Heart / Lung Bill Information
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Miami's Heart/Lung Bill Attorneys

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The Heart/Lung Bill under Florida workers’ compensation law presumes that death or disability due to heart disease, hypertension (high blood pressure), and tuberculosis suffered by law enforcement officers, corrections officers, and firefighters are accidental and suffered in the line of duty. This legal presumption removes the burden of proving that the condition was directly caused by work, which is a key difference from standard workers’ compensation claims.

The law also states that the person must have passed a pre-employment medical evaluation that did not show any of these conditions before beginning employment in a covered position.

If you are diagnosed with these types of conditions, you must tell your employer as soon as possible. Prompt notice is critical, as Florida workers’ compensation laws impose strict reporting deadlines. Missing the deadline could mean that you lose your chance to receive workers’ compensation benefits or face unnecessary delays or claim denial.

We Can Help Get You the Benefits You Deserve.

What Is the Florida Heart and Lung Bill?

The Florida Heart and Lung Bill, established under Florida Statute § 112.18, creates a legal presumption that certain conditions are job-related for eligible first responders.

If you’re diagnosed with:

  • Heart disease
  • Hypertension (high blood pressure)
  • Tuberculosis

The law assumes the condition was caused by your job—unless your employer proves otherwise. This presumption makes it much easier to qualify for workers’ compensation benefits.

Legal Foundation: Florida Statute § 112.18

Florida Statute § 112.18 provides the legal basis for the Heart and Lung Bill’s protections.

Key points include:

  • If a first responder becomes totally or partially disabled or dies due to tuberculosis, heart disease, or hypertension, it is presumed to have occurred in the line of duty, unless the employer proves otherwise.
  • Eligibility requires passing a pre-employment physical with no signs of the condition.
  • For firefighters, if the traditional pre-employment exam was not performed, the medical exam under § 633.412(5) may satisfy the requirement.
  • If a fire department fails to retain physical exam records for five years after separation, it is presumed the firefighter met the requirement.
  • First responders must file a claim within 180 days of leaving the job to qualify for the presumption.

Limits and Responsibilities

  • The presumption does not apply to life or disability insurance policies unless negotiated into the contract.
  • Officers or firefighters who ignore prescribed medical treatment and significantly worsen their condition may lose eligibility for the presumption.
  • Eligible responders may seek care from a board-certified medical specialist, with treatment covered under workers’ compensation, up to 200% of the Medicare rate.

Who Is Covered Under the Heart and Lung Bill?

Florida Statute 112.18 provides protections and medical assistance to employees who develop debilitating vascular or respiratory conditions in the line of duty. This statute recognizes the unique risks faced by public safety workers, specifically covering conditions such as heart disease, tuberculosis, and hypertension.

Eligible employees include:

  • Police officers
  • Firefighters
  • Correctional officers

Coverage generally applies when the employee’s condition develops after employment and meets all statutory requirements.

Meet the following conditions:

  • Passed a pre-employment physical showing no signs of heart or lung disease
  • Diagnosed with a qualifying condition while employed

Let Us Help You

You can rely on the experienced attorneys at Touby, Chait & Sicking, PL. We work on all types of workers’ compensation cases, including Heart/Lung Bill cases. We assist clients with filing claims, responding to denials, gathering medical evidence, and pursuing appeals when necessary.

We understand the challenges you may face when trying to get Heart/Lung Bill benefits, especially when insurers dispute eligibility or medical causation despite the legal presumption. Speak with us today about your case and learn how we may be able to help you secure the benefits you deserve under Florida law.

Four Qualifying Criteria for Benefit Participation

There are four criteria that a potential recipient must satisfy before they are permitted to partake in these benefits under the Heart/Lung presumption statute:

  • You must meet the definition of a protected class as defined by Florida law.
  • You must have one of the protected conditions (heart disease, hypertension, or tuberculosis).
  • You must have passed a pre-employment physical that did not reveal evidence of the condition.
  • You must be totally or partially disabled as a result of the condition and require medical treatment or wage replacement benefits.

If your claim is approved, you will receive the same type of benefits as most other injured workers under Florida workers’ compensation laws. This includes reimbursement of all necessary and approved medical expenses related to diagnosis, treatment, and ongoing care, as well as related mileage for appointments.

You will also receive compensation for a percentage of your lost wages if your condition prevents you from working or limits your ability to perform your job duties. Individuals who have reached maximum medical improvement with no further significant recovery may be entitled to further impairment benefits, depending on the severity of their condition and any resulting permanent limitations.

When our Miami workers’ compensation attorneys review your case, we will discuss what types of benefits you are entitled to receive under the Heart/Lung Bill and standard workers’ compensation statutes. We will explain your options so you can make informed decisions moving forward and avoid common mistakes that could jeopardize your claim.

Benefits Available Through the Heart and Lung Bill

If your claim is approved, you may receive:

  • Workers’ compensation benefits (medical care, lost wages)
  • Disability benefits for temporary or permanent injuries
  • Medical expense coverage
  • A legal presumption that your condition is job-related

Eligible first responders may also access pension and impairment benefits, since the condition is presumed to be occupational in nature.

Special Provisions for Disability Cases

Presumption of Work-Related Disability

If a first responder becomes disabled or dies from one of the protected conditions, the law presumes the job is the cause, as long as a pre-employment physical showed no pre-existing issue.

Disability Benefits Through Workers’ Compensation

Eligible workers can receive:

Burden of Proof on the Employer

Unlike typical claims, the employer must prove your condition is not job-related, which strongly favors the injured worker.

Continued Benefits After Retirement

Even if you retire or resign, benefits may still apply if the condition developed during employment and meets legal requirements.

Common Challenges in Heart and Lung Claims

Despite the legal presumption, some claims are still denied. Challenges may include:

  • Employer disputes over the cause of illness
  • Missing or incomplete pre-employment physicals
  • Pre-existing conditions or lifestyle factors (e.g., smoking)

Because of these potential issues, it’s crucial to work with an experienced Florida workers’ compensation attorney who understands how to protect your rights.

Heart/Lung Bill FAQs

1. What conditions are covered under the Florida Heart and Lung Bill?

The Heart/Lung Bill covers heart disease, hypertension (high blood pressure), and tuberculosis for eligible first responders, including police officers, firefighters, and correctional officers. These conditions are presumed to be work-related, making it easier to qualify for workers’ compensation benefits.

2. Who is eligible for Heart/Lung Bill benefits?

Eligible employees must pass a pre-employment physical showing no signs of a qualifying condition, develop one of the covered conditions while employed, and be totally or partially disabled as a result. First responders must also file a claim within 180 days of leaving the job to maintain the presumption.

3. Can I still receive benefits if I retire or resign?

Yes. Even if you retire or resign, benefits may still apply as long as the condition developed during employment and meets the statutory requirements under Florida Statute § 112.18.

You can rely on the experienced attorneys at Touby, Chait & Sicking, PL. We work on all types of workers’ compensation cases, including Heart/Lung Bill cases. We understand the challenges you may face when trying to get Heart/Lung Bill benefits. Speak with us today about your case and learn how we may be able to help.

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At Touby, Chait & Sicking, PL, we have over 90 years of combined experience with workers’ compensation cases. We have a thorough understanding of how insurance companies operate and can use this knowledge to our advantage as we build you a custom-built legal strategy. Attorneys Touby and Mora are board-certified by The Florida Bar in workers’ compensation, and Attorney Chait is an award-winning leader and advocate for workers’ rights in Florida. Our legal team is not afraid to take cases to trial, and we fight proudly for our clients.

We work tirelessly to give our clients the greatest chance of success. We bring in vocational and medical experts to shed light on your unique circumstances, and tackle cases as a team to pool our resources and knowledge. Our Miami workers’ compensation attorneys’ highest priority is getting you the benefits you deserve.

All of our cases are paid on a contingency basis, meaning that we do not get paid until you do! Call us today at (305) 257-9472 to schedule a free consultation with one of our skilled attorneys.