FIRSTREGULARSESSION
HOUSEBILLNO.466
102NDGENERALASSEMBLY
INTRODUCEDBYREPRESENTATIVEGREGORY.
1085H.01I DANARADEMANMILLER,ChiefClerk
ANACT
Torepealsection287.067,RSMo,andtoenactinlieuthereofonenewsectionrelatingto
occupationaldiseasesunderworkers'compensationprovisions.
BeitenactedbytheGeneralAssemblyofthestateofMissouri,asfollows:
SectionA.Section287.067,RSMo,isrepealedandonenewsectionenactedinlieu
2thereof,tobeknownassection287.067,toreadasfollows:
287.067.1.Inthischaptertheterm"occupationaldisease"isherebydefinedtomean,
2unlessadifferentmeaningisclearlyindicatedbythecontext,anidentifiablediseasearising
3withorwithouthumanfaultoutofandinthecourseoftheemployment.Ordinarydiseasesof
4lifetowhichthegeneralpublicisexposedoutsideoftheemploymentshallnotbe
5compensable,exceptwherethediseasesfollowasanincidentofanoccupationaldiseaseas
6definedinthissection.Thediseaseneednottohavebeenforeseenorexpectedbutafterits
7contractionitmustappeartohavehaditsorigininariskconnectedwiththeemploymentand
8tohaveflowedfromthatsourceasarationalconsequence.
9 2.Aninjuryordeathbyoccupationaldiseaseiscompensableonlyiftheoccupational
10exposurewastheprevailingfactorincausingboththeresultingmedicalconditionand
11disability.The"prevailingfactor"isdefinedtobetheprimaryfactor,inrelationtoanyother
12factor,causingboththeresultingmedicalconditionanddisability.Ordinary,gradual
13deterioration,orprogressivedegenerationofthebodycausedbyagingorbythenormal
14activitiesofday-to-daylivingshallnotbecompensable.
15 3.Aninjuryduetorepetitivemotionisrecognizedasanoccupationaldiseasefor
16purposesofthischapter.Anoccupationaldiseaseduetorepetitivemotioniscompensable
17onlyiftheoccupationalexposurewastheprevailingfactorincausingboththeresulting
EXPLANATION—Matterenclosedinbold-facedbrackets[thus] intheabovebillisnotenactedandis
intendedtobeomittedfromthelaw.Matterinbold-facetypeintheabovebillisproposedlanguage. 18medicalconditionanddisability.The"prevailingfactor"isdefinedtobetheprimaryfactor,
19inrelationtoanyotherfactor,causingboththeresultingmedicalconditionanddisability.
20Ordinary,gradualdeterioration,orprogressivedegenerationofthebodycausedbyagingor
21bythenormalactivitiesofday-to-daylivingshallnotbecompensable.
22 4."Lossofhearingduetoindustrialnoise"isrecognizedasanoccupationaldisease
23forpurposesofthischapterandisherebydefinedtobealossofhearinginoneorbothears
24duetoprolongedexposuretoharmfulnoiseinemployment."Harmfulnoise"meanssound
25capableofproducingoccupationaldeafness.
26 5."Radiationdisability"isrecognizedasanoccupationaldiseaseforpurposesofthis
27chapterandisherebydefinedtobethatdisabilityduetoradioactivepropertiesorsubstances
28ortoRoentgenrays(X-rays)orexposuretoionizingradiationcausedbyanyprocess
29involvingtheuseofordirectcontactwithradiumorradioactivepropertiesorsubstancesor
30theuseofordirectexposuretoRoentgenrays(X-rays)orionizingradiation.
31 6.Diseaseofthelungsorrespiratorytract,hypotension,hypertension,ordiseaseof
32theheartorcardiovascularsystem,includingcarcinoma,mayberecognizedasoccupational
33diseasesforthepurposesofthischapterandaredefinedtobedisabilityduetoexposureto
34smoke,gases,carcinogens,inadequateoxygen,ofpaidfirefightersofapaidfiredepartment
35orpaidpoliceofficersofapaidpolicedepartmentcertifiedunderchapter590ifadirect
36causalrelationshipisestablished,orpsychologicalstressoffirefightersofapaidfire
37departmentorpaidpeaceofficersofapolicedepartmentwhoarecertifiedunderchapter590
38ifadirectcausalrelationshipisestablished.
39 7.Anyemployeewhoisexposedtoandcontractsanycontagiousorcommunicable
40diseasearisingoutofandinthecourseofhisorheremploymentshallbeeligibleforbenefits
41underthischapterasanoccupationaldisease.
42 8.Withregardtooccupationaldiseaseduetorepetitivemotion,iftheexposuretothe
43repetitivemotionwhichisfoundtobethecauseoftheinjuryisforaperiodoflessthanthree
44monthsandtheevidencedemonstratesthattheexposuretotherepetitivemotionwiththe
45immediateprioremployerwastheprevailingfactorincausingtheinjury,theprioremployer
46shallbeliableforsuchoccupationaldisease.
47 9.(1)(a)Posttraumaticstressdisorder(PTSD),asdescribedintheDiagnostic
48andStatisticalManualofMentalHealthDisorders,FifthEdition(DSM-5),publishedby
49theAmericanPsychiatricAssociation,isrecognizedasacompensableoccupational
50diseaseforpurposesofthischapterifdiagnosedinafirstresponder,asthattermis
51definedundersection67.145.
52 (b)Benefitspayabletoafirstresponderpursuanttothissectionshallnotrequire
53aphysicalinjurytothefirstresponderandarenotsubjecttoanypreexisting
54posttraumaticstressdisorder.
HB466 2 55 (2)Thetimefornoticeofinjuryordeathincasesofcompensableposttraumatic
56stressdisorderunderthissectionismeasuredfromexposuretooneofthequalifying
57stressorslistedintheDSM-5criteriaorthediagnosisofthedisorder,whicheverislater.
58Anyclaimforcompensationforsuchinjuryshallbeproperlynoticedtothedivision
59withinfifty-twoweeksaftertheexposuretooneofthequalifyingstressors,orthe
60diagnosisofthedisorder,whicheverislater.
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