Lance's Corner

Governor Hochul Signs Into Law Workers' Compensation Bill Expanding Coverage for Mental Stress Injuries to All Workers

Dec 8, 2024

Governor Hochul has signed into law, as Chapter 546 of the Laws of 2024, a bill that amends Section 10(3)(b) of the New York State Workers' Compensation Law to allow all workers to seek workers' compensation benefits for a mental injury premised upon extraordinary work-related stress at work.  Previously, this use of workers' compensation was limited to certain first responders exposed to emergency situations.  The new law vastly expands the reach of workers' compensation benefits to all workers who experience mental stress injuries from their work.  The new law takes effect January 1, 2025.  A copy of the new law is below, as is Governor Hochul's announcement of the new law.  Governor Hochul has noted that some amendments to the new law will be necessary to better define the kinds of mental injury that will be covered.  Governor Hochul's Approval Memo can be read here: Governor Hochul Chapter 546 Approval Memo.

LAWS OF NEW YORK, 2024

                                         CHAPTER 546
 
  1       AN ACT to amend the workers' compensation law, in relation to claims for
  2         mental injury premised upon extraordinary work-related stress
  3
  4           Became a law December 5, 2024, with the approval of the Governor.
  5                Passed by a majority vote, three-fifths being present.
  6
  7         The People of the State of New York, represented in Senate and Assem-
  8       bly, do enact as follows:
  9
 10         Section 1. Paragraph (b) of subdivision 3 of section 10 of  the  work-
 11       ers' compensation law, as added by section 1 of subpart I of part NNN of
 12       chapter 59 of the laws of 2017, is amended to read as follows:
 13         (b)  Where  a [police officer or firefighter subject to section thirty]
 14       [of this article, or emergency medical technician,  paramedic,  or  other]
 15       [person  certified  to  provide medical care in emergencies, or emergency]
 16       [dispatcher] worker  files  a  claim  for  mental  injury  premised  upon
 17       extraordinary work-related stress incurred [in a work-related emergency]
 18       at work, the board may not disallow the claim[,] upon a factual finding
 19       that the stress was not greater than that which usually  occurs  in  the
 20       normal work environment.
 21         §  2. This act shall take effect on the first of January next succeed-
 22       ing the date on which it shall have become a law.
 23
 24       The Legislature of the STATE OF NEW YORK ss:
 25         Pursuant to the authority vested in us by section 70-b of  the  Public
 26       Officers  Law,  we  hereby  jointly  certify that this slip copy of this
 27       session law was printed under our direction and, in accordance with such
 28       section, is entitled to be read into evidence.
 29
 30          ANDREA STEWART-COUSINS                             CARL E. HEASTIE
 31       Temporary President of the Senate                Speaker of the Assembly
 32
 33
 34
 35
 36
 37
 38
 39       EXPLANATION--Matter in italics is new; matter in brackets [ ] is old law
 40                                    to be omitted.

Governor Hochul Signs New Law to Support Workers Facing Job-Related Post-Traumatic Stress

Legislation S.6635/A.5745 Allows New Yorkers To Apply For Workers' Compensation For Extraordinary Work-Related Stress

Governor Hochul Invested $1 Billion To Transform The Continuum Of Mental Health Care In New York

Governor Kathy Hochul signed new legislation to support working people who are facing job-related mental health crises.  This law will allow any worker to file for workers' compensation for specific types of mental injury premised on extraordinary work-related stress.  Signing this law continues Governor Hochul's commitment to addressing the mental health crisis in New York, including by investing $1 billion to transform the continuum of care.

“New Yorkers work hard — and those who have experienced the unthinkable while on the job deserve to be treated fairly,” Governor Hochul said.  “The mental health crisis our country has experienced since the COVID-19 pandemic is unprecedented, and we need to do everything in our power to lend a hand to those in need.  I'll never stop fighting for the working people of New York.”

Through an agreement with the Legislature, Legislation S.6635/A.5745 will allow any worker to file for workers' compensation for specific types of mental injury premised on extraordinary work-related stress.  This expands coverage to all workers in the State of New York; previously, only certain first responders were eligible for such benefits.

New York State AFL-CIO President Mario Cilento said, “We applaud Governor Hochul for taking an important step toward helping workers suffering from mental illness as a result of their employment.  This law removes significant hurdles workers face when accessing care and benefits for workplace mental health claims.  Thank you to Senator Ramos and Assemblymember Reyes for recognizing the need for parity for mental and physical workplace illness/injury.”

State Senator Jessica Ramos said, “Not all injuries are physical, but all workers should get support for injuries sustained on the job.  I am so grateful for the Governor’s support of this legislation.  Together, we are consistently enacting the change and ushering through the investments needed to take care of New Yorkers’ mental health.”

Assemblymember Karines Reyes said, “I thank Governor Hochul for signing my vital legislation into law today.  For far too long, New York’s workers have been denied the basic access of having their claims of work-related mental distress from being reviewed by the Workers’ Compensation Board.  Claims of post-traumatic stress disorder and other forms of mental injury, which are becoming more common in workplaces and industries, are more than deserving of study and potential consideration for disability benefits.  It is time for our state to recognize that productivity requires the safety and security of the mind, equal to that of the body.  This new law will ensure that our state’s social safety net addresses the challenges that employees face in the 21st Century economy.  I thank the advocates in organized labor and others for their years of advocacy in getting this bill across the finish line.”

New York State Workers’ Compensation Board Chair Clarissa M. Rodriguez said, “We are grateful to Governor Hochul for her support for injured workers, expanding access to benefits through this critical legislation.  We also commend the AFL-CIO, the bill sponsors Senator Ramos and Assemblywoman Reyes, and mental health advocates for their tireless efforts on behalf of injured workers.  Workers’ compensation is here for workers who have been injured or made ill on the job, whether their injury is one you can see or not.”

Co-Chair of the Workers’ Compensation Alliance Holly Mannillo said, “The Workers’ Compensation Alliance is pleased that the Governor has recognized the significance of work-related psychological injuries.  We hope that this legislation will expand coverage and care to injured workers throughout New York State.”

This legislation builds on the Governor’s commitment to strengthening the state’s mental health care system and improving access for all New Yorkers.  The Governor’s FY 2025 Enacted Budget included $20 million to continue expanding school-based mental health clinic satellites, $19 million to provide critical care to young people outside of school environments, $33 million to build supports for individuals living with a mental illness who are involved in the criminal justice system, and $55 million to add 200 inpatient beds at state-operated psychiatric centers.

USDOL Issues Comprehensive Employer Guidance on Long COVID

The United States Department of Labor (USDOL) has issued a comprehensive set of resources that can be accessed below for employers on dealing with Long COVID.

Supporting Employees with Long COVID: A Guide for Employers

The “Supporting Employees with Long COVID” guide from the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) and Job Accommodation Network (JAN) addresses the basics of Long COVID, including its intersection with mental health, and common workplace supports for different symptoms.  It also explores employers’ responsibilities to provide reasonable accommodations and answers frequently asked questions about Long COVID and employment, including inquiries related to telework and leave.

Download the guide

Accommodation and Compliance: Long COVID

The Long COVID Accommodation and Compliance webpage from the USDOL-funded Job Accommodation Network (JAN) helps employers and employees understand strategies for supporting workers with Long COVID.  Topics include Long COVID in the context of disability under the Americans with Disabilities Act (ADA), specific accommodation ideas based on limitations or work-related functions, common situations and solutions, and questions to consider when identifying effective accommodations for employees with Long COVID.  Find this and other Long COVID resources from JAN, below:

Long COVID, Disability and Underserved Communities: Recommendations for Employers

The research-to-practice brief “Long COVID, Disability and Underserved Communities” synthesizes an extensive review of documents, literature and data sources, conducted by the USDOL-funded Employer Assistance and Resource Network on Disability Inclusion (EARN) on the impact of Long COVID on employment, with a focus on demographic differences.  It also outlines recommended actions organizations can take to create a supportive and inclusive workplace culture for people with Long COVID, especially those with disabilities who belong to other historically underserved groups.

Read the brief

Long COVID and Disability Accommodations in the Workplace

The policy brief “Long COVID and Disability Accommodations in the Workplace” explores Long COVID’s impact on the workforce and provides examples of policy actions different states are taking to help affected people remain at work or return when ready.  It was developed by the National Conference of State Legislatures (NCSL) as part of its involvement in USDOL’s State Exchange on Employment and Disability (SEED) initiative.

Download the policy brief

Understanding and Addressing the Workplace Challenges Related to Long COVID

The report “Understanding and Addressing the Workplace Challenges Related to Long COVID” summarizes key themes and takeaways from an ePolicyWorks national online dialogue through which members of the public were invited to share their experiences and insights regarding workplace challenges posed by Long COVID.  The dialogue took place during summer 2022 and was hosted by USDOL and its agencies in collaboration with the Centers for Disease Control and Prevention and the U.S. Surgeon General.

Download the report

Working with Long COVID

The USDOL-published “Working with Long COVID” fact sheet shares strategies for supporting workers with Long COVID, including accommodations for common symptoms and resources for further guidance and assistance with specific situations.

Download the fact sheet

COVID-19: Long-Term Symptoms

This USDOL motion graphic informs workers with Long COVID that they may be entitled to temporary or long-term supports to help them stay on the job or return to work when ready, and shares where they can find related assistance.

Watch the motion graphic

A Personal Story of Long COVID and Disability Disclosure

In the podcast “A Personal Story of Long COVID and Disability Disclosure,” Pam Bingham, senior program manager for Intuit’s Diversity, Equity and Inclusion in Tech team, shares her personal experience of navigating Long COVID symptoms at work.  The segment was produced by the USDOL-funded Partnership on Employment and Accessible Technology (PEAT) as part of its ongoing “Future of Work” podcast series.

Listen to the podcast

HHS OIG Issues Annual Report on State MFCUs

Per the notice below, the Office of the Inspector General (OIG) of the United States Department of Health and Human Services (HHS) has issued its annual report on the performance of state Medicaid Fraud Control Units (MFCUs).

Medicaid Fraud Control Units Fiscal Year 2023 Annual Report (OEI-09-24-00200) 

Medicaid Fraud Control Units (MFCUs) investigate and prosecute Medicaid provider fraud and patient abuse or neglect. OIG is the Federal agency that oversees and annually approves federal funding for MFCUs through a recertification process. This new report analyzed the statistical data on annual case outcomes—such as convictions, civil settlements and judgments, and recoveries—that the 53 MFCUs submitted for Fiscal Year 2023.  New York data is as follows:

Outcomes

  • Investigations1 - 556
  • Indicted/Charged - 9
  • Convictions - 8
  • Civil Settlements/Judgments - 28
  • Recoveries2 - $73,204,518

Resources

  • MFCU Expenditures3 - $55,964,293
  • Staff on Board4 - 257

1Investigations are defined as the total number of open investigations at the end of the fiscal year.

2Recoveries are defined as the amount of money that defendants are required to pay as a result of a settlement, judgment, or prefiling settlement in criminal and civil cases and may not reflect actual collections.  Recoveries may involve cases that include participation by other Federal and State agencies.

3MFCU and Medicaid Expenditures include both State and Federal expenditures.

4Staff on Board is defined as the total number of staff employed by the Unit at the end of the fiscal year.

Read the Full Report

View the Statistical Chart

Engage with the Interactive Map

GAO Issues Report on Medicaid Managed Care Service Denials and Appeal Outcomes

The United States Government Accountability Office (GAO) has issued a report on federal use of state data on Medicaid managed care service denials and appeal outcomes.  GAO found that federal oversight is limited because it doesn't require states to report on Medicaid managed care service denials or appeal outcomes and there has not been much progress on plans to analyze and make the data publicly available.  To read the GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the first link below.  To read GAO highlights of the report on federal use of state data on Medicaid managed care service denials and appeal outcomes, use the second link below.
https://www.gao.gov/assets/d24106627.pdf  (GAO report on federal use of state data on Medicaid managed care service denials and appeal outcomes)
https://www.gao.gov/assets/d24106627_high.pdf  (GAO highlights on federal use of state data on Medicaid managed care service denials and appeal outcomes)

CMS Issues Latest Medicare Regulatory Activities Update

The Centers for Medicare and Medicaid Services (CMS) has issued its latest update on its regulatory activities in the Medicare program.  While dentistry is only minimally connected to the Medicare program, Medicare drives the majority of health care policies and insurance reimbursement policies throughout the country.  Therefore, it always pays to keep a close eye on what CMS is doing in Medicare.  To read the latest CMS update on its regulatory activities in Medicare, use the link below.
https://www.cms.gov/training-education/medicare-learning-network/newsletter/2024-03-14-mlnc