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H.B. 39

             1     

UTAH INJURED WORKER REEMPLOYMENT

             2     
ACT

             3     
2009 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Michael T. Morley

             6     
Senate Sponsor: Karen Mayne

             7     
             8      LONG TITLE
             9      Committee Note:
             10          The Business and Labor Interim Committee recommended this bill.
             11      General Description:
             12          This bill modifies the Utah Injured Worker Reemployment Act.
             13      Highlighted Provisions:
             14          This bill:
             15          .    restructures the provisions of the chapter;
             16          .    modifies the definition provision;
             17          .    clarifies that the Labor Commission administers the chapter through the Division of
             18      Industrial Accidents;
             19          .    provides for reporting and for penalties for failing to report;
             20          .    provides for rulemaking;
             21          .    clarifies the process for issuing an initial written report and making a referral;
             22          .    clarifies provisions related to a rehabilitation counselor;
             23          .    extends the sunset date for the chapter until July 1, 2014;
             24          .    eliminates the position of rehabilitation coordinator; and
             25          .    makes technical and conforming amendments.
             26      Monies Appropriated in this Bill:
             27          None


             28      Other Special Clauses:
             29          None
             30      Utah Code Sections Affected:
             31      AMENDS:
             32          34A-2-413, as last amended by Laws of Utah 2008, Chapters 27 and 349
             33          34A-3-102, as renumbered and amended by Laws of Utah 1997, Chapter 375
             34          63I-1-234, as renumbered and amended by Laws of Utah 2008, Chapter 382
             35      ENACTS:
             36          34A-8a-203, Utah Code Annotated 1953
             37      RENUMBERS AND AMENDS:
             38          34A-8a-101, (Renumbered from 34A-8-102, as renumbered and amended by Laws of
             39      Utah 1997, Chapter 375)
             40          34A-8a-102, (Renumbered from 34A-8-104, as renumbered and amended by Laws of
             41      Utah 1997, Chapter 375)
             42          34A-8a-104, (Renumbered from 34A-8-113, as renumbered and amended by Laws of
             43      Utah 1997, Chapter 375)
             44          34A-8a-105, (Renumbered from 34A-8-110, as renumbered and amended by Laws of
             45      Utah 1997, Chapter 375)
             46          34A-8a-201, (Renumbered from 34A-8-103, as renumbered and amended by Laws of
             47      Utah 1997, Chapter 375)
             48          34A-8a-202, (Renumbered from 34A-8-111, as last amended by Laws of Utah 2008,
             49      Chapter 382)
             50          34A-8a-204, (Renumbered from 34A-8-112, as last amended by Laws of Utah 2008,
             51      Chapter 382)
             52          34A-8a-301, (Renumbered from 34A-8-106, as renumbered and amended by Laws of
             53      Utah 1997, Chapter 375)
             54          34A-8a-302, (Renumbered from 34A-8-107, as renumbered and amended by Laws of
             55      Utah 1997, Chapter 375)
             56          34A-8a-303, (Renumbered from 34A-8-108, as renumbered and amended by Laws of
             57      Utah 1997, Chapter 375)
             58          34A-8a-304, (Renumbered from 34A-8-109, as renumbered and amended by Laws of


             59      Utah 1997, Chapter 375)
             60      REPEALS:
             61          34A-8-101, as renumbered and amended by Laws of Utah 1997, Chapter 375
             62          34A-8-105, as last amended by Laws of Utah 2005, Chapter 81
             63     
             64      Be it enacted by the Legislature of the state of Utah:
             65          Section 1. Section 34A-2-413 is amended to read:
             66           34A-2-413. Permanent total disability -- Amount of payments -- Rehabilitation.
             67          (1) (a) In the case of a permanent total disability resulting from an industrial accident
             68      or occupational disease, the employee shall receive compensation as outlined in this section.
             69          (b) To establish entitlement to permanent total disability compensation, the employee
             70      must prove by a preponderance of evidence that:
             71          (i) the employee sustained a significant impairment or combination of impairments as a
             72      result of the industrial accident or occupational disease that gives rise to the permanent total
             73      disability entitlement;
             74          (ii) the employee is permanently totally disabled; and
             75          (iii) the industrial accident or occupational disease is the direct cause of the employee's
             76      permanent total disability.
             77          (c) To establish that an employee is permanently totally disabled the employee must
             78      prove by a preponderance of the evidence that:
             79          (i) the employee is not gainfully employed;
             80          (ii) the employee has an impairment or combination of impairments that limit the
             81      employee's ability to do basic work activities;
             82          (iii) the industrial or occupationally caused impairment or combination of impairments
             83      prevent the employee from performing the essential functions of the work activities for which
             84      the employee has been qualified until the time of the industrial accident or occupational disease
             85      that is the basis for the employee's permanent total disability claim; and
             86          (iv) the employee cannot perform other work reasonably available, taking into
             87      consideration the employee's:
             88          (A) age;
             89          (B) education;


             90          (C) past work experience;
             91          (D) medical capacity; and
             92          (E) residual functional capacity.
             93          (d) Evidence of an employee's entitlement to disability benefits other than those
             94      provided under this chapter and Chapter 3, Utah Occupational Disease Act, if relevant:
             95          (i) may be presented to the commission;
             96          (ii) is not binding; and
             97          (iii) creates no presumption of an entitlement under this chapter and Chapter 3, Utah
             98      Occupational Disease Act.
             99          (e) In determining under Subsections (1)(b) and (c) whether an employee cannot
             100      perform other work reasonably available, the following may not be considered:
             101          (i) whether the employee is incarcerated in a facility operated by or contracting with a
             102      federal, state, county, or municipal government to house a criminal offender in either a secure
             103      or nonsecure setting; or
             104          (ii) whether the employee is not legally eligible to be employed because of a reason
             105      unrelated to the impairment or combination of impairments.
             106          (2) For permanent total disability compensation during the initial 312-week
             107      entitlement, compensation is 66-2/3% of the employee's average weekly wage at the time of the
             108      injury, limited as follows:
             109          (a) compensation per week may not be more than 85% of the state average weekly
             110      wage at the time of the injury;
             111          (b) (i) subject to Subsection (2)(b)(ii), compensation per week may not be less than the
             112      sum of $45 per week and:
             113          (A) $5 for a dependent spouse; and
             114          (B) $5 for each dependent child under the age of 18 years, up to a maximum of four
             115      dependent minor children; and
             116          (ii) the amount calculated under Subsection (2)(b)(i) may not exceed:
             117          (A) the maximum established in Subsection (2)(a); or
             118          (B) the average weekly wage of the employee at the time of the injury; and
             119          (c) after the initial 312 weeks, the minimum weekly compensation rate under
             120      Subsection (2)(b) is 36% of the current state average weekly wage, rounded to the nearest


             121      dollar.
             122          (3) This Subsection (3) applies to claims resulting from an accident or disease arising
             123      out of and in the course of the employee's employment on or before June 30, 1994.
             124          (a) The employer or its insurance carrier is liable for the initial 312 weeks of permanent
             125      total disability compensation except as outlined in Section 34A-2-703 as in effect on the date
             126      of injury.
             127          (b) The employer or its insurance carrier may not be required to pay compensation for
             128      any combination of disabilities of any kind, as provided in this section and Sections 34A-2-410
             129      through 34A-2-412 and Part 5, Industrial Noise, in excess of the amount of compensation
             130      payable over the initial 312 weeks at the applicable permanent total disability compensation
             131      rate under Subsection (2).
             132          (c) The Employers' Reinsurance Fund shall for an overpayment of compensation
             133      described in Subsection (3)(b), reimburse the overpayment:
             134          (i) to the employer or its insurance carrier; and
             135          (ii) out of the Employers' Reinsurance Fund's liability to the employee.
             136          (d) After an employee receives compensation from the employee's employer, its
             137      insurance carrier, or the Employers' Reinsurance Fund for any combination of disabilities
             138      amounting to 312 weeks of compensation at the applicable permanent total disability
             139      compensation rate, the Employers' Reinsurance Fund shall pay all remaining permanent total
             140      disability compensation.
             141          (e) Employers' Reinsurance Fund payments shall commence immediately after the
             142      employer or its insurance carrier satisfies its liability under this Subsection (3) or Section
             143      34A-2-703 .
             144          (4) This Subsection (4) applies to claims resulting from an accident or disease arising
             145      out of and in the course of the employee's employment on or after July 1, 1994.
             146          (a) The employer or its insurance carrier is liable for permanent total disability
             147      compensation.
             148          (b) The employer or its insurance carrier may not be required to pay compensation for
             149      any combination of disabilities of any kind, as provided in this section and Sections 34A-2-410
             150      through 34A-2-412 and Part 5, Industrial Noise, in excess of the amount of compensation
             151      payable over the initial 312 weeks at the applicable permanent total disability compensation


             152      rate under Subsection (2).
             153          (c) The employer or its insurance carrier may recoup the overpayment of compensation
             154      described in Subsection (4) by reasonably offsetting the overpayment against future liability
             155      paid before or after the initial 312 weeks.
             156          (5) (a) Subject to Subsection (5)(b) and notwithstanding the minimum rate established
             157      in Subsection (2), an employer, its insurance carrier, or the Employers' Reinsurance Fund, after
             158      an employee receives compensation from the employer or the employer's insurance carrier for
             159      any combination of disabilities amounting to 312 weeks of compensation at the applicable total
             160      disability compensation rate, shall reduce the compensation payable:
             161          (i) to the extent allowable by law;
             162          (ii) by the dollar amount of 50% of the Social Security retirement benefits the
             163      employee is eligible to receive for a four week period as of the first day the employee is eligible
             164      to receive a Social Security retirement benefit; and
             165          (iii) that the employee receives during the same period as the Social Security retirement
             166      benefits.
             167          (b) (i) An employer, its insurance carrier, or the Employers' Reinsurance Fund may not
             168      reduce compensation payable under this section on or after May 5, 2008, to an employee by an
             169      amount related to a cost-of-living increase to the Social Security retirement benefit that the
             170      employee is first eligible to receive for a four week period, notwithstanding whether the
             171      employee is injured on or before May 4, 2008.
             172          (ii) For purposes of an employee whose compensation payable is reduced under this
             173      Subsection (5) on or before May 4, 2008, the reduction is limited to the amount of the
             174      reduction as of May 4, 2008.
             175          (6) (a) A finding by the commission of permanent total disability is not final, unless
             176      otherwise agreed to by the parties, until:
             177          (i) an administrative law judge reviews a summary of reemployment activities
             178      undertaken pursuant to Chapter [8] 8a, Utah Injured Worker Reemployment Act;
             179          (ii) the employer or its insurance carrier submits to the administrative law judge:
             180          (A) a reemployment plan as prepared by a qualified rehabilitation provider reasonably
             181      designed to return the employee to gainful employment; or
             182          (B) notice that the employer or its insurance carrier will not submit a plan; and


             183          (iii) the administrative law judge, after notice to the parties, holds a hearing, unless
             184      otherwise stipulated, to:
             185          (A) consider evidence regarding rehabilitation; and
             186          (B) review any reemployment plan submitted by the employer or its insurance carrier
             187      under Subsection (6)(a)(ii).
             188          (b) Before commencing the procedure required by Subsection (6)(a), the administrative
             189      law judge shall order:
             190          (i) the initiation of permanent total disability compensation payments to provide for the
             191      employee's subsistence; and
             192          (ii) the payment of any undisputed disability or medical benefits due the employee.
             193          (c) Notwithstanding Subsection (6)(a), an order for payment of benefits described in
             194      Subsection (6)(b) is considered a final order for purposes of Section 34A-2-212 .
             195          (d) The employer or its insurance carrier shall be given credit for any disability
             196      payments made under Subsection (6)(b) against its ultimate disability compensation liability
             197      under this chapter or Chapter 3, Utah Occupational Disease Act.
             198          (e) An employer or its insurance carrier may not be ordered to submit a reemployment
             199      plan. If the employer or its insurance carrier voluntarily submits a plan, the plan is subject to
             200      Subsections (6)(e)(i) through (iii).
             201          (i) The plan may include, but not require an employee to pay for:
             202          (A) retraining;
             203          (B) education;
             204          (C) medical and disability compensation benefits;
             205          (D) job placement services; or
             206          (E) incentives calculated to facilitate reemployment.
             207          (ii) The plan shall include payment of reasonable disability compensation to provide
             208      for the employee's subsistence during the rehabilitation process.
             209          (iii) The employer or its insurance carrier shall diligently pursue the reemployment
             210      plan. The employer's or insurance carrier's failure to diligently pursue the reemployment plan
             211      is cause for the administrative law judge on the administrative law judge's own motion to make
             212      a final decision of permanent total disability.
             213          (f) If a preponderance of the evidence shows that successful rehabilitation is not


             214      possible, the administrative law judge shall order that the employee be paid weekly permanent
             215      total disability compensation benefits.
             216          (g) If a preponderance of the evidence shows that pursuant to a reemployment plan, as
             217      prepared by a qualified rehabilitation provider and presented under Subsection (6)(e), an
             218      employee could immediately or without unreasonable delay return to work but for the
             219      following, an administrative law judge shall order that the employee be denied the payment of
             220      weekly permanent total disability compensation benefits:
             221          (i) incarceration in a facility operated by or contracting with a federal, state, county, or
             222      municipal government to house a criminal offender in either a secure or nonsecure setting; or
             223          (ii) not being legally eligible to be employed because of a reason unrelated to the
             224      impairment or combination of impairments.
             225          (7) (a) The period of benefits commences on the date the employee became
             226      permanently totally disabled, as determined by a final order of the commission based on the
             227      facts and evidence, and ends:
             228          (i) with the death of the employee; or
             229          (ii) when the employee is capable of returning to regular, steady work.
             230          (b) An employer or its insurance carrier may provide or locate for a permanently totally
             231      disabled employee reasonable, medically appropriate, part-time work in a job earning at least
             232      minimum wage, except that the employee may not be required to accept the work to the extent
             233      that it would disqualify the employee from Social Security disability benefits.
             234          (c) An employee shall:
             235          (i) fully cooperate in the placement and employment process; and
             236          (ii) accept the reasonable, medically appropriate, part-time work.
             237          (d) In a consecutive four-week period when an employee's gross income from the work
             238      provided under Subsection (7)(b) exceeds $500, the employer or insurance carrier may reduce
             239      the employee's permanent total disability compensation by 50% of the employee's income in
             240      excess of $500.
             241          (e) If a work opportunity is not provided by the employer or its insurance carrier, a
             242      permanently totally disabled employee may obtain medically appropriate, part-time work
             243      subject to the offset provisions of Subsection (7)(d).
             244          (f) (i) The commission shall establish rules regarding the part-time work and offset.


             245          (ii) The adjudication of disputes arising under this Subsection (7) is governed by Part
             246      8, Adjudication.
             247          (g) The employer or its insurance carrier has the burden of proof to show that
             248      medically appropriate part-time work is available.
             249          (h) The administrative law judge may:
             250          (i) excuse an employee from participation in any work:
             251          (A) that would require the employee to undertake work exceeding the employee's:
             252          (I) medical capacity; or
             253          (II) residual functional capacity; or
             254          (B) for good cause; or
             255          (ii) allow the employer or its insurance carrier to reduce permanent total disability
             256      benefits as provided in Subsection (7)(d) when reasonable, medically appropriate, part-time
             257      work is offered, but the employee fails to fully cooperate.
             258          (8) When an employee is rehabilitated or the employee's rehabilitation is possible but
             259      the employee has some loss of bodily function, the award shall be for permanent partial
             260      disability.
             261          (9) As determined by an administrative law judge, an employee is not entitled to
             262      disability compensation, unless the employee fully cooperates with any evaluation or
             263      reemployment plan under this chapter or Chapter 3, Utah Occupational Disease Act. The
             264      administrative law judge shall dismiss without prejudice the claim for benefits of an employee
             265      if the administrative law judge finds that the employee fails to fully cooperate, unless the
             266      administrative law judge states specific findings on the record justifying dismissal with
             267      prejudice.
             268          (10) (a) The loss or permanent and complete loss of the use of the following constitutes
             269      total and permanent disability that is compensated according to this section:
             270          (i) both hands;
             271          (ii) both arms;
             272          (iii) both feet;
             273          (iv) both legs;
             274          (v) both eyes; or
             275          (vi) any combination of two body members described in this Subsection (10)(a).


             276          (b) A finding of permanent total disability pursuant to Subsection (10)(a) is final.
             277          (11) (a) An insurer or self-insured employer may periodically reexamine a permanent
             278      total disability claim, except those based on Subsection (10), for which the insurer or
             279      self-insured employer had or has payment responsibility to determine whether the employee
             280      remains permanently totally disabled.
             281          (b) Reexamination may be conducted no more than once every three years after an
             282      award is final, unless good cause is shown by the employer or its insurance carrier to allow
             283      more frequent reexaminations.
             284          (c) The reexamination may include:
             285          (i) the review of medical records;
             286          (ii) employee submission to one or more reasonable medical evaluations;
             287          (iii) employee submission to one or more reasonable rehabilitation evaluations and
             288      retraining efforts;
             289          (iv) employee disclosure of Federal Income Tax Returns;
             290          (v) employee certification of compliance with Section 34A-2-110 ; and
             291          (vi) employee completion of one or more sworn affidavits or questionnaires approved
             292      by the division.
             293          (d) The insurer or self-insured employer shall pay for the cost of a reexamination with
             294      appropriate employee reimbursement pursuant to rule for reasonable travel allowance and per
             295      diem as well as reasonable expert witness fees incurred by the employee in supporting the
             296      employee's claim for permanent total disability benefits at the time of reexamination.
             297          (e) If an employee fails to fully cooperate in the reasonable reexamination of a
             298      permanent total disability finding, an administrative law judge may order the suspension of the
             299      employee's permanent total disability benefits until the employee cooperates with the
             300      reexamination.
             301          (f) (i) If the reexamination of a permanent total disability finding reveals evidence that
             302      reasonably raises the issue of an employee's continued entitlement to permanent total disability
             303      compensation benefits, an insurer or self-insured employer may petition the Division of
             304      Adjudication for a rehearing on that issue. The insurer or self-insured employer shall include
             305      with the petition, documentation supporting the insurer's or self-insured employer's belief that
             306      the employee is no longer permanently totally disabled.


             307          (ii) If the petition under Subsection (11)(f)(i) demonstrates good cause, as determined
             308      by the Division of Adjudication, an administrative law judge shall adjudicate the issue at a
             309      hearing.
             310          (iii) Evidence of an employee's participation in medically appropriate, part-time work
             311      may not be the sole basis for termination of an employee's permanent total disability
             312      entitlement, but the evidence of the employee's participation in medically appropriate, part-time
             313      work under Subsection (7) may be considered in the reexamination or hearing with other
             314      evidence relating to the employee's status and condition.
             315          (g) In accordance with Section 34A-1-309 , the administrative law judge may award
             316      reasonable attorney fees to an attorney retained by an employee to represent the employee's
             317      interests with respect to reexamination of the permanent total disability finding, except if the
             318      employee does not prevail, the attorney fees shall be set at $1,000. The attorney fees awarded
             319      shall be paid by the employer or its insurance carrier in addition to the permanent total
             320      disability compensation benefits due.
             321          (h) During the period of reexamination or adjudication, if the employee fully
             322      cooperates, each insurer, self-insured employer, or the Employers' Reinsurance Fund shall
             323      continue to pay the permanent total disability compensation benefits due the employee.
             324          (12) If any provision of this section, or the application of any provision to any person
             325      or circumstance, is held invalid, the remainder of this section is given effect without the invalid
             326      provision or application.
             327          Section 2. Section 34A-3-102 is amended to read:
             328           34A-3-102. Chapter to be administered by commission -- Exclusive remedy.
             329          (1) [This chapter shall be administered by the] The commission shall administer this
             330      chapter through the division, the Division of Adjudication, and the Appeals Board in
             331      accordance with Section 34A-2-112 .
             332          (2) Subject to the limitations provided in this chapter and, unless otherwise noted, all
             333      provisions of Chapter 2, Workers' Compensation Act, and Chapter [8] 8a, Utah Injured Worker
             334      Reemployment Act, are incorporated into this chapter and shall be applied to occupational
             335      disease claims.
             336          (3) The right to recover compensation under this chapter for diseases or injuries to
             337      health sustained by a Utah employee [shall be] is the exclusive remedy as outlined in Section


             338      34A-2-105 .
             339          Section 3. Section 34A-8a-101 , which is renumbered from Section 34A-8-102 is
             340      renumbered and amended to read:
             341     
CHAPTER 8a. UTAH INJURED WORKER REEMPLOYMENT ACT

             342     
Part 1. General Provisions

             343           [34A-8-102].     34A-8a-101. Intent statement.
             344          (1) This chapter is known as the "Utah Injured Worker Reemployment Act."
             345          (2) This chapter is intended to promote and monitor the state's and the employer's
             346      capacity to assist the injured worker in returning to the work force [as quickly as possible and
             347      to evaluate the cost] by evaluating the effectiveness of the [program] voluntary efforts of
             348      employers under this chapter.
             349          Section 4. Section 34A-8a-102 , which is renumbered from Section 34A-8-104 is
             350      renumbered and amended to read:
             351           [34A-8-104].     34A-8a-102. Definitions.
             352          (1) "Disabled injured worker" means an [employee] injured worker who:
             353          [(a) has sustained an industrial injury or occupational disease for which benefits are
             354      provided under Chapter 2, Workers' Compensation Act, or Chapter 3, Utah Occupational
             355      Disease Act;]
             356          [(b)] (a) because of the injury or disease[;] that is the basis of the employee being an
             357      injured worker:
             358          (i) is or will be unable to return to work in the injured worker's usual and customary
             359      occupation; or
             360          (ii) is unable to perform work for which the injured worker has previous training and
             361      experience; and
             362          [(c)] (b) reasonably can be expected to attain gainful employment after [receiving the
             363      reemployment training and benefits] an evaluation provided for in accordance with this
             364      chapter.
             365          (2) "Division" means the Division of Industrial Accidents.
             366          (3) (a) "Gainful employment" means employment that:
             367          (i) is reasonably attainable in view of [the] an industrial injury or occupational disease;
             368      and


             369          (ii) offers to [the] an injured worker, as reasonably feasible, an opportunity for
             370      earnings.
             371          (b) Factors [to be] considered in determining gainful employment include [the] an
             372      injured worker's:
             373          (i) education;
             374          (ii) experience; and
             375          (iii) physical and mental impairment and condition.
             376          (4) "Initial written report" means a report required under Section 34A-8a-301 .
             377          (5) "Injured worker" means an employee who sustains an industrial injury or
             378      occupational disease for which benefits are provided under Chapter 2, Workers' Compensation
             379      Act, or Chapter 3, Utah Occupational Disease Act.
             380          [(4)] (6) "Parties" means:
             381          (a) [the] a disabled injured worker;
             382          (b) the employer of the disabled injured worker;
             383          (c) the employer's workers' compensation insurance carrier; and
             384          [(d) reemployment coordinator; and]
             385          [(e) other professionals as deemed necessary by the commission.]
             386          (d) a rehabilitation or reemployment professional for the employer or the employer's
             387      workers' compensation insurance carrier.
             388          [(5)] (7) "Reemployment plan" means [the] a written:
             389          (a) description or rationale for the manner and means by which it is proposed a
             390      disabled injured worker may [be returned] return to gainful employment[. The reemployment
             391      plan shall define]; and
             392          (b) definition of the voluntary responsibilities of:
             393          (i) the disabled injured worker[,];
             394          (ii) the employer[,]; and
             395          (iii) one or more other parties involved with the implementation of the reemployment
             396      plan.
             397          Section 5. Section 34A-8a-104 , which is renumbered from Section 34A-8-113 is
             398      renumbered and amended to read:
             399           [34A-8-113].     34A-8a-104. Application.


             400          This chapter [is effective July 1, 1990, and it] applies only to an industrial [injuries and]
             401      injury or occupational [diseases which occur] disease that occurs on or after [that date] July 1,
             402      1990.
             403          Section 6. Section 34A-8a-105 , which is renumbered from Section 34A-8-110 is
             404      renumbered and amended to read:
             405           [34A-8-110].     34A-8a-105. Duties of Utah State Office of Rehabilitation not
             406      affected.
             407          [The provisions of this chapter do not affect other] This chapter does not affect the
             408      duties and responsibilities of the Utah State Office of Rehabilitation.
             409          Section 7. Section 34A-8a-201 , which is renumbered from Section 34A-8-103 is
             410      renumbered and amended to read:
             411     
Part 2. Administration

             412           [34A-8-103].     34A-8a-201. Chapter administration.
             413          [This chapter shall be administered by the commission]
             414          The commission shall administer this chapter:
             415          (1) through the division; and
             416          (2) in conjunction with [its] the commission's administration of [Chapters] Chapter 2,
             417      Workers' Compensation Act and Chapter 3, Utah Occupational Disease Act.
             418          Section 8. Section 34A-8a-202 , which is renumbered from Section 34A-8-111 is
             419      renumbered and amended to read:
             420           [34A-8-111].     34A-8a-202. Rulemaking authority.
             421          The commission may provide for the administration of this chapter by rule in
             422      accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act.
             423          Section 9. Section 34A-8a-203 is enacted to read:
             424          34A-8a-203. Reporting.
             425          (1) As used in this section, "reporting entity" means one of the following that provides
             426      benefits under Chapter 2, Workers' Compensation Act, or Chapter 3, Utah Occupational
             427      Disease Act:
             428          (a) a self-insured employer as defined in Section 34A-2-201.5 ; or
             429          (b) a workers' compensation insurance carrier.
             430          (2) Subject to the requirements of this section, a reporting entity shall quarterly report


             431      to the commission the following information for the previous quarter beginning with reporting
             432      for the quarter that begins July 1, 2009:
             433          (a) the total number of injured workers for whom a reporting entity is required during
             434      the quarter to file an initial report under Section 34A-8a-301 ;
             435          (b) the number of injured workers reported in Subsection (2)(a) for whom the reporting
             436      entity made a referral in accordance with Section 34A-8a-302 ;
             437          (c) the number of injured workers reported in Subsection (2)(a) for whom the reporting
             438      entity did not make a referral in accordance with Section 34A-8a-302 because:
             439          (i) the injured worker was not medically stable during the quarter;
             440          (ii) the injured worker's physical capacity had not been determined during the quarter;
             441      or
             442          (iii) liability for the injured worker's claim was under review during the quarter;
             443          (d) the number of injured workers reported in Subsection (2)(a) for whom a referral or
             444      reemployment plan described in Section 34A-8a-302 was not necessary because:
             445          (i) the injured worker returned to work in the same job, a new job, or a modified job:
             446          (A) with the same employer; or
             447          (B) a new employer;
             448          (ii) the injured worker became self employed;
             449          (iii) the injured worker returned to work as a result of vocational rehabilitation support
             450      services, as defined by rule by the commission made in accordance with Title 63G, Chapter 3,
             451      Utah Administrative Rulemaking Act; or
             452          (iv) the injured worker's disability was too severe to return to work; and
             453          (e) other information that the commission requires by rule, made in accordance with
             454      Title 63G, Chapter 3, Utah Administrative Rulemaking Act, regarding the voluntary efforts of
             455      employers under this chapter for the number of injured workers reported in Subsection (2)(a).
             456          (3) In addition to the rulemaking authority under Subsection (2), the commission shall
             457      make rules in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking Act,
             458      regarding:
             459          (a) the form of a report required under this section; and
             460          (b) the procedure for filing a report required under this section.
             461          (4) (a) If a reporting entity fails to make a report as required by this section, the


             462      commission shall pursuant to Title 63G, Chapter 4, Administrative Procedures Act, impose a
             463      civil assessment of up to $500 for each quarter that a reporting entity fails to make a report.
             464          (b) A civil assessment collected under this section shall be deposited in the Uninsured
             465      Employers' Fund.
             466          Section 10. Section 34A-8a-204 , which is renumbered from Section 34A-8-112 is
             467      renumbered and amended to read:
             468           [34A-8-112].     34A-8a-204. Administrative review.
             469          [The] An employer [and the] or an injured worker may apply to the Division of
             470      Adjudication for resolution of [any] an issue of law or fact arising under this chapter in
             471      accordance with Title 63G, Chapter 4, Administrative Procedures Act.
             472          Section 11. Section 34A-8a-301 , which is renumbered from Section 34A-8-106 is
             473      renumbered and amended to read:
             474           [34A-8-106].     34A-8a-301. Initial report on injured worker.
             475          [When it appears that an injured worker is or will be a disabled injured worker, or when
             476      the period of the injured worker's temporary total disability compensation period exceeds 90
             477      days, whichever comes first, the]
             478          (1) An employer or [its] the employer's workers' compensation insurance carrier shall[,
             479      within 30 days thereafter, file with the division and serve on the injured worker] prepare an
             480      initial written report assessing [the] an injured worker's need or lack of need for vocational
             481      assistance in reemployment[. The employer or] if:
             482          (a) it appears that the injured worker is or will be a disabled injured worker; or
             483          (b) the period of the injured worker's temporary total disability compensation period
             484      exceeds 90 days.
             485          (2) (a) Subject to Subsection (2)(b), an employer or the employer's workers'
             486      compensation insurance carrier shall:
             487          (i) serve the initial written report required by Subsection (1) on the injured worker; and
             488          (ii) file the initial written report required by Subsection (1) with the division.
             489          (b) An employer or the employer's workers' compensation insurance carrier shall
             490      comply with Subsection (2)(a) by no later than 30 days after the earlier of the day on which:
             491          (i) it appears that the injured worker is or will be a disabled injured worker; or
             492          (ii) the 90-day period described in Subsection (1)(b) ends.


             493          (3) With the initial written report required by Subsection (1), an employer or the
             494      employer's workers' compensation insurance carrier shall [also] provide [the] an injured worker
             495      information regarding reemployment.
             496          Section 12. Section 34A-8a-302 , which is renumbered from Section 34A-8-107 is
             497      renumbered and amended to read:
             498           [34A-8-107].     34A-8a-302. Evaluation of injured worker -- Reemployment
             499      plan.
             500          [When it appears that] (1) Subject to the other provisions of this section, if an injured
             501      worker is a disabled injured worker, the employer or [its] the employer's workers'
             502      compensation insurance carrier shall, within ten days [of receiving] after the day on which the
             503      employer or workers' compensation insurance carrier serves the initial written report[, unless
             504      otherwise authorized by the division] on the injured worker, refer the disabled injured worker
             505      to:
             506          (a) the Utah State Office of Rehabilitation; or[,]
             507          (b) at the employer's or workers' compensation insurance carrier's option [to], a private
             508      rehabilitation or reemployment service[, to provide an evaluation and to develop a
             509      reemployment plan].
             510          (2) An employer or the employer's workers' compensation insurance carrier shall make
             511      the referral required by Subsection (1) for the purpose of:
             512          (a) providing an evaluation; and
             513          (b) developing a reemployment plan.
             514          (3) The commission may authorize an employer or the employer's workers'
             515      compensation insurance carrier to:
             516          (a) not make a referral required by Subsection (1); or
             517          (b) make a referral during a different time period than required by Subsection (1).
             518          Section 13. Section 34A-8a-303 , which is renumbered from Section 34A-8-108 is
             519      renumbered and amended to read:
             520           [34A-8-108].     34A-8a-303. Reemployment objectives.
             521          (1) The commission through the division shall administer this chapter with the
             522      objective of assisting in returning [the] a disabled injured worker to gainful employment in the
             523      following order of employment priority:


             524          (a) same job, same employer;
             525          (b) modified job, same employer;
             526          (c) same job, new employer;
             527          (d) modified job, new employer;
             528          (e) new job, new employer; or
             529          (f) retraining in a new occupation.
             530          (2) Nothing in this chapter or its application is intended to:
             531          (a) modify or in any way affect [any] an existing employee-employer relationship; or
             532          (b) provide [any] an employee with [any] a guarantee or right to employment or
             533      continued employment with [any] an employer.
             534          Section 14. Section 34A-8a-304 , which is renumbered from Section 34A-8-109 is
             535      renumbered and amended to read:
             536           [34A-8-109].     34A-8a-304. Rehabilitation counselor.
             537          [All rehabilitation counselors and the reemployment coordinator] A rehabilitation
             538      counselor to whom a referral is made under Section 34A-8a-302 shall have the same or
             539      comparable qualifications as those established by the Utah State Office of Rehabilitation for
             540      personnel assigned to rehabilitation and evaluation duties.
             541          Section 15. Section 63I-1-234 is amended to read:
             542           63I-1-234. Repeal dates, Title 34A.
             543          (1) Section 34A-2-202.5 is repealed December 31, 2010.
             544          (2) Title 34A, Chapter [8] 8a, Utah Injured Worker Reemployment Act, is repealed
             545      July 1, [2009] 2014.
             546          Section 16. Repealer.
             547          This bill repeals:
             548          Section 34A-8-101, Title.
             549          Section 34A-8-105, Reemployment coordinator -- Duties.




Legislative Review Note
    as of 11-24-08 11:19 AM


Office of Legislative Research and General Counsel


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