BILL ANALYSIS                                                                                                                                                                                                    Ó






                 Senate Committee on Labor and Industrial Relations
                                 Ted W. Lieu, Chair

          Date of Hearing: June 27, 2012               2011-2012 Regular 
          Session                              
          Consultant: Gideon L. Baum                   Fiscal:Yes
                                                       Urgency: No
          
                                  Bill No: AB 2493
                                  Author: Hernandez
                         As Introduced/Amended: May 25, 2012
          

                                       SUBJECT
          
             Workers' compensation: administrative hearings and medical 
                     examinations and treatments: interpreters. 


                                      KEY ISSUE

          Should the Legislature allow the Division of Workers' 
          Compensation (DWC) or an independent organization certified by 
          the DWC establish, maintain, administer, and publish annually an 
          updated list of certified administrative hearing and medical 
          examination interpreters?
          

                                       PURPOSE
          
          To permit the Division of Workers' Compensation or an 
          independent organization to establish, maintain, administer, and 
          publish annually an updated list of certified administrative 
          hearing and medical examination interpreters separate from the 
          State Personnel Board's list of certified interpreters.


                                      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 that, if an employee submits to 
          examination by a physician at the request of the employer, the 
          employer's insurer, or other specified parties, and the employee 
          does not proficiently speak or understand the English language, 
          he or she shall be entitled to the services of a qualified 
          interpreter in accordance with conditions and a fee schedule 
          prescribed by the administrative director. These services shall 
          be provided by the employer.  (Labor Code §4600)

           Existing law  provides that, for the purposes of workers' 
          compensation, the interpreter can only be certified, or deemed 
          certified, as per a certification process created by the State 
          Personnel Board or the Judicial Council.  (Labor Code §4600)

           Existing law  requires the State Personnel Board designate the 
          languages for which certification shall be established. The 
          languages designated shall include, but not be limited to, 
          Spanish, Tagalog, Arabic, Cantonese, Japanese, Korean, 
          Portuguese, and Vietnamese until the State Personnel Board finds 
          that there is an insufficient need for interpreting assistance 
          in these languages.  (Government Code §11435.40)
           
          Existing law  requires the State Personnel Board to establish, 
          maintain, administer, and publish annually an updated list of 
          certified administrative hearing interpreters it has determined 
          meet the minimum standards in interpreting skills and linguistic 
          abilities in languages designated by the State Personnel Board.  
          (Government Code §11435.30)
           
          Existing law  requires the State Personnel Board to establish, 
          maintain, administer, and publish annually, an updated list of 
          certified medical examination interpreters it has determined 
          meet the minimum standards in interpreting skills and linguistic 
          abilities in languages designated by the State Personnel Board.  
          (Government Code §11435.35)

           Existing law  also provides that a hearing agency or physician 
          has the discretion to provisionally qualify or use another 
          interpreter.  In the case of medical examinations, the physician 
          must note it in his or her record of the medical evaluation.  
          Hearing Date:  June 27, 2012                             AB 2493  
          Consultant: Gideon L. Baum                               Page 2

          Senate Committee on Labor and Industrial Relations 
          








          (Government Code §11435.55)
           

          This bill  would provide that, for both lists described above, 
          the Administrative Director of the Division of Workers' 
          Compensation or an independent organization designated by the 
          administrative director may establish, maintain, administer, and 
          publish annually an updated list of certified administrative 
          hearing interpreters it has determined meet the minimum 
          standards in interpreting skills and linguistic abilities for 
          workers' compensation examinations and proceedings.

           This bill  would also require the collection of a fee, determined 
          by the Administrative Director, from each interpreter seeking 
          certification. The fee shall not exceed the reasonable 
          regulatory costs of administering the testing and certification 
          program and of publishing the list of certified medical 
          examination interpreters on the Division of Workers' 
          Compensation Internet Web site. 

           This bill  would also require that, if the Administrative 
          Director chooses not to administer the testing and certification 
          program, the administrative director must contract with one or 
          more independent organizations to conduct testing and to certify 
          the qualifications of medical examination interpreters.

                                          





                                      COMMENTS

          
          1.  Need for this bill?

            Currently, due to budget constraints, the State Personnel 
            Board is not offering certification exams for administrative 
            hearing and medical interpreter certification.  While there 
            are offering limited exams for court interpreter 
            certification, this certification does not have universal 
          Hearing Date:  June 27, 2012                             AB 2493  
          Consultant: Gideon L. Baum                               Page 3

          Senate Committee on Labor and Industrial Relations 
          








            application in the workers' compensation system.  The end 
            result, according to the author and sponsor of this measure, 
            is that there simply are not enough interpreters in the 
            workers' compensation system for injured workers who are not 
            English proficient.  

            According to the State Personnel Board's database of certified 
            interpreters, there are approximately 743 interpreters; the 
            Courts have certified about 2,000 interpreters.  The DWC's 
            Workers' Compensation Information System (WCIS) reports that 
            there were 94,742 Subsequent reports of Injury (SROI) 
            involving indemnity benefits, which would include Permanent 
            Disability benefits.  It is unknown how many of those 
            individuals were not English proficient or were not assisted 
            by a certified interpreter.

            AB 2493 seeks to address the lack of interpreters in the 
            workers' compensation system by empowering the Division of 
            Workers' Compensation or a third-party to compile a list of 
            qualified interpreters for administrative hearings and medical 
            examinations.


          2.    Possible Amendments  :

            AB 2494, as currently written, allows the Division of Workers' 
            Compensation or a separate third-party vendor to create lists 
            of qualified interpreters for workers' compensation hearings 
            and medical examinations.  However, as was discussed above, 
            the same budget constraints that impact the State Personnel 
            Board will almost certainly impact the Division of Workers' 
            Compensation.  Additionally, there is not a significant check 
            on the conflicts that could be present if the organization 
            also trains interpreters.  Therefore, the Committee may wish 
            to consider the following amendments:

            On page 2, lines 17 and 18, strike "or an independent 
            organization designated by the administrative director";

            On page 2, line 20, strike "it has" and insert "who, based on 
            testing by an independent organization designated by the 
            administrative director, have been";
          Hearing Date:  June 27, 2012                             AB 2493  
          Consultant: Gideon L. Baum                               Page 4

          Senate Committee on Labor and Industrial Relations 
          









            On page 2, line 24, insert the following at the end of the 
            line: "The independent testing organization shall have no 
            financial interest in the training of interpreters or in the 
            employment of interpreters for administrative hearings."

            On page 2, line 30, strike "if the administrative"; and strike 
            lines 1-4 on page 3;

            On page 3, lines 17 and 18, strike "or an independent 
            organization designated by the administrative director";

            On page 3, line 20, strike "it has" and insert "who, based on 
            testing my an independent organization designated by the 
            administrative director, have been";

            On page 3, line 26, insert the following at the end of the 
            line: "The independent testing organization shall have no 
            financial interest in the training of interpreters or in the 
            employment of interpreters for medical examinations."

            On page 3, line 32, strike "If the administrative" and strike 
            lines 33-36.


          3.  Proponent Arguments  :
            
            Proponents argue that there is a lack of qualified 
            interpreters that are required to provide vital interpretation 
            services to injured workers.  Proponents argue that this lack 
            of interpreters is due to the lack of available exams, and 
            this in turn is leading to the use of provisionally certified 
            interpreters.  This lack of experience can lead to disputes on 
            the interpretation, which drives litigation and delays medical 
            treatment.  This delay inhibits the injured worker's return to 
            work, hurting the employer and increasing costs for 
            businesses.  Proponents believe that by allowing the Division 
            of Workers' Compensation to certify interpreters will create a 
            list of qualified interpreters that will help to bring this 
            problem to a close.
               

          Hearing Date:  June 27, 2012                             AB 2493  
          Consultant: Gideon L. Baum                               Page 5

          Senate Committee on Labor and Industrial Relations 
          








          4.  Prior Legislation  :

            AB 682 (Young) Chaper 1150, Statutes of 1981, provided, among 
            other things, that if an employee submits to examination by a 
            physician at the request of the employer, the employer's 
            insurer, or other specified parties, and the employee does not 
            proficiently speak or understand the English language, he or 
            she shall be entitled to the services of a qualified 
            interpreter.


                                       SUPPORT
          
          Small Business of California (Sponsor)
          California Labor Federation, AFL-CIO
          

                                     OPPOSITION
          
          None on file.





















          Hearing Date:  June 27, 2012                             AB 2493  
          Consultant: Gideon L. Baum                               Page 6

          Senate Committee on Labor and Industrial Relations