LCO No. 5547 1 of 8 General Assembly Committee Bill No. 6384 January Session, 2019 LCO No. 5547 Referred to Committee on PUBLIC SAFETY AND SECURITY Introduced by: (PS) AN ACT CONCERNING TH E PAYMENT OF INSURANCE DEDUCTIBLES AND LABO RATORY AND DIAGNOSTI C TESTING FEES FROM THE FIREFIGHTERS CANCER RELIEF PROGRAM. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Section 7-313h of the general statutes is repealed and the 1 following is substituted in lieu thereof (Effective July 1, 2019): 2 (a) There is established an account to be known as the "firefighters 3 cancer relief account" which shall be a separate, nonlapsing account 4 within the General Fund. The account shall contain any moneys 5 required by law to be deposited in the account. Moneys in the account 6 shall be expended by the cancer relief subcommittee of the Connecticut 7 State Firefighters Association, established pursuant to section 7-313i, as 8 amended by this act, for the purposes of providing wage replacement 9 benefits to firefighters who are diagnosed with a condition of cancer 10 described in section 7-313j, as amended by this act, and reimbursement 11 of insurance deductibles and laboratory and diagnostic testing fees 12 related to such cancer. 13 (b) The State Treasurer shall invest the moneys deposited in the 14 Committee Bill No. 6384 LCO No. 5547 2 of 8 firefighters cancer relief account in a manner reasonable and 15 appropriate to achieve the objectives of such account, exercising the 16 discretion and care of a prudent person in similar circumstances with 17 similar objectives. The State Treasurer shall give due consideration to 18 rate of return, risk, term or maturity, diversification of the total 19 portfolio within such account, liquidity, the projected disbursements 20 and expenditures, and the expected payments, deposits, contributions 21 and gifts to be received. The moneys in such account shall be 22 continuously invested and reinvested in a manner consistent with the 23 objectives of such account until disbursed in accordance with section 3-24 123, as amended by this act, and section 7-313i, as amended by this act. 25 (c) The moneys in the firefighters cancer relief account shall be used 26 [solely for the purposes of providing] to provide wage replacement 27 benefits to firefighters who are diagnosed with a condition of cancer 28 described in section 7-313j, as amended by this act, to reimburse such 29 firefighters for health insurance deductibles or laboratory and 30 diagnostic testing fees related to such cancer and to fund the expenses 31 of administering the firefighters cancer relief program established 32 pursuant to section 7-313j, as amended by this act. 33 Sec. 2. Section 7-313i of the general statutes is repealed and the 34 following is substituted in lieu thereof (Effective July 1, 2019): 35 (a) There is established a firefighters cancer relief subcommittee of 36 the Connecticut State Firefighters Association that shall consist of one 37 member from the Connecticut State Firefighters Association, one 38 member from the Connecticut Fire Chiefs Association, one member 39 from the Uniformed Professional Firefighters of the International 40 Association of Firefighters, one member from the Connecticut Fire 41 Marshals Association, and one member from the Connecticut 42 Conference of Municipalities. Such subcommittee shall review claims 43 for wage replacement benefits or reimbursement of insurance 44 deductibles or laboratory or diagnostic testing fees submitted to the 45 firefighters cancer relief program established pursuant to section 7-46 Committee Bill No. 6384 LCO No. 5547 3 of 8 313j, as amended by this act, and provide [wage replacement] such 47 benefits or reimbursement, in accordance with the provisions of 48 subsection (b) of section 3-123, as amended by this act, to any 49 firefighter who the subcommittee determines is eligible for such [wage 50 replacement] benefits or reimbursement pursuant to the provisions of 51 section 7-313j, as amended by this act. The subcommittee may 52 determine the weekly wage replacement benefits provided to a 53 firefighter in accordance with the provisions of this chapter and 54 chapter 568. 55 (b) A firefighter who is approved for wage replacement benefits or 56 reimbursement of insurance deductibles or laboratory or diagnostic 57 testing fees by the subcommittee pursuant to subsection (a) of this 58 section shall be eligible for such benefits or reimbursement on and 59 after July 1, 2019, and for a period determined by the subcommittee, 60 provided such period shall not exceed twenty-four months. The 61 maximum weekly wage replacement benefit under this section shall be 62 determined by the subcommittee, provided such maximum weekly 63 wage replacement benefit shall not exceed one hundred per cent, 64 raised to the next even dollar, of the average weekly earnings of all 65 workers in the state for the year in which the condition of cancer was 66 diagnosed. The average weekly earnings of all workers in the state 67 shall be determined by the Labor Commissioner on or before the 68 fifteenth day of August of each year, to be effective the following 69 October first, and shall be the average of all workers' weekly earnings 70 for the year ending the previous June thirtieth and shall be so 71 determined in accordance with the standards for the determination of 72 average weekly earnings of all workers established by the United 73 States Department of Labor, Bureau of Labor Statistics. 74 (c) A firefighter may receive wage replacement benefits under this 75 section concurrently with any employer-provided employment 76 benefits, provided the total compensation of such firefighter during 77 such period of receiving benefits under this section shall not exceed 78 such firefighter's pay rate at the time such firefighter was diagnosed 79 Committee Bill No. 6384 LCO No. 5547 4 of 8 with a condition of cancer described in section 7-313j, as amended by 80 this act. 81 (d) No firefighter shall receive [compensation] wage replacement 82 benefits under this section concurrently with the provisions of chapter 83 567 or 568 or any other municipal, state or federal program that 84 provides wage replacement benefits. 85 (e) No approval of wage replacement benefits or reimbursement of 86 insurance deductibles or laboratory or diagnostic testing fees for a 87 firefighter by the subcommittee pursuant to subsection (a) of this 88 section shall be used as evidence, proof or an [acknowledgement] 89 acknowledgment of liability or causation in any proceeding under 90 chapter 568. 91 (f) Notwithstanding any other provision of the general statutes, any 92 employer who provides accident and health insurance or life insurance 93 coverage for a firefighter or makes payments or contributions at the 94 regular hourly or weekly rate for the firefighter to an employee welfare 95 plan, shall provide to the firefighter equivalent insurance coverage or 96 welfare plan payments or contributions while the firefighter is eligible 97 to receive or is receiving wage replacement compensation under this 98 section. As used in this section, "employee welfare plan" means any 99 plan established or maintained for such firefighter or such firefighter's 100 family or dependents, or for both, for medical, surgical or hospital care 101 benefits. 102 (g) The State Treasurer shall remit wage replacement benefits and 103 reimbursement of insurance deductibles or laboratory or diagnostic 104 testing fees that are approved by the subcommittee from the 105 firefighters cancer relief account established pursuant to section 7-106 313h, as amended by this act, not later than thirty days after such 107 benefits have been approved. 108 Sec. 3. Section 7-313j of the general statutes is repealed and the 109 following is substituted in lieu thereof (Effective July 1, 2019): 110 Committee Bill No. 6384 LCO No. 5547 5 of 8 (a) There is established a firefighters cancer relief program, the 111 purpose of which is to provide (1) wage replacement benefits to 112 firefighters who are diagnosed with certain conditions of cancer as a 113 result of their service as firefighters, and (2) reimbursement to such 114 firefighters for insurance deductibles or laboratory or diagnostic 115 testing fees related to such cancer. 116 (b) A firefighter shall be eligible for wage replacement benefits or 117 reimbursement of insurance deductibles or laboratory or diagnostic 118 testing fees for any condition of cancer affecting the brain, skin, 119 skeletal system, digestive system, endocrine system, respiratory 120 system, lymphatic system, reproductive system, urinary system or 121 hematological system that results in death, or temporary or permanent 122 total or partial disability, provided (1) such firefighter successfully 123 passed a physical examination upon entry into such service, or 124 subsequent to entry, as the case may be, that failed to reveal any 125 evidence of such cancer, (2) such firefighter has submitted to annual 126 physical examinations subsequent to entry into such service that have 127 failed to reveal any evidence of such cancer or a propensity for such 128 cancer, (3) such firefighter has not used any cigarettes, as defined in 129 section 12-285, or any other tobacco products, as defined in section 12-130 330a, within fifteen years of applying for wage replacement benefits or 131 reimbursement of insurance deductibles or laboratory or diagnostic 132 testing fees pursuant to subsection (b) or (c) of this section, (4) such 133 firefighter has worked for not less than five years on or after February 134 1, 2017, as (A) an interior structural firefighter at a paid municipal, 135 state or volunteer fire department, or (B) a local fire marshal, deputy 136 fire marshal, fire investigator, fire inspector or such other class of 137 inspector or investigator for whom the State Fire Marshal and the 138 Codes and Standards Committee, acting jointly, have adopted 139 minimum standards of qualification pursuant to section 29-298, at the 140 time such cancer is discovered, or should have been discovered, (5) 141 such firefighter has complied with the federal Occupational Safety and 142 Health Act standards adopted pursuant to 29 CFR 1910.134 and 29 143 CFR 1910.156 for a period of not less than five consecutive years, and 144 Committee Bill No. 6384 LCO No. 5547 6 of 8 (6) such cancer is one that is known to result from exposure to heat, 145 radiation or a known carcinogen as determined by the International 146 Agency for Research on Cancer or the National Toxicology Program of 147 the United States Department of Health and Human Services. For 148 purposes of this subsection, "interior structural firefighter" means an 149 individual who performs fire suppression, rescue or both, inside of 150 buildings or enclosed structures that are involved in a fire situation 151 beyond the incipient stage, as defined in 29 CFR 1910.155. 152 (c) Any individual who is no longer actively serving as a firefighter 153 but who otherwise would be eligible for wage replacement benefits or 154 reimbursement of insurance deductibles or laboratory or diagnostic 155 testing fees pursuant to [the provisions of] subsection (b) of this section 156 [,] may apply for such benefits not more than five years from the date 157 such individual last served as a firefighter. 158 (d) A firefighter or individual applying for wage replacement 159 benefits or reimbursement of insurance deductibles or laboratory or 160 diagnostic testing fees pursuant to subsection (b) or (c) of this section 161 shall be required to submit to annual physical examinations, including 162 blood testing, during his or her active service and for a period of five 163 years after the date such individual last served as a firefighter as a 164 condition of receiving such benefits or reimbursement. An individual 165 who no longer serves as a firefighter shall bear the cost of any physical 166 examination required under this subsection, except the cost of an 167 insurance deductible or laboratory or diagnostic testing fee approved 168 for reimbursement. 169 Sec. 4. Section 3-123 of the general statutes is repealed and the 170 following is substituted in lieu thereof (Effective July 1, 2019): 171 (a) Whenever a person, under the provisions of the constitution and 172 bylaws of the Connecticut State Firefighters Association, is entitled to 173 relief from said association, as a firefighter injured in the line of duty, 174 or rendered sick by disease contracted while in the line of duty, or as 175 the widow or child of a firefighter killed in the line of duty, the 176 Committee Bill No. 6384 LCO No. 5547 7 of 8 Commissioner of Emergency Services and Public Protection shall, 177 upon the delivery to said commissioner of proper proofs from said 178 association of the right of such person to relief as aforesaid, process 179 payment for such person or persons entitled to such relief, or their 180 legal representative, for the amount to which such person or persons 181 are entitled as relief as aforesaid, provided such orders shall be limited 182 to available appropriations. 183 (b) Whenever a firefighter, under the provisions of the constitution 184 and bylaws of the Connecticut State Firefighters Association, is entitled 185 to wage replacement benefits or reimbursement of insurance 186 deductibles or laboratory or diagnostic testing fees from said 187 association pursuant to the firefighters cancer relief program 188 established pursuant to section 7-313j, as amended by this act, the State 189 Treasurer shall, upon the delivery to the State Treasurer of proper 190 proof from said association of the right of such firefighter to wage 191 replacement benefits or reimbursement of insurance deductibles or 192 laboratory or diagnostic testing fees as aforesaid, process payment for 193 such firefighter, [entitled to such wage replacement benefits,] or his or 194 her legal representative, for the amount to which such firefighter is 195 entitled [as wage replacement benefits] as aforesaid, provided such 196 orders shall be limited to available funds contained in the firefighters 197 cancer relief account established pursuant to section 7-313h, as 198 amended by this act. 199 This act shall take effect as follows and shall amend the following sections: Section 1 July 1, 2019 7-313h Sec. 2 July 1, 2019 7-313i Sec. 3 July 1, 2019 7-313j Sec. 4 July 1, 2019 3-123 Committee Bill No. 6384 LCO No. 5547 8 of 8 Statement of Purpose: To allow the Firefighters Cancer Relief Program to reimburse eligible firefighters for insurance deductibles and laboratory and diagnostic testing fees. [Proposed deletions are enclosed in brackets. Proposed additions are indicated by underline, except that when the entire text of a bill or resolution or a section of a bill or resolution is new, it is not underlined.] Co-Sponsors: REP. COOK, 65th Dist.; REP. MICHEL, 146th Dist. REP. CAMILLO, 151st Dist. H.B. 6384