LCO No. 2531 1 of 9 General Assembly Raised Bill No. 313 February Session, 2022 LCO No. 2531 Referred to Committee on LABOR AND PUBLIC EMPLOYEES Introduced by: (LAB) AN ACT CONCERNING ADOPTION OF THE RECOMMENDATIONS OF THE TASK FORCE TO STUDY CANCER RELIEF BENEFITS FOR FIREFIGHTERS. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. (NEW) (Effective July 1, 2022) (a) The Labor Department's 1 Division of Occupational Safety and Health shall adopt the International 2 Association of Fire Chiefs' Best Practices for Preventing Firefighter 3 Cancer. 4 (b) The Labor Department's Division of Occupational Safety and 5 Health shall additionally adopt a practice requiring not less than two 6 sets of turnout gear be provided to firefighters to ensure clean gear is 7 worn while any contaminated gear is properly cleaned. 8 Sec. 2. Section 31-294j of the general statutes is repealed and the 9 following is substituted in lieu thereof (Effective July 1, 2022): 10 (a) For the purpose of adjudication of claims for payment of benefits 11 under the provisions of this chapter, a uniformed member of a paid 12 municipal or volunteer fire department, a regular member of a paid 13 Raised Bill No. 313 LCO No. 2531 2 of 9 municipal police department, a constable, as defined in section 31-294i, 14 or a member of a volunteer ambulance service shall be eligible for such 15 benefits for any disease arising out of and in the course of employment, 16 including, but not limited to, hepatitis, meningococcal meningitis, 17 tuberculosis, Kahler's Disease, non-Hodgkin's lymphoma, and prostate 18 or testicular cancer that results in death or temporary or permanent total 19 or partial disability. 20 (b) Notwithstanding any provision of the general statutes, a 21 firefighter's diagnosis of cancer shall be presumed to arise out of and in 22 the course of employment as the result of exposures particular to the 23 duties performed as a firefighter for any condition of cancer affecting 24 the brain, skin, skeletal system, digestive system, endocrine system, 25 respiratory system, lymphatic system, reproductive system, urinary 26 system or hematological system that results in death, or temporary or 27 permanent total or partial disability. This presumption shall only be 28 rebutted by clear and convincing evidence of any of the following: (1) 29 The firefighter had a physical examination upon entry into such service, 30 or subsequent to entry, as the case may be, that revealed evidence of the 31 claimed cancer; (2) the firefighter has failed to submit to annual physical 32 examinations subsequent to entry into such service or that subsequent 33 physical examinations have revealed evidence of such cancer or a 34 propensity for such cancer; (3) such firefighter has used cigarettes, as 35 defined in section 12-285, or any other tobacco products, as defined in 36 section 12-330a, within fifteen years of the diagnosis of the claimed 37 cancer; (4) such firefighter has worked less than at least five years on or 38 after February 1, 2017, as (A) an interior structural firefighter at a paid 39 municipal, state or volunteer fire department, or (B) a local fire marshal, 40 deputy fire marshal, fire investigator, fire inspector or such other class 41 of inspector or investigator for whom the State Fire Marshal and the 42 Codes and Standards Committee, acting jointly, have adopted 43 minimum standards of qualification pursuant to section 29-298, at the 44 time such cancer is discovered, or should have been discovered; (5) the 45 firefighter has not used respiratory protection and other personal 46 protective equipment as described in the federal Occupational Safety 47 Raised Bill No. 313 LCO No. 2531 3 of 9 and Health Act standards adopted pursuant to 29 CFR 1910.134 and 29 48 CFR 1910.156 for a period of five consecutive years; or (6) the claimed 49 cancer is not one that is known to result from exposure to heat, radiation 50 or a known carcinogen as determined by the International Agency for 51 Research on Cancer or the National Toxicology Program of the United 52 States Department of Health and Human Services. For purposes of this 53 subsection, "interior structural firefighter" means an individual who 54 performs fire suppression, rescue or both, inside of buildings or 55 enclosed structures that are involved in a fire situation beyond the 56 incipient stage, as defined in 29 CFR 1910.155. 57 (c) Any individual, who is no longer actively serving as a firefighter 58 but who otherwise would fall within the provisions of subsection (a) of 59 this section, may apply for benefits under the provisions of this chapter 60 not later than five years after the date such individual last served as a 61 firefighter. 62 (d) A firefighter or other individual, who is eligible for benefits 63 pursuant to subsection (a) or (b) of this section, shall be required to 64 submit to annual physical examinations, including blood testing, during 65 the firefighter or other individual's active service and for a period of five 66 years after the date such firefighter or other individual last served as a 67 firefighter as a condition of receiving such benefits. An individual who 68 no longer serves as a firefighter shall bear the cost of any physical 69 examination required under this subsection. 70 (e) As an alternative to workers' compensation coverage for work 71 related cancer, a fire department may purchase a separate, private 72 insurance policy to cover firefighters' illnesses or injuries arising out of 73 and in the course of employment. Such policy shall provide benefits that 74 are comparable, or better, than workers' compensation benefits. 75 Sec. 3. (NEW) (Effective from passage) The Workers' Compensation 76 Commission shall maintain a record of all workers' compensation 77 claims made by firefighters due to a cancer diagnosis. Not later than 78 January first of each year, the Workers' Compensation Commission 79 Raised Bill No. 313 LCO No. 2531 4 of 9 shall submit a report summarizing such records to the joint standing 80 committee of the General Assembly having cognizance of matters 81 relating to labor. 82 Sec. 4. Section 7-313i of the general statutes is repealed and the 83 following is substituted in lieu thereof (Effective from passage): 84 (a) There is established a firefighters cancer relief subcommittee of 85 the Connecticut State Firefighters Association that shall consist of one 86 member from the Connecticut State Firefighters Association, one 87 member from the Connecticut Fire Chiefs Association, one member 88 from the Uniformed Professional Firefighters of the International 89 Association of Firefighters, one member from the Connecticut Fire 90 Marshals Association, and one member from the Connecticut 91 Conference of Municipalities. Such subcommittee shall review claims 92 for wage replacement benefits submitted to the firefighters cancer relief 93 program established pursuant to section 7-313j and provide wage 94 replacement benefits, in accordance with the provisions of subsection 95 (b) of section 3-123, to any firefighter who the subcommittee determines 96 is eligible for such wage replacement benefits pursuant to the provisions 97 of section 7-313j. The subcommittee may determine the weekly wage 98 replacement benefits provided to a firefighter in accordance with the 99 provisions of this chapter and chapter 568. 100 (b) A firefighter who is approved for wage replacement benefits by 101 the subcommittee pursuant to subsection (a) of this section shall be 102 eligible for such benefits on and after July 1, 2019, and for a period 103 determined by the subcommittee, provided such period shall not exceed 104 twenty-four months. The maximum weekly wage replacement benefit 105 under this section shall be determined by the subcommittee, provided 106 such maximum weekly wage replacement benefit shall not exceed one 107 hundred per cent, raised to the next even dollar, of the average weekly 108 earnings of all workers in the state for the year in which the condition 109 of cancer was diagnosed. The average weekly earnings of all workers in 110 the state shall be determined by the Labor Commissioner on or before 111 the fifteenth day of August of each year, to be effective the following 112 Raised Bill No. 313 LCO No. 2531 5 of 9 October first, and shall be the average of all workers' weekly earnings 113 for the year ending the previous June thirtieth and shall be so 114 determined in accordance with the standards for the determination of 115 average weekly earnings of all workers established by the United States 116 Department of Labor, Bureau of Labor Statistics. 117 (c) A firefighter may receive wage replacement benefits under this 118 section concurrently with any employer-provided employment 119 benefits, provided the total compensation of such firefighter during 120 such period of receiving benefits under this section shall not exceed such 121 firefighter's pay rate at the time such firefighter was diagnosed with a 122 condition of cancer described in section 7-313j. 123 [(d) No firefighter shall receive compensation under this section 124 concurrently with the provisions of chapter 567 or 568 or any other 125 municipal, state or federal program that provides wage replacement 126 benefits.] 127 [(e)] (d) No approval of wage replacement benefits for a firefighter by 128 the subcommittee pursuant to subsection (a) of this section shall be used 129 as evidence, proof or an acknowledgement of liability or causation in 130 any proceeding under chapter 568. 131 [(f)] (e) Notwithstanding any other provision of the general statutes, 132 any employer who provides accident and health insurance or life 133 insurance coverage for a firefighter or makes payments or contributions 134 at the regular hourly or weekly rate for the firefighter to an employee 135 welfare plan, shall provide to the firefighter equivalent insurance 136 coverage or welfare plan payments or contributions while the firefighter 137 is eligible to receive or is receiving wage replacement compensation 138 under this section. As used in this section, "employee welfare plan" 139 means any plan established or maintained for such firefighter or such 140 firefighter's family or dependents, or for both, for medical, surgical or 141 hospital care benefits. 142 [(g)] (f) The State Treasurer shall remit wage replacement benefits 143 that are approved by the subcommittee from the firefighters cancer 144 Raised Bill No. 313 LCO No. 2531 6 of 9 relief account established pursuant to section 7-313h not later than thirty 145 days after such benefits have been approved. 146 Sec. 5. Section 31-284b of the general statutes is repealed and the 147 following is substituted in lieu thereof (Effective from passage): 148 (a) In order to maintain, as nearly as possible, the income of 149 [employees] claimants who suffer employment-related injuries, any 150 employer who provides accident and health insurance or life insurance 151 coverage for any [employee] claimant or makes payments or 152 contributions at the regular hourly or weekly rate for full-time 153 employees to an employee welfare plan, shall provide to the [employee] 154 claimant equivalent insurance coverage or welfare plan payments or 155 contributions while the [employee] claimant is eligible to receive or is 156 receiving compensation pursuant to this chapter, or while the 157 [employee] claimant is receiving wages under a provision for sick leave 158 payments for time lost due to an employment-related injury. As used in 159 this section, "income" means all forms of remuneration to an individual 160 from his employment, including wages, accident and health insurance 161 coverage, life insurance coverage and employee welfare plan 162 contributions and "employee welfare plan" means any plan established 163 or maintained for employees or their families or dependents, or for both, 164 for medical, surgical or hospital care benefits. 165 (b) An employer may provide such equivalent accident and health or 166 life insurance coverage or welfare plan payments or contributions by: 167 (1) Insuring [his] the employee's full liability under this section in any 168 stock or mutual companies or associations that are or may be authorized 169 to take such risks in this state; (2) creating an injured employee's plan as 170 an extension of any existing plan for working employees; (3) self-171 insurance; or (4) by any combination of the methods provided in 172 subdivisions (1) to (3), inclusive, of this subsection that he may choose. 173 (c) In the case of an employee welfare plan, an employer may provide 174 equivalent protection by making payments or contributions for such 175 hours of contributions established by the trustees of the employee 176 Raised Bill No. 313 LCO No. 2531 7 of 9 welfare plan as necessary to maintain continuation of such insurance 177 coverage when the amount is less than the amount of regular hourly or 178 weekly contributions for full-time employees. 179 (d) In any case where compensation payments to an individual for 180 total incapacity under the provisions of section 31-307 continue for more 181 than one hundred four weeks, the cost of accident and health insurance 182 or life insurance coverage after the one-hundred-fourth week shall be 183 paid out of the Second Injury Fund in accordance with the provisions of 184 section 31-349. 185 (e) Accident and health insurance coverage may include, but shall not 186 be limited to, coverage provided by insurance or directly by the 187 employer for the following health care services: Medical, surgical, 188 dental, nursing and hospital care and treatment, drugs, diagnosis or 189 treatment of mental conditions or alcoholism, and pregnancy and child 190 care. 191 Sec. 6. (NEW) (Effective from passage) The Comptroller shall conduct a 192 study to assess the feasibility of providing pension benefits in 193 circumstances when a firefighter's pension maturity or number of years 194 of service required for the firefighter to receive pension benefits is not 195 met because of an early retirement due to a qualifying work-related 196 cancer or death. Such study shall include an examination of the 197 feasibility of implementing a prorated benefit for such instances. The 198 Comptroller shall report the results of such study and any 199 recommended legislation to the joint standing committee of the General 200 Assembly having cognizance of matters relating to labor. 201 Sec. 7. Subsection (d) of section 31-367 of the general statutes is 202 repealed and the following is substituted in lieu thereof (Effective from 203 passage): 204 (d) "Employer" means the state and any political subdivision thereof 205 and, except as provided in section 31-369, as amended by this act, any 206 volunteer fire department and any volunteer ambulance company; 207 Raised Bill No. 313 LCO No. 2531 8 of 9 Sec. 8. Section 31-369 of the general statutes is repealed and the 208 following is substituted in lieu thereof (Effective from passage): 209 (a) This chapter applies to all employers, employees and places of 210 employment in the state except the following: (1) Employees of the 211 United States government; [and] (2) working conditions of employees 212 over which federal agencies other than the United States Department of 213 Labor exercise statutory authority to prescribe or enforce standards or 214 regulations affecting occupational safety and health; and (3) any 215 volunteer fire department or volunteer ambulance company that is able 216 to demonstrate such department or company is regulated by the 217 Occupational Safety and Health Act of 1970, 29 USC 651 et seq., as 218 amended from time to time. 219 (b) Nothing in this chapter shall be construed to supersede or in any 220 manner affect any workers' compensation law or to enlarge, diminish or 221 affect in any manner common law or statutory rights, duties or liabilities 222 of employers or employees, under any law with respect to injuries, 223 diseases or death of employees arising out of and in the course of 224 employment. 225 Sec. 9. Subsection (c) of section 31-382 of the general statutes is 226 repealed and the following is substituted in lieu thereof (Effective from 227 passage): 228 (c) Any employer who has received a citation for a violation of the 229 requirements of sections 31-369, as amended by this act, and 31-370, of 230 any standard or order promulgated pursuant to section 31-372, or of 231 regulations adopted pursuant to this chapter, which violation is 232 specifically determined not to be of a serious nature, may be assessed a 233 civil penalty of up to one thousand dollars for each such violation, 234 except any volunteer fire department and any volunteer ambulance 235 company shall, for the first such violation, only be issued a written 236 warning. 237 Sec. 10. (Effective from passage) The sum of one million two hundred 238 thousand dollars is appropriated to the Firefighter's Cancer Relief 239 Raised Bill No. 313 LCO No. 2531 9 of 9 Account, established pursuant to section 7-313h of the general statutes, 240 from the General Fund, for the fiscal year ending June 30, 2023, for 241 retroactive pay for the years the annual appropriation of four hundred 242 thousand dollars was deferred. 243 This act shall take effect as follows and shall amend the following sections: Section 1 July 1, 2022 New section Sec. 2 July 1, 2022 31-294j Sec. 3 from passage New section Sec. 4 from passage 7-313i Sec. 5 from passage 31-284b Sec. 6 from passage New section Sec. 7 from passage 31-367(d) Sec. 8 from passage 31-369 Sec. 9 from passage 31-382(c) Sec. 10 from passage New section Statement of Purpose: To adopt the recommendations of the task force to study cancer relief benefits for firefighters. [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.]