Connecticut 2022 Regular Session

Connecticut Senate Bill SB00321 Compare Versions

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77 General Assembly Substitute Bill No. 321
88 February Session, 2022
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1414 AN ACT EXPANDING WORKERS' COMPENSATION COVERAGE FOR
1515 POST-TRAUMATIC STRESS INJURIES FOR ALL EMPLOYEES.
1616 Be it enacted by the Senate and House of Representatives in General
1717 Assembly convened:
1818
1919 Section 1. Section 31-294k of the 2022 supplement to the general 1
2020 statutes is repealed and the following is substituted in lieu thereof 2
2121 (Effective January 1, 2023): 3
2222 (a) As used in this section: 4
2323 (1) "COVID-19" means the respiratory disease designated by the 5
2424 World Health Organization on February 11, 2020, as coronavirus 2019, 6
2525 and any related mutation thereof recognized by the World Health 7
2626 Organization as a communicable respiratory disease; 8
2727 (2) "Eligible individual" means a police officer, firefighter, emergency 9
2828 medical services personnel, Department of Correction employee, 10
2929 telecommunicator or health care provider and on or after January 1, 11
3030 2023, an employee, as defined in section 31-275; 12
3131 (3) "Emergency medical services personnel" has the same meaning as 13
3232 provided in section 20-206jj; 14
3333 (4) "Firefighter" has the same meaning as provided in section 7-313g; 15 Substitute Bill No. 321
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4040 (5) "Health care provider" means (A) a person employed at a doctor's 16
4141 office, hospital, health care center, clinic, medical school, local health 17
4242 department or agency, nursing facility, retirement facility, nursing 18
4343 home, group home, home health care provider, any facility that 19
4444 performs laboratory or medical testing, pharmacy or any similar 20
4545 institution, or (B) a person employed to provide personal care 21
4646 assistance, as defined in section 17b-706, in or about a private dwelling, 22
4747 provided such person is regularly employed by the owner or occupier 23
4848 of the dwelling for more than twenty-six hours per week; 24
4949 (6) "In the line of duty" means any action that an eligible individual 25
5050 is obligated or authorized by law, rule, regulation or written condition 26
5151 of employment service to perform, or for which the eligible individual 27
5252 is compensated by the public entity such individual serves, except that, 28
5353 in the case of a volunteer firefighter, such action or service constitutes 29
5454 fire duties, as defined in subsection (b) of section 7-314b; 30
5555 (7) "Mental health professional" means a board-certified psychiatrist 31
5656 or a psychologist licensed pursuant to chapter 383, who has experience 32
5757 diagnosing and treating post-traumatic stress injury; 33
5858 (8) "Parole officer" means an employee of the Department of 34
5959 Correction who supervises inmates in the community after their release 35
6060 from prison on parole or under another prison release program; 36
6161 (9) "Police officer" has the same meaning as provided in section 7-37
6262 294a, except that "police officer" does not include an officer of a law 38
6363 enforcement unit of the Mashantucket Pequot Tribe or the Mohegan 39
6464 Tribe of Indians of Connecticut; 40
6565 (10) "Post-traumatic stress injury" means an injury that meets the 41
6666 diagnostic criteria for post-traumatic stress disorder as specified in the 42
6767 most recent edition of the American Psychiatric Association's 43
6868 "Diagnostic and Statistical Manual of Mental Disorders"; 44
6969 (11) "Qualifying event" means: 45 Substitute Bill No. 321
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7676 (A) An event occurring in the line of duty on or after July 1, 2019, in 46
7777 which a police officer, parole officer, firefighter, emergency medical 47
7878 services personnel, Department of Correction employee or 48
7979 telecommunicator: 49
8080 (i) Views a deceased minor; 50
8181 (ii) Witnesses the death of a person or an incident involving the death 51
8282 of a person; 52
8383 (iii) Witnesses an injury to a person who subsequently dies before or 53
8484 upon admission at a hospital as a result of the injury and not as a result 54
8585 of any other intervening cause; 55
8686 (iv) Has physical contact with and treats an injured person who 56
8787 subsequently dies before or upon admission at a hospital as a result of 57
8888 the injury and not as a result of any other intervening cause; 58
8989 (v) Carries an injured person who subsequently dies before or upon 59
9090 admission at a hospital as a result of the injury and not as a result of any 60
9191 other intervening cause; or 61
9292 (vi) Witnesses a traumatic physical injury that results in the loss of a 62
9393 vital body part or a vital body function that results in permanent 63
9494 disfigurement of the victim; [, or] 64
9595 (B) An event arising out of and in the course of employment on or 65
9696 after March 10, 2020, in which an eligible individual who is a health care 66
9797 provider is engaged in activities substantially dedicated to mitigating or 67
9898 responding to the public health and civil preparedness emergencies 68
9999 declared by the Governor on March 10, 2020, or any extension of such 69
100100 emergency declarations; [,] and: 70
101101 (i) Witnesses the death of a person due to COVID-19 or due to 71
102102 symptoms that were later diagnosed as COVID-19; 72
103103 (ii) Witnesses an injury to a person who subsequently dies as a result 73 Substitute Bill No. 321
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110110 of COVID-19 or due to symptoms that were later diagnosed as COVID-74
111111 19; 75
112112 (iii) Has physical contact with and treats or provides care for a person 76
113113 who subsequently dies as a result of COVID-19 or due to symptoms that 77
114114 were later diagnosed as COVID-19; or 78
115115 (iv) Witnesses a traumatic physical injury that results in the loss of a 79
116116 vital body function of a person due to COVID-19 or due to symptoms 80
117117 that were later diagnosed as COVID-19; or 81
118118 (C) An event arising out of and in the course of employment on or 82
119119 after January 1, 2023, in which an eligible individual: 83
120120 (i) Views a deceased minor; 84
121121 (ii) Witnesses the death of a person or an incident involving the death 85
122122 of a person; 86
123123 (iii) Witnesses an injury to a person who subsequently dies before or 87
124124 upon admission at a hospital as a result of the injury and not as a result 88
125125 of any other intervening cause; 89
126126 (iv) Has physical contact with and treats an injured person who 90
127127 subsequently dies before or upon admission at a hospital as a result of 91
128128 the injury and not as a result of any other intervening cause; 92
129129 (v) Carries an injured person who subsequently dies before or upon 93
130130 admission at a hospital as a result of the injury and not as a result of any 94
131131 other intervening cause; or 95
132132 (vi) Witnesses a traumatic physical injury that results in the loss of a 96
133133 vital body part or a vital body function that results in permanent 97
134134 disfigurement of the victim; 98
135135 (12) "Telecommunicator" has the same meaning as provided in 99
136136 section 28-30; and 100 Substitute Bill No. 321
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143143 (13) "Witnesses" means, for an eligible individual who is a 101
144144 telecommunicator, hears by telephone or radio while directly 102
145145 responding to an emergency call that constitutes a qualifying event 103
146146 under this section and providing a dispatch assignment. 104
147147 (b) A diagnosis of post-traumatic stress injury is compensable as a 105
148148 personal injury as described in subparagraph (B)(ii)(III) of subdivision 106
149149 (16) of section 31-275 if a mental health professional examines the 107
150150 eligible individual and diagnoses the individual with a post-traumatic 108
151151 stress injury as a direct result of a qualifying event, provided (1) the 109
152152 post-traumatic stress injury resulted from (A) the eligible individual 110
153153 acting in the line of duty if such individual is a police officer, firefighter, 111
154154 emergency medical services personnel, Department of Correction 112
155155 employee or telecommunicator and, in the case of a firefighter, such 113
156156 firefighter complied with Federal Occupational Safety and Health Act 114
157157 standards adopted pursuant to 29 CFR 1910.134 and 29 CFR 1910.156, 115
158158 or (B) the eligible individual acting in the course of employment if such 116
159159 individual is a health care provider or other employee, on or after 117
160160 January 1, 2023, (2) a qualifying event was a substantial factor in causing 118
161161 the injury, and (3) the post-traumatic stress injury did not result from 119
162162 any disciplinary action, work evaluation, job transfer, layoff, demotion, 120
163163 promotion, termination, retirement or similar action of the eligible 121
164164 individual. Any such mental health professional shall comply with any 122
165165 workers' compensation guidelines for approved medical providers, 123
166166 including, but not limited to, guidelines on release of past or 124
167167 contemporaneous medical records. 125
168168 (c) Whenever liability to pay compensation is contested by the 126
169169 employer, the employer shall file with the commissioner, on or before 127
170170 the twenty-eighth day after the employer has received a written notice 128
171171 of claim, a notice in accordance with a form prescribed by the 129
172172 chairperson of the Workers' Compensation Commission stating that the 130
173173 right to compensation is contested, the name of the claimant, the name 131
174174 of the employer, the date of the alleged injury and the specific grounds 132
175175 on which the right to compensation is contested. The employer shall 133 Substitute Bill No. 321
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182182 send a copy of the notice to the employee in accordance with section 31-134
183183 321. If the employer or the employer's legal representative fails to file 135
184184 the notice contesting liability on or before the twenty-eighth day after 136
185185 receiving the written notice of claim, the employer shall commence 137
186186 payment of compensation for such injury on or before the twenty-eighth 138
187187 day after receiving the written notice of claim, but the employer may 139
188188 contest the employee's right to receive compensation on any grounds or 140
189189 the extent of the employee's disability within one hundred eighty days 141
190190 from the receipt of the written notice of claim and any benefits paid 142
191191 during the one hundred eighty days shall be considered payments 143
192192 without prejudice, provided the employer shall not be required to 144
193193 commence payment of compensation when the written notice of claim 145
194194 has not been properly served in accordance with section 31-321 or when 146
195195 the written notice of claim fails to include a warning that the employer 147
196196 (1) if the employer has commenced payment for the alleged injury on or 148
197197 before the twenty-eighth day after receiving a written notice of claim, 149
198198 shall be precluded from contesting liability unless a notice contesting 150
199199 liability is filed within one hundred eighty days from the receipt of the 151
200200 written notice of claim, and (2) shall be conclusively presumed to have 152
201201 accepted the compensability of the alleged injury unless the employer 153
202202 either files a notice contesting liability on or before the twenty-eighth 154
203203 day after receiving a written notice of claim or commences payment for 155
204204 the alleged injury on or before such twenty-eighth day. An employer 156
205205 shall be entitled, if the employer prevails, to reimbursement from the 157
206206 claimant of any compensation paid by the employer on and after the 158
207207 date the commissioner receives written notice from the employer or the 159
208208 employer's legal representative, in accordance with the form prescribed 160
209209 by the chairperson of the Workers' Compensation Commission, stating 161
210210 that the right to compensation is contested. Notwithstanding the 162
211211 provisions of this subsection, an employer who fails to contest liability 163
212212 for an alleged injury on or before the twenty-eighth day after receiving 164
213213 a written notice of claim and who fails to commence payment for the 165
214214 alleged injury on or before such twenty-eighth day, shall be conclusively 166
215215 presumed to have accepted the compensability of the alleged injury. If 167
216216 an employer has opted to post an address of where notice of a claim for 168 Substitute Bill No. 321
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223223 compensation by an employee shall be sent, as described in subsection 169
224224 (a) of section 31-294c, the twenty-eight-day period set forth in this 170
225225 subsection shall begin on the date when such employer receives written 171
226226 notice of a claim for compensation at such posted address. 172
227227 (d) Notwithstanding any provision of this chapter, workers' 173
228228 compensation benefits for any eligible individual for a personal injury 174
229229 described in subparagraph (B)(ii)(III) of subdivision (16) of section 31-175
230230 275 shall (1) include any combination of medical treatment prescribed 176
231231 by a board-certified psychiatrist or a licensed psychologist, temporary 177
232232 total incapacity benefits under section 31-307 and temporary partial 178
233233 incapacity benefits under subsection (a) of section 31-308, and (2) be 179
234234 provided for a maximum of fifty-two weeks from the date of diagnosis. 180
235235 No medical treatment, temporary total incapacity benefits under section 181
236236 31-307 or temporary partial incapacity benefits under subsection (a) of 182
237237 section 31-308 shall be awarded beyond four years from the date of the 183
238238 qualifying event that formed the basis for the personal injury. The 184
239239 weekly benefits received by an eligible individual pursuant to section 185
240240 31-307 or subsection (a) of section 31-308, when combined with other 186
241241 benefits including, but not limited to, contributory and noncontributory 187
242242 retirement benefits, Social Security benefits, benefits under a long-term 188
243243 or short-term disability plan, but not including payments for medical 189
244244 care, shall not exceed the average weekly wage paid to such eligible 190
245245 individual. An eligible individual receiving benefits pursuant to this 191
246246 subsection shall not be entitled to benefits pursuant to subsection (b) of 192
247247 section 31-308 or section 31-308a. 193
248248 This act shall take effect as follows and shall amend the following
249249 sections:
250250
251251 Section 1 January 1, 2023 31-294k
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254-LAB Joint Favorable Subst.
255-APP Joint Favorable Substitute Bill No. 321
253+Statement of Legislative Commissioners:
254+In Section 1(a)(11)(A)(vi) "or" was bracketed for clarity and in Section
255+1(a)(11)(C)(iv) "at a hospital" was added for clarity and consistency with
256+other provisions of the section.
257+ Substitute Bill No. 321
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264+LAB Joint Favorable Subst.
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