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4 | 4 | | Req. No. 1100 Page 1 1 |
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52 | 52 | | |
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53 | 53 | | STATE OF OKLAHOMA |
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54 | 54 | | |
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55 | 55 | | 1st Session of the 58th Legislature (2021) |
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56 | 56 | | |
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57 | 57 | | SENATE BILL 655 By: Thompson |
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58 | 58 | | |
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59 | 59 | | |
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60 | 60 | | |
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61 | 61 | | |
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62 | 62 | | |
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63 | 63 | | AS INTRODUCED |
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64 | 64 | | |
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65 | 65 | | An Act relating to workers’ compensation; amending 85 |
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66 | 66 | | O.S. 2011, Section 380, as ame nded by Section 45, |
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67 | 67 | | Chapter 254, O.S.L. 2013 (85 O. S. Supp. 2020, Section |
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68 | 68 | | 380), which relates to Volunteer Firefighters Group |
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69 | 69 | | Insurance Pool; modifying entity to administ er |
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70 | 70 | | certain insurance pool; conforming languag e; amending |
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71 | 71 | | Section 13, Chapter 208, O.S.L. 2013 (85A O.S. Supp. |
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72 | 72 | | 2020, Section 13), which re lates to mental injury or |
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73 | 73 | | illness; adding exception to physical injury |
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74 | 74 | | limitation on compensable injury; requiring employer |
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75 | 75 | | to provide medical treatment under certa in |
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76 | 76 | | circumstances; placing a limitation on employer |
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77 | 77 | | responsibility for certain medication; re quiring |
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78 | 78 | | certain compensation; requiring ma intenance of health |
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79 | 79 | | insurance coverage under certain circumstances; |
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80 | 80 | | defining terms; updating statutory references; and |
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81 | 81 | | providing an effective date. |
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82 | 82 | | |
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83 | 83 | | |
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84 | 84 | | |
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85 | 85 | | |
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86 | 86 | | |
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87 | 87 | | BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: |
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88 | 88 | | SECTION 1. AMENDATORY 85 O.S. 2011, Section 380, as |
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89 | 89 | | amended by Section 45, Chapter 254, O.S.L. 2013 (85 O.S. Supp. 2020, |
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90 | 90 | | Section 380), is ame nded to read as follows: |
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91 | 91 | | Section 380. A. 1. Volunteer fire departments organized |
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92 | 92 | | pursuant to state law may obtain workers ’ compensation insurance for |
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93 | 93 | | volunteer firefighters through the Volunteer Firefighter Grou p |
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94 | 94 | | |
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144 | 144 | | |
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145 | 145 | | Insurance Pool pursuant to requirements establish ed by CompSource |
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146 | 146 | | Mutual Insurance Company the Office of Management and Enterpri se |
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147 | 147 | | Services (OMES) which shall administer the Pool. For the premium |
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148 | 148 | | set by CompSource Mutual Insurance Company OMES, the state shall |
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149 | 149 | | provide Fifty-five Dollars ($55.00) per f irefighter per year. |
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150 | 150 | | Except as otherwise provided by subsection D of this sectio n, the |
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151 | 151 | | total amount paid by the state shall not exceed Three Hundred Twenty |
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152 | 152 | | Thousand Three Hundred Thirty-eight Dollars ($320,338.00) per year |
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153 | 153 | | or so much thereof as may be nec essary to fund the Volunteer |
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154 | 154 | | Firefighter Group Insurance Pool. |
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155 | 155 | | 2. CompSource Mutual Insurance Company OMES shall collect the |
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156 | 156 | | premium from state agencies, public trust s and other |
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157 | 157 | | instrumentalities of the state. Any funds received by CompSource |
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158 | 158 | | Mutual Insurance Company OMES from any state agency, public trust, |
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159 | 159 | | or other instrumentality for purposes of workers ’ compensation |
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160 | 160 | | insurance pursuant to this section shall be depo sited to the credit |
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161 | 161 | | of the Volunteer Firefighter Group Insurance Pool. CompSource |
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162 | 162 | | Mutual Insurance Company OMES shall collect premiums, pay claims, |
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163 | 163 | | and provide for exces s insurance as needed. |
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164 | 164 | | B. CompSource Mutual Insurance Company OMES shall report, |
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165 | 165 | | annually, to the Governor, the Speaker of the Oklahoma House of |
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166 | 166 | | Representatives, and the Pres ident Pro Tempore of the Sta te Senate |
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167 | 167 | | the number of enrollees in the Volunteer Fi refighter Group Insurance |
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168 | 168 | | Pool, and the amount of any anticipated surplus or deficienc y of the |
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169 | 169 | | |
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170 | 170 | | |
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219 | 219 | | |
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220 | 220 | | Pool; and shall also provide to the Governor, the Speaker of the |
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221 | 221 | | Oklahoma House of Representatives and the P resident Pro Tempore of |
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222 | 222 | | the State Senate sixty (60) d ays advance notice of any proposed |
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223 | 223 | | change in rates for the Volunteer Firefighter Group Insurance Pool. |
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224 | 224 | | C. The amount of claims paid, claim expenses, underwriting |
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225 | 225 | | losses, loss ratio, or any other financi al aspect of the Volunteer |
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226 | 226 | | Firefighter Group Insuranc e Pool shall not be considered when |
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227 | 227 | | determining or considering bids for the amount of any premiums, |
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228 | 228 | | rates, or expenses owed by, or any discounts, rebates, dividends , or |
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229 | 229 | | other financial benefits owed to a ny other policyholder of |
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230 | 230 | | CompSource Mutual Insurance Company OMES. |
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231 | 231 | | D. Except as otherwise provided by law, any increase in the |
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232 | 232 | | state payment rate for volunteer firefighters under the Volunteer |
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233 | 233 | | Firefighter Group Insurance Pool s hall not exceed five percent (5%) |
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234 | 234 | | per annum. Any proposed change in rates for th e Volunteer |
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235 | 235 | | Firefighter Group Insurance Pool must be approved by the Board of |
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236 | 236 | | Directors of CompSource Mutual Insurance Company OMES with notice |
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237 | 237 | | provided pursuant to subsection B of this section. CompSource |
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238 | 238 | | Mutual Insurance Company OMES shall not increase premiums for the |
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239 | 239 | | Volunteer Firefighter Group Insurance Pool more than once per annum. |
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240 | 240 | | E. For purposes of this section, the term “volunteer fire |
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241 | 241 | | departments” includes those volunteer fire departments whi ch have |
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242 | 242 | | authorized voluntary or uncompensated workers rendering services as |
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243 | 243 | | firefighters and are created by statute pursuant to Section 592 of |
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244 | 244 | | |
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245 | 245 | | |
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294 | 294 | | |
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295 | 295 | | Title 18 of the Oklahoma Statutes, Sections 29 -201 through 29-204 of |
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296 | 296 | | Title 11 of the Oklahoma Statutes, and those defined by Section 351 |
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297 | 297 | | of Title 19 of the Oklahoma S tatutes. |
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298 | 298 | | SECTION 2. AMENDATORY Section 13, Chapter 208, O.S.L. |
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299 | 299 | | 2013 (85A O.S. Supp. 2020, Section 13), is amended to read as |
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300 | 300 | | follows: |
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301 | 301 | | Section 13. A. 1. A mental injury or illness is not a |
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302 | 302 | | compensable injury unless caused by a phy sical injury to the |
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303 | 303 | | employee, and shall not be considered an injury arising out of and |
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304 | 304 | | in the course and scope of employment or compensable unless |
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305 | 305 | | demonstrated by a preponderance of the evidence; provided, however, |
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306 | 306 | | that this physical injury limitation shal l not apply to any victim |
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307 | 307 | | of a crime of violence or to a first responder who suffers post- |
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308 | 308 | | traumatic stress disorder after responding to a n emergency. |
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309 | 309 | | 2. No mental injury or illness under this section sh all be |
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310 | 310 | | compensable unless it is also diagnosed by a l icensed psychiatrist |
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311 | 311 | | or psychologist and unless the diagnosis of the condit ion meets the |
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312 | 312 | | criteria established in the most current issue Fourth Edition of the |
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313 | 313 | | Diagnostic and Statistical Manual of Mental D isorders. |
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314 | 314 | | B. 1. Notwithstanding any other provision of this act the |
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315 | 315 | | Administrative Workers ’ Compensation Act, where a claim is for |
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316 | 316 | | mental injury or illness, the employee shall be limited to twenty - |
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317 | 317 | | six (26) weeks of disability benefits unless it is shown by clear |
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318 | 318 | | |
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319 | 319 | | |
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368 | 368 | | |
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369 | 369 | | and convincing evidence that benefits should continue for a set |
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370 | 370 | | period of time, not to exceed a total of fifty -two (52) weeks. |
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371 | 371 | | 2. a. In cases where death results directly from the mental |
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372 | 372 | | injury or illness within a period of one (1) year, |
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373 | 373 | | compensation shall be paid the depe ndents as provided |
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374 | 374 | | in other death cases under this act the Administrative |
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375 | 375 | | Workers’ Compensation Act. |
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376 | 376 | | b. Death directly or indirectly related to the mental |
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377 | 377 | | injury or illness occurring one (1) year or more from |
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378 | 378 | | the incident resultin g in the mental injury or illness |
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379 | 379 | | shall not be a compensable injury. |
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380 | 380 | | C. 1. In the event the Workers’ Compensation Commission |
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381 | 381 | | determines that a first responder has suffered post -traumatic stress |
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382 | 382 | | disorder not accompanied by a physical injury, the employer shall |
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383 | 383 | | provide reasonable and necessary medical treatment for such injury |
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384 | 384 | | subject to the Fee Schedule for workers ’ compensation for a period |
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385 | 385 | | not to exceed one (1) year. The employer shall not be responsible |
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386 | 386 | | for medical treatment in the form o f prescription medication in |
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387 | 387 | | excess of Ten Thousand Do llars ($10,000.00). |
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388 | 388 | | 2. If the treating physician determines that the firs t |
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389 | 389 | | responder is temporarily una ble to perform his or her job or any |
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390 | 390 | | alternative work offered by the employer, he or she shall be |
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391 | 391 | | entitled to receive compensation which is the greater of: |
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392 | 392 | | |
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393 | 393 | | |
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443 | 443 | | a. the weekly benefit provided for in a collective |
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444 | 444 | | bargaining agreement or according to the pol icy of the |
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445 | 445 | | employer, or |
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446 | 446 | | b. seventy percent (70%) of the injured employee ’s |
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447 | 447 | | average weekly wage not to exceed the stat e average |
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448 | 448 | | weekly wage. |
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449 | 449 | | In no event shall disability b enefits extend beyond fifty -two |
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450 | 450 | | (52) weeks. |
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451 | 451 | | 3. During any period in which a first responder is temporarily |
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452 | 452 | | unable to perform his or her job, the employer shall pay to maintain |
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453 | 453 | | health insurance coverage for the first responder if the insurance |
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454 | 454 | | was in effect on the date of the injury. |
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455 | 455 | | D. 1. For the purposes of this section: |
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456 | 456 | | a. “First responder” means a firefighter, law enforcement |
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457 | 457 | | officer or licensed emergency medical personnel |
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458 | 458 | | employed on a full-time basis by this state or a |
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459 | 459 | | political subdivision of this state, or a volunteer |
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460 | 460 | | firefighter, |
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461 | 461 | | b. “Law enforcement officer” means any officer, agent or |
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462 | 462 | | employee of this state or a political subdivision of |
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463 | 463 | | this state authorized by law or by a government agency |
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464 | 464 | | to engage in or supervise the prevention, detection or |
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465 | 465 | | investigation of any violation of criminal law , |
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466 | 466 | | |
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467 | 467 | | |
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516 | 516 | | |
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517 | 517 | | c. “Licensed emergency medical personnel” means an |
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518 | 518 | | emergency medical technician (EMT), an intermediate |
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519 | 519 | | emergency medical technician (IEMT), an advanced |
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520 | 520 | | emergency medical technician (AEMT) or a paramedic |
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521 | 521 | | licensed by the State Department of Health to perform |
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522 | 522 | | emergency medical ser vices in accordance with the |
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523 | 523 | | Oklahoma Emergency Response Systems Development Act |
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524 | 524 | | and the rules and standards promulgated by the State |
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525 | 525 | | Commissioner of Health , |
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526 | 526 | | d. “Post-Traumatic Stress Disorder” means an injury or |
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527 | 527 | | condition in which a first responder has been exposed |
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528 | 528 | | to a traumatic event and: |
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529 | 529 | | (1) has experienced, witnessed or was confronted with |
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530 | 530 | | an event that involved actual or threatene d death |
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531 | 531 | | or serious injury, or a threat to the physical |
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532 | 532 | | integrity of others, and the response involved |
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533 | 533 | | fear, helplessness or horror, |
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534 | 534 | | (2) the traumatic event is persistently reexperienced |
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535 | 535 | | in one or more of the following : |
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536 | 536 | | (a) recurrent and intrusive distress ing |
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537 | 537 | | recollections of the event , |
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538 | 538 | | (b) recurrent distressing dreams, |
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539 | 539 | | (c) acting or feeling as if the traumatic event |
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540 | 540 | | were recurring, |
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592 | 592 | | (d) intense psychological distress at exposure |
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593 | 593 | | to cues that symbolize an aspect of the |
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594 | 594 | | traumatic event, or |
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595 | 595 | | (e) physiological reactivity on exposure to cues |
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596 | 596 | | that symbolize an aspect of the traumatic |
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597 | 597 | | event, |
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598 | 598 | | (3) experiences persistent avoidance of sti muli |
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599 | 599 | | associated with the trauma and numbing of general |
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600 | 600 | | responsiveness such as efforts to avoid thoughts, |
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601 | 601 | | feelings or conversations asso ciated with the |
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602 | 602 | | trauma, markedly diminished interest o r |
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603 | 603 | | participation in significant activities or a |
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604 | 604 | | feeling of detachment or estrangement from |
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605 | 605 | | others, |
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606 | 606 | | (4) experiences persistent symptoms of increased |
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607 | 607 | | arousal such as difficulty falling or staying |
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608 | 608 | | asleep, irritability or outbursts of anger, |
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609 | 609 | | difficulty concentrating or hypervigilance, |
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610 | 610 | | (5) the duration of the disturbance is more than one |
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611 | 611 | | month, and |
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612 | 612 | | (6) the disturbance causes clinically significant |
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613 | 613 | | distress or impairment in social, occupational |
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614 | 614 | | and other important areas of functioning , and |
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665 | 665 | | |
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666 | 666 | | e. “Volunteer firefighte r” means a person who is enrolled |
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667 | 667 | | as a member of a fire depar tment with two or less |
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668 | 668 | | salaried firefighters and who serves withou t receiving |
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669 | 669 | | a regular salary. |
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670 | 670 | | SECTION 3. This act shall become effective November 1, 20 21. |
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671 | 671 | | |
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672 | 672 | | 58-1-1100 TEK 1/21/2021 10:13:51 AM |
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