BILL ANALYSIS                                                                                                                                                                                                    �





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          GOVERNOR'S VETO
          AB 2378 (Perea)
          As Amended  May 23, 2014
          2/3 vote

           INSURANCE      11-2                APPROPRIATIONS           13-0
           
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          |Ayes:|Perea, Hagman, Bradford,  |Ayes:|Gatto, Bocanegra,         |
          |     |Ian Calderon, Cooley,     |     |Bradford,                 |
          |     |Dababneh, Frazier,        |     |Ian Calderon, Campos,     |
          |     |Gonzalez, Olsen,          |     |Eggman, Gomez, Holden,    |
          |     |V. Manuel P�rez,          |     |Linder, Pan, Quirk,       |
          |     |Wieckowski                |     |Ridley-Thomas, Weber      |
          |     |                          |     |                          |
          |-----+--------------------------+-----+--------------------------|
          |Nays:|Allen, Beth Gaines        |     |                          |
          |     |                          |     |                          |
           ----------------------------------------------------------------- 


           ASSEMBLY:   66-8    (May 28, 2014)        SENATE:     33-0       
          (August 21, 2014)               

            
          SUMMARY  :   Provides that, with respect to certain fire and peace  
          officer employees, the right to a leave of absence for up to one  
          year with full pay as a result of on-the-job disability does not  
          offset any portion of those employees' right to up to 104 weeks  
          of temporary disability benefits.   Specifically,  this bill  :  

          1)Contains Legislative findings and declarations to the effect  
            that:

             a)   Courts are supposed to liberally construe the workers'  
               compensation laws for the purpose of extending benefits to  
               workers whose injuries arise out of or in the course of  
               employment;

             b)   AB 338 (Coto), Chapter 595, Statutes of 2007, was  
               intended to ameliorate an unintended consequence of the  










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               temporary disability law adopted in 2004 that limited the  
               duration of temporary disability to two years;

             c)   AB 338 was not intended to limit or reduce compensation  
               paid to certain fire and peace officer employees pursuant  
               to Labor Code Sections 4800 and 4850;

             d)   The Court of Appeal issued a decision in 2013 that  
               wrongly interprets existing law, and AB 338, with the  
               consequence of wrongfully denying these fire and peace  
               officer employees the full benefits that the statues  
               intended to provide to them; and 

             e)   That it is imperative that the Legislature act to  
               abrogate the Court's holding and restore the Legislature's  
               intent to provide benefits to these employees.

          2)Specifies that benefits provided by Labor Code Section 4800,  
            et seq, and 4850, et seq, are payable in addition to the  
            maximum payments available under Labor Code Section 4656, the  
            temporary disability statute.

          3)Provides that it is the intent of the Legislature to abrogate  
            the holding in County of Alameda v. Workers' Compensation  
            Appeals Board (Knittel) (2013) 213 Cal.App.4th 278.

           EXISTING LAW  :

          1)Provides for a comprehensive system of workers' compensation  
            benefits for workers whose injuries or conditions arise out of  
            or in the course of employment, including indemnity benefits  
            designed to compensate for lost wages in cases where a worker  
            is temporarily unable to work due to the injury or condition.

          2)Provides that temporary disability benefits are available for  
            up to 104 weeks during a five-year period after the date of  
            injury, in an amount that is 2/3 of the worker's average  
            weekly wage, but subject to a cap that varies depending on  
            increases or decreases in a specified wage measurement.

          3)Provides that most firefighter and peace officer employees  










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            receive a one year leave of absence without loss of salary in  
            the event of a work-related disability that is either  
            temporary or permanent.

          4)Provides, as a matter of state and federal tax law, tax  
            payments received as a result of disability are tax-free  
            benefits.

          5)Provides, based on case law, that the one year leave of  
            absence constitutes the first 52 weeks of the 104 weeks of  
            temporary disability authorized by law.

           FISCAL EFFECT  :  Unknown

           COMMENTS  :   

          1)Purpose.  According to the author, firefighters and police  
            officers face up to 10 times as great a risk of serious  
            on-the-job injury as non-safety private employees.  Because of  
            a state appeals court decision that re-interprets decades of  
            case law and administrative rulings, firefighters are at risk  
            of losing up to half of their eligibility for temporary  
            disability if they suffer such a catastrophic injury.  AB 2378  
            restores this critical disability eligibility for firefighters  
            and law enforcement officers.  It doesn't create any new  
            benefits and doesn't impose any significant additional cost on  
            local governments that they haven't been paying for many  
            years.  AB 2378 simply allows firefighters and peace officers  
            to continue having the same option they've had for 75 years -  
            take up to a year's paid leave of absence before receiving  
            temporary disability.

          2)4800 and 4850 time.  These provisions of law were enacted  
            decades ago for the reasons noted by the author, above:  fire  
            and police officers place life and limb on the line every day,  
            and suffer injury rates far higher than most classes of  
            employees.  This was one of the first "special benefits"  
            granted to public safety officers, in recognition of the  
            special risks associated with the job.  This benefit is  
            "special" because it provides this class of employee full  
            salary tax free during the up to one-year period.  All other  










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            employees receive 2/3 of their average weekly wages (subject  
            to a cap), which is designed to approximate their previous  
            take home pay during the period of temporary disability.

          Historically, the issue presented by the bill, and by the  
            Knittel case, would have been irrelevant because temporary  
            disability benefits were not limited.  As a result, the  
            firefighter or peace officer simply shifted to regular  
            temporary disability at the end of the one year leave of  
            absence, and received those benefits until the injury became  
            "permanent and stationary" (the trigger to shift from  
            temporary disability to permanent disability), or the employee  
            retired.  (Prior to 1979, there was a 240-week limit on  
            temporary disability benefits, but there appear to have been  
            no cases that address the situation where the person was  
            "temporarily" disabled for almost 5 years before becoming  
            either permanently disabled or taking a disability  
            retirement.)

          3)Knittel and AB 338.  The findings and declarations in the bill  
            essentially provide that the bill is needed to overrule an  
            erroneous Court of Appeal decision that has the effect of  
            denying public safety employees benefits the Legislature  
            intended to provide them.  Further, the findings and  
            declarations point to the Court's apparent reliance on its  
            reading of AB 338 in reaching its conclusions.  Three points  
            need to be noted in this regard.  

          First, it is clear beyond debate that AB 338 was not intended to  
            alter, or in any way effect, Labor Code Sections 4800 and 4850  
            benefits for public safety employees.  The bill was intended  
            to cure an unintended consequence of the 2004 workers'  
            compensation reform.  That reform adopted the 104 week  
            limitation, but allowed payments for only 104 weeks from the  
            first date temporary disability was paid.  This created a  
            disincentive for the employees who were trying the hardest to  
            return to work, or pursue conservative treatment as  
            recommended by treatment guidelines, because they would run  
            out of the 104 weeks from first payment, even if they had not  
            been off work and collecting benefits all of those 104 weeks.   
            AB 338 was aimed only at curing this unintended consequence by  










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            allowing 104 weeks of temporary disability benefits within  
            five years of the injury.

          Second, it is less than clear that AB 338 formed the basis of  
            the Court of Appeal's conclusion that 4850 time counts as the  
            first 52 weeks of the 104-week temporary disability cap.  In  
            announcing its decision, the Court pointed to language in  
            Labor Code Section 4656 that long pre-dated AB 338, and to a  
            long line of pre-AB 338 case law that held that 4850 time is a  
            workers' compensation benefit.  However, in the body of the  
            opinion, the Court engaged in a discussion of AB 338 that  
            could lead one to conclude that the Court relied on some of  
            the change in language from that bill in guiding its decision,  
            or at least guiding its rejection of the applicant's various  
            arguments.  To add confusion, the Court's concluding statement  
            returned to the two prongs of pre-AB 338 statute and case law.  
             Thus, it is clear that the Court misconstrued the Legislative  
            intent of AB 338; but it is less than clear that this mistake  
            formed the basis of its decision.

          Third, the policy question presented by the bill is the same,  
            regardless of what motivated the Court:  was the 104-week  
            limitation ever intended to limit 4850 time, and should it?

          Why a 104-week limitation?  Prior to 2004, temporary disability  
          was not capped.  The vast majority of cases, well in excess of  
          90%, did not exceed two years.  Nonetheless, a few outliers went  
          beyond two years, and some extended temporary disability as many  
          as five years or more.  It was believed that most of these  
          outliers did not involve injured workers who were truly  
          "temporarily" disabled, but rather were gaming the system for as  
          long as possible with no intention of returning to work.  But  
          this does not establish that there are never cases where  
          legitimate temporary disability can extend for more than two  
          years, and AB 338 itself recognized that some injuries can  
          involve extended periods of temporary disability for workers who  
          intend to return to work.

          Not surprisingly, public employers argue that it is rare that  
          injured workers who are out for more than one year, let alone 3  
          years, are likely to return to work.  They argue that public  










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          safety employees injured this severely will in all likelihood  
          take a disability retirement, which frees up the public agency  
          to replace that employee with a new hire.  These public  
          employers argue that the bill will merely extend the date that  
          this occurs, with added public sector costs in the meantime.   
          They also argue that keeping the total 4850 plus 52 weeks of  
          temporary disability benefits is an appropriate balance when  
          considering public sector costs.  In this regard, they point out  
          that under the Court of Appeal's decision, all employees are  
          treated the same with respect to the duration of benefits, but  
          that public safety officers still receive better benefits than  
          other employees because 4850 benefits, which are paid out for  
          the first year after an injury, are superior to regular  
          temporary disability benefits. 

          Proponents counter that it takes a significant time for many  
          injuries to heal sufficient for the public safety employee to  
          return to work, and that every opportunity should be afforded  
          these employees who are trying to do so.  They also note that  
          temporary disability ends when the injured worker is "permanent  
          and stationary" - when the effects of the injury are unlikely to  
          improve medically - and this is a determination made by a  
          doctor, not by the injured worker, and this limitation ensures  
          that the injured worker is not improperly attempting to extend  
          the benefit period.  


          GOVERNOR'S VETO MESSAGE  :

          "This bill provides that the right of certain fire and peace  
          officers to a leave of absence for up to one year with full  
          tax-free pay as a result of on-the-job disability would not  
          offset or otherwise impinge on their right to up to 104 weeks of  
          temporary disability benefits.

          "The bill provides a benefit increase for a limited class of  
          employees.  The special considerations supporting salary  
          continuation for public safety employees do not correspondingly  
          support the expectation that these employees will need  
          substantially more time than other injured workers to recover  
          from their injuries."










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           Analysis Prepared by  :    Mark Rakich / INS. / (916) 319-2086 


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