1 | 1 | | 1 HB67 |
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2 | 2 | | 2 216017-1 |
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3 | 3 | | 3 By Representatives Simpson and Pettus |
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4 | 4 | | 4 RFD: County and Municipal Government |
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5 | 5 | | 5 First Read: 11-JAN-22 |
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6 | 6 | | 6 PFD: 01/06/2022 |
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7 | 7 | | |
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8 | 8 | | Page 0 1 216017-1:n:01/03/2022:HB/ma LSA2021-2663 |
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12 | 12 | | 5 |
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13 | 13 | | 6 |
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14 | 14 | | 7 |
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15 | 15 | | 8 SYNOPSIS: Under existing law, an employee who is |
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16 | 16 | | 9 disabled or killed as a result of an occupational |
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17 | 17 | | 10 disease is entitled to compensation. |
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18 | 18 | | 11 Also under existing law, an occupational |
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19 | 19 | | 12 disease is not considered to include a mental |
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20 | 20 | | 13 disease or disorder, including post-traumatic |
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21 | 21 | | 14 stress disorder, unless a physical injury |
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22 | 22 | | 15 accompanies the mental disease or disorder. |
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23 | 23 | | 16 This bill would provide that a law |
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24 | 24 | | 17 enforcement officer or firefighter employed by a |
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25 | 25 | | 18 municipality, county, or fire district and |
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26 | 26 | | 19 diagnosed with post-traumatic stress disorder would |
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27 | 27 | | 20 be reimbursed for certain co-payments for treatment |
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28 | 28 | | 21 or would require a county or municipality to |
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29 | 29 | | 22 maintain sufficient coverage for the reimbursement |
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30 | 30 | | 23 of co-payments. |
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31 | 31 | | 24 This bill would also require counties, |
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32 | 32 | | 25 municipalities, and fire districts to provide |
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33 | 33 | | 26 disability payments or coverage for law enforcement |
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34 | 34 | | Page 1 1 officers and firefighters who are unable to return |
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35 | 35 | | 2 to work as a result of PTSD. |
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36 | 36 | | 3 |
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37 | 37 | | 4 A BILL |
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38 | 38 | | 5 TO BE ENTITLED |
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39 | 39 | | 6 AN ACT |
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40 | 40 | | 7 |
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41 | 41 | | 8 Relating to counties, municipalities, and fire |
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42 | 42 | | 9 districts; to provide that a law enforcement officer or |
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43 | 43 | | 10 firefighter employed by a county, municipality, or fire |
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44 | 44 | | 11 district and diagnosed with post-traumatic stress disorder |
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45 | 45 | | 12 would be reimbursed for certain copayments for treatment under |
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46 | 46 | | 13 certain conditions; to require counties, municipalities, and |
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47 | 47 | | 14 fire districts to maintain certain disability insurance |
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48 | 48 | | 15 coverage for law enforcement officers and firefighters who are |
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49 | 49 | | 16 unable to return to work as a result of post-traumatic stress |
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50 | 50 | | 17 disorder under certain conditions; and to exclude certain |
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51 | 51 | | 18 payments and reimbursement from state income taxation. |
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52 | 52 | | 19 BE IT ENACTED BY THE LEGISLATURE OF ALABAMA: |
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53 | 53 | | 20 Section 1. (a) For the purposes of this act, the |
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54 | 54 | | 21 following terms shall have the following meanings: |
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55 | 55 | | 22 (1) FIREFIGHTER. A full-time paid firefighter |
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56 | 56 | | 23 certified by the Alabama Fire College and employed by a |
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57 | 57 | | 24 municipality, county, or fire district established under |
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58 | 58 | | 25 Chapter 89 of Title 11, Code of Alabama 1975. |
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59 | 59 | | Page 2 1 (2) OFFICER. A law enforcement officer certified by |
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60 | 60 | | 2 the Alabama Peace Officers' Standards and Training Commission |
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61 | 61 | | 3 and employed full-time by a municipality or county. |
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62 | 62 | | 4 (3) POST-TRAUMATIC STRESS DISORDER (PTSD). A mental |
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63 | 63 | | 5 health condition that meets the diagnostic criteria in the |
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64 | 64 | | 6 Diagnostic and Statistical Manual of Mental Disorders, Fifth |
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65 | 65 | | 7 Edition, published by the American Psychiatric Association. |
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66 | 66 | | 8 (4) SPECIFIC EVENT. An isolated and extraordinarily |
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67 | 67 | | 9 traumatic event that involves an officer or firefighter acting |
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68 | 68 | | 10 within the line and scope of duty and that includes the |
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69 | 69 | | 11 officer or firefighter satisfying either of the following: |
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70 | 70 | | 12 a. Witnessing or being directly engaged in actions |
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71 | 71 | | 13 resulting in the death of an individual or individuals on the |
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72 | 72 | | 14 scene of the event. |
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73 | 73 | | 15 b. Witnessing or being directly engaged in actions, |
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74 | 74 | | 16 during or in rapid emergency response immediately after the |
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75 | 75 | | 17 occurrence, that resulted in injuries of such an extraordinary |
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76 | 76 | | 18 and severe nature that they lead directly to the death of an |
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77 | 77 | | 19 individual or individuals due to the injuries on the way to, |
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78 | 78 | | 20 or no more than 48 hours after reaching, a hospital for |
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79 | 79 | | 21 initial treatment. |
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80 | 80 | | 22 (b)(1) A county, municipality, or fire district |
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81 | 81 | | 23 shall reimburse an officer or firefighter employed by the |
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82 | 82 | | 24 county, municipality, or fire district for any copayment paid |
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83 | 83 | | 25 by or on behalf of the officer or firefighter for the |
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84 | 84 | | 26 treatment, including counseling or therapy, of PTSD or shall |
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85 | 85 | | 27 maintain sufficient coverage to provide any reimbursement of |
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86 | 86 | | Page 3 1 copayment paid by or on behalf of the officer or firefighter |
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87 | 87 | | 2 for the treatment of PTSD, including counseling or therapy. |
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88 | 88 | | 3 (2) To be eligible for reimbursement of copayment |
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89 | 89 | | 4 costs or coverage under this subsection, the officer or |
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90 | 90 | | 5 firefighter must satisfy all of the following: |
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91 | 91 | | 6 a. Agree that the employing county, municipality, or |
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92 | 92 | | 7 fire district is not liable under Chapter 5, Title 25, Code of |
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93 | 93 | | 8 Alabama 1975, to the officer or firefighter who elects to |
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94 | 94 | | 9 receive benefits under this act. The exemption from liability |
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95 | 95 | | 10 provided by this paragraph is based on the specific diagnosis |
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96 | 96 | | 11 for which the officer or firefighter elects to receive |
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97 | 97 | | 12 benefits. |
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98 | 98 | | 13 b. The officer or firefighter participated in a peer |
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99 | 99 | | 14 support event, as defined under Section 36-21-14, Code of |
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100 | 100 | | 15 Alabama 1975, where such services are reasonably available, |
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101 | 101 | | 16 conducted by a certified peer support member where the officer |
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102 | 102 | | 17 or firefighter received a debriefing, defusing, or coaching |
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103 | 103 | | 18 session. |
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104 | 104 | | 19 c. The officer or firefighter received certification |
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105 | 105 | | 20 from a licensed clinical psychologist or board certified |
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106 | 106 | | 21 psychiatrist licensed to practice in this state and with |
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107 | 107 | | 22 experience diagnosing PTSD, utilizing an evaluation that |
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108 | 108 | | 23 includes symptom validity testing and other procedures to rule |
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109 | 109 | | 24 out the presence of malingering by using established |
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110 | 110 | | 25 guidelines and criteria, that the officer or firefighter has |
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111 | 111 | | 26 post-traumatic stress disorder and that the disorder resulted |
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112 | 112 | | 27 solely from his or her involvement in a specific event which |
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113 | 113 | | Page 4 1 occurred in the course of his or her employment and not from |
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114 | 114 | | 2 an event or events which occurred outside the line and scope |
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115 | 115 | | 3 of or prior to or after his or her employment. |
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116 | 116 | | 4 d. The treating clinical psychologist or board |
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117 | 117 | | 5 certified psychiatrist determines that the treatment, |
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118 | 118 | | 6 including therapy or counseling, is medically necessary. |
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119 | 119 | | 7 (c) The county, municipality, or fire district |
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120 | 120 | | 8 employing an officer or firefighter shall provide disability |
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121 | 121 | | 9 payments or coverage for those officers and firefighters who |
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122 | 122 | | 10 qualify for the reimbursements required in subsection (b), |
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123 | 123 | | 11 only if both of the following additional conditions are |
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124 | 124 | | 12 satisfied: |
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125 | 125 | | 13 (1) The treating licensed clinical psychologist or |
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126 | 126 | | 14 board certified psychiatrist determines the officer or |
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127 | 127 | | 15 firefighter is unable to continue his or her employment and is |
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128 | 128 | | 16 unable to return to work as a result of his or her PTSD |
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129 | 129 | | 17 resulting from the specific event that is eligible under |
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130 | 130 | | 18 subsection (b). |
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131 | 131 | | 19 (2) The officer or firefighter remains in the care |
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132 | 132 | | 20 of the treating licensed clinical psychologist or board |
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133 | 133 | | 21 certified psychiatrist for treatment and provides monthly |
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134 | 134 | | 22 confirmation of his or her attendance at sessions, including |
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135 | 135 | | 23 therapy or counseling, recommended by the treating health care |
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136 | 136 | | 24 professional for his or her PTSD resulting from the specific |
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137 | 137 | | 25 event that is eligible under subsection (b). |
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138 | 138 | | 26 (d) The disability benefits required under this |
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139 | 139 | | 27 section shall be in an amount equal to 66 2/3 percent of the |
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140 | 140 | | Page 5 1 officer or firefighter's base compensation at the time of the |
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141 | 141 | | 2 specific event. Payments shall be made on a monthly basis |
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142 | 142 | | 3 provided the officer or firefighter remains eligible as |
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143 | 143 | | 4 required in this subsection. The term of payment shall be for |
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144 | 144 | | 5 a total of no more than 12 months for any incident eligible |
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145 | 145 | | 6 under subsection (b). |
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146 | 146 | | 7 (e) An officer or firefighter who receives benefits |
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147 | 147 | | 8 under this section may only be eligible to return to work in |
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148 | 148 | | 9 the same or similar role with any county, municipal, or fire |
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149 | 149 | | 10 district when the return is authorized, in writing, by the |
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150 | 150 | | 11 treating licensed clinical psychologist or board certified |
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151 | 151 | | 12 psychiatrist who certified eligibility as required in |
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152 | 152 | | 13 subsection (b). If the clinical licensed psychologist or board |
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153 | 153 | | 14 certified psychiatrist who made the original diagnosis is |
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154 | 154 | | 15 unavailable, an officer or firefighter may receive an |
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155 | 155 | | 16 authorization from another clinical licensed psychologist or |
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156 | 156 | | 17 board certified psychiatrist who meets the standards required |
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157 | 157 | | 18 in paragraph (b)(2)c. |
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158 | 158 | | 19 (f) A self-insurance group established by a county |
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159 | 159 | | 20 under Chapter 26 of Title 11, Code of Alabama 1975, may |
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160 | 160 | | 21 provide the disability payments required by this section for |
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161 | 161 | | 22 an officer or firefighter employed by a member of the |
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162 | 162 | | 23 self-insurance group. |
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163 | 163 | | 24 (g) Any payments received by a covered employee |
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164 | 164 | | 25 pursuant to this act, to any extent the amounts are included |
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165 | 165 | | 26 in the federal adjusted gross income of the taxpayer, shall be |
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166 | 166 | | 27 excluded from taxable income for state income tax purposes. |
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167 | 167 | | Page 6 1 Any funds received as premiums for the coverages provided by |
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168 | 168 | | 2 this act may not be subject to any premium taxes otherwise |
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169 | 169 | | 3 required by law. |
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170 | 170 | | 4 Section 2. The reimbursement and benefits |
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171 | 171 | | 5 requirements of this act shall not apply to PTSD resulting |
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172 | 172 | | 6 from specific events occurring prior to the effective date of |
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173 | 173 | | 7 this act. |
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174 | 174 | | 8 Section 3. Volunteer fire departments may elect to |
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175 | 175 | | 9 provide the benefits provided in this act to members meeting |
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176 | 176 | | 10 the criteria established for the provision of the payment of |
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177 | 177 | | 11 disability benefits provided in Section 1(c) and the |
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178 | 178 | | 12 reimbursement of the co-payments made by or on behalf of a |
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179 | 179 | | 13 member for the treatment, including counseling or therapy, |
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180 | 180 | | 14 provided in Section 1(b)(1). A participating volunteer fire |
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181 | 181 | | 15 department shall pay all costs associated with the benefits |
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182 | 182 | | 16 and may discontinue benefits at its discretion by providing |
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183 | 183 | | 17 its members with at least 60 days' notice. A participating |
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184 | 184 | | 18 volunteer fire department shall also establish a methodology |
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185 | 185 | | 19 for determining the amount of the disability benefits provided |
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186 | 186 | | 20 to its members and shall apply the methodology equally and |
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187 | 187 | | 21 without discrimination to each of its members. |
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188 | 188 | | 22 Section 4. This act shall become effective January |
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189 | 189 | | 23 1, 2023, following its passage and approval by the Governor, |
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190 | 190 | | 24 or its otherwise becoming law. |
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191 | 191 | | Page 7 |
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