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The
1913 Oregon Legislative Assembly gave Oregon its first workers
compensation law, which became effective July 1, 1914. This law
set up a State Industrial Accident Commission (SIAC), consisting
of three trustees, to oversee the Industrial Accident Fund. Employers
in
hazardous occupations had to decide whether to be part of the fund.
Contributors to the fund could not be sued; suits were brought against
the commission. Noncontributors, on the other hand, had no common-law
defenses, and the Employer Liability Act made them vulnerable
to unlimited damages for worker injuries or illnesses. Employers
in nonhazardous occupations also could contribute to the fund and
get the benefits.
In 1965, the Legislature overhauled the law. Most employers came
under the Workmens Compensation Law with this change, effective
Jan. 1, 1966. Two years later, all employers came under this law
if they employed subject workers. Employers could buy the commissions
insurance, self-insure, or insure with private companies. The SIAC
was renamed Workmens Compensation Board, and its insurance
function
was given to the State Compensation Department, the forerunner of
the State Accident Insurance Fund (SAIF) and SAIF Corp.
The federal Occupational Safety and Health Act of 1970 gave rise
to the Oregon Safe Employment Act in 1973. Its purpose was to ensure
safe and healthful working conditions for every working man and
woman in Oregon, to preserve our human resources, and to reduce
the
substantial burden in terms of lost production, wage loss,
medical expenses, disability compensation payment, and human suffering
created by occupational injury and disease.
The 1977 Legislature reshuffled workers compensation administration
and created a Workers Compensation Department headed by a
director appointed by the governor. The Workers Compensation
Board, continuing under gubernatorial appointment, supervised a
Hearings Division that settled contested cases under both workers
compensation law and the Oregon Safe Employment Act.
The 1987 Legislature made substantial changes to workers compensation
law. Chapter 884, Oregon Law 1987, heavily amended and enhanced
current law, and the Workers Compensation Department became
a division of the new Department of Insurance & Finance.
In 1990, based on recommendations of the Labor/Management Task Force
appointed by the governor, the Legislature made substantial
changes to the law in special session; Chapter 2, Oregon Laws 1990
(SB 1197), significantly amended and added to the Workers
Compensation Law.
The 1993 Legislative session made only minor changes to the Oregon
workers compensation system. These included HB 2282, which
addressed the regulation of employee leasing companies, and HB 2285,
which dealt with Oregons 24-Hour Health Plan, a pilot project
that combined group health coverage with the medical portion of
workers compensation. HB 3069 amended the public records law
to restrict access to claims history information in certain circumstances
when the information could be used to discriminate against injured
workers.
In 1995, the most significant changes to the workers compensation
system came with SB 369. After many drafts and rewrites, the bill
emerged as an 80-page reform of the workers compensation system.
SB 369 was designed, in part, to restate and clarify many of the
1990
reforms that had been reversed or overturned through case law. The
bill addressed other provisions, and the Department of Insurance
& Finance was reorganized and renamed the Department of Consumer
& Business Services.
In 1997, HB 2971 revised ORS 656.262, affecting the issuance of
notices of acceptance and the processing of new compensable conditions.
In 1999, the Legislature passed HB 2830, which required Oregon OSHA
to revise its method for scheduling workplace inspections and notify
certain employers of an increased likelihood of inspection.
The 1999 legislative session saw relatively minor changes to the
Oregon workers compensation system. However, SB 460 repealed
most sunsets
placed by SB 369 in 1995. One exception to the sunset repeal was
the exclusive-remedy provision. With limited exception, workers
compensation is the sole remedy for covered workers with injuries
and illnesses that arise out of and in the course of their employment.
The
Legislature directed the Workers Compensation Division to
commission a study on the effects of and the costs and savings to
the Oregon workers compensation system of major-contributing
cause and combined-condition provisions. The sunset was extended
until Dec. 31, 2004.
The 2001 legislative session saw the passage of SB 485, the most
complex and comprehensive workers compensation bill since
1995. This bill contained changes agreed upon by labor and management
to correct imbalances or problems with the workers compensation
system.
SB 485:
Addressed tort claims against an injured workers employer
and clarified the definition of pre-existing conditions and their
applicability to arthritis or arthritic conditions;
Increased permanent partial disability rates (sunset Dec.
31, 2004);
Allowed introduction of contributory negligence as an employer
defense;
Reduced time during which claims may be denied or accepted;
Increased the maximum rate of temporary disability benefits;
Created supplemental disability for multiplejob workers;
Changed the Workers Compensation Board own-motion claim-reopening
process, including awarding permanent partial disability; and
Allowed Workers Benefit Fund reimbursement for new
or omitted medical condition reopenings under WCBs own-motion
process.
SB 485 also directed the Management-Labor Advisory Committee (MLAC)
to recommend to the 2003 Legislative Assembly an exclusive,
no-fault, expeditious alternative process and remedy to the court
system that addresses major-contributing-cause denials.
The 2003 Oregon Legislative Assembly enacted several changes to
workers compensation law through SB 233:
Eliminated the additional penalty on noncomplying employers
following claim closure;
Removed the requirement that assigned claims agents for noncomplying
employers be special assistant attorneys general, thus
allowing agents to hire private counsel;
Changed what self-insured employers may use for security
deposits;
Established joint and several liabilities for all entities
operating under one self-insurance certification and allowed electronic
filing of
guaranty contracts; and
Changed the appeal period for nonsubjectivity determinations
from 30 to 60 days and the start of the appeal period for orders
issued under
ORS 656.740 from the receipt date to the mailing date.
The 2003 Legislature also changed how permanent partial disability
(PPD) benefits will be determined in Oregon. For injuries occurring
on or after Jan. 1, 2005, SB 757 replaces scheduled
and unscheduled disability with impairment
and work disability. The major changes to PPD benefit
determination include rating injuries to body parts in relation
to the whole person, paying workers with permanent disability
an impairment benefit equal to the percentage of impairment
multiplied by 100 times the state average weekly wage, and paying
workers unable to return to regular work disability benefits equal
to the percentage of impairments (modified by age, education, and
adaptability factors) multiplied by 150 times the workers
weekly wage at the time of injury provided the factor for the weekly
wage is
between 50 percent and 133 percent of the state average weekly wage.
The 2005 Legislature made a change to the permanent partial disability
statutes enacted in 2003. House Bill 2408 provided that when
determining a workers permanent disability benefits, a worker
only receives the impairment benefit (no work disability) when the
worker
is released to regular work by the attending physician or nurse
practitioner or returns to regular work at the job held at the time
of
injury. The law applies to all claims with dates of injury on or
after Jan. 1, 2006. The changes sunset Jan. 1, 2008.
The 2005 Legislature also addressed the process for insurer-requested
independent medical examinations. Senate Bill 311 required insurers
to select an independent medical examination provider from a list
developed by the Department of Consumer & Business Services.
The criteria to be on the list of qualified providers will include
training
requirements and standards set by either the providers professional
organization or the American Board of Independent Medical Examiners.
In addition, the bill allows workers to appeal the reasonableness
of the exam location and obtain an expedited review by the department.
The bill also provides for sanctions against medical service providers
who fail to provide diagnostic records in a timely manner. The bill
imposes a monetary penalty against workers who fail to attend an
independent medical examination without prior notification or without
justification for not attending the examination.
Senate Bill 386 was also enacted in 2005. Effective Jan. 1, 2006,
the bill modified the standard for establishing permanent total
disability benefits, as well as terminating or rescinding those
benefits. The new standard for terminating permanent total disability
benefits requires a
worker to be materially improved medically or vocationally and capable
of regularly performing work at a gainful and suitable occupation.
SB 386 sets an earnings threshold to determine what constitutes
gainful employment that is linked to the federal poverty
guidelines for a family of three. For injuries on or after Jan.
1, 2006, the bill adjusts the workers wage rate used to determine
the gainful employment threshold at the same percentage change as
in federal poverty guidelines. The bill allows workers to appeal
to the Hearings Division of the Workers
Compensation Board any notice of closure that reverses their permanent
total disability benefits; workers benefits continue while
notices of closure are appealed. If the insurers decision
is upheld, insurers are to be reimbursed from the Workers
Benefit Fund for benefits paid during the appeal. SB 386 also makes
workers eligible
for vocational assistance if their permanent total disability benefits
are terminated.
Significant laws passed in 2005 affecting workers compensation
HB 2091 Transfers all hearings on matters not concerning
a claim medical, vocational, and some penalty issues
from the Office of Administrative Hearings to the Hearings Division
of the Workers
Compensation Board. After Jan. 1, 2006, all contested case hearings
on workers compensation issues will be held at the Workers
Compensation Board.
HB 2294 Changes the law relating to new and omitted conditions
and the ownmotion jurisdiction of the Workers Compensation
Board. If a workers claim is denied, the worker may request
a hearing on the denial, regardless of when the worker makes a claim
for a new or omitted condition. The bill clarifies that if the workers
claim for a
new or omitted condition is compensable, but was made more than
five
years after the first closure of the workers claim, the claim
is to be processed under the jurisdiction of the board. The bill
provides that any party can appeal an own-motion order from the
board. Effective Jan. 1, 2006.
HB 2404 Eliminates penalties that would otherwise be assessed
against an insurer or self-insured employer if, after the completion
of the reconsideration of a closed claim, the workers benefit
increases as a
result of circumstances beyond the control of the insurer or self-insured
employer. Effective Jan. 1, 2006.
HB 2405 Expedites the process of claims for aggravation by
having the attending physician and the worker (or the workers
representative) sign the aggravation claim form. The bill requires
the insurer or self-insured employer to start processing the aggravation
claim when it receives the completed form and eliminates the requirement
that the physicians report accompany the claim for aggravation.
However, the report must subsequently be provided to the insurer
as documentation of the
worsened condition as the basis for payment of compensation. Effective
Jan. 1, 2006.
HB 2408 Provides that when determining a workers permanent
disability benefits, a worker only receives the impairment benefit
(no work disability) without exception when the worker is released
to regular work by the attending physician or nurse practitioner
or returns to regular work at the job held at the time of injury.
Applies to all claims with dates of injury on or after Jan. 1, 2006
(changes sunset Jan. 1, 2008).
HB 2717 Establishes time limits on hearing notices and hearing
postponements at the Workers Compensation Board. The bill
requires the board to give at least 60 days notice of a scheduled
hearing,
except for expedited claim service cases, stayed compensation cases,
and requests for hearings that consolidate an existing case and
an existing hearing date. The bill also requires that postponed
hearings be rescheduled within 120 days of the original hearing
date, with the exception of multiple employer/insurer responsibility
cases. Effective Jan. 1, 2006.
HB 2718 Allows self-insured public utilities to obtain workers
compensation excess insurance coverage from eligible surplus lines
insurers. The bill limits this provision to public utilities with
more
than $500 million in assets. Effective Jan. 1, 2006.
HB 3318 Increases the amount an employer may pay for medical
services in nondisabling workers compensation claims from
$500 to $1,500. Applies to claims made on or after Jan. 1, 2006.
SB 119 Allows the Reemployment Assistance Program to provide
direct services to injured workers (such as job search assistance).
The bill also provides that the Workers Benefit Fund will
reimburse the insurer for vocational assistance costs if the director
of the Department
of Consumer & Business Services issues an order overturning
the denial
of vocational benefits and that denial is later upheld by a final
order. Effective Jan. 1, 2006.
SB 172 Gives the director of the Department of Consumer &
Business Services authority to issue civil penalties for violation
of a statute. The bill also corrects language that inadvertently
extended the timeline required to begin a mandatory reconsideration
of claim closure. The
bill eliminates an obsolete statute that requires the director to
designate a physician to complete a pre-employment physical if requested
by a prospective employer. Effective Jan. 1, 2006.
SB 311 Provides additional protections and rights for injured
workers required to attend independent medical examinations (IME)
as part of a workers compensation claim. The bill requires
insurers to select an examiner from a list of qualified providers
maintained by the
Department of Consumer & Business Services. The bill requires
that examiners on the list take training approved by the department
and perform within standards set by either their professional licensing
organization or the American Board of Independent Medical Examiners.
The department may remove examiners who have violated standards
from the list. Insurers must provide training to claims examiners
related to interactions with IME providers, and the training content
must be developed or approved by the department. The bill allows
workers to appeal the reasonableness of the location of the examination.
The department may investigate worker complaints regarding the examination.
The bill provides for sanctions against injured workers who fail
to attend an IME without justification or prior notification for
not attending the exam. Effective Jan. 1, 2006 (the provider list
is effective July 1, 2006).
SB 386 Changes how permanent total disability (PTD) benefits
are determined in Oregon. The bill sets an earnings threshold to
determine what constitutes gainful employment that is
linked to the federal poverty guidelines for a family of three.
The bill changes the process for rescinding or terminating PTD benefits.
A worker who has PTD benefits rescinded may appeal to the Workers
Compensation Board and continue to receive benefits while the appeal
is in progress. If the PTD rescission is upheld, the Workers
Benefit Fund will reimburse the insurer for benefits paid during
the appeal. Workers are allowed to earn some
wages and remain eligible for PTD benefits. The bill also provides
that
workers are eligible for vocational assistance if their PTD benefits
are
terminated. Effective Jan. 1, 2006.
SB 433 Makes owners or leaseholders that furnish, maintain,
and operate certain motor vehicles used in the transportation of
property nonsubject workers for purposes of workers compensation
statutes. Effective Jan. 1, 2006.
SB 670 Requires the director of the Department of Consumer
& Business Services to review and approve certain treatment
standards for care provided by managed care organizations. This
bill also requires managed care organization plans to allow attending
physicians to advocate for medical services and temporary disability
benefits. Effective Jan. 1, 2006.
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