Assembly Bill No. 313–Assemblymen Oceguera, Gibbons, Goldwater, Buckley, Manendo, Anderson, Angle, Arberry, Bache, Beers, Berman, Brower, Brown, Carpenter, Cegavske, Chowning, Claborn, Collins, de Braga, Dini, Freeman, Giunchigliani, Gustavson, Hettrick, Humke, Koivisto, Lee, Leslie, Marvel, McClain, Mortenson, Neighbors, Nolan, Ohrenschall, Parks, Parnell, Perkins, Price, Smith, Tiffany, Von Tobel and Williams

 

Joint Sponsors: Senators Amodei, Carlton, Titus, Porter, Care, Coffin, Jacobsen, James, Mathews, McGinness, Neal, Raggio, Rawson, Rhoads, Schneider, Shaffer, Washington and Wiener

 

CHAPTER..........

 

AN ACT relating to occupational diseases; creating statutory presumptions that hepatitis is an occupational disease for certain firemen and emergency medical attendants; establishing requirements of eligibility for the statutory presumptions; requiring the testing of such employees for the presence of hepatitis; and providing other matters properly relating thereto.

 

THE PEOPLE OF THE STATE OF NEVADA, REPRESENTED IN

SENATE AND ASSEMBLY, DO ENACT AS FOLLOWS:

 

   Section 1. NRS 616A.035 is hereby amended to read as follows:

   616A.035  1.  “Accident benefits” means medical, surgical, hospital

 or other treatments, nursing, medicine, medical and surgical supplies,

 crutches and apparatuses, including prosthetic devices.

   2.  The term includes:

   (a) Medical benefits as defined by NRS 617.130;

   (b) Preventive treatment administered as a precaution to an employee

 who is exposed to a contagious disease while providing medical services,

 including emergency medical care, in the course and scope of his

 employment; [and]

   (c) Preventive treatment administered as a precaution to a police officer

 or a salaried or volunteer fireman who was exposed to a contagious

 disease:

     (1) Upon battery by an offender; or

     (2) While performing the duties of a police officer or

fireman,

if the exposure is documented by the creation and maintenance of a report

 concerning the exposure pursuant to paragraph (a) of subsection 1 of

 NRS 616C.052[.] ; and

   (d) Preventive treatment for hepatitis administered as a precaution to

 a full-time salaried fireman or an emergency medical attendant

 employed in this state.

   3.  The term does not include:

   (a) Exercise equipment, a hot tub or a spa for an employee’s home;

   (b) Membership in an athletic or health club;

   (c) Except as otherwise provided in NRS 616C.245, a motor vehicle; or

   (d) The costs of operating a motor vehicle provided pursuant to NRS

 616C.245, fees related to the operation or licensing of the motor vehicle or

 insurance for the motor vehicle.

   4.  As used in this section : [, the term:]


   (a) “Battery” includes, without limitation, the intentional propelling or

placing, or the causing to be propelled or placed, of any human excrement

 or bodily fluid upon the person of an employee.

   (b) “Emergency medical attendant” means a person licensed as an

 attendant or certified as an emergency medical technician, intermediate

 emergency medical technician or advanced emergency medical

 technician pursuant to chapter 450B of NRS, whose primary duties of

 employment are the provision of emergency medical services.

   (c) “Hepatitis” includes hepatitis A, hepatitis B, hepatitis C and any

 additional diseases or conditions that are associated with or result from

 hepatitis A, hepatitis B or hepatitis C.

   (d) “Preventive treatment” includes, without limitation, tests to

 determine if an employee has contracted [the] hepatitis or any other

 contagious disease to which he was exposed.

   Sec. 2.  NRS 616A.265 is hereby amended to read as follows:

   616A.265  1.  “Injury” or “personal injury” means a sudden and

 tangible happening of a traumatic nature, producing an immediate or

 prompt result which is established by medical evidence, including injuries

 to prosthetic devices. Any injury sustained by an employee while engaging

 in an athletic or social event sponsored by his employer shall be deemed

 not to have arisen out of or in the course of employment unless the

 employee received remuneration for participation in the event.

   2.  For the purposes of chapters 616A to 616D, inclusive, of NRS:

   (a) Coronary thrombosis, coronary occlusion, or any other ailment or

 disorder of the heart, and any death or disability ensuing therefrom, shall

 be deemed not to be an injury by accident sustained by an employee

 arising out of and in the course of his employment.

   (b) The exposure of an employee to a contagious disease while

 providing medical services, including emergency medical care, in the

 course and scope of his employment shall be deemed to be an injury by

 accident sustained by the employee arising out of and in the course of his

 employment.

   (c) The exposure to a contagious disease of a police officer or a salaried

 or volunteer fireman who was exposed to the contagious disease:

     (1) Upon battery by an offender; or

     (2) While performing the duties of a police officer or

fireman,

shall be deemed to be an injury by accident sustained by the police officer

 or fireman arising out of and in the course of his employment if the

 exposure is documented by the creation and maintenance of a report

 concerning the exposure pursuant to paragraph (a) of subsection 1 of

 NRS 616C.052. As used in this paragraph, the term “battery” includes,

 without limitation, the intentional propelling or placing, or the causing to

 be propelled or placed, of any human excrement or bodily fluid upon the

 person of an employee.

   Sec. 3.  NRS 616C.052 is hereby amended to read as follows:

   616C.052  1.  [If] Except as otherwise provided in section 4 of this

 act, if a police officer or a salaried or volunteer fireman is exposed to a

 contagious disease:

   (a) Upon battery by an offender; or


   (b) While performing the duties of a police officer or fireman,

the employer of the police officer or fireman shall create and maintain a

 report concerning the exposure that includes, without limitation, the name

 of each police officer or fireman, as applicable, who was exposed to the

 contagious disease and the name of each person, if any, to whom the

 police officer or fireman was exposed.

   2.  Except as otherwise provided in paragraph (d) of subsection 2 of

 NRS 616A.265, if the results of a physical examination administered

 pursuant to NRS 617.455 or 617.457 to a police officer or a salaried or

 volunteer fireman after the commencement of his employment reveal that

 the police officer or fireman tested positive for exposure to tuberculosis,

 the police officer or fireman is eligible, during his lifetime, to receive

 compensation pursuant to chapters 616A to 617, inclusive, of NRS for

 tuberculosis and any additional diseases or conditions that are associated

 with or result from tuberculosis.

   3.  [If] Except as otherwise provided in section 4 of this act, if the

 employment of a police officer or a salaried or volunteer fireman is

 terminated, voluntarily or involuntarily, the employer of the police officer

 or fireman shall:

   (a) At the time of termination and at 3 months after the date of

 termination, provide to the police officer or fireman a purified protein

 derivative skin test to screen for exposure to tuberculosis, unless the police

 officer or fireman previously submitted to such a test and tested positive

 for exposure to tuberculosis. Except as otherwise provided in paragraph

 (d) of subsection 2 of NRS 6161A.265, if a skin test administered pursuant

 to this paragraph and provided to the employer reveals that the police

 officer or fireman tested positive for exposure to tuberculosis, the police

 officer or fireman is eligible, during his lifetime, to receive compensation

 pursuant to chapters 616A to 617, inclusive, of NRS for tuberculosis and

 any additional diseases or conditions that are associated with or result

 from tuberculosis.

   (b) [At the time] Within 30 days after the date of termination and at 6

 and 12 months after the date of termination, provide to the police officer

 or fireman a blood test or other appropriate test to screen for other

 contagious diseases, including, without limitation, hepatitis A, hepatitis B,

 hepatitis C and human immunodeficiency virus.If a blood test or other

 appropriate test administered pursuant to this paragraph and provided to

 the employer reveals that the police officer or fireman has any other

 contagious disease or the antibodies associated with a contagious disease,

 the police officer or fireman is eligible, during his lifetime, to receive

 compensation pursuant to chapters 616A to 617, inclusive, of NRS for

 such a disease and any additional diseases or conditions that are associated

 with or result from the contagious disease.

   4.  The former employer of a police officer or a salaried or volunteer

 fireman shall pay all the costs associated with providing skin and blood

 tests and other appropriate tests required pursuant to subsection 3.

   5.  As used in this section, the term “battery” includes, without

 limitation, the intentional propelling or placing, or the causing to be

 propelled or placed, of any human excrement or bodily fluid upon the

 person of an employee.


   Sec. 4.  Chapter 617 of NRS is hereby amended by adding thereto a

new section to read as follows:

   1.  Notwithstanding any other provision of this chapter and except as

 otherwise provided in this section, if an employee has hepatitis, the

 disease is conclusively presumed to have arisen out of and in the course

 of his employment if the employee has been continuously employed for 5

 years or more as a full-time salaried fireman or emergency medical

 attendant in this state before the date of any temporary or permanent

 disability or death resulting from the hepatitis.

   2.  Compensation awarded to a fireman or an emergency medical

 attendant, or to the dependents of such a person, for hepatitis pursuant

 to this section must include:

   (a) Full reimbursement for related expenses incurred for medical

 treatments, surgery and hospitalization; and

   (b) The compensation provided in chapters 616A to 616D, inclusive,

 of NRS for the disability or death.

   3.  A salaried fireman or an emergency medical attendant shall

 submit to a blood test to screen for hepatitis upon employment, upon the

 commencement of coverage and thereafter on an annual basis during

 his employment. All blood tests required pursuant to this section must be

 paid for by the employer.

   4.  The provisions of this section:

   (a) Except as otherwise provided in paragraph (b), do not apply to a

 fireman or emergency medical attendant who is diagnosed with hepatitis

 upon employment.

   (b) Apply to a fireman or emergency medical attendant who is

 diagnosed with hepatitis upon employment if, during the employment or

 within 1 year after the last day of the employment, he is diagnosed with a

 different strain of hepatitis.

   (c) Apply to a fireman or emergency medical attendant who is

 diagnosed with hepatitis after the termination of the employment if the

 diagnosis is made within 1 year after the last day of the employment.

   5.  A fireman or an emergency medical attendant who is determined

 to be:

   (a) Partially disabled from an occupational disease pursuant to the

 provisions of this section; and

   (b) Incapable of performing, with or without remuneration, work as a

 fireman or an emergency medical attendant,

may elect to receive the benefits provided pursuant to NRS 616C.440 for

 a permanent total disability.

   6.  As used in this section:

   (a) “Emergency medical attendant” means a person licensed as an

 attendant or certified as an emergency medical technician, intermediate

 emergency medical technician or advanced emergency medical

 technician pursuant to chapter 450B of NRS, whose primary duties of

 employment are the provision of emergency medical services.

   (b) “Hepatitis” includes hepatitis A, hepatitis B, hepatitis C and any

 additional diseases or conditions that are associated with or result from

 hepatitis A, hepatitis B or hepatitis C.


   Sec. 5.  1.  Notwithstanding any provision of section 4 of this act, a

person who submits to a blood test to screen for hepatitis on or after

 October 1, 2001, but on or before November 1, 2001, and who, on

October 1, 2001:

   (a) Is employed as a full-time salaried fireman or emergency medical

 attendant in this state; or

   (b) Had at any time been continuously employed for 5 years or more as

 a full-time salaried fireman or emergency medical attendant in this

state,

shall be deemed to be in compliance with all blood testing that would

 otherwise be required by subsection 3 of section 4 of this act through the

 date of the blood test.

   2.  Notwithstanding the provisions of section 4 of this act, a person

 who, on October 1, 2001, is employed as a full-time salaried fireman or

 emergency medical attendant in this state shall submit to a blood test to

 screen for hepatitis on or before November 1, 2001. The blood test must

 be paid for by the employer of the person. If a person fails to submit to a

 blood test required by this subsection, the conclusive presumption relating

 to hepatitis otherwise created by section 4 of this act shall be deemed with

 regard to that person and for the purposes of section 4 of this act to be a

 rebuttable presumption that may only be rebutted by clear and convincing

 evidence that the hepatitis was not contracted during the period in which

 the person was employed as a full-time salaried firefighter or emergency

 medical attendant.

   3.  If:

   (a) A blood test taken pursuant to this section reveals that a person has

 hepatitis; and

   (b) Before taking the blood test, the person had at any time been

 continuously employed for 5 years or more as a full-time salaried fireman

 or emergency medical attendant in this state,

the person is entitled to a rebuttable presumption that the hepatitis arose out

 of and in the course of his employment and is compensable in accordance

 with section 4 of this act if he, before January 1, 2002, files a claim for

 compensation pursuant to chapter 617 of NRS. The presumption may only

 be rebutted by clear and convincing evidence that the hepatitis was not

 contracted during the period in which the person was employed as a full

-time salaried firefighter or emergency medical attendant.

   4.  As used in this section:

   (a) “Emergency medical attendant” means a person licensed as an

 attendant or certified as an emergency medical technician, intermediate

 emergency medical technician or advanced emergency medical technician

 pursuant to chapter 450B of NRS, whose primary duties of employment

 are the provision of emergency medical services.

   (b) “Hepatitis” includes hepatitis A, hepatitis B, hepatitis C and any

 additional diseases or conditions that are associated with or result from

 hepatitis A, hepatitis B or hepatitis C.


   Sec. 6.  The amendatory provisions of this act do not apply to any

person who, on October 1, 2001, is receiving compensation for hepatitis

 pursuant to chapters 616A to 616D, inclusive, of NRS. As used in this

 section, “hepatitis” includes hepatitis A, hepatitis B, hepatitis C and any

 additional diseases or conditions that are associated with or result from

 hepatitis A, hepatitis B or hepatitis C.

 

20~~~~~01