HLS 10RS-1545 ORIGINAL Page 1 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Regular Session, 2010 HOUSE BILL NO. 1088 BY REPRESENTATIVE PONTI WORKERS COMPENSATION: Provides relative to mediations in workers' compensation claims AN ACT1 To amend and reenact R.S. 23:1310.3, relative to workers' compensation claims; to provide2 for the initiation of a claim for benefits; to provide for service of process; to provide3 for the filing of an answer; to provide for mediation; to provide for the running of4 prescription; to require mediation to encourage settlement of the case; to provide for5 a dispute open in excess of three hundreds days; to provide for fines and other6 penalties when a party fails to appear; and to provide for related matters.7 Be it enacted by the Legislature of Louisiana:8 Section 1. R.S. 23:1310.3 is hereby amended and reenacted to read as follows: 9 ยง1310.3. Initiation of claims; voluntary mediation; procedure10 A. A claim for benefits, the controversion of entitlement to benefits, or other11 relief under the Workers' Compensation Act shall be initiated by the filing of the12 appropriate form with the office of workers' compensation administration. Mailing,13 facsimile transmission, or electronic transmission of the form and payment of the14 filing fee constitutes the initiation of a claim under R.S. 23:1209.15 B.(1) Upon receipt of the form, the director shall assign the matter to a16 district. Upon the request of the injured employee, the matter shall be set for an17 initial mediation conference within fifteen days of receipt of the form specifying the18 proper parties unless all parties agree to waive the mediation conference. A pretrial19 mediation shall be set not less than thirty days prior to trial. The pretrial mediation20 HLS 10RS-1545 ORIGINAL HB NO. 1088 Page 2 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. shall not be waived and shall be attended in person. All mediation conferences shall1 be before a workers' compensation mediator who shall mediate and encourage2 settlement of the case or determine issues in dispute. Within five days following the3 conference the workers' compensation mediator shall issue a report stating the results4 of the conference which shall be transmitted to the parties by United States mail,5 electronic transmission, or facsimile transmission. Upon receipt of the form, a6 district office shall effect service of process on any named defendant in any manner7 provided by law or by certified mail. All subsequent pleadings requiring service8 shall also be served in any manner provided by law or by certified mail. A defendant9 shall file an answer within fifteen days of service of the form or within a delay for10 answering granted by the workers' compensation judge not to exceed an additional11 ten days.12 (2) If any party fails to appear at a mediation conference after proper notice,13 the workers' compensation judge, upon report from the workers' compensation14 mediator, may fine the delinquent party an amount not to exceed five hundred15 dollars, which shall be payable to the Office of Workers' Compensation16 Administrative Fund. In addition, the workers' compensation judge may assess17 against the party failing to attend costs and reasonable attorney fees incurred by any18 other party in connection with the conference. If the plaintiff fails to appear after19 proper notice, the workers' compensation judge may dismiss the plaintiff's case20 without prejudice. The penalties provided for in this Subsection shall be assessed by21 the workers' compensation judge only after a contradictory hearing which shall be22 held prior to the hearing on the merits of the dispute.23 C. Upon notice from the workers' compensation mediator that the parties24 were unable to resolve the dispute at the initial mediation or if the initial mediation25 was not requested by the injured worker, service of process shall be effected on any26 named defendant in any manner provided by law or by certified mail. All27 subsequent pleadings requiring service shall also be served in any manner provided28 by law or by certified mail. A defendant shall file an answer within fifteen days of29 HLS 10RS-1545 ORIGINAL HB NO. 1088 Page 3 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. service of the form or within a delay for answering granted by the workers'1 compensation judge not to exceed an additional ten days.2 D. The filing of the answer shall be deemed timely when the answer is3 mailed, transmitted by facsimile, or electronic transmission on or before the day on4 which said delays run. If the answer is received by mail, facsimile, or electronic5 transmission on or before the first legal day following the expiration of the due date,6 there shall be a rebuttable presumption that the answer was timely filed. In all cases7 where the presumption does not apply, the timeliness of the mailing or transmittal8 shall be shown by an official United States postmark, official receipt of certificate9 from the United States Postal Service, facsimile transmission confirmation, or10 electronic receipt confirmation made at the time of transmission which indicates the11 date thereof.12 D.(1) Upon joint request of the parties, or upon order of the presiding13 workers' compensation judge, the parties shall engage the services of a Louisiana14 Workforce Commission, office of workers' compensation administration mediator15 selected by mutual agreement of the parties. The parties may engage the services of16 a private mediator at any time or when ordered by the judge. The parties shall certify17 to the court when a private mediation has occurred and the results thereof.18 (2) Nothing shall prohibit the parties from requesting a pre-1008 mediation19 conference with a Louisiana Workforce Commission, office of workers'20 compensation administration mediator. The mediation shall not interrupt the running21 of prescription.22 (3) All mediation conferences before a Louisiana Workforce Commission,23 office of workers' compensation administration mediator shall encourage settlement24 of the case or determine issues in dispute. Within five days following the conference25 the Louisiana Workforce Commission, office of workers' compensation26 administration mediator shall issue a report stating the results of the conference27 which shall be transmitted to the parties by United States mail, electronic28 transmission, or facsimile transmission.29 HLS 10RS-1545 ORIGINAL HB NO. 1088 Page 4 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (4) Any dispute open in excess of three hundred days shall have a mandatory1 pretrial mediation with a Louisiana Workforce Commission, office of workers'2 compensation administration mediator.3 E. If any party fails to appear at a mediation conference, ordered by the4 judge or requested by the parties, after proper notice, the workers' compensation5 judge, upon report from the workers' compensation mediator, may fine the6 delinquent party an amount not to exceed five hundred dollars, which shall be7 payable to the Office of Workers' Compensation Administrative Fund. In addition,8 the workers' compensation judge may assess against the party failing to attend costs9 and reasonable attorney fees incurred by any other party in connection with the10 conference. The penalties provided for in this Subsection shall be assessed by the11 workers' compensation judge only after a contradictory hearing which shall be held12 prior to the hearing on the merits of the dispute.13 F. Except as otherwise provided by R.S. 23:1101(B), 1361, and 1378(E), the14 workers' compensation judge shall be vested with original, exclusive jurisdiction15 over all claims or disputes arising out of this Chapter, including but not limited to16 workers' compensation insurance coverage disputes, group self-insurance indemnity17 contract disputes, employer demands for recovery for overpayment of benefits, the18 determination and recognition of employe r credits as provided for in this Chapter,19 and cross-claims between employers or workers' compensation insurers or self-20 insurance group funds for indemnification or contribution, concursus proceedings21 pursuant to Louisiana Code of Civil Procedure Articles 4651 et seq. concerning22 entitlement to workers' compensation benefits, payment for medical treatment, or23 attorney fees arising out of an injury subject to this Chapter.24 F.(1) G.(1) Any party challenging the constitutionality of any provision of25 this Chapter shall specially plead such an allegation in the original petition, an26 exception, written motion, or answer, which shall state with particularity the grounds27 for such an allegation.28 (2) Within thirty days of the filing of any pleading raising the issue of29 unconstitutionality, the party making such an allegation must file a petition in a state30 HLS 10RS-1545 ORIGINAL HB NO. 1088 Page 5 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. district court of proper jurisdiction for purposes of adjudicating the claim of1 unconstitutionality. Said Such filing shall be given priority in hearing such claim not2 more than ten days from being presented to the district court.3 (3) Failure to follow the procedures set forth in this Section shall bar any4 claim as to the unconstitutionality of any provision of this Chapter on appeal.5 DIGEST The digest printed below was prepared by House Legislative Services. It constitutes no part of the legislative instrument. The keyword, one-liner, abstract, and digest do not constitute part of the law or proof or indicia of legislative intent. [R.S. 1:13(B) and 24:177(E)] Ponti HB No. 1088 Abstract: Provides relative to mediation in a claim for workers' compensation benefits. Present law requires that a claim for benefits, the controversion of entitlement to benefits, or other relief under the Workers' Compensation Act shall be initiated by the filing of the appropriate form with the office of workers' compensation administration. Present law provides that mailing, facsimile transmission, or electronic transmission of the form constitutes the initiation of a claim under present law. Proposed law retains present law but adds payment of the filing fee to the list of requirements that constitute the initiation of a claim. Present law provides that, upon receipt of the form, the director shall assign the matter to a district. Proposed law retains present law. Present law provides that, upon the request of the injured employee, the matter shall be set for an initial mediation conference within 15 days of receipt of the form specifying the proper parties unless all parties agree to waive the mediation conference. Present law provides that a pretrial mediation shall be set not less than 30 days prior to trial. Present law provides that the pretrial mediation shall not be waived and shall be attended in person. Proposed law deletes present law. Present law requires all mediation conferences to be before a workers' compensation mediator who shall mediate and encourage settlement of the case or determine issues in dispute. Proposed law retains present law but specifies that the mediator shall be a Louisiana Workforce Commission, office of workers' compensation administration mediator. Present law provides that, within five days following the conference the workers' compensation mediator shall issue a report stating the results of the conference which shall be transmitted to the parties by U. S. mail, electronic transmission, or facsimile transmission. HLS 10RS-1545 ORIGINAL HB NO. 1088 Page 6 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Proposed law retains present law. Present law provides that, upon notice from the workers' compensation mediator that the parties were unable to resolve the dispute at the initial mediation or if the initial mediation was not requested by the injured worker, service of process shall be effected on any named defendant in any manner provided by law or by certified mail. Proposed law provides that, upon receipt of the form, a district office shall effect service of process on any named defendant in any manner provided by law or by certified mail. Present law requires all subsequent pleadings requiring service to also be served in any manner provided by law or by certified mail. Proposed law retains present law. Present law requires a defendant to file an answer within 15 days of service of the form or within a delay for answering granted by the workers' compensation judge not to exceed an additional 10 days. Proposed law retains present law. Present law provides that, if any party fails to appear at a mediation conference after proper notice, the workers' compensation judge, upon report from the workers' compensation mediator, may fine the delinquent party an amount not to exceed $500.00, which shall be payable to the Office of Workers' Compensation Administrative Fund Proposed law retains present law but deletes the condition that the party failed to appear after proper notice. Present law provides that, in addition, the workers' compensation judge may assess against the party failing to attend costs and reasonable attorney fees incurred by any other party in connection with the conference. Proposed law retains present law but clarifies that the costs and fees must have been incurred in connection with the mediation conference. Present law provides that, if the plaintiff fails to appear after proper notice, the workers' compensation judge may dismiss the plaintiff's case without prejudice. Proposed law deletes present law. Present law provides that the penalties provided for in present law shall be assessed by the workers' compensation judge only after a contradictory hearing which shall be held prior to the hearing on the merits of the dispute. Proposed law retains present law. Proposed law provides that, upon joint request of the parties, or upon order of the presiding workers' compensation judge, the parties shall engage the services of a Louisiana Workforce Commission, office of workers' compensation administration mediator selected by mutual agreement of the parties. Proposed law provides that the parties may engage the services of a private mediator at any time or when ordered by the judge. Proposed law requires the parties to certify to the court when a private mediation has occurred and the results thereof. HLS 10RS-1545 ORIGINAL HB NO. 1088 Page 7 of 7 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Proposed law provides that nothing shall prohibit the parties from requesting a pre-1008 mediation conference with a Louisiana Workforce Commission, office of workers' compensation administration mediator. Proposed law provides that the mediation shall not interrupt the running of prescription. Proposed law requires any dispute open in excess of 300 days to have a mandatory pretrial mediation with a Louisiana Workforce Commission, office of workers' compensation administration mediator. (Amends R.S. 23:1310.3)