BILL ANALYSIS                                                                                                                                                                                                    �



                                                                  AB 2155
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          ASSEMBLY THIRD READING
          AB 2155 (Ridley-Thomas)
          As Introduced February 20, 2014
          Majority vote

           PUBLIC EMPLOYEES    5-1         APPROPRIATIONS      12-5        
           
           ----------------------------------------------------------------- 
          |Ayes:|Bonta, Jones-Sawyer,      |Ayes:|Gatto, Bocanegra,         |
          |     |Rendon, Ridley-Thomas,    |     |Bradford,                 |
          |     |Wieckowski                |     |Ian Calderon, Campos,     |
          |     |                          |     |Eggman, Gomez, Holden,    |
          |     |                          |     |Pan, Quirk,               |
          |     |                          |     |Ridley-Thomas, Weber      |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Allen                     |Nays:|Bigelow, Donnelly, Jones, |
          |     |                          |     |Linder, Wagner            |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 
           SUMMARY  :   Prohibits mandatory overtime for state nurses and  
          certified nursing assistants, except under certain  
          circumstances.  Specifically,  this bill  :  

          1)Defines a "nurse" as all classifications of registered nurses  
            represented by State Bargaining Unit (BU) 17, or the Licensed  
            Vocational Nurse classifications represented by BU 20.

          2)Defines a "certified nursing assistant" (CNA) as all CNA  
            classifications represented by BU 20.

          3)Defines a "facility" as a mental hospital, youth or adult  
            correctional facility, developmental center, veteran's home,  
            school, or worksite in which a nurse or CNA works as an  
            employee of the state.

          4)Prohibits a facility from requiring a nurse or CNA to work in  
            excess of a regularly scheduled workweek or work shift, except  
            as provided.

          5)Authorizes a nurse or CNA to volunteer to work extra hours,  
            but the refusal by a nurse or CNA to work such hours shall not  
            be grounds for discrimination, dismissal, discharge or other  
            penalty.








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          6)Provides that the overtime prohibition does not apply in the  
            following situations:

             a)   To any nurse or CNA participating in a surgical  
               procedure until that procedure is completed; or,

             b)   If a catastrophic event occurs in a facility where both  
               of the following apply:

               i)     The catastrophic event results in such a large  
                 number of patients in need of immediate medical treatment  
                 that the facility is incapable of providing sufficient  
                 nurses or CNAs to attend to the patients without  
                 resorting to mandatory overtime; and,

               ii)    The catastrophic event is an unanticipated and  
                 nonrecurring event.

          7)Specifies that nothing in these provisions shall be construed  
            to affect the Nursing Practice Act, the Vocational Nursing  
            Practice Act, or a registered nurse's duty under the standards  
            of competent performance.

           EXISTING LAW  :

          1)Establishes, as the general policy of the state, the workweek  
            of state employees to be 40 hours, and the workday of state  
            employees eight hours, except that workweeks and workdays of a  
            different number of hours may be established in order to meet  
            the varying needs of the different state agencies. 

          2)States that it is the policy of the state to avoid the  
            necessity for overtime work whenever possible. This policy  
            does not restrict the extension of regular working-hour  
            schedules on an overtime basis in those activities and  
            agencies where it is necessary to carry on the state business  
            properly during a manpower shortage.

           FISCAL EFFECT  :   According to the Assembly Appropriations  
          Committee:

          Annual General Fund (GF) costs greater than $3 million to the  
          Department of State Hospitals (DSH) and the Department of  








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          Corrections and Rehabilitation (DCR) to hire additional nurses  
          to cover the hours currently worked as mandatory overtime;  
          additional GF costs likely to hire additional CNAs.

          For example, annual GF costs to DSH of approximately $1.2  
          million based on the following:

          1)During 2013, registered nurses and licensed vocational nurses  
            worked approximately 54,000 mandatory overtime hours at total  
            cost of overtime pay of approximately $2.3 million.

          2)Covering the 54,000 hours previously worked as mandatory  
            overtime would require DSH to hire approximately 27.5  
            additional full-time nurses at an estimated annual cost of  
            $3.5 million, with the difference representing the net cost to  
            the department.

           COMMENTS  :   According to the author, "Mandatory overtime is the  
          practice of hospitals and health care institutions to maintain  
          adequate numbers of staff nurses through forced overtime,  
          usually with a total of twelve to sixteen hours worked, and with  
          as little as one hour's notice.  This bill seeks to ban  
          mandatory overtime for public sector RNs, LVNs, and CNAs.  The  
          use of mandatory overtime for nurses in the private sector has  
          been banned since 2001 through wage orders from the Industrial  
          Welfare Commission.  State and public sector nurses were  
          exempted from this order".

          "Mandatory overtime may cause or lead to increased stress on the  
          job, less patient comfort and mental and physical fatigue that  
          can contribute to errors and 'near-misses' with medications and  
          case-related procedures.  The practice of mandatory overtime  
          ignores the responsibilities nurses may have at home with  
          children, other family members, or other obligations.  Being  
          forced into excessive overtime can cause an exhausted RN to  
          practice unsafe patient care, jeopardizing her nursing licensure  
          status."

          According to information provided by the author, the states of  
          West Virginia, Illinois, Connecticut, Washington, Oregon, New  
          Jersey, Minnesota, Maine, Maryland, Alaska and Massachusetts all  
          have laws prohibiting the use of mandatory overtime as a general  
          staffing tool.









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          The author concludes, "AB 2155 is needed to promote an optimum  
          quality of patient care, decrease potential workplace or health  
          and safety errors; and increase the ability of the state in its  
          recruitment and retention of nurses." 

          This bill is similar to AB 1184 (Koretz) of 2005, which was  
          vetoed by the Governor.  In his veto message, Governor  
          Schwarzenegger stated, in part:

               California is facing a nursing shortage and there are not  
               enough nurses and certified nursing assistants to provide  
               coverage in State hospitals and health care facilities.   
               Because the State has difficulty recruiting a sufficient  
               number of these dedicated professionals for its hospitals  
               and other health care facilities, the State relies on  
               mandatory overtime staff to meet minimum level-of-care  
               staffing requirements.  My administration has made the  
               training and recruitment of new nursing professionals a  
               high priority, with the added goal of filling vacant  
               nursing positions and reducing the resulting overtime  
               throughout state service.

               Additionally, the Ralph C. Dills Act requires that the  
               state employer and the exclusive representative of  
               rank-and-file state employees meet and confer in good faith  
               over employee wages, hours of work, and terms and  
               conditions of employment.  This bill would unilaterally  
               establish provisions governing hours of work for  
               represented health care employees, thereby circumventing  
               the collective bargaining process and the good faith  
               collective bargaining agreements negotiated between the  
               parties.  If the State is to have good faith collective  
               bargaining, then wages, hours and terms and conditions of  
               employment must remain subject to negotiation.


           Analysis Prepared by  :    Karon Green / P.E., R. & S.S. / (916)  
          319-3957 


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