LCO \\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00321-R02- SB.docx 1 of 8 General Assembly Substitute Bill No. 321 February Session, 2022 AN ACT EXPANDING WORKERS' COMPENSATION COVERAGE FOR POST-TRAUMATIC STRESS INJURIES FOR ALL EMPLOYEES. Be it enacted by the Senate and House of Representatives in General Assembly convened: Section 1. Section 31-294k of the 2022 supplement to the general 1 statutes is repealed and the following is substituted in lieu thereof 2 (Effective January 1, 2023): 3 (a) As used in this section: 4 (1) "COVID-19" means the respiratory disease designated by the 5 World Health Organization on February 11, 2020, as coronavirus 2019, 6 and any related mutation thereof recognized by the World Health 7 Organization as a communicable respiratory disease; 8 (2) "Eligible individual" means a police officer, firefighter, emergency 9 medical services personnel, Department of Correction employee, 10 telecommunicator or health care provider and on or after January 1, 11 2023, an employee, as defined in section 31-275; 12 (3) "Emergency medical services personnel" has the same meaning as 13 provided in section 20-206jj; 14 (4) "Firefighter" has the same meaning as provided in section 7-313g; 15 Substitute Bill No. 321 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00321- R02-SB.docx } 2 of 8 (5) "Health care provider" means (A) a person employed at a doctor's 16 office, hospital, health care center, clinic, medical school, local health 17 department or agency, nursing facility, retirement facility, nursing 18 home, group home, home health care provider, any facility that 19 performs laboratory or medical testing, pharmacy or any similar 20 institution, or (B) a person employed to provide personal care 21 assistance, as defined in section 17b-706, in or about a private dwelling, 22 provided such person is regularly employed by the owner or occupier 23 of the dwelling for more than twenty-six hours per week; 24 (6) "In the line of duty" means any action that an eligible individual 25 is obligated or authorized by law, rule, regulation or written condition 26 of employment service to perform, or for which the eligible individual 27 is compensated by the public entity such individual serves, except that, 28 in the case of a volunteer firefighter, such action or service constitutes 29 fire duties, as defined in subsection (b) of section 7-314b; 30 (7) "Mental health professional" means a board-certified psychiatrist 31 or a psychologist licensed pursuant to chapter 383, who has experience 32 diagnosing and treating post-traumatic stress injury; 33 (8) "Parole officer" means an employee of the Department of 34 Correction who supervises inmates in the community after their release 35 from prison on parole or under another prison release program; 36 (9) "Police officer" has the same meaning as provided in section 7-37 294a, except that "police officer" does not include an officer of a law 38 enforcement unit of the Mashantucket Pequot Tribe or the Mohegan 39 Tribe of Indians of Connecticut; 40 (10) "Post-traumatic stress injury" means an injury that meets the 41 diagnostic criteria for post-traumatic stress disorder as specified in the 42 most recent edition of the American Psychiatric Association's 43 "Diagnostic and Statistical Manual of Mental Disorders"; 44 (11) "Qualifying event" means: 45 Substitute Bill No. 321 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00321- R02-SB.docx } 3 of 8 (A) An event occurring in the line of duty on or after July 1, 2019, in 46 which a police officer, parole officer, firefighter, emergency medical 47 services personnel, Department of Correction employee or 48 telecommunicator: 49 (i) Views a deceased minor; 50 (ii) Witnesses the death of a person or an incident involving the death 51 of a person; 52 (iii) Witnesses an injury to a person who subsequently dies before or 53 upon admission at a hospital as a result of the injury and not as a result 54 of any other intervening cause; 55 (iv) Has physical contact with and treats an injured person who 56 subsequently dies before or upon admission at a hospital as a result of 57 the injury and not as a result of any other intervening cause; 58 (v) Carries an injured person who subsequently dies before or upon 59 admission at a hospital as a result of the injury and not as a result of any 60 other intervening cause; or 61 (vi) Witnesses a traumatic physical injury that results in the loss of a 62 vital body part or a vital body function that results in permanent 63 disfigurement of the victim; [, or] 64 (B) An event arising out of and in the course of employment on or 65 after March 10, 2020, in which an eligible individual who is a health care 66 provider is engaged in activities substantially dedicated to mitigating or 67 responding to the public health and civil preparedness emergencies 68 declared by the Governor on March 10, 2020, or any extension of such 69 emergency declarations; [,] and: 70 (i) Witnesses the death of a person due to COVID-19 or due to 71 symptoms that were later diagnosed as COVID-19; 72 (ii) Witnesses an injury to a person who subsequently dies as a result 73 Substitute Bill No. 321 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00321- R02-SB.docx } 4 of 8 of COVID-19 or due to symptoms that were later diagnosed as COVID-74 19; 75 (iii) Has physical contact with and treats or provides care for a person 76 who subsequently dies as a result of COVID-19 or due to symptoms that 77 were later diagnosed as COVID-19; or 78 (iv) Witnesses a traumatic physical injury that results in the loss of a 79 vital body function of a person due to COVID-19 or due to symptoms 80 that were later diagnosed as COVID-19; or 81 (C) An event arising out of and in the course of employment on or 82 after January 1, 2023, in which an eligible individual: 83 (i) Views a deceased minor; 84 (ii) Witnesses the death of a person or an incident involving the death 85 of a person; 86 (iii) Witnesses an injury to a person who subsequently dies before or 87 upon admission at a hospital as a result of the injury and not as a result 88 of any other intervening cause; 89 (iv) Has physical contact with and treats an injured person who 90 subsequently dies before or upon admission at a hospital as a result of 91 the injury and not as a result of any other intervening cause; 92 (v) Carries an injured person who subsequently dies before or upon 93 admission at a hospital as a result of the injury and not as a result of any 94 other intervening cause; or 95 (vi) Witnesses a traumatic physical injury that results in the loss of a 96 vital body part or a vital body function that results in permanent 97 disfigurement of the victim; 98 (12) "Telecommunicator" has the same meaning as provided in 99 section 28-30; and 100 Substitute Bill No. 321 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00321- R02-SB.docx } 5 of 8 (13) "Witnesses" means, for an eligible individual who is a 101 telecommunicator, hears by telephone or radio while directly 102 responding to an emergency call that constitutes a qualifying event 103 under this section and providing a dispatch assignment. 104 (b) A diagnosis of post-traumatic stress injury is compensable as a 105 personal injury as described in subparagraph (B)(ii)(III) of subdivision 106 (16) of section 31-275 if a mental health professional examines the 107 eligible individual and diagnoses the individual with a post-traumatic 108 stress injury as a direct result of a qualifying event, provided (1) the 109 post-traumatic stress injury resulted from (A) the eligible individual 110 acting in the line of duty if such individual is a police officer, firefighter, 111 emergency medical services personnel, Department of Correction 112 employee or telecommunicator and, in the case of a firefighter, such 113 firefighter complied with Federal Occupational Safety and Health Act 114 standards adopted pursuant to 29 CFR 1910.134 and 29 CFR 1910.156, 115 or (B) the eligible individual acting in the course of employment if such 116 individual is a health care provider or other employee, on or after 117 January 1, 2023, (2) a qualifying event was a substantial factor in causing 118 the injury, and (3) the post-traumatic stress injury did not result from 119 any disciplinary action, work evaluation, job transfer, layoff, demotion, 120 promotion, termination, retirement or similar action of the eligible 121 individual. Any such mental health professional shall comply with any 122 workers' compensation guidelines for approved medical providers, 123 including, but not limited to, guidelines on release of past or 124 contemporaneous medical records. 125 (c) Whenever liability to pay compensation is contested by the 126 employer, the employer shall file with the commissioner, on or before 127 the twenty-eighth day after the employer has received a written notice 128 of claim, a notice in accordance with a form prescribed by the 129 chairperson of the Workers' Compensation Commission stating that the 130 right to compensation is contested, the name of the claimant, the name 131 of the employer, the date of the alleged injury and the specific grounds 132 on which the right to compensation is contested. The employer shall 133 Substitute Bill No. 321 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00321- R02-SB.docx } 6 of 8 send a copy of the notice to the employee in accordance with section 31-134 321. If the employer or the employer's legal representative fails to file 135 the notice contesting liability on or before the twenty-eighth day after 136 receiving the written notice of claim, the employer shall commence 137 payment of compensation for such injury on or before the twenty-eighth 138 day after receiving the written notice of claim, but the employer may 139 contest the employee's right to receive compensation on any grounds or 140 the extent of the employee's disability within one hundred eighty days 141 from the receipt of the written notice of claim and any benefits paid 142 during the one hundred eighty days shall be considered payments 143 without prejudice, provided the employer shall not be required to 144 commence payment of compensation when the written notice of claim 145 has not been properly served in accordance with section 31-321 or when 146 the written notice of claim fails to include a warning that the employer 147 (1) if the employer has commenced payment for the alleged injury on or 148 before the twenty-eighth day after receiving a written notice of claim, 149 shall be precluded from contesting liability unless a notice contesting 150 liability is filed within one hundred eighty days from the receipt of the 151 written notice of claim, and (2) shall be conclusively presumed to have 152 accepted the compensability of the alleged injury unless the employer 153 either files a notice contesting liability on or before the twenty-eighth 154 day after receiving a written notice of claim or commences payment for 155 the alleged injury on or before such twenty-eighth day. An employer 156 shall be entitled, if the employer prevails, to reimbursement from the 157 claimant of any compensation paid by the employer on and after the 158 date the commissioner receives written notice from the employer or the 159 employer's legal representative, in accordance with the form prescribed 160 by the chairperson of the Workers' Compensation Commission, stating 161 that the right to compensation is contested. Notwithstanding the 162 provisions of this subsection, an employer who fails to contest liability 163 for an alleged injury on or before the twenty-eighth day after receiving 164 a written notice of claim and who fails to commence payment for the 165 alleged injury on or before such twenty-eighth day, shall be conclusively 166 presumed to have accepted the compensability of the alleged injury. If 167 an employer has opted to post an address of where notice of a claim for 168 Substitute Bill No. 321 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00321- R02-SB.docx } 7 of 8 compensation by an employee shall be sent, as described in subsection 169 (a) of section 31-294c, the twenty-eight-day period set forth in this 170 subsection shall begin on the date when such employer receives written 171 notice of a claim for compensation at such posted address. 172 (d) Notwithstanding any provision of this chapter, workers' 173 compensation benefits for any eligible individual for a personal injury 174 described in subparagraph (B)(ii)(III) of subdivision (16) of section 31-175 275 shall (1) include any combination of medical treatment prescribed 176 by a board-certified psychiatrist or a licensed psychologist, temporary 177 total incapacity benefits under section 31-307 and temporary partial 178 incapacity benefits under subsection (a) of section 31-308, and (2) be 179 provided for a maximum of fifty-two weeks from the date of diagnosis. 180 No medical treatment, temporary total incapacity benefits under section 181 31-307 or temporary partial incapacity benefits under subsection (a) of 182 section 31-308 shall be awarded beyond four years from the date of the 183 qualifying event that formed the basis for the personal injury. The 184 weekly benefits received by an eligible individual pursuant to section 185 31-307 or subsection (a) of section 31-308, when combined with other 186 benefits including, but not limited to, contributory and noncontributory 187 retirement benefits, Social Security benefits, benefits under a long-term 188 or short-term disability plan, but not including payments for medical 189 care, shall not exceed the average weekly wage paid to such eligible 190 individual. An eligible individual receiving benefits pursuant to this 191 subsection shall not be entitled to benefits pursuant to subsection (b) of 192 section 31-308 or section 31-308a. 193 This act shall take effect as follows and shall amend the following sections: Section 1 January 1, 2023 31-294k LAB Joint Favorable Subst. APP Joint Favorable Substitute Bill No. 321 LCO {\\PRDFS1\SCOUSERS\FORZANOF\WS\2022SB-00321- R02-SB.docx } 8 of 8