Legislature(2011 - 2012)BELTZ 105 (TSBldg)

04/05/2011 02:00 PM Senate LABOR & COMMERCE


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* first hearing in first committee of referral
+ teleconferenced
= bill was previously heard/scheduled
*+ SB 103 WORKERS' COMPENSATION FOR FIREFIGHTERS TELECONFERENCED
Heard & Held
*+ SB 116 WORKERS' COMP.: COLL BARGAINING/MEDIATION TELECONFERENCED
Heard & Held
+ Bills Previously Heard/Scheduled TELECONFERENCED
+= SB 100 PERS TERMINATION COSTS TELECONFERENCED
Moved SB 100 Out of Committee
+= HB 119 AIDEA: PROCUREMENT; PROJECTS TELECONFERENCED
Moved SCS CSHB 119(L&C) Out of Committee
         SB 103-WORKERS' COMPENSATION FOR FIREFIGHTERS                                                                      
                                                                                                                                
2:17:48 PM                                                                                                                    
CHAIR EGAN announced SB 103 to be up for consideration.                                                                         
                                                                                                                                
2:18:20 PM                                                                                                                    
SENATOR PASKVAN  moved to bring  CSSB 103( ),  27-LS0595\M before                                                               
the committee.                                                                                                                  
                                                                                                                                
CHAIR EGAN objected for discussion purposes.                                                                                    
                                                                                                                                
SENATOR  FRENCH,  sponsor  of  SB 103,  recapped  that  the  bill                                                               
addresses a  piece of legislation  that passed in 2008  that made                                                               
statutory  changes to  the Workers'  Compensation Program  giving                                                               
firefighters  the  presumption   of  compensability  for  certain                                                               
diseases that  they incur  because of  the work  they do  that so                                                               
often leads  them to  exposure to smoke  and chemicals.  He said,                                                               
"It was  the intent of  the legislature that  this compensability                                                               
presumption go  to firefighters who  had done two  things: they'd                                                               
served  for  seven  years  and  who  had  received  the  required                                                               
physical exams  during that seven  year period and had  not shown                                                               
any evidence of the disease."   However, a wording change made in                                                               
one  committee  had the  unanticipated  effect  of narrowing  the                                                               
scope   of  the   compensability   presumption   to  only   those                                                               
firefighters who had  had an initial physical  examination at the                                                               
time  of their  hire.  This  was not  the  intent  and it  wasn't                                                               
discussed  in  committee.  It  didn't come  to  light  until  the                                                               
Workers' Compensation  Board began  to implement  regulations and                                                               
began to hear cases brought to  it asking to apply the disability                                                               
presumption. Recognizing  the problem, the  Workers' Compensation                                                               
Board passed  a resolution  supporting an  amendment such  as the                                                               
one  in  this  bill  today  to  give  the  presumption  to  those                                                               
firefighters  who  have  worked  for seven  years,  had  all  the                                                               
required exams and had shown no evidence of disease.                                                                            
                                                                                                                                
In  addition, Senator  French said,  a letter  from the  National                                                               
Council  on Compensation  Insurance  says they  believe the  cost                                                               
impact is minimal  and think that money may be  saved by avoiding                                                               
future litigation costs.                                                                                                        
                                                                                                                                
The  second change  the bill  makes is  to clarify  that the  law                                                               
applies  to state  as well  as  municipal firefighting  agencies,                                                               
which picks up a few firefighters  who work for the University of                                                               
Alaska in Fairbanks.  The original bill referred  to a definition                                                               
that  was on  the books  at the  time that  didn't include  state                                                               
firefighters.  So,   "state  or"   was  added  to   the  existing                                                               
definition.                                                                                                                     
                                                                                                                                
SENATOR  FRENCH said  they tried  very  hard to  make the  change                                                               
through regulation, but Legislative  Legal said it "just wouldn't                                                               
fly that way."                                                                                                                  
                                                                                                                                
SENATOR PASKVAN  said he  wanted to make  sure the  University of                                                               
Alaska Fairbanks  (UAF) Fire  Department wasn't  excluded because                                                               
it is in an unusual class by itself.                                                                                            
                                                                                                                                
SENATOR FRENCH responded that page  2 defines "firefighter" as "a                                                               
person  employed by  a state  or municipal  fire department"  and                                                               
that the  UAF firefighters  are absolutely  a subdivision  of the                                                               
state.                                                                                                                          
                                                                                                                                
SENATOR PASKVAN asked  if language on page 2,  lines 23-28, makes                                                               
sure of the retroactive component  so that they actually undo the                                                               
problem that was unintentionally created.                                                                                       
                                                                                                                                
SENATOR FRENCH replied that's "the meat of the bill."                                                                           
                                                                                                                                
2:23:01 PM                                                                                                                    
LAW  HENDERSON, Workers'  Compensation  Administrator, Office  of                                                               
Risk Management,  Municipality of Anchorage, said  he opposed the                                                               
amendment to AS  23.30.121 [SB 103] for several  reasons. He said                                                               
in  2008  the  legislature  enacted   this  presumption  to  give                                                               
firefighters  a   certain  protection  for  diseases   that  were                                                               
considered   work  related.   To  trigger   that  presumption   a                                                               
firefighter must  establish they were given  a qualifying medical                                                               
examination  before firefighting  that did  not show  evidence of                                                               
the disease as well as an  annual medical exam during each of the                                                               
first seven  years of  employment that did  not show  evidence of                                                               
the disease.                                                                                                                    
                                                                                                                                
MR.  HENDERSON said  the first  problem with  the legislation  is                                                               
that  the municipality,  like  most  municipalities, didn't  even                                                               
offer annual physical exams in  1986; they weren't even mandatory                                                               
until  OSHA required  them  in 1989.  Moreover,  testing for  the                                                               
diseases listed in the statute  weren't done or available in most                                                               
cases  until  the 90s  and  in  fact  some testing  still  cannot                                                               
establish  some  of  these  cancers.  He  said  the  municipality                                                               
doesn't know  what constitutes  the medical  examination required                                                               
under the statute.                                                                                                              
                                                                                                                                
Further,  the  statute  directed  the  Department  of  Labor  and                                                               
Workforce Development  (DOLWD) to define  the type and  extent of                                                               
medical  examination needed  to  trigger the  presumption and  to                                                               
create the form for use during  these exams, but no regulation is                                                               
currently in effect  defining the type and  extent of examination                                                               
needed. He said  although the legislation was passed  in 2008, no                                                               
regulation was  presented to the lieutenant  governor until early                                                               
this year  and that will  take effect  later this month.  No form                                                               
has  been  developed.  Thus,  the record  is  devoid  of  medical                                                               
examinations necessary  to trigger the presumption  - even though                                                               
it might exist going forward.                                                                                                   
                                                                                                                                
MR.  HENDERSON  said  despite  the lack  of  the  needed  medical                                                               
examinations,   the  Alaska   Workers'  Compensation   Board  has                                                               
nevertheless found  in favor of  at least one  firefighter simply                                                               
based  on his  statement that  he  had had  a qualifying  medical                                                               
examination. No  medical report was offered  and probably doesn't                                                               
exist. This one case alone will  probably cost the city more than                                                               
$250,000; another  case within the  municipality may  exceed $1.6                                                               
million. Several  other cases are  pending. In  addition, because                                                               
of AS 23.30.121, the municipality is  now unable to insure any of                                                               
its  firefighters for  losses  over  $1 million  as  it has  been                                                               
historically able to do for  all workers' compensation claims. He                                                               
explained  that while  the municipality  is  self-insured with  a                                                               
retention level of $1 million  per workers' compensation loss per                                                               
occurrence,  when  an  injury  happens   to  a  firefighter,  the                                                               
municipality is now compelled to pay  the first $2 million of the                                                               
loss  even if  it  is  unrelated to  a  disease  listed under  AS                                                               
23.30.121. Thus  the legislation has created  an unfunded mandate                                                               
on the  municipality and he  assumed similar  entities throughout                                                               
the state. He pointed out that  smaller entities may be unable to                                                               
fund a self-insurance  program as they may be unable  to fund the                                                               
first $2 million of a loss.                                                                                                     
                                                                                                                                
MR. HENDERSON  said cost  and loss of  insurance aren't  his only                                                               
concerns. Another is the lack  of medical evidence supporting the                                                               
causation.  The Alaska's  Workers'  Compensation  Board has  held                                                               
that if a  condition is one of those listed,  medical opinions or                                                               
studies   to  the   contrary  are   insufficient  to   rebut  the                                                               
presumption. Thus, this  legislation as applied by  the board has                                                               
created  an irrebutable  presumption. According  to the  American                                                               
Cancer Society, cancer  is now the second leading  cause of death                                                               
in the United  States and one out of every  two Americans will be                                                               
diagnosed with it as some point in their lives.                                                                                 
                                                                                                                                
The  question is  whether firefighting  activities put  one at  a                                                               
greater risk  to these cancers.  Twenty-four states  have enacted                                                               
presumption  laws  similar  to  Alaska's.  The  impact  of  these                                                               
statutes  and the  medical research  regarding firefighters  were                                                               
recently  analyzed in  April 2009  and a  report by  the National                                                               
League  of   Cities  entitled  "Assessing   Firefighting  Cancer-                                                               
Presumption Laws  and Current Firefighting Cancer  Research." The                                                               
report  points to  many problems  with the  legislation. Loss  of                                                               
insurance  is  one.  Another  is the  lack  of  medical  research                                                               
establishing  a causal  relationship between  firefighting and  a                                                               
specific  type  of  cancer.  According  to  the  report,  of  the                                                               
thousands of cancer studies taking  place from 1995 to 2008, only                                                               
17 studies looked  at firefighters as a possible  risk factor for                                                               
contracting cancer.  The research concluded  there was a  lack of                                                               
substantive scientific evidence  currently available to determine                                                               
that firefighters face greater risk than the general population.                                                                
                                                                                                                                
2:29:08 PM                                                                                                                    
Another concern  is equity and  questions about fairness  come up                                                               
when  one  class of  employees  obtains  expanded benefits  while                                                               
other employees  such as sanitation workers  and automotive fleet                                                               
personnel  who may  also be  exposed  to similar  hazards as  the                                                               
firefighters are not covered to the same extent.                                                                                
                                                                                                                                
Alaska  already has  a presumption  under AS  23.30.120 that  has                                                               
worked well  since statehood, Mr.  Henderson said. He  urged them                                                               
to repeal  AS 23.30.121 or short  of that to reject  the proposed                                                               
amendment as it  would make every firefighter  who ever developed                                                               
cancer entitled  to the  benefits despite  the lack  of available                                                               
testing as the examination wouldn't  show evidence of the disease                                                               
during the  first seven  years of employment  as the  testing was                                                               
not available.                                                                                                                  
                                                                                                                                
CHAIR EGAN asked him to summarize.                                                                                              
                                                                                                                                
MR. HENDERSON  said these  tests are  available for  some cancers                                                               
but for others it is cost prohibitive or unavailable.                                                                           
                                                                                                                                
SENATOR PASKVAN asked if he  or the municipality objected to this                                                               
law in 2008 when it was passed.                                                                                                 
                                                                                                                                
MR. HENDERSON answered no; but they did in 2007.                                                                                
                                                                                                                                
SENATOR PASKVAN  said it passed  in 2008 and this  amendment just                                                               
corrects an unintentional problem. Did he agree?                                                                                
                                                                                                                                
MR. HENDERSON answered no.                                                                                                      
                                                                                                                                
2:32:26 PM                                                                                                                    
TOM   WESTCOTT,  President,   Alaska  Professional   Firefighters                                                               
Association,  Eagle River,  said they  supported CSSB  103 (L&C),                                                               
version M. He said this version  doesn't change the intent of the                                                               
original law; on  the contrary, it captures the  intent and makes                                                               
it  clearer.   It  has  two   aspects,  the  physicals   and  the                                                               
definition.  The definition  captures  groups like  the UAF  fire                                                               
department.                                                                                                                     
                                                                                                                                
He said some  of what Mr. Henderson said  wasn't accurate because                                                               
the Occupational  Safety and Health Administration  (OSHA) adopts                                                               
standards  and the  National Fire  Protection Association  (NFPA)                                                               
regulation 1582  has the standard  for firefighter  physicals. He                                                               
also noted that at the time  this legislation passed, they had to                                                               
demonstrate  the  scientific  studies  backing up  the  link  for                                                               
cancer to  their profession.  And while  it's true  that everyone                                                               
someday  may  get cancer,  getting  it  at  40  or 38  makes  the                                                               
difference.  Evidence  of this  was  shown  over and  over  again                                                               
during this process.                                                                                                            
                                                                                                                                
2:34:42 PM                                                                                                                    
PAUL HANDBY said  he is a career firefighter for  Juneau and is a                                                               
member  of Alaska  State  Firefighters  Association. He  conveyed                                                               
that he would be omitted  from protection under existing language                                                               
in SB 103, because he  had an extensive  pre-employment physical,                                                               
but  each department  had  the latitude  to  determine their  own                                                               
required physicals and during budgetary  times these physicals on                                                               
an   annual  basis   can   prohibitively   expensive.  So,   many                                                               
municipalities don't  require them.  The change  in the  CS would                                                               
cover him  in the unlikely event  he would be stricken  by one of                                                               
the  named  carcinogens or  something  that  was related  to  his                                                               
occupation.                                                                                                                     
                                                                                                                                
CHAIR EGAN asked if he supported SB 103.                                                                                        
                                                                                                                                
MR. HANDBY replied emphatically yes.                                                                                            
                                                                                                                                
SENATOR  FRENCH offered  that it  is easy  to forget  the crucial                                                               
role  firefighters  play in  protecting  our  communities. It  is                                                               
known that  exposure to  noxious chemicals that  they see  in the                                                               
course of their  employment makes them sick. This  issue was gone                                                               
over carefully  in 2007 and 2008  when this bill passed.  He said                                                               
he  was disappointed  in the  testimony  on this  topic from  the                                                               
Municipality  of Anchorage.  Firefighters take  risks for  us and                                                               
this covers  them when they're  on the  job. Once they  leave the                                                               
employment of  the municipality,  once they  retire, they  are on                                                               
their own for their cancers that they develop later on.                                                                         
                                                                                                                                
This bill got  a zero fiscal note from the  state risk management                                                               
and  it got  a letter  of support  from the  National Council  on                                                               
Compensation  Insurance.  He  said  they looked  "high  and  low"                                                               
through the record to find  out what supported the amendment that                                                               
carved out  and required  that initial exam  and couldn't  find a                                                               
single word of  testimony supporting it. He  wanted Mr. Henderson                                                               
to bring it to his attention if he found something different.                                                                   
                                                                                                                                
CHAIR EGAN closed public testimony and  held SB 103 for a further                                                               
hearing.                                                                                                                        
                                                                                                                                

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