BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 933
                                                                  Page  1

          Date of Hearing:   May 18, 2011

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS
                                Felipe Fuentes, Chair

                     AB 933 (Allen) - As Amended:  April 7, 2011 

          Policy Committee:                              PERS Vote:4-2

          Urgency:     No                   State Mandated Local Program: 
          No     Reimbursable:              

           SUMMARY  

          This bill extends industrial death and disability benefits to 
          state miscellaneous members of the California Public Employees' 
          Retirement System (CalPERS) employed by a state hospital, as 
          specified.  Specifically, this bill:  

          1)Extends industrial death and disability benefits to state 
            miscellaneous members who become injured or die as a direct 
            result of a violent act from a patient or client at a state 
            hospital where more than 50% of the patients are committed by 
            the court.

          2)Specifies that this provision will only apply if the member 
            was performing his or her duties within a state hospital, the 
            member was within the state hospital but on a break, or the 
            member was not within the state hospital but was acting within 
            the scope of his or her regular duties, as specified.

          3)Makes the bill's provisions condition upon either of the 
            following:

             a)   The member was employed in a state bargaining unit which 
               had bargained with the state to add this benefit by a 
               memorandum of understanding.
             b)   The member was either an excluded employee or nonelected 
               officer or employee of the executive branch of government.

           FISCAL EFFECT  

          1)CalPERS estimates that the cost of the industrial disability 
            benefit will be .01 to .05 % of employee compensation at the 
            affected facilities.








                                                                  AB 933
                                                                  Page  2


          2)The five facilities that meet the bill's criteria have 
            approximately 10,500 personnel.  Their total compensation is 
            about $750 million, so the disability benefit would cost 
            between approximately $2.5 million.  The great majority of the 
            cost would occur only if agreed to through collective 
            bargaining.  Excluded employees would gain this benefit upon 
            enactment of this bill.

           COMMENTS  

           1)Purpose  .  According to the author, "AB 933 provides disability 
            benefit parity to state miscellaneous employees that have been 
            physically attacked and injured while working in a state 
            hospital that houses patients who have been committed by 
            criminal courts.  The number of patients in the state hospital 
            system who have committed violent crimes or alleged to have 
            committed violent crime has been increasing exponentially over 
            the last decade.  In the 1990s the majority of hospital 
            patients were civil commitments but over the last 15 years the 
            demographics at the hospitals have drastically changed and 
            today 85% to 90% of the patients are there because they have a 
            criminal conviction or are alleged to have committed a crime.  
            As a result of the changing demographics and the inadequate 
            security infrastructure at the hospitals, facilities not 
            designed to house this kind of population, the state hospitals 
            have experienced a dramatic rise in the number of patient 
            attacks on hospital employees.

           2)Prevalence of attacks  .  According to information from the 
            Department of Mental Health, in 2010, there were approximately 
            8,300 aggressive attacks resulting in over 5,100 injuries at 
            the five state hospitals.  In over 2,200 of these incidents 
            the staff was the victim and in over 1,000 of those incidents 
            staff injuries resulted in medical treatment including one 
            death.  There are five state hospitals - Atascadero, Coalinga, 
            Metropolitan, Napa, and Patton that meet the bill's criteria.  
            Over 92% of the DMH state hospital population are forensic 
            patients referred to the hospital by the criminal justice 
            system. 

           3)Support  .  Supporters state, despite working in such a 
            dangerous environment, disability coverage does not cover all 
            employees working in the state hospitals.  Industrial 
            disability coverage is only available to safety employees and 








                                                                  AB 933
                                                                  Page  3

            employees of the Porterville Developmental Center.  AB 933 
            extends disability coverage to all miscellaneous employees 
            that work in a state hospital where 50% or more of the clients 
            are sent by California's criminal courts.  

           4)There is no registered opposition to this bill.
                





           Analysis Prepared by  :    Roger Dunstan / APPR. / (916) 319-2081