| 1 | A bill to be entitled |
| 2 | An act relating to claims by law enforcement and |
| 3 | correctional officers; amending s. 112.18, F.S.; providing |
| 4 | conditions under which a law enforcement officer, |
| 5 | correctional officer, or correctional probation officer |
| 6 | who suffers from a specified medical condition and has |
| 7 | materially departed from the prescribed treatment for that |
| 8 | condition shall lose a specified presumption for workers' |
| 9 | compensation claims made on or after a specified date; |
| 10 | defining the term "prescribed course of treatment"; |
| 11 | providing for independent medical examinations in certain |
| 12 | situations; providing that only claims made before leaving |
| 13 | employment are eligible for a specified presumption; |
| 14 | providing an effective date. |
| 15 |
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| 16 | Be It Enacted by the Legislature of the State of Florida: |
| 17 |
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| 18 | Section 1. Section 112.18, Florida Statutes, is amended to |
| 19 | read: |
| 20 | 112.18 Firefighters and law enforcement or correctional |
| 21 | officers; special provisions relative to disability.- |
| 22 | (1)(a) Any condition or impairment of health of any |
| 23 | Florida state, municipal, county, port authority, special tax |
| 24 | district, or fire control district firefighter or any law |
| 25 | enforcement officer, or correctional officer, or correctional |
| 26 | probation officer as defined in s. 943.10(1), (2), or (3) caused |
| 27 | by tuberculosis, heart disease, or hypertension resulting in |
| 28 | total or partial disability or death shall be presumed to have |
| 29 | been accidental and to have been suffered in the line of duty |
| 30 | unless the contrary be shown by competent evidence. However, any |
| 31 | such firefighter or law enforcement officer must shall have |
| 32 | successfully passed a physical examination upon entering into |
| 33 | any such service as a firefighter or law enforcement officer, |
| 34 | which examination failed to reveal any evidence of any such |
| 35 | condition. Such presumption does shall not apply to benefits |
| 36 | payable under or granted in a policy of life insurance or |
| 37 | disability insurance, unless the insurer and insured have |
| 38 | negotiated for such additional benefits to be included in the |
| 39 | policy contract. |
| 40 | (b)1. For any workers' compensation claim filed under this |
| 41 | section and chapter 440 occurring on or after July 1, 2010, a |
| 42 | law enforcement officer, correctional officer, or correctional |
| 43 | probation officer as defined in s. 943.10(1), (2), or (3) |
| 44 | suffering from tuberculosis, heart disease, or hypertension is |
| 45 | presumed not to have incurred such disease in the line of duty |
| 46 | as provided in this section if the law enforcement officer, |
| 47 | correctional officer, or correctional probation officer: |
| 48 | a. Departed in a material fashion from the prescribed |
| 49 | course of treatment of his or her personal physician and the |
| 50 | departure is demonstrated to have resulted in a significant |
| 51 | aggravation of the tuberculosis, heart disease, or hypertension |
| 52 | resulting in disability or increasing the disability or need for |
| 53 | medical treatment; or |
| 54 | b. Was previously compensated pursuant to this section and |
| 55 | chapter 440 for tuberculosis, heart disease, or hypertension and |
| 56 | thereafter sustains and reports a new compensable workers' |
| 57 | compensation claim under this section and chapter 440, and the |
| 58 | law enforcement officer, correctional officer, or correctional |
| 59 | probation officer has departed in a material fashion from the |
| 60 | prescribed course of treatment of an authorized physician for |
| 61 | the preexisting workers' compensation claim and the departure is |
| 62 | demonstrated to have resulted in a significant aggravation of |
| 63 | the tuberculosis, heart disease, or hypertension resulting in |
| 64 | disability or increasing the disability or need for medical |
| 65 | treatment. |
| 66 | 2. As used in this paragraph, "prescribed course of |
| 67 | treatment" means prescribed medical courses of action and |
| 68 | prescribed medicines for the specific disease or diseases |
| 69 | claimed and as documented in the prescribing physician's medical |
| 70 | records. |
| 71 | 3. If there is a dispute as to the appropriateness of the |
| 72 | course of treatment prescribed by a physician under sub- |
| 73 | subparagraph 1.a. or sub-subparagraph 1.b. or whether a |
| 74 | departure in a material fashion from the prescribed course of |
| 75 | treatment is demonstrated to have resulted in a significant |
| 76 | aggravation of the tuberculosis, heart disease, or hypertension |
| 77 | resulting in disability or increasing the disability or need for |
| 78 | medical treatment, the law enforcement officer, correctional |
| 79 | officer, or correctional probation officer is entitled to seek |
| 80 | an independent medical examination pursuant to s. 440.13(5). |
| 81 | 4. A law enforcement officer, correctional officer, or |
| 82 | correctional probation officer is not entitled to the |
| 83 | presumption provided in this section unless a claim for benefits |
| 84 | is made prior to leaving the employment of the employing agency. |
| 85 | (2) This section authorizes each governmental entity |
| 86 | specified in subsection (1) shall be construed to authorize the |
| 87 | above governmental entities to negotiate policy contracts for |
| 88 | life and disability insurance to include accidental death |
| 89 | benefits or double indemnity coverage which shall include the |
| 90 | presumption that any condition or impairment of health of any |
| 91 | firefighter, law enforcement officer, or correctional officer |
| 92 | caused by tuberculosis, heart disease, or hypertension resulting |
| 93 | in total or partial disability or death was accidental and |
| 94 | suffered in the line of duty, unless the contrary be shown by |
| 95 | competent evidence. |
| 96 | Section 2. This act shall take effect July 1, 2010. |