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Workers’ Compensation Claims and COVID-19

Client Alert

Can one of my employees file a workers’ compensation claim if they claim that they contracted coronavirus at work?

We get that question a lot. Yes, they can, but you should oppose any application for coverage if you receive one.

Generally, the claim will not be granted unless the employee has a job that poses a special hazard or risk of exposure to the virus and the employee can prove that he or she contracted the virus at work.

Under Ohio law, compensable occupational diseases are those diseases that arise from employment activity. Because coronavirus can be contracted in a variety of different ways outside the workplace, it is presumed that the illness was contracted outside of work. Thus, it is very difficult for an employee tie his or her illness to the workplace.

Some states, such as Minnesota and California, have created a rebuttable presumption in favor of first responders and healthcare workers. This presumption assumes that these workers contracted COVID-19 at work unless their employer can prove that they contracted it outside of work.

As of May 29, 2020, seven bills have been introduced in the Ohio General Assembly proposing some version of the rebuttable presumption in favor of first responders (police officers, firefighters and EMT’s), corrections officers, nursing home workers, healthcare workers, retail food establishment workers, food processing establishment workers. 

One bill, H.B. 573, seeks the presumption for any employee required by their employer to work outside of their home during the state-declared public health emergency. This is likely a bridge too far for the Ohio General Assembly.

The bill closest to becoming law is H.B. 606.  This bill passed the Ohio House on May 28, 2020 and will now move on to the Ohio Senate. H.B. 606 would create a rebuttable presumption that the following workers are eligible for workers’ compensation if they contract COVID-19 between March 9, 2020 and December 31, 2020:

  • peace officers (police department employees, housing authority officers, state university law enforcement, public safety officers, ODNR law enforcement, and others);
  • firefighters (paid or volunteer);
  • emergency medical workers (paid or volunteer first responders, technicians and paramedics);
  • corrections officers (adult and juvenile);
  • employees of retail food establishments (any employer that uses its premises, in whole or in part, to store, process, prepare, manufacture, or otherwise hold or handle food for retail sale to the ultimate consumer – yes, this would include food trucks); and
  • employees of food processing establishments (any employer that that uses its premises, in whole or in part, to process, package, manufacture or otherwise hold or handle for distribution to another location or for sale at wholesale).

For additional information, please contact Adam D. Fuller, adfuller@bmdllc.com or 330.374.6737, or any member of the L+E Team at BMD.


Effective December 12, 2024: Key Updates to Ohio Medicaid Rules for CPC and CMC Programs

Ohio Medicaid has amended rules for the Comprehensive Primary Care (CPC) and Comprehensive Maternal Care (CMC) programs, effective December 12, 2024. Key updates include expanded provider eligibility, stricter cultural competency training timelines, new clinical quality metrics, and changes to maternal care requirements.

Ohio Medicaid Extends Timely Filing Deadline Until 2025

The Ohio Department of Medicaid (ODM) recently announced that it is extending its timely filing deadline to February 28, 2025. According to ODM, roughly 2% of providers have contract issues preventing them from meeting the previous timely filing deadline of December 1, 2024.

Another Drug Manufacturer Pursues Rebate Program as 340B Alternative

Some of the nation’s largest drug manufacturers are forging ahead to implement rebate programs for 340B drugs, even after the federal government has called these programs illegal. While it is unclear how these federal courts will rule, this could threaten the sustainability of safety net providers and their patients.

Hurry Up, STOP. . .Has CTA Been Struck Down By Courts?

Following a recent case in Texas, uncertainty has arisen regarding whether clients should file "beneficial owners" reports. This is a result of the Federal Government enjoined from enforcing the CTA. Contact your BMD Member Blake Gerney to find out how this affects you.

DEA and HHS Issue its Third Extension of Telemedicine Flexibilities through 2025

The DEA and U.S. Department of Health and Human Services (HHS) have extended telemedicine flexibilities for prescribing controlled medications through December 31, 2025. This extension builds on temporary exceptions made in 2020 due to COVID-19, allowing providers to prescribe Schedule II-V controlled substances based on a telemedicine evaluation alone. The extension ensures continued patient access to necessary prescriptions and provides time for providers to comply with future regulations.