HLS 10RS-1620 ORIGINAL Page 1 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Regular Session, 2010 HOUSE BILL NO. 1223 BY REPRESENTATIVE EDWARDS WORKERS COMPENSATI ON: Provides relative to the Workers' Compensation Second Injury Fund AN ACT1 To amend and reenact R.S. 23:1371(A), (B), (C)(introductory paragraph) and (2), 1373(A),2 1377(A) and (C)(3), and 1378(A)(introductory paragraph) and (F) and to enact R.S.3 23:1371.1(5) through (8), relative to the Workers' Compensation Second Injury4 Fund; to provide for the encouragement of employment, re-employment and5 retention of employees who have a permanent, partial disability; provides a merger6 of a preexisting permanent partial disability may only be merged when additional7 medical and indemnity benefits for that greater disability have been paid; to provide8 for definitions of knowledge, merger, PPD employee registry; to provide for the9 frequency of meetings; to provide that any interest income generated by the fund10 shall accrue to the fund; to provide for additions and changes of conditions11 considered to be permanent partial disabilities; to provide that actual knowledge of12 conditions may be established only in certain circumstances; and to provide for13 related matters.14 Be it enacted by the Legislature of Louisiana:15 Section 1. R.S. 23:1371(A), (B), and (C)(introductory paragraph) and (2), 1373(A),16 1377(A) and (C)(3), and 1378(A)(introductory paragraph) and (F) are hereby amended and17 reenacted and R.S. 23:1371.1(5) through (8) are hereby enacted read as follows:18 §1371. Purpose and construction intent19 A. It is the purpose of this Part to:20 HLS 10RS-1620 ORIGINAL HB NO. 1223 Page 2 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (1) Encourage the employment , of physically handicapped re-employment1 or retention of employees who have a permanent, partial disability. 2 (2) by protecting Protect employers, group self-insurance funds, and property3 and casualty insurers from excess liability for workers' compensation for disability4 when a subsequent injury to such an employee merges with his preexisting5 permanent physical disability to cause a greater disability than would have resulted6 from the subsequent injury alone.7 B. Except as provided in R.S. 23:1378(A)(8)(6), this Part shall not be8 construed to create, provide, diminish, or affect in any way the workers'9 compensation benefits due to an injured employee. The payment of compensation10 to an injured employee under this Chapter shall be determined without regard to this11 Part, and the provisions of this Part shall be considered only in determining whether12 an employer or his insurer is entitled to reimbursement from the Workers'13 Compensation Second Injury Fund herein created.14 C. As used in this part Part, the merger of an injury with a preexisting15 permanent partial disability is limited to the following:16 * * *17 (2) The disability resulting from the subsequent injury in conjunction with18 the preexisting permanent partial disability is materially and substantially greater19 than that which would have resulted had the preexisting permanent partial disability20 not been present, and the employer has been required to pay and has paid21 compensation additional medical and indemnity benefits for that greater disability.22 * * *23 §1371.1. Definitions24 As used in this Part, unless the context clearly indicates otherwise, the25 following terms shall be given the meaning ascribed to them in this Section:26 * * *27 (5) "Knowledge" shall mean, for injuries occurring after December 31, 2010,28 actual knowledge established by the following circumstances:29 HLS 10RS-1620 ORIGINAL HB NO. 1223 Page 3 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (a) Where the employee's preexisting permanent partial disability was caused1 by an accident or occupational disease while employed by the same employer2 seeking reimbursement from the Second Injury Fund.3 (b) When, prior to the second injury, the employee disclosed to the employer4 their preexisting permanent partial disability on a form provided by the office of5 workers' compensation.6 (c) Whereby the employer employs, retains, or re-employs employees from7 the PPD employee registry maintained by the Louisiana Workforce Commission.8 (6) "Merger" shall mean the merger of an injury with a preexisting permanent9 partial disability, limited to the following:10 (a) The subsequent injury would not have occurred but for the preexisting11 permanent partial disability.12 (b) The disability resulting from the subsequent injury in conjunction with13 the preexisting permanent partial disability is materially and substantially greater14 than that which would have resulted had the preexisting permanent partial disability15 not been present, and the employer has been required to pay and has paid additional16 medical and indemnity benefits for that greater disability.17 (7)"Permanent partial disability" shall mean any permanent condition,18 whether congenital or due to injury or disease, of such seriousness as to constitute19 a hindrance or obstacle to obtaining employment, retention by an employer, or to20 obtaining reemployment if the employee becomes unemployed.21 (8) "PPD Employee Registry" shall mean the registry of available employees22 maintained by Louisiana Workforce Commission providing knowledge of an23 employee's preexisting permanent partial disability for the purpose of a Second24 Injury Board claim.25 * * *26 §1373. Meetings; quorum; officers27 A. The board shall meet at least monthly but in no event shall they meet less28 than once each three months and at such other times as it may provide by its rules.29 HLS 10RS-1620 ORIGINAL HB NO. 1223 Page 4 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Three members shall constitute a quorum for the transaction of business. A majority1 vote of the members present shall be required for all actions of the board. Any2 member of the board may be represented at any meeting by an alternate designated3 by the member in writing prior to the commencement of such meeting.4 * * *5 §1377. Workers' Compensation Second Injury Fund6 A. There is hereby created and established in the state treasury a special7 fund which shall be designated as the "Workers' Compensation Second Injury Fund",8 hereinafter referred to as the "fund". The fund shall be maintained as a separate9 account in the state treasury for the purposes of funding the administrative expenses10 of the board and reimbursing compensable claims of property and casualty insurers,11 self-insured employers, and group self-insurance funds as set forth by R.S. 23:137112 et seq. Monies shall be withdrawn therefrom only pursuant to legislative13 appropriation and shall be subject to budgetary control as provided by law. All14 remaining and unencumbered balances at the end of any fiscal year shall remain15 credited to the fund and shall be used solely for the purposes stated in this Section.16 Any interest income generated by the fund shall accrue to the fund.17 * * *18 C.19 * * *20 (3) Any entity that is required by law to make an annual payment or21 payments into the fund and has not done so shall not be eligible for reimbursement22 from the fund. In addition, except as provided in R.S. 23:1378(A)(7) R.S.23 23:1378(A)(5), any entity that is not required by law to make such payments into the24 fund shall not be eligible for reimbursement from the fund.25 * * *26 §1378. Determination of liability of fund27 A. An employer operating under the provisions of this Chapter who28 knowingly employs , re-employs or knowingly retains in his employment an29 HLS 10RS-1620 ORIGINAL HB NO. 1223 Page 5 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. employee who has a permanent partial disability, as defined in Subsection F of this1 Section R.S. 23:1371.1(5), shall, qualify for reimbursement from the Second Injury2 Fund if the employee incurs a subsequent injury arising out of and in the course of3 his employment resulting in a greater liability due to the merger of the subsequent4 injury with the preexisting permanent partial disability. The employer or, if insured,5 his insurer shall pay all benefits provided in this Chapter, but the employer or, if6 insured, his insurer thereafter shall be reimbursed from by the Second Injury Fund7 for all indemnity and medical benefit payments as follows:8 Date of Injury Occurring Reimbursement Schedule9 Before July 1, 2004 & INDEMNITY10 on/after July 1, 2009 TTD/SEB/PTD After the first 104 weeks of11 payment of benefits12 Death benefits after the first 175 weeks of payment13 of benefits14 MEDICAL15 50% of all reasonable and necessary medical16 expenses actually paid which exceed $5,000.00 but17 no less than $10,000.0018 100% of all reasonable and necessary medical19 expenses actually paid which exceeds $10,000.0020 After July 1, 2004 & INDEMNITY21 After the first 130 weeks of payment of benefits22 MEDICAL23 100% of all reasonable and necessary medical24 expenses actually paid which exceed $25,000.0025 On/after July 1, 2010 & INDEMNITY26 before July 1, 2015 After the first 104 week of indemnity27 MEDICAL28 100% of all reasonable and necessary medical29 HLS 10RS-1620 ORIGINAL HB NO. 1223 Page 6 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. expenses actually paid which exceed $25,000.001 Vocational rehabilitation expenses, if such2 expenses are directly related to services provided3 in the actual retention or reemployment of4 employees and the $25,000 medical threshold has5 been met6 (1)(a) For injuries occurring before July 1, 2004, and on or after July 1,7 2009, if an employee who has a permanent partial disability incurs a subsequent8 injury arising out of and in the course of his employment resulting in liability for9 disability due to the merger of the subsequent injury with the preexisting permanent10 partial disability, the employer or, if insured, his insurer, in the first instance, shall11 pay all compensation provided in this Chapter, but the employer or, if insured, his12 insurer thereafter shall be reimbursed from the Second Injury Fund for all weekly13 compensation payments payable after the first one hundred four weeks of payments.14 Such payments shall be reimbursed provided they are submitted to the board within15 one year of the approval for reimbursement or within one year of the payment of16 such weekly compensation payments, whichever occurs later.17 (b) For injuries occurring on or after July 1, 2004, and before July 1, 2009,18 if an employee who has a permanent partial disability incurs a subsequent injury19 arising out of and in the course of his employment resulting in liability for disability20 due to the merger of the subsequent injury with the preexisting permanent partial21 disability, the employer or, if insured, his insurer thereafter shall be reimbursed from22 the Second Injury Fund for all weekly compensation payments payable after the first23 one hundred thirty weeks of payments. Such payments shall be reimbursed provided24 they are submitted to the board within one year of the approval for reimbursement25 or within one year of the payment of such weekly compensation payments,26 whichever occurs later.27 (2)(a) For injuries occurring before July 1, 2004, and on or after July 1,28 2009, if an employer becomes liable for the payment of death benefits under the29 HLS 10RS-1620 ORIGINAL HB NO. 1223 Page 7 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. provisions of this Chapter, said employer or, if insured, his insurer shall be entitled1 to reimbursement from the workers' compensation Second Injury Fund for all death2 benefit payments payable after the first one hundred seventy-five weeks of payments,3 provided that death benefits are actually paid by said employer or his insurer under4 the provisions of this Chapter, and provided that the deceased employee of the5 employer died as a result of a combination of a preexisting permanent partial6 disability and a subsequent compensable injury or the employee's death would not7 have occurred but for the preexisting permanent partial disability. Such payments8 shall be reimbursed provided they are submitted to the board within one year of the9 approval for reimbursement or within one year of the payment of such death benefits,10 whichever occurs later.11 (b) For injuries occurring on or after July 1, 2004, and before July 1, 2009,12 if an employer becomes liable for the payment of death benefits under the provisions13 of this Chapter, said employer or, if insured, his insurer shall be entitled to14 reimbursement from the workers' compensation Second Injury Fund for all death15 benefit payments payable after the first one hundred thirty weeks of payments,16 provided that death benefits are actually paid by the employer or his insurer under17 the provisions of this Chapter, and provided that the deceased employee of the18 employer died as a result of a combination of a preexisting permanent partial19 disability and a subsequent compensable injury or the employee's death would not20 have occurred but for the preexisting permanent partial disability. Such payments21 shall be reimbursed provided they are submitted to the board within one year of the22 approval for reimbursement or within one year of the payment of such death benefits,23 whichever occurs later.24 (3)(a) For injuries occurring before July 1, 2004, and on or after July 1,25 2009, if an employee who has a permanent partial disability incurs a subsequent26 injury arising out of and in the course of his employment resulting in liability for27 disability due to the merger of the subsequent injury with the preexisting permanent28 partial disability, the employer or, if insured, the insurer shall be reimbursed from29 HLS 10RS-1620 ORIGINAL HB NO. 1223 Page 8 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. the Second Injury Fund for medical expenses actually paid and payable in1 accordance with R.S. 23:1203 as follows:2 (I) Fifty percent of all reasonable and necessary medical expenses actually3 paid, which exceed five thousand dollars but are less than ten thousand dollars.4 (ii) One hundred percent of all reasonable and necessary medical expenses5 actually paid and payable, which exceed ten thousand dollars.6 (iii) Such payments shall be reimbursed provided they are submitted to the7 board within one year of the approval for reimbursement or within one year of the8 payment of such medical payments, whichever occurs later.9 (b) For injuries occurring on or after July 1, 2004, and before July 1, 2009,10 if an employee who has a permanent partial disability incurs a subsequent injury11 arising out of and in the course of his employment resulting in liability for disability12 due to the merger of the subsequent injury with the preexisting permanent partial13 disability, the employer or, if insured, the insurer shall be reimbursed from the14 Second Injury Fund for medical expenses actually paid and payable in accordance15 with R.S. 23:1203 as follows:16 (I) One hundred percent of all reasonable and necessary medical expenses17 actually paid and payable, which exceed twenty-five thousand dollars.18 (ii) Such payments shall be reimbursed provided they are submitted to the19 board within one year of the approval for reimbursement or within one year of the20 payment of such medical payments, whichever occurs later.21 (4)(2) No employer or insurer shall be entitled to reimbursement unless it is22 clearly established that the employer had actual knowledge of the employee's23 preexisting permanent partial disability prior to the subsequent injury. For injuries24 occurring after December 31, 2010, actual knowledge shall only be established by25 the following circumstances:26 (a) Where the employee's preexisting permanent partial disability was caused27 by an accident or occupational disease while employed by the same employer28 seeking reimbursement from the Second Injury Fund,29 HLS 10RS-1620 ORIGINAL HB NO. 1223 Page 9 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (b) When, prior to the second injury, the employee disclosed to the employer1 his preexisting permanent partial disability on a form provided by the office of2 workers' compensation administration.3 (c) Whereby the employer employs, retains, or re-employs employees from4 the Permanent Partial Disability (PPD) employee registry maintained by the5 Louisiana Workforce Commission.6 (5)(3) The Second Injury Fund shall be credited or reimbursed for sums7 recovered by the employer or the insurer from third parties in an amount equal to a8 pro rata share of the net amount recovered based upon the amounts paid by the fund,9 and the amounts paid by the self-insurer or insurer which have not been reimbursed10 by the fund, to or on behalf of the injured employee for medical benefits, workers'11 compensation indemnity benefits, and vocational rehabilitation services. The12 employer or the insurer shall advise the board of any subrogation action against third13 parties on any claim submitted to the board. The failure of the employer or insurer14 to notify the board of any pending subrogation action prior to receipt of payment15 from the board shall subject the employer or the insurer to a penalty of twenty16 percent of the amount otherwise claimed by said employer or insurer as payable from17 the Second Injury Fund, as well as a return of all amounts paid by the board to the18 extent these amounts are recovered in the subrogation action. Notwithstanding any19 provision of this Section, Except as provided in R.S. 23:1378(A) the Second Injury20 Fund shall not be required to reimburse vocational rehabilitation expenses.21 (6)(4)(a) The Second Injury Fund shall not be liable for reimbursement or22 be obligated to give credit for any amounts paid by an employer or carrier as attorney23 fees, penalties, or interest, nor for any sums paid under the Jones Act or24 Longshoremen and Harbor Workers Compensation Act.25 (b) For settlements occurring after July 1, 2007, the Second Injury Fund shall26 be liable for reimbursement or be obligated to give credit for attorney fees paid27 pursuant to R.S. 23:1141 but shall not be liable for reimbursement or be obligated28 HLS 10RS-1620 ORIGINAL HB NO. 1223 Page 10 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. to give credit for attorney fees paid pursuant to R.S. 23:1201 or any other penalty1 provision provided for in Chapter 10 of this Title.2 (7)(5) Upon the board's approval of a claim for reimbursement, and on an3 annual basis thereafter, the insurer shall report to the board an estimate of the future4 medical and indemnity liability to the injured employee on a form promulgated by5 the director. The report shall be submitted to the board each year at the same time6 the annual report required by R.S. 23:1291.1 is submitted to the office of workers'7 compensation administration.8 (a) For injuries occurring before July 1, 2004, and on or after July 1, 2009,9 upon the board's approval of a claim for reimbursement, the insurer shall10 immediately certify to the board that the medical reserve has been reduced to no11 more than seven thousand five hundred dollars, and the weekly disability benefits12 (indemnity) reserve does not exceed one hundred four weeks of indemnity. In the13 event of a death claim, the weekly benefits reserve will be no more than one hundred14 seventy-five weeks. No reimbursement will be made to the insurer unless such15 insurer complies with the provisions of this Paragraph.:16 (I) As a prerequisite to reimbursement from the fund, the insurer shall be17 required to certify that the medical and indemnity reserves have been reduced to the18 threshold limits of reimbursement and report in accordance with the National19 Council on Compensation Insurance Workers' Compensation Statistical Plan.20 (ii) The Second Injury Fund Director must quarterly submit to the National21 Council on Compensation Insurance information regarding Second Injury Fund22 accepted claims.23 (iii) The National Council on Compensation Insurance must submit a report24 of any discrepancies pursuant to regulations established by the Department of25 Insurance. The Department of Insurance is directed to establish regulations26 concerning Second Injury Fund discrepancies.27 HLS 10RS-1620 ORIGINAL HB NO. 1223 Page 11 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (b) The Louisiana Insurance Guaranty Association shall be entitled to1 reimbursement, but only to the extent of the proportion of the Second Injury Fund2 assessment paid by insurance companies.3 (b) (c) For injuries occurring on or after July 1, 2004, and before July 1,4 2009, upon the board's approval of a claim for reimbursement, the insurer shall5 immediately certify to the board that the medical reserve has been reduced to no6 more than twenty-five thousand dollars, and the weekly disability benefits7 (indemnity) reserve does not exceed one hundred thirty weeks of indemnity. In the8 event of a death claim, the weekly benefits reserve will be no more than one hundred9 thirty weeks. No reimbursement will be made to the insurer unless such insurer10 complies with the provisions of this Paragraph. The Louisiana Insurance Guaranty11 Association shall be entitled to reimbursement, but only to the extent of the12 proportion of the Second Injury Fund assessment paid by insurance companies.13 (8)(6)(a)(I) For an accident occurring on or after October 1, 1995, the14 employer, if self-insured, or the insurer shall obtain written approval from the board15 of any lump sum or compromise settlement of an approved claim before such16 settlement is submitted for approval, as provided in Part III of this Chapter.17 (ii) If written approval is obtained, an order approving the settlement shall18 be obtained within one hundred eighty days from the date that approval is issued19 after which time the written approval shall be null and the self-insurer or insurer20 must again obtain written approval to settle the claim. The board shall respond to21 requests for written approval within forty-five days of receipt of the request.22 (iii) If an employer, if self-insured, or the insurer seeks authority to enter into23 a compromise settlement in connection with the settlement of a third-party claim, the24 board shall respond within three working days unless the settlement contemplates25 payment by the insurer or self-insurer of additional amounts which exceed fifty26 thousand dollars. If the settlement contemplates additional amounts which exceed27 fifty thousand dollars, the board shall respond within forty-five days of receipt of the28 request.29 HLS 10RS-1620 ORIGINAL HB NO. 1223 Page 12 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (iv) If the board does not issue a written response within the time provided1 in Items (ii) and (iii), the request shall be deemed approved unless the employer or2 insurer does not comply with rules promulgated pursuant to Item (v) of this3 Paragraph.4 (v) The director of the Office of Workers' Compensation Administration5 shall establish and promulgate, in accordance with the Administrative Procedure Act,6 such rules and regulations governing the submission of requests for approval as well7 as response from the board as may be deemed necessary and which are not8 inconsistent with the laws of this state.9 (b)(I) Except in cases of a settlement in connection with the settlement of a10 third-party claim, if the self-insurer or insurer fails to obtain written approval from11 the board as provided in Subparagraph (a) of this Paragraph or fails to submit the12 settlement to the judge for approval as provided in Subparagraph (a) of this13 Paragraph, the fund shall not reimburse such self-insurer or insurer for the final14 settlement amount.15 (ii) In cases of a settlement in connection with the settlement of a third-party16 claim, if the self-insurer or insurer fails to obtain written approval from the board as17 provided in Subparagraph (a) of this Paragraph or fails to submit the settlement to18 the judge for approval as provided in Subparagraph (a) of this Paragraph, the fund19 shall not reimburse such self-insurer or insurer for the final settlement amount and20 twenty-five percent of the unpaid reimbursements due or ten thousand dollars,21 whichever is greater.22 (iii) As used in this Section, "final settlement amount" shall mean only23 additional funds contemplated to be paid by the insurer or self-insurer.24 (c) The board shall not be a party to any lump sum compromise settlement25 with the employee.26 (d) In the event that the board issues a written denial of the settlement, the27 property or casualty insurer, self-insured employer, or group self-insurance fund may28 appeal pursuant to Subsection E. The appeal shall be placed on the preference29 HLS 10RS-1620 ORIGINAL HB NO. 1223 Page 13 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. docket of the appropriate district court and shall be heard on the earliest practicable1 date.2 * * *3 F. As used in this Part, permanent partial disability means any permanent4 condition, whether congenital or due to injury or disease, of such seriousness as to5 constitute a hindrance or obstacle to obtaining employment or to obtaining6 reemployment if the employee should become unemployed. Where, however, the7 employer establishes that he had knowledge of the preexisting permanent partial8 disability prior to the subsequent injury, and diagnosis of the condition was made by9 qualified physicians within the scope of their practice or other persons properly10 licensed and certified to make such a diagnosis, there shall be a rebuttable11 presumption that the employer considered the condition to be permanent and to be12 or likely to be a hindrance or obstacle to employment where the condition is one of13 the following:14 (1) Epilepsy. Seizure Disorder.15 (2) Diabetes Mellitus.16 (3) Cardiac disease. Coronary Artery Disease or Congestive Heart Failure.17 (4) Arthritis.18 (5) Amputated foot, leg, arm, or hand; or total or Partial of at least 50% loss19 of use thereof.20 (6) Loss of sight of one or both eyes or a partial loss of uncorrected vision21 of more than seventy-five percent bilaterally. Legally Blind.22 (7) Residual disability from poliomyelitis.23 (8) Cerebral palsy.24 (9) Multiple sclerosis.25 (10) Parkinson's disease.26 (11) Cerebral vascular accident.27 (12) Tuberculosis.28 (13) Silicosis. Pneumoconiosis.29 HLS 10RS-1620 ORIGINAL HB NO. 1223 Page 14 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (14) Psychoneurotic disability following treatment in a recognized medical1 or mental institution.2 (15) Hemophilia. Bleeding Disorder.3 (16) Chronic osteomyelitis.4 (17) Ankylosis of joints.5 (18) Hyperinsulinism.6 (19) (18) Muscular dystrophy.7 (20) (19) Arteriosclerosis.8 (21) (20) Thrombophlebitis.9 (22) (21) Varicose veins.10 (23) (22) Heavy metal poisoning.11 (24) (23) Ionizing radiation injury.12 (25) (24) Compressed air sequelae.13 (26) (25) Ruptured or herniated intervertebral disc.14 (27) Hodgkin's disease.15 (28) (26) Brain damage.16 (29) (27) A spinal fusion, or the surgical removal of an intervertebral disc17 partial or total discectomy or microdiscectomy.18 (28) Chronic Obstructive Pulmonary Disease (COPD)19 (29) Post Traumatic Stress Disorder Syndrome (PTSD)20 (30) Post Concussive Syndrome21 (31) Alzheimer's Disease22 (32) Sickle-Cell Anemia23 (33) Joint Replacement Surgery24 (30)(a)(34) Mental retardation, provided the diagnosis of mental retardation25 shall be made on the basis of:.26 (a) Provided the diagnosis of mental retardation shall be made on the basis27 of:28 HLS 10RS-1620 ORIGINAL HB NO. 1223 Page 15 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. (I) Significantly subnormal intellectual functioning, defined as an objective1 measure of cognitive status which fall at least two standard deviations below the2 mean of the national standardization sample based on valid results of a recognized3 individually administered test of intellectual function.4 (ii) Objective evidence of concurrent impairment of adaptive functioning in5 at least two areas of functional behavior as measured by standardized, norm6 reference measures of adaptive function.7 (iii) Evidence of an onset before the age of eighteen years.8 (b) It shall not be necessary for the employer to know the employee's actual9 intelligence quotient or actual relative ranking in relation to the intelligence quotient10 of the general population.11 (c) Diagnosis of mental retardation shall be made by a psychiatrist , or12 psychologist, or other persons properly licensed and certified to make such a13 diagnosis.14 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)] Edwards HB No. 1223 Abstract: Provides for changes in the workers' compensation second injury fund. Present law provides that a merger of preexisting permanent partial disability may only be merged when compensation is paid. Also provides, meetings of the board are to be held at least once every three months. Proposed law provides for the encouragement of employment, re-employment and retention of employees who have a permanent, partial disability. Proposed law also provides a merger of a preexisting permanent partial disability may only be merged when additional medical and indemnity benefits for that greater disability have been paid. Proposed law provides for definitions of knowledge, merger and PPD employee registry. Proposed law provides Louisiana Workers' Compensation Second Injury Fund board meetings shall be held monthly and in no event shall ever be held less than once every three months. Proposed law provides any interest income generated by the fund shall accrue to the fund. HLS 10RS-1620 ORIGINAL HB NO. 1223 Page 16 of 16 CODING: Words in struck through type are deletions from existing law; words underscored are additions. Proposed law provides for the addition and change of conditions defined as permanent partial disability considered to be permanent partial disabilities. and there shall be a rebuttable presumption that the employer considered the condition to be permanent and to be or likely to be a hindrance or obstacle to employment where the condition is one of the following: (1) Seizure Disorder. (2) Diabetes Mellitus. (3) Coronary Artery Disease or Congestive Heart Failure. (4) Arthritis. (5) Amputated foot, leg, arm, or hand; or total or partial of at least 50% loss of use thereof. (6) Loss of sight of one or both eyes legally blind. (7) Residual disability from poliomyelitis. (8) Cerebral palsy. (9) Multiple sclerosis. (10) Parkinson's disease. (11) Cerebral vascular accident. (12) Tuberculosis. (13) Pneumoconiosis. (14) Psychoneurotic disability following treatment in a recognized medical or mental institution. (15) Bleeding Disorder. (16) Chronic osteomyelitis. (17) Ankylosis of joints. (18) Muscular dystrophy. (19) Arteriosclerosis. (20) Thrombophlebitis. (21) Varicose veins. (22) Heavy metal poisoning. (23) Ionizing radiation injury. (24) Compressed air sequelae. (25) Ruptured or herniated intervertebral disc. (26) Brain damage. (27) A spinal fusion, partial or total discectomy or microdiscectomy. (28) Chronic Obstructive Pulmonary Disease (COPD ) (29) Post Traumatic Stress Disorder Syndrome (PTSD) (30) Post Concussive Syndrome (31) Alzheimer's Disease (32) Sickle-Cell Anemia (33) Joint Replacement Surgery (34) Mental retardation (Amends R.S. 23:1371(A), (B), (C)(intro. para.) and (2), 1373(A), 1377(A) and (C)(3), and 1378(A)(intro. para.) and (F); Adds R.S. 23:1371.1(5)-(8))