ENGR. S. A. TO ENGR. H. B. NO. 2398 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 ENGROSSED SENATE AMENDMENTS TO ENGROSSED HOUSE BILL NO. 2398 By: Hays of the House and Rosino 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 fo r claims or increased premiums incurred by cities or towns; prescribing procedures; providing for termino logy in official publications; and providing an effective date. AUTHOR: Add the following House Coauthor: West (Josh) AMENDMENT NO. 1. Page 1, strike the title AMENDMENT NO. 2. Page 3, line 13, insert after the word “benefits” and before the word “as”, the words “not to exceed Fifty Thousand Dollars ( $50,000.00)” AMENDMENT NO. 3. Page 6, line 16, delete Section 2 and insert a new Section 2 to read “SECTION 2. This act shall beco me effective January 1, 2024.” ENGR. S. A. TO ENGR. H. B. NO. 2398 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Passed the Senate the 27th day of April, 2023. Presiding Officer of the Senate Passed the House of Representatives the ____ day of __________, 2023. Presiding Officer of the House of Representatives ENGR. H. B. NO. 2398 Page 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 ENGROSSED HOUSE BILL NO. 2398 By: Hays of the House and Rosino 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 p ersons; 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 fo r claims or increased premiums incurred by cities or towns; prescribing procedures; providing for termi nology in official publications; 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 considered an injury arisin g out of and in the course and scope of employment or com pensable unless ENGR. H. B. NO. 2398 Page 2 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 o fficer, 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 responding 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 Diagnostic and Statistical Manual of Mental Disorders. B. 1. Notwithstanding any other pr ovision of this act, where a claim is for mental injury or illness, 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 opin ion 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 be nefit provided for in a collective bargai ning agreement or according to the policy of the employer, or seventy percent (70%) of the injured employee's ENGR. H. B. NO. 2398 Page 3 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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 f ifty-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 functions 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 paid the dependents as provided in other death cases under this act. b. Death directly or indirectly related to the mental injury or illness occurring one (1) year or more from the incident resulting in the mental injury or illne ss shall not be a compensable injury. C. 1. In the event the Workers' Compensation Commission finds that a first responder has suffered post -traumatic stress disorder ENGR. H. B. NO. 2398 Page 4 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 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) ye ar. The employer shall not be responsibl e 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 empl oyer 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 f irst responder has been exposed to a trau matic 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, helplessness, 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, b. recurrent distressing dreams, ENGR. H. B. NO. 2398 Page 5 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 c. acting or feeling as if the traumatic event 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 stimuli 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 o f detachment 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 mor e than one (1) month; and 6. The disturbance causes clinically significant distress or impairment in social, occupational and other important areas of functioning. E. "Volunteer firefighter ", for the purpose of this section, means a person who is enrolle d 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. ENGR. H. B. NO. 2398 Page 6 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 F. "Emergency medical technician ", for the purpose of this section, means a person who holds a license as an emergency medical technician, an intermediate or advanced emergency medical technician, or a paramedic, such license 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 and shall be listed on official publications as "First Responder PTSD". SECTION 2. This act shall become effective November 1, 2023. ENGR. H. B. NO. 2398 Page 7 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 Passed the House of Representatives the 21st day of March, 2023. Presiding Officer of the House of Representatives Passed the Senate the ___ day of __________, 2023. Presiding Officer of the Senate