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S5988Senate2019-2020 SessionSame asA7907

Expand Heart Disability Benefits

Official title

“Relates to the effect and rebuttal of certain medical presumptions relating to heart disease”

Sponsor Andrew GounardesSD-22Affects Finance
Status
In Senate Committee
Civil Service And Pensions
Impact
6/10
Moderate
Passage
0%

Bill progress

Step 2 of 7

In committee · Civil Service And Pensions

What's happening

This bill expands accidental disability and death benefits for police and certain public employees incapacitated by heart disease.

Why it matters

  1. Lowers the burden of proof for heart-related disability claims. The bill removes the requirement for police officers and certain public employees to prove that a specific accident or incident caused their heart disease-related disability, making it easier for affected workers to qualify for enhanced accidental disability benefits.

  2. Expands eligibility for higher benefits. By establishing a strong presumption that heart disease is work-related unless “competent evidence” proves otherwise, more employees (especially police and uniformed court officers) could access significantly higher accidental disability and death benefits than under previous rules.

  3. Creates substantial fiscal impacts for state and local governments. The expansion is estimated to increase annual pension system costs by at least $5.2 million, plus a one-time $15.2 million payment, potentially affecting budgets for the state and municipalities and increasing administrative workloads.

  4. Raises the standard for disputing claims. Employers or retirement systems can only rebut claims if they present clear evidence that the disability is not related to job duties, making it much harder to deny benefits and increasing the likelihood of litigation.

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Who cares

Headline styles

Expand Heart Disability Benefits

Plain English, a few words. Used as the page title.

Sponsors

Primary sponsor
Andrew Gounardes

Senator · Senate District 22

Chair, Civil Service And Pensions

No co-sponsors yet.

History

  1. Print number 5988b
  2. Amend and recommit to civil service and pensions
  3. Referred to civil service and pensions
  4. Print number 5988a
  5. Amend and recommit to civil service and pensions
  6. Referred to civil service and pensions

Companion bill

The same bill in the other chamber. A bill becomes law when one version passes both houses and the governor signs it, so either number can carry it.

A7907Assembly

Expand Heart Disease Benefits

In Assembly Committee · Governmental Employees · Sponsor Peter Abbate

Impact 7 · Significant0% to pass

Full text

3 pagesUnderlined is new[Struck] is removedOfficial text on nysenate.gov ↗

STATE OF NEW YORK

5988--B

2019-2020 Regular Sessions

IN SENATE

May 16, 2019

Introduced by Sen. GOUNARDES -- read twice and ordered printed, and when printed to be committed to the Committee on Civil Service and Pensions -- committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee -- recommitted to the Committee on Civil Service and Pensions in accordance with Senate Rule 6, sec. 8 -committee discharged, bill amended, ordered reprinted as amended and recommitted to said committee

AN ACT to amend the retirement and social security law, in relation to certain medical presumptions applicable to members of the New York state and local employees' retirement system

The People of the State of New York, represented in Senate and Assembly, do enact as follows:

Section 1. Subdivision 2 of section 363-a of the retirement and social security law, as amended by chapter 437 of the laws of 2016, is amended to read as follows:

2. Notwithstanding any provision of this chapter or of any general, special, or local law to the contrary, any condition of impairment of health caused by diseases of the heart, resulting in disability or death to a police officer, presently employed, and who shall have sustained such disability while so employed, shall be presumptive evidence that it was incurred in the performance and discharge of duty and the natural and proximate result of an accident, unless the contrary be proved by competent evidence.

§ 2. The retirement and social security law is amended by adding a new section 809 to read as follows:

§ 809. Effect and rebuttal of certain medical presumptions pertaining to diseases of the heart. a. This section shall apply to certain applications for disability retirement allowances made by or on behalf of a member of the New York state and local employees' retirement system or the New York state and local police and fire retirement system. It shall apply only to applications that are subject under this chapter to

EXPLANATION--Matter in italics (underscored) is new; matter in brackets

[ ] is old law to be omitted.

LBD11753-06-0

S. 5988--B 2

a provision that any condition of impairment of health caused by a disease of the heart, resulting in disability, shall be presumptive evidence that such disability was incurred in the performance and discharge of duty and the natural and proximate result of an accident.

b. Notwithstanding any other provision of law to the contrary an application for an accidental disability retirement allowance that is based on a permanent incapacity caused by a disease of the heart, shall not be required to allege or establish:

(1) that the member sustained an accident or other incident related to the performance and discharge of duty; or

(2) that notice was provided thereof.

c. Notwithstanding any other provision of law to the contrary, the presumptions referred to in subdivision a of this section may be rebutted only by competent evidence that the disability is not the natural and proximate result of the performance and discharge of duty.

§ 3. The amendment made to subdivision 2 of section 363-a of the retirement and social security law by section one of this act shall not affect, impair or invalidate any temporary right, privilege or benefit conferred pursuant to the provisions of a general, special or local law (other than pursuant to articles 14 and 15 of the retirement and social security law) for any member of a public retirement system or pension plan funded by the state or one of its political subdivisions, nor shall any amendment thereto affect the application of such provisions as extended by the provisions of section 480 of the retirement and social security law.

§ 4. This act shall take effect immediately.

FISCAL NOTE.--Pursuant to Legislative Law, Section 50:

This bill would amend the Retirement and Social Security Law (RSSL) to

1) Eliminate certain eligibility requirements for awarding accidental

disability benefits, when the disability is related to diseases of the

heart, for members in the New York State and Local Employees' Retirement

System (ERS) and the New York State and Local Police and Fire Retirement

System (PFRS). Accidental disability benefits would be granted even

where

a. the member did not sustain an accident,

b. the member's incapacitation is unrelated to any accident, or

c. the member failed to provide notice thereof.

The heart presumption could continue to be rebutted by competent

evidence that the disability is not the result of the performance and

discharge of duty.

2) Increase disability benefits payable to police officers in PFRS,

who become incapacitated due to diseases of the heart, by providing an

accidental disability benefit equal to 75% of salary less workers'

compensation. Currently, police officers are eligible for a perfor-

mance-of-duty (POD) disability benefit equal to 50% of salary less work-

ers' compensation.

3) Increase the death benefits payable on behalf of a deceased police

officer in PFRS, whose death results from diseases of the heart, by

providing the special accidental death benefit equal to more than 100%

of salary less workers compensation and social security benefits payable

to eligible beneficiary(ies). Currently the death benefit would be the

continuance afforded under the POD disability retirement.

Insofar as this bill will affect the New York State and Local Retire-

ment System (NYSLRS), more accidental disability benefits and accidental

death benefits would be granted. The cost of the revised benefit will

S. 5988--B 3

depend upon the applicant's age, service, salary, plan, and benefit type

otherwise payable.

The number of retirees who could be affected by this legislation

cannot be readily determined. However, every active members of PFRS will

be covered, as well as members of ERS who are Uniformed Court Peace

Officers in the Unified Court System.

If this bill is enacted during the 2020 legislative session, we antic-

ipate that there will be an increase of approximately $5.2 million in

the annual contributions to NYSLRS for the fiscal year ending March 31,

2021. This cost would be shared by the State of New York (the State)

and local participating employers of PFRS as follows:

a. $2.1 million borne annually by the State ($800,000 to PFRS and

$1.3 million to ERS), and

b. $3.1 million borne by the local participating employers in PFRS.

In future years, these annual costs will vary as the salary of

affected members change.

In addition to the annual contributions discussed above, there will be

an immediate past service cost to ERS of approximately $15.2 million

which will be borne by the State as a one-time payment. This estimate is

based on the assumption that payment will be made on March 1, 2021.

Further, we anticipate that the number of accidental disability appli-

cations will result in a large increase in the administrative cost to

process these applications and litigate anticipated disputes.

Estimated costs arising in PFRS are based upon 32,573 members with an

approximate salary of $3.6 billion as of March 31, 2019. Estimated costs

arising in ERS are based upon 6,102 members with an approximate salary

of $600 million as of March 31, 2019.

Summary of relevant resources:

The membership data used in measuring the impact of the proposed

change was the same as that used in the March 31, 2019 actuarial valu-

ation. Distributions and other statistics can be found in the 2019

Report of the Actuary and the 2019 Comprehensive Annual Financial

Report.

The actuarial assumptions and methods used are described in the 2015,

2016, 2017, 2018, and 2019 Annual Report to the Comptroller on Actuarial

Assumptions, and the Codes, Rules, and Regulations of the State of New

York: Audit and Control.

The Market Assets and GASB Disclosures are found in the March 31, 2019

New York State and Local Retirement System Financial Statements and

Supplementary Information.

I am a member of the American Academy of Actuaries and meet the Quali-

fication Standards to render the actuarial opinion contained herein.

This fiscal note does not constitute a legal opinion on the viability

of the proposed change nor is it intended to serve as a substitute for

the professional judgment of an attorney.

This estimate, dated March 12, 2020, and intended for use only during

the 2020 Legislative Session, is Fiscal Note No. 2020-26, prepared by

the Actuary for the New York State and Local Retirement System.

Reflowed for reading: line numbers and page breaks removed. Cite the official text.

Sponsor's memo

Title of bill

An act to amend the retirement and social security law, in relation to certain medical presumptions applicable to members of the New York state and local employees' retirement system

Title of bill

An act to amend the retirement and social security law, in relation to certain medical presumptions applicable to members of the New York state and local employees' retirement system

Purpose or general idea of bill

This bill is intended to clarify the intent of the legislature regarding existing statutory presumptions pertaining to heart-related disabilities suffered by members of the New York State Local Police, Fire Retirement System and the New York State and Local Employees' Retirement System. Clarification is necessary because a series of narrow judicial interpre- tations has prevented the statutory presumptions from achieving their intended purposes.

Read the full memo (758 words)

Summary of provisions

Section 1. amends subdivision 2 of section 363-a of the Retirement and Social Security Law, to restore to the heart disease presumption appli- cable to police officers language that expressly provided that an impairment of health caused by diseases of the heart that results in disability is also presumed to be "the natural and proximate result of an accident, unless the contrary can be proved by competent evidence"

Section 2. adds a new section 809 to the Retirement and Social Security Law, to govern the existing statutory heart disease presumptions appli- cable to members of the New York State and local police, Local Fire Retirement System and the New York State and Local Employees Retirement System with respect to applications for an accidental disability retire- ment allowance.

* Subdivision a of Section 2 provides that the section shall apply only to applications for an accidental disability retirement with respect to members of the New York State Police, Local Fire Retirement System and Local Employees' Retirement System and the New York State Local Police where applications are subject to dual presumptions that disability from diseases of the heart are (1) incurred in the performance and discharge of duty, and (2) the natural and proximate result of an accident.

* Subdivision b of Section 2 provides that it is not necessary for an applicant to allege or establish an accidental disability retirement that is subject to the dual presumptions. Subdivision b also provides that such an applicant need not establish that notice of an accident was filed.

* Subdivision c of Section 2 provides that the presumption may be rebutted only by competent evidence that the heart disease is not natural and proximate result of the performance and discharge of duty.

Justification

This remedial legislation is intended to overcome judicial interpreta- tions limiting the effectiveness of certain existing statutory heart disease presumptions in a manner that is inconsistent with the apparent intent behind the original enactment of such presumptions. In the past 30 years, the Legislature has passed and the governor has signed into law a series of "heart bills" designed to make it easier for certain public servants at the state and local levels whose jobs put them at high risk of injury, disease or death due to heart disease to receive an accidental disability retirement allowance. In general, these laws create statutory presumptions that the member's heart disease was the result of a job-related accident. The presumption lightens, but does not eliminate, the member's burden of establishing entitlement to the enhanced benefit, which is usually three-quarters of final average sala- ry. Over the years these presumption have been interpreted differently by different courts, with Appellate Division, Third Department, which has jurisdiction over retirement benefit determinations by the New York State and Local Retirement System and the New York State Local Police and Fire Retirement System taking the strictest approach. According to a series of Third Department cases, in spite of the statutory presump- tion, the law must be interpreted narrowly to require the member to submit proof of an actual accident and notice to the employer of such an accident, and if a member is found to be permanently disabled, the member is granted only a rebuttable presumption that his or her heart disease was incurred in the performance of duty and was the result of the specific accident.

Prior legislative history

2019: 55988A - Referred to Civil Service & Pensions 2012: A3781A - Referred to Governmental Employees 2011: A3781 - Referred to Governmental Employees 2010: A7796 - Referred to Governmental Employees 2009: A7796 - Referred to Governmental Employees 2008: S8429/A11455 - Vetoed by Governor

Fiscal implications

See bill

Effective date

This act shall take effect immediately.

Summaries, headlines and scores are AI-generated from the official bill text. How we score bills. Source: NYS Open Legislation.