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PRINTER'S NO. 3190
THE GENERAL ASSEMBLY OF PENNSYLVANIA
HOUSE BILL
No.
2643
Session of
2022
INTRODUCED BY SIMS, RABB, CEPHAS, INNAMORATO, MADDEN AND DALEY,
JUNE 6, 2022
REFERRED TO COMMITTEE ON LABOR AND INDUSTRY, JUNE 6, 2022
AN ACT
Amending the act of June 28, 1935 (P.L.477, No.193), entitled
"An act providing for the payment of the salary, medical and
hospital expenses of certain employes of State and local
government who are injured or contract certain diseases in
the performance of their duty; and providing that absence
during such injury shall not reduce any usual sick leave
period," further providing for the payment of the salary,
medical and hospital expenses of certain employees of State
and local government who are injured or contract certain
diseases in the performance of their duty; and providing for
affirmation and for definitions.
The General Assembly of the Commonwealth of Pennsylvania
hereby enacts as follows:
Section 1. Section 1(a)(12) of the act of June 28, 1935
(P.L.477, No.193), referred to as the Enforcement Officer
Disability Benefits Law, is amended and the section is amended
by adding subsections to read:
Section 1. (a) Be it enacted, &c., That:
* * *
(12) any enforcement officer or investigator of the
Pennsylvania Game Commission or the Pennsylvania Fish and Boat
Commission;
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who is injured in the performance of his duties including, in
the case of firemen, duty as special fire police, and by reason
thereof is temporarily incapacitated from performing his duties,
shall be paid by the Commonwealth of Pennsylvania if an employe
identified under paragraph (1), (2), (3), (4), (5), (6), (7),
(8) or (12) or by the Delaware River Port Authority if a member
of the Delaware River Port Authority Police or by the county,
township or municipality, by which he is employed, his full rate
of salary, as fixed by ordinance or resolution, until the
disability arising therefrom has ceased. All medical and
hospital bills, incurred in connection with any such injury,
shall be paid by the Commonwealth of Pennsylvania or by the
Delaware River Port Authority or by such county, city, township
or municipality[.] unless the employe obtains medical care from
a physician or health care provider outside of the method
permitted under subsection (f). During the time salary for
temporary incapacity shall be paid by the Commonwealth of
Pennsylvania or by the Delaware River Port Authority or by the
county, city, borough, town or township, any workmen's
compensation, received or collected by any such employe for such
period, shall be turned over to the Commonwealth of Pennsylvania
or to the Delaware River Port Authority or to such county, city,
borough, town or township, and paid into the treasury thereof,
and if such payment shall not be so made by the employe the
amount so due the Commonwealth of Pennsylvania, the Delaware
River Port Authority or the county, city, borough, town or
township shall be deducted from any salary then or thereafter
becoming due and owing.
* * *
(e) Employes receiving benefits under this act shall be
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prohibited from engaging in secondary employment outside of
their employment with the employer while receiving benefits
designated under this act. If an employe violates this section,
they may be subject to termination or the employer may cease
benefits.
(f) (1) Employers shall provide payment for reasonable
surgical and medical services, services rendered by physicians
or other health care providers, including an additional opinion
when invasive surgery may be necessary, medicines and supplies,
as and when needed. Provided, that an employer establishes a
list of at least six designated health care providers that
contain specialties that are appropriate for an anticipated
work-related medical problem or injury and are geographically
accessible with no more than four of whom may be a coordinated
care organization and no fewer than three of whom shall be
physicians, the employe shall be required to visit one of the
physicians or other health care providers so designated and
shall continue to visit the same or another designated physician
or health care provider for a period of ninety days from the
date of the first visit. The compiled list shall contain each
provider's name, address, telephone number and any specialties.
(2) The employer shall not include on the list a physician
or other health care provider who is employed, owned or
controlled by the employer unless employment, ownership or
control is disclosed on the list. Should invasive surgery for an
employe be prescribed by a physician or other health care
provider so designated by the employer, the employe shall be
permitted to receive an additional opinion from any health care
provider of the employe's own choice. If the additional opinion
differs from the opinion provided by the physician or health
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care provider so designated by the employer, the employe shall
determine which course of treatment to follow: Provided, that
the second opinion provides a specific and detailed course of
treatment. If the employe chooses to follow the procedures
designated in the second opinion, such procedures shall be
performed by one of the physicians or other health care
providers so designated by the employer for a period of ninety
days from the date of the visit to the physician or other health
care provider of the employe's own choice. Should the employe
not comply with the foregoing, the employer will be relieved
from liability for the payment for the services rendered during
such applicable period.
(3) It shall be the duty of the employer to provide a
clearly written notification of the employe's rights and duties
under this section to the employe. The employer shall further
ensure that the employe has been informed and that the employe
understands these rights and duties. This duty shall be
evidenced only by the employe's written acknowledgment of having
been informed and having understood the employe's rights and
duties. Any failure of the employer to provide and evidence such
notification shall relieve the employe from any notification
duty owed, notwithstanding any provision of this act to the
contrary, and the employer shall remain liable for all rendered
treatment.
(4) Subsequent treatment may be provided by any health care
provider of the employe's own choice. Any employe who, next
following termination of the applicable period, is provided
treatment from a nondesignated health care provider shall notify
the employer within five days of the first visit to said health
care provider. Failure to so notify the employer will relieve
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the employer from liability for the payment for the services
rendered prior to appropriate notice if such services are
determined unreasonable or unnecessary.
(5) Any provider who treats an injured employe shall be
required to file periodic reports with the employer on a form
prescribed by the employer which shall include, where pertinent,
history, diagnosis, treatment, prognosis and physical findings.
The report shall be filed within ten days of commencing
treatment and at least once a month thereafter as long as
treatment continues. The employer shall not be liable to pay for
such treatment until a report has been filed.
Section 2. Section 2.1 of the act is repealed:
[Section 2.1. For the purposes of this act, the term
"fireman" shall mean and include the following:
(1) Paid firemen not employed by the Commonwealth.
(2) Emergency medical services personnel employed within a
city fire department.
(3) Firemen of airport authorities, including fire
suppression instructors.
(4) Fire and safety marshals who are firemen employed by the
Commonwealth.
(5) Fire academy instructors employed at the State Fire
Academy.
(6) Assistant fire marshals employed by the Commonwealth.
(7) Forest patrolmen and forest technicians employed by the
Commonwealth.]
Section 3. The act is amended by adding sections to read:
Section 2.2. (a) Employes who receive benefits under this
act shall be required to file an affirmation on a quarterly
basis with the employer affirming that they are unable to work
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and to ensure compliance with this act. An employe must affirm
in the quarterly affirmation that the employe is not receiving
income from secondary employment or other employment beyond the
employe's employer under this act while receiving benefits under
this act.
(b) The process and forms for quarterly affirmations shall
be provided by the employer.
(c) Quarterly affirmations may require the employe to submit
any pertinent medical documentation or information provided by a
physician or health care provider.
(d) Medical documentation or other pertinent medical
information requested by the employer to be included in a
quarterly affirmation shall have been performed by a physician
or health care provider within forty-five days of the submission
of the quarterly affirmation.
(e) Failure to file a quarterly affirmation or providing
false information on a quarterly affirmation may result in
termination or the loss of benefits provided under this act.
(f) If an employe is physically unable, due to a medical
condition, to file a quarterly affirmation, the employer shall
waive this requirement or make alternative arrangements with the
employe to fulfill this requirement.
(g) Annual reports must be compiled by each employer subject
to this act and posted on their publicly accessible Internet
website by December 31 of each year. Each report must contain
the expenses paid by the employer on benefits under this act,
other associated costs related to this act, as well as the
number of their employes receiving benefits in that calendar
year.
(h) Commencing on January 1, 2023, the Auditor General shall
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establish a five-year reoccurring cycle where the Auditor
General audits the benefits and procedures provided under this
act for each employer subject to the requirements of this act.
(i) At the end of the five-year cycle or when all employers
have been audited, the Auditor General shall submit a report to
the Governor and the General Assembly. The report shall be
published on the Auditor General's publicly accessible Internet
website.
Section 2.3. The following words and phrases when used in
this act shall have the meanings given to them in this section
unless the context clearly indicates otherwise:
"Employer." Any agency, department, office, board,
commission, political subdivision, port authority or other
entity of the Commonwealth, and any recipient of State funds
that is subject to section 1(a).
"Fireman." Includes:
(1) Paid firemen not employed by the Commonwealth.
(2) Emergency medical services personnel employed within a
city fire department.
(3) Firemen of airport authorities, including fire
suppression instructors.
(4) Fire and safety marshals who are firemen employed by the
Commonwealth.
(5) Fire academy instructors employed at the State Fire
Academy.
(6) Assistant fire marshals employed by the Commonwealth.
(7) Forest patrolmen and forest technicians employed by the
Commonwealth.
"Health care provider." An individual licensed under the act
of December 20, 1985 (P.L.457, No.112), known as the "Medical
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Practice Act of 1985."
"Physician." As defined in the "Medical Practice Act of
1985."
Section 4. This act shall take effect in 60 days.
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