbable 
            costGeneral

             
             *   First payments of up to $6 beginning after January 
              1, 2012, and generally when the employee is able to 
              return to work doing modified duties and within two 
              years of the injury.


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            In 2005-06, $12 in SJDBs were paid to state employees.
            In 2006-07, $135 in SJDBs were paid to state employees.
            In 2007-08, $291 in SJDBs were paid to state employees.
            In 2008-09, $276 in SJDBs were paid to state employees.
            In 2009-10, $358 (30 percent increase) in SJDBs were paid 
            to state employees.

           SUPPORT  :   (Verified  8/25/11)

          California Applicants' Attorneys Association
          California Conference Board of the Amalgamated Transit 
          Union
          California Conference of Machinists
          California Labor Federation
          California Nurses Association
          California Official Court Reporters Association
          California Professional Firefighters
          California Society of Industrial Medicine and Surgery
          California State Employees Association
          California Teamsters Public Affairs Council
          Engineers and Scientists of California
          Glendale City Employees
          International Longshore and Warehouse Union
          Organization of SMUD Employees
          Professional and Technical Engineers, Local 21
          San Bernardino Public Employees Association
          San Luis Obispo County Employees Association
          Santa Rosa City Employees Association
          SCOPE, Laborers International Union of North America
          UNITE HERE!
          United Food and Commercial Workers-Western States 
          Conference
          Utility Workers Union of North America, Local 132
          
           OPPOSITION  :    (Verified  8/25/11)

          Acclimation Insurance Management Services
          Allied Managed Care
          California Chamber of Commerce
          California Coalition on Workers Compensation
          California Manufacturers and Technology Association
          California Restaurant Association

           ARGUMENTS IN SUPPORT  :    Proponents argue that this bill 

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          will allow an injured worker to access the benefit voucher 
          once his or her doctor determines that his/her injury has 
          become permanent and stationary, rather than forcing 
          him/her to wait until a final disability rating 
          determination.  They argue that speeding up this process, 
          as well as expanding allowable uses of the voucher for 
          tools needed for educational and training programs and for 
          computer equipment, will allow workers to get the 
          retraining they need more quickly, allowing them to 
          re-enter the work force faster and with stronger work 
          skills.  

           ARGUMENTS IN OPPOSITION  :    Opponents of this bill have 
          taken an "oppose unless amended" position.  Opponents 
          believe that this bill tackles an important issue in 
          California's system of workers' compensation benefits.  The 
          SJDB is important because it provides injured workers who 
          cannot return to their at-injury employer with an 
          opportunity to receive retraining in order to move into 
          another occupation.  However, opponents believe that this 
          bill needs to be amended to ensure that new problems are 
          not created with respect to the administration of the 
          benefit.  The opponents believe that their amendments will 
          enshrine the primary reforms of this bill, but also ensure 
          that the benefit's administration is simplified and less 
          expensive for the employer to provide.  
           

           ASSEMBLY FLOOR  :  54-21, 5/19/11
          AYES:  Achadjian, Allen, Ammiano, Atkins, Beall, Bill 
            Berryhill, Block, Blumenfield, Bonilla, Bradford, 
            Brownley, Buchanan, Butler, Charles Calderon, Campos, 
            Carter, Cedillo, Chesbro, Davis, Dickinson, Eng, Feuer, 
            Fletcher, Fong, Fuentes, Furutani, Galgiani, Gatto, 
            Gordon, Hall, Hayashi, Roger Hern�ndez, Hill, Huber, 
            Hueso, Huffman, Lara, Bonnie Lowenthal, Mendoza, 
            Mitchell, Monning, Olsen, Pan, Perea, V. Manuel P�rez, 
            Portantino, Skinner, Solorio, Swanson, Torres, 
            Wieckowski, Williams, Yamada, John A. P�rez
          NOES:  Conway, Cook, Donnelly, Beth Gaines, Garrick, Grove, 
            Harkey, Jeffries, Jones, Knight, Logue, Mansoor, Miller, 
            Morrell, Nestande, Nielsen, Norby, Silva, Smyth, Valadao, 
            Wagner
          NO VOTE RECORDED:  Alejo, Gorell, Hagman, Halderman, Ma

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          PQ:mw  8/26/11   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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