BILL ANALYSIS                                                                                                                                                                                                    �



                                                                      



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          |SENATE RULES COMMITTEE            |                  AB 1155|
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                                 THIRD READING


          Bill No:  AB 1155
          Author:   Alejo (D)
          Amended:  7/12/11 in Senate
          Vote:     21

           
           SENATE LABOR & INDUSTRIAL RELATIONS COMM. :  5-1, 7/6/11
          AYES:  Lieu, DeSaulnier, Leno, Padilla, Yee
          NOES:  Wyland
          NO VOTE RECORDED:  Runner

           SENATE JUDICIARY COMMITTEE  :  3-2, 6/14/11
          AYES:  Evans, Corbett, Leno
          NOES:  Harman, Blakeslee

           ASSEMBLY FLOOR  :  47-26, 5/12/11 - See last page for vote


           SUBJECT  :    Workers compensation

           SOURCE  :     California Applicants Attorneys Association


           DIGEST  :    This bill prohibits a physician from considering 
          the following characteristics when apportioning the cause 
          of permanent disability for determining a worker's 
          compensation benefit:  race, religious creed, color, 
          national origin, age, gender, marital status, sex, sexual 
          orientation, or genetic characteristics.

           ANALYSIS  :    Existing law provides that an employer, when 
          liability exists, shall pay a worker for job-related 
          injuries.  (Labor Code Section 4550 et seq.)
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          Existing law provides that permanent disability 
          compensation shall be apportioned based on causation 
          pursuant to a physician's report including the approximate 
          percentage of the permanent disability that was caused by 
          the direct result of injury arising out of and occurring in 
          the course of employment and what approximate percentage of 
          the permanent disability was caused by other factors both 
          before and subsequent to the industrial injury, including 
          prior industrial injuries.  (Labor Code Section 4663.)

          Existing law provides that an employer shall only be liable 
          for the percentage of permanent disability directly caused 
          by the injury arising out of and occurring in the course of 
          employment.  (Labor Code Section 4664.)

          Existing law provides that no person in the State of 
          California shall, on the basis of race, national origin, 
          ethnic group identification, religion, age, sex, sexual 
          orientation, color, or disability, be unlawfully denied 
          full and equal access to the benefits of, or be unlawfully 
          subjected to discrimination under, any program or activity 
          that is conducted, operated, or administered by the state 
          or by any state agency, is funded directly by the state, or 
          receives any financial assistance from the state.  
          (Government Code Section 11135.)

          Existing law provides that it is an unlawful employment 
          practice, unless based upon a bona fide occupational 
          qualification, or, except where based upon applicable 
          security regulations established by the United States or 
          the State of California, for an employer, because of the 
          race, religious creed, color, national origin, ancestry, 
          physical disability, mental disability, medical condition, 
          marital status, sex, age, or sexual orientation of any 
          person, to refuse to hire or employ the person or to refuse 
          to select the person for a training program leading to 
          employment, or to bar or to discharge the person from 
          employment or from a training program leading to 
          employment, or to discriminate against the person in 
          compensation or in terms, conditions, or privileges of 
          employment.  (Government Code Section 12940.)

          This bill prohibits the consideration of the following 

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          characteristics when apportioning the cause of permanent 
          disability for determining a worker's compensation benefit: 
           race, religious creed, color, national origin, age, 
          gender, marital status, sex, sexual orientation, or genetic 
          characteristics.

          This bill contains the following findings and declarations:

           Under the state's workers compensation system, injured 
            workers or their dependents are entitled to certain 
            benefits that include compensation for permanent partial 
            disability or death arising out of, and in the course of, 
            employment, without regard to fault.  In return, 
            employers are shielded from civil liability in any claims 
            of negligence related to the employee's injury.

           Workers' compensation benefits should never be based on 
            the personal characteristics and risk factors of the 
            employee, and their use runs counter to the original 
            intent of apportionment.

           It is the intent of the Legislature to ensure that risk 
            factors and the characteristics of race, religious creed, 
            color, national origin, age, gender, marital status, sex, 
            sexual orientation, or genetic characteristics are not 
            used to deny any injured worker his/her rightful benefit 
            when disabled in the workplace.

           It is the intent of the Legislature to prohibit the 
            apportionment o frisk factors and characteristics without 
            prohibiting the apportionment of documentable preexisting 
            nonindustrial causes of disability in individual cases or 
            without holding an employer liable for any percentage of 
            permanent disability not directly caused by the injury 
            arising out of and occurring in the course of employment.  

          Background  

          In 2004, Governor Schwarzenegger proposed reforms to the 
          worker's compensation system in order to reduce the costs 
          of worker's compensation insurance paid by employers.  
          Accordingly, SB 899 (Poochigian) Chapter 34, Statutes of 
          2004, was signed into law and enacted many reforms of the 
          worker's compensation program.  Among other things, SB 899 

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          repeals the prior worker's compensation apportionment 
          provision, which provided clear descriptions of "previous 
          injury" and "natural progression" and replaced these 
          descriptions with "causation."  Apportionment is the method 
          by which the percentage of a worker's permanent disability 
          is attributed to the injury, pre-existing conditions, or 
          prior injuries, which percentages determine the amount of 
          the worker's compensation benefit.  

          Prior to the enactment of SB 899, a physician would examine 
          the injured worker and decide what part of the worker's 
          permanent disability came from the injury and what part 
          came from either a pre-existing disability or impairment or 
          from the natural progression of a pre-existing disease 
          process.  After SB 899 was enacted, a physician must decide 
          what percentage of the disability was the direct result of 
          the injury and what percentage of the disability was caused 
          by "other factors."  The worker receives a benefit 
          commensurate with only the percentage of the disability 
          that was caused by the actual injury.

          In 2008, the San Diego Union-Tribune reported that across 
          California, worker's compensation benefits were being 
          reduced because "other factors," such as race, age, and 
          gender, were being used to apportion the causation of the 
          disability.  (Calbreath, Race, Age, Gender Bias Hits 
          Workers Across State (Feb. 17, 2008) San Diego 
          Union-Tribune  
           (as of June 5, 2011.)  One example of 
          race being used to decrease the disability benefit was the 
          case of a relief cook injured by the repeated use of a 
          degreasing formula.  The worker experienced a variety of 
          symptoms from exposure to the degreaser, including 
          hypertension.  According to the article, "the medical 
          examiner cut Jones' workers' comp payments in half because, 
          as an African-American, he had a 'genetic' predisposition 
          to high blood pressure or hypertension." 

          This bill is substantially similar to SB 1115 (Migden), 
          2007-08 Session, which was vetoed by Governor 
          Schwarzenegger who argued that the bill was unnecessary.  
          SB 145 (DeSaulnier), 2009-10 Session, also contained a 
          provision that is substantially similar to this bill and 

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          was vetoed because Governor Schwarzenegger believed it 
          would undermine the 2004 workers' compensation 
          apportionment reforms and that AB 1093 (Yamada), Chapter 
          272, Statutes of 2010, provides the same protections.  AB 
          1093 provides a prohibition on the use of personal 
          characteristics when granting or denying a workers' 
          compensation claim under conditions of compensation.

          This bill, sponsored by the California Applicants' 
          Attorneys Association, prohibits the consideration of the 
          following characteristics when apportioning the cause of 
          permanent disability for determining a worker's 
          compensation benefit:  race, religious creed, color, 
          national origin, age, gender, marital status, sex, sexual 
          orientation, or genetic characteristics.

           Governor Schwarzenegger's vetoes of SB 1115 and SB 145  .  
          This bill is substantially similar to the enrolled version 
          of SB 1115 (Migden), 2007-08 Session.  In vetoing SB 1115, 
          Governor Schwarzenegger stated, "While I support the intent 
          of this measure, I do not believe it is necessary.  Current 
          law, as well as court rulings, adequately protects injured 
          workers from inappropriate application of apportionment 
          statutes.  In addition, I am concerned that the manner in 
          which this bill is worded could inadvertently create new 
          ambiguities in the law and result in increased litigation."

          SB 145 (DeSaulnier), 2009-10 Session, also contained a 
          provision that was substantially similar to this bill.  In 
          vetoing SB 145, Governor Schwarzenegger stated, "This 
          measure, like Senate Bill 1115 (2008), which I previously 
          vetoed, would significantly undermined �sic] the state's 
          workers' compensation apportionment reforms of 2004."  

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

           SUPPORT  :   (Verified  7/12/11)

          California Applicants' Attorneys Association (source)
          Advancement of Colored People
          American Civil Liberties Union
          California Association of Highway Patrolmen
          California Communities United Institute

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          California Conference of Board of the Amalgamated Transit 
          Union
          California Conference of Machinists
          California Correctional Peace Officers Association
          California Labor Federation
          California Nurses Association
          California Official Court Reporters Association
          California Society of Industrial Medicine and Surgery
          California State Conference of the National Association for 
          the California 
          Consumer Attorneys of California
          Engineers and Scientists of California
          Glendale City Employees Association
          International Longshore and Warehouse Union
          Mexican American Legal Defense and Educational Fund
          Organization of SMUD Employees
          Peace Officers Research Association of California
          Professional and Technical Engineers, Local 21
          Public Counsel Law Center
          San Bernardino Public Employees Association
          San Luis Obispo County Employees Association
          Santa Rosa City Employees Association
          Teamsters Public Affairs Council
          UNITE HERE!
          United Food and Commercial Workers - Western States 
          Conference
          Utility Workers Union of America, Local 132

           OPPOSITION  :    (Verified  7/12/11)

          Acclamation Insurance Management Services
          Allied Managed Care
          ALPHA Fund
          American Insurance Association
          Association of California Insurance Companies
          California Association of Joint Powers Authorities
          California Chamber of Commerce
          California Coalition of Workers' Compensation
          California Farm Bureau Federation
          California Grocers Association
          California Hospital Association
          California Independent Growers Association
          California Manufacturers & Technology Association
          California Restaurant Association

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          California Retailers Association
          California Trucking Association
          CSAC Excess Insurance Authority
          Liberty Mutual Insurance Group
          Los Angeles County Board of Supervisors
          Marriott
          Property Casualty Insurers Association of America
          Safeway
          Spa & Pool Industry Education Council
          UPS, Inc.
          Western Growers
          Western Occupational & Environmental Medical Association
          Workers' Compensation Action Network

           ARGUMENTS IN SUPPORT  :    The author writes, "Currently, if 
          an employee is injured on the job then he/she has the right 
          to file a workers compensation disability claim. . . 
          However, some disabled workers are having their 
          compensation apportioned not just to prior and/or 
          pre-existing disabilities but also to factors such as age, 
          race, and gender.  

          "Insurance companies aggressively seek to reduce the amount 
          requested in the claim, thus reducing the amount of 
          benefits paid to the injured worker.  The insurance 
          companies frequently apportion the injury based on "risk 
          factors."  These risk factors are based upon race, gender, 
          age and other immutable characteristics."

           ARGUMENTS IN OPPOSITION  :    The California Manufacturers & 
          Technology Association (CMTA), an opponent of this bill, 
          argues that apportionment is a "long-standing concept 
          intended to protect employers from being forced to pay for 
          disability that is not directly caused by an industrial 
          injury.  There is currently nothing in the Labor Code that 
          allows for discrimination based on protected classes when 
          adjusting the worker's compensation disability rating."  
          CMTA argues that case law demonstrates that courts do not 
          uphold apportionment based on discrimination.  For this 
          reason, CMTA is requesting amendments to the bill to strike 
          the intent language and delete the words "cause or other".

          CMTA points to  Vaira v. WCAB  , 9 WCAB Rptr. 10,371, wherein 
          the Court of Appeal held that, to the extent the medical 

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          examiner based his apportionment of disability on the 
          worker's age, this would be a violation of the prohibition 
          against discrimination.  Yet, this ruling was handed down 
          only after the worker's compensation judge accepted the 
          medical examiner's apportionment and after the petitioning 
          worker requested reconsideration of the apportionment three 
          times, with the same result.  It appears a clarification of 
          law is necessary so that medical examiners are clear that 
          characteristics should not be considered as other factors 
          contributing to a disability and future workers are not 
          required to follow the same extended path as Ms. Vaira 
          toward a fair and just result.

          CMTA also argues that this bill will have the unintended 
          consequence of automatic increased litigation because every 
          apportionment determination will be questionable, this bill 
          will create uncertainty, hurt businesses, and "undo the 
          reforms that were put in place to create objectivity and 
          fairness."  In response, proponents of this bill argue that 
          it will not automatically increase litigation but rather 
          clarify and conform the Labor Code to the 
          anti-discrimination provisions of the Government Code.  If 
          the medical examiner is aware of what other factors should 
          and should not be used in apportioning disability, 
          protracted litigation as demonstrated in  Vaira  will be 
          avoided.  
           
           ASSEMBLY FLOOR  :  47-26, 5/12/11
          AYES: Alejo, Allen, Ammiano, Atkins, Beall, Block, 
            Blumenfield, Bonilla, Bradford, Brownley, Buchanan, 
            Butler, Charles Calderon, Campos, Carter, Chesbro, Davis, 
            Dickinson, Eng, Feuer, Fong, Fuentes, Gatto, Gordon, 
            Hall, Hayashi, Roger Hern�ndez, Hill, Huber, Hueso, 
            Huffman, Lara, Bonnie Lowenthal, Ma, Mendoza, Mitchell, 
            Monning, Pan, Perea, V. Manuel P�rez, Skinner, Solorio, 
            Swanson, Wieckowski, Williams, Yamada, John A. P�rez
          NOES: Achadjian, Bill Berryhill, Conway, Cook, Donnelly, 
            Fletcher, Beth Gaines, Grove, Hagman, Halderman, Harkey, 
            Jeffries, Jones, Knight, Logue, Mansoor, Miller, Morrell, 
            Nestande, Nielsen, Norby, Olsen, Silva, Smyth, Valadao, 
            Wagner
          NO VOTE RECORDED: Cedillo, Furutani, Galgiani, Garrick, 
            Gorell, Portantino, Torres


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          RJG:do  7/12/11   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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