,,ii #aaf? ,,congress #b;d ,session ,s4 #dgcd ,,9 ,,! ,,s5ate ,,( ,,! ,,unit$ ,,/ates ,septemb] #bd1 #bjbj,mr4 ,portman 7= himself & ,mr4 ,c>d97 introduc$ ! foll[+ bill2 :i* 0 read twice & ref]r$ to ! ,committee on ,f9ance ,a ,,bill ,to am5d title ,,xviii ( ! ,social ,security ,act to provide = ! application ( ,m$ic>e second>y pay] rules to c]ta9 work]s' comp5sation settlem5t agreem5ts & qualifi$ ,m$ic>e set-aside provisions4 #a4 ,%ort title ,?is ,act may be cit$ z ! ,coord9ation ,( ,m$ic>e ,paym5ts & ,work]s' ,comp5sation ,act or ! ,,comp ,act4 #b4 ,application ( ,m$ic>e second>y pay] rules to c]ta9 work]s' comp5sation settlem5t agreem5ts 7a7 ,second>y pay] provisions = work]s' comp5sation settlem5t agreem5ts ,section #ahfb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7 is am5d$-- 7#a7 9 subsection 7b77#b77;,a77ii71 by ins]t+ subject to subsection 7p71 aft] 7ii72 & 7#b7 by add+ at ! end ! foll[+ new subsection3 7p7 ,def9itions ,= purposes ( ?is subsection & subsection 7q73 7#a7 ,compromise agreem5t ,! t]m compromise agreem5t means a work]s' comp5sation settlem5t agreem5t t-- 7,a7 applies to a work]s' comp5sation claim t is d5i$ or conte/$1 9 :ole or 9 "p1 by a work]s' comp5sation pay] involv$ "u ! work]s' comp5sation law or plan applicable to ! jurisdiction 9 :i* ! agreem5t has be5 settl$2 & 7,b7 does n provide = a paym5t ( ! full am\nt ( b5efits s\ght or t may be payable "u ! work]s' comp5sation claim4 7#b7 ,work]s' comp5sation claimant ,! t]m work]s' comp5sation claimant means a work] :o-- 7,a7 is or may be cov]$ "u a work]s' comp5sation law or plan2 & 7,b7 submits a claim or accepts b5efits "u su* law or plan = a "w-relat$ injury or illness4 7#c7 ,work]s' comp5sation law or plan 7,a7 ,9 g5]al ,! t]m work]s' comp5sation law or plan means a law or program adm9i/]$ by a ,/ate or ! ,unit$ ,/ates to provide comp5sation to work]s = a "w-relat$ injury or illness 7or = disability or dea? caus$ by su* an injury or illness71 includ+ ! ,long%ore & ,h>bor ,work]s' ,comp5sation ,act 7#cc ,u4,s4,c4 #ija-idd1 #idh-iej71 *apt] #ha ( title #e1 ,unit$ ,/ates ,code 7kn[n z ! ,f$]al ,employees ,comp5sation ,act71 ! ,black ,lung ,b5efits ,act 7#cj ,u4,s4,c4 #ica et seq471 & "p ,c ( title #d ( ! ,f$]al ,coal ,m9e & ,safety ,act 7#cj ,u4,s4,c4 #ija et seq471 b n includ+ ! ,act ( ,april #bb1 #aijh 7#de ,u4,s4,c4 #ea et seq47 7popul>ly ref]r$ to z ! ,f$]al ,employ]s' ,liability ,act74 7,b7 ,inclusion ( simil> comp5sation plan ,su* t]m includes a simil> comp5sation plan e/abli%$ by an employ] t is fund$ by su* employ] or ! insurance c>ri] ( su* employ] to provide comp5sation to a work] ( su* employ] = a "w-relat$ injury or illness4 7#d7 ,work]s' comp5sation pay] ,! t]m work]s' comp5sation pay] means1 ) respect to a work]s' comp5sation law or plan1 a work]s' comp5sation insur]1 self-insur]1 employ]1 individual1 or any o!r entity t is or may be liable = ! paym5t ( b5efits to a work]s' comp5sation claimant pursuant to ! work]s' comp5sation law or plan4 7#e7 ,work]s' comp5sation settlem5t agreem5t ,! t]m work]s' comp5sation settlem5t agreem5t means an agreem5t betwe5 a claimant & "o or m work]s' comp5sation pay]s t-- 7,a7 =ecloses ! possibility ( future paym5t ( "s or all work]s' comp5sation b5efits involv$2 & 7,b7 7i7 comp5sates ! claimant = a "w-relat$ injury or illness z provid$ = by a work]s' comp5sation law or plan2 or 7ii7 elim9ates cause = litigation involv+ issues 9 dispute betwe5 ! claimant & pay]4 4 7b7 ,satisfaction ( second>y pay] obligations ,section #ahfb ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey71 z am5d$ by subsection 7a71 is am5d$ by add+ at ! end ! foll[+ new subsection3 7q7 ,treatm5t ( ,m$ic>e set-,asides "u work]s' comp5sation settlem5t agreem5ts 7#a7 ,satisfaction ( second>y pay] obligations 7,a7 ,full satisfaction ( claim obligations 7i7 ,9 g5]al ,if a work]s' comp5sation settlem5t agreem5t1 relat$ to a claim ( a work]s' comp5sation claimant1 includes a ,m$ic>e set-aside 7z def9$ 9 subp>agraph 7,b77i771 su* set-aside %all satisfy any obligation ) respect to paym5ts reasonably expect$ to be made "u subsection 7b77#b77;,a77ii7 ) respect to su* claim4 7ii7 ,rule ( con/ruction ,no?+ 9 ?is section %all be con/ru$ z requir+ ! submission ( a ,m$ic>e set-aside to ! ,secret>y4 7,b7 ,m$ic>e set-aside & ,m$ic>e set-aside am\nt def9$ ,= purposes ( ?is subsection3 7i7 ,m$ic>e set-aside ,! t]m ,m$ic>e set-aside means1 ) respect to a work]s' comp5sation settlem5t agreem5t1 a provision 9 ! agreem5t t provides = a paym5t ( a lump sum1 an annuity1 a comb9ation ( a lump sum & an annuity1 or o!r am\nt t is 9 full satisfaction ( ! obligation describ$ 9 subp>agraph 7,a7 = items & s]vices t ! work]s' comp5sation claimant "u ! agreem5t receiv$ or is reasonably expect$ to receive "u ! applicable work]s' comp5sation law4 7ii7 ,m$ic>e set-aside am\nt ,! t]m ,m$ic>e set-aside am\nt means1 ) respect to a ,m$ic>e set-aside1 ! actual doll> am\nt provid$ = 9 clause 7i74 7#b7 ,m$ic>e set-aside 7,a7 ,satisfaction ( ,m$ic>e set-aside ,= purposes ( ?is subsection1 a ,m$ic>e set-aside meets ,m$ic>e second>y pay] obligations if ! ,m$ic>e set-aside am\nt reasonably takes into acc\nt ! full paym5t obligation describ$ 9 p>agraph 7#a77;,a71 :ile meet+ ! requirem5ts ( subp>agraphs 7,b7 & 7,c7 & is det]m9$ bas$ on ! foll[+3 7i7 ,! illness or injury giv+ rise to ! work]s' comp5sation claim involv$4 7ii7 ,! age & life expectancy ( ! claimant involv$4 7iii7 ,! reasonabl5ess (1 & necessity =1 future m$ical exp5ses = treatm5t ( ! illness or injury involv$4 7iv7 ,! duration ( & limitation on b5efits payable "u ! work]s' comp5sation law or plan involv$4 7v7 ,! regulations & case law relevant to ! ,/ate work]s' comp5sation law or plan involv$4 7,b7 ,items & s]vices includ$ ,a ,m$ic>e set-aside-- 7i7 %all include paym5t = items & s]vices t are cov]$ & o!rwise payable "u ?is title z ( ! effective date ( ! work]s' comp5sation settlem5t agreem5t & t are cov]$ by ! work]s' comp5sation law or plan2 & 7ii7 is n requir$ to provide = paym5t = items & s]vices t are n describ$ 9 clause 7i74 7,c7 ,paym5t requirem5ts 7i7 ,requir$ application ( work]s' comp5sation law & fee s*$ule 7,i7 ,9 g5]al ,except 9 ! case ( an optional direct paym5t ( a ,m$ic>e set-aside made "u p>agraph 7#e77;,a71 ! set-aside am\nt %all be bas$ ^u ! paym5t am\nt = items & s]vices "u ! work]s' comp5sation law or plan & applicable fee s*$ule 7effective z ( ! date ( ! agreem5t74 7,,ii7 ,work]s' comp5sation fee s*$ule def9$ ,= purposes ( ?is subsection1 ! t]m work]s' comp5sation fee s*$ule means1 ) respect to a work]s' comp5sation law or plan ( a ,/ate or a simil> plan applicable 9 a ,/ate1 ! s*$ule ( paym5t am\nts ! ,/ate has e/abli%$ to pay provid]s = items & s]vices furni%$ to work]s :o incur a "w-relat$ injury or illness z def9$ "u su* law or plan 7or 9 ! abs5ce ( su* a s*$ule1 ! applicable m$ical reimbursem5t rate "u su* law or plan74 7ii7 ,optional proportional adju/m5t = compromise settlem5t agreem5ts ,9 ! case ( a compromise settlem5t agreem5t1 a claimant or work]s' comp5sation pay] :o is p>ty to ! agreem5t may elect to calculate ! ,m$ic>e set-aside am\nt ( ! agreem5t by apply+ a p]c5tage r$uction to ! ,m$ic>e set-aside am\nt = ! total settlem5t am\nt t c\ld h be5 payable "u ! applicable work]s' comp5sation law or simil> plan involv$ _h ! d5i$1 disput$1 or conte/$ portion ( ! claim n be5 subject to a compromise agreem5t4 ,! p]c5tage r$uction %all be equal to ! d5i$1 disput$1 or conte/$ p]c5tage ( su* total settlem5t4 ,su* election may be made by a p>ty to ! agreem5t only ) ! writt5 cons5t ( ! o!r p>ty or p>ties to ! agreem5t4 7#c7 ,optional process = approval ( ,m$ic>e set-asides 7,a7 ,optional prior approval by ,secret>y ,a p>ty to a work]s' comp5sation settlem5t agreem5t t includes a ,m$ic>e set-aside may submit to ! ,secret>y ! ,m$ic>e set-aside am\nt = approval4 7,b7 ,notice ( det]m9ation ( approval or disapproval ,n lat] ?an #fj days aft] ! date on :i* ! ,secret>y receives a submission "u subp>agraph 7,a71 ! ,secret>y %all notify ! p>ties to ! work]s' comp5sation settlem5t agreem5t 9 writ+ ( ! det]m9ation ( approval or disapproval4 ,if ! det]m9ation disapproves su* submission1 ! ,secret>y %all include ) su* notification ! specific reasons = ! disapproval4 7#d7 ,appeals 7,a7 ,9 g5]al ,a p>ty to a work]s' comp5sation settlem5t agreem5t t is dissatisfi$ ) a det]m9ation "u p>agraph 7#c77;,b71 ^u fil+ a reque/ = reconsid]ation ) ! ,secret>y n lat] ?an #fj days aft] ! date ( notice ( su* det]m9ation1 %all be entitl$ to-- 7i7 reconsid]ation ( ! det]m9ation by ! ,secret>y 7) respect to su* det]m9ation72 7ii7 a he>+ be=e an adm9i/rative law judge !reon aft] su* reconsid]ation2 & 7iii7 judicial review ( ! ,secret>y's f9al det]m9ation aft] su* he>+4 7#e7 ,adm9i/ration ( ,m$ic>e set-aside provisions 7,a7 ,optional direct paym5t ( ,m$ic>e set-aside am\nt 7i7 ,election = direct paym5t ( ,m$ic>e set-aside am\nt ,effective #cj days aft] ! date ( enactm5t ( ?is subsection1 ) respect to a claim = :i* a work]s' comp5sation settlem5t agreem5t is or has be5 e/abli%$1 a claimant or work]s' comp5sation pay] :o is p>ty to ! agreem5t may elect1 b is n requir$1 to transf] to ! ,secret>y a direct paym5t ( ! ,m$ic>e set-aside am\nt4 ,! p>ties involv$ may calculate ! ,m$ic>e set-aside am\nt ( su* set-aside us+ any ( ! foll[+ me?ods3 7,i7 ,9 ! case ( any ,m$ic>e set-aside ( a compromise settlem5t agreem5t "u p>agraph 7#b77;,c77ii71 ! am\nt calculat$ 9 accordance ) su* p>agraph4 7,,ii7 ,9 ! case ( any ,m$ic>e set-aside1 ! am\nt bas$ ^u ! paym5t am\nt = items & s]vices "u ! work]s' comp5sation law or plan & fee s*$ule 7effective z ( ! date ( ! agreem5t7 9 accordance ) p>agraph 7#b77;,c77i77,i74 7,,iii7 ,9 ! case ( any ,m$ic>e set-aside1 ! paym5t am\nt applicable to ! items & s]vices "u ?is title z 9 effect on ! effective date ( ! agreem5t4 ,su* transf] %all be made only ^u writt5 cons5t ( ! o!r p>ty or p>ties to ! agreem5t4 7ii7 ,election satisfy+ liability ,an election made "u clause 7i71 ) respect to a qualifi$ ,m$ic>e set-aside1 %all satisfy any paym5t1 9 relation to ! und]ly+ claim ( ! relat$ work]s' comp5sation settlem5t agreem5t1 requir$ "u subsection 7b77#b7 to be made by ! claimant or pay] to ! ,secret>y4 7,b7 ,election ( pr(essional or b5efici>y self-adm9i/ration ( ,m$ic>e set-aside paym5ts ,no?+ 9 ?is subsection or subsection 7p7 prohibits an individual f elect+ to utilize pr(essional adm9i/ration s]vices or to self-adm9i/] paym5ts ( _! ,m$ic>e set-aside 9 accordance ) exi/+ law4 7#f7 ,treatm5t ( ,/ate work]s' comp5sation law ,= purposes ( ?is subsection & subsection 7p71 if a work]s' comp5sation settlem5t agreem5t is accept$1 review$1 approv$1 or o!rwise f9aliz$ 9 accordance ) ! work]s' comp5sation law ( ! jurisdiction 9 :i* su* agreem5t w be effective1 su* acceptance1 review1 approval1 or o!r f9alization %all be deem$ f9al & conclusive z to any & all matt]s )9 ! jurisdiction ( ! work]s' comp5sation law1 includ+-- 7,a7 ! det]m9ation ( reasonabl5ess ( ! settlem5t value2 7,b7 any allocations ( settlem5t funds2 7,c7 ! projection ( future indemnity or m$ical b5efits t may be reasonably expect$ to be paid "u ! ,/ate work]s' comp5sation law2 & 7,d7 9 ! case ( a compromise agreem5t1 ! total am\nt t c\ld h be5 payable = a claim :i* is ! subject ( su* agreem5t 9 accordance ) p>agraph 7#b77;,c77ii74 4 7c7 ,con=m+ am5dm5ts ,section #ahfb7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7b77 is am5d$-- 7#a7 9 p>agraph 7#b77;,b77ii71 by /rik+ p>agraph 7#i7 & ins]t+ p>agraph 7#i7 & subsections 7p7 & 7q72 7#b7 9 p>agraph 7#b77;,b77iii7-- 7,a7 9 ! fir/ s5t5ce1 by /rik+ ,9 ord] to recov] paym5t & ins]t+ ,subject to subsection 7q71 9 ord] to recov] paym5t2 & 7,b7 9 ! ?ird s5t5ce1 by /rik+ ,9 addition & ins]t+ ,subject to subsection 7q71 9 addition2 & 7#c7 9 p>agraph 7#c77;,a71 by /rik+ ,!re is e/abli%$ a private cause ( action & ins]t+ ,subject to subsection 7q71 !re is e/abli%$ a private cause ( action4 7d7 ,mod]niz+ t]m9ology = purposes ( ,m$ic>e second>y pay] provisions ,section #ahfb7;b77#b77;,a7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7b77#b77;,a77 is am5d$ by /rik+ workm5's comp5sation law or plan & ins]t+ work]s' comp5sation law or plan ea* place x appe>s4 7e7 ,limitation on liability ,! p>ties to a work]s' comp5sation settlem5t agreem5t :i* met ! provisions ( section #ahfb7;b7 ( ! ,social ,security ,act 7#db ,u4,s4,c4 #aciey7b77 on ! effective date ( settlem5t %all be accept$ z meet+ ! requirem5ts ( su* section not)/&+ *anges 9 law1 regulations1 or adm9i/rative int]pretation ( su* provisions aft] ! effective date ( su* settlem5t4 7f7 ,effective date ,! am5dm5ts made by ?is section1 unless o!rwise specifi$1 %all apply to a work]s' comp5sation settlem5t agreem5t ) an effective date on or aft] ,janu>y #a1 #bjba4