West Virginia Code § 23-4-1f

Certain psychiatric injuries and diseases not compensable; definitions;
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legislative findings; terms; report required.
(a) Except as provided by this section, for the purposes of this chapter, no alleged injury or
disease may be recognized as a compensable injury or disease which was solely caused by
nonphysical means and which did not result in any physical injury or disease to the person
claiming benefits. Except as otherwise provided in this section, it is the purpeose of this
section to clarify that so-called mental-mental claims are not compensable under this
chapter. r
(b) For the purposes of this section: u
(1) "First responder" means a law enforcement officer, firefighter, emergency medical
technician, paramedic, and emergency dispatcher;
(2) "Post-traumatic stress disorder" means a disorder that meets the diagnostic criteria for
post-traumatic stress disorder specified by the Amelrican Psychiatric Association in the
Diagnostic s
and Statistical Manual of Mental Disordersi, fifth edition, or a later edition as adopted by rule
of the insurance commissioner; and
(3) "Licensed mental health provider" means a licensed psychiatrist, licensed psychologist,
licensed professional counselor, licensed marriage and family therapist, certified mental
health nurse practitioner, certified psychiatric physician assistant, or licensed social worker
who:
(A) Holds a master's degree or higher;
(B) Holds a terminal license within their profession; and
(C) WIs qualified to treat post-traumatic stress disorder.
(4) "Employer" means any entity that controls, consistent with the provisions of West
Virginia law relating to an employment relationship, the paid or volunteer employment of a
first responder eligible for benefits under this section.
(c) The Legislature finds that post-traumatic stress disorder is a unique medical condition.
Although it may manifest itself as a psychiatric condition that would be otherwise precluded
from workers' compensation coverage, post-traumatic stress disorder is an occupational
hazard for first responders, similar to members of the military serving in combat. The
Legislature further finds that because first responders are required to expose themselves to
traumatic events during the course of their employment and thus are at a recognized higher
risk of developing post-traumatic stress disorder, and because of the severe nature and
debilitative effects of post-traumatic stress disorder, it is the moral obligation of the state to
permit coverage to this class of individuals for their work-related disease.
(d)(1) Post-traumatic stress disorder suffered by a first responder may be recognized as a
compensable occupational disease under §23-4-1(f) of this code when:
(A) The employer has elected to provide coverage for post-traumatic stress disorder as an
occupational disease; and
(B) A diagnosis has been made by a licensed psychiatrist, certified mental health nurse
practitioner, or certified psychiatric physician assistant that the first responder suffered
from post-traumatic stress disorder due to exposure to an event or events that occurred in
the course of and resulting from the first responder's paid or volunteer covered employment:
Provided, That the provisions of this section shall apply only to au post-traumatic stress
disorder diagnosis made on or after July 1, 2021, or the first day of the employer's next
workers' compensation insurance policy or self-insurance prtogram term for which post-
traumatic stress disorder coverage has been purchased or elected, whichever is later.
(2) While the diagnosis must be made by a licensed psychiatrist, certified mental health
nurse practitioner, or certified psychiatric physicialn assistant, mental health treatment
consistent for a post-traumatic stress disorders diagnosis may be offered by a licensed mental
health provider other than the diagnosing psychiatrist, certified mental health nurse
practitioner, or certified psychiatric physician assistant.
(3) A diagnosis of post-traumatic stress disorder under this section may not include
consideration of any layoff, termination, disciplinary action, or any similar personnel-related
action taken in good faith by an employer.
(4) Benefits for a post-traumatic stress disorder diagnosis made under this section are
contingent upon the employer electing to provide coverage for post-traumatic stress
disorder from its workers' compensation insurance carrier or to provide for it through its
self-insurance program, whichever is applicable.
(5) The receipt of benefits is contingent on a claim being made within three years from and
after a licensed psychiatrist, certified mental health nurse practitioner, or certified
psychiatric physician assistant has made the claimant aware of a post-traumatic stress
disorder diagnosis in accordance with this section.

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