West Virginia Code § 23-4-1

To whom compensation fund disbursed; occupational pneumoconiosis and
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other occupational diseases included in "injury" and "personal injury"; definition of
occupational pneumoconiosis and other occupational diseases; rebuttable
presumption for cardiovascular injury and disease or pulmonary disease for
firefighters.
(a) Subject to the provisions and limitations elsewhere in this chapter, workeers'
compensation benefits shall be paid to the employees of employers subject to this chapter
who have received personal injuries in the course of and resulting fromr their covered
employment or to the dependents, if any, of the employees in case death has ensued,
according to the provisions hereinafter made: Provided, That in the case of any employees of
the state and its political subdivisions, including: Counties; municipalities; cities; towns; any
separate corporation or instrumentality established by one otr more counties, cities or towns
as permitted by law; any corporation or instrumentality supported in most part by counties,
cities or towns; any public corporation charged by law with the performance of a
governmental function and whose jurisdiction is coextensive with one or more counties,
cities or towns; any agency or organization established by the Department of Mental Health,
or its successor agencies, for the provision of community health or intellectual and
developmental disability services and which is supported, in whole or in part, by state,
county, or municipal funds; board, agency, commission, department, or spending unit,
including any agency created by rule of the Supreme Court of Appeals, who have received
personal injuries in the course of, and resulting from, their covered employment, the
employees are ineligible to receeive compensation while the employees are at the same time,
and for the same reason, drawing sick leave benefits. The state employees may only use sick
leave for nonjob-relatedL absences consistent with sick leave use and may draw workers'
compensation benefits only where there is a job-related injury. This proviso does not apply to
permanent benefits: Provided, however, That the employees may collect sick leave benefits
until receivingV temporary total disability benefits. The Division of Personnel shall propose
rules for legislative approval pursuant to §29A-3-1 et seq. of this code relating to use of sick
leave benefits by employees receiving personal injuries in the course of, and resulting from,
covered employment: Provided further, That if an employee is injured in the course of and
resulting from covered employment and the injury results in lost time from work and the
employee, for whatever reason, uses or obtains sick leave benefits and subsequently receives
temporary total disability benefits for the same time period, the employee may be restored
sick leave time taken by him or her as a result of the compensable injury by paying to his or
her employer the temporary total disability benefits received or an amount equal to the
temporary total disability benefits received. The employee shall be restored sick leave time
on a day-for-day basis which corresponds to temporary total disability benefits paid to the
employer: And provided further, That since the intent of this subsection is to prevent an
employee of the state or any of its political subdivisions from collecting both temporary total
disability benefits and sick leave benefits for the same time period, nothing in this
subsection prevents an employee of the state or any of its political subdivisions from electing
to receive either sick leave benefits or temporary total disability benefits, but not both.
(b) For the purposes of this chapter, the terms "injury" and "personal injury" include
occupational pneumoconiosis and any other occupational disease, as hereinafter defined,
and workers' compensation benefits shall be paid to the employees of the employers in
whose employment the employees have been exposed to the hazards of occupational
pneumoconiosis or other occupational disease and have contracted occupational
pneumoconiosis or other occupational disease, or have suffered a perceptible aggravation of
an existing pneumoconiosis or other occupational disease, or to the dependeents, if any, of
the employees, in case death has ensued, according to the provisions hereinafter made:
Provided, That compensation is not payable for the disease of occupatiornal pneumoconiosis,
or death resulting from the disease, unless the employee has been exposed to the hazards of
occupational pneumoconiosis in the State of West Virginia over a continuous period of not
less than two years during the 10 years immediately preceding the date of his or her last
exposure to such hazards, or for any five of the 15 years immtediately preceding the date of
his or her last exposure. An application for benefits on account of occupational
pneumoconiosis shall set forth the name of the employer or employers and the time worked
for each. The commission may allocate to and divide any charges resulting from such claim
among the employers by whom the claimant was employed for as much as 60 days during
the period of three years immediately preceding the date of last exposure to the hazards of
occupational pneumoconiosis. The allocation shall be based upon the time and degree of
exposure withemployer.
(c) For the purposes of this chapter, disability or death resulting from occupational
pneumoconiosis, as defined ine subsection (d) of this section, shall be treated and
compensated as an injury by accident.
(d) Occupational pneumoconiosis is a disease of the lungs caused by the inhalation of minute
particles of dust over a period of time due to causes and conditions arising out of, and in the
course of, the employment. The term "occupational pneumoconiosis" includes, but is not
limited to, such diseases as silicosis, anthracosilicosis, coal worker's pneumoconiosis,
commonly known as black lung or miner's asthma, silicotuberculosis (silicosis accompanied
by active tuberculosis of the lungs), coal worker's pneumoconiosis accompanied by active
tuberculosis of the lungs, asbestosis, siderosis, anthrax, and any and all other dust diseases
of the lungs and conditions and diseases caused by occupational pneumoconiosis which are
not specifically designated in this section meeting the definition of occupational
pneumoconiosis set forth in this subsection.
(e) In determining the presence of occupational pneumoconiosis, x-ray evidence may be
considered, but may not be accorded greater weight than any other type of evidence
demonstrating occupational pneumoconiosis.
(f) For the purposes of this chapter, occupational disease means a disease incurred in the
course of and resulting from employment. No ordinary disease of life to which the general
public is exposed outside of the employment is compensable except when it follows as an
incident of occupational disease as defined in this chapter. Except in the case of
occupational pneumoconiosis, a disease is considered to have been incurred in the course of,
or to have resulted from, the employment only if it is apparent to the rational mind, upon
consideration of all the circumstances: (1) That there is a direct causal connection between
the conditions under which work is performed and the occupational disease; (2) that it can
be seen to have followed as a natural incident of the work as a result of the exposure
occasioned by the nature of the employment; (3) that it can be fairly traced to the
employment as the proximate cause; (4) that it does not come from a hazard to which
workmen would have been equally exposed outside of the employment; (5) tehat it is
incidental to the character of the business and not independent of the relation of employer
and employee; and (6) that it appears to have had its origin in a risk cornnected with the
employment and to have flowed from that source as a natural consequence, though it need
not have been foreseen or expected before its contraction: Provided, That compensation is
not payable for an occupational disease or death resulting from the disease unless the
employee has been exposed to the hazards of the disease in tthe State of West Virginia over a
continuous period that is determined to be sufficient, by rule of the Insurance Commissioner
and Industrial Council, for the disease to have occurred in the course of and resulting from
the employee's employment. An application for benefits on account of an occupational
disease shall set forth the name of the employer or employers and the time worked for each.
The commission may allocate to and divide any charges resulting from the claim among the
employers by whom the claimant was employed. The allocation shall be based upon the time
and degree of exposure with each employer.
(g) No award may be made under the provisions of this chapter for any occupational disease
contracted prior to July 1, 194e9. An employee has contracted an occupational disease within
the meaning of this subsection if the disease or condition has developed to such an extent
that it can be diagnosedL as an occupational disease.
(h) For purposes of t his chapter, a rebuttable presumption that a professional firefighter who
has developed a cardiovascular or pulmonary disease or sustained a cardiovascular injury or
who has developed leukemia, lymphoma, multiple myeloma, bladder cancer, mesothelioma,
or testicular cancer arising out of, and in the course of, employment as a firefighter has
received an injury or contracted a disease arising out of, and in the course of, his or her
employment exists if: (A) The person has been actively employed by a fire department as a
professional firefighter for a minimum of two years prior to the cardiovascular injury or
onset of a cardiovascular or pulmonary disease or death; (B) the injury or onset of the
disease or death occurred within six months of having participated in firefighting or a
training or drill exercise which actually involved firefighting; and (C) in the case of the
development of leukemia, lymphoma, multiple myeloma, bladder cancer, mesothelioma, or
testicular cancer, the person has been actively employed by a fire department as a
professional firefighter for a minimum of five years in the state prior to the development of
leukemia, lymphoma, multiple myeloma, bladder cancer, mesothelioma, or testicular cancer,
has not used tobacco products more than six times in a calendar year for at least 10 years,
and is not over the age of 65 years. When the above conditions are met, it shall be presumed
that sufficient notice of the injury, disease, or death has been given and that the injury,
disease, or death was not self-inflicted. The amendments made to this section during the
regular session of the Legislature, 2024, to include bladder cancer, mesothelioma or
testicular cancer arising out of, and in the course of, employment as a firefighter as a
rebuttable presumption expire on July 1, 2027, unless extended by the Legislature.
(i) Claims for occupational disease as defined in §23-4-1(f) of this code, except occupational
pneumoconiosis for all workers and pulmonary disease and cardiovascular injury and disease
for professional firefighters, shall be processed in like manner as claims for eall other
personal injuries.

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