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3 | 3 | | HB 211 2024 |
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9 | 9 | | Page 1 of 8 |
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10 | 10 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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14 | 14 | | A bill to be entitled 1 |
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15 | 15 | | An act relating to licensed counseling for first 2 |
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16 | 16 | | responders; amending s. 112.1815, F.S.; providing 3 |
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17 | 17 | | definitions; requiring an employing agency of a first 4 |
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18 | 18 | | responder to pay for certain licensed counseling for 5 |
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19 | 19 | | first responders; requiring such counseling to be 6 |
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20 | 20 | | completed within a specified timeframe; prohibiting 7 |
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21 | 21 | | the employing agency from requiring the first 8 |
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22 | 22 | | responder to use specified leave for such counseling 9 |
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23 | 23 | | under certain circumstances; authorizing a first 10 |
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24 | 24 | | responder to select a qualified professional for 11 |
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25 | 25 | | licensed counseling unless a specified list of 12 |
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26 | 26 | | approved qualified professionals exists and providing 13 |
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27 | 27 | | requirements for the employing agency related thereto; 14 |
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28 | 28 | | prohibiting payment by the employing agency for such 15 |
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29 | 29 | | counseling from creating a presumption of a 16 |
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30 | 30 | | compensable occupational disease; prohibiting the 17 |
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31 | 31 | | employing agency of a first responder from accessing 18 |
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32 | 32 | | the first responder's medical records resulting from 19 |
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33 | 33 | | licensed counseling except under certain 20 |
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34 | 34 | | circumstances; conforming provisions to changes made 21 |
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35 | 35 | | by the act; amending s. 112.18155, F.S.; conforming 22 |
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36 | 36 | | cross-references; providing an effective date. 23 |
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37 | 37 | | 24 |
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38 | 38 | | Be It Enacted by the Legislature of the State of Florida: 25 |
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39 | 39 | | |
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40 | 40 | | HB 211 2024 |
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46 | 46 | | Page 2 of 8 |
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47 | 47 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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51 | 51 | | 26 |
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52 | 52 | | Section 1. Subsections (5) and (6) of section 112.1815, 27 |
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53 | 53 | | Florida Statutes, are renumbered as subsections (4) and (5), 28 |
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54 | 54 | | respectively, subsection (1), present subsection (4), and 29 |
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55 | 55 | | paragraph (a) of present subsection (5) are amended, and a new 30 |
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56 | 56 | | subsection (6) is ad ded to that section, to read: 31 |
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57 | 57 | | 112.1815 Firefighters, paramedics, emergency medical 32 |
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58 | 58 | | technicians, and law enforcement officers; special provisions 33 |
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59 | 59 | | for employment-related accidents and injuries. — 34 |
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60 | 60 | | (1) As used in this section, the term: 35 |
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61 | 61 | | (a) "Directly witnessing" means to see or hear for 36 |
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62 | 62 | | oneself. 37 |
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63 | 63 | | (b) "First responder" as used in this section means a law 38 |
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64 | 64 | | enforcement officer as defined in s. 943.10, a firefighter as 39 |
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65 | 65 | | defined in s. 633.102, or an emergency medical technician or 40 |
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66 | 66 | | paramedic as defined in s. 401. 23 employed by state or local 41 |
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67 | 67 | | government. A volunteer law enforcement officer, firefighter, or 42 |
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68 | 68 | | emergency medical technician or paramedic engaged by the state 43 |
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69 | 69 | | or a local government is also considered a first responder of 44 |
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70 | 70 | | the state or local government for pu rposes of this section. 45 |
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71 | 71 | | (c) "Licensed counseling" means counseling provided by a 46 |
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72 | 72 | | qualified professional. 47 |
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73 | 73 | | (d) "Manually transporting" means to perform physical 48 |
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74 | 74 | | labor to remove the body of a wounded person for his or her 49 |
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75 | 75 | | safety or medical treatment. 50 |
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76 | 76 | | |
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77 | 77 | | HB 211 2024 |
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83 | 83 | | Page 3 of 8 |
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84 | 84 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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88 | 88 | | (e) "Minor" has the same meaning as in s. 1.01(13). 51 |
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89 | 89 | | (f) "Occupational disease" means only a disease that 52 |
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90 | 90 | | arises out of employment as a first responder and is due to 53 |
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91 | 91 | | causes and conditions that are characteristic of and peculiar to 54 |
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92 | 92 | | a particular trade, occupa tion, process, or employment and 55 |
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93 | 93 | | excludes all ordinary diseases of life to which the general 56 |
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94 | 94 | | public is exposed, unless the incidence of the disease is 57 |
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95 | 95 | | substantially higher in the particular trade, occupation, 58 |
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96 | 96 | | process, or employment than for the general pub lic. 59 |
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97 | 97 | | (g) "Qualified professional" means a physician or a 60 |
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98 | 98 | | physician assistant licensed under chapter 458 or chapter 459; a 61 |
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99 | 99 | | psychiatrist licensed under chapter 458 or chapter 459; a 62 |
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100 | 100 | | psychologist as defined in s. 490.003; a psychiatric nurse as 63 |
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101 | 101 | | defined in s. 394.455; or a licensed psychiatrist, a licensed 64 |
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102 | 102 | | psychologist, a clinical social worker licensed under s. 65 |
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103 | 103 | | 491.005, or an advanced practice registered nurse licensed under 66 |
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104 | 104 | | s. 464.012 agreed upon through collective bargaining. 67 |
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105 | 105 | | (4) For the purposes of this section, the term 68 |
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106 | 106 | | "occupational disease" means only a disease that arises out of 69 |
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107 | 107 | | employment as a first responder and is due to causes and 70 |
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108 | 108 | | conditions that are characteristic of and peculiar to a 71 |
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109 | 109 | | particular trade, occupation, process, or employment and 72 |
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110 | 110 | | excludes all ordinary diseases of life to which the general 73 |
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111 | 111 | | public is exposed, unless the incidence of the disease is 74 |
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112 | 112 | | substantially higher in the particular trade, occupation, 75 |
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121 | 121 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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125 | 125 | | process, or employment than for the general public. 76 |
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126 | 126 | | (4)(a)(5)(a) For the purposes of this section and chapter 77 |
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127 | 127 | | 440, and notwithstanding sub -subparagraph (2)(a)3. and ss. 78 |
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128 | 128 | | 440.093 and 440.151(2), posttraumatic stress disorder, as 79 |
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129 | 129 | | described in the Diagnostic and Statistical Manual of Mental 80 |
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130 | 130 | | Disorders, Fifth Edition, published by the America n Psychiatric 81 |
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131 | 131 | | Association, suffered by a first responder is a compensable 82 |
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132 | 132 | | occupational disease as defined in subsection (1) and s. 83 |
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133 | 133 | | 440.151(2) within the meaning of subsection (4) and s. 440.151 84 |
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134 | 134 | | if: 85 |
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135 | 135 | | 1. The posttraumatic stress disorder resulted from the 86 |
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136 | 136 | | first responder acting within the course of his or her 87 |
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137 | 137 | | employment as provided in s. 440.091; and 88 |
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138 | 138 | | 2. The first responder is examined and subsequently 89 |
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139 | 139 | | diagnosed with such disorder by a qualified professional 90 |
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140 | 140 | | licensed psychiatrist , in person or through tele health as that 91 |
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141 | 141 | | term is defined in s. 456.47, who is an authorized treating 92 |
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142 | 142 | | physician as provided in chapter 440 due to one of the following 93 |
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143 | 143 | | events: 94 |
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144 | 144 | | a. Seeing for oneself a deceased minor; 95 |
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145 | 145 | | b. Directly witnessing the death of a minor; 96 |
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146 | 146 | | c. Directly witnessing an injury to a minor who 97 |
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147 | 147 | | subsequently died before or upon arrival at a hospital emergency 98 |
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148 | 148 | | department; 99 |
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149 | 149 | | d. Participating in the physical treatment of an injured 100 |
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157 | 157 | | Page 5 of 8 |
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158 | 158 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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162 | 162 | | minor who subsequently died before or upon arrival at a hospital 101 |
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163 | 163 | | emergency department; 102 |
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164 | 164 | | e. Manually transporting an injured minor who subsequently 103 |
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165 | 165 | | died before or upon arrival at a hospital emergency department; 104 |
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166 | 166 | | f. Seeing for oneself a decedent whose death involved 105 |
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167 | 167 | | grievous bodily harm of a nature that shocks the conscience; 106 |
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168 | 168 | | g. Directly witnessing a death, including suicide, that 107 |
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169 | 169 | | involved grievous bodily harm of a nature that shocks the 108 |
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170 | 170 | | conscience; 109 |
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171 | 171 | | h. Directly witnessing a homicide regardless of whether 110 |
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172 | 172 | | the homicide was criminal or excusable, including murder, mass 111 |
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173 | 173 | | killing as defined in 2 8 U.S.C. s. 530C, manslaughter, self -112 |
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174 | 174 | | defense, misadventure, and negligence; 113 |
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175 | 175 | | i. Directly witnessing an injury, including an attempted 114 |
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176 | 176 | | suicide, to a person who subsequently died before or upon 115 |
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177 | 177 | | arrival at a hospital emergency department if the person was 116 |
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178 | 178 | | injured by grievous bodily harm of a nature that shocks the 117 |
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179 | 179 | | conscience; 118 |
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180 | 180 | | j. Participating in the physical treatment of an injury, 119 |
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181 | 181 | | including an attempted suicide, to a person who subsequently 120 |
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182 | 182 | | died before or upon arrival at a hospital emergency department 121 |
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183 | 183 | | if the person was injured by grievous bodily harm of a nature 122 |
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184 | 184 | | that shocks the conscience; or 123 |
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185 | 185 | | k. Manually transporting a person who was injured, 124 |
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186 | 186 | | including by attempted suicide, and subsequently died before or 125 |
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194 | 194 | | Page 6 of 8 |
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195 | 195 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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199 | 199 | | upon arrival at a hospital emergency department i f the person 126 |
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200 | 200 | | was injured by grievous bodily harm of a nature that shocks the 127 |
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201 | 201 | | conscience. 128 |
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202 | 202 | | (6)(a) An employing agency of first responders, including 129 |
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203 | 203 | | volunteer first responders, must pay for up to 12 hours of 130 |
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204 | 204 | | licensed counseling for a first responder who ex periences an 131 |
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205 | 205 | | event listed in subparagraph (4)(a)2. in the course of his or 132 |
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206 | 206 | | her employment. The licensed counseling may be in person or via 133 |
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207 | 207 | | telehealth in accordance with s. 456.47. 134 |
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208 | 208 | | (b) If a qualified professional determines that the first 135 |
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209 | 209 | | responder needs additional hours of licensed counseling beyond 136 |
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210 | 210 | | the initial 12 hours and that the additional hours of licensed 137 |
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211 | 211 | | counseling are likely to improve the first responder's 138 |
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212 | 212 | | condition, the employing agency of the first responder must pay 139 |
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213 | 213 | | for up to an additional 24 hours of licensed counseling for the 140 |
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214 | 214 | | first responder. 141 |
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215 | 215 | | (c) All hours of licensed counseling authorized under 142 |
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216 | 216 | | paragraphs (a) and (b) must be completed within 1 year after the 143 |
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217 | 217 | | first responder's first visit to a qualified professional. 144 |
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218 | 218 | | (d) The employing ag ency of the first responder may not 145 |
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219 | 219 | | require the first responder to use any type of his or her 146 |
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220 | 220 | | accrued leave if the first responder's licensed counseling is 147 |
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221 | 221 | | scheduled during the first responder's regular work hours. 148 |
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222 | 222 | | (e) Unless a list of approved qualified professionals has 149 |
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223 | 223 | | been established through collective bargaining, a first 150 |
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232 | 232 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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236 | 236 | | responder may select a qualified professional to provide 151 |
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237 | 237 | | licensed counseling under this subsection. However, if the 152 |
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238 | 238 | | qualified professional selected by the first responder declines 153 |
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239 | 239 | | to provide such counseling, the employing agency of the first 154 |
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240 | 240 | | responder is not required to secure the counseling services of 155 |
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241 | 241 | | that qualified professional and must provide a list of other 156 |
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242 | 242 | | approved qualified professionals to the first responder. A 157 |
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243 | 243 | | qualified professional approved by an employing agency or 158 |
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244 | 244 | | through collective bargaining to provide licensed counseling 159 |
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245 | 245 | | under this subsection is considered an authorized treating 160 |
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246 | 246 | | physician as provided in chapter 440 and is able to satisfy the 161 |
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247 | 247 | | diagnosis requirements und er subparagraph (4)(a)2. regardless of 162 |
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248 | 248 | | whether such qualified professional is a licensed psychiatrist. 163 |
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249 | 249 | | (f) Payment by the employing agency of licensed counseling 164 |
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250 | 250 | | for the first responder under this subsection does not create a 165 |
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251 | 251 | | presumption that the first r esponder suffered a compensable 166 |
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252 | 252 | | occupational disease as defined in subsection (1) and s. 167 |
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253 | 253 | | 440.151(2). 168 |
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254 | 254 | | (g) The employing agency of the first responder may not 169 |
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255 | 255 | | access any of the first responder's medical records resulting 170 |
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256 | 256 | | from licensed counseling provided u nder this subsection unless 171 |
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257 | 257 | | the first responder provides written authorization to allow such 172 |
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258 | 258 | | access, including a release as part of a claim for workers' 173 |
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259 | 259 | | compensation benefits under chapter 440, to the qualified 174 |
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260 | 260 | | professional providing services to the first responder pursuant 175 |
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268 | 268 | | Page 8 of 8 |
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269 | 269 | | F L O R I D A H O U S E O F R E P R E S E N T A T I V E S |
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272 | 272 | | |
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273 | 273 | | to this subsection. 176 |
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274 | 274 | | Section 2. Paragraphs (b) and (c) of subsection (1) of 177 |
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275 | 275 | | section 112.18155, Florida Statutes, are amended to read: 178 |
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276 | 276 | | 112.18155 Correctional officers; special provisions for 179 |
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277 | 277 | | posttraumatic stress disorders. — 180 |
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278 | 278 | | (1) As used in this section, the term: 181 |
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279 | 279 | | (b) "Directly witnessing" has the same meaning as in s. 182 |
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280 | 280 | | 112.1815(1) s. 112.1815(5)(e). 183 |
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281 | 281 | | (c) "Manually transporting" has the same meaning as in s. 184 |
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282 | 282 | | 112.1815(1) s. 112.1815(5)(e). 185 |
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283 | 283 | | Section 3. This act shall take effect July 1, 2024. 186 |
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