1 | A bill to be entitled |
2 | An act relating to workers' compensation; amending s. |
3 | 440.105, F.S.; decriminalizing receipt of an attorney's |
4 | fee that has not been approved by a judge of compensation |
5 | claims; amending s. 440.20, F.S.; limiting the scope of a |
6 | judge of compensation claims' authority to approve |
7 | settlement agreements; revising provisions relating to |
8 | attorney's fees; amending s. 440.25, F.S.; revising |
9 | procedures, requirements, and timeframes for mediation, |
10 | pretrial hearings, and expedited hearings; amending s. |
11 | 440.32, F.S.; revising provisions relating to assessment |
12 | of penalties for maintaining or continuing a proceeding |
13 | frivolously; amending s. 440.34, F.S.; revising attorney's |
14 | fee provisions; requiring judicial approval of certain |
15 | fees paid by a carrier or employer; deleting a limitation |
16 | on retainer agreements and provisions relating to approval |
17 | of certain attorney's fees; specifying that nothing in the |
18 | chapter shall impair a claimant's right to contract for |
19 | representation; amending s. 440.45, F.S.; correcting a |
20 | cross-reference; amending s. 440.491, F.S.; providing that |
21 | weeks of certain training and education benefits are in |
22 | addition to the available weeks of temporary total |
23 | disability benefits for the purpose of benefit |
24 | calculations; providing an effective date. |
25 |
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26 | Be It Enacted by the Legislature of the State of Florida: |
27 |
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28 | Section 1. Paragraph (c) of subsection (3) of section |
29 | 440.105, Florida Statutes, is amended to read: |
30 | 440.105 Prohibited activities; reports; penalties; |
31 | limitations.-- |
32 | (3) Whoever violates any provision of this subsection |
33 | commits a misdemeanor of the first degree, punishable as |
34 | provided in s. 775.082 or s. 775.083. |
35 | (c) It is unlawful for any attorney or other person, in |
36 | his or her individual capacity or in his or her capacity as a |
37 | public or private employee, or for any firm, corporation, |
38 | partnership, or association to receive any fee or other |
39 | consideration or any gratuity from a person on account of |
40 | services rendered for a person in connection with any |
41 | proceedings arising under this chapter, unless such fee, |
42 | consideration, or gratuity is approved by a judge of |
43 | compensation claims or by the Deputy Chief Judge of Compensation |
44 | Claims. |
45 | Section 2. Paragraph (c) of subsection (11) of section |
46 | 440.20, Florida Statutes, is amended to read: |
47 | 440.20 Time for payment of compensation and medical bills; |
48 | penalties for late payment.-- |
49 | (11) |
50 | (c) Notwithstanding s. 440.21(2), when a claimant is |
51 | represented by counsel, the claimant may waive all rights to any |
52 | and all benefits under this chapter by entering into a |
53 | settlement agreement releasing the employer and the carrier from |
54 | liability for workers' compensation benefits in exchange for a |
55 | lump-sum payment to the claimant. The settlement agreement |
56 | requires approval by the judge of compensation claims only as to |
57 | any child support arrearage the attorney's fees paid to the |
58 | claimant's attorney by the claimant. The parties need not submit |
59 | any information or documentation in support of the settlement, |
60 | except as needed to justify the amount of the attorney's fees. |
61 | Neither the employer nor the carrier is responsible for any |
62 | attorney's fees relating to the settlement and release of claims |
63 | under this section, and such attorney's fees shall not be |
64 | subject to the provisions of s. 440.34. Payment of the lump-sum |
65 | settlement amount must be made within 14 days after the date the |
66 | judge of compensation claims mails the order approving payment |
67 | from the settlement of a sum, if any, to satisfy a child support |
68 | arrearage the attorney's fees. Any order entered by a judge of |
69 | compensation claims approving the attorney's fees as set out in |
70 | the settlement under this subsection is not considered to be an |
71 | award and is not subject to modification or review. The judge of |
72 | compensation claims shall report these settlements to the Deputy |
73 | Chief Judge in accordance with the requirements set forth in |
74 | paragraphs (a) and (b). Settlements entered into under this |
75 | subsection are valid and apply to all dates of accident. |
76 | Section 3. Subsection (1), paragraph (b) of subsection |
77 | (3), and paragraphs (a), (b), and (h) of subsection (4) of |
78 | section 440.25, Florida Statutes, are amended to read: |
79 | 440.25 Procedures for mediation and hearings.-- |
80 | (1) Not later than 40 Forty days after a petition for |
81 | benefits is filed under s. 440.192, the judge of compensation |
82 | claims shall schedule a mediation conference and issue an order |
83 | notifying notify the interested parties by order that a |
84 | mediation conference concerning such petition has been scheduled |
85 | unless the parties have notified the judge of compensation |
86 | claims that a private mediation has been held or is scheduled to |
87 | be held. A mediation, whether private or public, shall be held |
88 | within 130 days after the filing of the petition. The parties |
89 | may substitute a private mediation for the mediation noticed by |
90 | the court with 10 days' advance notice to the court, provided |
91 | the private mediation occurs within the 130-day period Such |
92 | order must give the date the mediation conference is to be held. |
93 | Such order may be served personally upon the interested parties |
94 | or may be sent to the interested parties by mail. If multiple |
95 | petitions are pending, or if additional petitions are filed |
96 | prior to the after the scheduling of a mediation, such petitions |
97 | shall be consolidated the judge of compensation claims shall |
98 | consolidate all petitions into the one mediation. A The claimant |
99 | or the adjuster of the employer or carrier who resides outside |
100 | the district in which the mediation is to be held may, at the |
101 | mediator's discretion, attend the mediation conference by |
102 | telephone or, if agreed to by the parties, other electronic |
103 | means. A continuance may be granted upon the agreement of the |
104 | parties or if the requesting party demonstrates to the judge of |
105 | compensation claims that the reason for requesting the |
106 | continuance arises from circumstances beyond the party's |
107 | control. Any order granting a continuance must set forth the |
108 | date of the rescheduled mediation conference. A mediation |
109 | conference may not be used solely for the purpose of mediating |
110 | attorney's fees. |
111 | (3) Such mediation conference shall be conducted |
112 | informally and does not require the use of formal rules of |
113 | evidence or procedure. Any information from the files, reports, |
114 | case summaries, mediator's notes, or other communications or |
115 | materials, oral or written, relating to a mediation conference |
116 | under this section obtained by any person performing mediation |
117 | duties is privileged and confidential and may not be disclosed |
118 | without the written consent of all parties to the conference. |
119 | Any research or evaluation effort directed at assessing the |
120 | mediation program activities or performance must protect the |
121 | confidentiality of such information. Each party to a mediation |
122 | conference has a privilege during and after the conference to |
123 | refuse to disclose and to prevent another from disclosing |
124 | communications made during the conference whether or not the |
125 | contested issues are successfully resolved. This subsection and |
126 | paragraphs (4)(a) and (b) shall not be construed to prevent or |
127 | inhibit the discovery or admissibility of any information that |
128 | is otherwise subject to discovery or that is admissible under |
129 | applicable law or rule of procedure, except that any conduct or |
130 | statements made during a mediation conference or in negotiations |
131 | concerning the conference are inadmissible in any proceeding |
132 | under this chapter. |
133 | (b) With respect to any private mediation, if the parties |
134 | agree or If mediators are not available under paragraph (a), |
135 | pursuant to notice from the judge of compensation claims, to |
136 | conduct the required mediation within the period specified in |
137 | this section, the parties shall hold a mediation conference at |
138 | the carrier's expense within the 130-day period set for |
139 | mediation. The mediation conference shall be conducted by a |
140 | mediator certified under s. 44.106. If the parties do not agree |
141 | upon a mediator within 10 days after the date of the order, the |
142 | claimant shall notify the judge in writing and the judge shall |
143 | appoint a mediator under this paragraph within 7 days. In the |
144 | event both parties agree, the results of the mediation |
145 | conference shall be binding and neither party shall have a right |
146 | to appeal the results. In the event either party refuses to |
147 | agree to the results of the mediation conference, the results of |
148 | the mediation conference as well as the testimony, witnesses, |
149 | and evidence presented at the conference shall not be admissible |
150 | at any subsequent proceeding on the claim. The mediator shall |
151 | not be called in to testify or give deposition to resolve any |
152 | claim for any hearing before the judge of compensation claims. |
153 | The employer may be represented by an attorney at the mediation |
154 | conference if the employee is also represented by an attorney at |
155 | the mediation conference. |
156 | (4)(a) If the parties fail to agree to written submission |
157 | of pretrial stipulations, the judge of compensation claims shall |
158 | conduct a live pretrial hearing. The judge of compensation |
159 | claims shall give the interested parties at least 14 days' |
160 | advance notice of the pretrial hearing by mail. |
161 | (b) The final hearing must be held and concluded within 90 |
162 | days after the mediation conference is held, allowing the |
163 | parties sufficient time to complete discovery. With the consent |
164 | of all parties, a party shall be entitled to one continuance of |
165 | a final hearing provided a proper motion for continuance is |
166 | filed with the judge of compensation claims at least 7 days |
167 | prior to the scheduled hearing. All other or additional Except |
168 | as set forth in this section, continuances may be granted only |
169 | if the requesting party demonstrates to the judge of |
170 | compensation claims that the reason for requesting the |
171 | continuance arises from circumstances beyond the party's |
172 | control. The written consent of the claimant or employer must be |
173 | obtained before any request from a claimant's attorney is |
174 | granted for an additional continuance after the initial |
175 | continuance has been granted. Any order granting a continuance |
176 | must set forth the date and time of the rescheduled hearing. A |
177 | continuance may be granted only if the requesting party |
178 | demonstrates to the judge of compensation claims that the reason |
179 | for requesting the continuance arises from circumstances beyond |
180 | the control of the parties. The judge of compensation claims |
181 | shall report any grant of two or more continuances to the Deputy |
182 | Chief Judge. |
183 | (h) To further expedite dispute resolution and to enhance |
184 | the self-executing features of the system, those petitions filed |
185 | in accordance with s. 440.192 that involve a claim for benefits |
186 | of $5,000 or less shall, in the absence of compelling evidence |
187 | to the contrary, be presumed to be appropriate for expedited |
188 | resolution under this paragraph; and any other petition claim |
189 | filed in accordance with s. 440.192, upon the written agreement |
190 | of both parties and application by either party, may similarly |
191 | be resolved under this paragraph. A claim in a petition of |
192 | $5,000 or less for medical benefits only or a petition for |
193 | reimbursement for mileage for medical purposes shall, in the |
194 | absence of compelling evidence to the contrary, be resolved |
195 | through the expedited dispute resolution process provided in |
196 | this paragraph. For purposes of expedited resolution pursuant to |
197 | this paragraph, the Deputy Chief Judge shall make provision by |
198 | rule or order for expedited and limited discovery and expedited |
199 | docketing in such cases. At least 15 days prior to hearing, the |
200 | parties shall exchange and file with the judge of compensation |
201 | claims a pretrial outline of all issues, defenses, and witnesses |
202 | on a form adopted by the Deputy Chief Judge; provided, in no |
203 | event shall such hearing be held without 15 days' written notice |
204 | to all parties. No pretrial hearing shall be held and no |
205 | mediation scheduled unless requested by a party. The judge of |
206 | compensation claims shall limit the all argument and |
207 | presentation of evidence at the hearing to a maximum of 30 |
208 | minutes per party, and such hearings shall not exceed 30 minutes |
209 | in length. Neither party shall be required to be represented by |
210 | counsel. The employer or carrier may be represented by an |
211 | adjuster or other qualified representative. The employer or |
212 | carrier and any witness may appear at such hearing by telephone. |
213 | The rules of evidence shall be liberally construed in favor of |
214 | allowing introduction of evidence. |
215 | Section 4. Subsection (2) of section 440.32, Florida |
216 | Statutes, is amended to read: |
217 | 440.32 Cost in proceedings brought without reasonable |
218 | ground.-- |
219 | (2) If the judge of compensation claims or any court |
220 | having jurisdiction of proceedings in respect to any claims or |
221 | defense under this section determines that the proceedings were |
222 | maintained or continued frivolously, the cost of the |
223 | proceedings, including reasonable attorney's fees, shall be |
224 | assessed against the offending party or attorney. If a penalty |
225 | is assessed under this subsection, a copy of the order assessing |
226 | the penalty must be forwarded to the appropriate grievance |
227 | committee acting under the jurisdiction of the Supreme Court. |
228 | Penalties, fees, and costs awarded against an attorney under |
229 | this provision may not be recouped from the party. |
230 | Section 5. Section 440.34, Florida Statutes, is amended to |
231 | read: |
232 | 440.34 Attorney's fees; costs.-- |
233 | (1) A claimant shall be responsible for the payment of her |
234 | or his own attorney's fees, except that she or he shall be |
235 | entitled to recover an attorney's fee payable by a carrier or |
236 | employer in any proceeding in which: |
237 | (a) The claimant employed an attorney in the successful |
238 | prosecution of a petition for benefits seeking temporary, |
239 | impairment, or permanent disability benefits or medical |
240 | benefits; |
241 | (b) The carrier or employer denied that an accident for |
242 | which compensation benefits are payable under this chapter |
243 | occurred, and the claimant prevailed on the issue of |
244 | compensability; or |
245 | (c) The claimant successfully prevailed in a proceeding |
246 | filed under s. 440.24 or s. 440.28. |
247 | |
248 | Regardless of the date benefits are initially requested, an |
249 | employer's or carrier's liability for attorney's fees under this |
250 | subsection shall not attach until 30 days after the date the |
251 | carrier or employer, if self-insured, receives the petition for |
252 | benefits. If a carrier or employer furnishes the benefits |
253 | claimed in a petition for benefits more than 30 days, but within |
254 | 90 days, after the filing of the petition for benefits, the |
255 | attorney's fees a carrier or employer is obligated to pay under |
256 | this subsection shall be equal to 25 percent of the value of the |
257 | benefits secured. If a carrier or employer furnishes or is |
258 | ordered to furnish the benefits claimed in a petition for |
259 | benefits more than 90 days after the filing of the petition, the |
260 | attorney's fees a carrier or employer is obligated to pay under |
261 | this subsection shall be a reasonable attorney's fee as |
262 | determined by the judge of compensation claims. |
263 | (2) A fee, gratuity, or other consideration may not be |
264 | paid by a carrier or employer for a claimant pursuant to |
265 | subsection (1) in connection with any proceedings arising under |
266 | this chapter, unless approved as reasonable by the judge of |
267 | compensation claims or court having jurisdiction over such |
268 | proceedings. Any attorney's fee approved by a judge of |
269 | compensation claims for benefits secured on behalf of a claimant |
270 | must equal to 20 percent of the first $5,000 of the amount of |
271 | the benefits secured, 15 percent of the next $5,000 of the |
272 | amount of the benefits secured, 10 percent of the remaining |
273 | amount of the benefits secured to be provided during the first |
274 | 10 years after the date the claim is filed, and 5 percent of the |
275 | benefits secured after 10 years. The judge of compensation |
276 | claims shall not approve a compensation order, a joint |
277 | stipulation for lump-sum settlement, a stipulation or agreement |
278 | between a claimant and his or her attorney, or any other |
279 | agreement related to benefits under this chapter that provides |
280 | for an attorney's fee in excess of the amount permitted by this |
281 | section. The judge of compensation claims is not required to |
282 | approve any retainer agreement between the claimant and his or |
283 | her attorney. The retainer agreement as to fees and costs may |
284 | not be for compensation in excess of the amount allowed under |
285 | this section. |
286 | (3)(2) In awarding a claimant's attorney's fee, the judge |
287 | of compensation claims shall consider only those benefits |
288 | secured by the attorney. An attorney is not entitled to |
289 | attorney's fees for representation in any issue that was ripe, |
290 | due, and owing and that reasonably could have been addressed, |
291 | but was not addressed, during the pendency of other issues for |
292 | the same injury. The amount, statutory basis, and type of |
293 | benefits obtained through legal representation shall be listed |
294 | on all attorney's fees awarded by the judge of compensation |
295 | claims. For purposes of this section, the term "benefits |
296 | secured" does not include future medical benefits to be provided |
297 | on any date more than 5 years after the date the claim is filed. |
298 | In the event an offer to settle an issue pending before a judge |
299 | of compensation claims, including attorney's fees as provided |
300 | for in this section, is communicated in writing to the claimant |
301 | or the claimant's attorney at least 30 days prior to the trial |
302 | date on such issue, for purposes of calculating the amount of |
303 | attorney's fees to be taxed against the employer or carrier, the |
304 | term "benefits secured" shall be deemed to include only that |
305 | amount awarded to the claimant above the amount specified in the |
306 | offer to settle. If multiple issues are pending before the judge |
307 | of compensation claims, said offer of settlement shall address |
308 | each issue pending and shall state explicitly whether or not the |
309 | offer on each issue is severable. The written offer shall also |
310 | unequivocally state whether or not it includes medical witness |
311 | fees and expenses and all other costs associated with the claim. |
312 | (4)(3) If any party should prevail in any proceedings |
313 | before a judge of compensation claims or court, there shall be |
314 | taxed against the nonprevailing party the reasonable costs of |
315 | such proceedings, not to include attorney's fees. A claimant |
316 | shall be responsible for the payment of her or his own |
317 | attorney's fees, except that a claimant shall be entitled to |
318 | recover a reasonable attorney's fee from a carrier or employer: |
319 | (a) Against whom she or he successfully asserts a petition |
320 | for medical benefits only, if the claimant has not filed or is |
321 | not entitled to file at such time a claim for disability, |
322 | permanent impairment, wage-loss, or death benefits, arising out |
323 | of the same accident; |
324 | (b) In any case in which the employer or carrier files a |
325 | response to petition denying benefits with the Office of the |
326 | Judges of Compensation Claims and the injured person has |
327 | employed an attorney in the successful prosecution of the |
328 | petition; |
329 | (c) In a proceeding in which a carrier or employer denies |
330 | that an accident occurred for which compensation benefits are |
331 | payable, and the claimant prevails on the issue of |
332 | compensability; or |
333 | (d) In cases where the claimant successfully prevails in |
334 | proceedings filed under s. 440.24 or s. 440.28. |
335 | |
336 | Regardless of the date benefits were initially requested, |
337 | attorney's fees shall not attach under this subsection until 30 |
338 | days after the date the carrier or employer, if self-insured, |
339 | receives the petition. |
340 | (5)(4) In such cases in which the claimant is responsible |
341 | for the payment of her or his own attorney's fees, such fees are |
342 | a lien upon compensation payable to the claimant, |
343 | notwithstanding s. 440.22. |
344 | (6)(5) If any proceedings are had for review of any claim, |
345 | award, or compensation order before any court, the court may |
346 | award the injured employee or dependent an attorney's fee to be |
347 | paid by the employer or carrier, in its discretion, which shall |
348 | be paid as the court may direct. |
349 | (7)(6) A judge of compensation claims may not enter an |
350 | order approving the contents of a retainer agreement that |
351 | permits the escrowing of any portion of the employee's |
352 | compensation until benefits have been secured. |
353 | (8) Nothing in this chapter shall impair the right of a |
354 | claimant to contract with an attorney for representation in |
355 | connection with a claim under this chapter. |
356 | (7) If an attorney's fee is owed under paragraph (3)(a), |
357 | the judge of compensation claims may approve an alternative |
358 | attorney's fee not to exceed $1,500 only once per accident, |
359 | based on a maximum hourly rate of $150 per hour, if the judge of |
360 | compensation claims expressly finds that the attorney's fee |
361 | amount provided for in subsection (1), based on benefits |
362 | secured, fails to fairly compensate the attorney for disputed |
363 | medical-only claims as provided in paragraph (3)(a) and the |
364 | circumstances of the particular case warrant such action. |
365 | Section 6. Paragraph (c) of subsection (2) of section |
366 | 440.45, Florida Statutes, is amended to read: |
367 | 440.45 Office of the Judges of Compensation Claims.-- |
368 | (2) |
369 | (c) Each judge of compensation claims shall be appointed |
370 | for a term of 4 years, but during the term of office may be |
371 | removed by the Governor for cause. Prior to the expiration of a |
372 | judge's term of office, the statewide nominating commission |
373 | shall review the judge's conduct and determine whether the |
374 | judge's performance is satisfactory. Effective July 1, 2002, in |
375 | determining whether a judge's performance is satisfactory, the |
376 | commission shall consider the extent to which the judge has met |
377 | the requirements of this chapter, including, but not limited to, |
378 | the requirements of ss. 440.25(1) and (4)(a)-(e), 440.34(3)(2), |
379 | and 440.442. If the judge's performance is deemed satisfactory, |
380 | the commission shall report its finding to the Governor no later |
381 | than 6 months prior to the expiration of the judge's term of |
382 | office. The Governor shall review the commission's report and |
383 | may reappoint the judge for an additional 4-year term. If the |
384 | Governor does not reappoint the judge, the Governor shall inform |
385 | the commission. The judge shall remain in office until the |
386 | Governor has appointed a successor judge in accordance with |
387 | paragraphs (a) and (b). If a vacancy occurs during a judge's |
388 | unexpired term, the statewide nominating commission does not |
389 | find the judge's performance is satisfactory, or the Governor |
390 | does not reappoint the judge, the Governor shall appoint a |
391 | successor judge for a term of 4 years in accordance with |
392 | paragraph (b). |
393 | Section 7. Paragraph (b) of subsection (6) of section |
394 | 440.491, Florida Statutes, is amended to read: |
395 | 440.491 Reemployment of injured workers; rehabilitation.-- |
396 | (6) TRAINING AND EDUCATION.-- |
397 | (b) When an employee who has attained maximum medical |
398 | improvement is unable to earn at least 80 percent of the |
399 | compensation rate and requires training and education to obtain |
400 | suitable gainful employment, the employer or carrier shall pay |
401 | the employee additional training and education temporary total |
402 | compensation benefits while the employee receives such training |
403 | and education for a period not to exceed 26 weeks, which period |
404 | may be extended for an additional 26 weeks or less, if such |
405 | extended period is determined to be necessary and proper by a |
406 | judge of compensation claims. The benefits provided under this |
407 | paragraph shall be calculated in the same manner as temporary |
408 | total disability benefits under s. 440.15(2) and shall not be in |
409 | addition to the 104 weeks as specified in s. 440.15(2). However, |
410 | a carrier or employer is not precluded from voluntarily paying |
411 | additional temporary total disability compensation beyond that |
412 | period. If an employee requires temporary residence at or near a |
413 | facility or an institution providing training and education |
414 | which is located more than 50 miles away from the employee's |
415 | customary residence, the reasonable cost of board, lodging, or |
416 | travel must be borne by the department from the Workers' |
417 | Compensation Administration Trust Fund established by s. 440.50. |
418 | An employee who refuses to accept training and education that is |
419 | recommended by the vocational evaluator and considered necessary |
420 | by the department will forfeit any additional training and |
421 | education benefits and any additional payment for lost wages |
422 | under this chapter. The department shall adopt rules to |
423 | implement this section, which shall include requirements placed |
424 | upon the carrier to notify the injured employee of the |
425 | availability of training and education benefits as specified in |
426 | this chapter. The department shall also include information |
427 | regarding the eligibility for training and education benefits in |
428 | informational materials specified in ss. 440.207 and 440.40. |
429 | Section 8. This act shall take effect July 1, 2009. |