BILL ANALYSIS                                                                                                                                                                                                    �







                      SENATE COMMITTEE ON PUBLIC SAFETY
                            Senator Loni Hancock, Chair              S
                             2011-2012 Regular Session               B

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          SB 1177 (Leno)                                             7
          As Introduced February 22, 2012
          Hearing date: April 17, 2012
          Penal Code and Labor Code
          JM:dl

                        RESTITUTION AND WORKERS' COMPENSATION:

                   CRIMES COMMITTED BY EMPLOYERS AGAINST EMPLOYEES  


                                       HISTORY

          Source:  San Francisco County District Attorney

          Prior Legislation: None directly on point

          Support: California District Attorneys Association; California 
          Labor Federation

          Opposition:None known



                                         KEY ISSUE
           
          WHERE AN EMPLOYER HAS COMMITTED A CRIME AGAINST AN EMPLOYEE, SHOULD 
          THE EMPLOYER'S CRIMINAL RESTITUTION OBLIGATION NOT BE OFFSET BY 
          WORKER'S COMPENSATION INSURANCE PAYMENTS MADE TO THE VICTIM UNLESS 
          THE EMPLOYER HAS FULLY PAID ALL WORKERS' COMPENSATION PREMIUMS?


                                       PURPOSE




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          The purpose of this bill is to provide that where an employer 
          has been convicted of a crime against an employee, the 
          employer's criminal restitution obligation cannot be offset by 
          payments made to the employee or the employee's dependents 
          unless the employer has fully paid all workers' compensation 
          insurance premiums.

           Existing provisions in the California Constitution  state that 
          all persons who suffer losses as a result of criminal activity 
          shall have the right to restitution from the perpetrators of 
          these crimes.  Restitution shall be ordered in every case unless 
          compelling and extraordinary reasons exist to the contrary.  The 
          Legislature shall adopt provisions to implement this section 
          during the calendar year following adoption of this section.  
          (Cal. Const. Art. 1 � 28, subd. (b).)

           Existing law  states legislative intent that a victim of crime 
          who incurs any economic loss as a result of the commission of a 
          crime shall receive restitution directly from any defendant 
          convicted of that crime.  (Pen. Code � 1202.4, subd. (a)(1).)

           Existing law  directs the court to order a defendant to make 
          restitution to the victim or victims of the defendant's crime.  
          The court shall order full restitution for the losses caused by 
          the defendant's crime unless the court finds and states 
          compelling and extraordinary reasons for not doing so.  (Pen. 
          Code � 1202.4, subd. (f).)
           
          Existing law  provides that a criminal restitution order shall be 
          enforceable as though it were a civil judgment.  (Pen. Code � 
          1202.4, subd. (i).)  
           
           Existing law  provides that, in the event of a compensable 
          industrial injury, workers' compensation is the sole and 
          exclusive remedy of the employee or his or her dependents 
          against the employer.  Further, with specified exceptions, the 
          employee or his or her dependents may not bring  a civil action 




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          for damages against the employer. (Labor Code �3602.) 

           Existing law  provides that in the following circumstances an 
          employee can obtain remedies or damages from the employer other 
          than through workers' compensation: 


                 Where the employee's injury or death is proximately 
               caused by a willful physical assault by the employer. 
               (Labor Code � 3602.)

                 Where the employee's injury is aggravated by the 
               employer's fraudulent concealment of the existence of the 
               injury and its connection with the employment. (Labor Code 
               �3602.)

                 Where the employer fails to secure workers' compensation 
               coverage for his or her employees. (Labor Code � 3706.)

                 Where the employee's injury or death is proximately 
               caused by the employer's knowing removal of, or knowing 
               failure to install, a point of operation guard on a power 
               press. (Labor Code � 4558.)


           This bill  provides that where an employer has been convicted of 
          a crime against an employee, workers' compensation payments made 
          to the victim or a family member shall not offset the amount of 
          restitution unless the employer had fully paid workers' 
          compensation insurance premiums.  



                    RECEIVERSHIP/OVERCROWDING CRISIS AGGRAVATION
                                      ("ROCA")
          
          In response to the unresolved prison capacity crisis, since 
          early 2007 it has been the policy of the chair of the Senate 




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          Committee on Public Safety and the Senate President pro Tem to 
          hold legislative proposals which could further aggravate prison 
          overcrowding through new or expanded felony prosecutions.  Under 
          the resulting policy known as "ROCA" (which stands for 
          "Receivership/Overcrowding Crisis Aggravation"), the Committee 
          has held measures which create a new felony, expand the scope or 
          penalty of an existing felony, or otherwise increase the 
          application of a felony in a manner which could exacerbate the 
          prison overcrowding crisis by expanding the availability or 
          length of prison terms (such as extending the statute of 
          limitations for felonies or constricting statutory parole 
          standards).  In addition, proposed expansions to the 
          classification of felonies enacted last year by AB 109 (the 2011 
          Public Safety Realignment) which may be punishable in jail and 
          not prison (Penal Code section 1170(h)) would be subject to ROCA 
          because an offender's criminal record could make the offender 
          ineligible for jail and therefore subject to state prison.  
          Under these principles, ROCA has been applied as a 
          content-neutral, provisional measure necessary to ensure that 
          the Legislature does not erode progress towards reducing prison 
          overcrowding by passing legislation which could increase the 
          prison population.  ROCA will continue until prison overcrowding 
          is resolved.

          For the last several years, severe overcrowding in California's 
          prisons has been the focus of evolving and expensive litigation. 
           On June 30, 2005, in a class action lawsuit filed four years 
          earlier, the United States District Court for the Northern 
          District of California established a Receivership to take 
          control of the delivery of medical services to all California 
          state prisoners confined by the California Department of 
          Corrections and Rehabilitation ("CDCR").  In December of 2006, 
          plaintiffs in two federal lawsuits against CDCR sought a 
          court-ordered limit on the prison population pursuant to the 
          federal Prison Litigation Reform Act.  On January 12, 2010, a 
          three-judge federal panel issued an order requiring California 
          to reduce its inmate population to 137.5 percent of design 
          capacity -- a reduction at that time of roughly 40,000 inmates 




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          -- within two years.  The court stayed implementation of its 
          ruling pending the state's appeal to the U.S. Supreme Court.  

          On May 23, 2011, the United States Supreme Court upheld the 
          decision of the three-judge panel in its entirety, giving 
          California two years from the date of its ruling to reduce its 
          prison population to 137.5 percent of design capacity, subject 
          to the right of the state to seek modifications in appropriate 
          circumstances.  Design capacity is the number of inmates a 
          prison can house based on one inmate per cell, single-level 
          bunks in dormitories, and no beds in places not designed for 
          housing.  Current design capacity in CDCR's 33 institutions is 
          79,650.

          On January 6, 2012, CDCR announced that California had cut 
          prison overcrowding by more than 11,000 inmates over the last 
          six months, a reduction largely accomplished by the passage of 
          Assembly Bill 109.  Under the prisoner-reduction order, the 
          inmate population in California's 33 prisons must be no more 
          than the following:

                 167 percent of design capacity by December 27, 2011 
               (133,016 inmates);
                 155 percent by June 27, 2012;
                 147 percent by December 27, 2012; and
                 137.5 percent by June 27, 2013.
               
          T5his bill does not aggravate the prison overcrowding crisis 
          described above under ROCA.


                                      COMMENTS

          1.  Need for This Bill  

          According to the author:

               SB 1177 will enable more victims and victims' families 




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               - in the event of a serious workplace injury or death 
               where the employer is criminally responsible - to 
               receive full restitution from the convicted employer.

               Under California law, an employer may be charged 
               criminally when an employee is killed or seriously 
               injured on the job. Upon conviction, the employer will 
               be ordered to pay restitution to the victim or 
               victim's family, which can include medical expenses 
               and lost future wages.

               If the victim or victim's family receives workers' 
               compensation benefits from the employer's insurer, the 
               employer will typically seek to reduce its restitution 
               obligation to the victim or victim's family by arguing 
               that the employer is entitled to an "offset" for those 
               benefits - that is, the employer will assert that 
               restitution owed should be reduced (offset) by the 
               amount of any workers' compensation insurance payments 
               made to the victim or family.

               However, in some cases, the convicted employer has 
               also been defrauding its workers' compensation 
               insurance carrier by, for example, underreporting or 
               failing to report the employee's wages. Despite this, 
               the employer may still claim a workers' compensation 
               offset to the restitution ordered by the court.
               Victims and victims' families are not receiving their 
               full restitution amounts from employers who defrauded 
               their workers' compensation insurer. In addition, 
               employers who are following the law are at a 
               competitive disadvantage when less scrupulous 
               employers cut corners for their employee's workplace 
               safety and workers compensation coverage. Furthermore, 
               criminally negligent employers are getting the extra 
               benefit of restitution offsets when they have 
               defrauded their workers' compensation insurer.





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          2.  Amendments Agreed to in Labor Committee and to be Taken in 
          Public Safety  

          The bill was approved by the Labor Committee on Wednesday, April 
          11, 2012.  The author agreed to take amendments at the 
          suggestion of Labor Committee staff.

          The first amendment makes specified provisions in the Labor Code 
          parallel to and consistent with the changes to the Penal Code 
          restitution provision made by this bill.  According to the Labor 
          Committee analysis, the parallel provisions in the Labor Code 
          would inform employers, claims administrators, practitioners, 
          administrative law judges and interested parties about the 
          changes to the Penal Code restitution provision in cases 
          involving industrial injury crimes.

          The amendments recommended by the Labor Committee staff also 
          included technical amendments that make terms and definitions in 
          this bill consistent with the terms used in the Labor Code.  The 
          author has accepted these amendments.  The amendments will be 
          taken during the hearing on the bill in this Committee.





















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          3.  Case That Prompted Introduction of This Bill  

          This bill was prompted by restitution issues that arose in a 
          2011 San Francisco County case, People v. Shim, Kim, and 
          California C&R, Inc.  In that case, Sam Shim and California C&R, 
          Inc., pled guilty to multiple felony counts in the death of 
          Antonio Martinez, an employee of California C&R. Mr. Martinez 
          had fallen off of a four-story apartment building in 2008.  

          According to the prosecutor's brief to the court on the 
          restitution issue, Mr. Martinez had been employed by California 
          C&R, Inc. for over a decade, but his employer failed to report 
          his employment to either the Employment Development Department 
          (EDD) or the State Compensation Insurance Fund (SCIF).   
          Martinez was paid in cash. On the day of Martinez's death, none 
          of the roofers were wearing any form of fall protection, there 
          were no railings, scaffolds or other physical barriers 
          preventing a fall to the sidewalk, and there was no supervision 
          of work along the roof's edge. These circumstances were all 
          violations of Cal/OSHA regulations.  Defendant Shim pled guilty 
          to four felonies (involuntary manslaughter, willful violation of 
          Cal/OSHA regulations resulting in a death, workers' compensation 
          fraud, and tax fraud), California C&R pled guilty to one felony 
          (willful violation of Cal/OSHA).

          The defendants were ordered to pay restitution to Martinez's 
          survivors.  The defendants argued that they were entitled to a 
          set-off against restitution for the amount of benefits paid to 
          Martinez's family by the State Compensation Insurance Fund 
          (SCIF).  The prosecutor argued that the defendants were not 
          entitled to a reduction in restitution based on the amount of 
          compensation paid by SCIF to the family.  Since the defendants 
          had not paid workers' compensation premiums for Martinez, the 
          benefit paid to Martinez's family were not paid on behalf of the 
          defendants.  The payments should not be attributed to the 
          defendants.  The trial court ruled for the defendant.  The 
          matter is now pending in the Court of Appeal, First Appellate 
          District.  





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          4.  Issue of Double Payments to Victim if Defendant Must Pay 
            Restitution Without Deductions for Insurance Payments made to 
            the Victim - Right of Insurer to Seek Reimbursement  

          In the case that prompted introduction of this bill, the 
          defendant argued that the surviving family of the deceased 
          victim of an industrial accident would improperly receive double 
          compensation if the defendant was forced to pay restitution for 
          damages or losses for which the unemployment insurance company 
          had already paid.  In similar cases the courts have held that 
          the law clearly requires the defendant to pay full restitution 
          for all economic losses suffered by the victim, regardless of 
          whether the victim received compensation from other sources, 
          including insurance.  

          The courts, however, noted that the insurance carrier, or other 
          third-party payer, can seek reimbursement from the victim for 
          any amounts provided by other sources.  (People v. Hume (2008) 
          196 Cal.App.4th 990, 995-996.)  However, the court acknowledged 
          that a victim could receive a form of windfall if the third 
          party payer did not exercise its right to seek reimbursement.  
          (Ibid.)

          The court in Hume did note an exception to the rule that a 
          defendant's restitution obligations cannot be offset by payments 
          made to the victim by third parties, including the victim's own 
          insurance carrier:<1>  (Ibid.)   Where the defendant's own 
          insurance carrier compensates the victim of a crime committed by 
          the defendant, the defendant's restitution obligation is reduced 
          or offset by the amount of compensation paid by the defendant's 
          insurer.  (People v. Bernal (2002) 101 Cal.App.4th 155, 167-168. 
           This exception depends on the following factors and 
          ---------------------------
          <1> For example, where a residential burglary victim receives 
          compensation from his or her own insurance company for damages 
          caused by the break-in and for the value of stolen items, the 
          defendant's restitution obligation is not reduced by the 
          recovery received by the victim from the victim's own insurance 
          carrier.











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          justifications:

                 The defendant purchased the insurance and made payments 
               on the policy to cover the defendant for this kind of 
               situation;
                 The defendant paid premiums to keep the policy active;
                 The defendant has a contractual right to have the 
               insurance company pay the victim; and
                 The insurance company has no indemnity or subrogation 
               rights against the defendant (essentially establishing that 
               payment to the victim was directly from the defendant by 
               means of the insurance contract between the defendant and 
               his insurer).   (Ibid.)

          This bill seeks to clarify application of the rule described 
          above in cases where the defendant did not pay the premiums 
          required by the insurance contract.  

          WHERE AN EMPLOYER HAS BEEN CONVICTED OF A CRIME AGAINST AN 
          EMPLOYEE, SHALL WORKERS' COMPENSATION PAYMENTS MADE TO THE 
          EMPLOYEE OFFSET OR REDUCE THE AMOUNT OF RESTITUTION THE EMPLOYER 
          OWES THE EMPLOYEE ONLY IF THE EMPLOYER HAS PAID ALL PREMIUMS ON 
          HIS OR HER WORKERS' COMPENSATION INSURANCE POLICY?



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