Bill Text: IA SF451 | 2019-2020 | 88th General Assembly | Introduced


Bill Title: A bill for an act relating to workers' compensation.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2019-03-06 - Subcommittee: Chapman, Bisignano, and R. Smith. S.J. 485. [SF451 Detail]

Download: Iowa-2019-SF451-Introduced.html
Senate File 451 - Introduced SENATE FILE 451 BY CELSI A BILL FOR An Act relating to workers’ compensation. 1 BE IT ENACTED BY THE GENERAL ASSEMBLY OF THE STATE OF IOWA: 2 TLSB 2634XS (2) 88 asf/rn
S.F. 451 Section 1. Section 85.16, subsection 2, paragraph b, Code 1 2019, is amended by striking the paragraph. 2 Sec. 2. Section 85.18, Code 2019, is amended to read as 3 follows: 4 85.18 Contract to relieve not operative. 5 No contract, rule, or device whatsoever shall operate to 6 relieve the employer, in whole or in part, from any liability 7 created by this chapter except as herein provided. This 8 section does not create a private cause of action. 9 Sec. 3. Section 85.23, Code 2019, is amended to read as 10 follows: 11 85.23 Notice of injury —— failure to give. 12 Unless the employer or the employer’s representative shall 13 have actual knowledge of the occurrence of an injury received 14 within ninety days from the date of the occurrence of the 15 injury, or unless the employee or someone on the employee’s 16 behalf or a dependent or someone on the dependent’s behalf 17 shall give notice thereof to the employer within ninety days 18 from the date of the occurrence of the injury, no compensation 19 shall be allowed. For the purposes of this section , “date of 20 the occurrence of the injury” means the date that the employee 21 knew or should have known that the injury was work-related. 22 Sec. 4. Section 85.26, subsection 1, Code 2019, is amended 23 to read as follows: 24 1. An original proceeding for benefits under this chapter 25 or chapter 85A , 85B , or 86 , shall not be maintained in any 26 contested case unless the proceeding is commenced within two 27 years from the date of the occurrence of the injury for which 28 benefits are claimed or, if weekly compensation benefits are 29 paid under section 86.13 , within three years from the date of 30 the last payment of weekly compensation benefits. For the 31 purposes of this section , “date of the occurrence of the injury” 32 means the date that the employee knew or should have known that 33 the injury was work-related. 34 Sec. 5. Section 85.33, subsection 3, Code 2019, is amended 35 -1- LSB 2634XS (2) 88 asf/rn 1/ 19
S.F. 451 to read as follows: 1 3. a. If an employee is temporarily, partially disabled and 2 the employer for whom the employee was working at the time of 3 injury offers to the employee suitable work consistent with the 4 employee’s disability the employee shall accept the suitable 5 work, and be compensated with temporary partial benefits. 6 If the employer offers the employee suitable work and the 7 employee refuses to accept the suitable work offered by the 8 with the same employer, the employee shall not be compensated 9 with temporary partial, temporary total, or healing period 10 benefits during the period of the refusal. Work offered at 11 the employer’s principal place of business or established 12 place of operation where the employee has previously worked is 13 presumed to be geographically suitable for an employee whose 14 duties involve travel away from the employer’s principal place 15 of business or established place of operation more than fifty 16 percent of the time. If suitable work is not offered by the 17 employer for whom the employee was working at the time of the 18 injury and the employee who is temporarily, partially disabled 19 elects to perform work with a different employer, the employee 20 shall be compensated with temporary partial benefits. 21 b. The employer shall communicate an offer of temporary 22 work to the employee in writing, including details of lodging, 23 meals, and transportation, and shall communicate to the 24 employee that if the employee refuses the offer of temporary 25 work, the employee shall communicate the refusal and the reason 26 for the refusal to the employer in writing and that during the 27 period of the refusal the employee will not be compensated with 28 temporary partial, temporary total, or healing period benefits, 29 unless the work refused is not suitable. If the employee 30 refuses the offer of temporary work on the grounds that the 31 work is not suitable, the employee shall communicate the 32 refusal, along with the reason for the refusal, to the employer 33 in writing at the time the offer of work is refused. Failure to 34 communicate the reason for the refusal in this manner precludes 35 -2- LSB 2634XS (2) 88 asf/rn 2/ 19
S.F. 451 the employee from raising suitability of the work as the reason 1 for the refusal until such time as the reason for the refusal 2 is communicated in writing to the employer. 3 Sec. 6. Section 85.34, subsection 2, unnumbered paragraph 4 1, Code 2019, is amended to read as follows: 5 Compensation for permanent partial disability shall begin 6 when it is medically indicated that maximum medical improvement 7 from the injury has been reached and that the extent of loss or 8 percentage of permanent impairment can be determined by use of 9 the guides to the evaluation of permanent impairment, published 10 by the American medical association, as adopted by the workers’ 11 compensation commissioner by rule pursuant to chapter 17A at 12 the termination of the healing period provided in subsection 1 . 13 The compensation shall be in addition to the benefits provided 14 by sections 85.27 and 85.28 . The compensation shall be based 15 upon the extent of the disability and upon the basis of eighty 16 percent per week of the employee’s average spendable weekly 17 earnings, but not more than a weekly benefit amount, rounded to 18 the nearest dollar, equal to one hundred eighty-four percent of 19 the statewide average weekly wage paid employees as determined 20 by the department of workforce development under section 96.19, 21 subsection 36 , and in effect at the time of the injury. The 22 minimum weekly benefit amount shall be equal to the weekly 23 benefit amount of a person whose gross weekly earnings are 24 thirty-five percent of the statewide average weekly wage. For 25 all cases of permanent partial disability compensation shall 26 be paid as follows: 27 Sec. 7. Section 85.34, subsection 2, paragraph n, Code 2019, 28 is amended by striking the paragraph. 29 Sec. 8. Section 85.34, subsection 2, paragraph v, Code 2019, 30 is amended to read as follows: 31 v. In all cases of permanent partial disability other than 32 those hereinabove described or referred to in paragraphs “a” 33 through “u” hereof, the compensation shall be paid during 34 the number of weeks in relation to five hundred weeks as the 35 -3- LSB 2634XS (2) 88 asf/rn 3/ 19
S.F. 451 reduction in the employee’s earning capacity caused by the 1 disability bears in relation to the earning capacity that the 2 employee possessed when the injury occurred. A determination 3 of the reduction in the employee’s earning capacity caused 4 by the disability shall take into account the permanent 5 partial disability of the employee and the number of years in 6 the future it was reasonably anticipated that the employee 7 would work at the time of the injury. If an employee who 8 is eligible for compensation under this paragraph returns to 9 work or is offered work for which the employee receives or 10 would receive the same or greater salary, wages, or earnings 11 than the employee received at the time of the injury, the 12 employee shall be compensated based only upon the employee’s 13 functional impairment resulting from the injury, and not in 14 relation to the employee’s earning capacity. Notwithstanding 15 section 85.26, subsection 2 , if an employee who is eligible 16 for compensation under this paragraph returns to work with the 17 same employer and is compensated based only upon the employee’s 18 functional impairment resulting from the injury as provided 19 in this paragraph and is terminated from employment by that 20 employer, the award or agreement for settlement for benefits 21 under this chapter shall be reviewed upon commencement of 22 reopening proceedings by the employee for a determination of 23 any reduction in the employee’s earning capacity caused by the 24 employee’s permanent partial disability. 25 Sec. 9. Section 85.34, subsection 2, paragraphs x and y, 26 Code 2019, are amended by striking the paragraphs. 27 Sec. 10. Section 85.34, subsection 3, Code 2019, is amended 28 to read as follows: 29 3. Permanent total disability. 30 a. Compensation for an injury causing permanent total 31 disability shall be upon the basis of eighty percent per week 32 of the employee’s average spendable weekly earnings, but not 33 more than a weekly benefit amount, rounded to the nearest 34 dollar, equal to two hundred percent of the statewide average 35 -4- LSB 2634XS (2) 88 asf/rn 4/ 19
S.F. 451 weekly wage paid employees as determined by the department 1 of workforce development under section 96.19, subsection 36 , 2 and in effect at the time of the injury. The minimum weekly 3 benefit amount is equal to the weekly benefit amount of a 4 person whose gross weekly earnings are thirty-five percent of 5 the statewide average weekly wage. The weekly compensation is 6 payable until the employee is no longer permanently and totally 7 disabled during the period of the employee’s disability . 8 b. Such compensation shall be in addition to the benefits 9 provided in sections 85.27 and 85.28 . No compensation shall 10 be payable under this subsection for any injury for which 11 compensation is payable under subsection 2 of this section . 12 In the event compensation has been paid to any person under 13 any provision of this chapter , chapter 85A , or chapter 85B 14 for an the same injury producing a permanent disability, any 15 such amounts so paid shall be deducted from the total amount 16 of compensation payable for permanent total disability. An 17 employee shall not receive compensation for permanent partial 18 disability if the employee is receiving compensation for 19 permanent total disability. 20 c. An employee forfeits the employee’s weekly compensation 21 for a permanent total disability under this subsection for a 22 week in which the employee is receiving a payment equal to or 23 greater than fifty percent of the statewide average weekly wage 24 from any of the following sources: 25 (1) Gross earnings from any employer. 26 (2) Payment for current services from any source. 27 d. An employee is not entitled to compensation for a 28 permanent total disability under this subsection while the 29 employee is receiving unemployment compensation under chapter 30 96 . 31 Sec. 11. Section 85.34, subsections 4, 5, and 7, Code 2019, 32 are amended to read as follows: 33 4. Credits for excess payments. If an employee is paid 34 weekly compensation benefits for temporary total disability 35 -5- LSB 2634XS (2) 88 asf/rn 5/ 19
S.F. 451 under section 85.33, subsection 1 , for a healing period 1 under section 85.34, subsection 1 , or for temporary partial 2 disability under section 85.33, subsection 2 , in excess of 3 that required by this chapter and chapters 85A , 85B , and 86 , 4 the excess paid by the employer shall be credited against the 5 liability of the employer for any future weekly benefits due 6 for an injury to that employee permanent partial disability 7 under section 85.34, subsection 2 , provided that the employer 8 or the employer’s representative has acted in good faith in 9 determining and notifying an employee when the temporary total 10 disability, healing period, or temporary partial disability 11 benefits are terminated. 12 5. Recovery of employee overpayment. If an employee is paid 13 any weekly benefits in excess of that required by this chapter 14 and chapters 85A , 85B , and 86 , the excess paid by the employer 15 shall be credited against the liability of the employer for 16 any future weekly benefits due pursuant to subsection 2 , for 17 any current or a subsequent injury to the same employee. An 18 overpayment can be established only when the overpayment is 19 recognized in a settlement agreement approved under section 20 86.13, pursuant to final agency action in a contested case 21 which was commenced within three years from the date that 22 weekly benefits were last paid for the claim for which the 23 benefits were overpaid, or pursuant to final agency action 24 in a contested case for a prior injury to the same employee. 25 The credit shall remain available for eight years after the 26 date the overpayment was established. If an overpayment 27 is established pursuant to this subsection, the employee 28 and employer may enter into a written settlement agreement 29 providing for the repayment by the employee of the overpayment. 30 The agreement is subject to the approval of the workers’ 31 compensation commissioner. The employer shall not take any 32 adverse action against the employee for failing to agree to 33 such a written settlement agreement. 34 7. Successive disabilities. 35 -6- LSB 2634XS (2) 88 asf/rn 6/ 19
S.F. 451 a. An employer is fully liable for compensating only that 1 portion all of an employee’s disability that arises out of and 2 in the course of the employee’s employment with the employer 3 and that relates to the injury that serves as the basis for 4 the employee’s claim for compensation under this chapter , 5 or chapter 85A , 85B , or 86 . An employer is not liable for 6 compensating an employee’s preexisting disability that arose 7 out of and in the course of employment from a prior injury with 8 the employer, to the extent that the employee’s preexisting 9 disability has already been compensated under this chapter , 10 or chapter 85A , 85B , or 86 . An employer is not liable for 11 compensating an employee’s preexisting disability that arose 12 out of and in the course of employment with a different 13 employer or from causes unrelated to employment. 14 b. (1) If an injured employee has a preexisting disability 15 that was caused by a prior injury arising out of and in 16 the course of employment with the same employer, and the 17 preexisting disability was compensable under the same paragraph 18 of subsection 2 as the employee’s present injury, the employer 19 is liable for the combined disability that is caused by the 20 injuries, measured in relation to the employee’s condition 21 immediately prior to the first injury. In this instance, the 22 employer’s liability for the combined disability shall be 23 considered to be already partially satisfied to the extent 24 of the percentage of disability for which the employee was 25 previously compensated by the employer. 26 (2) If, however, an employer is liable to an employee for 27 a combined disability that is payable under subsection 2, 28 paragraph “v” , and the employee has a preexisting disability 29 that causes the employee’s earnings to be less at the time of 30 the present injury than if the prior injury had not occurred, 31 the employer’s liability for the combined disability shall be 32 considered to be already partially satisfied to the extent 33 of the percentage of disability for which the employee was 34 previously compensated by the employer minus the percentage 35 -7- LSB 2634XS (2) 88 asf/rn 7/ 19
S.F. 451 that the employee’s earnings are less at the time of the 1 present injury than if the prior injury had not occurred. 2 c. A successor employer shall be considered to be the 3 same employer if the employee became part of the successor 4 employer’s workforce through a merger, purchase, or other 5 transaction that assumes the employee into the successor 6 employer’s workforce without substantially changing the nature 7 of the employee’s employment. 8 Sec. 12. Section 85.39, Code 2019, is amended to read as 9 follows: 10 85.39 Examination of injured employees. 11 1. After an injury, the employee, if requested by the 12 employer, shall submit for examination at some reasonable 13 time and place and as often as reasonably requested, to a 14 physician or physicians authorized to practice under the laws 15 of this state or another state, without cost to the employee; 16 but if the employee requests, the employee, at the employee’s 17 own cost, is entitled to have a physician or physicians 18 of the employee’s own selection present to participate in 19 the examination. If an employee is required to leave work 20 for which the employee is being paid wages to attend the 21 requested examination, the employee shall be compensated at 22 the employee’s regular rate for the time the employee is 23 required to leave work, and the employee shall be furnished 24 transportation to and from the place of examination, or the 25 employer may elect to pay the employee the reasonable cost of 26 the transportation. The refusal of the employee to submit to 27 the examination shall forfeit suspend the employee’s right to 28 any compensation for the period of the refusal. Compensation 29 shall not be payable for the period of refusal suspension . 30 2. If an evaluation of permanent disability has been made by 31 a physician retained by the employer and the employee believes 32 this evaluation to be too low, the employee shall, upon 33 application to the commissioner and upon delivery of a copy of 34 the application to the employer and its insurance carrier, be 35 -8- LSB 2634XS (2) 88 asf/rn 8/ 19
S.F. 451 reimbursed by the employer the reasonable fee for a subsequent 1 examination by a physician of the employee’s own choice, and 2 reasonably necessary transportation expenses incurred for the 3 examination. The physician chosen by the employee has the 4 right to confer with and obtain from the employer-retained 5 physician sufficient history of the injury to make a proper 6 examination. An employer is only liable to reimburse an 7 employee for the cost of an examination conducted pursuant to 8 this subsection if the injury for which the employee is being 9 examined is determined to be compensable under this chapter or 10 chapter 85A or 85B . An employer is not liable for the cost of 11 such an examination if the injury for which the employee is 12 being examined is determined not to be a compensable injury. A 13 determination of the reasonableness of a fee for an examination 14 made pursuant to this subsection , shall be based on the typical 15 fee charged by a medical provider to perform an impairment 16 rating in the local area where the examination is conducted. 17 Sec. 13. Section 85.45, subsection 1, unnumbered paragraph 18 1, Code 2019, is amended to read as follows: 19 Future payments of compensation may be commuted to a present 20 worth lump sum payment only upon application of a party to 21 the commissioner and upon written consent of all parties to 22 the proposed commutation or partial commutation, and on the 23 following conditions: 24 Sec. 14. Section 85.45, subsection 3, Code 2019, is amended 25 by striking the subsection. 26 Sec. 15. Section 85.70, subsection 1, Code 2019, is amended 27 to read as follows: 28 1. An employee who has sustained an injury resulting in 29 permanent partial or permanent total disability, for which 30 compensation is payable under this chapter other than an 31 injury to the shoulder compensable pursuant to section 85.34, 32 subsection 2 , paragraph “n” , and who cannot return to gainful 33 employment because of such disability, shall upon application 34 to and approval by the workers’ compensation commissioner 35 -9- LSB 2634XS (2) 88 asf/rn 9/ 19
S.F. 451 be entitled to a one hundred dollar weekly payment from the 1 employer in addition to any other benefit payments, during each 2 full week in which the employee is actively participating in a 3 vocational rehabilitation program recognized by the vocational 4 rehabilitation services division of the department of 5 education. The workers’ compensation commissioner’s approval 6 of such application for payment may be given only after a 7 careful evaluation of available facts, and after consultation 8 with the employer or the employer’s representative. 9 Judicial review of the decision of the workers’ compensation 10 commissioner may be obtained in accordance with the terms of 11 the Iowa administrative procedure Act, chapter 17A , and in 12 section 86.26 . Such additional benefit payment shall be paid 13 for a period not to exceed thirteen consecutive weeks except 14 that the workers’ compensation commissioner may extend the 15 period of payment not to exceed an additional thirteen weeks if 16 the circumstances indicate that a continuation of training will 17 in fact accomplish rehabilitation. 18 Sec. 16. Section 85.70, subsection 2, Code 2019, is amended 19 by striking the subsection. 20 Sec. 17. Section 85.71, subsection 1, paragraph a, Code 21 2019, is amended to read as follows: 22 a. The employer has a place of business in this state and 23 the employee regularly works at or from that place of business , 24 or the employer has a place of business in this state and the 25 employee is domiciled in this state . 26 Sec. 18. Section 86.26, subsection 2, Code 2019, is amended 27 by striking the subsection. 28 Sec. 19. Section 86.39, subsection 2, Code 2019, is amended 29 by striking the subsection. 30 Sec. 20. Section 86.42, Code 2019, is amended to read as 31 follows: 32 86.42 Judgment by district court on award. 33 Any party in interest may present a file-stamped copy 34 of an order or decision of the commissioner, from which a 35 -10- LSB 2634XS (2) 88 asf/rn 10/ 19
S.F. 451 timely petition for judicial review has not been filed or if 1 judicial review has been filed, which has not had execution or 2 enforcement stayed as provided in section 17A.19, subsection 3 5 , or section 86.26, subsection 2 , or an order or decision 4 of a deputy commissioner from which a timely appeal has not 5 been taken within the agency and which has become final by 6 the passage of time as provided by rule and section 17A.15 , 7 or an agreement for settlement approved by the commissioner, 8 and all papers in connection therewith, to the district court 9 where judicial review of the agency action may be commenced. 10 The court shall render a decree or judgment and cause the 11 clerk to notify the parties. The decree or judgment, in the 12 absence of a petition for judicial review or if judicial review 13 has been commenced, in the absence of a stay of execution 14 or enforcement of the decision or order of the workers’ 15 compensation commissioner as provided in section 17A.19, 16 subsection 5 , or section 86.26, subsection 2 , or in the absence 17 of an act of any party which prevents a decision of a deputy 18 workers’ compensation commissioner from becoming final, has the 19 same effect and in all proceedings in relation thereto is the 20 same as though rendered in a suit duly heard and determined by 21 the court. 22 Sec. 21. Section 535.3, subsection 1, Code 2019, is amended 23 to read as follows: 24 1. a. Interest shall be allowed on all money due on 25 judgments and decrees of courts at a rate calculated according 26 to section 668.13 , except for interest due pursuant to section 27 85.30 for which the rate shall be ten percent per year . 28 b. Notwithstanding paragraph “a” , interest due pursuant 29 to section 85.30 shall accrue from the date each compensation 30 payment is due at an annual rate equal to the one-year treasury 31 constant maturity published by the federal reserve in the most 32 recent H15 report settled as of the date of injury, plus two 33 percent. 34 EXPLANATION 35 -11- LSB 2634XS (2) 88 asf/rn 11/ 19
S.F. 451 The inclusion of this explanation does not constitute agreement with 1 the explanation’s substance by the members of the general assembly. 2 This bill relates to workers’ compensation. 3 The bill amends Code section 85.16(2)(b), concerning 4 intoxication, by striking the paragraph. Current law provides 5 that no compensation under Code chapter 85 shall be allowed for 6 an injury caused by Code section 85.16(1), which is willful 7 injury, or Code section 85.16(2), which is an employee’s 8 intoxication. By striking Code section 85.16(2)(b), a 9 presumption regarding intoxication is removed. The presumption 10 provides that if the employer shows that, at the time of the 11 injury or immediately following the injury, the employee had 12 positive test results reflecting the presence of alcohol, 13 or another narcotic, depressant, stimulant, hallucinogenic, 14 or hypnotic drug which drug either was not prescribed by an 15 authorized medical practitioner or was not used in accordance 16 with the prescribed use of the drug, it shall be presumed that 17 the employee was intoxicated at the time of the injury and that 18 intoxication was a substantial factor in causing the injury. 19 Code section 85.16(2)(b) also provides that once the employer 20 has made a showing of presumed intoxication, the burden of 21 proof shall be on the employee to overcome the presumption 22 by establishing that the employee was not intoxicated at the 23 time of the injury, or that intoxication was not a substantial 24 factor in causing the injury. 25 The bill amends Code section 85.18, concerning the ability 26 of a contract to relieve an employer of liability, to eliminate 27 a provision which stated that the Code section does not create 28 a private cause of action. 29 The bill amends Code section 85.23, requiring notice of 30 injury, and Code section 85.26(1), concerning limitations of 31 actions, to remove definitions of “date of the occurrence of 32 the injury” to mean the date the employee knew or should have 33 known that the injury was work-related. 34 The bill removes a presumption in Code section 85.33(3) that 35 -12- LSB 2634XS (2) 88 asf/rn 12/ 19
S.F. 451 work offered at the employer’s principal place of business 1 or established place of operation where the employee has 2 previously worked is presumed to be geographically suitable 3 for an employee whose duties involve travel away from the 4 employer’s principal place of business or established place 5 of operation more than 50 percent of the time. The bill also 6 strikes provisions concerning offers of temporary work and 7 what occurs if employees turn down offers of temporary work, 8 including the procedures to follow. 9 The bill amends Code section 85.34(2), concerning permanent 10 partial disabilities, to provide that compensation for 11 permanent partial disability shall begin at the termination of 12 a healing period provided in Code section 85.34(1), rather than 13 when it is medically indicated that maximum medical improvement 14 from the injury has been reached and that the extent of loss or 15 percentage of permanent impairment can be determined by use of 16 the guides to the evaluation of permanent impairment, published 17 by the American medical association, as adopted by the workers’ 18 compensation commissioner by rule pursuant to Code chapter 17A. 19 The bill removes a shoulder injury from the scheduled injury 20 list for permanent partial disability in Code section 85.34(2) 21 by striking paragraph “n”, which states: “For the loss of a 22 shoulder, weekly compensation during four hundred weeks”. 23 The bill amends Code section 85.34(2)(v), concerning 24 compensation for permanent partial disability for 25 injuries other than scheduled injuries under Code section 26 85.34(2)(a)-(u), to remove a provision that a reduction in the 27 employee’s earning capacity caused by a disability must take 28 into account the employee’s permanent partial disability and 29 the number of years in the future it was reasonably anticipated 30 the employee would work at the time of the injury. The bill 31 removes a provision that an employee who returns to work or 32 is offered work for the same or more money than the employee 33 received when injured shall be compensated only for functional 34 disability, and not in relation to earning capacity. The 35 -13- LSB 2634XS (2) 88 asf/rn 13/ 19
S.F. 451 bill also removes a provision that notwithstands Code section 1 85.26(2), regarding limitations of actions. 2 The bill strikes Code section 85.34(2)(x), concerning 3 permanent partial disability. The paragraph provides that in 4 all cases of permanent partial disability described in Code 5 section 85.34(2)(a)-(u), or Code section 85.34(2)(v), when 6 determining functional disability and not loss of earning 7 capacity, the extent of loss or percentage of permanent 8 impairment shall be determined solely by utilizing the guides 9 to the evaluation of permanent impairment, published by the 10 American medical association, as adopted by the workers’ 11 compensation commissioner by rule pursuant to Code chapter 17A. 12 The Code section prohibits lay testimony or agency expertise 13 from being utilized in making this determination. 14 The bill strikes Code section 85.34(2)(y), concerning 15 permanent partial disability. The paragraph provides that 16 compensation for permanent partial disability for an injury 17 shall terminate on the date when compensation for permanent 18 total disability for any injury begins. The Code section 19 prohibits an employee from receiving compensation for permanent 20 partial disability if the employee is receiving compensation 21 for permanent total disability. 22 The bill amends Code section 85.34(3)(a), concerning 23 permanent total disability, to provide that the weekly 24 compensation is payable “during the period of the employee’s 25 disability”, rather than “until the employee is no longer 26 permanently and totally disabled”. 27 The bill amends Code section 85.34(3)(b) to provide that in 28 the event compensation has been paid to any person under any 29 provision of Code chapter 85, 85A, or 85B for the same injury, 30 rather than an injury, producing a permanent disability, any 31 such amount so paid shall be deducted from the total amount of 32 compensation payable for permanent total disability. The bill 33 also amends the paragraph to remove a provision which provided 34 that “an employee shall not receive compensation for permanent 35 -14- LSB 2634XS (2) 88 asf/rn 14/ 19
S.F. 451 partial disability if the employee is receiving compensation 1 for permanent total disability”. 2 The bill strikes Code section 85.34(3)(c), which provides 3 that an employee forfeits the employee’s weekly compensation 4 for a permanent total disability under this subsection for a 5 week in which the employee is receiving a payment equal to or 6 greater than 50 percent of the statewide average weekly wage 7 from any of the following sources: gross earnings from any 8 employer or payment for current services from any source. 9 The bill strikes Code section 85.34(3)(d), which provides 10 that an employee is not entitled to compensation for a 11 permanent total disability under Code section 85.34(3) while 12 the employee is receiving unemployment compensation under Code 13 chapter 96. 14 The bill amends Code section 85.34(4), concerning credit for 15 excess payments, to provide that the excess payment shall be 16 credited against the liability of the employer for permanent 17 partial disability under Code section 85.34(2), rather than 18 against the liability of the employer for any future weekly 19 benefits due for an injury to that employee. 20 The bill amends Code section 85.34(5), concerning recovery 21 for employee overpayment, by providing that if an employee is 22 paid any weekly benefits in excess of that required by Code 23 chapter 85, 85A, 85B, or 86, the excess paid by the employer 24 shall be credited against the liability of the employer for any 25 future weekly benefits due pursuant to Code section 85.34(2), 26 for any subsequent, rather than current or subsequent injury, 27 to the same employee. Furthermore, the bill provides that 28 the overpayment can be established only when the overpayment 29 is recognized in a settlement agreement approved under Code 30 section 86.13. The bill provides additional detail about the 31 settlement agreement process. 32 The bill amends Code section 85.34(7), concerning successive 33 disabilities, to provide that an employer is fully liable for 34 compensating all of an employee’s disability that arises out 35 -15- LSB 2634XS (2) 88 asf/rn 15/ 19
S.F. 451 of and in the course of the employee’s employment with the 1 employer and removes the requirement that it relate to the 2 injury that serves as the basis for the employee’s claim for 3 compensation under Code chapter 85, 85A, 85B, or 86. The bill 4 also removes a provision that an employer is not liable for 5 compensating an employee’s preexisting disability that arose 6 out of and in the course of employment from a prior injury with 7 the employer, to the extent that the employee’s preexisting 8 disability has already been compensated under Code chapter 9 85, 85A, 85B, or 86. The bill provides that if an injured 10 employee has a preexisting disability that was caused by a 11 prior injury arising out of and in the course of employment 12 with the same employer, and the preexisting disability was 13 compensable under Code section 85.34(2) as the employee’s 14 present injury, the employer is liable for the combined 15 disability that is caused by the injuries, measured in relation 16 to the employee’s condition immediately prior to the first 17 injury. In this instance, the employer’s liability for the 18 combined disability shall be considered to be already partially 19 satisfied to the extent of the percentage of disability for 20 which the employee was previously compensated by the employer. 21 The bill provides, however, that if an employer is liable to 22 an employee for a combined disability that is payable under 23 Code section 85.34(2)(v) and the employee has a preexisting 24 disability that causes the employee’s earnings to be less at 25 the time of the present injury than if the prior injury had not 26 occurred, the employer’s liability for the combined disability 27 shall be considered to be already partially satisfied to the 28 extent of the percentage of disability for which the employee 29 was previously compensated by the employer minus the percentage 30 that the employee’s earnings are less at the time of the 31 present injury than if the prior injury had not occurred. 32 Additionally, the bill provides that a successor employer shall 33 be considered to be the same employer if the employee became 34 part of the successor employer’s workforce through a merger, 35 -16- LSB 2634XS (2) 88 asf/rn 16/ 19
S.F. 451 purchase, or other transaction that assumes the employee into 1 the successor employer’s workforce without substantially 2 changing the nature of the employee’s employment. 3 The bill amends Code section 85.39 concerning examination 4 of injured employees. The bill provides that if an employee 5 refuses to submit to an examination, the employee’s right to 6 compensation shall be suspended for the period of refusal, 7 rather than forfeited. The bill maintains a similar provision 8 in the Code that compensation shall not be payable for the 9 period of suspension. The bill eliminates a provision that an 10 employer is only liable to reimburse an employee for the cost 11 of an examination if the injury for which the employee is being 12 examined is determined to be compensable under Code chapter 13 85, 85A, or 85B, and an employer is not liable for the cost of 14 such an examination if the injury for which the employee is 15 being examined is determined not to be a compensable injury. 16 The bill also eliminates a provision which provides for the 17 reasonableness measure of a medical provider’s fee for an 18 impairment rating. 19 The bill amends Code section 85.45(1), concerning 20 commutation, by removing the requirement that commutation 21 of future payments of compensation shall take place only 22 upon application by a party to the commissioner and the 23 written consent of all parties to the commutation or partial 24 commutation. 25 The bill strikes Code section 85.45(3), which provides that 26 the parties to any commutation or partial commutation of future 27 payments agreed to and ordered pursuant to Code section 85.45 28 may agree that the employee has the right to benefits pursuant 29 to Code section 85.27 for a specified period of time under such 30 terms and conditions as agreed to by the workers’ compensation 31 commissioner. The stricken Code section also provides that 32 during the specified period of time, the commissioner shall 33 have jurisdiction of the commutation or partial commutation 34 agreement for the purpose of adjudicating the employee’s 35 -17- LSB 2634XS (2) 88 asf/rn 17/ 19
S.F. 451 entitlement to benefits provided for in Code section 85.27 as 1 provided in the agreement. 2 Under current law pursuant to Code section 85.70, an 3 employee who has sustained an injury resulting in permanent 4 partial or permanent total disability that is compensable under 5 Code chapter 85 (other than a shoulder injury compensable 6 pursuant to Code section 85.34(2)(n)) and who cannot return 7 to gainful employment because of such disability and who 8 applies and receives approval from the workers’ compensation 9 commissioner shall be entitled to a weekly payment of $100 10 in addition to any other weekly benefit payment, during each 11 full week that the employee is actively participating in a 12 vocational rehabilitation program, which has been recognized 13 by the vocational rehabilitation services division of the 14 department of education. The bill removes the reference to 15 a shoulder injury. The bill strikes a provision relating to 16 the vocational training and education program for shoulder 17 injuries. 18 The bill amends Code section 85.71, concerning compensation 19 for injuries that occur outside of the state, to provide that 20 the statute is applicable not only if the employer has a place 21 of business in this state and the employee regularly works at 22 or from that place of business, but also if the employer has a 23 place of business in this state and the employee is domiciled 24 in this state. 25 The bill strikes Code section 86.26(2) which provides that a 26 timely petition for judicial review shall stay the execution or 27 enforcement of a decision or order of the workers’ compensation 28 commissioner if the party seeking judicial review posts a bond 29 securing any compensation awarded pursuant to the decision or 30 order. 31 The bill strikes Code section 86.39(2) which provides that 32 an attorney shall not recover fees for legal services based on 33 the amount of compensation voluntarily paid or agreed to be 34 paid to an employee for temporary or permanent disability under 35 -18- LSB 2634XS (2) 88 asf/rn 18/ 19
S.F. 451 Code chapter 85, 85A, 85B, or 86. Also stricken is a provision 1 that an attorney shall only recover a fee based on the amount 2 of compensation that the attorney demonstrates would not have 3 been paid to the employee but for the efforts of the attorney. 4 Finally, the bill strikes a provision that any disputes over 5 the recovery of attorney fees under this subsection shall be 6 resolved by the workers’ compensation commissioner. 7 The bill amends Code section 86.42, concerning judgment by 8 district court award, to conform to the section of the bill 9 which strikes Code section 86.26(2). 10 The bill amends Code section 535.3(1)(a), concerning 11 interest due on unpaid weekly workers’ compensation payments, 12 to provide that interest shall be allowed on all money due on 13 judgments and decrees of courts at a rate calculated according 14 to Code section 668.13, except for interest due pursuant to 15 Code section 85.30 for which the rate shall be 10 percent 16 per year. The bill eliminates paragraph “b” of Code section 17 535.3(1) which provides that interest due pursuant to Code 18 section 85.30 shall accrue from the date each compensation 19 payment is due at an annual rate equal to the one-year treasury 20 constant maturity published by the federal reserve in the most 21 recent H15 report settled as of the date of injury, plus 2 22 percent. 23 -19- LSB 2634XS (2) 88 asf/rn 19/ 19
feedback