Req. No. 2624 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 STATE OF OKLAHOMA 2nd Session of the 59th Legislature (2024) SENATE BILL 1457 By: Treat AS INTRODUCED An Act relating to workers’ compensation; amending 85A O.S. 2021, Section 13, which relates to mental- health related injuries; exempting first responders from physical injury requirement for certain claim; providing for computation of benefits for certain persons; providing for temporary pension benefits; imposing limits on total period of d isability benefits; providing for award of perm anent 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 responsib ility for certain medical benefits; requiring employer to maintain health insurance coverage under certain circumstance ; providing that payment of certain claims be made through certain pool; defining terms; updating statutory reference; and providing an effective date . BE IT ENACTED BY THE PEOPLE OF THE STATE OF OKLAHOMA: SECTION 1. AMENDATORY 85A O.S. 2021, Se ction 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 arising out of and in the course and scope of employment or compensable unless Req. No. 2624 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 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 li mitation shall not apply to any victim of a crime of violence, a law enforcement officer , paid or volunteer firefighter, or emergency medical technician employed on a full -time basis by a municipality, county, or this state, or a voluntary firefighter who suffers post-traumatic stress disorder, as defined in subsection E of this section, while responding to an emergency. For the purposes of this section, such employee shall be referred to as a first responder . 2. No mental injury or illnes s under this section shall be compensable unless it is also diagnosed by a licensed psychiatrist or psychologist and unless the diagnosis of the c ondition meets the criteria established in the most current issue of the Diagnostic and Statistical Manual of Mental Disorders. B. 1. Notwithstanding any other provision of this act the Administrative Workers’ Compensation Act, where a claim is for mental injury or illness, the employee shall be limited to twenty - six (26) weeks of disability benefits unless it is shown by clea r and convincing evidence that benefits should conti nue for a set period of time, not 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 perform his or her job or an y alternative work offered by the employer, he or she sh all be entitled to receive compensation which is th e greater of the weekly benefit provided for Req. No. 2624 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 in a collective bargaining agreement or according to the policy of 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 awar d 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 first responder who receives benefits provided herein for a mental injury or illness not accompanied by a physical injury who, after reaching maximum medical improvement, is una ble to perform the esse ntial functions of his or her employment position and who is not eligib le to receive a disability retirement through his or her pension or retirement system shall be eligible to be awarded permanent disability benefits not to exceed Fifty Thousand Dollars ($50,000.00) as provided for in this act. 3. a. In cases where death results dire ctly from the mental injury or illness within a period of one (1) year, compensation shall be paid to the dependents as provided in other death cases un der this act the Administrative Workers ’ Compensation Act. b. Death directly or indirectly related to the mental injury or illness occurring one (1) ye ar or more from Req. No. 2624 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 the incident resulting in the mental injury or illness shall not be a compensable injury. C. 1. In the event th at the Oklahoma Workers’ Compensation Commission finds that a first r esponder has suffered post -traumatic stress disorder not accompanied by a physical injury, the employer shall provide reasonable and necessary medical treatment for such injury, subject to the Oklahoma Wor kers’ Compensation Commission’s Fee Schedule, for a period not longer than one (1) year. The employer shall not be responsible for med ical treatment in the form of prescription medicine in excess of Te n 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 covera ge for the first responder, if such health insurance was in effect on the date of the injury. D. For the purposes of this section, claim payments for volunteer firefighters shall be paid pursuant to the Volunteer Firefighter Group Insurance Pool . E. For the purposes of this section : 1. “Post-traumatic stress disorder ” means an injury or condition in which a first responder has been exposed to a tra umatic event and: a. has experienced, witnessed , or was confronted with an event that involved actual or t hreatened death or Req. No. 2624 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 serious injury, or a threat to the phys ical integrity of others, and the response involved fear, helplessness, or horror , b. the traumatic event is persistently re -experienced in one or more of the following ways: (1) recurrent and intrusive distressing recollections of the event, (2) recurrent distressing d reams, (3) acting or feeling as if the traumatic event were recurring, (4) intense psychological distress at exposure to cues that symbolize an aspect of the traumatic event, or (5) physiological reactivity on exposure to cues that symbolize an aspect of the tra umatic event, c. persistent avoidance of stimuli associ ated with the trauma and numbing of general respon siveness such as efforts to avoid thoughts, feelings, or conversat ions associated with the trauma , markedly diminished interest or participation in significa nt activities, or a feeling of detachment or estrangement from others, d. persistent symptoms of increased arousal such as difficulty falling or staying asleep, irritability or Req. No. 2624 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 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 outbursts of anger, difficult y concentrating, or hypervigilance, e. the duration of the disturbance is more than one (1) month, and f. the disturbance causes clinically significant distress or impairment in social, occupational, or other important areas of functioning; 2. “Volunteer firefighter ” means a person who is enrolled as a member of a volunteer fire department with two or less sala ried firefighters and who serves in such capacity without receiving a regular salary; and 3. “Emergency medical tec hnician” means a person who holds a license as an emergency medical tec hnician, an intermediate or advanced emergency medical technician, or a paramedi c, issued by the State Department of Health to perform emergency medical services in accordance with the Oklahoma Emergency R esponse Systems Development Act and the rules and standards promulgated by the State Commissioner of Health. SECTION 2. This act shall become effective January 1, 2025. 59-2-2624 RD 12/15/2023 5:44:02 PM