1 | 1 | | 89R10913 KKR-D |
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2 | 2 | | By: Cole H.B. No. 2414 |
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3 | 3 | | |
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4 | 4 | | |
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5 | 5 | | |
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6 | 6 | | |
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7 | 7 | | A BILL TO BE ENTITLED |
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8 | 8 | | AN ACT |
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9 | 9 | | relating to the eligibility of certain first responders for |
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10 | 10 | | workers' compensation benefits for post-traumatic stress disorder |
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11 | 11 | | under the workers' compensation system. |
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12 | 12 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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13 | 13 | | SECTION 1. Section 408.006(b), Labor Code, is amended to |
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14 | 14 | | read as follows: |
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15 | 15 | | (b) Notwithstanding Section 408.0061 [504.019], a mental or |
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16 | 16 | | emotional injury that arises principally from a legitimate |
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17 | 17 | | personnel action, including a transfer, promotion, demotion, or |
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18 | 18 | | termination, is not a compensable injury under this subtitle. |
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19 | 19 | | SECTION 2. Section 504.019, Labor Code, is transferred to |
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20 | 20 | | Subchapter A, Chapter 408, Labor Code, redesignated as Section |
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21 | 21 | | 408.0061, Labor Code, and amended to read as follows: |
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22 | 22 | | Sec. 408.0061 [504.019]. COVERAGE FOR POST-TRAUMATIC |
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23 | 23 | | STRESS DISORDER FOR CERTAIN FIRST RESPONDERS. (a) In this section: |
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24 | 24 | | (1) "First responder" means an individual employed by |
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25 | 25 | | this state, a political subdivision of this state, or an |
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26 | 26 | | institution of higher education as defined by Section 61.003, |
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27 | 27 | | Education Code, who is: |
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28 | 28 | | (A) a peace officer under Article 2A.001, Code of |
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29 | 29 | | Criminal Procedure; |
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30 | 30 | | (B) an individual [a person] licensed under |
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31 | 31 | | Chapter 773, Health and Safety Code, as an emergency care |
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32 | 32 | | attendant, emergency medical technician, advanced emergency |
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33 | 33 | | medical technician [technician-intermediate], emergency medical |
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34 | 34 | | technician-paramedic, or licensed paramedic; or |
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35 | 35 | | (C) a firefighter subject to certification by the |
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36 | 36 | | Texas Commission on Fire Protection under Chapter 419, Government |
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37 | 37 | | Code, whose principal duties are firefighting and aircraft crash |
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38 | 38 | | and rescue. |
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39 | 39 | | (2) "Post-traumatic stress disorder" means a disorder |
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40 | 40 | | that meets the diagnostic criteria for post-traumatic stress |
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41 | 41 | | disorder specified by the American Psychiatric Association in the |
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42 | 42 | | Diagnostic and Statistical Manual of Mental Disorders, fifth |
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43 | 43 | | edition, or a later edition adopted by the commissioner of workers' |
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44 | 44 | | compensation. |
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45 | 45 | | (b) It is presumed that post-traumatic [Post-traumatic] |
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46 | 46 | | stress disorder suffered by a first responder is a compensable |
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47 | 47 | | injury under this subtitle unless it is shown by a preponderance of |
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48 | 48 | | the evidence [only if it is based on a diagnosis] that: |
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49 | 49 | | (1) the disorder is caused by one or more events |
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50 | 50 | | occurring outside [in] the course and scope of the first |
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51 | 51 | | responder's employment; and |
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52 | 52 | | (2) no [the preponderance of the evidence indicates |
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53 | 53 | | that the] event or events that occurred in the course and scope of |
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54 | 54 | | the first responder's employment were a producing cause of the |
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55 | 55 | | disorder. |
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56 | 56 | | (c) For purposes of this subtitle, the date of injury for |
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57 | 57 | | post-traumatic stress disorder suffered by a first responder is the |
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58 | 58 | | date on which the first responder first knew or should have known |
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59 | 59 | | that the disorder may be related to the first responder's |
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60 | 60 | | employment. |
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61 | 61 | | SECTION 3. Section 409.021(a-3), Labor Code, is amended to |
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62 | 62 | | read as follows: |
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63 | 63 | | (a-3) An insurance carrier is not required to comply with |
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64 | 64 | | Subsection (a) if the claim results from an employee's disability |
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65 | 65 | | or death for which a presumption is claimed to be applicable under |
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66 | 66 | | Section 408.0061 of this code or Subchapter B, Chapter 607, |
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67 | 67 | | Government Code, and, not later than the 15th day after the date on |
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68 | 68 | | which the insurance carrier received written notice of the injury, |
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69 | 69 | | the insurance carrier has provided the employee and the division |
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70 | 70 | | with a notice that describes all steps taken by the insurance |
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71 | 71 | | carrier to investigate the injury before the notice was given and |
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72 | 72 | | the evidence the carrier reasonably believes is necessary to |
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73 | 73 | | complete its investigation of the compensability of the |
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74 | 74 | | injury. The commissioner shall adopt rules as necessary to |
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75 | 75 | | implement this subsection. |
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76 | 76 | | SECTION 4. Section 415.021(c-2), Labor Code, is amended to |
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77 | 77 | | read as follows: |
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78 | 78 | | (c-2) In determining whether to assess an administrative |
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79 | 79 | | penalty involving a claim in which the insurance carrier provided |
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80 | 80 | | notice under Section 409.021(a-3), the commissioner shall consider |
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81 | 81 | | whether: |
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82 | 82 | | (1) the employee cooperated with the insurance |
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83 | 83 | | carrier's investigation of the claim; |
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84 | 84 | | (2) the employee timely authorized access to the |
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85 | 85 | | applicable medical records before the insurance carrier's deadline |
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86 | 86 | | to: |
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87 | 87 | | (A) begin payment of benefits; or |
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88 | 88 | | (B) notify the division and the employee of the |
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89 | 89 | | insurance carrier's refusal to pay benefits; and |
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90 | 90 | | (3) the insurance carrier conducted an investigation |
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91 | 91 | | of the claim, applied the statutory presumptions under Section |
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92 | 92 | | 408.0061 of this code or Subchapter B, Chapter 607, Government |
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93 | 93 | | Code, and expedited medical benefits under Section 504.055. |
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94 | 94 | | SECTION 5. Section 501.001(5-a), Labor Code, is amended to |
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95 | 95 | | read as follows: |
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96 | 96 | | (5-a) "Post-traumatic stress disorder" has the |
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97 | 97 | | meaning assigned by Section 408.0061 [504.019]. |
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98 | 98 | | SECTION 6. The changes in law made by this Act apply only to |
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99 | 99 | | a claim for workers' compensation benefits based on a compensable |
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100 | 100 | | injury that occurs on or after the effective date of this Act. A |
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101 | 101 | | claim based on a compensable injury that occurs before that date is |
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102 | 102 | | governed by the law as it existed on the date the compensable injury |
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103 | 103 | | occurred, and the former law is continued in effect for that |
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104 | 104 | | purpose. |
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105 | 105 | | SECTION 7. This Act takes effect September 1, 2025. |
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