89R10913 KKR-D
 
  By: Cole H.B. No. 2414
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the eligibility of certain first responders for
  workers' compensation benefits for post-traumatic stress disorder
  under the workers' compensation system.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 408.006(b), Labor Code, is amended to
  read as follows:
         (b)  Notwithstanding Section 408.0061 [504.019], a mental or
  emotional injury that arises principally from a legitimate
  personnel action, including a transfer, promotion, demotion, or
  termination, is not a compensable injury under this subtitle.
         SECTION 2.  Section 504.019, Labor Code, is transferred to
  Subchapter A, Chapter 408, Labor Code, redesignated as Section
  408.0061, Labor Code, and amended to read as follows:
         Sec. 408.0061 [504.019].  COVERAGE FOR POST-TRAUMATIC
  STRESS DISORDER FOR CERTAIN FIRST RESPONDERS. (a) In this section:
               (1)  "First responder" means an individual employed by
  this state, a political subdivision of this state, or an
  institution of higher education as defined by Section 61.003,
  Education Code, who is:
                     (A)  a peace officer under Article 2A.001, Code of
  Criminal Procedure;
                     (B)  an individual [a person] licensed under
  Chapter 773, Health and Safety Code, as an emergency care
  attendant, emergency medical technician, advanced emergency
  medical technician [technician-intermediate], emergency medical
  technician-paramedic, or licensed paramedic; or
                     (C)  a firefighter subject to certification by the
  Texas Commission on Fire Protection under Chapter 419, Government
  Code, whose principal duties are firefighting and aircraft crash
  and rescue.
               (2)  "Post-traumatic stress disorder" means a disorder
  that meets the diagnostic criteria for post-traumatic stress
  disorder specified by the American Psychiatric Association in the
  Diagnostic and Statistical Manual of Mental Disorders, fifth
  edition, or a later edition adopted by the commissioner of workers'
  compensation.
         (b)  It is presumed that post-traumatic [Post-traumatic]
  stress disorder suffered by a first responder is a compensable
  injury under this subtitle unless it is shown by a preponderance of
  the evidence [only if it is based on a diagnosis] that:
               (1)  the disorder is caused by one or more events
  occurring outside [in] the course and scope of the first
  responder's employment; and
               (2)  no [the preponderance of the evidence indicates
  that the] event or events that occurred in the course and scope of
  the first responder's employment were a producing cause of the
  disorder.
         (c)  For purposes of this subtitle, the date of injury for
  post-traumatic stress disorder suffered by a first responder is the
  date on which the first responder first knew or should have known
  that the disorder may be related to the first responder's
  employment.
         SECTION 3.  Section 409.021(a-3), Labor Code, is amended to
  read as follows:
         (a-3)  An insurance carrier is not required to comply with
  Subsection (a) if the claim results from an employee's disability
  or death for which a presumption is claimed to be applicable under
  Section 408.0061 of this code or Subchapter B, Chapter 607,
  Government Code, and, not later than the 15th day after the date on
  which the insurance carrier received written notice of the injury,
  the insurance carrier has provided the employee and the division
  with a notice that describes all steps taken by the insurance
  carrier to investigate the injury before the notice was given and
  the evidence the carrier reasonably believes is necessary to
  complete its investigation of the compensability of the
  injury.  The commissioner shall adopt rules as necessary to
  implement this subsection.
         SECTION 4.  Section 415.021(c-2), Labor Code, is amended to
  read as follows:
         (c-2)  In determining whether to assess an administrative
  penalty involving a claim in which the insurance carrier provided
  notice under Section 409.021(a-3), the commissioner shall consider
  whether:
               (1)  the employee cooperated with the insurance
  carrier's investigation of the claim;
               (2)  the employee timely authorized access to the
  applicable medical records before the insurance carrier's deadline
  to:
                     (A)  begin payment of benefits; or
                     (B)  notify the division and the employee of the
  insurance carrier's refusal to pay benefits; and
               (3)  the insurance carrier conducted an investigation
  of the claim, applied the statutory presumptions under Section
  408.0061 of this code or Subchapter B, Chapter 607, Government
  Code, and expedited medical benefits under Section 504.055.
         SECTION 5.  Section 501.001(5-a), Labor Code, is amended to
  read as follows:
               (5-a)  "Post-traumatic stress disorder" has the
  meaning assigned by Section 408.0061 [504.019].
         SECTION 6.  The changes in law made by this Act apply only to
  a claim for workers' compensation benefits based on a compensable
  injury that occurs on or after the effective date of this Act. A
  claim based on a compensable injury that occurs before that date is
  governed by the law as it existed on the date the compensable injury
  occurred, and the former law is continued in effect for that
  purpose.
         SECTION 7.  This Act takes effect September 1, 2025.