Bill Text: HI SB2608 | 2010 | Regular Session | Introduced

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Bill Title: Workers' Compensation; Vocational Rehabilitation

Spectrum: Partisan Bill (Democrat 6-0)

Status: (Introduced - Dead) 2010-02-04 - (S) The committee on LBR deferred the measure. [SB2608 Detail]

Download: Hawaii-2010-SB2608-Introduced.html

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THE SENATE	S.B. NO.	2608
TWENTY-FIFTH LEGISLATURE, 2010
STATE OF HAWAII

A BILL FOR AN ACT

 

 

relating to vocational rehabilitation.

 

 

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF HAWAII:

 

     SECTION 1.  Section 386-25, Hawaii Revised Statutes, is amended to read as follows:

     "§386-25  Vocational rehabilitation.  (a)  The purposes of vocational rehabilitation are to restore an injured worker's earnings capacity as nearly as possible to that level that the worker was earning at the time of injury and to return the injured worker to suitable gainful employment in the active labor force as quickly as possible in a cost-effective manner.

     (b)  The director may refer employees who may have or have suffered permanent disability as a result of work injuries and who, in the director's opinion, can be vocationally rehabilitated to the department of human services or to private providers of rehabilitation services for vocational rehabilitation services that are feasible.  If it is subsequently determined that the injured employee has no permanent disability, but suffers from permanent work restrictions, the injured employee shall be allowed only direct placement services.  A referral shall be made upon recommendation of the rehabilitation unit established under section 386-71.5 and after the employee has been deemed physically able to participate in rehabilitation by the employee's attending physician.  The unit shall include appropriate professional staff and shall have the following duties and responsibilities:

     (1)  To order the injured employee, providers of rehabilitation services, or the employer, based upon a written request that demonstrates delay or untimely responses to comply with this section;

     (2)  To review and approve rehabilitation plans developed by certified providers of rehabilitation services, whether they be private or public;

    [(2)] (3)  To adopt rules consistent with this section that shall expedite and facilitate the identification, notification, and referral of industrially injured employees to rehabilitation services, and establish minimum standards for providers providing rehabilitation services under this section;

    [(3)] (4)  To certify private and public providers of rehabilitation services meeting the minimum standards established under paragraph [(2);] (3) and to adopt a fee schedule for those providers; and

    [(4)] (5)  To enforce the implementation of rehabilitation plans.

     (c)  Enrollment in a rehabilitation plan or program shall not be mandatory and the approval of a proposed rehabilitation plan or program by the injured employee shall be required.  The injured employee may select a certified provider of rehabilitation services.  Both the certified provider and the injured employee, within [a reasonable time] fourteen days after initiating rehabilitation services, shall give proper notice of selection to the employer.  If the injured employee does not select a provider within thirty days of notice of the right of referral to vocational rehabilitation, the rehabilitation unit shall assign a counselor on the injured employee's behalf.

     (d)  A provider shall submit an initial evaluation report of the employee to the employer and the director within forty-five days of the date of referral or selection.  The evaluation shall determine whether the employee requires vocational rehabilitation services to return to suitable gainful employment, identify the necessary services, and state whether the provider can provide these services.  The initial evaluation report shall contain:

     (1)  An assessment of the employee's:

         (A)  Current medical status[;] and work capabilities;

         (B)  Primary disability;

         (C)  Secondary disability;

         (D)  Disabilities that are not related to the work injury; and

         (E)  Physical or psychological limitations or both.

          If this information is not provided by the treating physician within [a reasonable amount of time,] thirty days of the injured worker's selection of a provider, information from another physician shall be accepted;

     (2)  A job analysis addressing the demands of the employee's employment;

     (3)  A statement from the provider identifying the employee's vocational handicaps in relation to the employee's ability to:

         (A)  Return to usual and customary employment; and

         (B)  Participate in and benefit from a vocational rehabilitation program;

     (4)  A statement from the provider determining the feasibility of vocational rehabilitation services, including:

         (A)  The provider's ability to assist the employee in the employee's efforts to return to suitable gainful employment;

         (B)  An outline of specific vocational rehabilitation services to be provided, justification for the necessity of services, and how the effectiveness of these services is measured; and

         (C)  How the vocational rehabilitation services directly relate to the employee obtaining suitable gainful employment; and

     (5)  The enrollment form and the statement of worker's rights and responsibilities form obtained from the department.

     (e)  After submission of the initial evaluation, the provider shall have:

     (1)  Thirty days to allow any adjustments to disability;

     (2)  Thirty additional days to conduct labor market research and any functional capacity evaluation or other necessary skills or limitation testing; and

     (3)  Ninety additional days to prepare and submit a vocational rehabilitation plan; provided that:

         (A)  One extension of not more than forty-five days shall be allowed based upon a written request supported by evidence submitted to and approved by the unit; and

         (B)  The employer is given the opportunity to object to and be heard regarding the extension.

     (f)  A provider shall file the employee's plan with the approval of the employee.  Upon receipt of the plan from the provider, an employee shall have ten days to review and sign the plan.  The plan shall be submitted to the employer and the employee and be filed with the director within two days from the date of the employee's signature.  A plan shall include a statement of the feasibility of the vocational goal, using the process of:

     (1)  First determining if the employee's usual and customary employment represents suitable gainful employment, and, should it not;

     (2)  Next determining if modified work or other work with a [different] same employer represents suitable gainful employment, and, should it not;

     (3)  Next determining if modified or other employment with a different employer, using transferrable skills by way of direct placement represents suitable gainful employment, and finally, should it not;

     (4)  Then providing training to obtain employment in another occupational field.

     [(f)] (g)  A plan may be approved by the director; provided the plan includes:

     (1)  A physician's assessment of the employee's physical limitations, psychological limitations, and ability to return to work.  If this information is not provided by the treating physician within a reasonable amount of time, information from another physician shall be accepted;

     (2)  A labor market survey indicating there are reasonable assurances that the proposed occupation for which the employee is to be placed or trained is readily available in the community when placement begins, or there are assurances of reemployment by the employer;

     (3)  A job analysis of the proposed occupation, setting forth its duties, responsibilities, physical demands, environmental working conditions, specific qualifications needed for entry-level employment, reasonable accommodations, expected estimated earnings, and other relevant information;

     (4)  The nature and extent of the vocational rehabilitation services to be provided, including:

         (A)  Specific services to be provided;

         (B)  Justification for the necessity of the services;

         (C)  Estimated time frames for delivery of services;

         (D)  The manner in which the effectiveness of these services is to be measured;

         (E)  Criteria for determining successful completion of the vocational rehabilitation plan; and

         (F)  The employee's responsibilities;

     (5)  A report of tests and copies thereof that have been administered to the employee, including a statement regarding the need for and use of the tests to identify a vocational goal;

     (6)  If retraining, including on-the-job training, is found to be necessary, the estimated cost of retraining, a description of specific skills to be learned or knowledge acquired with specific time periods and clearly defined measurements of success, and the nature, amount, and duration of living expenses;

     (7)  The total cost of the plan[;] and a contingency plan for direct placement, not more than one hundred and twenty days, or case closure if the employee does not comply with the approved plan; and

     (8)  The employee's approval of the plan.

     [(g)] (h)  The employer shall have ten calendar days from the postmark date on which the plan was mailed to submit in writing to the director any objections to the plan.

     [(h)] (i)  The director may approve a plan [that does not include all of the requirements outlined in subsection (f); provided that the director finds the plan:

     (1)  Is in the best interest of the employee;

     (2)  Contains reasonable assurances that the employee will be placed in suitable gainful employment; and

     (3)  Has been approved by the employee.] provided that the plan meets the vocational rehabilitation requirements of this section.  If at any time during the vocational rehabilitation program, an injured worker suffers an intervening medical condition, related or unrelated to the industrial claim, that renders the claimant again temporarily totally disabled, the vocational rehabilitation counselor shall immediately suspend the program pending the employee's clearance to return to work.

     [(i)] (j)  If the plan requires the purchase of any tools, supplies, or equipment, the purchase deadline shall be included in the plan.  Tools, supplies, and equipment shall be considered to be the property of the employer until the plan is determined by the director to be successfully completed, after which it shall become the property of the employee.  If the plan requires the purchase, etc., the employer shall purchase the items prior to the purchase deadline in the plan[.]; provided that documentation is submitted to the employer showing the cost and description of the items to be purchased.  Payment shall be made directly to the vendor and a receipt shall be submitted to the employer for file documentation purposes.

     [(j)] (k)  An employee with an approved plan who is determined as able to return to usual and customary employment [may choose to complete the plan or request a new plan of which the goal may be the employee's usual and customary employment.] shall default into direct placement not more than sixty days after the employee receives notice of a release to full duty or the completion of the plan, whichever occurs first.

     [(k)] (l)  An injured employee's enrollment in a rehabilitation plan or program shall not affect the employee's entitlement to temporary total disability compensation if the employee earns no wages during the period of enrollment[.]; provided that an employee who is enrolled in a plan that has not been approved by the director but who is determined to be able to return to usual and customary employment shall not be entitled to temporary total disability benefits and the employer shall notify the employee and the director in writing of an intent to terminate benefits at least two weeks prior to the date when the last payment is to be made pursuant to section 386-31(b) and vocational rehabilitation services shall cease on the date that the employee is cleared for full duty and a closing report is submitted by the counselor within fourteen days.  If the employee receives wages for work performed under the plan or program, the employee shall be entitled to temporary total disability compensation in an amount equal to the difference between the employee's average weekly wages at the time of injury and the wages received under the plan or program, subject to the limitations on weekly benefit rates prescribed in section 386-31(a).  The employee shall not be entitled to temporary total disability compensation for any week during this period where the wages equal or exceed the average weekly wages at the time of injury.  Temporary total disability compensation shall cease upon the closure of vocational rehabilitation.  The vocational rehabilitation counselor shall submit a closing report to the vocational rehabilitation unit within fourteen days of the date of plan closure.

     [(l)] (m)  The director shall adopt rules for additional living expenses necessitated by the rehabilitation program, together with all reasonable and necessary vocational training.

     [(m)] (n)  If the rehabilitation unit determines that vocational rehabilitation is not possible or feasible, it shall certify the determination to the director.

     [(n)] (o)  Except as otherwise provided, determinations of the rehabilitation unit shall be final unless a written request for reconsideration is filed with the rehabilitation unit within ten calendar days of the date of the determination.

     The rehabilitation unit shall issue a reconsideration determination to affirm, reverse, or modify the determination or refer the request for reconsideration for hearing.

     [(o)] (p)  A reconsideration determination shall be final unless a written request for hearing is filed within ten calendar days from the date of the reconsideration determination.  All hearings shall be held before a hearings officer designated by the director.  A written decision shall be issued in the name of the director.

     [(p)] (q)  The eligibility of any injured employee to receive other benefits under this chapter shall in no way be affected by the employee's entrance upon a course of vocational rehabilitation as herein provided.

     [(q)] (r)  Vocational rehabilitation services for the purpose of developing a vocational rehabilitation plan may be approved by the director and the director may periodically review progress in each case.  Any party may request a review of the vocational rehabilitation program if it is determined that no progress is being made to establish a viable vocational rehabilitation plan.  The vocational rehabilitation unit shall respond to the request within thirty days and shall issue a directive to the vocational rehabilitation provider based upon the available file documentation, provided that the case remains pending before the director."

     SECTION 2.  This Act does not affect rights and duties that matured, penalties that were incurred, and proceedings that were begun before its effective date.

     SECTION 3.  Statutory material to be repealed is bracketed and stricken.  New statutory material is underscored.

     SECTION 4.  This Act shall take effect upon its approval.

 

INTRODUCED BY:	_____________________________

 

 

Report Title:

Workers' Compensation; Vocational Rehabilitation

 

Description:

Expands duties of the rehabilitation unit and providers of rehabilitation services.  Allows employer to terminate temporary total disability benefits when the employee is able to return to work and is enrolled in a non-approved plan.

 

 

 

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