HB 0091B 2003
   
1 A bill to be entitled
2          An act relating to workers' compensation; amending s.
3    440.15, F.S.; providing additional limitations on
4    compensation for permanent total disability; providing for
5    construction of the act; providing an effective date.
6         
7          Be It Enacted by the Legislature of the State of Florida:
8         
9          Section 1. Paragraphs (a), (b), and (e) of subsection (1)
10    of section 440.15, Florida Statutes, are amended to read:
11          440.15 Compensation for disability.--Compensation for
12    disability shall be paid to the employee, subject to the limits
13    provided in s. 440.12(2), as follows:
14          (1) PERMANENT TOTAL DISABILITY.--
15          (a) In case of total disability adjudged to be permanent,
16    662/3 percent of the average weekly wages shall be paid to the
17    employee during the continuance of such total disability. No
18    compensation shall be payable under this section if the employee
19    is engaged in, or is physically capable of engaging in, at least
20    uninterruptedly sedentary employment.
21          (b) In the following cases, an injured employee is
22    presumed to be permanently and totally disabled unless the
23    employer or carrier establishes that the employee is physically
24    capable of engaging in at least uninterruptedly sedentary
25    employment within a 50-mile radius of the employee's residence:
26          1. Spinal cord injury involving severe paralysis of an
27    arm, a leg, or the trunk;
28          2. Amputation of an arm, a hand, a foot, or a leg
29    involving the effective loss of use of that appendage;
30          3. Severe brain or closed-head injury as evidenced by:
31          a. Severe sensory or motor disturbances;
32          b. Severe communication disturbances;
33          c. Severe complex integrated disturbances of cerebral
34    function;
35          d. Severe episodic neurological disorders; or
36          e. Other severe brain and closed-head injury conditions at
37    least as severe in nature as any condition provided in sub-
38    subparagraphs a.-d.;
39          4. Second-degree or third-degree burns of 25 percent more
40    of the total body surface or third-degree burns of 5 percent or
41    more to the face and hands; or
42          5. Total or industrial blindness.
43         
44          In all other cases, in order to obtain permanent total
45    disability benefits, the employee must establish that he or she
46    is not able to engage in at least uninterruptedly sedentary
47    employment, within a 50-mile radius of the employee's residence,
48    due to his or her physical limitation. Entitlement to such
49    benefits shall cease when the employee reaches age 75, unless
50    the employee is not eligible for social security benefits under
51    42 U.S.C. s. 402 or s. 423 because the employee's compensable
52    injury has prevented the employee from working sufficient
53    quarters to be eligible for such benefits, notwithstanding any
54    age limits. If the accident occurred on or after the employee
55    reaches age 70, benefits shall be payable during the continuance
56    of permanent total disability, not to exceed 5 years following
57    the determination ofOnly a catastrophic injury as defined in s.
58    440.02 shall, in the absence of conclusive proof of a
59    substantial earning capacity, constitute permanent total
60    disability. Only claimants with catastrophic injuries or
61    claimants who are incapable of engaging in employment, as
62    described in this paragraph,are eligible for permanent total
63    benefits. In no other case may permanent total disability be
64    awarded.
65          (e)1. The employer's or carrier's right to conduct
66    vocational evaluations or testing by the employer's or carrier's
67    chosen rehabilitation advisor or providerpursuant to s. 440.491
68    continues even after the employee has been accepted or
69    adjudicated as entitled to compensation under this chapter and
70    costs for such evaluations and testing shall be borne by the
71    employer or carrier, respectively. This right includes, but is
72    not limited to, instances in which such evaluations or tests are
73    recommended by a treating physician or independent medical-
74    examination physician, instances warranted by a change in the
75    employee's medical condition, or instances in which the employee
76    appears to be making appropriate progress in recuperation. This
77    right may not be exercised more than once every calendar year.
78          2. The carrier must confirm the scheduling of the
79    vocational evaluation or testing in writing, and must notify the
80    employee and theemployee's counsel, if any, at least 7 days
81    before the date on which vocational evaluation or testing is
82    scheduled to occur.
83          3. Pursuant to an order of the judge of compensation
84    claims, the employer or carrier may withhold payment of benefits
85    for permanent total disability or supplements for any period
86    during which the employee willfully fails or refuses to appear
87    without good cause for the scheduled vocational evaluation or
88    testing.
89          Section 2. The amendments to paragraphs (a), (b), and (e)
90    of subsection (1) of section 440.15, Florida Statutes, contained
91    in this act shall prevail over any conflicting amendments to
92    that section contained in Senate Bill 50-A, 2003 Special Session
93    A.
94          Section 3. This act shall take effect upon becoming a law.