LD 2202
pg. 2
Page 1 of 2 An Act to Ensure that 25% of Workers' Compensation Cases with Permanent Impairm... LD 2202 Title Page
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LR 3594
Item 1

 
Sec. 2. Application. This Act does not apply to individual cases in
which a previous final decree finding the extent of permanent
impairment has been issued and appeal proceedings have been
completed.

 
Sec. 3. Retroactivity. Notwithstanding the Maine Revised Statutes,
Title 1, section 302, this Act applies retroactively to permanent
impairment assessments made under Title 39-A, section 213 for
injuries subject to section 213 and to all pending proceedings.

 
SUMMARY

 
The Maine Workers' Compensation Act of 1992, the Maine Revised
Statutes, Title 39-A, Part 1, requires in section 213 that 25% of
all injured workers with permanent partial injuries be eligible
to receive benefits for the duration of the disability. The
remaining 75% of injured workers with less serious, permanent
partial injuries are subject to a durational benefit cap that is
currently 364 weeks. The cases that fall within the 25% band are
some of the most expensive cases in the system. Any changes that
affect eligibility for unlimited durational benefits without a
corresponding adjustment to the eligibility threshold will
significantly increase the total system costs.

 
The purpose of this bill is to maintain the requirement
contained in the Maine Workers' Compensation Act of 1992, section
213 that 25% of workers' compensation cases involving permanent
injury be eligible for duration-of-disability benefits rather
than the durational benefit cap. This bill clarifies that, when
the board collects permanent impairment data to determine the
point at which 25% of cases will be eligible for duration-of-
disability benefits, the data may not include permanent
impairment that is unrelated to the work injury at issue even if
such permanent impairment combines with the work injury to give
rise to a compensable disability. It also confirms that this
same standard applies for the purposes of determining whether an
individual case involves permanent impairment sufficient to
exceed the permanent impairment threshold established in the
Workers' Compensation Act, section 213. To this extent, this
bill overturns the decision of the Maine Supreme Judicial Court
in Kotch v. American Protective Services, Inc. 2002 ME 19, which
interpreted the law to permit preexisting conditions that are not
related to the work injury to be considered in determining
eligibility for duration-of-disability wage loss benefits. The
bill also provides guidance to the Workers' Compensation Board
concerning the collection of permanent impairment data on a
prospective basis.

 
This bill applies retroactively to all injuries occurring on
or after January 1, 1993 and to pending proceedings; an exception
from the general prohibition against application of legislation
to matters pending at the time of passage or amendment is
provided.


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