June 1, 2011
WORKERS’ COMPENSATION
PHARMACY
ELECTRICITY
STATE BUDGET
LEAD
CAUSTIC SUBSTANCES
SCHEDULE
This Week In Springfield saw the First Spring Session of the 97th Illinois General Assembly pass a State budget and conclude their business but not without some fireworks.
WORKERS’ COMPENSATION
The most historic and sweeping reform of Illinois’ workers’ compensation system since 1975 when it was put into its current form, passed the Assembly late last night with the support of Senate Democrats, Senate Republicans, House Democrats, and a lone House Republican, Representative Chris Nybo (R- Lombard) but not without months of negotiations, some anxious moments, and a near-disaster. H.B. 1698 (Rep. John Bradley, D- Marion/Sen. Kwame Raoul, D- Chicago) passed the Senate 46-8-2 and the House 62-43-10.
H.B. 1698 (Rep. John Bradley/Sen. Kwame Raoul), as amended by Senate Amendments 3 and 5, will provide a minimum $500 million in real savings every year to the employer community. Those savings are realized from the following provisions:
– Requires physicians to use the American Medical Association (AMA) standards to determine impairment for the first time in Illinois history. Equally as important, arbitrators at the Illinois Workers’ Compensation Commission will be required to use AMA standards when determining disability.
– Allows for the creation of Workers’ Compensation provider networks, similar to current networks for health care. The employers create these networks. The employees have two choices. The employee can choose one of the network doctors or they can choose one doctor not in the network. However, they are limited to those two choices.
– Imposes a 30% reduction in the Medical Fee Schedule. Even with this cut, Illinois will have the second highest fee schedule in the country. The fee schedule would have to be cut 50% to drop Illinois from second to third.
– Significantly strengthens utilization review to ensure proper and necessary medical care is administered. This is a substantial cost control measure.
– Eliminates lifetime wage differential payments. Employees will now receive wage differential payments during their work career (to the age of 67 or five years after their injury, whichever is later) as opposed to their life span.
– Reduces carpal tunnel syndrome payments from an average of 40 weeks award to a maximum of 28 weeks.
– Changes the rebuttable presumption for workers injured while under the influence of illegal drugs or alcohol.
– Allows for appointment of new Workers’ Compensation arbitrators, who must be approved by the Senate. This is the first time that the Senate will have an ‘advice and consent’ oversight role of the appointment of arbitrators.
– Arbitrators must now be attorneys, will be held to the judicial ethics canons which is a substantial higher of conduct than today, and must undergo continual training in the application of AMA standards and utilization review, to name a few.
The $500 million in savings is a conservative number. The actual number could be closer to $700 million but we are being conservative in our estimates. Importantly, for the first time since 1975, absolutely no benefit concessions were required in order to obtain these savings.
The events leading to the passage of H.B. 1698 began in late Fall of 2010 when Senate President Cullerton (D- Chicago) and House Speaker Michael Madigan (R- Chicago) announced their intention to pass meaningful reform legislation. The first effort in early January 2011, during the closing days of the 96th General Assembly, was not successful. At that point, Governor Pat Quinn also announced his intention to see reform of the workers’ compensation system.
Talks, spearheaded by Rep. Bradley, Sen. Raoul, and Director of the Illinois Department of Insurance Michael McRaith on behalf of Governor Quinn, continued throughout the Spring between the various parties. To her great credit, even though she was not always included directly in the talks, Senate Republican Leader Christine Radogno stayed engaged and relevant, often playing a key role in shaping the discussions through her staff and relationship with Senate President Cullerton. Her persistence and leadership played a key role in gaining the support of 15 of the 24 members of the Senate Republican Caucus. The talks were exceedingly difficult and, at several points, near the point of collapse. Ultimately, frustration led the House and Senate negotiators to introduce, and begin to move through the legislative process, a ‘nuclear option’.
As amended by House Amendment #1, S.B. 1933 sought to repeal the entire Workers’ Compensation Act on January 1, 2012. The result would be to go back to the days when all injury claims were litigated in court. Clearly, S.B. 1933 was not preferred by any of the parties involved in the workers’ compensation system but it did express the frustration the negotiators were feeling at the time in terms of obtaining an agreement and was used as a hammer to convince parties to negotiate. S.B. 1933 passed the House on Friday, May 27th 65-48 with four Republicans voting in favor. Fortunately, S.B. 1933 was not needed once H.B. 1698 passed the House on the second try with the support of 61 House Democrats and only one House Republican, State Representative Chris Nybo (R- Lombard).
Former President John F. Kennedy once said that victory has many fathers but defeat is an orphan. While he meant it as a shot to those who really had nothing to do with the hard work required to produce victory, in the case of H.B. 1698, victory actually does have many fathers.
Senate President Cullerton, House Speaker Madigan, Governor Patrick Quinn, Senate Republican Leader Radogno, Director McCraith, Chicago Mayor Rahm Emanuel, Senator Raoul, and Representative Bradley are too be long and loudly commended for their tenacity throughout the long and difficult process that led to the first substantial and meaningful productive reform of Illinois’ workers’ compensation system. Likewise, we thank the entire Senate Democratic Caucus, House Democratic Caucus, the 14 members of the Senate Republican Caucus, and State Representative Chris Nybo for their support of the reform. On behalf of the members of the Illinois Retail Merchants Association, employers who pay the bills and struggle under Illinois’ hideously expensive and economically debilitating system, we offer our deepest thanks and appreciation to them all.
PHARMACY
There were three developments of various degrees of importance to the Illinois pharmacy community.
First, H.B. 2934 (Rep. Sara Feigenholtz, D- Chicago/Sen. Jeffrey Schoenberg, D- Evanston) temporarily borrowed $900 million from various dedicated State funds to leverage the enhanced match from the Federal Medicaid program before it expires. The match monies will be used to pay down the State’s Medicaid payment backlog to Medicaid providers and the principal will be returned to the various funds from which it was borrowed.
Second, the Budget Implementation bill (S.B. 335) included language amending the State Prompt Payment Act. The one percent interest will begin to accrue after 90-days instead of 60-days.
Third, S.B. 670 (Sen. Dan Kotowski, D- Park Ridge/Rep. Elaine Nekritz, D- Des Plaines) amends the Pharmacy Practice Act to require the pharmacist to provide written notice to the patient any time a brand-name anti-epileptic medicine is substituted with a generic anti-epileptic drug.
ELECTRICITY
Under current law, utilities must file a proposed rate increase with the Illinois Commerce Commission (ICC). Other parties may submit their opinions as to whether or not they believe the proposed increase to be justified. The ICC then makes a determination and to either deny, allow, or allow a smaller rate increase. It is a lengthy ordeal for the parties.
This year, Commonwealth Edison introduced a proposal that would have allowed them to increase rates annually with subsequent ICC oversight. The rate increases were to be used, at least in part, to upgrade the transmission and distribution system including the use of smart meters. According to the proponents of the proposal, the improvements would have reduced outages, energy efficiency, customer service, and would have given customers greater ability to reduce their bills through smarter energy utilization.
Under the proposal, ComEd and Ameren could have raised rates annually through 2017. From now through 2014, the rate increases were capped at 2.5%. For the years 2015 – 2017, however, the caps were removed. Additionally, the proposal allowed them a 10.25% return on equity. However, the allowable return on equity could increase based on what happens to the yields on 30-year Treasury bonds. Most financial observers expect the yields on 30-year Treasury bonds to increase as they are currently at near all-time lows.
ComEd projected that under their plan, assuming the 2.5% rate cap, a typical consumer would see their electricity bill increase by $3 per month or $36 annually.
After much debate, the proposal was amended to require the utilities to file their rate increase with the ICC, allow entities to submit comments, and give the ICC an opportunity to approve. However, the ICC would be required to act within eight months instead of the usual eleven months.
The proposal was opposed by a wide-array of groups, including IRMA and elected officials including Governor Quinn and Attorney General Lisa Madigan. While S.B. 1652 (Rep. Kevin McCarthy, D- Orland Park/Sen. Michael Jacobs, D- Moline) ultimately passed both chambers, Governor Quinn has threatened a veto. At this writing, if Governor Quinn does indeed carry through on his threat to veto the proposal, the utilities will have to find five votes in the Senate and four votes in the House in order to override. Given the sensitivity to utility rate increases among the electorate and the fact every member of the Assembly is about to run in largely new districts as a result of redistricting, finding those votes will be difficult – difficult but not impossible. This issue is far from over.
STATE BUDGET
Amongst all the other issues, the Assembly fulfilled its primary role in every Spring session with the passage of the Fiscal Year 2012. TWIS readers will recall that there was a dispute early on between the Governor, Senate Democrats, and House Democrats over anticipated revenues for FY 2012. Early on, the House passed a resolution establishing an anticipated revenue level $2 billion lower than that estimated by the Governor in his proposed budget and $1 billion below the levels estimated by the Senate Democrats. After heated debate, it appears the House estimate has prevailed. I say ‘appears’ because the Senate Democrats did attach an amendment to the capital projects appropriations bill seeking to add back just over $430 million in spending. The fate of that amendment is uncertain as of this time given the fact the House refused to concur in the Amendment and a conference committee has not met to determine the fact of the extra spending.
The Governor has pledged to give the proposed budget ‘a microscopic review’. If he makes changes, we could see the Assembly back in town sooner than the Fall Veto Session to act on the Governor’s vetoes. It is important to note that the Governor can exercise a total veto or a reduction veto – he cannot increase spending. If he vetoes and the Democrats in the Assembly fail to override his veto, the budget will be thrown into flux. As it is now June 1, a 3/5ths majority would be required to pass anything making the Republicans significant players and probably leading to additional budget cuts.
After years and years of failed attempts, the Assembly finally passed a sweeping expansion of gambling including a casino license for the City of Chicago as well as several locations throughout the State and slot machines for horse racing tracks. The Chicago casino is something Mayor Emanuel would dearly love. The Governor is clearly not enamored with the gambling expansion but it remains to be seen whether he is willing to veto it and risk the ire of a wide cross section of the Assembly as well as the Mayor of Chicago.
Finally, there was a disappointment in the fact that the State’s highly successful sales tax holiday in 2010, which generated additional tax revenues for the State and local units of government, was not renewed for 2011. This will certainly be a topic of debate in the future.
All in all, the Assembly has approved a budget that exercises financial restraints and imposed cuts on nearly every sector. Some will, and do, argue that there are more cuts that could be made and they may indeed be right. Nevertheless, long-time Springfield denizens have not seen a budget process like this in at least three decades.
LEAD
Ever since Illinois passed a lead labeling law for certain categories of children’s products, IRMA and others have been fighting for clarifications to enhance compliance. After two years of persistence, legislation enacting most of the clarifications was passed by the Assembly. S.B. 1943 (Sen. William Delgado, D- Chicago/Rep. Naomi Jakobsson, D- Champaign) defines ‘jewelry’, clarifies labeling, clarifies the definitions of ‘child care article’ and ‘toy containing paint’, and enacts a labeling exemption for inaccessible components and third-party testing. IRMA would like to thank Sen. Delgado and Rep. Jakobsson for their sponsorship. Also, Attorney General Lisa Madigan’s Office and the Illinois Department of Public Health for their cooperation.
CAUSTIC SUBSTANCES
H.B. 2193 (Sen. Bill Haine, D- Alton/Rep. Susana Mendoza, D- Chicago) was passed to the Governor yesterday by the Assembly. TWIS readers will recall that H.B. 2193 seeks to regulate caustic and corrosive acids. The legislation was initiated after two attacks last year on Chicago women who were left badly scarred after having acid poured on them.
The proposed law will do two things. First, it places limits on who can possess products that contain a federally delineated amount of caustic or corrosive acids and it creates a registry at the retail level for purchasers of these products. The law states that no person can possess a product that is regulated by Title 16 CFR Section 1500.129 of the Federal Caustic Poison Act unless they fall into a number of exemptions listed in the Bill. Persons engaged in the sale, possession, transportation, or use of such products for their intended commercial purpose, are exempt from the restriction on possession of the product. Second, retailers who sell such products will be required to register customers prior to their sale. Customers must provide government-issued identification with their picture, as well as fill out a form listing the date and time of the transaction, brand and product names and net weight of the items. Batteries are exempt from the registry requirements.
For IRMA’s Chicago members, it is important to note that the bill contains a preemption which would declare void any local law that conflicts with the bill. We would like to thank former State Representative and current Chicago City Clerk Susanna Mendoza for working with IRMA on this legislation. Also, Representatives Bill Cunningham (D- Chicago) and Dennis Reboletti (R- Addison) for their efforts in negotiating the bill into its final form. Finally, a thank you to Senator Haine for his sponsorship in the Senate.
SCHEDULE
The Assembly is currently scheduled to return for its Fall Veto Session October 25th – 27th and November 8th – 10th. It is possible they could return prior to those dates depending on what action the Governor takes on the budget-related legislation passed to his desk. If that were to happen, TWIS will keep you informed.
Rob Karr, Senior Vice President
Government & Member Relations



