CHAPTER 121
HOUSE BILL No. 2301
An Act concerning the workers compensation act;
amending K.S.A. 44-508, 44-510i,
44-511, 44-551 and 44-556 and repealing the existing
sections.
Be it enacted by the Legislature of the State of Kansas:
Section 1. K.S.A. 44-508 is hereby
amended to read as follows: 44-
508. As used in the workers compensation act:
(a) ``Employer'' includes: (1) Any person
or body of persons, corpo-
rate or unincorporate, and the legal representative of a deceased
em-
ployer or the receiver or trustee of a person, corporation,
association or
partnership; (2) the state or any department, agency or authority
of the
state, any city, county, school district or other political
subdivision or
municipality or public corporation and any instrumentality thereof;
and
(3) for the purposes of community service work, the entity for
which the
community service work is being performed and the governmental
agency
which assigned the community service work, if any, if either such
entity
or such governmental agency has filed a written statement of
election
with the director to accept the provisions under the workers
compensa-
tion act for persons performing community service work and in such
case
such entity and such governmental agency shall be deemed to be the
joint
employer of the person performing the community service work and
both
shall have the rights, liabilities and immunities provided under
the work-
ers compensation act for an employer with regard to the community
serv-
ice work, except that the liability for providing benefits shall be
imposed
only on the party which filed such election with the director, or
on both
if both parties have filed such election with the director; for
purposes of
community service work, ``governmental agency'' shall not include
any
court or any officer or employee thereof and any case where there
is
deemed to be a ``joint employer'' shall not be construed to be a
case of
dual or multiple employment.
(b) ``Workman'' or ``employee'' or
``worker'' means any person who
has entered into the employment of or works under any contract of
serv-
ice or apprenticeship with an employer. Such terms shall include
but not
be limited to: Executive officers of corporations; professional
athletes;
persons serving on a volunteer basis as duly authorized law
enforcement
officers, ambulance attendants, mobile intensive care
technicians atten-
dants, as defined in subsection (d) of K.S.A. 65-6112 and
amendments
thereto, drivers of ambulances as defined in subsection (b) of
K.S.A. 65-
6112, firefighters, but only to the extent and during such
periods as they
are so serving in such capacities; persons employed by educational,
relig-
ious and charitable organizations, but only to the extent and
during the
periods that they are paid wages by such organizations; persons in
the
service of the state, or any department, agency or authority of the
state,
any city, school district, or other political subdivision or
municipality or
public corporation and any instrumentality thereof, under any
contract of
service, express or implied, and every official or officer thereof,
whether
elected or appointed, while performing official duties; persons in
the serv-
ice of the state as volunteer members of the Kansas department of
civil
air patrol, but only to the extent and during such periods as they
are
officially engaged in the performance of functions specified in
K.S.A. 48-
3302 and amendments thereto; volunteers in any employment, if the
em-
ployer has filed an election to extend coverage to such volunteers;
minors,
whether such minors are legally or illegally employed; and persons
per-
forming community service work, but only to the extent and during
such
periods as they are performing community service work and if an
election
has been filed an election to extend coverage to such persons. Any
ref-
erence to an employee who has been injured shall, where the
employee
is dead, include a reference to the employee's dependents, to the
em-
ployee's legal representatives, or, if the employee is a minor or
an inca-
pacitated person, to the employee's guardian or conservator. Unless
there
is a valid election in effect which has been filed as provided in
K.S.A. 44-
542a and amendments thereto, such terms shall not include
individual
employers, limited or general partners or self-employed
persons.
(c) (1) ``Dependents'' means such
members of the employee's family
as were wholly or in part dependent upon the employee at the time
of
the accident.
(2) ``Members of a family'' means only
surviving legal spouse and
children; or if no surviving legal spouse or children, then parents
or grand-
parents; or if no parents or grandparents, then grandchildren; or
if no
grandchildren, then brothers and sisters. In the meaning of this
section,
parents include stepparents, children include stepchildren,
grandchildren
include stepgrandchildren, brothers and sisters include
stepbrothers and
stepsisters, and children and parents include that relation by
legal adop-
tion. In the meaning of this section, a surviving spouse shall not
be re-
garded as a dependent of a deceased employee or as a member of
the
family, if the surviving spouse shall have for more than six months
willfully
or voluntarily deserted or abandoned the employee prior to the date
of
the employee's death.
(3) ``Wholly dependent child or
children'' means:
(A) A birth child or adopted child of the
employee except such a child
whose relationship to the employee has been severed by
adoption;
(B) a stepchild of the employee who lives
in the employee's house-
hold;
(C) any other child who is actually
dependent in whole or in part on
the employee and who is related to the employee by marriage or
consan-
guinity; or
(D) any child as defined in subsections
(3)(A), (3)(B) or (3)(C) who
is less than 23 years of age and who is not physically or mentally
capable
of earning wages in any type of substantial and gainful employment
or
who is a full-time student attending an accredited institution of
higher
education or vocational education.
(d) ``Accident'' means an undesigned,
sudden and unexpected event
or events, usually of an afflictive or unfortunate nature and
often, but not
necessarily, accompanied by a manifestation of force. The elements
of an
accident, as stated herein, are not to be construed in a strict and
literal
sense, but in a manner designed to effectuate the purpose of the
workers
compensation act that the employer bear the expense of accidental
injury
to a worker caused by the employment.
(e) ``Personal injury'' and ``injury''
mean any lesion or change in the
physical structure of the body, causing damage or harm thereto, so
that
it gives way under the stress of the worker's usual labor. It is
not essential
that such lesion or change be of such character as to present
external or
visible signs of its existence. An injury shall not be deemed to
have been
directly caused by the employment where it is shown that the
employee
suffers disability as a result of the natural aging process or by
the normal
activities of day-to-day living.
(f) The words ``arising out of and in the
course of employment'' as
used in the workers compensation act shall not be construed to
include
injuries to the employee occurring while the employee is on the way
to
assume the duties of employment or after leaving such duties, the
prox-
imate cause of which injury is not the employer's negligence. An
em-
ployee shall not be construed as being on the way to assume the
duties
of employment or having left such duties at a time when the worker
is
on the premises of the employer or on the only available route to
or from
work which is a route involving a special risk or hazard and which
is a
route not used by the public except in dealings with the employer.
An
employee shall not be construed as being on the way to assume the
duties
of employment, if the employee is a provider of emergency services
re-
sponding to an emergency.
The words, ``arising out of and in the course
of employment'' as used
in the workers compensation act shall not be construed to include
injuries
to employees while engaged in recreational or social events under
cir-
cumstances where the employee was under no duty to attend and
where
the injury did not result from the performance of tasks related to
the
employee's normal job duties or as specifically instructed to be
performed
by the employer.
(g) ``Burden of proof'' means the burden
of a party to persuade the
trier of facts by a preponderance of the credible evidence that
such party's
position on an issue is more probably true than not true on the
basis of
the whole record.
(h) ``Director'' means the director of
workers compensation as pro-
vided for in K.S.A. 75-5708 and amendments thereto.
(i) ``Health care provider'' means any
person licensed, by the proper
licensing authority of this state, another state or the District of
Columbia,
to practice medicine and surgery, osteopathy, chiropractic,
dentistry, op-
tometry, podiatry, audiology or psychology.
(j) ``Secretary'' means the secretary of
human resources.
(k) ``Construction design professional''
means any person who is an
architect, professional engineer, landscape architect or land
surveyor who
has been issued a license by the state board of technical
professions to
practice such technical profession in Kansas or any corporation
organized
to render professional services through the practice of one or more
of
such technical professions in Kansas under the professional
corporation
law of Kansas or any corporation issued a certificate of
authorization un-
der K.S.A. 74-7036 and amendments thereto to practice one or more
of
such technical professions in Kansas.
(l) ``Community service work'' means: (1)
Public or community serv-
ice performed as a result of a contract of diversion or of
assignment to a
community corrections program or conservation camp or suspension
of
sentence or as a condition of probation or in lieu of a fine
imposed by
court order; or (2) public or community service or other work
performed
as a requirement for receipt of any kind of public assistance in
accordance
with any program administered by the secretary of social and
rehabilita-
tion services.
(m) ``Utilization review'' means the
initial evaluation of appropriate-
ness in terms of both the level and the quality of health care and
health
services provided a patient, based on accepted standards of the
health
care profession involved. Such evaluation is accomplished by means
of a
system which identifies the utilization of health care services
above the
usual range of utilization for such services, which is based on
accepted
standards of the health care profession involved, and which refers
in-
stances of possible inappropriate utilization to the director for
referral to
a peer review committee.
(n) ``Peer review'' means an evaluation
by a peer review committee
of the appropriateness, quality and cost of health care and health
services
provided a patient, which is based on accepted standards of the
health
care profession involved and which is conducted in conjunction with
util-
ization review.
(o) ``Peer review committee'' means a
committee composed of health
care providers licensed to practice the same health care profession
as the
health care provider who rendered the health care services being
re-
viewed.
(p) ``Group-funded self-insurance plan''
includes each group-funded
workers compensation pool, which is authorized to operate in this
state
under K.S.A. 44-581 through 44-592 and amendments thereto, each
mu-
nicipal group-funded pool under the Kansas municipal group-funded
pool
act which is covering liabilities under the workers compensation
act, and
any other similar group-funded or pooled plan or arrangement that
pro-
vides coverage for employer liabilities under the workers
compensation
act and is authorized by law.
(q) On and after the effective date of
this act, ``workers compensation
board'' or ``board'' means the workers compensation board
established
under K.S.A. 44-555c and amendments thereto.
(r) ``Usual charge'' means the amount
most commonly charged by
health care providers for the same or similar
services.
(s) ``Customary charge'' means the
usual rates or range of fees
charged by health care providers in a given locale or
area.
Sec. 2. K.S.A. 44-510i is hereby
amended to read as follows: 44-
510i. (a) The director shall appoint, subject to the approval
of the sec-
retary, a specialist in health services delivery, who shall be
referred to as
the medical administrator. The medical administrator shall be a
person
licensed to practice medicine and surgery in this state and shall
be in the
unclassified service under the Kansas civil service act.
(b) The medical administrator, subject to
the direction of the direc-
tor, shall have the duty of overseeing the providing of health care
services
to employees in accordance with the provisions of the workers
compen-
sation act, including but not limited to:
(1) Preparing, with the assistance of the
advisory panel, the fee sched-
ule for health care services as set forth in this section;
(2) developing, with the assistance of
the advisory panel, the utiliza-
tion review program for health care services as set forth in this
section;
(3) developing a system for collecting
and analyzing data on expend-
itures for health care services by each type of provider under the
workers
compensation act; and
(4) carrying out such other duties as may
be delegated or directed by
the director or secretary.
(c) The director shall prepare and adopt
rules and regulations which
establish a schedule of maximum fees for medical, surgical,
hospital, den-
tal, nursing, vocational rehabilitation or any other treatment or
services
provided or ordered by health care providers and rendered to
employees
under the workers compensation act and procedures for appeals and
re-
view of disputed charges or services rendered by health care
providers
under this section;
(1) The schedule of maximum fees shall be
reasonable, shall promote
health care cost containment and efficiency with respect to the
workers
compensation health care delivery system, and shall be sufficient
to en-
sure availability of such reasonably necessary treatment, care and
attend-
ance to each injured employee to cure and relieve the employee
from
the effects of the injury. The schedule shall include provisions
and review
procedures for exceptional cases involving extraordinary medical
proce-
dures or circumstances and shall include costs and charges for
medical
records and testimony.
(2) In every case, all fees,
transportation costs, charges under this
section and all costs and charges for medical records and testimony
shall
be subject to approval by the director and shall be limited to such
as are
fair, reasonable and necessary. The schedule of maximum fees shall
be
revised as necessary at least every two years by the director to
assure that
the schedule is current, reasonable and fair.
(3) Any contract or any billing or charge
which any health care pro-
vider, vocational rehabilitation service provider, hospital, person
or insti-
tution enters into with or makes to any patient for services
rendered in
connection with injuries covered by the workers compensation act or
the
fee schedule adopted under this section, which is or may be in
excess of
or not in accordance with such act or fee schedule, is unlawful,
void and
unenforceable as a debt.
(d) There is hereby created an advisory
panel to assist the director in
establishing a schedule of maximum fees as required by this
section. The
panel shall consist of the commissioner of insurance and seven
members
appointed as follows: One person shall be appointed by the Kansas
med-
ical society; one member shall be appointed by the Kansas
association of
osteopathic medicine; one member shall be appointed by the Kansas
hos-
pital association; one member shall be appointed by the Kansas
chiro-
practic association; and three members shall be appointed by the
secre-
tary. Of the members appointed by the secretary, one shall be a
representative of employers recommended to the secretary by the
Kansas
chamber of commerce and industry; one shall be a representative of
em-
ployees recommended to the secretary by the Kansas AFL-CIO; and
one
shall be a representative of providers of vocational rehabilitation
services
pursuant to K.S.A. 44-510g and amendments thereto. Each
appointed
member shall be appointed for a term of office of two years which
shall
commence on July 1 of the year of appointment. Members of the
advisory
panel attending meetings of the advisory panel, or attending a
subcom-
mittee of the advisory panel authorized by the advisory panel,
shall be
paid subsistence allowances, mileage and other expenses as provided
in
K.S.A. 75-3223 and amendments thereto.
(e) All fees and other charges paid for
such treatment, care and at-
tendance, including treatment, care and attendance provided by
any
health care provider, hospital or other entity providing health
care serv-
ices, shall not exceed the amounts prescribed by the schedule of
maxi-
mum fees established under this section or the amounts authorized
pur-
suant to the provisions and review procedures prescribed by the
schedule
for exceptional cases. With the exception of the rules and
regulations es-
tablished for the payment of selected hospital inpatient
services under the
diagnosis related group prospective payment system, a health
care pro-
vider, hospital or other entity providing health care services
shall be paid
either such health care provider, hospital or other entity's usual
and cus-
tomary charge for the treatment, care and attendance or the
maximum
fees as set forth in the schedule, whichever is less. In reviewing
and
approving the schedule of maximum fees, the director shall consider
the
following:
(1) The levels of fees for similar
treatment, care and attendance im-
posed by other health care programs or third-party payors in the
locality
in which such treatment or services are rendered;
(2) the impact upon cost to employers for
providing a level of fees
for treatment, care and attendance which will ensure the
availability of
treatment, care and attendance required for injured employees;
(3) the potential change in workers
compensation insurance premi-
ums or costs attributable to the level of treatment, care and
attendance
provided; and
(4) the financial impact of the schedule
of maximum fees upon health
care providers and health care facilities and its effect upon their
ability
to make available to employees such reasonably necessary treatment,
care
and attendance to each injured employee to cure and relieve the
em-
ployee from the effects of the injury.
Sec. 3. K.S.A. 44-511 is hereby
amended to read as follows: 44-511.
(a) As used in this section:
(1) The term ``money'' shall be construed
to mean the gross remu-
neration, on an hourly, output, salary, commission or other basis,
at which
the service rendered is recompensed in money by the employer, but
it
shall not include any additional compensation, as defined in this
section,
any remuneration in any medium other than cash, or any other
compen-
sation or benefits received by the employee from the employer or
any
other source.
(2) The term ``additional compensation''
shall include and mean only
the following: (A) Gratuities in cash received by the employee from
per-
sons other than the employer for services rendered in the course of
the
employee's employment; (B) any cash bonuses paid by the
employer
within one year prior to the date of the accident, for which the
average
weekly value shall be determined by averaging all such bonuses over
the
period of time employed prior to the date of the accident, not to
exceed
52 weeks; (C) board and lodging when furnished by the employer as
part
of the wages, which shall be valued at a maximum of $25 per week
for
board and lodging combined, unless the value has been fixed
otherwise
by the employer and employee prior to the date of the accident, or
unless
a higher weekly value is proved; (D) the average weekly cash value
of
remuneration for services in any medium other than cash where
such
remuneration is in lieu of money, which shall be valued in terms of
the
average weekly cost to the employer of such remuneration for the
em-
ployee; and (E) employer-paid life insurance, health and accident
insur-
ance and employer contributions to pension and profit sharing
plans. In
no case shall additional compensation include any amounts of
employer
taxes paid by the employer under the old-age and survivors
insurance
system embodied in the federal social security system. Additional
com-
pensation shall not include the value of such remuneration until
and un-
less such remuneration is discontinued. If such remuneration is
discon-
tinued subsequent to a computation of average gross weekly wages
under
this section, there shall be a recomputation to include such
discontinued
remuneration.
(3) The term ``wage'' shall be construed
to mean the total of the
money and any additional compensation which the employee receives
for
services rendered for the employer in whose employment the
employee
sustains an injury by accident arising out of and in the course of
such
employment.
(4) The term ``part-time hourly
employee'' shall mean and include
any employee paid on an hourly basis: (A) Who by custom and
practice
or under the verbal or written employment contract in force at the
time
of the accident is employed to work, agrees to work, or is expected
to
work on a regular basis less than 40 hours per week; and (B) who at
the
time of the accident is working in any type of trade or employment
where
there is no customary number of hours constituting an ordinary day
in
the character of the work involved or performed by the
employee.
(5) The term ``full-time hourly
employee'' shall mean and include
only those employees paid on an hourly basis who are not part-time
hourly
employees, as defined in this section, and who are employed in any
trade
or employment where the customary number of hours constituting
an
ordinary working week is 40 or more hours per week, or those
employees
who are employed in any trade or employment where such
employees
are considered to be full-time employees by the industrial customs
of
such trade or employment, regardless of the number of hours
worked
per day or per week.
(b) The employee's average gross weekly
wage for the purpose of
computing any compensation benefits provided by the workers
compen-
sation act shall be determined as follows:
(1) If at the time of the accident the
money rate is fixed by the year,
the average gross weekly wage shall be the yearly rate so fixed
divided by
52, plus the average weekly value of any additional compensation
and the
value of the employee's average weekly overtime as computed in
para-
graph (4) of this subsection.
(2) If at the time of the accident the
money rate is fixed by the month,
the average gross weekly wage shall be the monthly rate so fixed
multi-
plied by 12 and divided by 52, plus the average weekly value of
any
additional compensation and the value of the employee's average
weekly
overtime computed as provided in paragraph (4) of this
subsection.
(3) If at the time of the accident, the
money rate is fixed by the week,
the amount so fixed, plus the average weekly value of any
additional com-
pensation and the value of the employee's average weekly overtime
as
computed in paragraph (4) of this subsection, shall be the average
gross
weekly wage.
(4) If at the time of the accident the
employee's money rate was fixed
by the hour, the employee's average gross weekly wage shall be
deter-
mined as follows: (A) If the employee was a part-time hourly
employee,
as defined in this section, the average gross weekly wage shall be
deter-
mined in the same manner as provided in paragraph (5) of this
subsection;
(B) if the employee is a full-time hourly employee, as defined in
this
section, the average gross weekly wage shall be determined as
follows: (i)
A daily money rate shall first be found by multiplying the
straight-time
hourly rate applicable at the time of the accident, by the
customary num-
ber of working hours constituting an ordinary day in the character
of work
involved; (ii) the straight-time weekly rate shall be found by
multiplying
the daily money rate by the number of days and half days that the
em-
ployee usually and regularly worked, or was expected to work, but
40
hours shall constitute the minimum hours for computing the wage of
a
full-time hourly employee, unless the employer's regular and
customary
workweek is less than 40 hours, in which case, the number of hours
in
such employer's regular and customary workweek shall govern; (iii)
the
average weekly overtime of the employee shall be the total amount
earned
by the employee in excess of the amount of straight-time money
earned
by the employee during the 26 calendar weeks immediately
preceding
the date of the accident, or during the actual number of such weeks
the
employee was employed if less than 26 weeks, divided by the number
of
such weeks; and (iv) the average gross weekly wage of a full-time
hourly
employee shall be the total of the straight-time weekly rate, the
average
weekly overtime and the weekly average of any additional
compensation.
(5) If at the time of the accident the
money rate is fixed by the output
of the employee, on a commission or percentage basis, on a
flat-rate basis
for performance of a specified job, or on any other basis where the
money
rate is not fixed by the week, month, year or hour, and if the
employee
has been employed by the employer at least one calendar week
imme-
diately preceding the date of the accident, the average gross
weekly wage
shall be the gross amount of money earned during the number of
calendar
weeks so employed, up to a maximum of 26 calendar weeks
immediately
preceding the date of the accident, divided by the number of weeks
em-
ployed, or by 26 as the case may be, plus the average weekly value
of any
additional compensation and the value of the employee's average
weekly
overtime computed as provided in paragraph (4) of this subsection.
If the
employee had been in the employment of the employer less than
one
calendar week immediately preceding the accident, the average
gross
weekly wage shall be determined by the administrative law judge
based
upon all of the evidence and circumstances, including the usual
wage for
similar services paid by the same employer, or if the employer has
no
employees performing similar services, the usual wage paid for
similar
services by other employers. The average gross weekly wage so
deter-
mined shall not exceed the actual average gross weekly wage the
em-
ployee was reasonably expected to earn in the employee's specific
em-
ployment, including the average weekly value of any additional
compensation and the value of the employee's average weekly
overtime
computed as provided in paragraph (4) of this subsection. In making
any
computations under this paragraph (5), workweeks during which the
em-
ployee was on vacation, leave of absence, sick leave or was absent
the
entire workweek because of illness or injury shall not be
considered.
(6) (A) The average gross weekly
wage of a person serving on a vol-
unteer basis as a duly authorized law enforcement officer,
an ambulance
attendant, mobile intensive care technician,
ambulance attendants and
drivers as provided in subsection (b) of K.S.A. 44-508 and
amendments
thereto or firefighter, or any other
volunteer under the workers compen-
sation act, who receives no wages for such services, or who
receives wages
which are substantially less than the usual wages paid for such
services
by comparable employers to employees who are not volunteers, shall
be
computed on the basis of the dollar amount closest to, but not
exceeding,
112.5% of the state average weekly wage the usual
wages paid by the
employer for such services to employees who are not
volunteers, or, if
the employer has no employees performing such services for
wages who
are not volunteers, the average gross weekly wage shall be
computed on
the basis of the usual wages paid for such services by
comparable em-
ployers to employees who are not volunteers. Volunteer
employment shall
not be presumed to be full-time employment.
(B) The average gross weekly wage of any
person performing com-
munity service work shall be deemed to be $37.50.
(C) The average gross weekly wage of a
volunteer member of the
Kansas department of civil air patrol officially engaged in the
performance
of functions specified in K.S.A. 48-3302 and amendments thereto
shall
be deemed to be $476.38. Whenever the rates of compensation of
the
pay plan for persons in the classified service under the Kansas
civil service
act are increased for payroll periods chargeable to fiscal years
commenc-
ing after June 30, 1988, the average gross weekly wage which is
deemed
to be the average gross weekly wage under the provisions of this
subsec-
tion for a volunteer member of the Kansas department of civil air
patrol
shall be increased by an amount, adjusted to the nearest dollar,
computed
by multiplying the average of the percentage increases in all
monthly steps
of such pay plan by the average gross weekly wage deemed to be
the
average gross weekly wage of such volunteer member under the
provi-
sions of this subsection prior to the effective date of such
increase in the
rates of compensation of the pay plan for persons in the classified
service
under the Kansas civil service act.
(D) The average weekly wage of any
other volunteer under the work-
ers compensation act, who receives no wages for such services,
or who
receives wages which are substantially less than the usual wages
paid for
such services by comparable employers to employees who are not
volun-
teers, shall be computed on the basis of the usual wages paid by
the
employer for such services to employees who are not volunteers,
or, if the
employer has no employees performing such services for wages who
are
not volunteers, the average gross weekly wage shall be computed
on the
basis of the usual wages paid for such services by comparable
employers
to employees who are not volunteers. Volunteer employment is not
pre-
sumed to be full time employment.
(7) The average gross weekly wage of an
employee who sustains an
injury by accident arising out of and in the course of multiple
employ-
ment, in which such employee performs the same or a very similar
type
of work on a part-time basis for each of two or more employers,
shall be
the total average gross weekly wage of such employee paid by all
the
employers in such multiple employment. The total average gross
weekly
wage of such employee shall be the total amount of the individual
average
gross weekly wage determinations under this section for each
individual
employment of such multiple employment.
(8) In determining an employee's average
gross weekly wage with
respect to the employer against whom claim for compensation is
made,
no money or additional compensation paid to or received by the
employee
from such employer, or from any source other than from such
employer,
shall be included as wages, except as provided in this section. No
wages,
other compensation or benefits of any type, except as provided in
this
section, shall be considered or included in determining the
employee's
average gross weekly wage.
(c) In any case, the average yearly wage
shall be found by multiplying
the average gross weekly wage, as determined in subsection (b), by
52.
(d) The state's average weekly wage for
any year shall be the average
weekly wage paid to employees in insured work subject to Kansas
em-
ployment security law as determined annually by the secretary of
human
resources as provided in K.S.A. 44-704 and amendments thereto.
(e) Members of a labor union or other
association who perform serv-
ices in behalf of the labor union or other association and who are
not paid
as full-time employees of the labor union or other association and
who
are injured or suffer occupational disease in the course of the
perform-
ance of duties in behalf of the labor union or other association
shall re-
cover compensation benefits under the workers compensation act
from
the labor union or other association if the labor union or other
association
files an election with the director to bring its members who
perform such
services under the coverage of the workers compensation act.
The average weekly wage for the purpose of
this subsection shall be
based on what the employee would earn in the employee's general
oc-
cupation if at the time of the injury the employee had been
performing
work in the employee's general occupation. The insurance coverage
shall
be furnished by the labor union or other association.
Sec. 4. K.S.A. 44-551 is hereby
amended to read as follows: 44-551.
(a) The duties of the assistant directors of workers compensation
shall
include but not be limited to acting in the capacity of an
administrative
law judge.
(b) (1) Administrative law judges
shall have power to administer
oaths, certify official acts, take depositions, issue subpoenas,
compel the
attendance of witnesses and the production of books, accounts,
papers,
documents and records to the same extent as is conferred on the
district
courts of this state, and may conduct an investigation, inquiry or
hearing
on all matters before the administrative law judges. All final
orders,
awards, modifications of awards, or preliminary awards under K.S.A.
44-
534a and amendments thereto made by an administrative law judge
shall
be subject to review by the board upon written request of any
interested
party within 10 days. Intermediate Saturdays, Sundays and legal
holidays
shall be excluded in the time computation. Review by the board
shall be
a prerequisite to judicial review as provided for in K.S.A. 44-556
and
amendments thereto. On any such review, the board shall have
authority
to grant or refuse compensation, or to increase or diminish any
award of
compensation or to remand any matter to the administrative law
judge
for further proceedings. The orders of the board under this
subsection
shall be issued within 30 days from the date arguments were
presented
by the parties.
(2) (A) If an administrative law
judge has entered a preliminary
award under K.S.A. 44-534a and amendments thereto, a review by
the
board shall not be conducted under this section unless it is
alleged that
the administrative law judge exceeded the administrative law
judge's ju-
risdiction in granting or denying the relief requested at the
preliminary
hearing. Such an appeal from a preliminary award may be heard
and
decided by a single member of the board. Members of the board
shall
hear such preliminary appeals on a rotating basis and the
individual board
member who decides the appeal shall sign each such decision. The
orders
of the board under this subsection shall be issued within 30 days
from
the date arguments were presented by the parties.
(B) If an order on review is not issued
by the board within the ap-
plicable time period prescribed by subsection (b) (1), medical
compen-
sation and any disability compensation as provided in the award of
the
administrative law judge shall be paid commencing with the first
day after
such time period and shall continue to be paid until the order of
the
board is issued, except that no payments shall be made under this
pro-
vision for any period before the first day after such time period.
Nothing
in this section shall be construed to limit or restrict any other
remedies
available to any party to a claim under any other statute.
(C) In any case in which the final award
of an administrative law judge
is appealed to the board for review under this section and in which
the
compensability is not an issue to be decided on review by the
board,
medical compensation shall be payable in accordance with the award
of
the administrative law judge and shall not be stayed pending such
review.
The employee may proceed under K.S.A. 44-534a
44-510k and amend-
ments thereto and may have a hearing in accordance with that
statute to
enforce the provisions of this subsection.
(c) Each assistant director and each
administrative law judge or spe-
cial administrative law judge shall be allowed all reasonable and
necessary
expenses actually incurred while in the actual discharge of
official duties
in administering the workers compensation act, but such expenses
shall
be sworn to by the person incurring the same and be approved by
the
secretary.
(d) In case of emergency the director may
appoint special local ad-
ministrative law judges and assign to them the examination and
hearing
of any designated case or cases. Such special local administrative
law
judges shall be attorneys and admitted to practice law in the state
of
Kansas and shall, as to all cases assigned to them, exercise the
same pow-
ers as provided by this section for the regular administrative law
judges.
Special local administrative law judges shall receive a fee
commensurate
with the services rendered as fixed by rules and regulations
adopted by
the director. The fees prescribed by this section prior to the
effective date
of this act shall be effective until different fees are fixed by
such rules
and regulations.
(e) All special local administrative law
judge's fees and expenses, with
the exception of settlement hearings, shall be paid from the
workers com-
pensation administration fee fund, as provided in K.S.A. 74-712
and
amendments thereto. Where there are no available funds or where
the
special local administrative law judge conducted a settlement
hearing, the
fees shall be taxed as costs in each case heard by such special
local ad-
ministrative law judge and when collected shall be paid directly to
such
special local administrative law judge by the party charged with
the pay-
ment of the same.
(f) Except as provided for judicial
review under K.S.A. 44-556 and
amendments thereto, the decisions and awards of the board shall be
final.
Sec. 5. K.S.A. 44-556 is hereby
amended to read as follows: 44-556.
(a) Any action of the board pursuant to the workers compensation
act,
other than the disposition of appeals of preliminary orders or
awards
under K.S.A. 44-534a and amendments thereto, shall be subject to
review
in accordance with the act for judicial review and civil
enforcement of
agency actions by appeal directly to the court of appeals. Any
party may
appeal from a final order of the board by filing an appeal with the
court
of appeals within 30 days of the date of the final order. When an
appeal
has been filed pursuant to this section, an appellee may file a
cross appeal
within 20 days after the date upon which the appellee was served
with
notice of the appeal. Such review shall be upon questions of
law.
(b) Commencement of an action for review
by the court of appeals
shall not stay the payment of compensation due for the ten-week
period
next preceding the board's decision and for the period of time
after the
board's decision and prior to the decision of the court of appeals
on
review.
(c) If review is sought on any order
entered under the workers com-
pensation act prior to October 1, 1993, such review shall be in
accordance
with the provisions of K.S.A. 44-551 and this section, and any
other ap-
plicable procedural provisions of the workers compensation act, as
all such
provisions existed prior to amendment by this act on July 1,
1993.
(d) (1) If compensation, including
medical benefits, temporary total
disability benefits or vocational rehabilitation benefits, has been
paid to
the worker by the employer or the employer's insurance carrier
during
the pendency of review under this section and the amount of
compen-
sation awarded by the board is reduced or totally disallowed by the
de-
cision on the appeal or review, the employer and the employer's
insurance
carrier, except as otherwise provided in this section, shall be
reimbursed
from the workers compensation fund established in K.S.A. 44-566a
and
amendments thereto for all amounts of compensation so paid which
are
in excess of the amount of compensation that the worker is entitled
to as
determined by the final decision on review. The director shall
determine
the amount of compensation paid by the employer or insurance
carrier
which is to be reimbursed under this subsection (d)(1), and the
director
shall certify to the commissioner of insurance the amount so
determined.
Upon receipt of such certification, the commissioner of insurance
shall
cause payment to be made to the employer or the employer's
insurance
carrier in accordance therewith.
(2) If any temporary or permanent partial
disability or temporary or
permanent total disability benefits have been paid to the worker by
the
employer or the employer's insurance carrier during the pendency
of
review under this section and the amount of compensation awarded
for
such benefits by the board is reduced by the decision on the appeal
or
review and the balance of compensation due the worker exceeds
the
amount of such reduction, the employer and the employer's
insurance
carrier shall receive a credit which shall be applied as provided
in this
subsection (d)(2) for all amounts of such benefits which are in
excess of
the amount of such benefits that the worker is entitled to as
determined
by the final decision on review or appeal. If a lump-sum amount of
com-
pensation is due and owing as a result of the decision of the court
of
appeals, the credit under this subsection (d)(2) shall be applied
first
against such lump-sum amount. If there is no such lump-sum amount
or
if there is any remaining credit after a credit has been applied to
a lump-
sum amount due and owing, such credit shall be applied against the
last
compensation payments which are payable for a period of time after
the
final decision on review or appeal so that the worker continues to
receive
compensation payments after such final decision until no further
com-
pensation is payable after the credit has been satisfied. The
credit allowed
under this subsection (d)(2) shall not be applied so as to stop or
reduce
benefit payments after such final decision, but shall be used to
reduce
the period of time over which benefit payments are payable after
such
final decision. The provisions of this subsection (d)(2) shall be
applicable
in all cases under the workers compensation act in which a final
award is
issued by an administrative law judge on or after July 1, 1990.
(e) If compensation, including medical
benefits, temporary total dis-
ability benefits or vocational rehabilitation benefits, has been
paid to the
worker by the employer, the employer's insurance carrier or the
workers
compensation fund during the pendency of review under this section,
and
pursuant to K.S.A. 44-534a or K.S.A. 44-551, and amendments
thereto,
and the employer, the employer's insurance carrier or the workers
com-
pensation fund, which was held liable for and ordered to pay all or
part
of the amount of compensation awarded by the administrative law
judge
or board, is held not liable by the final decision on review by
either the
board or an appellate court for the compensation paid or is held
liable on
such appeal or review to pay an amount of compensation which is
less
than the amount paid pursuant to the award, then the employer,
em-
ployer's insurance carrier or workers compensation fund shall be
reim-
bursed by the party or parties which were held liable on such
review to
pay the amount of compensation to the worker that was erroneously
or-
dered paid. The director shall determine the amount of
compensation
which is to be reimbursed to each party under this subsection, if
any, in
accordance with the final decision on the appeal or review and
shall certify
each such amount to be reimbursed to the party required to pay
the
amount or amounts of such reimbursement. Upon receipt of such
certi-
fication, the party required to make the reimbursement shall pay
the
amount or amounts required to be paid in accordance with such
certifi-
cation. No worker shall be required to make reimbursement under
this
subsection or subsection (d).
(f) As used in subsections (d) and (e),
``employers' insurance carrier''
includes any qualified group-funded workers compensation pool
under
K.S.A. 44-581 through 44-591 and amendments thereto or a group-
funded pool under the Kansas municipal group-funded pool act
which
includes workers compensation and employers' liability under the
workers
compensation act.
(g) In any case in which any review is
sought under this section and
in which the compensability is not an issue to be decided on
review,
medical compensation shall be payable and shall not be stayed
pending
such review. The worker may proceed under K.S.A.
44-534a 44-510k and
amendments thereto and may have a hearing in accordance with
that
statute to enforce the provisions of this subsection.
Sec. 6. K.S.A. 44-508, 44-510i, 44-511, 44-551 and
44-556 are hereby
repealed.
Sec. 7. This act shall take effect and be in force
from and after its
publication in the statute book.
Approved April 18, 2001.
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