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ENGROSSED HOUSE
BILL NO. 3899 By: Kannady of the House
and
Howard and Thompson of the
Senate
An Act relating to workers' compensation; amending
85A O.S. 2021, Section 13, which relates to certain
injuries related to mental health; providing for
computation of benefits for certain persons;
providing for temporary pension benefits; imposing
limit on total period for disability benefits;
providing for award of permanent total disability
based upon maximum medical improvement; providing for
payment of benefits based on certain injury; imposing
time limit on benefits; imposing limit on employer
responsibility for prescri ption medicine; defining
terms; providing for transfer of payment for claims
or increased premiums incurred by cities or towns;
prescribing procedures; providing for termino logy in
official publications; amending 85 O.S. 2021, Section
380, which relates to volunteer firefighters;
modifying references to CompSource Mutual Insurance
Company; providing references to the Office of
Management and Enterprise Services; and providing an
effective date.
BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA:
SECTION 1. AMENDATORY 85A O.S. 2021, Section 13, is
amended to read as follows:
Section 13. A. 1. A mental injury or illness is not a
compensable injury unless caused by a physical injury to the
employee, and shall not be co nsidered an injury arising out of and
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in the course and scope of employment or com pensable unless
demonstrated by a preponderance of the evidence; provided, however,
that this physical injury limitation shall not apply to any victim
of a crime of violence or to a law enforcement officer, firefighter,
or emergency medical technician on a full-time basis by a
municipality, county, or the State of Oklahoma, or a volunteer
firefighter who suffers post -traumatic stress disorder, as defined
herein, while respondi ng to an emergency. For the purpose of this
section, such employee shall be refer red to as a first responder .
2. No mental injury or illness under this section shall be
compensable unless it is also diagnosed by a licensed psychiatrist
or psychologist and unless the diagnosis of the condition meets the
criteria established in the most current issue of the Diagnos tic and
Statistical Manual of Mental Disorders.
B. 1. Notwithstanding any other pr ovision of this act, where a
claim is for mental injury or il lness, the employee shall be limited
to twenty-six (26) weeks of disability benefi ts unless it is shown
by clear and convincing evidence that benefits should continue for a
set period of time, no t to exceed a total of fifty -two (52) weeks.
If the treating physician is of the opinion that the first responder
is temporarily unable to per form his or her job or any alternative
work offered by the employer, he or she shall be entitled to receive
compensation which is the greater of the weekly benefit provided fo r
in a collective bargaining agreement or according to the policy of
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the employer, or seventy percent (70%) of the injured employee's
average weekly wage not to exceed the state average weekly wage. If
the employee has a temporary pension benefit available at no
additional cost to the employee and the benefit is equal to or
greater than the temporary award in this system the employer may
elect to exercise the temporary pension benefit. In no event shall
disability benefits extend beyond fifty -two (52) weeks.
2. Notwithstanding any other provision of this section, a
person who receives benefits provided herein for a mental injury or
illness not caused by a physical injury who, after reaching maximum
medical improvement, is unable to perform the essential func tions of
their employment position and who is not eligible to receive a
disability retirement through their pension or retirement system
shall be eligible to be awarded permanent disability benefits as
provided for in this act .
3. a. In cases where death results directly from the mental
injury or illness within a period of one (1) y ear,
compensation shall be pa id the dependents as provided
in other death cases under this act.
b. Death directly or indirectly related to the mental
injury or illness occur ring one (1) year or more from
the incident resulting in the mental injury or illne ss
shall not be a compensable injury.
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C. 1. In the event the Workers' Compensation Commission finds
that a first responder has suffered post -traumatic stress disorder
not accompanied by a physical injury, as defined herein, the
employer shall provide rea sonable and necessary medical treatment
for such injury, subject to the Oklahoma Workers ' Compensation Fee
Schedule, for a period of no longer than one (1) year. The employer
shall not be responsible for medical treatment in the form of
prescription medicine in excess of Ten Thousand Dollars
($10,000.00).
2. During any period in which a first responder is temporarily
unable to perform his or her job, the employer shall pay to maintain
health insurance coverage for the first responder, if such health
insurance was in effect on the date of the injury.
D. "Post-traumatic stress disorder", for the purpose of this
section, means an injury or condition in which a first responder has
been exposed to a traumatic event and:
1. Has experienced, witnessed, or was c onfronted with an event
that involved actual or threatened death or serious injury, or a
threat to the physical integrity of others, and the response
involved fear, helples sness, or horror;
2. The traumatic event is persistently re -experienced in one or
more of the following ways:
a. recurrent and intrusive distressing recollections of
the event,
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b. recurrent distressing dreams,
c. acting or feeling as if the traumatic even t were
recurring,
d. intense psychological distress at exposure to cues
that symbolize an aspect of the traumatic event, or
e. physiological reactivity on exposure to cues that
symbolize an aspect of the traumatic event;
3. Persistent avoidance of stim uli associated with the trauma
and numbing of general responsiveness such as efforts to avoid
thoughts, feelings or conversations associated with the trauma,
markedly diminished interest or participation in significant
activities, or a feeling of detachmen t or estrangement from others;
4. Persistent symptoms of increased arousal suc h as difficulty
falling or staying asleep, irritability or outbursts of anger,
difficulty concentrating, or hypervigilance;
5. The duration of the disturbance is more than one (1) month;
and
6. The disturbance causes clinically significant distress or
impairment in social, occupatio nal and other important areas of
functioning.
E. "Volunteer firefighter ", for the purpose of this section,
means a person who is enrolled as a member of a volunteer fire
department with two or less salaried firefighters and wh o serves in
such capacity without receiving a regular salary.
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F. "Emergency medical technician ", for the purpose of this
section, means a person who holds a license as an eme rgency medical
technician, an inter mediate or advanced emergency medical
technician, or a paramedic, such licens e issued by the State
Department of Health to perform emergency medical services in
accordance with the Oklahoma Emergency Response Sys tems Development
Act and the rules and standards promulgated by the State
Commissioner of Health.
G. Any city or town in this state that incurs a claim relating
to post-traumatic stress disorder may , at the city or town's option,
transfer the payment of all or any portion of the claim or increased
workers' compensation premiums to the judgment rolls of the
geographic area or areas serviced by the department of the injured
worker, including any unincorporated areas serviced by the
department, and shall be listed on official publications as "First
Responder PTSD".
SECTION 2. AMENDATORY 85 O.S. 2021, Section 380, is
amended to read as follows:
Section 380. A. 1. Volunteer fire departments organized
pursuant to state law may obtain workers ' compensation insurance for
volunteer firefighters through the Volunteer Fir efighter Group
Insurance Pool pursuant to requirements established by CompSource
Mutual Insurance Company the Office of Management an d Enterprise
Services which shall administer the Pool. For the premium set by
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CompSource Mutual Insurance Company the Office of Management and
Enterprise Services, the state shall provide Fifty-five Dollars
($55.00) per firefighter p er year. Except as otherwise provided by
subsection D of this section, the total amount paid by the state
shall not exceed Three Hundred Twenty Thousand Three Hundred Thirty -
eight Dollars ($320,338.00) per year or so much thereof as may be
necessary to fund the Volunteer Firefighter Group Insurance Pool.
2. CompSource Mutual Insurance Company The Office of Management
and Enterprise Services shall collect the premium from st ate
agencies, public trusts and other instrumentalities of the state.
Any funds received by CompSource Mutual Insurance Company the Office
of Management and Enterprise Services from any state agency, public
trust, or other instrumentality for purposes of workers'
compensation insurance pursuant to this section shall be deposited
to the credit of the Volunteer Firefighter Group Insurance Pool.
CompSource Mutual Insurance Company The Office of Management an d
Enterprise Services shall collect premiums, pay cl aims, and provide
for excess insurance as needed.
B. CompSource Mutual Insurance Company The Office of Management
and Enterprise Services shall report, annually, to the Governor, the
Speaker of the Oklahoma House of Representa tives, and the President
Pro Tempore of the State Senate the number of enrollees in the
Volunteer Firefighter Group Insurance Pool, and the amount of any
anticipated surplus or deficiency of the Pool; and shall also
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provide to the Governor, the Speaker of the Oklahoma House of
Representatives and the President Pro Tempore of the State Senate
sixty (60) days advance notice of any proposed change in rates for
the Volunteer Firefighter Group Insurance Pool.
C. The amount of claims paid, claim expenses, underw riting
losses, loss ratio, or any other financial aspect of the Volunteer
Firefighter Group Insurance Pool shall not be considered when
determining or considering bids for the amount of any premiums,
rates, or expenses owed by, or any discounts, rebates, d ividends, or
other financial benefits owed to any other policyholder of
CompSource Mutual Insurance Company the Office of Management an d
Enterprise Services.
D. Except as otherwise provided by law, any increase in the
state payment rate for volunteer fire fighters under the Volunteer
Firefighter Group Insurance Pool shall not exceed five percent (5%)
per annum. Any proposed change in rates for the Volunteer
Firefighter Group Insurance Pool must be approved by the Board of
Directors of CompSource Mutual Ins urance Company Office of
Management and Enterprise Services with notice provided pursuant to
subsection B of this section . CompSource Mutual Ins urance Company
The Office of Management an d Enterprise Services shall not increase
premiums for the Volunte er Firefighter Group Insuranc e Pool more
than once per annum.
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E. For purposes of this section, the term "volunteer fire
departments" includes those volunteer fire departments which have
authorized voluntary or uncompensated workers rendering services as
firefighters and are created b y statute pursuant to Section 592 of
Title 18 of the Oklahoma Statutes, Sections 29 -201 through 29-204 of
Title 11 of the Oklahoma Statutes, and those defined by Section 351
of Title 19 of the Oklahoma Statutes.
SECTION 3. This act shall become effective November 1, 2022.
Passed the House of Representatives the 22nd day of March, 2022.
Presiding Officer of the House
of Representatives
Passed the Senate the ___ day of __________, 2022.
Presiding Officer of the Senate