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44 | 37 | | |
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45 | 38 | | AS INTRODUCED |
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46 | 39 | | |
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47 | 40 | | An Act relating to Workers ' Compensation; amending |
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48 | 41 | | Section 13, Chapter 208, O.S.L. 2013 (85A O.S. Supp. |
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49 | 42 | | 2020, Section 13), which relates to m ental injury or |
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50 | 43 | | illness; modifying situations in which mental injury |
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51 | 44 | | or illness is a compensable injury; amending 85 O.S. |
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52 | 45 | | 2011, Section 380, as amended by Section 45, Chapter |
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53 | 46 | | 254, O.S.L. 2013 (85 O.S. Supp. 2020, Section 380), |
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54 | 47 | | which relates to volunteer fi refighters group |
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55 | 48 | | insurance; modifying references; and providing an |
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56 | 49 | | effective date. |
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57 | 50 | | |
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58 | 51 | | |
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60 | 53 | | |
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61 | 54 | | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: |
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62 | 55 | | SECTION 1. AMENDATORY Section 13, Chapter 208, O .S.L. |
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63 | 56 | | 2013 (85A O.S. Supp. 2020 , Section 13), is amended to read as |
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64 | 57 | | follows: |
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65 | 58 | | Section 13. A. 1. A mental injury or illness is not a |
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66 | 59 | | compensable injury unless caused by a physical injury to the |
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67 | 60 | | employee, and shall not be considered an injury arising out of and |
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68 | 61 | | in the course and scope of employme nt or compensable unless |
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98 | 90 | | of a crime of violence or to a law enforcement officer, firefighter, |
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99 | 91 | | or emergency medical techni cian on a full-time basis by a |
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100 | 92 | | municipality, county, or the State of Oklahoma, or a volunteer |
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101 | 93 | | firefighter who suffers post traumatic stress disorder, as defined |
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102 | 94 | | herein, while responding to an emergency. For the purpose of this |
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103 | 95 | | section, such employee shal l be referred to as a first responder . |
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104 | 96 | | 2. No mental injury or illness under this section shall be |
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105 | 97 | | compensable unless it is also diagnosed by a licensed psychiatrist |
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106 | 98 | | or psychologist and unless the diagnosis of the condition meets the |
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107 | 99 | | criteria established i n the most current issue Fourth Edition of the |
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108 | 100 | | Diagnostic and Statistical Manual of Mental Disorders. |
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109 | 101 | | B. 1. Notwithstanding any other provision of this act, where |
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110 | 102 | | a claim is for mental injury or illness, the employee shall be |
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111 | 103 | | limited to twenty-six (26) weeks of disability benefits unless it is |
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112 | 104 | | shown by clear and convincing evidence that benefits should continue |
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113 | 105 | | for a set period of time, not to exceed a total of fifty -two (52) |
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114 | 106 | | weeks. If the treating physician is of the opinion that the first |
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115 | 107 | | responder is temporarily unable to perform his or her job or any |
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116 | 108 | | alternative work offered by the employer, he or she shall be |
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117 | 109 | | entitled to receive compensation which is the greater of the weekly |
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118 | 110 | | benefit provided for in a collective bargaining agreement or |
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119 | 111 | | according to the policy of the employer, or seventy percent (70%) of |
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148 | 139 | | average weekly wage. In no event shall disability benefits extend |
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149 | 140 | | beyond fifty-two (52) weeks. |
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150 | 141 | | 2. a. In cases where death results d irectly from the mental |
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151 | 142 | | injury or illness within a period of one (1) year, |
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152 | 143 | | compensation shall be paid the dependents as provided |
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153 | 144 | | in other death cases under this act. |
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154 | 145 | | b. Death directly or indirectly related to the mental |
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155 | 146 | | injury or illness occurring one (1) year or more from |
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156 | 147 | | the incident resulting in the mental injury or illness |
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157 | 148 | | shall not be a compensable injury. |
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158 | 149 | | C. 1. In the event the Workers’ Compensation Commission finds |
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159 | 150 | | that a first responder has suffered post traumatic stress disorder |
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160 | 151 | | not accompanied by a physical injury, as defined herein, the |
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161 | 152 | | employer shall provide reasonable and necessary medical treatment |
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162 | 153 | | for such injury, subject to the Oklahoma Workers' Compensation Fee |
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163 | 154 | | Schedule, for a period of no longer than one (1) year. The employer |
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164 | 155 | | shall not be responsible for medical treatment in the form of |
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165 | 156 | | prescription medicine in excess of Ten Thousand Dollars |
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166 | 157 | | ($10,000.00). |
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167 | 158 | | 2. During any period in which a first responder is temporarily |
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168 | 159 | | unable to perform his or her job, the employer shall pay to maintain |
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169 | 160 | | health insurance coverage for the first responder, if such health |
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170 | 161 | | insurance was in effect on the date of the injury. |
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197 | 187 | | |
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198 | 188 | | D. "Post traumatic stress disorder", for the purpose of this |
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199 | 189 | | section, means an injury or condition in which a first responder has |
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200 | 190 | | been exposed to a traumatic event and: |
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201 | 191 | | 1. Has experienced, witnessed, or was confronted with an event |
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202 | 192 | | that involved actual or threatened death or serious injury, or a |
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203 | 193 | | threat to the physical integrity of others, and the response |
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204 | 194 | | involved fear, helplessness, or hor ror; |
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205 | 195 | | 2. The traumatic event is persistently re -experienced in one |
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206 | 196 | | or more of the following ways; |
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207 | 197 | | a. recurrent and intrusive distressing recollections of |
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208 | 198 | | the event, |
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209 | 199 | | b. recurrent distressing dreams, |
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210 | 200 | | c. acting or feeling as if the traumatic event were |
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211 | 201 | | recurring, |
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212 | 202 | | d. intense psychological distress at exposure to cues |
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213 | 203 | | that symbolize an aspect of the traumatic event, or |
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214 | 204 | | e. physiological reactivity on exposure to cues that |
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215 | 205 | | symbolize an aspect of the traumatic event; and |
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216 | 206 | | 3. Persistent avoidance of stimuli associate d with the trauma |
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217 | 207 | | and numbing of general responsiveness such as effo rts to avoid |
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218 | 208 | | thoughts, feelings or conversations associated with the trauma, |
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219 | 209 | | markedly diminished interest or participation in significant |
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220 | 210 | | activities, or a feeling of detachm ent or estrangement from others; |
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249 | 238 | | 4. Persistent symptoms of increased arousal such as difficulty |
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250 | 239 | | falling or staying asleep, irritability or outbursts of anger, |
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251 | 240 | | difficulty concentrating, or hypervigilance; |
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252 | 241 | | 5. The duration of the disturbance is more than one (1) month; |
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253 | 242 | | and |
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254 | 243 | | 6. The disturbance causes clinically significant distress or |
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255 | 244 | | impairment in social, occupational and other important areas of |
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256 | 245 | | functioning. |
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257 | 246 | | E. "Volunteer firefighter ", for the purpose of this section, |
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258 | 247 | | means a person who is enrolled as a member of a v olunteer fire |
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259 | 248 | | department with two or less salaried firefighters and who serves in |
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260 | 249 | | such capacity without receiving a regular salary. |
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261 | 250 | | F. Emergency medical technician, for the purpose of this |
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262 | 251 | | section, means a person who holds a license as an emergency medica l |
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263 | 252 | | technician, an intermediate or advanced emergency medical |
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264 | 253 | | technician, or a paramedic, such license issued by the Oklahoma |
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265 | 254 | | State Department of Health to perform emergency medical services in |
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266 | 255 | | accordance with the Oklahoma Emergency Response Systems Developm ent |
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267 | 256 | | Act and the rules and standards promulgated by the State |
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268 | 257 | | Commissioner of Health. |
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269 | 258 | | SECTION 2. AMENDATORY 85 O.S. 2011, Section 380, as |
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270 | 259 | | amended by Section 45, Chapter 254, O.S.L. 2013 (85 O.S. Supp. 2020, |
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271 | 260 | | Section 380), is amended to read as follows: |
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299 | 287 | | Section 380. A. 1. Volunteer fire departments organized |
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300 | 288 | | pursuant to state law may obtain workers' compensation insurance for |
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301 | 289 | | volunteer firefighters through the Volunteer Firefighter Group |
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302 | 290 | | Insurance Pool pursuant to requirements esta blished by CompSource |
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303 | 291 | | Mutual Insurance Company the Office of Management and Enterprise |
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304 | 292 | | Services which shall administer the Pool. For the premium set by |
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305 | 293 | | CompSource Mutual Insurance Company the Office of Management and |
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306 | 294 | | Enterprise Services, the state shall provide Fifty-five Dollars |
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307 | 295 | | ($55.00) per firefighter per year. Except as otherwise provided by |
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308 | 296 | | subsection D of this section, the total amount paid by the state |
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309 | 297 | | shall not exceed Three Hundred Twenty Thousand Three Hundred Thirty - |
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310 | 298 | | eight Dollars ($320,338.00) p er year or so much thereof as may be |
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311 | 299 | | necessary to fund the Volunteer Firefighter Group Insurance Pool. |
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312 | 300 | | 2. CompSource Mutual Insurance Company The Office of Management |
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313 | 301 | | and Enterprise Services shall collect the premium from state |
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314 | 302 | | agencies, public trusts and other instrumentalities of the state. |
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315 | 303 | | Any funds received by CompSource Mutual Insurance Company the Office |
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316 | 304 | | of Management and Enterprise Services from any state agency, public |
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317 | 305 | | trust, or other instrumentality for purposes of workers' |
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318 | 306 | | compensation insurance pursuant to this section shall be deposited |
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319 | 307 | | to the credit of the Volunteer Firefighter Group Insurance Pool. |
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320 | 308 | | CompSource Mutual Insurance Company The Office of Management and |
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321 | 309 | | Enterprise Services shall collect premiums, pay claims, and provide |
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322 | 310 | | for excess insurance as needed. |
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349 | 336 | | |
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350 | 337 | | B. CompSource Mutual Insurance Company The Office of Management |
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351 | 338 | | and Enterprise Services shall report, annually, to the Governor, the |
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352 | 339 | | Speaker of the Oklahoma House of Representatives, and the President |
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353 | 340 | | Pro Tempore of the State Senate th e number of enrollees in the |
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354 | 341 | | Volunteer Firefighter Group Insurance Pool, and the amount of any |
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355 | 342 | | anticipated surplus or deficiency of the Pool; and shall also |
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356 | 343 | | provide to the Governor, the Speaker of the Oklahoma House of |
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357 | 344 | | Representatives and the President Pro Tempore of the State Senate |
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358 | 345 | | sixty (60) days advance notice of any proposed change in rates for |
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359 | 346 | | the Volunteer Firefighter Group Insurance Pool. |
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360 | 347 | | C. The amount of claims paid, claim expenses, underwriting |
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361 | 348 | | losses, loss ratio, or any other financial aspect of the Volunteer |
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362 | 349 | | Firefighter Group Insurance Pool shall not be considered when |
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363 | 350 | | determining or considering bids for the amount of any premiums, |
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364 | 351 | | rates, or expenses owed by, or any discounts, rebates, dividends, or |
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365 | 352 | | other financial benefits owed to any other pol icyholder of |
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366 | 353 | | CompSource Mutual Insurance Company the Office of Management and |
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367 | 354 | | Enterprise Services. |
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368 | 355 | | D. Except as otherwise provided by law, any increase in the |
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369 | 356 | | state payment rate for volunteer firefighters under the Volunteer |
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370 | 357 | | Firefighter Group Insurance Po ol shall not exceed five percent (5%) |
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371 | 358 | | per annum. Any proposed change in rates for the Volunteer |
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372 | 359 | | Firefighter Group Insurance Pool must be approved by the Board of |
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373 | 360 | | Directors of CompSource Mutual Insurance Company Office of |
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401 | 387 | | Management and Enterprise Services with notice provided pursuant to |
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402 | 388 | | subsection B of this section. CompSource Mutual Insurance Company |
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403 | 389 | | The Office of Management and Enterprise Services shall not increase |
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404 | 390 | | premiums for the Volunteer Firefighter Group Insurance Pool more |
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405 | 391 | | than once per annum. |
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406 | 392 | | E. For purposes of this section, the term "volunteer fire |
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407 | 393 | | departments" includes those volunteer fire departments which have |
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408 | 394 | | authorized voluntary or uncompensated workers rendering services as |
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409 | 395 | | firefighters and are created by statute pursuant to Section 592 of |
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410 | 396 | | Title 18 of the Oklahoma Statutes, Sections 29 -201 through 29-204 of |
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411 | 397 | | Title 11 of the Oklahoma Statutes, and those defined by Section 351 |
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412 | 398 | | of Title 19 of the Oklahoma Statutes. |
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413 | 399 | | SECTION 3. This act shall become effective November 1, 2021 . |
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414 | 400 | | |
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