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3 | 3 | | HB 269 2025 |
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8 | 8 | | hb269-00 |
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9 | 9 | | Page 1 of 7 |
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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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13 | 13 | | |
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14 | 14 | | A bill to be entitled 1 |
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15 | 15 | | An act relating to disability provisions for 2 |
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16 | 16 | | firefighters and law enforcement and correctional 3 |
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17 | 17 | | officers; amending s. 112.18, F.S.; providing and 4 |
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18 | 18 | | revising definitions relating to certain disabilities 5 |
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19 | 19 | | of firefighters and law enforcement and correctional 6 |
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20 | 20 | | officers; providing an effective date. 7 |
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21 | 21 | | 8 |
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22 | 22 | | Be It Enacted by the Legislature of the State of Florida: 9 |
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23 | 23 | | 10 |
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24 | 24 | | Section 1. Section 112.18, Florida Statutes, is ame nded to 11 |
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25 | 25 | | read: 12 |
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26 | 26 | | 112.18 Firefighters and law enforcement or correctional 13 |
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27 | 27 | | officers; special provisions relative to disability. — 14 |
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28 | 28 | | (1) As used in this section, the term: 15 |
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29 | 29 | | (a) "Correctional officer" has the same meaning as in s. 16 |
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30 | 30 | | 943.10(2). 17 |
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31 | 31 | | (b) "Correctional probation officer" has the same meaning 18 |
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32 | 32 | | as in s. 943.10(3). 19 |
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33 | 33 | | (c) "Fire service provider" has the same meaning as in s. 20 |
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34 | 34 | | 633.102(13). 21 |
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35 | 35 | | (d) "Heart disease" means any organic, mechanical, or 22 |
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36 | 36 | | functional abnormality of the heart, its structures, or the 23 |
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37 | 37 | | coronary arteries. 24 |
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38 | 38 | | (e) "Law enforcement officer" has the same meaning as in 25 |
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40 | 40 | | HB 269 2025 |
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44 | 44 | | CODING: Words stricken are deletions; words underlined are additions. |
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45 | 45 | | hb269-00 |
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46 | 46 | | Page 2 of 7 |
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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 | | s. 943.10(1). 26 |
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52 | 52 | | (f) "Medical specialist" means a physician licensed under 27 |
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53 | 53 | | chapter 458 or chapter 459 who has a board certification in a 28 |
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54 | 54 | | medical speciality inclusive of care and treatme nt of 29 |
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55 | 55 | | tuberculosis, heart disease, or hypertension. 30 |
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56 | 56 | | (g) "Prescribed course of treatment" means prescribed 31 |
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57 | 57 | | medical courses of action and prescribed medicines for the 32 |
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58 | 58 | | specific disease or diseases claimed, as documented by the 33 |
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59 | 59 | | prescribing physician in the p atient's medical records. 34 |
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60 | 60 | | (2)(a)(1)(a) Any condition or impairment of health of any 35 |
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61 | 61 | | Florida state, municipal, county, port authority, special tax 36 |
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62 | 62 | | district, or fire control district firefighter or any law 37 |
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63 | 63 | | enforcement officer, correctional officer, or corr ectional 38 |
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64 | 64 | | probation officer as defined in s. 943.10(1), (2), or (3) caused 39 |
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65 | 65 | | by tuberculosis, heart disease, or hypertension resulting in 40 |
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66 | 66 | | total or partial disability or death shall be presumed to have 41 |
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67 | 67 | | been accidental and to have been suffered in the line of d uty 42 |
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68 | 68 | | unless the contrary be shown by competent evidence. However, any 43 |
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69 | 69 | | such firefighter, law enforcement officer, correctional officer, 44 |
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70 | 70 | | or correctional probation officer must have successfully passed 45 |
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71 | 71 | | a physical examination upon entering into any such service as a 46 |
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72 | 72 | | firefighter, law enforcement officer, correctional officer, or 47 |
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73 | 73 | | correctional probation officer, which examination failed to 48 |
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74 | 74 | | reveal any evidence of any such condition. Such presumption does 49 |
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75 | 75 | | not apply to benefits payable under or granted in a policy of 50 |
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77 | 77 | | HB 269 2025 |
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83 | 83 | | Page 3 of 7 |
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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 | | life insurance or disability insurance, unless the insurer and 51 |
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89 | 89 | | insured have negotiated for such additional benefits to be 52 |
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90 | 90 | | included in the policy contract. 53 |
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91 | 91 | | (b)1. If a firefighter did not undergo a preemployment 54 |
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92 | 92 | | physical examination, the medical examinatio n required by s. 55 |
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93 | 93 | | 633.412(5) is shall be deemed to satisfy the physical 56 |
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94 | 94 | | examination requirement under paragraph (a), if the medical 57 |
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95 | 95 | | examination completed pursuant to s. 633.412(5) failed to reveal 58 |
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96 | 96 | | any evidence of tuberculosis, heart disease, or hypertension . 59 |
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97 | 97 | | 2. If a firefighter underwent a preemployment physical 60 |
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98 | 98 | | examination, the employing fire service provider , as defined in 61 |
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99 | 99 | | s. 633.102, must maintain records of the physical examination 62 |
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100 | 100 | | for at least 5 years after the employee's separation from the 63 |
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101 | 101 | | employing fire service provider. If the employing fire service 64 |
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102 | 102 | | provider fails to maintain the records of the physical 65 |
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103 | 103 | | examination for the 5 -year period after the employee's 66 |
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104 | 104 | | separation, it is presumed that the employee has met the 67 |
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105 | 105 | | requirements of paragraph (a). 68 |
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106 | 106 | | (c)1. For any workers' compensation claim filed under this 69 |
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107 | 107 | | section and chapter 440 occurring on or after July 1, 2010, a 70 |
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108 | 108 | | law enforcement officer, correctional officer, or correctional 71 |
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109 | 109 | | probation officer as defined in s. 943.10(1), (2), or (3) 72 |
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110 | 110 | | suffering from tuberculosis, heart disease, or hypertension is 73 |
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111 | 111 | | presumed not to have incurred such disease in the line of duty 74 |
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112 | 112 | | as provided in this sect ion if the law enforcement officer, 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 | | correctional officer, or correctional probation officer: 76 |
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126 | 126 | | a. Departed in a material fashion from the prescribed 77 |
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127 | 127 | | course of treatment of his or her personal physician and the 78 |
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128 | 128 | | departure is demonstrated to have resulted in a significant 79 |
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129 | 129 | | aggravation of the tuberculosis, heart disease, or hypertension 80 |
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130 | 130 | | resulting in disability or increasing the disability or need for 81 |
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131 | 131 | | medical treatment; or 82 |
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132 | 132 | | b. Was previously compensated pursuant to this section and 83 |
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133 | 133 | | chapter 440 for tuberculosis, heart disease, or hypertension and 84 |
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134 | 134 | | thereafter sustains and reports a new compensable workers' 85 |
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135 | 135 | | compensation claim under this section and chapter 440, and the 86 |
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136 | 136 | | law enforcement officer, correctional officer, or correctional 87 |
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137 | 137 | | probation officer has departed in a material fashion from the 88 |
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138 | 138 | | prescribed course of treatment of an authorized physician for 89 |
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139 | 139 | | the preexisting workers' compensation claim and the departure is 90 |
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140 | 140 | | demonstrated to have resulted in a significant aggravation of 91 |
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141 | 141 | | the tuberculosis, heart disease, or hyper tension resulting in 92 |
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142 | 142 | | disability or increasing the disability or need for medical 93 |
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143 | 143 | | treatment. 94 |
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144 | 144 | | 2. As used in this paragraph, "prescribed course of 95 |
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145 | 145 | | treatment" means prescribed medical courses of action and 96 |
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146 | 146 | | prescribed medicines for the specific disease or dis eases 97 |
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147 | 147 | | claimed and as documented in the prescribing physician's medical 98 |
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148 | 148 | | records. 99 |
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149 | 149 | | 2.3. If there is a dispute as to the appropriateness of 100 |
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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 | | the course of treatment prescribed by a physician under sub -101 |
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163 | 163 | | subparagraph 1.a. or sub -subparagraph 1.b. or whether a 102 |
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164 | 164 | | departure in a material fashion from the prescribed course of 103 |
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165 | 165 | | treatment is demonstrated to have resulted in a significant 104 |
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166 | 166 | | aggravation of the tuberculosis, heart disease, or hypertension 105 |
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167 | 167 | | resulting in disability or increasing the disability or need for 106 |
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168 | 168 | | medical treatment, the law enforcement officer, correctional 107 |
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169 | 169 | | officer, or correctional probation officer is entitled to seek 108 |
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170 | 170 | | an independent medical examination pursuant to s. 440.13(5). 109 |
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171 | 171 | | 3.4. A law enforcement officer, correctional officer, or 110 |
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172 | 172 | | correctional probation officer is not entitled to the 111 |
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173 | 173 | | presumption provided in this section unless a claim for benefits 112 |
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174 | 174 | | is made prior to or within 180 days after leaving the employment 113 |
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175 | 175 | | of the employing agency. 114 |
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176 | 176 | | (3)(2) This section authorizes each governmental entity 115 |
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177 | 177 | | specified in subsection (2) (1) to negotiate policy contracts 116 |
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178 | 178 | | for life and disability insurance to include accidental death 117 |
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179 | 179 | | benefits or double indemnity coverage which includes shall 118 |
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180 | 180 | | include the presumption that any condition or impairment of 119 |
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181 | 181 | | health of any firefig hter, law enforcement officer, or 120 |
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182 | 182 | | correctional officer caused by tuberculosis, heart disease, or 121 |
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183 | 183 | | hypertension resulting in total or partial disability or death 122 |
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184 | 184 | | was accidental and suffered in the line of duty, unless the 123 |
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185 | 185 | | contrary be shown by competent evide nce. 124 |
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186 | 186 | | (4)(3)(a) Notwithstanding s. 440.13(2)(c), a firefighter, 125 |
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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 | | law enforcement officer, correctional officer, or correctional 126 |
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200 | 200 | | probation officer requiring medical treatment for a compensable 127 |
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201 | 201 | | presumptive condition listed in subsection (2) (1) may be 128 |
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202 | 202 | | treated by a medical specialist. Except in emergency situations, 129 |
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203 | 203 | | a firefighter, law enforcement officer, correctional officer, or 130 |
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204 | 204 | | correctional probation officer entitled to access a medical 131 |
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205 | 205 | | specialist under this subsection must provide written notice of 132 |
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206 | 206 | | his or her selection of a medical specialist to the 133 |
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207 | 207 | | firefighter's or officer's workers' compensation carrier, self -134 |
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208 | 208 | | insured employer, or third -party administrator, and the carrier, 135 |
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209 | 209 | | self-insured employer, or third -party administrator must 136 |
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210 | 210 | | authorize the selected medi cal specialist or authorize an 137 |
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211 | 211 | | alternative medical specialist with the same or greater 138 |
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212 | 212 | | qualifications. Within 5 business days after receipt of the 139 |
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213 | 213 | | written notice, the workers' compensation carrier, self -insured 140 |
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214 | 214 | | employer, or third-party administrator must a uthorize treatment 141 |
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215 | 215 | | and schedule an appointment, which must be held within 30 days 142 |
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216 | 216 | | after receipt of the written notice, with the selected medical 143 |
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217 | 217 | | specialist or the alternative medical specialist. If the 144 |
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218 | 218 | | workers' compensation carrier, self -insured employer, or third-145 |
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219 | 219 | | party administrator fails to authorize an alternative medical 146 |
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220 | 220 | | specialist within 5 business days after receipt of the written 147 |
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221 | 221 | | notice, the medical specialist selected by the firefighter or 148 |
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222 | 222 | | officer is authorized. The continuing care and treatment by a 149 |
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223 | 223 | | medical specialist must be reasonable, necessary, and related to 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 | | tuberculosis, heart disease, or hypertension; be reimbursed at 151 |
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237 | 237 | | no more than 200 percent of the Medicare rate for a selected 152 |
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238 | 238 | | medical specialist; and be authorized by the firefighter's or 153 |
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239 | 239 | | officer's workers' compensation carrier, self -insured employer, 154 |
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240 | 240 | | or third-party administrator. 155 |
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241 | 241 | | (b) For purposes of this subsection, the term "medical 156 |
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242 | 242 | | specialist" means a physician licensed under chapter 458 or 157 |
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243 | 243 | | chapter 459 who has board certification in a med ical specialty 158 |
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244 | 244 | | inclusive of care and treatment of tuberculosis, heart disease, 159 |
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245 | 245 | | or hypertension. 160 |
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246 | 246 | | Section 2. This act shall take effect July 1, 2025. 161 |
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