Second Regular Session Seventy-third General Assembly STATE OF COLORADO INTRODUCED LLS NO. 22-0920.01 Yelana Love x2295 HOUSE BILL 22-1347 House Committees Senate Committees Business Affairs & Labor A BILL FOR AN ACT C ONCERNING WORKERS ' COMPENSATION , AND, IN CONNECTION101 THEREWITH, INCREASING FUNERAL BENEFITS , ALLOWING FOR102 ADVANCE MILEAGE EXPENSE PAYMENTS , ADDRESSING THE103 PAYMENT OF SCHEDULED RATINGS , AND REQUIRING REPORTING104 OF CERTAIN ACTIVE MEDICAL TREATMENTS .105 Bill Summary (Note: This summary applies to this bill as introduced and does not reflect any amendments that may be subsequently adopted. If this bill passes third reading in the house of introduction, a bill summary that applies to the reengrossed version of this bill will be available at http://leg.colorado.gov .) The bill amends the "Workers' Compensation Act of Colorado" by: ! Creating a process for a claimant to receive advance HOUSE SPONSORSHIP Daugherty, SENATE SPONSORSHIP Rodriguez, Shading denotes HOUSE amendment. Double underlining denotes SENATE amendment. Capital letters or bold & italic numbers indicate new material to be added to existing statute. Dashes through the words indicate deletions from existing statute. payment for mileage expenses for travel that is reasonably necessary and related to obtaining compensable treatment, supplies, or services; ! Specifying how to determine the benefit amount for medical impairment when the amount payable using the schedule of injuries would exceed the amount payable for nonscheduled injuries; ! Increasing the benefit payable for funeral and burial expenses; and ! Requiring reporting of active medical treatments necessary to cure and relieve an injury lasting for a period of more than 180 calendar days after the date of the injury. Be it enacted by the General Assembly of the State of Colorado:1 SECTION 1. In Colorado Revised Statutes, 8-42-101, amend (7)2 as follows:3 8-42-101. Employer must furnish medical aid - approval of4 plan - fee schedule - contracting for treatment - no recovery from5 employee - medical treatment guidelines - accreditation of physicians6 and other medical providers - mileage reimbursement - rules -7 definition - repeal. (7) (a) E XCEPT AS PROVIDED IN SUBSECTIONS (7)(b)8 AND (7)(c) OF THIS SECTION, a claimant must submit a request for mileage9 expense reimbursement for travel reasonably necessary and related to10 obtaining compensable treatment, supplies, or services specified in11 subsection (1)(a) of this section to the employer or, if insured, to the12 employer's insurer no later than one hundred twenty days after the date13 the expense is incurred, unless good cause for a later submission is14 shown. Good cause includes a failure by the employer or employer's15 insurer to provide the notice in the brochure required by section 8-43-20316 (3)(c)(IV). Within thirty days after the date the claimant submits the17 request for mileage expense reimbursement, the employer or employer's18 insurer shall pay the mileage expenses or, if denying the request, provide19 HB22-1347-2- written notice to the claimant stating the reason the request was denied.1 (b) W ITHIN SEVEN DAYS AFTER THE DATE OF RECEIPT OF A2 CLAIMANT'S WRITTEN REQUEST FOR ADVANCE MILEAGE EXPENSES FOR3 TRAVEL THAT IS REASONABLY NECESSARY AND RELATED TO OBTAINING4 COMPENSABLE TREATMENT , SUPPLIES, OR SERVICES SPECIFIED IN5 SUBSECTION (1)(a) OF THIS SECTION AND REQUIRES ROUND -TRIP TRAVEL6 GREATER THAN ONE HUNDRED MILES , THE EMPLOYER OR THE EMPLOYER'S7 INSURER SHALL PAY THE ADVANCE MILEAGE EXPENSES OR , IF DENYING8 THE REQUEST, PROVIDE WRITTEN NOTICE TO THE CLAIMANT STATING THE9 REASON THE REQUEST WAS DENIED .10 (c) I F ADVANCE MILEAGE EXPENSE PAYMENT IS MADE PURSUANT11 TO THIS SUBSECTION (7), AND THE SPECIFIC TRAVEL FOR WHICH PAYMENT12 WAS PROVIDED DOES NOT OCCUR , THE EMPLOYER OR, IF INSURED, THE13 EMPLOYER'S INSURER IS ENTITLED TO A CREDIT IN THE AMOUNT OF THE14 PAYMENT TO BE APPLIED AGAINST LIABILITY FOR ANY FUTURE MILEAGE15 EXPENSE REIMBURSEMENTS .16 SECTION 2. In Colorado Revised Statutes, 8-42-107, amend17 (1)(b), (8)(a), and (8)(c.5); and add (7)(b)(IV) as follows:18 8-42-107. Permanent partial disability benefits - schedule -19 medical impairment benefits - how determined. (1) Benefits20 available. (b) When an injury results in permanent medical impairment21 and the employee has an injury or injuries not LISTED on the schedule22 specified in subsection (2) of this section, the employee shall be IS limited23 to medical impairment benefits as specified in subsection (8) of this24 section, EXCEPT AS PROVIDED IN SUBSECTION (7)(b)(IV) OF THIS SECTION.25 (7) (b) (IV) W HEN AN EMPLOYEE SUSTAINS AN INJURY ON THE26 SCHEDULE OF INJURIES LISTED IN SUBSECTION (2) OF THIS SECTION THAT27 HB22-1347 -3- MAY ALSO BE COMPENSATED AS SPECIFIED IN SUBSECTION (8) OF THIS1 SECTION, IF THE AMOUNT OF COMPENSATION FOR MEDICAL IMPAIRMENT2 WHEN USING THE SCHEDULE OF INJURIES IN SUBSECTION (2) OF THIS3 SECTION WOULD BE GREATER THAN THE NONSCHEDULED IMPAIRMENT4 BENEFITS IN SUBSECTION (8) OF THIS SECTION, THEN THE EMPLOYEE IS5 ENTITLED TO THE COMPENSATION SPECIFIED IN SUBSECTION (2) OF THIS6 SECTION.7 (8) Medical impairment benefits - determination of MMI for8 scheduled and nonscheduled injuries. (a) When an injury results in9 permanent medical impairment not set forth in the schedule in subsection10 (2) of this section, the employee shall be IS limited to medical impairment11 benefits calculated as provided in this subsection (8), EXCEPT AS12 PROVIDED IN SUBSECTION (7)(b)(IV) OF THIS SECTION. The procedures for13 determination of maximum medical improvement set forth in paragraph 14 (b) of this subsection (8) shall be SUBSECTION (8)(b) OF THIS SECTION ARE15 available in cases of injuries set forth in the schedule in subsection (2) of16 this section and also in cases of injuries that are not set forth in said17 schedule.18 (c.5) When an injury results in the total loss or total loss of use of19 an arm at the shoulder, a forearm at the elbow, a hand at the wrist, a leg20 at the hip or so near thereto as to preclude the use of an artificial limb, the21 loss of a leg at or above the knee where the stump remains sufficient to22 permit the use of an artificial limb, a foot at the ankle, an eye, or a23 combination of any such losses, the benefits for such loss shall be24 determined pursuant to this subsection (8), EXCEPT AS PROVIDED IN25 SUBSECTION (7)(b)(IV) OF THIS SECTION.26 SECTION 3. In Colorado Revised Statutes, amend 8-42-123 as27 HB22-1347 -4- follows:1 8-42-123. Funeral and burial expenses. (1) When, as a2 proximate result of an injury, death occurs to an injured employee, there3 shall be paid in one lump sum within thirty days after death a sum not to4 exceed seven thousand TWELVE THOUSAND FIVE HUNDRED dollars for5 reasonable funeral and burial expenses. Said sum may be paid to the6 undertaker, cemetery, PERSON PROVIDING FUNERAL OR BURIAL SERVICES7 or any other person who has paid the funeral and burial costs. if the8 director so orders. If the employee leaves no dependents, compensation9 shall be IS limited to said sum and the compensation if any, which has10 THAT MAY HAVE accrued to date of death and OR BEEN PAID TO THE11 DECEASED EMPLOYEE DURING THE DECEASED EMPLOYEE 'S LIFETIME FOR12 DISABILITY; the medical, surgical, and hospital expenses provided in13 articles 40 to 47 of this title TITLE 8; AND ANY AMOUNT OR PAYMENT DUE14 UNDER SECTION 8-46-101. IF THe deceased employee leaves dependents,15 said sum shall be paid in addition to all other sums of compensation16 provided for in this article ARTICLE 42.17 (2) O N JULY 1, 2023, AND EACH JULY 1 THEREAFTER, THE18 DIRECTOR SHALL ADJUST THE MAXIMUM AMOUNT PAYABLE FOR FUNERAL19 AND BURIAL EXPENSES PROVIDED IN SUBSECTION (1) OF THIS SECTION BY20 THE PERCENTAGE OF THE ADJUSTMENT MADE BY THE DIRECTOR TO THE21 STATE AVERAGE WEEKLY WAGE PURSUANT TO SECTION 8-47-106.22 SECTION 4. In Colorado Revised Statutes, 8-43-101, amend (1)23 as follows:24 8-43-101. Record of injuries - occupational disease - reported25 to division - rules - definition. (1) (a) Every employer shall keep a26 record of: All EMPLOYEE injuries that result in fatality, to, or permanent27 HB22-1347 -5- physical impairment, of, or lost time from work for the injured employee1 in excess of three shifts or calendar days, OR ACTIVE MEDICAL2 TREATMENT FOR A PERIOD OF MORE THAN ONE HUNDRED EIGHTY3 CALENDAR DAYS AFTER THE DATE THE INJURY WAS FIRST REPORTED TO4 THE EMPLOYER; and the contraction by an employee of an occupational5 disease that has been listed by the director by rule. Within ten days after6 notice or knowledge that an employee has contracted such an7 occupational disease; or the occurrence of a permanently physically 8 impairing injury or OF AN INJURY THAT RESULTS IN PERMANENT PHYSICAL9 IMPAIRMENT, OF A lost-time injury, to an employee; OR OF AN INJURY10 THAT RESULTS IN ACTIVE MEDICAL TREATMENT FOR A PERIOD OF MORE11 THAN ONE HUNDRED EIGHTY CALENDAR DAYS AFTER THE DATE THE12 INJURY WAS FIRST REPORTED TO THE EMPLOYER , or immediately in the13 case of a fatality, the employer shall, upon forms prescribed by the14 division for that purpose, report TO THE DIVISION said occupational15 disease, permanently physically impairing injury, lost-time injury, INJURY16 REQUIRING ACTIVE MEDICAL TREATMENT FOR A PERIOD OF MORE THAN17 ONE HUNDRED EIGHTY CALENDAR DAYS AFTER THE DATE THE INJURY WAS18 FIRST REPORTED TO THE EMPLOYER, or fatality. to the division. The report19 shall MUST contain such THE information as shall be required by the20 director.21 (b) A S USED IN THIS SUBSECTION (1), "ACTIVE MEDICAL22 TREATMENT":23 (I) M EANS TREATMENT THAT IS DETERMINED BY AN AUTHORIZED24 TREATING PHYSICIAN TO BE REASONABLY NECESSARY TO CURE AND25 RELIEVE THE INJURY AND THAT REQUIRES ONGOING SUPERVISION BY AN26 AUTHORIZED TREATING PHYSICIAN AS DOCUMENTED BY WRITTEN MEDICAL27 HB22-1347 -6- REPORT;1 (II) D OES NOT INCLUDE TREATMENT THAT IS NOT REASONABLY2 EXPECTED TO IMPROVE THE CONDITION OR ANY TREATMENT THAT DOES3 NOT REQUIRE THE SUPERVISION OF A LICENSED PHYSICIAN , INCLUDING4 GYM OR POOL MEMBERSHIPS OR HOME EXERCISE PROGRAMS ; AND5 (III) T ERMINATES WHEN THERE HAS BEEN AN ABANDONMENT OF6 CARE OR DISCHARGE FROM CARE FOR NONCOMPLIANCE PRIOR TO7 EXPIRATION OF THE ONE-HUNDRED-EIGHTY-DAY PERIOD SET FORTH IN8 SUBSECTION (1)(a) OF THIS SECTION.9 SECTION 5. Act subject to petition - effective date -10 applicability. (1) This act takes effect at 12:01 a.m. on the day following11 the expiration of the ninety-day period after final adjournment of the12 general assembly; except that, if a referendum petition is filed pursuant13 to section 1 (3) of article V of the state constitution against this act or an14 item, section, or part of this act within such period, then the act, item,15 section, or part will not take effect unless approved by the people at the16 general election to be held in November 2022 and, in such case, will take17 effect on the date of the official declaration of the vote thereon by the18 governor.19 (2) This act applies to injuries occurring, and mileage20 reimbursement claims in existence, on or after the applicable effective21 date of this act.22 HB22-1347 -7-