4 | 4 | | SB.docx |
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7 | 7 | | General Assembly Substitute Bill No. 321 |
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8 | 8 | | February Session, 2022 |
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13 | 13 | | |
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14 | 14 | | AN ACT EXPANDING WORKERS' COMPENSATION COVERAGE FOR |
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15 | 15 | | POST-TRAUMATIC STRESS INJURIES FOR ALL EMPLOYEES. |
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16 | 16 | | Be it enacted by the Senate and House of Representatives in General |
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17 | 17 | | Assembly convened: |
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18 | 18 | | |
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19 | 19 | | Section 1. Section 31-294k of the 2022 supplement to the general 1 |
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20 | 20 | | statutes is repealed and the following is substituted in lieu thereof 2 |
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21 | 21 | | (Effective January 1, 2023): 3 |
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22 | 22 | | (a) As used in this section: 4 |
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23 | 23 | | (1) "COVID-19" means the respiratory disease designated by the 5 |
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24 | 24 | | World Health Organization on February 11, 2020, as coronavirus 2019, 6 |
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25 | 25 | | and any related mutation thereof recognized by the World Health 7 |
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26 | 26 | | Organization as a communicable respiratory disease; 8 |
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27 | 27 | | (2) "Eligible individual" means a police officer, firefighter, emergency 9 |
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28 | 28 | | medical services personnel, Department of Correction employee, 10 |
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29 | 29 | | telecommunicator or health care provider and on or after January 1, 11 |
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30 | 30 | | 2023, an employee, as defined in section 31-275; 12 |
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31 | 31 | | (3) "Emergency medical services personnel" has the same meaning as 13 |
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32 | 32 | | provided in section 20-206jj; 14 |
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33 | 33 | | (4) "Firefighter" has the same meaning as provided in section 7-313g; 15 Substitute Bill No. 321 |
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39 | 39 | | |
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40 | 40 | | (5) "Health care provider" means (A) a person employed at a doctor's 16 |
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41 | 41 | | office, hospital, health care center, clinic, medical school, local health 17 |
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42 | 42 | | department or agency, nursing facility, retirement facility, nursing 18 |
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43 | 43 | | home, group home, home health care provider, any facility that 19 |
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44 | 44 | | performs laboratory or medical testing, pharmacy or any similar 20 |
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45 | 45 | | institution, or (B) a person employed to provide personal care 21 |
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46 | 46 | | assistance, as defined in section 17b-706, in or about a private dwelling, 22 |
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47 | 47 | | provided such person is regularly employed by the owner or occupier 23 |
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48 | 48 | | of the dwelling for more than twenty-six hours per week; 24 |
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49 | 49 | | (6) "In the line of duty" means any action that an eligible individual 25 |
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50 | 50 | | is obligated or authorized by law, rule, regulation or written condition 26 |
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51 | 51 | | of employment service to perform, or for which the eligible individual 27 |
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52 | 52 | | is compensated by the public entity such individual serves, except that, 28 |
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53 | 53 | | in the case of a volunteer firefighter, such action or service constitutes 29 |
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54 | 54 | | fire duties, as defined in subsection (b) of section 7-314b; 30 |
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55 | 55 | | (7) "Mental health professional" means a board-certified psychiatrist 31 |
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56 | 56 | | or a psychologist licensed pursuant to chapter 383, who has experience 32 |
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57 | 57 | | diagnosing and treating post-traumatic stress injury; 33 |
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58 | 58 | | (8) "Parole officer" means an employee of the Department of 34 |
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59 | 59 | | Correction who supervises inmates in the community after their release 35 |
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60 | 60 | | from prison on parole or under another prison release program; 36 |
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61 | 61 | | (9) "Police officer" has the same meaning as provided in section 7-37 |
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62 | 62 | | 294a, except that "police officer" does not include an officer of a law 38 |
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63 | 63 | | enforcement unit of the Mashantucket Pequot Tribe or the Mohegan 39 |
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64 | 64 | | Tribe of Indians of Connecticut; 40 |
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65 | 65 | | (10) "Post-traumatic stress injury" means an injury that meets the 41 |
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66 | 66 | | diagnostic criteria for post-traumatic stress disorder as specified in the 42 |
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67 | 67 | | most recent edition of the American Psychiatric Association's 43 |
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68 | 68 | | "Diagnostic and Statistical Manual of Mental Disorders"; 44 |
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69 | 69 | | (11) "Qualifying event" means: 45 Substitute Bill No. 321 |
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76 | 76 | | (A) An event occurring in the line of duty on or after July 1, 2019, in 46 |
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77 | 77 | | which a police officer, parole officer, firefighter, emergency medical 47 |
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78 | 78 | | services personnel, Department of Correction employee or 48 |
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79 | 79 | | telecommunicator: 49 |
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80 | 80 | | (i) Views a deceased minor; 50 |
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81 | 81 | | (ii) Witnesses the death of a person or an incident involving the death 51 |
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82 | 82 | | of a person; 52 |
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83 | 83 | | (iii) Witnesses an injury to a person who subsequently dies before or 53 |
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84 | 84 | | upon admission at a hospital as a result of the injury and not as a result 54 |
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85 | 85 | | of any other intervening cause; 55 |
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86 | 86 | | (iv) Has physical contact with and treats an injured person who 56 |
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87 | 87 | | subsequently dies before or upon admission at a hospital as a result of 57 |
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88 | 88 | | the injury and not as a result of any other intervening cause; 58 |
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89 | 89 | | (v) Carries an injured person who subsequently dies before or upon 59 |
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90 | 90 | | admission at a hospital as a result of the injury and not as a result of any 60 |
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91 | 91 | | other intervening cause; or 61 |
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92 | 92 | | (vi) Witnesses a traumatic physical injury that results in the loss of a 62 |
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93 | 93 | | vital body part or a vital body function that results in permanent 63 |
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94 | 94 | | disfigurement of the victim; [, or] 64 |
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95 | 95 | | (B) An event arising out of and in the course of employment on or 65 |
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96 | 96 | | after March 10, 2020, in which an eligible individual who is a health care 66 |
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97 | 97 | | provider is engaged in activities substantially dedicated to mitigating or 67 |
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98 | 98 | | responding to the public health and civil preparedness emergencies 68 |
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99 | 99 | | declared by the Governor on March 10, 2020, or any extension of such 69 |
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100 | 100 | | emergency declarations; [,] and: 70 |
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101 | 101 | | (i) Witnesses the death of a person due to COVID-19 or due to 71 |
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102 | 102 | | symptoms that were later diagnosed as COVID-19; 72 |
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103 | 103 | | (ii) Witnesses an injury to a person who subsequently dies as a result 73 Substitute Bill No. 321 |
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110 | 110 | | of COVID-19 or due to symptoms that were later diagnosed as COVID-74 |
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111 | 111 | | 19; 75 |
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112 | 112 | | (iii) Has physical contact with and treats or provides care for a person 76 |
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113 | 113 | | who subsequently dies as a result of COVID-19 or due to symptoms that 77 |
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114 | 114 | | were later diagnosed as COVID-19; or 78 |
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115 | 115 | | (iv) Witnesses a traumatic physical injury that results in the loss of a 79 |
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116 | 116 | | vital body function of a person due to COVID-19 or due to symptoms 80 |
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117 | 117 | | that were later diagnosed as COVID-19; or 81 |
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118 | 118 | | (C) An event arising out of and in the course of employment on or 82 |
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119 | 119 | | after January 1, 2023, in which an eligible individual: 83 |
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120 | 120 | | (i) Views a deceased minor; 84 |
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121 | 121 | | (ii) Witnesses the death of a person or an incident involving the death 85 |
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122 | 122 | | of a person; 86 |
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123 | 123 | | (iii) Witnesses an injury to a person who subsequently dies before or 87 |
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124 | 124 | | upon admission at a hospital as a result of the injury and not as a result 88 |
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125 | 125 | | of any other intervening cause; 89 |
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126 | 126 | | (iv) Has physical contact with and treats an injured person who 90 |
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127 | 127 | | subsequently dies before or upon admission at a hospital as a result of 91 |
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128 | 128 | | the injury and not as a result of any other intervening cause; 92 |
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129 | 129 | | (v) Carries an injured person who subsequently dies before or upon 93 |
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130 | 130 | | admission at a hospital as a result of the injury and not as a result of any 94 |
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131 | 131 | | other intervening cause; or 95 |
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132 | 132 | | (vi) Witnesses a traumatic physical injury that results in the loss of a 96 |
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133 | 133 | | vital body part or a vital body function that results in permanent 97 |
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134 | 134 | | disfigurement of the victim; 98 |
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135 | 135 | | (12) "Telecommunicator" has the same meaning as provided in 99 |
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136 | 136 | | section 28-30; and 100 Substitute Bill No. 321 |
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143 | 143 | | (13) "Witnesses" means, for an eligible individual who is a 101 |
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144 | 144 | | telecommunicator, hears by telephone or radio while directly 102 |
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145 | 145 | | responding to an emergency call that constitutes a qualifying event 103 |
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146 | 146 | | under this section and providing a dispatch assignment. 104 |
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147 | 147 | | (b) A diagnosis of post-traumatic stress injury is compensable as a 105 |
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148 | 148 | | personal injury as described in subparagraph (B)(ii)(III) of subdivision 106 |
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149 | 149 | | (16) of section 31-275 if a mental health professional examines the 107 |
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150 | 150 | | eligible individual and diagnoses the individual with a post-traumatic 108 |
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151 | 151 | | stress injury as a direct result of a qualifying event, provided (1) the 109 |
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152 | 152 | | post-traumatic stress injury resulted from (A) the eligible individual 110 |
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153 | 153 | | acting in the line of duty if such individual is a police officer, firefighter, 111 |
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154 | 154 | | emergency medical services personnel, Department of Correction 112 |
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155 | 155 | | employee or telecommunicator and, in the case of a firefighter, such 113 |
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156 | 156 | | firefighter complied with Federal Occupational Safety and Health Act 114 |
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157 | 157 | | standards adopted pursuant to 29 CFR 1910.134 and 29 CFR 1910.156, 115 |
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158 | 158 | | or (B) the eligible individual acting in the course of employment if such 116 |
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159 | 159 | | individual is a health care provider or other employee, on or after 117 |
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160 | 160 | | January 1, 2023, (2) a qualifying event was a substantial factor in causing 118 |
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161 | 161 | | the injury, and (3) the post-traumatic stress injury did not result from 119 |
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162 | 162 | | any disciplinary action, work evaluation, job transfer, layoff, demotion, 120 |
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163 | 163 | | promotion, termination, retirement or similar action of the eligible 121 |
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164 | 164 | | individual. Any such mental health professional shall comply with any 122 |
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165 | 165 | | workers' compensation guidelines for approved medical providers, 123 |
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166 | 166 | | including, but not limited to, guidelines on release of past or 124 |
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167 | 167 | | contemporaneous medical records. 125 |
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168 | 168 | | (c) Whenever liability to pay compensation is contested by the 126 |
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169 | 169 | | employer, the employer shall file with the commissioner, on or before 127 |
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170 | 170 | | the twenty-eighth day after the employer has received a written notice 128 |
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171 | 171 | | of claim, a notice in accordance with a form prescribed by the 129 |
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172 | 172 | | chairperson of the Workers' Compensation Commission stating that the 130 |
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173 | 173 | | right to compensation is contested, the name of the claimant, the name 131 |
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174 | 174 | | of the employer, the date of the alleged injury and the specific grounds 132 |
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175 | 175 | | on which the right to compensation is contested. The employer shall 133 Substitute Bill No. 321 |
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182 | 182 | | send a copy of the notice to the employee in accordance with section 31-134 |
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183 | 183 | | 321. If the employer or the employer's legal representative fails to file 135 |
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184 | 184 | | the notice contesting liability on or before the twenty-eighth day after 136 |
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185 | 185 | | receiving the written notice of claim, the employer shall commence 137 |
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186 | 186 | | payment of compensation for such injury on or before the twenty-eighth 138 |
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187 | 187 | | day after receiving the written notice of claim, but the employer may 139 |
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188 | 188 | | contest the employee's right to receive compensation on any grounds or 140 |
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189 | 189 | | the extent of the employee's disability within one hundred eighty days 141 |
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190 | 190 | | from the receipt of the written notice of claim and any benefits paid 142 |
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191 | 191 | | during the one hundred eighty days shall be considered payments 143 |
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192 | 192 | | without prejudice, provided the employer shall not be required to 144 |
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193 | 193 | | commence payment of compensation when the written notice of claim 145 |
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194 | 194 | | has not been properly served in accordance with section 31-321 or when 146 |
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195 | 195 | | the written notice of claim fails to include a warning that the employer 147 |
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196 | 196 | | (1) if the employer has commenced payment for the alleged injury on or 148 |
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197 | 197 | | before the twenty-eighth day after receiving a written notice of claim, 149 |
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198 | 198 | | shall be precluded from contesting liability unless a notice contesting 150 |
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199 | 199 | | liability is filed within one hundred eighty days from the receipt of the 151 |
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200 | 200 | | written notice of claim, and (2) shall be conclusively presumed to have 152 |
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201 | 201 | | accepted the compensability of the alleged injury unless the employer 153 |
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202 | 202 | | either files a notice contesting liability on or before the twenty-eighth 154 |
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203 | 203 | | day after receiving a written notice of claim or commences payment for 155 |
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204 | 204 | | the alleged injury on or before such twenty-eighth day. An employer 156 |
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205 | 205 | | shall be entitled, if the employer prevails, to reimbursement from the 157 |
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206 | 206 | | claimant of any compensation paid by the employer on and after the 158 |
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207 | 207 | | date the commissioner receives written notice from the employer or the 159 |
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208 | 208 | | employer's legal representative, in accordance with the form prescribed 160 |
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209 | 209 | | by the chairperson of the Workers' Compensation Commission, stating 161 |
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210 | 210 | | that the right to compensation is contested. Notwithstanding the 162 |
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211 | 211 | | provisions of this subsection, an employer who fails to contest liability 163 |
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212 | 212 | | for an alleged injury on or before the twenty-eighth day after receiving 164 |
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213 | 213 | | a written notice of claim and who fails to commence payment for the 165 |
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214 | 214 | | alleged injury on or before such twenty-eighth day, shall be conclusively 166 |
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215 | 215 | | presumed to have accepted the compensability of the alleged injury. If 167 |
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216 | 216 | | an employer has opted to post an address of where notice of a claim for 168 Substitute Bill No. 321 |
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223 | 223 | | compensation by an employee shall be sent, as described in subsection 169 |
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224 | 224 | | (a) of section 31-294c, the twenty-eight-day period set forth in this 170 |
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225 | 225 | | subsection shall begin on the date when such employer receives written 171 |
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226 | 226 | | notice of a claim for compensation at such posted address. 172 |
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227 | 227 | | (d) Notwithstanding any provision of this chapter, workers' 173 |
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228 | 228 | | compensation benefits for any eligible individual for a personal injury 174 |
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229 | 229 | | described in subparagraph (B)(ii)(III) of subdivision (16) of section 31-175 |
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230 | 230 | | 275 shall (1) include any combination of medical treatment prescribed 176 |
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231 | 231 | | by a board-certified psychiatrist or a licensed psychologist, temporary 177 |
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232 | 232 | | total incapacity benefits under section 31-307 and temporary partial 178 |
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233 | 233 | | incapacity benefits under subsection (a) of section 31-308, and (2) be 179 |
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234 | 234 | | provided for a maximum of fifty-two weeks from the date of diagnosis. 180 |
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235 | 235 | | No medical treatment, temporary total incapacity benefits under section 181 |
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236 | 236 | | 31-307 or temporary partial incapacity benefits under subsection (a) of 182 |
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237 | 237 | | section 31-308 shall be awarded beyond four years from the date of the 183 |
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238 | 238 | | qualifying event that formed the basis for the personal injury. The 184 |
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239 | 239 | | weekly benefits received by an eligible individual pursuant to section 185 |
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240 | 240 | | 31-307 or subsection (a) of section 31-308, when combined with other 186 |
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241 | 241 | | benefits including, but not limited to, contributory and noncontributory 187 |
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242 | 242 | | retirement benefits, Social Security benefits, benefits under a long-term 188 |
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243 | 243 | | or short-term disability plan, but not including payments for medical 189 |
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244 | 244 | | care, shall not exceed the average weekly wage paid to such eligible 190 |
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245 | 245 | | individual. An eligible individual receiving benefits pursuant to this 191 |
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246 | 246 | | subsection shall not be entitled to benefits pursuant to subsection (b) of 192 |
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247 | 247 | | section 31-308 or section 31-308a. 193 |
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248 | 248 | | This act shall take effect as follows and shall amend the following |
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249 | 249 | | sections: |
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250 | 250 | | |
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251 | 251 | | Section 1 January 1, 2023 31-294k |
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252 | 252 | | |
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