2014 -- H 7260

========

LC003719

========

     STATE OF RHODE ISLAND

IN GENERAL ASSEMBLY

JANUARY SESSION, A.D. 2014

____________

A N   A C T

RELATING TO WORKERS' COMPENSATION -- ELECTRONIC FILING

     Introduced By: Representatives Mattiello, Shekarchi, Craven, Lally, and Marcello

     Date Introduced: January 30, 2014

     Referred To: House Judiciary

     (Judiciary)

It is enacted by the General Assembly as follows:

     SECTION 1. Section 28-29-26 of the General Laws in Chapter 28-29 entitled "Workers'

Compensation - General Provisions" is hereby amended to read as follows:

     28-29-26. Supervision of enforcement. -- (a) Department of labor and training. - The

director as provided for in chapters 29 -- 38 of this title, and chapter 53 of this title and chapter

16.1 of title 42, shall have supervision over the enforcement of the provisions of those chapters,

and the director shall have the power and authority to adopt and enforce all reasonable rules,

regulations, and orders necessary and suitable to the administration of the department's

responsibilities as described in those chapters.

      (b) (1) Workers' compensation court. - The workers' compensation court, as provided for

in chapters 29 -- 38 of this title, shall have supervision over the enforcement of the provisions of

the chapters, and shall have the power and authority to adopt and enforce all reasonable rules,

regulations, and orders necessary and suitable to the administration of its responsibilities

described in the chapters. In addition to the foregoing, the court shall have the power and

authority to hear and decide appeals from the retirement board in accordance with Rhode Island

general law section 45-21.2-9. The court shall remain judicially and administratively independent.

The Workers' compensation court shall have original jurisdiction over all civil actions filed

pursuant to sections 28-36-15 and 28-37-28 and pursuant to the provisions of chapter 53 of this

title.

      (2) Any petition arising from any dispute regardless of date of injury, unless specifically

excepted, shall be filed with the administrator of the workers' compensation court in accordance

with chapter 35 of this title and any rules and regulations the rules of practice promulgated by the

workers' compensation court.

      (3) The enactment of this subsection shall not affect the rights of the parties established

by any existing memorandum of agreement, suspension agreement and receipt, preliminary

determination of the department of workers' compensation, order or decree, or any existing right

to the payment of compensation acquired pursuant to section 28-29-6 or 28-35-9.

     SECTION 2. Sections 28-30-7, 28-30-13, 28-30-15, 28-30-15.1, 28-30-15.2 and 28-30-

16.3 of the General Laws in Chapter 28-30 entitled "Workers' Compensation Court" are hereby

amended to read as follows:

     28-30-7. Clerical assistance to administrator. -- The administrator, with the approval of

the chief judge of the workers' compensation court, may employ any clerical assistance that he or

she may require for copying, recording, indexing, and attending upon the files of the court, . The

administrator, with the approval of the chief judge, shall and may appoint the following additional

support staff as necessary: two (2) court secretaries, three (3) hearings reporters, five (5) assistant

administrator/clerks, two (2) clerk secretaries, and two (2) data entry clerks. The compensation

for the additional staff created by this section shall be provided from the workers' compensation

administrative fund established by section 28-37-1.

     28-30-13. Controversies submitted to court. -- (a) Any controversy over which the

workers' compensation court has jurisdiction in accordance with chapters 29 -- 38 and chapter 53

of this title, including compensation, reasonableness of medical and hospital bills, degree of

functional impairment and/or disability, a dispute between an insurance carrier and an employer

under a workers' compensation insurance contract, except disputes under the jurisdiction of the

workers' compensation appeals board established pursuant to section 27-9-29, failure of an

employer to secure the payment of compensation under chapters 29 -- 38 and chapter 53 of this

title and any controversy in which the state or any of its political subdivisions is a party, and

appeals from an order of the retirement board pursuant to Rhode Island general law section 45-

21.2-9 shall be submitted to the court in the manner provided in chapters 33 and 35 of this title.

      (b) Disputes between an insurance carrier and an employer under a workers'

compensation insurance contract shall not be subject to a pretrial conference in accordance with

section 28-35-20, but shall be assigned consistent with the rules and regulations of practice of the

workers' compensation court.

     28-30-15. Retirement of judges engaged on or before July 2, 1997, on reduced pay. --

(a) Whenever any person engaged as a judge on or before July 2, 1997, has served as a workers'

LC003719 - Page 2 of 20

compensation judge for twenty (20) years, or has so served for ten (10) years and has reached the

age of sixty-five (65) years, he or she may retire from active service and subsequently he or she

shall receive annually during life a sum equal to three-fourths ( 3/4) of the annual salary that he or

she was receiving at the time of retirement. In determining eligibility under this section, any

judge who has served as a general officer may include that service as if that service had been on

the workers' compensation court. Whenever a judge or magistrate shall be granted a leave of

absence without pay, such absence shall not be credited towards active service time for the

purposes of retirement.

      (b) Any judge who retires in accordance with the provisions of this section may at his or

her own request and at the direction of the chief justice of the supreme court, subject to the

retiree's physical and mental competence, be assigned to perform any services that a judge on the

workers' compensation court as the chief judge prescribes. When so assigned and performing

those services, he or she shall have all the powers and authority of a judge. A retired judge shall

not be counted in the number of judges provided by law for the workers' compensation court.

Whenever a judge or magistrate shall be granted a leave of absence without pay, such absence

shall not be credited towards active service time for the purposes of retirement.

     28-30-15.1. Retirement of judges engaged after July 2, 1997. -- (a) Whenever any

person first engaged as a judge:

      (1) Subsequent to July 2, 1997 and prior to January 1, 2009, has served as a workers'

compensation judge for twenty (20) years, or has so served for ten (10) years and has reached the

age of sixty-five (65) years, he or she may retire from active service and subsequently he or she

shall receive annually during life a sum equal to three-fourths ( 3/4) of his or her average highest

three (3) consecutive years of compensation;

      (2) On or after January 1, 2009 and prior to July 1, 2009, has served as a workers'

compensation judge for twenty (20) years or has so served for ten (10) years and reached the age

of sixty-five (65) years, he or she may retire from active service and subsequently he or she shall

receive annually during life a sum equal to seventy percent (70%) of his or her average highest

three (3) consecutive years or compensation.

      (3) On or after July 1, 2009, has served as a workers' compensation judge for twenty (20)

years, or has served for ten (10) years, and reached the age of sixty-five (65) years, he or she may

retire from regular active service and thereafter said justice shall receive annually during his or

her life a sum equal to sixty-five (65%) percent of his or her average highest five (5) consecutive

years of compensation.

      (b) In determining eligibility under this section, any judge who has served as a general

LC003719 - Page 3 of 20

officer may include that service as if that service had been on the workers' compensation court.

Whenever a judge or magistrate shall be granted a leave of absence without pay, such absence

shall not be credited towards active service time for the purposes of retirement.

      (c) Any judge who retires in accordance with the provisions of this section may at his or

her own request and at the direction of the chief justice of the supreme court subject to the

retiree's physical and mental competence, be assigned to perform those services that a judge on

the workers' compensation court as the chief judge prescribes. When so assigned and performing

those services, he or she shall have all the powers and authority of a judge. A retired judge shall

not be counted in the number of judges provided by law for the workers' compensation court.

     28-30-15.2. No incremental retirement benefit for temporary service as chief justice,

presiding justice or chief judge retired pursuant to section 28-30-15 or 28-30-15.1. -- No

increment in salary resulting from the application of personnel rule 4.0217 or any other or

successor rule or regulation providing for an increment in salary for temporary service as chief

justice, presiding justice or chief judge shall be construed to add to the annual salary of a judicial

officer for purposes of retirement under section 28-30-15 or 28-30-15.1.

     28-30-16.3. No incremental retirement benefit for temporary service as chief justice,

presiding justice or chief judge retired pursuant to section 28-30-16 or 28-30-16.2. -- No

increment in salary resulting from the application of personnel rule 4.0217 or any other or

successor rule or regulation providing for an increment in salary for temporary service as chief

justice, presiding justice or chief judge shall be construed to add to the annual salary of a judicial

officer for purposes of retirement under section 28-30-16 or 28-30-16.2.

     SECTION 3. Sections 28-30-8 and 28-30-14 of the General Laws in Chapter 28-30

entitled "Workers' Compensation Court" are hereby repealed.

     28-30-8. Declaration of vacancy in office. -- Whenever a workers' compensation judge

or the administrator neglects, is unable to serve, or becomes disqualified to serve because of

malfeasance in office or otherwise, the governor, with the advice and consent of the senate, may

after a hearing declare vacant the office of the judge or administrator.

     28-30-14. Clerk/secretary in unclassified service. -- The clerk/secretary of the workers'

compensation court shall be in the unclassified status of state employment.

     SECTION 4. Section 28-32-2 of the General Laws in Chapter 28-32 entitled "Workers'

Compensation-Report of Injuries" is hereby amended to read as follows:

     28-32-2. Penalty for failure to report. -- (a) Any employer who refuses or neglects to

make the reports required by the provisions of section 28-32-1 may be assessed a penalty of two

hundred fifty dollars ($250) by the director for each refusal or neglect to make a report.

LC003719 - Page 4 of 20

      (b) The district court for the county of Providence workers' compensation court shall

have jurisdiction to enforce compliance with any order of the director made pursuant to this

section. The director, in his or her discretion, may bring a civil action to collect all penalties

assessed.

      (c) All penalties collected pursuant to this section shall be deposited in the general fund.

     SECTION 5. Sections 28-33-9, 28-33-34.1, 28-33-35, 28-33-37 and 28-33-43 of the

General Laws in Chapter 28-33 entitled "Workers' Compensation - Benefits" are hereby amended

to read as follows:

     28-33-9. Order declaring employer liable for medical services. -- When an injury

results in no incapacity or incapacity of three (3) days or less and a dispute arises between the

employee and the employer or insurer as to the payment of medical expenses or other services

provided under sections 28-33-5, 28-33-7 and 28-33-8, the employee or the medical provider may

file a petition with the administrator of the workers' compensation court, which petition shall

follow the procedure as outlined in chapter 35 of this title. In no event shall a petition be filed

until twenty-one (21) days have elapsed since written demand for payment for the expense or

service has been made on the employer or insurer.

     28-33-34.1. Schedule of medical review. -- (a) On or about twenty-six (26) weeks from

the date of a compensable injury, any person obtaining incapacity benefits may be examined and

their diagnosis and treatment reviewed by a comprehensive independent health care review team

or an impartial medical examiner. The comprehensive independent health care review team or

impartial medical examiner shall be selected through a mechanism to be established by the

administrator of the medical advisory board. The results of the examination and review shall be

provided to the employee and the insurer or self-insured employer within fourteen (14) days of

the examination and a copy shall be filed with the medical advisory board. The comprehensive

independent health care review team and/or impartial medical examiner shall review the treating

physician's findings and diagnosis and make its own findings of the extent and nature of the

claimed disability, the degree of functional impairment and/or disability, the expectation of

further medical improvement, any further medical care, treatment, and/or rehabilitation services

that may be required to reach maximum medical improvement, type(s) of work that can be

performed within existing physical capacity, the degree of disability expected at maximum

medical improvement, whether the employee can return to the former position of employment,

and compliance of the treating physician with protocols and standards of medical care established

by the medical advisory board. The report shall may be subsequently admissible as the court's a

court exhibit. A party may be permitted to cross-examine the author(s) of the report with leave of

LC003719 - Page 5 of 20

the court.

      (b) On or about thirteen (13) weeks after any examination under this section or section

28-33-35, a comprehensive independent health care review team or impartial medical examiner

shall perform a similar review. The same comprehensive independent health care review team or

impartial medical examiner may not perform more than two (2) consecutive reviews on a

particular employee.

      (c) Failure to appear for examination under this section shall be grounds for suspension

or termination of benefits unless justified by good cause. Residence outside the state does not, by

itself, constitute good cause for failure to appear.

     28-33-35. Appointment of impartial medical examiner. -- (a) Any judge of the court

may, at any time after an injury, on his or her own motion or on the request or petition of the

employer or employee, appoint an impartial medical examiner or a comprehensive independent

health care review team to act as a medical examiner, and the reasonable fee of the medical

examiner for examinations under this section and/or section 28-33-34.1 shall be paid by the

employer.

      (b) Impartial medical examiners and/or comprehensive independent health care review

teams shall provide guidance and make recommendations with respect to contested or disputed

findings of fact concerning health care. Impartial medical examiners and/or comprehensive

independent health care review teams may also make findings as to compliance of health care

providers with medical care standards and protocols established by the medical advisory board.

Unless previously approved by the board, treatment or diagnostic services that are not consistent

with the medical care standards and protocols shall not be charged to the employer or employee.

The report of the findings of the impartial medical examiner and/or comprehensive independent

health care review team shall may be admissible as an exhibit of the court. The findings of the

report shall become final and binding unless either party elects to contest the findings. Notice of

the contest must be filed within ten (10) days of receipt of the report required to be provided

pursuant to section 28-33-34.1(a). The contesting party shall pay the cost of the court appearance

of the author of the report. In the event that the employee is the prevailing party, the employee

shall be reimbursed for the entire amount paid by him or her for the court appearance of the

author of the report.

     28-33-37. Examination by impartial examiner -- Reports. -- A medical examiner, once

being duly sworn by the administrator or a judge of the workers' compensation court appointing

him or her to the faithful performance of his or her duties at the inception of his or her

designation as an impartial medical examiner, shall at that time and as often as requested in

LC003719 - Page 6 of 20

accordance with chapters 29 -- 38 of this title, examine injured employees to determine the nature

and probable duration of their injuries. This medical examiner shall file a signed report within

ninety-six (96) hours of the completion of each and every examination made of those employees

with the office of the administrator of the workers' compensation court, in triplicate, and that

report shall indicate the name and the title of the official by whom he or she was sworn in and

appointed and shall then be acceptable as proper legal evidence in any hearing or proceedings

before the workers' compensation court to determine the amount of compensation due the

employee under the provisions of chapters 29 -- 38 of this title, and the examiner may be

summoned for the purpose of cross-examination in proceedings before the court. Copies of those

reports shall be furnished to all interested parties.

     28-33-43. Employer liability for property damage. -- When an employee sustains

property damage to eyeglasses, dentures, or artificial prosthesis arising out of and in the course of

his or her employment, regardless of whether or not he or she suffered personal injury or loss of

time, he or she may file a petition with the administrator of the workers' compensation court, and

he or she shall be paid the reasonable value of the property or the reasonable expense of repairing

the property by an employer subject to or who has elected to become subject to the provisions of

chapters 29 -- 38 of this title. The petition shall be prosecuted in the same manner as other

petitions for compensation before the court. In hearings before the court, counsel and witness fees

shall be awarded for the successful prosecution of a petition under this section.

     SECTION 6. Sections 28-35-6, 28-35-9, 28-35-12, 28-35-12.1, 28-35-14, 28-35-17, 28-

35-20, 28-35-24, 28-35-27, 28-35-28, 28-35-28.1, 28-35-31, 28-35-37, 28-35-45, 28-35-46, 28-

35-54, 28-35-55 and 28-35-61 of the General Laws in Chapter 28-35 entitled "Workers'

Compensation - Procedure" are hereby amended to read as follows:

     28-35-6. Notice of amendments to memorandum of agreement. -- (a) If the workers'

compensation court makes any amendment or addition to the memorandum of agreement, the

administrator of the workers' compensation court shall immediately notify the department of the

changes in the agreement.

      (b) If an employer or insurer and an employee and his or her attorney, if represented,

reach an agreement, subsequent to the filing of a memorandum of agreement, order, or decree, as

to any issue, the parties shall file a written agreement and receipt with the department, signed by

the parties, and on a form prescribed by the department. A copy of any agreement and receipt

shall be delivered to each of the parties. Upon the filing of the agreement and receipt with the

department, it shall be as binding upon both parties as a preliminary determination order or

decree.

LC003719 - Page 7 of 20

     28-35-9. Payment of weekly benefits -- Admission of entitlement to compensation --

Payment of compensation without agreement. -- (a) For all injuries occurring from September

1, 1982 through February 28, 1986, in the event that an employer or insurer makes direct payment

of weekly benefits to an employee, the employee must file a copy of the initial medical treatment

report that he or she has received as a result of the injury with the employer or insurer within ten

(10) days of receipt by the employee or his or her attorney of the report, certified mail, return

receipt requested. If the employer or insurer continues to make payment to the employee after ten

(10) days following receipt of the report by the employer or insurer, the employer shall

immediately after that ten (10) day period file a memorandum of agreement as set forth in section

28-35-1 and that payment shall constitute a conclusive admission of liability as to the injuries set

forth in the report and that the employee is entitled to compensation under chapters 29 -- 38 of

this title. The employer may not file a petition to suspend or reduce payments until a

memorandum has been filed.

      (b) In the event that an employer or insurer makes payment of weekly benefits to an

employee without filing a memorandum of agreement or a non-prejudicial memorandum of

agreement with the department the payment shall constitute a conclusive admission of liability

and ongoing incapacity and that the employee is entitled to compensation under chapters 29 -- 38

of this title and the employer or insurer shall not be entitled to any credit for the payment if the

employee is awarded compensation in accordance with these chapters. The employer or insurer

shall not file a petition to suspend or reduce payments until a memorandum has been filed with

the department.

     28-35-12. Petition for determination of controversy -- Contents and filing. -- (a) In all

disputes between an employer and employee in regard to compensation or any other obligation

established under chapters 29 -- 38 of this title, and when death has resulted from the injury and

the dependents of the deceased employee entitled to compensation are, or its apportionment

among them is, in dispute, any person in interest or his or her duly authorized representative may

file with the administrator of the workers' compensation court a petition prescribed by the court,

setting forth the names and residences of the parties, the facts relating to employment at the time

of injury, the cause, extent, and character of the injury, the amount of wages, earnings, or salary

received at the time of the injury, and the knowledge of the employer of notice of the occurrence

of the injury, and any other facts that may be necessary and proper for the information of the

court, and shall state the matter in dispute and the claims of the petitioner with reference to it;

provided, that no petition shall be filed within twenty-one (21) days of the date of the injury and

no petition regarding any other obligation established under chapters 29 -- 38 of this title shall be

LC003719 - Page 8 of 20

filed until twenty-one (21) days after written demand for payment upon the employer or insurer

or written notice to the employer or insurer of failure to fulfill the obligation, except that any

petition alleging the non-payment or late payment of weekly compensation benefits, attorneys'

fees, and costs, may be filed after fourteen (14) days from the date the payment is due as set forth

in sections 28-35-42, 28-35-43, and 28-35-20(c). Medical bills for services ordered paid by

decree or pretrial order shall be paid within fourteen (14) days of the entry of the decree or order.

In the event that the bills are not paid within the fourteen (14) day period, a petition may be filed

to enforce said order or decree without any additional written notice to the employer or insurer.

      (b) (1) If one or more claims are filed for an injury and there are two (2) or more

insurers, any one of which may be held to be liable to pay compensation, and the judge

determines that the injured employee would be entitled to receive compensation but for the

existence of a controversy as to which one of the insurers is liable to pay compensation, one of

the insurers shall be selected by a judge of the workers' compensation court, to pay to the injured

employee the compensation, pending a final decision of the workers' compensation court as to the

matter in controversy, and that decision shall require that the amount of compensation paid shall

be deducted from the award if made against another insurer and shall be paid by that other insurer

to the insurer selected by the judge.

      (2) The workers' compensation court shall award compensation, costs, and attorneys'

fees in its discretion if one of the insurers is held to be liable following the hearing.

      (c) If any determination of the workers' compensation court entitles an employee to

retroactive payment of weekly benefits, the court shall award to the employee interest at the rate

per annum provided in section 9-21-10 on that retroactive weekly payment from six (6) months

subsequent to the date that the employee first filed a petition for benefits to the time when that

retroactive payment is actually made. If the proceedings are unduly delayed by or at the request

of the employee or his or her attorney, the judge may reduce or eliminate interest on retroactive

payment; provided, that the provisions of this section as they relate to interest shall apply only to

petitions filed on or after July 1, 1984.

      (d) Any fine, penalty, or interest expense incurred by an insurer under this section may

not be used as an expense for the purpose of seeking a rate increase before the department of

business regulation.

     28-35-12.1. Prompt decision required. -- The judge who hears a case pursuant to

section 28-35-12 shall render his or her decision no later than thirty (30) days after each party has

completed presenting its case. This provision shall not apply in any case for which the judge has

shown just cause, as determined by rules of practice of the workers' compensation court adopted

LC003719 - Page 9 of 20

pursuant to the authority granted to the court by section 28-29-26, for delay beyond thirty (30)

days.

     28-35-14. Copies of petition to respondents. -- Upon filing with the administrator

workers' compensation court of any petition, stating the general nature of any claim as to which

any dispute or controversy may have arisen, the petitioner shall serve a copy of the petition on the

respondent or respondents in accordance with the workers' compensation court rules of practice.

     28-35-17. Notice and conduct of hearings. -- (a) Upon the filing of any petition the

court shall assign the matter to a judge. The court shall issue notice at that time, advising the

parties of the judge to whom the case has been assigned and the date for pretrial conference in

accordance with section 28-35-20.

      (b) Upon filing of any claim for a trial, following the pretrial conference held in

accordance with section 28-35-20, the judge shall fix a time for trial and give notice of it in

accordance with the rules of procedure practice promulgated by the court but the initial hearing

shall be fixed not later than thirty (30) days next after filing the claim for a trial. The court shall

cause notice of the trial to be given to each interested party in accordance with the rules of

practice and regulations promulgated by the court. The judge shall proceed to hear the matter as

the justice of the case may require, and may allow amendments to the petition and the answer at

any stage of the proceedings. Hearings may be adjourned from time to time for just and sufficient

cause, and hearings may be held at the places that the workers' compensation court shall

designate.

     28-35-20. Informal pretrial conference. -- (a) Before any case shall proceed to a trial,

the judge shall conduct a mandatory pretrial conference within twenty-one (21) days of the date

of filing with a view to expediting the case and reducing the issues in dispute to a minimum,

notice of which shall be sent by the administrator to the parties or to their attorneys of record. The

conference shall be informal and no oral testimony shall be offered or taken. Any statement then

made by either party shall in the absence of agreement be without prejudice, but any agreement

then made shall be binding.

      (b) Within a reasonable time of receipt, all medical reports and documentary evidence

which the parties possess and which the parties intend to present as evidence at the pretrial

conference shall be provided to the opposing party.

      (c) At the pretrial conference, the judge shall make every effort to resolve any

controversies or to plan for any subsequent trial of the case. The judge shall render a pretrial order

immediately at the close of the pretrial conference. The pretrial order shall be set forth in a

simplified manner on forms prescribed by the workers' compensation court. It may reflect any

LC003719 - Page 10 of 20

agreements reached between the parties, but shall grant or deny, in whole or in part, the relief

sought by the petitioner. Subject to the provisions of subsection 45-21.2-9(j), the pretrial order

shall be effective upon entry. Any payments ordered by it including, but not limited to, weekly

benefits, medical expenses, costs, and attorneys' fees, shall be paid within fourteen (14) days of

the entry of the order.

      (d) Any party aggrieved by the entry of the order by the judge may claim a trial on any

issue that was not resolved by agreement at the pretrial conference by filing with the

administrator of the workers' compensation court within five (5) days of the date of the entry of

the order, exclusive of Saturdays, Sundays and holidays, a claim for a trial on forms prescribed by

the administrator of the workers' compensation court. If no timely claim for a trial is filed or is

filed and withdrawn, the pretrial order shall become, by operation of law and without further

action by any party, a final decree of the workers' compensation court.

      (e) All trials shall be assigned for hearing and decision to the same judge who presided

over the pretrial of the matter. Notice of the trial shall be sent by the administrator workers'

compensation court to the parties and to their attorneys of record. All trials shall be de novo,

except that issues resolved by agreement at the pretrial conference may not be reopened. Any

other case or dispute under chapters 29 -- 38 of this title that arises during the pendency of this

trial, shall be forwarded immediately to the same judge for pretrial in accordance with this section

and for any subsequent trial.

      (f) If after trial and the entry of a final decree, it is determined that the employee or

medical services provider was not entitled to the relief sought in the petition, the employer or

insurer shall be reimbursed from the workers' compensation administrative fund, described in

chapter 37 of this title, to the extent of any payments made pursuant to the pretrial order to which

there is no entitlement.

     28-35-24. Examination by or opinion of impartial physician. -- (a) Whenever the

testimony presented at any hearing indicates a dispute, or creates doubt, as to the extent, nature,

or cause of disability or death, the workers' compensation court may direct that the injured

employee be examined, or may obtain an opinion without examination of an impartial, competent

physician designated by the workers' compensation court who is not under contract with or

regularly employed or regularly retained by a compensation insurer or self-insured employer.

      (b) The expense of the examination shall be paid by the employer. The report of the

examination shall be transmitted in writing to the workers' compensation court and a copy of it

shall be furnished by the workers' compensation court to each party who shall have an

opportunity to rebut it on further hearing.

LC003719 - Page 11 of 20

     28-35-27. Decision of controversies -- Decree. -- (a) In any controversy over which the

workers' compensation court has jurisdiction pursuant to this chapter and Rhode Island general

law section 45-21.2-9, any judge of that court shall, pursuant to sections 28-35-11 -- 28-35-28,

and the procedural rules of practice of the court, hear all questions of law and fact involved in the

controversy and presented by any party in interest, and he or she shall within ten (10) days after

the hearing, unless the parties otherwise agree, decide the merits of the controversy pursuant to

the law and the fair preponderance of the evidence and notify the administrator of the court of the

decision, who shall immediately notify the parties.

      (b) Within seventy-two (72) hours of notice, exclusive of Saturdays, Sundays, and

holidays, the judge shall enter a decree upon the decision, which shall contain findings of fact, but

within that time any party may appear and present a form of decree for consideration.

     28-35-28. Appeal to appellate division. -- (a) Any person aggrieved by the entry of a

decree by a judge may appeal to the appellate division established pursuant to this section by

filing with the administrator of the court within five (5) days of the date of the entry of a decree,

exclusive of Saturdays, Sundays, and holidays, a claim of appeal and, subject to the rules of

practice of the court, by filing a request for a transcript of the testimony and ruling or any part

thereof desired. Within any time that a judge shall fix, either by an original fixing or otherwise,

the appellant shall file with the administrator of the court reasons of appeal stating specifically all

matters determined adversely to him or her which he or she desires to appeal, together with so

much of the transcript of testimony and rulings as he or she deems pertinent, and within ten (10)

days after that the parties may file with the administrator of the court those briefs and memoranda

that they may desire concerning the appeal. The chief judge shall appoint appellate panels of three

(3) members of the court to hear any claim of appeal and the decision of the appellate panel shall

be binding on the court. The three (3) members of the appellate panel shall immediately review

the decree upon the record of the case and shall file a decision pursuant to the law and the fair

preponderance of the evidence within ten (10) days of the expiration of the time within which the

parties may file briefs and memoranda. Upon consideration of the appeal, the appellate panel

shall affirm, reverse, or modify the decree appealed from, and may itself take any further

proceedings that are just, or may remand the matter to the trial judge for further consideration of

any factual issue that the appellate division may raise, including the taking of additional evidence

or testimony by the trial judge. It shall be within the prerogative of the appellate panel to remand

a matter to the trial judge. If the decision requires the entry of a new decree, notice shall be given

the parties, and the new decree shall be entered in the same manner as the original decree, but if

the decision of two (2) appellate panel judges does not require the entry of a new decree, the

LC003719 - Page 12 of 20

decree shall be affirmed. Any member of the appellate panel may, for cause, disqualify himself or

herself from hearing any appeal that may come before the appellate panel.

      (b) The findings of the trial judge on factual matters shall be final unless an appellate

panel finds them to be clearly erroneous. The court may award costs, including reasonable

attorney fees, to the prevailing party when the appellate panel finds there was complete absence

of a justiciable issue of either law or fact.

     28-35-28.1. Reports of hearings -- Transcripts. -- (a) Hearings reporters, or electronic

court reporters, shall report stenographically, or electronically, the proceedings in the trial of

every action or proceeding in the workers' compensation court. Electronic court reporting shall be

used only when hearings reporters are unavailable for any reason.

      (b) Each hearings reporter, or electronic court reporter, shall also, upon the order of any

judge in the court, transcribe his or her report to be filed with the judge in the case court. He or

she shall also make a transcript of the whole or any part of that report upon request, filed with the

administrator court, by either party to the action or proceeding, and when completed and within

the time limited by the court for filing the transcript, shall immediately deliver it to the party

ordering it, or to the attorney of record of that party. For this service, the reporter shall be paid a

reasonable compensation, not less than five dollars ($5.00), and not exceeding three dollars

($3.00) per page for originals and one dollar and fifty cents ($1.50) per page for copies of it, to be

allowed by the court. If the transcript is used in subsequent proceedings in the cause, the cost of it

may be allowed as a part of the costs.

     28-35-31. Transcript on appeal. -- (a) Upon the filing of reasons of appeal and

transcript, the administrator of the workers' compensation court shall present the transcript to the

judge who heard the cause, and in case of vacancy in office, or for any cause, the administrator

where the court is unable to present the transcript to the judge who heard the cause, then the

transcript shall be presented to any other judge, and that other judge shall have full power to

examine and pass upon and allow the transcript. The judge to whom the transcript has been

presented by the administrator shall, after examination, restore the transcript to the files of the

administrator with a certificate of his or her action.

      (b) Upon an appeal being taken and the transcript of the testimony as may be required

being allowed and returned, the administrator of the workers' compensation court shall

immediately certify the cause and all the papers of it to the supreme court.

      (c) In case of failure to allow and return the transcript within twenty (20) days from its

filing a hearing may be had on the question of the correctness of the transcript before the workers'

compensation court.

LC003719 - Page 13 of 20

     28-35-37. Delay of process for execution of decree. -- No process for the execution of

any decree of the workers' compensation court from which an appeal may be taken shall issue

until the expiration of the appeal period, unless all parties against whom the decree is made,

waive an file with the court a waiver of appeal with the administrator or by causing an entry

thereof to be made on the docket.

     28-35-45. Review and modification of decrees. -- (a) At any time after the date of the

approval of any agreement or at any time after the date of the entry of any decree concerning

compensation, and if compensation has ceased under the agreement or decree, within ten (10)

years after that, any agreement, award, order, finding, or decree may be from time to time

reviewed by the workers' compensation court, upon its own motion or upon a petition of either

party upon forms prescribed and furnished by the court, after due notice to the interested parties:

      (1) Upon the ground that the:

      (i) Incapacity of the injured employee has diminished, ended, increased, or returned;

      (ii) Employee has recovered from the effects of his or her work-related injury and is

disabled only as a result of a preexisting condition;

      (iii) Employee is able to return to the same work which he or she performed at the time

of his or her injury;

      (iv) Employee has refused an offer of suitable employment; or

      (v) Weekly compensation payments have been based upon an erroneous average weekly

wage; or

      (2) Regarding any other obligation established under chapters 29 -- 38 of this title.

      (b) Upon this review the workers' compensation court may decrease, suspend, increase,

commence, or recommence compensation payments in accordance with the facts, or make any

other order that the justice of the case may require. No review shall affect the agreement, award,

order, finding, or decree as regards money already paid, except that an award increasing the

compensation rate may be made effective from the date of the injury, and except that if any part

of the compensation due or to become due is unpaid, an award decreasing the compensation rate

may be made effective from the date of injury, and any payments made prior thereto in excess of

the decreased rate shall be deducted from any unpaid compensation, in the manner and by the

methods that may be determined by the workers' compensation court.

      (c) Relief on review shall not be denied an employee or granted an employer or his or

her insurer on the grounds that the employee is incapacitated by an injury or disease which is

different from the one for which the employee was paid compensation if the injury or disease

incapacitating the employee results from an injury or disease for which the employee was paid

LC003719 - Page 14 of 20

compensation.

     28-35-46. Notice of intent to discontinue, suspend, or reduce payments -- Filing --

Form. -- Before an employer may discontinue, suspend, or reduce compensation payments

whether they are being received under an agreement, memorandum of agreement, award, order,

finding, or decree, or when suitable alternative employment has been offered to the employee

pursuant to section 28-33-18.2, the employer shall notify the court and the employee of his or her

intention to discontinue, suspend, or reduce payments and the reason for doing so by filing with

the judge court an affidavit setting forth the factual basis for filing the petition to review along

with a copy of the medical reports upon which the employer seeks to justify the discontinuance,

suspension, or reduction in payments. A copy of the affidavit and medical report shall be

forwarded to the employee. The notice of intention to discontinue, suspend, or reduce payments

must be given fifteen (15) days prior to the proposed date of discontinuance, suspension, or

reduction; provided, that where an employee has returned to work at an average weekly wage

equal to or in excess of that which he or she was earning at the time of his or her injury, not

including overtime, the notice of intention to discontinue, suspend, or reduce the payments

provided for in this section may be given five (5) days prior to the proposed date of

discontinuance. Notices shall be in substantially the following form:

      Notice to Workers' Compensation Court and Employee

      of

      Intention to Discontinue, Suspend, or Reduce Payment

      You are hereby notified that the undersigned employer intends on the........ day

of.................... 20......, to discontinue, suspend, or reduce the payments of compensation to the

above-named employee for the following reasons, to wit:

      (1) Employee has returned to work at an average weekly wage equal to or in excess of

that which he or she was earning at the time of his or her injury, not including overtime.

      (2) Employee has returned to work and is earning wages in the sum of.......... dollars

weekly.

      (3) Employee has been discharged by his or her treating physician on the...... day

of.......... 20.....

     28-35-54. Certification of papers to court. -- Whenever the director certifies to the

workers' compensation court papers, agreements, and documents in any proceedings as are

provided in chapters 29 -- 38 of this title, he or she shall certify them to the administrator of the

workers' compensation court.

     28-35-55. Filing day or required act falling on weekend or holiday. -- Whenever,

LC003719 - Page 15 of 20

under chapters 29 -- 38 of this title, the day, or the last day, for the filing with the administrator of

the workers' compensation court, of any original petition or other petition, motion, decree, claim

of appeal, reasons of appeal, brief, or other document in writing, or for the doing of any act

required or permitted to be done by those chapters, falls on Saturday, Sunday, or a legal holiday,

the act or filing may be done on the next succeeding business day.

     28-35-61. Decrees procured by fraud. -- (a) The workers' compensation court may,

upon petition of an employee, the dependents of a deceased employee, an employer, an insurance

carrier, or any other party in interest, vacate, modify, or amend any final decree entered within a

period of six (6) months of the date such decree was entered prior to the filing of the petition,

either by a single judge or by the full court, if it appears that the decree:

      (1) Has been procured by fraud; or

      (2) Does not accurately and completely set forth and describe the nature and location of

all injuries sustained by the employee.

      (b) The petition shall be served in the same manner as is provided for in chapters 29 --

38 of this title for all other petitions.

      (c) The workers' compensation court shall hear any and all petitions and make its

decision in accordance with those chapters.

     SECTION 7. Section 28-35-35 of the General Laws in Chapter 28-35 entitled "Workers'

Compensation - Procedure" is hereby repealed.

     28-35-35. Motion day in supreme court. -- Any court day in the supreme court shall be

motion day for the purpose of hearing a motion to assign the appeal for hearing.

     SECTION 8. Section 28-36-15 of the General Laws in Chapter 28-36 entitled "Workers'

Compensation - Insurance" is hereby amended to read as follows:

     28-36-15. Penalty for failure to secure compensation -- Personal liability of

corporate officers. -- (a) Any employer required to secure the payment of compensation under

chapters 29 -- 38 of this title who knowingly fails to secure that compensation shall be guilty of a

felony and shall be subject to imprisonment for up to two (2) years. In addition to the foregoing,

the employer shall be subject to a civil penalty punished by a fine not to exceed one thousand

dollars ($1,000) for each day of noncompliance with the requirements of this title. The director

shall institute any and all reasonable measures to comprehensively monitor, investigate, and

otherwise discover all employer noncompliance with this section and shall establish rules and

regulations governing these measures. Each day shall constitute a separate and distinct offense for

calculation of the penalty. Where that employer is a corporation the president, vice president,

secretary, treasurer, and other officers of the corporation, shall be severally liable for the fine,

LC003719 - Page 16 of 20

penalty or imprisonment as provided in this section for the failure of that corporation to secure the

payment of compensation. The president, vice president, secretary, treasurer, and other officers of

the corporation shall also be severally personally liable, jointly with the corporation for any

compensation or other benefit which may accrue under those chapters in respect to any injury

which may occur to any employee of that corporation while it fails to secure the payment of

compensation as required by those chapters.

      (b) Where the employer is a limited liability company, the managers and managing

members who knowingly fail to secure the payment of compensation under chapters 29 -- 38 of

this title shall be guilty of a felony and shall be subject to imprisonment for up to two (2) years.

The managers and managing members shall also be severally liable for the fine, penalty or

imprisonment as provided in this section for the failure of that company to secure the payment of

compensation. The managers and managing members shall be severally personally liable, jointly

with the company, for any compensation or other benefit which may accrue under those chapters

in respect to any injury which may occur to any employee of that company while it fails to secure

the payment of compensation as required by those chapters.

      (c) Where the employer is a partnership, or a registered limited liability partnership, the

partners who knowingly fail to secure the payment of compensation under chapters 29 -- 38 of

this title shall be guilty of a felony and shall be subject to imprisonment for up to two (2) years.

The partners shall also be severally liable for the fine, penalty, or imprisonment as provided in

this section for the failure of that partnership to secure the payment of compensation. The partners

shall be severally personally liable, jointly with the partnership, for any compensation or other

benefit which may accrue under those chapters in respect to any injury which may occur to any

employee of that partnership while it fails to secure the payment as required by those chapters.

      (d) Where the employer is a limited partnership or a registered limited liability limited

partnership, the general partners who knowingly fail to secure the payment of compensation

under chapters 29 -- 38 of this title shall be guilty of a felony and shall be subject to

imprisonment for up to two (2) years. The general partners shall also be severally liable for the

fine, penalty or imprisonment as provided in this section for the failure of that limited partnership

to secure the payment of compensation. The general partners shall be severally personally liable,

jointly with the limited partnership, for any compensation or other benefit which may accrue

under those chapters in respect to any injury which may occur to any employee of that partnership

while it fails to secure the payment of compensation as required by those chapters.

      (e) All criminal actions for any violation of this section shall be prosecuted by the

attorney general. The attorney general shall prosecute actions to enforce the payment of penalties

LC003719 - Page 17 of 20

and fines at the request of the director. The workers' compensation court shall have jurisdiction

over all civil actions filed pursuant to this section.

      The court shall consider the following factors in assessing a civil penalty: gravity of

offense, resources of the employer, effect of the penalty on employees of the company, the reason

for the lapse in coverage, and the recommendation of the director. Following a review of the

factors set forth above, the court may suspend all or a part of a civil penalty or shall establish a

time table for compliance with any court order.

      (f) (1) As soon as practicable after the director receives notice of noncompliance under

this section, the director shall determine whether cause exists for the imposition of a civil penalty.

Unless the director determines that the noncompliance was unintentional or the result of a clerical

error and subject to the administrative proceedings under subsection (g) of this section, the

director shall commence an action in the workers' compensation court to assess a civil penalty

against the employer as set forth in subsection (a) of this section and shall refer the matter to the

attorney general for prosecution of criminal charges.

      (2) The director shall bring a civil action in the workers' compensation court to collect all

payments and penalties ordered and not paid. All civil actions for any violations of this chapter or

of any of the rules or regulations promulgated by the director, or for the collection of payments in

accordance with section 28-37-13, 28-33-17.3(a)(2) or 28-33-17.3(a)(3) or civil penalties under

this chapter, shall be prosecuted by any qualified member of the Rhode Island bar whom the

director may designate, in the name of the director, and the director is exempt from giving surety

for costs in any proceedings.

      (g) In the case of unintentional noncompliance or noncompliance resulting from clerical

error where the uninsured period is less than one year from the date of discovery and there were

no employees injured during the uninsured period and the employer has not been subject to any

other findings of noncompliance with these chapters, the director shall assess an administrative

penalty of not less than the estimated annual workers' compensation insurance premium for that

employer and not more than triple that amount. Any party has the right to appeal the orders of the

director. Such appeal shall be to the workers' compensation court in the first instance and

thereafter from the workers' compensation court to the Rhode Island supreme court in accordance

with section 28-35-30.

      (h) The director shall collect all payments under this chapter under the rules and

regulations that may be set forth by the director. All fines collected pursuant to this section shall

be deposited to a restricted receipt account to be administered by the director of the department of

labor and training in his or her sole discretion to carry out chapters 29 -- 38 of this title.

LC003719 - Page 18 of 20

      (i) (1) In that the operation of a commercial enterprise without the required workers'

compensation insurance is a crime and creates a clear and present danger of irreparable harm to

employees who are injured while the employer is uninsured, the director shall suspend the

operation of the business immediately and until workers' compensation and employers' liability

insurance is secured consistent with these chapters. The director shall lift the suspension upon

receipt of satisfactory proof of insurance and evidence sufficient to satisfy the director that the

employer is in full compliance with these chapters. Any party has the right to appeal the

suspension to the workers' compensation court where the matter shall proceed pursuant to the

workers' compensation court rules of procedure.

      (2) In the event that the employer shall fail to comply with the director's order of

suspension, the director may apply immediately to the workers' compensation court for an order

directing the employer to comply with the director's prior orders.

      (3) Actions filed with the workers' compensation court pursuant to this section shall not

be subject to a pretrial conference in accordance with section 28-35-20 but shall be assigned

consistent with the workers' compensation court rules of procedure practice.

      (4) Interest shall accrue on unpaid penalties during the pendency of any appeal at the rate

per annum provided in section 9-21-10.

      (j) These provisions shall take effect upon passage except section 28-29-2(6)(iv) which

shall take effect on January 1, 2006.

     SECTION 9. This act shall take effect upon passage.

========

LC003719

========

LC003719 - Page 19 of 20

EXPLANATION

BY THE LEGISLATIVE COUNCIL

OF

A N   A C T

RELATING TO WORKERS' COMPENSATION -- ELECTRONIC FILING

***

     This act would comprehensively clarify and update the practice and procedures of the

Worker's Compensation Court.

     This act would take effect upon passage.

========

LC003719

========

LC003719 - Page 20 of 20