CAAA Seeks COVID19 Presumption

Happy Monday, dear readers!  How are we doing?  Hanging in there?

It’s all gravy in your humble blogger’s navy here, although I can’t tell you enough how much I miss daily hearings and depositions – it seems like just about every deposition and hearing (with the exception of expedited hearings) is being kicked over again and again.  Even AME and QME exhibits don’t seem to be happening much – despite all the talk about telemedicine, many of the QMEs and AMEs are just cancelling the appointments.  I guess the opportunity of a standard QME exam and report fee isn’t worth losing one’s life over – who would have guessed?

In any case, if you have not yet heard, you should know that CAAA and some of its Union allies are trying to get a presumption into California law that contracting Corona Virus is industrial.

For some reason, Governor Newsom isn’t taking my calls so if you’ve got any influence in Sacramento, I urge you, my beloved readers, to exert it to prevent such a presumption from entering our beloved workers’ compensation swamp.

California Labor Code section 3600 specifically limits compensability to injuries arising out of and in the course of employment.  We receive allegations of injury, investigate them, and them determine if they are work related or not.

The standard for compensability for diseases such as COVID19, without any presumption, would be to either establish a specific point of infection at work (which would be nearly impossible given how wide spread the illness is) or to show that the employee is at a higher risk of exposure than the general public. 

Hospital employees working with hepatitis patients are much more likely to be exposed to hepatitis than the general public – sure!  What about COVID19?  Unless you are a hospital worker treating COVID19 patients, in what scenario would a worker be more likely to be exposed than the general public?  Probably none. 

CAAA and the involved Unions want a presumption for that exact reason: employees working in stores or making deliveries aren’t at higher risk than the general public, because their only risk of exposure is by interacting with the general public.  When your humble blogger goes to the grocery store to buy his ration of toiler paper, he is just as exposed to COVID as the check-out clerk because our source of danger is the exact same: other members of the public.

Without a presumption, absent some showing of direct exposure at work (such as, perhaps, an co-worker who tested positive for COVID19 and a point of contact contemporaneous enough to fit with the incubation period) the worker is just as likely to have gotten it doing his or her own grocery shopping as at work.  And in those cases, the applicant cannot carry his or her burden of proof – showing it is more likely than not that the infection occurred AOE/COE.

Of course, CAAA and the Unions involved want to skip this inconvenient fact and get a free pass.  Well they shouldn’t – workers’ compensation is not a lottery ticket and it is intended to cure or relieve from the effects of non-industrial injuries.  If an applicant can establish that the infection occurred more likely than not at work, then no presumption is necessary for benefits.  If it is less likely than so that the infection was work-related, the worker should not receive benefits.

So, we circle back dear readers – I urge you to do what you can to oppose any efforts at such a presumption.  And if I’m wrong, which, legend has it, I have been from time to time, let me know please!

3 thoughts on “CAAA Seeks COVID19 Presumption

  1. I urge you to challenge your own thinking, biases, and presumptions. I am an Applicant attorney. I see things completely differently than you have discussed in this article.

    The public is being told to stay home. Most of us are complying. Many of us have our income and pay disrupted, for the sake of our own health and that of the public.

    Essential workers in the hospital and in the grocery stores are out every day, saving and preserving our way of living — and literally saving our lives. Of course they have greater exposure than you do sitting behind your home keyboard.

    We will be prevailing on our COVID-19 claims with or without a presumption when we represent essential workers who are infected. The point is that the presumption is fair and reasonable, and I hope the legislation is passed.

    • Hi Brian,
      While I thank you for the comment I respectfully disagree. As I wrote in the post, doctors and nurses working with a high concentration of COVID19 patients might be more likely to catch Corona at work than the general public (in all likelihood) but even the folks that aren’t lucky enough to have a job and continue getting paid still go out to get groceries, supplies, gas, medicine, or even for walks and exercise. The families that have only one person going out can still contract the disease by having that one person bringing it home. No one is safe and the general public is the source of the danger.
      If you think you can prevail without a presumption, then why try to advance one? Why is the clerk at a grocery store bagging my groceries for me at higher risk than I am when were both under the same roof as the source of infection?
      This push for a presumption is taking advantage of a horrible situation from which we are all suffering to gain ground in an AOE/COE struggle. It defies logic and should be rejected by the WC community. At least, that’s this humble blogger’s opinion.

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