SLS 19RS-84 REENGROSSED 2019 Regular Session SENATE BILL NO. 107 BY SENATORS GATTI, BISHOP, CARTER AND JOHNS Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana. PUBLIC EMPLOYEES. Adds post traumatic stress disorder to the list of injuries which are compensable for injured public employees. (8/1/19) 1 AN ACT 2 To amend and reenact R.S. 40:1374 and to enact R.S. 23:1036.1 and R.S. 33:2581.2, relative 3 to financial security for certain public employees; to provide for workers' 4 compensation; to provide for certain fire employees; to provide for certain volunteer 5 firefighters; to provide for certain emergency medical services personnel; to provide 6 for certain employees of police departments; to provide for certain employees of 7 state police; to provide for post traumatic stress disorder as a compensable injury 8 when the injury is suffered by certain employees; to provide for definitions; to 9 provide for legal presumptions; to provide for rebuttal evidence; and to provide for 10 related matters. 11 Be it enacted by the Legislature of Louisiana: 12 Section 1. R.S. 23:1036.1 is hereby enacted to read as follows: 13 §1036.1. Volunteer firefighters; coverage for post traumatic stress injury; 14 presumption of compensability; rebuttal evidence 15 A. Any workers' compensation policy which provides coverage for a 16 volunteer member of a fire company, pursuant to R.S. 23:1036, shall include 17 coverage for post traumatic stress injury. Page 1 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 107 SLS 19RS-84 REENGROSSED 1 B. For purposes of this Section, the following definitions shall apply: 2 (1) "Post traumatic stress injury" means those injuries which are defined 3 as "post traumatic stress disorder" by the most recently published edition of the 4 Diagnostic and Statistical Manual of Mental Disorders by the American 5 Psychiatric Association. 6 (2) "Psychiatrist" shall have the same meaning as it is defined pursuant 7 to R.S. 23:1371.1. 8 (3) "Psychologist" shall have the same meaning as it is defined pursuant 9 to R.S. 23:1371.1. 10 (4) "Volunteer member" shall have the same meaning as it is defined 11 pursuant to R.S. 23:1036. 12 (5) "Volunteer service" means that service performed by a volunteer 13 member, for one or more fire companies, who is entitled to workers' 14 compensation benefits pursuant to R.S. 23:1036. 15 C.(1) Any volunteer member who is diagnosed by a psychiatrist or 16 psychologist with post traumatic stress injury, either during his period of 17 voluntary service or thereafter, shall be presumed, prima facie, to have a 18 disease or infirmity connected with his volunteer service. 19 (2) Once diagnosed with post traumatic stress injury as provided for in 20 Paragraph (1) of this Subsection, the volunteer member affected or his 21 survivors shall be entitled to all rights and benefits as granted by state laws to 22 one suffering an occupational disease and is entitled as service connected in the 23 line of duty, regardless of whether he is engaged in volunteer service at the time 24 of diagnosis. Such disease or infirmity shall be presumed, prima facie, to have 25 developed during the period of volunteer service and shall be presumed, prima 26 facie, to have been caused by or to have resulted from the nature of the work 27 performed. 28 D.(1) The presumptions in Subsection C of this Section may be rebutted 29 only by clear and convincing evidence. Page 2 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 107 SLS 19RS-84 REENGROSSED 1 (2) In determining whether the evidence presented has successfully 2 rebutted the presumptions in Subsection C, the trier of facts may consider any 3 of the following factors: 4 (a) The length of time between the beginning and the end of the period 5 of volunteer service and the date of the diagnosis. 6 (b) Whether there has been any trauma or traumatic events between the 7 beginning and the end of the period of volunteer service as a volunteer member 8 and the date of the diagnosis. 9 (c) Whether the individual diagnosed had been previously diagnosed 10 with post traumatic stress injury prior to his volunteer service. 11 Section 2. R.S. 33:2581.2 is hereby enacted to read as follows: 12 §2581.2. Post Traumatic Stress Injury; presumption of compensability; 13 rebuttal evidence 14 A. Except as provided in Subsection E of this Section, any benefit 15 payable to any emergency medical services personnel, any employee of a police 16 department, or any fire employee for temporary and permanent disability when 17 the employee suffers an injury or disease arising out of and in the course and 18 scope of their employment, shall include coverage for post traumatic stress 19 injury. 20 B. For purposes of this Section, the following definitions shall apply: 21 (1) "Emergency medical services personnel" shall have the same 22 meaning as it is defined pursuant to R.S. 40:1075.3 so long as the emergency 23 medical services personnel is employed pursuant to this Chapter. 24 (2) "Employee of a police department" shall have the same meaning as 25 it is defined pursuant to R.S. 33:2211. 26 (3) "Fire employee" means any person employed in the fire department 27 of any municipality, parish, or fire protection district that maintains full-time 28 regularly paid fire department employment, regardless of the specific duties of 29 such person within the fire department. "Fire employee" also includes Page 3 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 107 SLS 19RS-84 REENGROSSED 1 employees of nonprofit corporations under contract with a fire protection 2 district or other political subdivision to provide fire protection services, 3 including operators of the fire-alarm system when such operators are members 4 of the regularly constituted fire department. 5 (4) "Post traumatic stress injury" means those injuries which are defined 6 as "post traumatic stress disorder" by the most recently published edition of the 7 Diagnostic and Statistical Manual of Mental Disorders by the American 8 Psychiatric Association. 9 (5) "Psychiatrist" shall have the same meaning as it is defined pursuant 10 to R.S. 23:1371.1. 11 (6) "Psychologist" shall have the same meaning as it is defined pursuant 12 to R.S. 23:1371.1. 13 C. Except as provided in Subsection E of this Section: 14 (1) Any emergency medical services personnel, any employee of a police 15 department, any fire employee, or any volunteer fireman who is diagnosed by 16 a psychiatrist or psychologist with post traumatic stress injury, either during 17 employment in the classified service in the state of Louisiana pursuant to this 18 Chapter or thereafter, shall be presumed, prima facie, to have a disease or 19 infirmity connected with his employment. 20 (2) Once diagnosed with post traumatic stress injury as provided for in 21 Paragraph (1) of this Subsection, the employee affected or his survivors shall be 22 entitled to all rights and benefits as granted by state law to one suffering an 23 occupational disease and who is entitled as service connected in the line of duty, 24 regardless of whether the employee is employed at the time of diagnosis. Such 25 disease or infirmity shall be presumed, prima facie, to have developed during 26 employment and shall be presumed, prima facie, to have been caused by or to 27 have resulted from the nature of the work performed. 28 D. Except as provided in Subsection E of this Section: 29 (1) The presumptions in Subsection C of this Section may be rebutted Page 4 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 107 SLS 19RS-84 REENGROSSED 1 only by clear and convincing evidence. 2 (2) In determining whether the evidence presented has successfully 3 rebutted the presumptions in Subsection C, the trier of facts may consider any 4 of the following factors: 5 (a) The length of time between the beginning and the end of the period 6 of employment and the date of the diagnosis. 7 (b) Whether there has been any trauma or traumatic events between the 8 beginning and the end of the period of employment as an employee and the date 9 of the diagnosis. 10 (c) Whether the individual diagnosed had been previously diagnosed 11 with post traumatic stress injury prior to his employment in the classified 12 service in the state of Louisiana. 13 E. (1) Nothing in this Section shall modify the qualifications necessary 14 to establish eligibility to receive benefits or the calculation of benefits to be paid 15 under any Louisiana public pension or retirement system, plan, or fund. 16 (2) In case of a conflict between any provision of Title 11, including any 17 provision in Subpart E of Part II of Chapter 4 of Title 11, and any provision of 18 this Section, the provision of Title 11 shall control. 19 Section 3. R.S. 40:1374 is hereby amended and reenacted to read as follows: 20 §1374. Worker's Workers' compensation law; employees deemed within; 21 coverage for post traumatic stress injury; presumption of 22 compensability; rebuttal evidence 23 A. Every employee of the division of state police, except the head thereof, 24 shall be considered an employee of the state within the meaning of the worker's 25 workers' compensation law of this state and entitled to the benefits of all the 26 provisions of that law applicable to state employees. 27 B. Any workers' compensation policy which provides coverage for an 28 employee of the division of state police, pursuant to this Section, shall include 29 coverage for post traumatic stress injury. Page 5 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 107 SLS 19RS-84 REENGROSSED 1 C. For purposes of this Section, the following definitions shall apply: 2 (1) "Post traumatic stress injury" means those injuries which are defined 3 as "post traumatic stress disorder" by the most recently published edition of the 4 Diagnostic and Statistical Manual of Mental Disorders by the American 5 Psychiatric Association. 6 (2) "Psychiatrist" shall have the same meaning as it is defined pursuant 7 to R.S. 23:1371.1. 8 (3) "Psychologist" shall have the same meaning as it is defined pursuant 9 to R.S. 23:1371.1. 10 D.(1) Any employee of the division of state police who is diagnosed by a 11 psychiatrist or psychologist with post traumatic stress injury, either during 12 employment in the classified service in the state of Louisiana pursuant to this 13 Chapter or thereafter, shall be presumed, prima facie, to have a disease or 14 infirmity connected with his employment for purposes of workers' 15 compensation benefits. 16 (2) Once diagnosed with post traumatic stress injury as provided for in 17 Paragraph (1) of this Subsection, the employee affected or his survivors shall be 18 entitled to all rights and benefits as granted by state workers' compensation law 19 to one suffering an occupational disease and is entitled as service connected in 20 the line of duty, regardless of whether the employee is employed at the time of 21 diagnosis. Such disease or infirmity shall be presumed, prima facie, to have 22 developed during employment and shall be presumed, prima facie, to have been 23 caused by or to have resulted from the nature of the work performed. 24 E.(1) The presumptions in Subsection D of this Section may be rebutted 25 only by clear and convincing evidence. 26 (2) In determining whether the evidence presented has successfully 27 rebutted the presumptions in Subsection D, the trier of facts may consider any 28 of the following factors: 29 (a) The length of time between the beginning and the end of the period Page 6 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 107 SLS 19RS-84 REENGROSSED 1 of employment and the date of the diagnosis. 2 (b) Whether there has been any trauma or traumatic events between the 3 beginning and the end of the period of employment as an employee and the date 4 of the diagnosis. 5 (c) Whether the individual diagnosed had been previously diagnosed 6 with post traumatic stress injury prior to his employment in the classified 7 service in the state of Louisiana. 8 F.(1) Nothing in this Section shall modify the qualifications necessary to 9 establish eligibility to receive benefits or the calculation of benefits to be paid 10 under any Louisiana public pension or retirement system, plan, or fund. 11 (2) In case of a conflict between any provision of Title 11, including any 12 provision in Subpart E of Part II of Chapter 4 of Title 11, and any provision of 13 this Section, the provision of Title 11 shall control. The original instrument was prepared by Carla S. Roberts. The following digest, which does not constitute a part of the legislative instrument, was prepared by Tammy Crain-Waldrop. DIGEST SB 107 2019 Regular Session Gatti Present law declares that the services provided by volunteer fire departments are vital for fire prevention and suppression to the safety of the citizens of the state. Present law requires the state fire marshal obtain workers' compensation coverage for volunteer members who participate in the normal functions of the fire company. Proposed law retains present law but requires that, upon the purchase of a new policy or renewal of an existing policy, that any workers' compensation policy which provides coverage for a volunteer member of a fire company, pursuant to present law, will include coverage for post traumatic stress injury. Proposed law provides that the following definitions shall apply to any workers' compensation policy which provides coverage for a volunteer member of a fire company: (1)"Post traumatic stress injury" means those injuries which are defined as "post traumatic stress disorder" by the most recently published edition of the Diagnostic and Statistical Manual of Mental Disorders by the American Psychiatric Association. (2)"Psychiatrist" shall have the same meaning as it is defined pursuant to present law. (3)"Psychologist" shall have the same meaning as it is defined pursuant to present law. (4)"Volunteer member" shall have the same meaning as it is defined pursuant to present law. Page 7 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 107 SLS 19RS-84 REENGROSSED (5)"Volunteer service" means that service performed by a volunteer member, for one or more fire companies, who is entitled to workers' compensation benefits pursuant to present law. Proposed law provides that any volunteer member of a fire company who is diagnosed by a psychiatrist or psychologist with post traumatic stress injury, either during his period of voluntary service or thereafter, shall be presumed, prima facie, to have a disease or infirmity connected with his volunteer service. Proposed law provides that, once diagnosed with post traumatic stress injury as provided for in proposed law, the volunteer member affected or his survivors shall be entitled to all rights and benefits as granted by present law to one suffering from an occupational disease is entitled as service connected in the line of duty, regardless of whether he is engaged in volunteer service at the time of diagnosis. Proposed law provides that, once a fire department volunteer member is diagnosed with post traumatic stress injury, the presumption may only be rebutted by clear and convincing evidence. Proposed law provides that, in determining whether the evidence presented has successfully rebutted the presumptions in proposed law, the trier of facts may consider any of the following factors: (1)The length of time between the beginning and the end of the period of volunteer service and the date of the diagnosis. (2)Whether there has been any trauma or traumatic events between the beginning and the end of the period of volunteer service as a volunteer member and the date of the diagnosis. (3)Whether the individual diagnosed had been previously diagnosed with post traumatic stress injury prior to his volunteer service. Proposed law provides that, except as provided in proposed law, any benefit payable to any local emergency medical services personnel, any employee of a local police department, or any local fire employee for temporary and permanent disability when the employee suffers an injury or disease arising out of and in the course and scope of their employment, shall include coverage for post traumatic stress injury. Proposed law defines "fire employee" as any person employed in the fire department of any municipality, parish, or fire protection district that maintains full-time regularly paid fire department employment, regardless of the specific duties of such person within the fire department. "Fire employee" also includes employees of nonprofit corporations under contract with a fire protection district or other political subdivision to provide fire protection services, including operators of the fire-alarm system when such operators are members of the regularly constituted fire department." Proposed law provides that the following definitions shall apply to post traumatic stress injury benefits payable to a local emergency medical services personnel, any employee of a local police department, or any local fire employee: (1)"Post traumatic stress injury" means those injuries which are defined as "post traumatic stress disorder" by the most recently published edition of the Diagnostic and Statistical Manual of Mental Disorders by the American Psychiatric Association. (2)"Psychiatrist" shall have the same meaning as it is defined pursuant to present law. (3)"Psychologist" shall have the same meaning as it is defined pursuant to present law. Proposed law provides that, except as provided in proposed law, any local emergency Page 8 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 107 SLS 19RS-84 REENGROSSED medical services personnel, any employee of a local police department, or any local fire employee who is diagnosed by a psychiatrist or psychologist with post traumatic stress injury, either during employment or thereafter, shall be presumed, prima facie, to have a disease or infirmity connected with his employment. Proposed law provides that, once diagnosed with post traumatic stress injury any local emergency medical services personnel, any employee of a local police department, or any local fire employee affected or his survivors will be entitled to all rights and benefits as granted by state law to one suffering an occupational disease and is entitled as service connected in the line of duty, regardless of whether the employee is employed at the time of diagnosis. Proposed law provides that, except as provided in proposed law, the presumption that the post traumatic stress was attributable to employment as a local emergency medical services personnel, any employee of a local police department, or any local fire employee may only be rebutted by clear and convincing evidence. Proposed law provides that, in determining whether the evidence presented has successfully rebutted the presumptions in proposed law, the trier of facts may consider any of the following factors: (1)The length of time between the beginning and the end of the period of employment and the date of the diagnosis. (2)Whether there has been any trauma or traumatic events between the beginning and the end of the period of employment as an employee and the date of the diagnosis. (3)Whether the individual diagnosed had been previously diagnosed with post traumatic stress injury prior to his employment. Proposed law provides that in case of any conflict between provisions of proposed law and any retirement law then retirement law provisions control. Present law provides that every employee of the division of state police, except the head thereof, shall be considered an employee of the state within the meaning of the workers' compensation law of this state and entitled to the benefits of all the provisions of that law applicable to state employees. Proposed law retains present law but adds that any purchase of a new policy of renewal of an existing workers' compensation policy which provides coverage for an employee of the division of state police, pursuant to present law, shall include coverage for post traumatic stress injury. Proposed law provides that the following definitions shall apply to benefits payable to an employee of the division of state police: (1)"Post traumatic stress injury" means those injuries which are defined as "post traumatic stress disorder" by the most recently published edition of the Diagnostic and Statistical Manual of Mental Disorders by the American Psychiatric Association. (2)"Psychiatrist" shall have the same meaning as it is defined pursuant to present law. (3)"Psychologist" shall have the same meaning as it is defined pursuant to present law. Proposed law provides that an employee of the division of state police who is diagnosed by a psychiatrist or psychologist with post traumatic stress injury, either during employment or thereafter, shall be presumed, prima facie, to have a disease or infirmity connected with his employment for purposes of workers' compensation benefits. Proposed law provides that, once diagnosed with post traumatic stress injury the employee Page 9 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 107 SLS 19RS-84 REENGROSSED of the division of state police affected or his survivors shall be entitled to all rights and benefits as granted by state workers' compensation law to which one suffering an occupational disease and is entitled as service connected in the line of duty, regardless of whether the employee is employed at the time of diagnosis. Proposed law provides that the presumption that the post traumatic stress was attributable to employment as an employee of the division of state police may only be rebutted by clear and convincing evidence. Proposed law provides that, in determining whether the evidence presented has successfully rebutted the presumptions in proposed law, the trier of facts may consider any of the following factors: (1)The length of time between the beginning and the end of the period of employment and the date of the diagnosis. (2)Whether there has been any trauma or traumatic events between the beginning and the end of the period of employment as an employee and the date of the diagnosis. (3)Whether the individual diagnosed had been previously diagnosed with post traumatic stress injury prior to his employment. Proposed law shall not modify the qualifications necessary to establish eligibility to receive benefits or the calculation of benefits to be paid under any Louisiana public pension or retirement system, plan, or funds. Proposed law provides that in case of any conflict between provisions of proposed law and any retirement law then the retirement law provisions control. Effective August 1, 2019. (Amends R.S. 40:1374; adds R.S. 23:1036.1, and R.S. 33:2581.2) Summary of Amendments Adopted by Senate Committee Amendments Proposed by Senate Committee on Labor and Industrial Relations to the original bill 1. Adds employees of nonprofit corporations under contract with a fire protection district to the definition of "fire employee". Senate Floor Amendments to engrossed bill 1. Makes technical changes. 2. Clarifies that the proposed law shall not modify the qualifications necessary to establish eligibility to receive benefits or the calculation of benefits to be paid under any Louisiana public pension or retirement system, plan, or funds. 3. Removes provisions applicable to sheriffs and deputy sheriffs. Page 10 of 10 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.