The old law did not allow PTSD claims which were based on cumulative psychological traumas that occurs over time and combines to cause severe mental problems. This old law is still in effect for all occupations in Washington State, except first responders.
The new law is a fix to the old law and exempts certain firefighters, emergency medical technicians (EMT’s), and law enforcement officers from the old L&I rule which disallows PTSD which results from CUMULATIVE trauma.
There is a difference between injury and occupational disease. You need to say the right thing to your doctor about how your PTSD now qualifies you for an L&I claim. Once your medical history is written into your records it determines how your claim will be looked at. Understand what you are saying before you talk with your doctor.
The Law for all claims (first responders and everyone else too) is that PTSD caused by one stressful event is allowed as an L&I injury. RCW 51.08.100 and WAC 296-14-300. A one time mental event, or one significant mental event in a series of events, is an allowable injury. For example, a first responder cleans up after a decapitation or a first responder who has a person die in their arms who then develops PTSD, has an allowable L&I injury PTSD claim, subject to these guidelines:
“As an injury, stress resulting from exposure to a single traumatic event, such as actual or threatened death, actual or threatened physical assault, actual or threatened sexual assault, and life-threatening traumatic injury, may be considered an industrial injury. These exposures must occur in one of the following ways:
The new law allows L&I PTSD claims caused by cumulative stress as an occupational disease for MOST FIRST REPONDERS, (but not other occupations).
This means that first responders can now file and be successful with a cumulative trauma PTSD claim.
The new law goes much further. It creates a rebutable presumption that cumulative stress for first responders is an occupational disease.
This rebutable presumption is a huge benefit to first responders. HAVING an occupational disease is predictable and too easy because by it’s nature first responder work causes PTSD. PROVING you have an occupational disease has previously been expensive and difficult. This new law for first responders is very helpful because it doesn’t just allow a cumulative PTSD claim, it also makes it easier to prove that the PTSD is job related. This easing of the proof requirement is done with a rebutable presumption.
The new law for first responders creates a rebutable presumption that cumulative stress is an occupational disease. This rebutable presumption is a legal procedural rule designed to assist L&I claimants when they are proving a claim. As it applies to this new law, and subject to the limitations listed below, any occupational disease or inury PTSD to first responders will now be presumed to be work related, unless proven otherwise.
No you don’t. Not if you understand and pay attention to what is written here. Your medical records will define and limit the successs of your claim. Be honest, precise, and careful what you say to a doctor who has a pen in his hand.
First responders do the heavy lifting in the world of human tragedy. Every time they scrape up another lifeless body from a tragic accident, some of that tragedy rubs off on them. Every time they rescue and console a burned out family who has lost everything, it chokes them up too. Each time they risk their lives to restore law and order, their life thereafter is affected by that. Those experiences create real and lasting stressful changes in first responders . Over time these stressful experiences add up to PTSD.
First reponders pay a price for what they do. The price they pay is on the job PTSD. They deserve L&I benefits and now they can get those benefits.