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Vol. 3, Issue 14

Find Solutions & Strategies                               April 2, 2012

Intoxication PresumptionStatutory Presumption of Intoxication

 

The presumption doesn't always ensure an easy win for employers

In This Issue
-INTOXICATION
-MINING DISASTER
-LARSON'S SPOTLIGHT: Conflict of Medical Opinions, Future Medical Payments, Employer's Safety Rules, Lump-Sum Settlement
-BLOGS AT THE WCLC: Fraud, DE case, MO case, WV case
-NATIONAL NEWS
-STATE NEWS
-eNEWSLETTER ARCHIVES
A Note From The Editor
Robin Kobayashi 2010

Dear WC Professionals: 

 

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intoxication presumption

Tom Robinson thumbnail

Statutory Presumptions of Intoxication and Drug Use Don't Always Ensure an Easy Win for Employers, by Thomas A. Robinson. At the heart of the workers' compensation bargain is the essential doctrine that employee fault should generally not be considered when determining the compensability of the employee's claim. ... The great majority of jurisdictions, however, provide an exception when it comes to voluntary intoxication that renders an employee incapable of performing his or her work. Such intoxication is usually held to be a departure from the course of employment sufficient to defeat a claim for workers' compensation benefits. > Read more.

mining disaster hearing

Stahl, JohnHouse Committee Blames Regulators and Operator for Upper Big Branch Mine Disaster: Better Enforcement and Safety Programs Might Have Saved Lives, by John Stahl, Esq. The House Committee on Education and the Workforce (Committee) conducted a March 27, 2012, hearing on the 2010 West Virginia mining tragedy at the Upper Big Branch (UBB) mine. The Committee concluded that the mine operator disregarding safety standards caused the fatal explosion. The Committee also cited a lack of enforcement by the Mine Safety and Health Administration (MSHA) in the U.S. Department of Labor as a significant factor. > Read more.

Larson's spotlight: medical opinions

Tom Robinson thumbnail

Clash of Medical Opinions Over Surgery to Correct Injured Worker's Enlarged Breast Condition, by Thomas A. Robinson. Disagreements between the physician providing treatment to a workers' compensation claimant and "the company doctor" abound. How can a hearing officer or judge, who has no specialized medical background, determine which expert, if any, is correct in his or her assessment. In a number of states, where there is such a disagreement, an additional expert may be employed to advise the Commission or Board with regard to the medical aspects of the claimant's condition. A good example is a Florida provision, § 440.13(9)(c), Fla. Stat., that provides for the appointment of an expert medical advisor (EMA) where there is a conflict in the medical opinions offered in the claims dispute. Since such experts don't grow on trees, it can take some time before a qualified expert can be identified who will agree to take on the case. > Read more about this case and other noteworthy cases.

blogs at the lexisnexis workers' comp law community

Fraud SignWorkers' Comp Fraud Blotter:  Labor Investigator Forfeits Gold Bars, Coins, Lexus, and Homes On Way To Federal Prison, by LexisNexis Workers' Compensation Law Community Staff. Read it. 

   

 

 

CassandraThe Game Is Afoot: Delaware IAB Has Its First Application of Watson, by Cassandra Roberts, Esq. Read it.  

 

  

 

 

Martin KlugMissouri: Storm Chasing Chief Awarded Benefits for Slipping at His Home, by Martin Klug, Esq. Read it.  

 

 

 

 

H. Dill BattleWest Virginia Supreme Court Continues Trend of Weakening Medical Management Guidelines, by H. Dill Battle, III. Read it.

 

 

national news
state news

CA: Assembly Committee Holds Hearing on Workers Comp Rules.

CA: DWC Posts Annual Report.

CA: WCIRB Reports Increases: Late Claims, Cumulative Injury Claims, Loss Adjusted Expenses.

CA: WCIRB to Elect New Governing Committee Chairperson.

CO: Governor Signs HB 1033 on Carrier Late Reporting Fines.

CO: Pinnacol Spends $3.5M to Promote Idea of Privatization; Lawmakers Question Legality.

GA: George M. Kazin Inducted as Fellow of College of Workers' Compensation Lawyers.

IL: Business Throws Support Behind SB 2521 "Major Contributing Cause" Standard.

KY: Senate Passes Landmark Pill Mill Legislation.

KY: A.M. Best Insurance Rating Firm Lowers KEMI's Outlook.

MD: WCC Posts Updated Medical Fee Guide Materials.

MA: DIA Posts Revised Chronic Pain Treatment Guideline.

MA: First Circuit Upholds Sanctions Against Workers Comp Attorney.

MS: House Reconsiders, Passes Workers Comp Bill.

MS: Lawmakers Have Verbal Altercation Over Workers Comp Bill.

MO: MEM to Pay $2M Dividend to Policyholders.

MO: Senate Votes to Override Governor's Veto of Workers Comp Bill.

NH: Primex Risk Management Pool to Return $16M to Municipal Members.

NY: Governor Announces Nominee for Commissioner of Dept of Labor.

OH: High Court Says Drug Dealing Counts as Long Term Job, Denies WC Benefits.

OK: Treatment Guidelines on Schedule II Drugs Adopted Effective April 2.

RI: Judicial Nominating Commission Sends Five WCC Candidates to Governor.

TX: Texas Boasts Five Cities Lead Nation in Job Growth.

TX: Governor Names Alcanzar Chair of Texas Workforce Commission.

TX: DWC Posts Discount Rate, Interest Rate for 4/1/2012-6/30/2012.

TX: DWC Posts Audio of Hearing on Designated Doctor Procedures, Requirements.

UT: Governor Signs SB 121 Workers Comp Waiver Amendment.

WI: Federal Judge Overturns Parts of Controversial Anti-Union Law.

 

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ENEWSLETTER ARCHIVES

Take a deep dive into our past eNewsletters for 2012 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.

 

March 26, 2012: U.S. Supreme Court Decides Roberts (LHWCA case).

March 19, 2012: Recent Medicare Set-Aside Changes.

March 12, 2012: SCOTUS Hears Roberts Oral Argument.

March 5, 2012: The Defense of Intentional Self-Injury.

February 27, 2012: Workers' Comp Reform: Spotlight on North Carolina.

February 21, 2012: Workers' Comp Reform: Spotlight on Illinois.

February 13, 2012: Exclusivity & Intentional Torts Under LHWCA.

February 6, 2012: Chronic Pain Treatment: New Attitudes and Alternatives.

January 30, 2012: Impact of Workers' Comp Reform: NY and CA.

January 23, 2012: Economic Costs of Occupational Injuries.

January 17, 2012: U.S. Supreme Court Decision on Outer Continental Shelf.

January 9, 2012: Top 10 Bizarre Cases for 2011.

January 2, 2012: 10 Myths and Facts About Workers' Compensation.

ACCESS 2010-2011 ARCHIVES AND ARTICLES LIST HERE.

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