BILL ANALYSIS                                                                                                                                                                                                    



                                                                    AB 2383
                                                                    Page  1

          Date of Hearing:   May 10, 2000

                        ASSEMBLY COMMITTEE ON APPROPRIATIONS 
                              Carole Migden, Chairwoman

                    AB 2383 (Keeley) - As Amended: April 6, 2000 

          Policy Committee:                               
          P.E.R.&S.S.Vote:7-0

          Urgency:     No                   State Mandated Local  
          Program:NoReimbursable:           

           SUMMARY  :

          This bill allows part-time employees of local agencies and  
          school employers contracting with the California Public  
          Employees' Retirement System (CalPERS) to receive health  
          benefits through the Public Employees' Medical and Hospital Care  
          Act (PEMCHA).

           FISCAL EFFECT  :

          PEMCHA coverage for part-time employees would be a negotiable  
          benefit paid through local employer and employee contributions.   
          Given that more than 1100 local agencies and school employers  
          contract with CalPERS, employer contribution costs of providing  
          PEMCHA coverage to part-time employees are likely to be several  
          million dollars annually.

           COMMENTS  :

           1)Background.  Currently, there is no statewide health benefit  
            program for CalSTRS members, unlike CalPERS members, who are  
            covered by PEMCHA.  Health benefits are provided for teachers  
            on a district-by-district basis, subject to collective  
            bargaining. (However, school employers contract with CalPERS  
            for retirement and health benefits for their classified  
            employees; i.e., nonteaching maintenance, food service and  
            administrative workers).  Only a few school districts offer  
            vested health insurance benefits to retired CalSTRS members.   
            Some districts make benefits available, but only subsidize the  
            premium until the retiree reaches age 65 and becomes eligible  
            for Medicare coverage.  Some CalSTRS members were hired before  
            Social Security coverage became mandatory in 1986 and are not  








                                                                    AB 2383
                                                                    Page  2

            eligible for Medicare coverage.   To address the gaps in  
            health coverage for CalSTRS members, CalPERS and CalSTRS  
            convened a Health Benefits Task Force.  This bill is a product  
            of the Task Force.

           1)A Work in Progress.   The provision contained in this bill -  
            making part-time employees of contracting local agencies  
            eligible for PEMCHA coverage - is noncontroversial and was  
            agreed to by all members of the Task Force.  There is  
            agreement among task force members on two other areas: 

             a)   Allowing family members of deceased CalSTRS members to  
               receive PEMCHA benefits, even though the family is not  
               receiving survivor benefits.

             b)   Establishing CalSTRS as the contracting entity for the  
               purposes of enrolling Medicare-eligible CalSTRS retirees in  
               PEMCHA.

            CalPERS legal staff expect these amendments to be completed by  
            June.

           1)Expanding School District PEMCHA Participation  .  The most  
            difficult question faced by the Task Force is how to entice  
            more school districts into voluntarily providing PEMCHA  
            coverage to their active and retired employees. School  
            districts may contract with CalPERS for PEMCHA coverage under  
            current law, but most do not have a financial incentive to do  
            so.  CalPERS requires contracting agencies to provide equal  
            employer contributions for active and retired members.  But  
            since most school districts do not subsidize full medical  
            benefit for their retirees, PEMCHA participation would result  
            in added expense.  The Task Force is exploring the concept of  
            allowing school districts to contract for a reduced level of  
            retiree benefits, but employee organizations are reluctant to  
            endorse the concept of a "two-tiered" PEMCHA.  
           
          1)  Analysis Prepared by  :    Stephen Shea / APPR. / (916) 319-2081