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53 | | - | AN ACT |
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54 | | - | |
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55 | | - | |
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56 | | - | Relating to workers' compensation reemployment rights and benefits; establishing a workers' 1 |
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57 | | - | compensation stay-at-work program; relating to the workers' compensation benefits guaranty 2 |
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58 | | - | fund; relating to the presumption of compensability for workers' compensation claims related 3 |
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59 | | - | to post-traumatic stress disorder; relating to the Alaska senior benefits payment program; and 4 |
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60 | | - | providing for an effective date. 5 |
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61 | | - | _______________ 6 |
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62 | | - | * Section 1. AS 23.30.005(h) is amended to read: 7 |
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63 | | - | (h) The department shall adopt rules for all panels [,] and procedures for the 8 |
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64 | | - | periodic selection, retention, and removal of both rehabilitation specialists and 9 |
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65 | | - | physicians under AS 23.30.041, 23.30.043, and 23.30.095, and shall adopt regulations |
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66 | | - | 10 |
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67 | | - | to carry out the provisions of this chapter. The department may by regulation provide 11 |
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68 | | - | for procedural, discovery, or stipulated matters to be heard and decided by the 12 |
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69 | | - | commissioner or a hearing officer designated to represent the commissioner rather 13 |
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70 | | - | Enrolled SB 147 -2- |
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71 | | - | than a panel. If a procedural, discovery, or stipulated matter is heard and decided by 1 |
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72 | | - | the commissioner or a hearing officer designated to represent the commissioner, the 2 |
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73 | | - | action taken is considered the action of the full board on that aspect of the claim. 3 |
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74 | | - | Process and procedure under this chapter shall be as summary and simple as possible. 4 |
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75 | | - | The department, the board, or a member of it may for the purposes of this chapter 5 |
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76 | | - | subpoena witnesses, administer or cause to be administered oaths, and [MAY] 6 |
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77 | | - | examine or cause to have examined the parts of the books and records of the parties to 7 |
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78 | | - | a proceeding that relate to questions in dispute. The superior court, on application of 8 |
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79 | | - | the department, the board, or any members of it, shall enforce the attendance and 9 |
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80 | | - | testimony of witnesses and the production and examination of books, papers, and 10 |
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81 | | - | records. 11 |
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82 | | - | * Sec. 2 AS 23.30.041(b) is amended to read: 12 |
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83 | | - | (b) The administrator shall 13 |
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84 | | - | (1) enforce regulations adopted by the board to implement this section; 14 |
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85 | | - | (2) recommend regulations for adoption by the board that establish 15 |
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86 | | - | performance and reporting criteria for rehabilitation specialists; 16 |
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87 | | - | (3) enforce the quality and effectiveness of reemployment benefits 17 |
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88 | | - | provided for under this section; 18 |
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89 | | - | (4) review on an annual basis the performance of rehabilitation 19 |
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90 | | - | specialists to determine continued eligibility for delivery of rehabilitation services; 20 |
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91 | | - | (5) submit to the department, on or before October 1 [MAY 1] of each 21 |
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92 | | - | year, a report of reemployment benefits provided under this section for the previous 22 |
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93 | | - | calendar year; the report must include a general section, sections related to each 23 |
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94 | | - | rehabilitation specialist employed under this section, and a statistical summary of all 24 |
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95 | | - | rehabilitation cases, including 25 |
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96 | | - | (A) the estimated and actual cost of each active rehabilitation 26 |
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97 | | - | plan; 27 |
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98 | | - | (B) the estimated and actual time of each rehabilitation plan; 28 |
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99 | | - | (C) a status report on all individuals requesting, waiving, 29 |
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100 | | - | beginning, completing, or terminating a reemployment benefits program 30 |
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101 | | - | including 31 |
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102 | | - | -3- Enrolled SB 147 |
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103 | | - | (i) reasons for denial, waiver, suspension, or 1 |
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104 | | - | termination; 2 |
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105 | | - | (ii) dates of completion and return to work; and 3 |
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106 | | - | (iii) other information required by the director; 4 |
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107 | | - | (D) the cost of reemployment benefits; 5 |
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108 | | - | (E) status reports of all individuals who successfully completed 6 |
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109 | | - | a reemployment plan that includes 7 |
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110 | | - | (i) the plan's occupational goal and whether the 8 |
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111 | | - | individual obtained work after completion in the planned or another 9 |
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112 | | - | occupation; and 10 |
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113 | | - | (ii) the individual's employment status six months, one 11 |
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114 | | - | year, and two years after reemployment plan completion; 12 |
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115 | | - | (6) maintain a list of rehabilitation specialists who meet the 13 |
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116 | | - | qualifications established under this section; 14 |
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117 | | - | (7) promote awareness among physicians, adjusters, injured workers, 15 |
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118 | | - | employers, employees, attorneys, training providers, and rehabilitation specialists of 16 |
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119 | | - | the reemployment program established in this subsection; 17 |
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120 | | - | (8) submit to the department, on or before October 1 of each year, 18 |
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121 | | - | a report of stay-at-work benefits provided under AS 23.30.043 for the previous 19 |
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122 | | - | calendar year; the report must include a general section, sections related to each 20 |
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123 | | - | rehabilitation specialist employed under AS 23.30.043, and a statistical summary 21 |
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124 | | - | of all stay-at-work cases, including 22 |
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125 | | - | (A) the estimated and actual cost of each active stay-at-23 |
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126 | | - | work plan; 24 |
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127 | | - | (B) the estimated and actual time of each stay-at-work 25 |
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128 | | - | plan; 26 |
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129 | | - | (C) a status report on all individuals requesting, beginning, 27 |
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130 | | - | completing, or terminating a stay-at-work plan, including 28 |
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131 | | - | (i) reasons for denial or termination; 29 |
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132 | | - | (ii) dates of completion and return to work; and 30 |
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133 | | - | (iii) other information required by the director; 31 |
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134 | | - | Enrolled SB 147 -4- |
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135 | | - | (D) the cost of stay-at-work benefits; 1 |
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136 | | - | (E) status reports of all individuals who successfully 2 |
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137 | | - | completed a stay-at-work plan that includes 3 |
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138 | | - | (i) the plan's occupational goal and whether the 4 |
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139 | | - | individual returned to work after completion of the stay-at-work 5 |
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140 | | - | plan; and 6 |
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141 | | - | (ii) the individual's employment status six months, 7 |
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142 | | - | one year, and two years after stay-at-work plan completion. 8 |
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143 | | - | * Sec. 3. AS 23.30.041(c) is amended to read: 9 |
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144 | | - | (c) An employee and an employer may stipulate to the employee's eligibility 10 |
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145 | | - | for reemployment benefits at any time. If an employee suffers a compensable injury 11 |
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146 | | - | and, as a result of the injury, the employee is totally unable, for 25 [45] consecutive 12 |
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147 | | - | days, to return to the employee's employment at the time of injury, the administrator 13 |
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148 | | - | shall notify the employee of the employee's rights under this section within 14 days 14 |
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149 | | - | after the 25th [45TH] day. Within 10 days after the employee receives the 15 |
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150 | | - | administrator's notification of the employee's rights, the employee shall elect, and 16 |
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151 | | - | notify the administrator and the employer of the election, whether to participate 17 |
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152 | | - | in the reemployment benefits process in accordance with this section or the stay-18 |
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153 | | - | at-work benefits program established under AS 23.30.043. Except as provided in 19 |
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154 | | - | AS 23.30.043, if [IF] the employee is totally unable to return to the employee's 20 |
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155 | | - | employment for 90 [60] consecutive days as a result of the injury, the employee or 21 |
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156 | | - | employer may request an eligibility evaluation. The administrator may approve the 22 |
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157 | | - | request if the employee's injury may permanently preclude the employee's return to the 23 |
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158 | | - | employee's occupation at the time of the injury. Except as provided in AS 23.30.043, 24 |
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159 | | - | if [IF] the employee is totally unable to return to the employee's employment at the 25 |
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160 | | - | time of the injury for 120 [90] consecutive days as a result of the injury, the 26 |
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161 | | - | administrator shall, without a request, order an eligibility evaluation unless a 27 |
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162 | | - | stipulation of eligibility was submitted. If the administrator approves a request or 28 |
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163 | | - | orders an evaluation, the administrator shall, on a rotating and geographic basis, select 29 |
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164 | | - | a rehabilitation specialist from the list maintained under (b)(6) of this section to 30 |
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165 | | - | perform the eligibility evaluation. If the person that employs a rehabilitation specialist 31 |
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166 | | - | -5- Enrolled SB 147 |
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167 | | - | selected by the administrator to perform an eligibility evaluation under this subsection 1 |
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168 | | - | is performing any other work on the same workers' compensation claim involving the 2 |
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169 | | - | injured employee, the administrator shall select a different rehabilitation specialist. 3 |
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170 | | - | * Sec. 4. AS 23.30.041(d) is amended to read: 4 |
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171 | | - | (d) Within 60 [30] days after the referral by the administrator, the 5 |
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172 | | - | rehabilitation specialist shall perform the eligibility evaluation and issue a report of 6 |
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173 | | - | findings. [THE ADMINISTRATOR MAY GRANT UP TO AN ADDITIONAL 30 7 |
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174 | | - | DAYS FOR PERFORMANCE OF THE ELIGIBILITY EVALUATION UPON 8 |
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175 | | - | NOTIFICATION OF UNUSUAL AND EXTENUATING CIRCUMSTANCES AND 9 |
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176 | | - | THE REHABILITATION SPECIALIST'S REQUEST.] Within 14 days after receipt 10 |
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177 | | - | of the report from the rehabilitation specialist, the administrator shall notify the parties 11 |
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178 | | - | of the employee's eligibility for reemployment preparation benefits. Within 10 days 12 |
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179 | | - | after the decision, either party may seek review of the decision by requesting a hearing 13 |
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180 | | - | under AS 23.30.110. The hearing shall be held within 30 days after the hearing [IT] is 14 |
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181 | | - | requested. The board shall uphold the decision of the administrator except for abuse of 15 |
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182 | | - | discretion on the administrator's part. 16 |
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183 | | - | * Sec. 5. AS 23.30.041(e) is amended to read: 17 |
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184 | | - | (e) An employee shall be eligible for benefits under this section upon the 18 |
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185 | | - | employee's written request and by having a physician predict that the employee will 19 |
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186 | | - | have permanent physical capacities that are less than the physical demands of the 20 |
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187 | | - | employee's job as described in the job analysis obtained from the most recent 21 |
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188 | | - | version of the Occupational Information Network database published by the 22 |
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189 | | - | United States Department of Labor, Employment and Training Administration, 23 |
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190 | | - | [1993 EDITION OF THE UNITED STATES DEPARTMENT OF LABOR'S 24 |
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191 | | - | "SELECTED CHARACTERISTICS OF OCCUPATIONS DEFINED IN THE 25 |
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192 | | - | REVISED DICTIONARY OF OCCUPATIONAL TITLES"] for 26 |
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193 | | - | (1) the employee's job at the time of injury; or 27 |
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194 | | - | (2) other jobs that exist in the labor market that the employee has held 28 |
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195 | | - | or received training for within 10 years before the injury or that the employee has held 29 |
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196 | | - | following the injury for a period long enough to obtain the skills to compete in the 30 |
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197 | | - | labor market. [, ACCORDING TO SPECIFIC VOCATIONAL PREPARATION 31 |
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198 | | - | Enrolled SB 147 -6- |
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199 | | - | CODES AS DESCRIBED IN THE 1993 EDITION OF THE UNITED STATES 1 |
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200 | | - | DEPARTMENT OF LABOR'S "SELECTED CHARACTERISTICS OF 2 |
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201 | | - | OCCUPATIONS DEFINED IN THE REVISED DICTIONARY OF 3 |
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202 | | - | OCCUPATIONAL TITLES."] 4 |
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203 | | - | * Sec. 6. AS 23.30.041(f) is amended to read: 5 |
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204 | | - | (f) An employee is not eligible for reemployment benefits if 6 |
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205 | | - | (1) the employer offers employment within the employee's predicted 7 |
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206 | | - | post-injury physical capacities at a wage equivalent to at least the state minimum wage 8 |
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207 | | - | under AS 23.10.065 or 75 percent of the worker's gross hourly wages at the time of 9 |
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208 | | - | injury, whichever is greater, and the employment prepares the employee to be 10 |
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209 | | - | employable in other jobs that exist in the labor market; 11 |
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210 | | - | (2) the employee previously declined the development of a 12 |
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211 | | - | reemployment benefits plan under (g) of this section, received a job dislocation benefit 13 |
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212 | | - | under (g)(2) of this section, and returned to work in the same or similar occupation in 14 |
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213 | | - | terms of physical demands required of the employee at the time of the previous injury; 15 |
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214 | | - | (3) the employee has been previously rehabilitated in a former 16 |
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215 | | - | workers' [WORKER'S] compensation claim and returned to work in the same or 17 |
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216 | | - | similar occupation in terms of physical demands required of the employee at the time 18 |
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217 | | - | of the previous injury; [OR] 19 |
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218 | | - | (4) at the time of medical stability, no permanent impairment is 20 |
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219 | | - | identified or expected; 21 |
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220 | | - | (5) the employee fails to timely notify the administrator and the 22 |
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221 | | - | employer of the employee's election under (c) of this section, unless the parties 23 |
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222 | | - | submit to the administrator a stipulation to a reemployment benefits eligibility 24 |
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223 | | - | evaluation or to the employee's eligibility for reemployment benefits; 25 |
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224 | | - | (6) the employee completed a stay-at-work plan under 26 |
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225 | | - | AS 23.30.043; or 27 |
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226 | | - | (7) the employee has not cooperated with the stay-at-work benefits 28 |
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227 | | - | program under AS 23.30.043(l). 29 |
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228 | | - | * Sec. 7. AS 23.30.041(h) is amended to read: 30 |
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229 | | - | (h) Within 90 days after the rehabilitation specialist is selected or assigned 31 |
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230 | | - | -7- Enrolled SB 147 |
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231 | | - | [SPECIALIST'S SELECTION] under (g) of this section, the rehabilitation specialist 1 |
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232 | | - | shall prepare and provide to the employee and employer a comple te 2 |
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233 | | - | reemployment plan [MUST BE FORMULATED AND APPROVED]. The 3 |
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234 | | - | reemployment plan must require continuous participation by the employee and must 4 |
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235 | | - | maximize the usage of the employee's transferrable skills. The reemployment plan 5 |
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236 | | - | must include at least the following: 6 |
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237 | | - | (1) a determination of the occupational goal in the labor market; 7 |
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238 | | - | (2) an inventory of the employee's technical skills, transferrable skills, 8 |
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239 | | - | physical and intellectual capacities, academic achievement, emotional condition, and 9 |
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240 | | - | family support; 10 |
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241 | | - | (3) a plan to acquire the occupational skills to be employable; the plan 11 |
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242 | | - | must consider use of training and employment services offered by the 12 |
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243 | | - | Department of Labor and Workforce Development under AS 23.15; 13 |
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244 | | - | (4) the cost estimate of the reemployment plan, including 14 |
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245 | | - | (A) provider fees; 15 |
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246 | | - | (B) [AND THE COST OF] tuition; 16 |
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247 | | - | (C) [,] books; 17 |
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248 | | - | (D) [,] tools [,] and supplies; 18 |
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249 | | - | (E) [,] transportation; 19 |
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250 | | - | (F) [,] temporary lodging; 20 |
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251 | | - | (G) [, OR] job modification devices; and 21 |
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252 | | - | (H) job search and job placement activities; 22 |
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253 | | - | (5) the estimated length of time that the plan will take; 23 |
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254 | | - | (6) the date that the plan will commence; 24 |
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255 | | - | (7) the estimated time of medical stability as predicted by a treating 25 |
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256 | | - | physician or by a physician who has examined the employee at the request of the 26 |
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257 | | - | employer or the board, or by referral of the treating physician; 27 |
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258 | | - | (8) a detailed description and plan schedule; 28 |
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259 | | - | (9) a finding by the rehabilitation specialist that the inventory under (2) 29 |
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260 | | - | of this subsection indicates that the employee can be reasonably expected to 30 |
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261 | | - | satisfactorily complete the plan and perform in a new occupation within the time and 31 |
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262 | | - | Enrolled SB 147 -8- |
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263 | | - | cost limitations of the plan; and 1 |
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264 | | - | (10) a provision requiring that, after a person has been assigned to 2 |
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265 | | - | perform medical management services for an injured employee, the person shall send 3 |
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266 | | - | written notice to the employee, the employer, and the employee's physician explaining 4 |
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267 | | - | in what capacity the person is employed, whom the person represents, and the scope of 5 |
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268 | | - | the services to be provided. 6 |
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269 | | - | * Sec. 8. AS 23.30.041(j) is amended to read: 7 |
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270 | | - | (j) The rehabilitation specialist shall serve the reemployment plan on the 8 |
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271 | | - | employee and employer. If the employee and employer agree to the plan, the 9 |
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272 | | - | [THE] employee, rehabilitation specialist, and the employer shall sign the 10 |
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273 | | - | reemployment benefits plan. If the employer and employee fail to agree on a 11 |
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274 | | - | reemployment plan, either party may submit a reemployment plan for approval to the 12 |
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275 | | - | administrator not later than 90 days after the date of service of the reemployment 13 |
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276 | | - | plan on the employee and employer. The plan must ensure remunerative 14 |
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277 | | - | employability. The [; THE] administrator shall approve or deny a plan submitted 15 |
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278 | | - | under this subsection within 14 days after the plan is submitted. Within [; WITHIN] 16 |
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279 | | - | 10 days after [OF] the decision, either party may seek review of the decision by 17 |
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280 | | - | requesting a hearing under AS 23.30.110. The [; THE] board shall 18 |
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281 | | - | (1) uphold the decision of the administrator unless evidence is 19 |
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282 | | - | submitted supporting an allegation of abuse of discretion on the part of the 20 |
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283 | | - | administrator; and 21 |
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284 | | - | (2) [THE BOARD SHALL] render a decision within 30 days after 22 |
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285 | | - | completion of the hearing. 23 |
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286 | | - | * Sec. 9. AS 23.30.041(l) is amended to read: 24 |
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287 | | - | (l) The cost of the reemployment plan incurred under this section shall be the 25 |
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288 | | - | responsibility of the employer, shall be paid on an expense incurred basis, and may not 26 |
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289 | | - | exceed $22,150. The department shall, by regulation and not less than once every 27 |
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290 | | - | five years, adjust the cost limit set out in this subsection to account for inflation 28 |
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291 | | - | [$13,300]. 29 |
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292 | | - | * Sec. 10. AS 23.30.041 is amended by adding a new subsection to read: 30 |
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293 | | - | (s) In addition to the benefits provided to an employee under a reemployment 31 |
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294 | | - | -9- Enrolled SB 147 |
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295 | | - | plan prepared under this section, an employee who elects to use reemployment 1 |
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296 | | - | benefits under this section is entitled to payment by the employer of costs incurred for 2 |
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297 | | - | specialized job modification devices or services and reasonable travel and relocation 3 |
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298 | | - | expenses associated with searching for new employment, returning to work in a new 4 |
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299 | | - | location, and attendance at an on-the-job training program. The employer shall pay the 5 |
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300 | | - | cost of the additional benefits incurred under this subsection on an expense incurred 6 |
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301 | | - | basis. The cost of the additional benefits incurred under this subsection may not 7 |
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302 | | - | exceed $4,000 and may not, when combined with the cost of the reemployment plan 8 |
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303 | | - | incurred under this section, exceed the cost limit set out in (l) of this section. 9 |
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304 | | - | * Sec. 11. AS 23.30 is amended by adding a new section to article 1 to read: 10 |
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305 | | - | Sec. 23.30.043. Stay-at-work benefits program. (a) The stay-at-work benefits 11 |
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306 | | - | program is established in the division. The division shall designate a member of the 12 |
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307 | | - | division staff as coordinator of the stay-at-work benefits program. 13 |
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308 | | - | (b) Within 14 days after an employee's election under AS 23.30.041(c) to 14 |
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309 | | - | participate in the program, the administrator shall, on a rotating and geographic basis, 15 |
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310 | | - | select a rehabilitation specialist from the list maintained under AS 23.30.041(b)(6) to 16 |
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311 | | - | develop a stay-at-work plan and provide services under the plan. In selecting a 17 |
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312 | | - | rehabilitation specialist, the administrator shall consider the rehabilitation specialist's 18 |
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313 | | - | ability to accept and promptly provide program services and the rehabilitation 19 |
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314 | | - | specialist's expertise and relevant experience relating to the employee's type of injury 20 |
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315 | | - | or challenges specific to returning the employee to work with the employer. If the 21 |
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316 | | - | person that employs a rehabilitation specialist selected by the administrator is 22 |
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317 | | - | performing any other work on the same workers' compensation claim involving the 23 |
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318 | | - | employee, the administrator shall select a different rehabilitation specialist. 24 |
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319 | | - | (c) Within 60 days after the administrator selects the rehabilitation specialist, 25 |
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320 | | - | the rehabilitation specialist shall 26 |
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321 | | - | (1) develop a stay-at-work plan and provide the plan, in a format 27 |
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322 | | - | prescribed by the director, to the employee, employer, program coordinator, and 28 |
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323 | | - | employee's attending physician; or |
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324 | | - | 29 |
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325 | | - | (2) provide the employee, employer, and administrator with a 30 |
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326 | | - | determination and findings supporting the determination, in a format prescribed by the 31 |
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327 | | - | Enrolled SB 147 -10- |
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328 | | - | director, that the rehabilitation specialist is unable to develop a stay-at-work plan. 1 |
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329 | | - | (d) The board shall establish by regulation the standards and procedures a 2 |
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330 | | - | rehabilitation specialist must use in developing a stay-at-work plan and the contents 3 |
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331 | | - | that the plan must include. 4 |
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332 | | - | (e) The employee's attending physician shall provide a written opinion of 5 |
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333 | | - | whether the employee has the permanent physical capacities to participate in a stay-at-6 |
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334 | | - | work plan. The failure of the employee's attending physician to provide an opinion 7 |
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335 | | - | under this subsection constitutes grounds for a determination that the rehabilitation 8 |
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336 | | - | specialist is unable to develop a stay-at-work plan under (c)(2) of this section. 9 |
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337 | | - | (f) Within 14 days after the program coordinator receives a stay-at-work plan, 10 |
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338 | | - | the program coordinator shall approve or deny the plan and notify the parties of the 11 |
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339 | | - | decision. Within 30 days after the program coordinator notifies the parties under this 12 |
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340 | | - | subsection, a party may request that the administrator review the plan. Within 14 days 13 |
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341 | | - | after the administrator receives a request to review the plan, the administrator shall 14 |
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342 | | - | issue a decision approving or denying the plan. 15 |
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343 | | - | (g) Within 14 days after the administrator receives a determination under 16 |
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344 | | - | (c)(2) of this section, the administrator shall decide whether the information in the 17 |
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345 | | - | board's case file for the employee's workers' compensation claim supports the 18 |
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346 | | - | rehabilitation specialist's determination and findings. If the administrator decides the 19 |
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347 | | - | case file supports the rehabilitation specialist's determination and findings, the 20 |
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348 | | - | administrator shall, within 10 days after the administrator's decision, notify the 21 |
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349 | | - | employee and employer of the decision and notify the employee that the employee is 22 |
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350 | | - | no longer eligible for stay-at-work benefits and may pursue reemployment benefits in 23 |
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351 | | - | accordance with AS 23.30.041. If the administrator decides the case file does not 24 |
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352 | | - | support the rehabilitation specialist's determination and findings, the administrator 25 |
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353 | | - | shall, within 10 days after the administrator's decision, notify the employee, employer, 26 |
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354 | | - | and rehabilitation specialist of the decision and 27 |
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355 | | - | (1) notify the employee, employer, and rehabilitation specialist what 28 |
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356 | | - | additional information is needed to develop a stay-at-work plan, who must submit the 29 |
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357 | | - | information, and the date by which the information must be submitted; or 30 |
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358 | | - | (2) select a different rehabilitation specialist in accordance with (b) of 31 |
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359 | | - | -11- Enrolled SB 147 |
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360 | | - | this section to develop a stay-at-work plan and provide services under the plan. 1 |
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361 | | - | (h) Within 10 days after the administrator notifies the parties of a decision 2 |
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362 | | - | under (f) or (g) of this section, a party may seek review of the decision by requesting a 3 |
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363 | | - | hearing under AS 23.30.110. The board shall uphold the decision of the administrator 4 |
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364 | | - | unless evidence is submitted supporting an allegation of abuse of discretion on the part 5 |
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365 | | - | of the administrator. The board shall render a decision within 30 days after completion 6 |
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366 | | - | of the hearing. 7 |
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367 | | - | (i) Only a rehabilitation specialist may develop a stay-at-work plan, provide 8 |
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368 | | - | services under the plan, and make a determination and findings under this section. A 9 |
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369 | | - | person who is not a rehabilitation specialist may perform work related to the stay-at-10 |
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370 | | - | work plan if the work is performed under the direct supervision of a rehabilitation 11 |
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371 | | - | specialist employed in the same firm and location. The employer shall pay the fees 12 |
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372 | | - | charged by the rehabilitation specialist or other person described in this subsection for 13 |
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373 | | - | providing services under this section. 14 |
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374 | | - | (j) The cost of the stay-at-work benefits incurred under this section shall be 15 |
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375 | | - | the responsibility of the employer, shall be paid on an expense incurred basis, and may 16 |
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376 | | - | not exceed $3,000, exclusive of the fees charged by the rehabilitation specialist or 17 |
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377 | | - | other person described in (i) of this section. 18 |
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378 | | - | (k) Stay-at-work benefits terminate two years from the date the program 19 |
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379 | | - | coordinator, administrator, or board approves the stay-at-work plan, whichever is later. 20 |
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380 | | - | (l) After the employee has elected to participate in the program, and upon the 21 |
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381 | | - | request of the employer, the administrator shall decide whether the employee has not 22 |
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382 | | - | cooperated in the program. The administrator shall hold a hearing within 30 days after 23 |
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383 | | - | the administrator receives a request from the employer for a hearing. The 24 |
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384 | | - | administrator shall issue a decision within 14 days after the hearing. Within 10 days 25 |
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385 | | - | after the administrator notifies the parties of the decision, either party may seek review 26 |
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386 | | - | of the decision by requesting a hearing under AS 23.30.110. The board shall uphold 27 |
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387 | | - | the decision of the administrator unless evidence is submitted supporting an allegation 28 |
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388 | | - | of abuse of discretion on the part of the administrator. The board shall render a 29 |
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389 | | - | decision within 30 days after completion of the hearing. If the employee is found to 30 |
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390 | | - | have not cooperated with the program, the employer may terminat |
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391 | | - | e stay-at-work 31 |
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392 | | - | Enrolled SB 147 -12- |
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393 | | - | benefits and disability benefits on the date on which a finding of noncooperation is 1 |
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394 | | - | made under this subsection. Noncooperation means the employee's unreasonable 2 |
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395 | | - | failure to 3 |
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396 | | - | (1) maintain contact with the rehabilitation specialist; 4 |
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397 | | - | (2) cooperate with the rehabilitation specialist in developing a stay-at-5 |
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398 | | - | work plan; 6 |
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399 | | - | (3) comply with the employee's responsibilities outlined in the stay-at-7 |
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400 | | - | work plan; or 8 |
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401 | | - | (4) participate in the stay-at-work plan or in a plan activity. 9 |
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402 | | - | (m) An employee is not eligible for stay-at-work benefits if the employee fails 10 |
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403 | | - | to timely notify the administrator and the employer of the employee's election under 11 |
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404 | | - | AS 23.30.041(c), unless the parties submit to the administrator a stipulation that the 12 |
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405 | | - | employee may participate in the program. 13 |
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406 | | - | (n) An employer may elect not to participate or continue to participate in a 14 |
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407 | | - | stay-at-work plan at any time before the employee completes the plan. If an employer 15 |
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408 | | - | elects not to participate under this subsection, the employer shall notify the employee, 16 |
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409 | | - | the program coordinator, and, if applicable, the rehabilitation specialist of the election. 17 |
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410 | | - | The notice must be in the format prescribed by the director and inform the employee 18 |
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411 | | - | that the employee is no longer eligible for stay-at-work benefits and may pursue 19 |
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412 | | - | reemployment benefits in accordance with AS 23.30.041. The notice of the election is 20 |
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413 | | - | effective the day after the notice is served on the employee, the program coordinator, 21 |
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414 | | - | or, if applicable, the rehabilitation specialist, whichever is later. The employer is 22 |
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415 | | - | responsible for the cost of the stay-at-work benefits incurred before the notice 23 |
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416 | | - | becomes effective. 24 |
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417 | | - | (o) In this section, 25 |
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418 | | - | (1) "administrator" means the reemployment benefits administrator 26 |
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419 | | - | employed under AS 23.30.041(a); 27 |
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420 | | - | (2) "plan" or "stay-at-work plan" means a plan developed by a 28 |
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421 | | - | rehabilitation specialist under this section to return an employee to work for the 29 |
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422 | | - | employer; 30 |
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423 | | - | (3) "program" means the stay-at-work benefits program established in 31 |
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424 | | - | -13- Enrolled SB 147 |
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425 | | - | this section; 1 |
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426 | | - | (4) "program coordinator" means the division staff member designated 2 |
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427 | | - | as the coordinator of the program; 3 |
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428 | | - | (5) "rehabilitation specialist" has the meaning given in 4 |
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429 | | - | AS 23.30.041(r); 5 |
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430 | | - | (6) "stay-at-work benefits" means benefits provided under the 6 |
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431 | | - | program. 7 |
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432 | | - | * Sec. 12. AS 23.30.082(a) is amended to read: 8 |
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433 | | - | (a) The workers' compensation benefits guaranty fund is established as a 9 |
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434 | | - | separate fund in the state treasury [GENERAL FUND] to carry out the purposes of 10 |
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435 | | - | this section. The fund is composed of civil penalty payments made by employers 11 |
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436 | | - | under AS 23.30.080, income earned on investment of the money in the fund, money 12 |
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437 | | - | deposited in the fund by the department, and appropriations to the fund, if any. 13 |
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438 | | - | However, money appropriated to the fund does not lapse. Amounts in the fund may be 14 |
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439 | | - | appropriated for claims against the fund, for expenses directly related to fund 15 |
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440 | | - | operations and claims, and for legal expenses. 16 |
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441 | | - | * Sec. 13. AS 23.30.100(a) is amended to read: 17 |
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442 | | - | (a) Notice to an employer of an injury or death in respect to which 18 |
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443 | | - | compensation is payable under this chapter shall be given within 15 [30] days after the 19 |
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444 | | - | date of the [SUCH] injury or death [TO THE EMPLOYER]. 20 |
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445 | | - | * Sec. 14. AS 23.30.105(a) is amended to read: 21 |
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446 | | - | (a) The right to compensation for disability under this chapter is barred unless 22 |
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447 | | - | a claim for it is filed within two years after the employee has knowledge of the nature 23 |
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448 | | - | of the employee's disability and its relation to the employment and after disablement. 24 |
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449 | | - | However, the maximum time for filing the claim in any event other than arising out of 25 |
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450 | | - | an occupational disease shall be four years from the date of injury, and the right to 26 |
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451 | | - | compensation for death is barred unless a claim therefor is filed within one year after 27 |
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452 | | - | the death, except that, if payment of compensation has been made without an award on 28 |
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453 | | - | account of the injury or death, a claim may be filed within two years after the date of 29 |
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454 | | - | the last payment of benefits under AS 23.30.041, 23.30.043, 23.30.180, 23.30.185, 30 |
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455 | | - | 23.30.190, 23.30.200, or 23.30.215. It is additionally provided that, in the case of 31 |
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456 | | - | Enrolled SB 147 -14- |
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457 | | - | latent defects pertinent to and causing compensable disability, the injured employee 1 |
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458 | | - | has full right to claim as shall be determined by the board, time limitations 2 |
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459 | | - | notwithstanding. 3 |
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460 | | - | * Sec. 15. AS 23.30 is amended by adding a new section to read: 4 |
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461 | | - | Sec. 23.30.118. Presumption of compensability for post-traumatic stress 5 |
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462 | | - | disorder. (a) There is a presumption that an employee's claim for compensation as a 6 |
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463 | | - | result of post-traumatic stress disorder is within the provisions of this chapter if the 7 |
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464 | | - | employee 8 |
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465 | | - | (1) is employed or was employed in an occupation listed in (b)(2) of 9 |
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466 | | - | this section; and 10 |
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467 | | - | (2) while employed or within three years after the last date of the 11 |
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468 | | - | employee's employment, receives a diagnosis by a psychiatrist or a psychologist of 12 |
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469 | | - | post-traumatic stress disorder. 13 |
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470 | | - | (b) The presumption of compensability described in (a) of this section 14 |
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471 | | - | (1) may be rebutted by a preponderance of the evidence that the 15 |
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472 | | - | employee's post-traumatic stress disorder resulted from factors that were not work 16 |
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473 | | - | related; 17 |
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474 | | - | (2) applies only to the following employees: 18 |
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475 | | - | (A) correctional officers; 19 |
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476 | | - | (B) emergency medical technicians; 20 |
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477 | | - | (C) emergency medical dispatchers; 21 |
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478 | | - | (D) firefighters; 22 |
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479 | | - | (E) mobile intensive care paramedics licensed under AS 18.08; 23 |
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480 | | - | (F) peace officers; and 24 |
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481 | | - | (G) employees who are certified under state law to perform 25 |
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482 | | - | emergency medical services; and 26 |
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483 | | - | (3) notwithstanding AS 23.30.100(a), applies for a period of three 27 |
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484 | | - | years following the last date of the employee's employment. 28 |
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485 | | - | (c) In this section, 29 |
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486 | | - | (1) "correctional officer" has the meaning given in AS 18.65.290; 30 |
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487 | | - | (2) "emergency medical dispatcher" has the meaning given in 31 |
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488 | | - | -15- Enrolled SB 147 |
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489 | | - | AS 18.08.200; 1 |
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490 | | - | (3) "emergency medical service" has the meaning given in 2 |
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491 | | - | AS 18.08.200; 3 |
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492 | | - | (4) "emergency medical technician" has the meaning given in 4 |
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493 | | - | AS 18.08.200; 5 |
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494 | | - | (5) "firefighter" has the meaning given in AS 23.30.121(f); 6 |
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495 | | - | (6) "peace officer" has the meaning given in AS 11.81.900(b). 7 |
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496 | | - | * Sec. 16. AS 23.30.120(c) is amended to read: 8 |
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497 | | - | (c) Except as provided in AS 23.30.118, the [THE] presumption of 9 |
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498 | | - | compensability established in (a) of this section does not apply to a mental injury 10 |
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499 | | - | resulting from work-related stress. 11 |
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500 | | - | * Sec. 17. AS 23.30.041(p) is repealed. 12 |
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501 | | - | * Sec. 18. Section 4, ch. 1, FSSLA 2007, as amended by sec. 5, ch. 6, SLA 2011, sec. 1, ch. 13 |
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502 | | - | 113, SLA 2014, and sec. 1, ch. 8, SLA 2018, is amended to read: 14 |
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503 | | - | Sec. 4. AS 09.38.015(a)(11); AS 47.45.301, 47.45.302, 47.45.304, 47.45.306, 15 |
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504 | | - | 47.45.308, and 47.45.309 are repealed June 30, 2034 [2024]. 16 |
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505 | | - | * Sec. 19. Section 18 of this Act takes effect immediately under AS 01.10.070(c). 17 |
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506 | | - | * Sec. 20. Except as provided in sec. 19 of this Act, this Act takes effect January 1, 2025. 18 |
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| 214 | + | * Sec. 9. AS 23.30.041(p) is repealed. 1 |
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| 215 | + | * Sec. 10. This Act takes effect immediately under AS 01.10.070(c). 2 |
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