Public Safety Officers' Benefits Program, 22367-22387 [2018-09640]
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Federal Register / Vol. 83, No. 94 / Tuesday, May 15, 2018 / Rules and Regulations
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[FR Doc. 2018–10214 Filed 5–14–18; 8:45 am]
BILLING CODE 4910–13–P
DEPARTMENT OF JUSTICE
28 CFR Part 32
[Docket No.: OJP (BJA) 1722]
RIN 1121–AA85
Public Safety Officers’ Benefits
Program
Office of Justice Programs,
Department of Justice.
ACTION: Final rule.
AGENCY:
This final rule finalizes two
proposed rules in order to update and
improve the regulations of the Office of
Justice Programs (OJP) implementing
the Public Safety Officers’ Benefits
(PSOB) Program, in order to incorporate
several statutory changes enacted in
recent years, address some gaps in the
regulations, and improve the efficiency
of the PSOB Program claims process.
After careful consideration and analysis
of the public comments on both
proposed rules, the final rule
incorporates a number of changes as
discussed below.
DATES: This rule is effective June 14,
2018, except for amendatory
instructions 10 (amending 28 CFR
32.12), 17 (amending 28 CFR 32.22), and
32 (amending 28 CFR 32.53), which are
effective June 14, 2020.
FOR FURTHER INFORMATION CONTACT:
Hope Janke, Bureau of Justice
Assistance; Telephone: (202) 514–6278,
or toll-free at (888) 744–6513.
SUPPLEMENTARY INFORMATION: The
Public Safety Officers’ Benefits (PSOB)
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SUMMARY:
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Program provides a statutory death
benefit to certain survivors of public
safety officers who are fatally injured in
the line of duty, disability benefits to
public safety officers catastrophically
injured in the line of duty, and
education benefits to certain of the
survivors and family members of the
foregoing public safety officers. Under
the Program, claims are filed with, and
adjudicated by, the Office of Justice
Programs (OJP) of the U.S. Department
of Justice. The regulations for the PSOB
Program are codified at 28 CFR part 32.
I. Executive Summary
A. Purpose of the Regulatory Action
OJP published two proposed rules for
the PSOB Program, one on July 15,
2016, 81 FR 46019 (‘‘PSOB I’’), and the
other on August 22, 2016, 81 FR 57348
(‘‘PSOB II’’). PSOB I primarily focused
on certain changes needed to implement
statutory changes made by the Dale
Long Act (affecting members of rescue
squad and ambulance crews, as well as
provisions related to certain heart
attack/stroke/vascular rupture cases),
and also to align the workings of the
PSOB Program with certain provisions
under the World Trade Center (WTC)
Health Program, as well as with the
September 11th Victim Compensation
Fund (VCF). PSOB II was to implement
recent statutory changes, address some
gaps in the regulations, and to improve
the efficiency of the PSOB Program
claims process.
During the comment periods, OJP
received comments on its proposed
rules from various parties. After further
review of the proposed rules and careful
consideration and analysis of all
comments on both proposed rules, OJP
has made amendments that are
incorporated into this final rule. In
addition, the final rule includes a
technical change necessitated by the
newly-enacted provisions of the Public
Safety Officers’ Benefits Improvement
Act of 2017, Public Law 115–36, 131
Stat. 841 (June 2, 2017). The final rule
also includes (non-substantive) changes
to myriad cross-references to statutory
provisions, referred to in the
regulations, that—effective September 1,
2017—were reclassified by the Law
Revision Counsel of the House of
Representatives from title 42 of the U.S.
Code to title 34 of the U.S. Code.
During the comment period, OJP
received comments on its proposed
rules from a number of interested
parties: Various national police-, fire-,
and rescue associations and unions; a
foundation supporting 9/11 responders;
an organization that provides support
and assistance to the survivors of fallen
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law enforcement officers; a prosecutor
and former claims attorney, and two
members of Congress. OJP received
input from a total of 7 commenters on
the first proposed rule, and 8
commenters on the second rule.
After careful consideration and
analysis of all comments received, OJP
has made amendments that are
incorporated into this consolidated final
rule. The final rule also contains a few
clarifying changes to provisions in the
proposed rule where there were some
previously unnoticed ambiguities, or
where the language was more complex
than necessary. A summary overview of
the changes made by the final rule
follows below, with a more complete
discussion (below that) of the provisions
of the rule, the public comments
received on the proposed rule, the
Department’s response, and the final
changes incorporated into the final rule.
Pursuant to 34 U.S.C. 10287, this final
rule is intended (insofar as consistent
with law) to be effective and applicable
to all claims from and after the effective
date hereof, whether pending (in any
stage) as of that date or subsequently
filed.
B. Summary of the Major Changes in the
Final Rule
The final rule makes the following
conforming changes required by the
Dale Long Public Safety Officers’
Benefits Improvement Act of 2012 (Dale
Long Act), Public Law 112–239, which,
among other things, added (as codified
at 34 U.S.C. 10282(9)(D)) as a new
category of public safety officer—‘‘a
member of a rescue squad or ambulance
crew who, as authorized or licensed by
law and by the applicable agency or
entity, is engaging in rescue activity or
in the provision of emergency medical
services’’. The following changes
implement the inclusion of the new
category of public safety officer by the
following revisions and additions to the
PSOB regulations:
• Revise definition of Employed by a
public agency;
• Revise definition of Line of duty
activity or action to align with statutory
inclusion of members of rescue squads
and ambulance crews;
• Revise definition of Officially
recognized or designated public
employee member of a squad or crew;
• Add a definition for Officially
recognized or designated volunteer
member of a squad or crew;
• Revise definition of Official training
program of public agency;
• Remove definition of Public
employee member of a squad or crew,
and
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• Redesignate and revise definition
for Public safety agency.
The Dale Long Act also amended
some provisions in the PSOB Act
relating to cases involving heart attacks,
strokes, or vascular rupture cases. The
following changes in the final rule
implement those changes:
• Define Competent medical
evidence, Unrelated, and Something
other than the mere presence of
cardiovascular disease risk factors;
remove certain no-longer-needed
definitions.
The Dale Long Act also amended
provisions of the PSOB Act affecting the
payment offset scheme for the PSOB
Program relative to the September 11th
VCF Program. The final rule makes the
following changes in the regulations to
implement these amendments, and also
makes changes in order to align the
PSOB Program with WTC Health
Program and the VCF Program:
• Revise the definition of Injury to
include WTC-related health condition;
• Add definition for WTC-related
health condition =to enable the agency
to use certain provisions of the WTCHP
in determining whether a responder
suffered an ‘‘injury’’ in connection with
his response to the September 11, 2001,
attacks;
• Add definition for September 11,
2001, attacks;
• Add definition for WTC responder;
and
• Amend the Payment and repayment
provision (28 CFR 32.6) to specify how
the offset of PSOB benefits by
September 11th VCF program will be
calculated.
The final rule makes the following
changes in response to identified
ambiguities and gaps in existing
regulations, as well as opportunities to
simplify and improve the program’s
administration:
• Amends the Computation of time;
filing provision (§ 32.2) to make explicit
agency authority to prescribe an online
claim filing system;
• Amends Time for filing a claim
provisions (§§ 32.12 and 32.22), and
adds a suite of new definitions—Claim,
Claimant, Foundational evidence as to
status and injury, Intention-notice filer,
Notice of intention to file a claim,
Supporting-evidence collection period—
to implement a revised version of the
‘‘completed application’’ notion
proposed in PSOB II;
• Amends Authorized commuting to
clarify that return travel from
responding to a fire-, rescue-, or police
emergency is included;
• Amends Gross negligence to allow
for ‘‘reasonable excuse/objective
justification’’ exceptions;
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• Amends Line of duty injury to make
explicit the inclusion of injuries
sustained as result of retaliation for lineof-duty actions taken by an officer;
• Makes express the coverage of
certain trainees by defining new terms
(Candidate-officer and Candidate-officer
training), and makes corresponding
amendments to the definitions of
Firefighter, Involvement, and Rescue
squad or ambulance crew;
• Amends the definition of Spouse to
reflect current jurisprudence, including
the recent holding of the U.S. Court of
Appeals for the Federal Circuit in
Hesson v. Department of Justice, 664
Fed. App’x 932 (2016), a PSOB case;
• Makes express the circumstances
under which officers engaging in public
safety activity outside of their
jurisdictions would be considered to be
acting in the line of duty by adding a
series of presumptions in the Evidence
provision at § 32.5;
• Amends the Evidence provision at
§ 32.5 to create a legal presumption that
certain legally licensed or -authorized
volunteer fire departments satisfy
various provisions the definition of
Instrumentality and a revised version of
the substance of the definition of
Volunteer fire department proposed in
PSOB II;
• Amends the Evidence provision at
§ 32.5(b) to include specific reference to
the PSOB Act, in order to ensure proper
application of the amendment made to
the Act by the PSOB Improvement Act
of 2017 relating to weight of evidence
and factual findings;
• Amends the Fees for representative
services provision (§ 32.7) to provide for
a percentage-fee option; and
• Removes definitions for Dependent,
Eligible dependent, and Tax year to
conform to statutory amendments made
by the Dale Long Act.
C. Estimated Costs and Benefits
This final rule is considered an E.O.
13771 deregulatory action. Details on
the estimated cost savings of this
proposed rule can be found in the rule’s
economic analysis. The rule is expect to
lead to an increase in transfer payments.
In addition, it will result in net cost
savings of approximately $24,723 per
year to claimants and public safety
agencies in substantiating claims. As set
out in more detail below, this figure is
based on the estimated annual cost
savings to the public from changes to
the Dale Long Act implementing
provisions that will reduce the number
of independent medical reviews
required; and a variety of marginal
efficiencies and burden reduction for
claimants created by certain streamlined
provisions and definitions.
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II. Discussion of the Provisions of the
Final Rule and Responses to Public
Comments on the Proposed Rules
A. Section 32.2—Computation of time;
filing.
This section sets forth the timeframes,
means, and deadlines for filing a claim.
The proposed rule sets forth some
changes relating to specification of what
would be considered ‘‘good cause’’ for
purposes of waiver of filing deadlines.
OJP received some comments on the
PSOB I proposed rule expressing
concern that ‘‘good cause’’ did not cover
circumstances in which a claimant does
not file a claim within time due to a lack
of regulation or process such as 9/11
exposure claims, and in these comments
OJP was asked to add to the proposed
definition of ‘‘good cause’’ two
provisions to address such
circumstances. One commenter
suggested that OJP create a three-year
filing window for 9/11-health related
death or disability claims similar to that
provided in VCF regulations that runs
from three years of the date of the
regulation’s publication. Another
commenter recommended that ‘‘good
cause’’ also be extended to cases in
which the claimant’s death or disability
claim was not covered by the PSOB
Program at the time of the officer’s death
or disability or in cases where
regulations permitting such a claim
were not promulgated in time for a
claim to be timely made.
OJP agrees that 9/11 exposure
claimants should be provided with
additional time to file claims for death
and disability benefits. Rather than
define ‘‘good cause,’’ OJP has decided
that particular issues can be best
addressed by establishing specific
exceptions to the regulations that
prescribe the time for filing death and
disability claims. Accordingly, the final
rule amends those sections. See
discussion below on §§ 32.12 and
32.22—Time for filing a claim.
The final rule also makes minor
technical changes for clarity at
§§ 32.2(c) and 32.2(g) to make express
reference to the Director of BJA’s
authority to prescribe filing of claims by
electronic means (§ 32.2(g)), in
anticipation of the rollout of the new
online PSOB claim system.
B. Sections 32.3, 32.13, 32.23, and
32.33—Definitions.
The proposed rules presented various
technical and substantive changes/
additions to the definitions sections of
the rule in order to implement certain
statutory changes (in particular, the Dale
Long Act), and also to align the PSOB
program with the WTC Health Program.
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The proposed rules also amended some
definitions and added others to address
gaps and remove ambiguities, and to
implement improvements in claims
processing. Considering all comments
received, and upon further study of the
regulatory and statutory scheme, OJP
has revised some definitions as in the
proposed rules, and declined to adopt
others. These changes are discussed by
topic below.
1. Definitions To Implement the Dale
Long Act Amendments Applicable to
Members of a Rescue Squad or
Ambulance Crew
The Dale Long Act amended the
PSOB Act to include a new category of
public safety officer—‘‘a member of a
rescue squad or ambulance crew who,
as authorized or licensed by law and by
the applicable agency or entity, is
engaging in rescue activity or in the
provision of emergency medical
services’’. This amendment removed the
requirement that an individual member
of a rescue squad or ambulance crew be
a ‘‘public employee’’, and also
established the requirement that
employee- and volunteer members of
public agency and nonprofit entity
ambulance squads and rescue crews
actually be engaging in rescue activity
or providing emergency medical
services in order to qualify as public
safety officers under the Act.
The proposed rule provided revised
definitions for Line of duty activity or
action and Officially recognized or
designated public employee member of
a squad or crew and Eligible public
safety officer to implement these
changes. The agency did not receive any
comments on this aspect of the
proposed rule. After further analysis,
the agency has determined that proper
implementation of the statutory changes
requires some additional definitions and
slight changes to what was set forth in
the proposed rule.
Accordingly, the final rule amends
the program regulations in a more
efficient way (with the same substantive
result proposed to be reached in PSOB
II)—i.e., the final rule amends the
program regulations by removing or
amending the provisions that related to
the former statutory requirement that
members of a rescue squad or
ambulance crew be ‘‘public employees’’
and adding provisions that reflect the
new statutory requirements that
replaced the former ‘‘public employee’’
requirement (see definitions of
Employed by a public agency, Line of
duty activity or action, Officially
recognized or designated employee
member of a squad or crew, Officially
recognized or designated volunteer
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member of a squad or crew, and Public
safety agency).
2. Definitions To Implement Dale Long
Act Amendments Relating to the Heart
Attack-, Stroke- or Vascular Rupture
Cases
The Dale Long Act amended the
statutory presumption in the PSOB Act
covering certain fatal heart attacks,
strokes, and vascular ruptures (at 34
U.S.C. 10281(k). Specifically, the new
language provides that the presumption
of coverage is overcome if ‘‘competent
medical evidence establishes that the
heart attack, stroke, or vascular rupture
was unrelated to the engagement or
participation or was directly and
proximately caused by something other
than the mere presence of
cardiovascular-disease risk factors.’’
PSOB I proposed to add definitions
for Unrelated, Competent medical
evidence, and Something other than the
mere presence of cardiovascular disease
risk factor. One commenter expressed
approval that ‘‘PSOB is proposing to
amend approved causes of death to
include heart attacks, strokes, and
vascular ruptures.’’ OJP appreciates the
support for the proposed rule but notes
that the commenter appears to
misunderstand the operation of the legal
presumption in the statute. The
proposed rule would not have amended
anything relating to ‘‘cause of death’’—
but rather would have implemented the
statutory changes made to the
presumption of a line-of-duty death for
certain heart attack/stroke/vascular
rupture cases by defining the new terms
not defined in the statute itself.
Another commenter supported the
proposed rule and stated that it would
eliminate unnecessary medical
evidence; another stated that the
proposed rule would implement the
Hometown Heroes Act as Congress
intended. One commenter noted that the
Dale Long Act did not define the phrase
‘‘something other than the mere
presence of cardiovascular disease risk
factors’’ and stated that the proposed
definition did not support the intent of
the Dale Long Act of ensuring that the
families of officers who died or were
permanently and totally disabled in the
line of duty were provided benefits, and
asked that the proposed definition be
removed from the final rule. OJP
appreciates these comments but does
not agree, that the proposed definition
is contrary to the intent of the Dale Long
Act, or that it would limit the
availability of benefits other than as the
statute already has directed. The
statutory term is key to determining
when the presumption afforded by 34
U.S.C. 10281(k) is rebutted. In itself, the
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phrase ‘‘something other than’’ is
inherently ambiguous; to leave it
undefined invites uncertainty.
Accordingly, by defining the term in the
regulation, OJP provides clarity and
direction as to the circumstances under
which the presumption would be
rebutted, and the nature of the
additional evidentiary development and
medical review of the record that may
be required in certain cases.
Accordingly, the final rule adopts, with
minor, non-substantive change, the
language of the proposed rule, which
implements the statutory changes by
providing definitions of the statutory
terms, so that claimants are informed
under what circumstances the
presumption provided at 34 U.S.C.
10281(k) may be overcome.
3. Provision Relating to the WTC Health
Program and September 11th VCF
Program
PSOB I proposed to amend the PSOB
regulations in an effort to align the
PSOB Program with the WTC Health
Program and the VCF Program: Defining
new terms—September 11, 2001,
terrorist attacks, List of WTC-related
health conditions, and Physical harm
(and amending the Evidence provision
of the regulation at 32.4 to include this
latter term)—and amending the term
Injury to include the notion of a health
condition that is ‘‘medically associated
with a WTC-related health condition.’’
One commenter stated that although it
was generally supportive of the
regulatory changes proposed to address
the unique circumstances of 9/11
claims, it noted that OJP relied on an
outdated version of VCF’s definition of
‘‘physical harm’’ in 28 CFR 104.2. The
commenter noted that the current rule,
codified at 104.2(d) as published in the
Federal Register on June 15, 2016, 81
FR 38936, 38941, added to the previous
definition, ‘‘A WTC-Related Physical
Health Condition,’’ which eliminated
the requirements that a WTC-Related
Physical Health Condition must have
been treated by a medical professional
within a reasonable period of time from
the date such harm was discovered and
be verifiable by contemporaneously
created medical records. Another
commenter noted the same issue and
stated that the proposed rule should
reflect the VCF’s amended definition.
Based on the comments, OJP has
determined that proposed incorporation
of the term ‘‘physical harm’’ as a
definition in the PSOB rule is not
necessary, as the VCF regulations do not
require such harm to establish a WTCrelated physical health condition.
Accordingly, OJP has omitted the
definition from the final rule.
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The proposed rule did not include a
definition for ‘‘medically associated’’ (a
term included in the proposed
amendment of the definition of Injury),
as OJP had anticipated that the analysis
required for such determinations was
better suited for the expertise of the
WTC Health Program. Some
commenters stated that the rule should
include provisions that would enable
the PSOB Program independently to
identify as an injury those conditions
‘‘medically associated’’ with WTCrelated health conditions. Other
commenters pointed out that the law
authorizing the Administrator of the
WTC Health Program to certify a health
condition as ‘‘WTC-related’’ also
extends to conditions not on the List of
WTC-Related Health Conditions, by
virtue of the Administrator’s authority
to require the WTC Health Program
cover conditions that he finds to be
‘‘medically associated with a WTCrelated health condition.’’ 1 As the WTC
Health Program Administrator is
authorized to make such certifications,
the commenters suggest that the PSOB
Program should also adopt this
authority.
Although the proposed rule did not
include ‘‘medically associated’’
conditions within its definition, after
careful consideration, OJP recognizes
that a condition certified by the
Administrator of the WTC Health
Program as ‘‘medically associated’’ with
a WTC-related health condition could
be an injury that directly and
proximately causes a public safety
officer’s death or permanent and total
disability. Accordingly, the final rule
replaces the definition of List of WTCrelated health conditions with a
definition of WTC-related health
condition, a term that is broader than
the one in the proposed rule.
OJP is not inclined, despite
encouragement by one commenter,
independently to determine when a
condition is ‘‘medically associated,’’
because OJP has determined that it
should rely on the expertise of the WTC
Health Program in these matters. As
revised in the final rule, the definition
of a ‘‘WTC-related health condition’’
allows the agency to use certain
provisions of the WTCHP in
determining whether a responder
suffered an ‘‘injury’’ in connection with
his response to the September 11, 2001,
attacks. To further this alignment of the
PSOB Program with the WTC Health
Program, the final rule also defines the
terms September 11, 2001, attacks and
WTC responder (which relates to the
definition of Injury) to tie them to the
1 42
U.S.C. 300mm–22(b)(2)(A)–(B).
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WTC Health Program statute and
implementing regulations at 42 CFR part
88.
4. Definitions Relating to Trainees,
Suppression of Fire, Onsite Hazard
Management, and Officers Acting
Outside of Jurisdiction
OJP had attempted, in its proposed
rule, to expand coverage under the
PSOB Program to include trainees (and
certain others) as ‘‘public safety
officers’’ under circumstances in which
they have no authority to engage in
public safety activity, and also to
expand coverage to officers responding
outside of their jurisdiction where no
law authorized such response. A
number of commenters understandably
applauded these proposed provisions,
strictly on policy grounds, rather than
on the basis of anything authorized by
the law. Regarding the proposed
addition of trainees (and others) as
public safety officers and coverage of
officers acting outside of their
jurisdictions where no law authorized
such action, however, one commenter
forcefully pointed out that the provision
was contrary to the language of the
PSOB Act and to the legislative history
of the Dale Long Act, and that a
provision covering injuries sustained by
law enforcement trainees with no
authority to enforce the law was at odds
with Hawkins v. United States, 469 F.3d
993 (Fed. Cir. 2006), providing that a
law enforcement officer’s ‘‘actual
responsibilities and obligations’’
determine whether an individual is in
fact a law enforcement officer.
Upon further reflection, careful
review of PSOB rulings by the federal
courts, see, e.g., Howard v. United
States, 229 Ct. Cl. 507 (1981); Budd v.
United States, 225 Ct. Cl. 725 (1980);
Tafoya v. United States, 8 Cl. Ct. 256
(1985); Yanco v. United States, 45 Fed.
Cl. 782 (2000); and Amber-Messick ex
rel. Kangas v. United States, 483 F.3d
1316 (Fed. Cir. 2007); and close
consideration of the lengthy discussion
in H.R. Rep. 112–548 (accompanying
the Dale Long Act), OJP has determined
these proposed expansions of coverage
may not lawfully be made by regulation,
as such expansions would be ultra vires
under the PSOB Act. The discussion in
the House Report on the Dale Long Act
refers specifically to the authority
requirement under the PSOB Act:
[U]nder the PSOBA as currently in effect,
police academy trainees are considered ‘‘law
enforcement officers’’ only after they acquire
the legal authority and responsibility to go
out and enforce the law by making arrests
and detaining real or suspected criminals,
because, under the PSOBA and related
statutes, one cannot be a ‘‘law enforcement
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officer’’ unless one actually has the legal duty
to enforce the criminal law; and the same
goes for fire-fighter trainees, who are not
considered ‘‘firefighters’’ until they actually
acquire the legal authority and responsibility
to go out and protect the public by fighting
fires, because one is not a ‘‘firefighter’’ under
the PSOBA and related statutes if one is not
under the duty to fight fires. Mere authority
to engage in training activities has never been
enough to make someone a public safety
officer, and when the dangers inherent in
some academy or other training exercises
lead to fatal or catastrophic injury, only those
trainees who coincidentally happen already
to have that outside legal authority and
responsibility are covered under current law.
H. Rep. No. 112–548 (2012).
OJP has concluded that the specific
expansions that were proposed to cover
trainees and officers acting outside their
jurisdictions, however desirable, may be
accomplished only through legislation.
For this reason, the final rule does not
include the specific expansions
proposed. Nonetheless, the final rule
does modify the current regulations to
make express that trainee officers are
covered, where those trainee-officers do
have legal authority. To this end, the
final rule adds the following new
definitions: Candidate officer and
Candidate-officer training, and amends
the definitions of Firefighter,
Involvement, and Member of a rescue
squad or ambulance crew to include the
terms ‘‘candidate-officer’’ and
‘‘candidate-officer training’’. As a result
of these revisions, the final rule makes
clear that a trainee public safety officer
who possesses requisite authority would
be covered as a ‘‘public safety officer’’
under the PSOB Act.
Similarly, for an officer acting outside
of his jurisdiction, the final rule clarifies
the circumstances when such an officer
would be covered, through the
mechanism of certain evidentiary
presumptions. (See discussion below of
Evidence at § 32.5.)
5. Amendment of Definition of ‘‘Child of
a Public Safety Officer’’
The Dale Long Act amended the
definition of ‘‘child’’ under the PSOB
Act by tying the term, for the first time,
specifically to ‘‘the time of the public
safety officer’s fatal or catastrophic
injury.’’ 34 U.S.C. 10284(3) (Emphasis
added.) Pursuant to this statutory
amendment, the final rule makes
conforming changes to the regulatory
definition of Child of a public safety
officer.
6. Provisions Relating to Claims
Processing
In OJP’s current practice, when it
receives an application for benefits that
lacks the basic required documents
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needed to render a determination, it
assigns it a claim number, processes it
as a claim from the moment a claim
form is received, and thereafter
conducts biweekly outreach efforts to
obtain from the applicant and the
officer’s public agency information
required to establish eligibility for
benefits. Claims lacking the basic
required documents are currently
treated as part of the backlog, even
though those claims are not ready for
adjudication.
In an effort to improve the efficiency
of claims processing, PSOB II proposed
to add a new provision, at § 32.9, setting
forth a new notion, called ‘‘completed
application’’ for benefits. Under the
proposed rule, the PSOB Office would
maintain and publish on the PSOB
Program website a list of basic required
documents that claimants would be
required to file with applications for
PSOB Program death, disability, and
education benefits—which would be the
absolute minimum documentation that
the PSOB Program would require before
treating an application as a claim, and
devoting resources to processing it as
such.
OJP did not receive specific
comments about the proposed § 32.9. As
discussed below, however, at Time for
filing a claim under §§ 32.12 and 32.22,
the final rule implements the substance
of the proposed mechanism in a
somewhat different way, and with
largely the same effect. Accordingly, the
final rule does not include a new § 32.9,
but, instead, provides new definitions
for the following terms: Claim,
Claimant, Foundational evidence as to
status and injury, Intention-notice filer,
Notice of intention to file a claim, and
Supporting-evidence collection period.
Under the final rule, an individual may
elect (instead of filing a claim) to file a
‘‘notice of intention to file’’—which
essentially stops the clock for a year
(called the Supporting-evidence period),
while the individual and the involved
agencies gather Foundational evidence
(which was what the proposed rule had
intended to refer to by a list on the
PSOB website.) At any time during this
period, an individual may opt to submit
a claim. In line with the proposed rule,
this mechanism is designed to assist
individuals who intend to file claims by
affording them time to gather the
information necessary for the claim, as
well as provide transparency regarding
the progress of the process so that they
better understand what foundational
evidence is required for their claims. In
addition, the mechanism set out in the
final rule will assist OJP in improving
efficiencies in claims review.
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7. Provisions Relating to Statutory
Limitations on Payment (34 U.S.C.
10282)
PSOB II proposed changes to the
existing definitions of Voluntary
intoxication at the time of death or
catastrophic injury and Gross
negligence, which implement statutory
limitations in the PSOB Act found at 34
U.S.C. 10282. The preamble to the
proposed rule explained that the aim of
these changes was OJP’s effort to ‘‘focus
its inquiry’’ with regard to the issues
arising under this provision, and ‘‘to
streamline’’ and ‘‘to simplify the
application of this statutory bar to
payment and limit its application.’’ The
proposed rule also amended the term
defined in the existing regulation
(Voluntary intoxication at the time of
death or catastrophic injury) to reflect a
statutory amendment that changed the
statutory reference to voluntary
intoxication at ‘‘the time of the officer’s
fatal or catastrophic injury.’’
Since the proposed rule was
published, however, the legal landscape
with regard to the limitations provision
in the PSOB Act has changed
significantly. Enacted on June 2, 2017,
the PSOB Improvements Act of 2017
amended 34 U.S.C. 10282 to provide
that when determining a PSOB claim,
OJP ‘‘shall presume that none of
limitations’’ in 34 U.S.C. 10282(a)
applies, and that it ‘‘shall not determine
that a limitation . . . applies, absent
clear and convincing evidence.’’ Public
Law 115–36.
This statutory amendment alters how
the agency must apply 34 U.S.C. 10282.
OJP has determined that most of the
proposed changes to the definition of
Voluntary intoxication at the time of
death or catastrophic injury are not
necessary. Consonant with the thrust of
the proposed rule, however, and with
the positive commentary received in
connection with the proposed changes,
the final rule does (1) replace the
existing definition of Voluntary
intoxication at the time of death or
catastrophic injury with a new
definition of Voluntary intoxication at
the time of fatal or catastrophic injury
that largely restates the substance of the
existing one, but is framed using much
more ‘‘streamlined’’ and ‘‘simplified’’
language that is tied to analogous
changes to the existing regulatory
definition of the statutory term Drugs
and other substances; and (2) amend the
definition of Gross negligence to allow
for reasonable excuse- and objective
justification exceptions from the
departure from standard of care.
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8. Authorized Commuting
A few commenters commented on the
proposed amendment of the definition
of authorized commuting in PSOB II.
One commenter supported the
clarification in the proposed rule that
return travel from public safety is a line
of duty activity and recommended that
OJP revise paragraph (2)(ii) of the
definition of authorized commuting in
the proposed rule to cover travel in a
vehicle not issued by the officer’s
agency pursuant to an authorization by
the agency that the officer use such
vehicle for work. Another commenter,
while supporting the proposed revision
of the rule to cover return travel from
public safety activity, recommended
that OJP revise paragraph (2) of the
proposed rule to cover all travel to and
from work as in the line of duty.
OJP declines to expand the definition
of ‘‘authorized commuting’’ to include
all travel to and from work, as this
would be inconsistent with the rationale
and legal basis for the current rule. The
current rule is based on well-established
exceptions to the ‘‘coming and going’’
rule and covers three categories of workrelated travel situations that indicate a
connection between the officer’s
employment and the circumstances of
the officer’s injury such that the injury
can be said to have been sustained in
the line of duty.2 As described in OJP’s
2006 rulemaking, these exceptions are:
‘‘(1) the officer is responding to a
particular fire, police or rescue
emergency; (2) the officer is commuting
to or from work in an agency vehicle; or
(3) the officer is commuting to or from
work in a personal vehicle that [the
officer] is required to use for work.’’ 3
The final rule amends the definition
in a slightly different way from the
proposed rule, but with substantially
the same result of including as
authorized commuting travel to and
from work in those circumstances
where: (1) The officer is responding to
a particular fire, police or rescue
emergency (or returning from such
response); (2) the officer is commuting
to or from work in an agency vehicle; or
(3) the officer is commuting to or from
work in a personal vehicle that the
officer is required to use for work.
9. Line of Duty Injury
Two commenters supported the
proposed rule’s revision of the term
‘‘line of duty injury’’ to include those
injuries sustained as a result of
retaliation for actions taken in the line
of duty by an officer. Consistent with
2 See Russell v. Law Enforcement Assistance
Admin., 637 F.2d 1255, 1263–64 (9th Cir. 1980).
3 71 FR 46028, 46033 (Aug. 10, 2006).
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the thrust of PSOB II, the final rule
amends the term to include those
injuries sustained as a result of
retaliation for actions taken in the line
of duty by an officer.
10. Instrumentality
With respect to non-profit volunteer
fire departments, the proposed rule
introduced a new definition of volunteer
fire department in an attempt to include
those volunteer fire departments that
would not otherwise meet the definition
of public agency because the particular
arrangements they have with their
jurisdictions. One commenter generally
supported the proposed definition of a
volunteer fire department, but expressed
concern about the third condition in the
proposed rule, to require that a VFD
provide ‘‘fire protection to the public
without preference or subscription.’’
Noting that some VFDs provide services
to all members of the public but are
funded through subscriptions, the
commenter recommended that the term
‘‘subscription’’ be deleted from the rule.
A second commenter disagreed with the
proposed definition of volunteer fire
department, asserting that the proposed
regulation would revise the definition to
permit VFDs to qualify as
instrumentalities ‘‘even when they are
not instrumentalities’’ and, in so doing,
impermissibly ‘‘writes the words out of
the law.’’ The commenter recommended
that OJP should consider amending its
own definition of instrumentality ‘‘to
better reflect the realities of volunteer
fire departments.’’ The final rule
establishes an evidentiary presumption,
in lieu of the definitional change that
had been proposed in PSOB II, with
substantially the same result and which
addresses the concerns raised by the
commenters. (See discussion below of
§ 32.5.)
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11. Spouse
The definition is modified to reflect
current jurisprudence, including the
holding of the U.S. Court of Appeals for
the Federal Circuit in a PSOB case
decided only last year, Hesson v.
Department of Justice, 664 Fed. App’x
932 (2016). The final rule makes clear
that the regulatory definition does not
refer to the injured or deceased public
safety officer.
12. Proposed Definitional Changes That
Are Not Included in Final Rule
PSOB II proposed various other
changes to the definitions (not
otherwise discussed above), which are
not adopted in the final rule:
• Injury—PSOB II proposed to amend
the definition of Injury to make certain
changes, including some changes
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relating to stress and strain (including
mental stress and strain) and some
changes that would have added a series
of examples of types of injuries. After
considering comments that criticized
the proposed amendments on the
grounds that they may be misleading
and could be interpreted as not
including other, similar injuries, and
after reflecting further on certain
relevant judicial holdings in several
PSOB cases,4 OJP declines, in this final
rule, to make the amendments to this
definition that were proposed.
Unrelated to this, however, OJP does
amend the definition of Injury with
regard to WTC-related health
conditions, discussed above in B.3.
• PSOB Counsel—PSOB II proposed
to add a new section 32.10 (PSOB
Counsel) that, among other things,
would have severely limited the
internal, administrative review of
factual findings in PSOB claims. Some
favorable comments were received
(mostly on grounds of preventing
unnecessary delay by counsel).
Notwithstanding the opinion reflected
in these comments, in this connection,
OJP notes that the Office of the
Inspector General’s ‘‘Audit of the Office
of Justice Programs’ Processing of Public
Safety Officers’ Benefit Programs
Claims’’ (Audit Division Report No. 15–
21: July, 2015) determined that the
chronic delays in processing of PSOB
claims had various causes, none of
which was attributable to actions taken
4 Juneau v. Dep’t of Justice, 583 F.3d 777 (Fed.
Cir. 2009) (‘‘conditions caused by ‘stress or strain’ ’’
not covered under PSOB); Yanco v. United States,
258 F.3d 1356 (Fed. Cir. 2001) (‘‘. . . Congress’s
intent in enacting the Benefits Act was to provide
a death benefit for the survivor or survivors of a law
enforcement officer who dies as the result of what
one would understand to be some kind of a
physical assault or trauma to the body. . . . In
short, the legislative history points away from an
intent on the part of Congress to have the statutory
term ’personal injury’ include mental strain.’’), aff’g
45 Fed. Cl. 782 (2000); Greeley ex rel. Greeley v.
United States, 50 F.3d 1009 (Fed. Cir. 1995); Russell
v. United States, 231 Ct. Cl. 1022; Smykowski v.
United States, 647 F.2d 1103 (Ct. Cl. 1981)
(‘‘exclu[sion of] stress [and] strain . . . from the
coverage of the Act [is] amply justified by the
statutory language, legislative history, and medical
statistics.’’); Morrow v. United States, 647 F.2d 1099
(Ct. Cl. 1981); Curtis v. Dep’t of Justice, 342 Fed.
App’x 610 (Fed. Cir. 2009) (‘‘the PSOB Act does not
provide compensation for’’ such conditions as
‘‘mental strains such as PTSD and depression’’);
Canfield v. United States, No. 339–79 (Fed. Cir.
Dec. 29, 1982) (non-coverage of strain ‘‘is well
within the purposes and intent of the statute’’);
Porter v. United States, 64 Fed. Cl. 143 (2005), aff’d
mem., 176 Fed. App’x 111 (Fed. Cir. 2006); Durco
v. United States, 14 Cl. Ct. 424 (1988); North v.
United States, 555 F. Supp. 382 (Cl. Ct. 1982); Cook
v. United States, No. 05–1050C (Fed. Cl. Jun. 15,
2006); Davison v. United States, No. 99–361C (Fed.
Cl. Apr. 19, 2002); Askew v. United States, No. 542–
83C (Cl. Ct. Aug. 27, 1984); see also Harrison v.
Dep’t of Justice, No. 14–8006 (Fed. Cir. Oct. 16,
2015).
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by the OJP Office of the General
Counsel, or the PSOB Legal Counsel.
Another commenter (currently a
prosecutor—and thus a public safety
officer under the PSOB Act—and
formerly a claims attorney) expressed
strenuous opposition to the proposal,
citing both a very-detailed and sharplycritical, recent determination by the
Department of Justice’s Inspector
General (Oversight and Review Division
Report #16–03 (May 3016)) ‘‘that the
Director of the Bureau [of Justice
Assistance], in a PSOB Act case, made
factual findings that were not supported
by any evidence in the record and
actually paid the claim against the law’’
and the House Judiciary Committee
Report that accompanied the Dale Long
Act (H.R. Rep. No. 112–548). The House
Report does include discussion that
runs counter to the thrust of the
proposal:
When it approves claims for the benefits
payable under the PSOBA and related
statutes, the Bureau of Justice Assistance of
the Justice Department’s Office of Justice
Programs has a legal duty to do so
judiciously. The Bureau has the concurrent
duty to be both the impartial administrator of
the PSOBA according to the law and the
impartial guardian of the public treasury
with respect to it. Failure to administer the
PSOBA program in keeping with these two
principles could jeopardize the program’s
continued existence. It is just as problematic
for the program if the Department of Justice
pays a PSOBA claim when payment is not
unequivocally warranted by the PSOBA
program statutes and implementing
regulations, or is not supported by the
evidence, as it is for the Department to deny
payment when payment is clearly required.
Under 31 U.S.C. 3528, every Department
official who determines PSOBA claims and/
or certifies payments is personally
‘‘responsible for . . . repaying a payment
[that is] illegal, improper, or incorrect
because of an inaccurate or misleading
certificate; [that is] prohibited by law; or . . .
that does not represent a legal obligation
under the appropriation . . . involved’’
unless the determination ‘‘was based on
official records and the official did not know,
and by reasonable diligence and inquiry
could not have discovered, the correct
information.’’ Under 31 U.S.C. 3528, every
Department official who determines PSOBA
claims and/or certifies payments is
personally ‘‘responsible for . . . repaying a
payment [that is] illegal, improper, or
incorrect because of an inaccurate or
misleading certificate; [that is] prohibited by
law; or . . . that does not represent a legal
obligation under the appropriation . . .
involved’’ unless the determination ‘‘was
based on official records and the official did
not know, and by reasonable diligence and
inquiry could not have discovered, the
correct information.’’
Moreover, under 31 U.S.C. 1301(a), a
payment pursuant to a legally unwarranted
PSOBA determination would appear to be a
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violation of 31 U.S.C. 1341(a)(1)(A), the AntiDeficiency Act, which is a felony statute in
addition to carrying civil and administrative
penalties, 31 U.S.C. 1350, 1349(a).
*
*
*
*
*
Every PSOBA case is a legal claim against
the Treasury, and the [PSOB] regulations and
consistent administrative precedents have
helped to ensure that the Federal
Government, which is in the midst of its
greatest debt crisis since the Founding,
decides these claims strictly in accordance
with the PSOBA and the underlying law
governing legal gratuities, in a generally
consistent and orderly manner over time, and
based on real, objective, and legally sufficient
evidence that objectively meets the standards
of proof set forth in the law, rather than
speculation, fancied legislative intent,
uncorroborated assertions, biased evidence, a
slanted record, incomplete information, or
sympathy, however understandable or deeply
felt.
H.R. Rep. No. 112–548 (2012). Given all
the foregoing, OJP declines, in this final
rule, to add the proposed § 32.10.
• Miscellaneous proposed changes—
PSOB II proposed to amend the PSOB
regulatory definitions of Beneficiary of
life insurance policy of public safety
officer, Engagement in a situation,
Gainful work, Medical certainty, Nonroutine strenuous physical activity,
Non-routine stressful physical activity,
Permanently disabled, and Totally
disabled. After reflecting further on the
text of the PSOB Act itself, and on the
discussion about the Department’s
responsibilities in adjudicating PSOB
claims, quoted immediately above, from
the House Judiciary Committee Report
that accompanied the Dale Long Act
(H.R. Rep. No. 112–548), OJP declines,
in this final rule, to make proposed
amendments to these definitions.
C. Section 32.4—Terms; construction;
severability.
The final rule makes a change to this
section to make it parallel to a provision
of the PSOB Act (at 34 U.S.C. 10285(d)),
so that the same rule regarding the
operation of the legal doctrine of
incorporation applies both in the PSOB
Act and in the PSOB regulations.
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D. Section 32. 5—Evidence.
As discussed in Section B.4 above, the
PSOB II rule proposed, ultra vires, to
expand coverage under the PSOB
Program to certain law enforcement
officers and firefighters who respond to
public safety events outside of their
respective jurisdictions even where no
law authorized such response.
After reconsidering the regulatory and
statutory schemes, OJP is adopting
amendments to § 32.5 in this final rule,
to establish certain evidentiary
presumptions that will accomplish as
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much of the substance of the rule
proposed as may be accomplished
without statutory change. The new
paragraphs (j), (k) and (l) in § 32.5
operate as a suite of presumptions
designed to cover public safety activity
performed by a law enforcement officer
or firefighter as Line of duty activity or
action under certain circumstances.
• Section 32.5(j) provides that public
safety activity performed by a law
enforcement officer or firefighter is
presumed to be activity or action that he
is obligated or authorized to perform
under the auspices of the public agency
he serves if—(1) the public safety
activity is not forbidden (by law, rule,
regulation, condition of employment,
etc.); and (2) the officer performs the
public safety activity either (a) within
his jurisdiction (i.e., within the
jurisdiction where he normally is
authorized to act in the line of his duty);
or (b) within a jurisdiction (not his own)
that provides authority for law
enforcement officers or firefighters from
outside the jurisdiction to perform the
public safety activity he performed.
• Section 32.5(k) establishes that the
requirements of § 32.5(j) generally will
be presumed to be satisfied if full lineof-duty death or disability benefits have
been paid in the ordinary course.
• Section 32.5(l) provides that if the
presumption established by § 32.5(j)
arises under circumstances where the
public safety activity is performed
outside the jurisdiction where the law
enforcement officer or the firefighter
normally is authorized to act in the line
of his duty, then the law enforcement
officer or the firefighter shall be deemed
to serving that jurisdiction ‘‘in an
official capacity’’ when he performed
the public safety activity (which an
element required under the PSOB Act’s
definition of ‘‘public safety officer’’ at
34 U.S.C. 10284(9)). To be eligible as a
‘‘public safety officer’’ under the Act, a
firefighter must be serving ‘‘a public
agency in an official capacity.’’ 34
U.S.C. 10284(9)(A); the statutory
definition of ‘‘public agency’’ includes
an ‘‘instrumentality’’ of a government.
In PSOB II, OJP proposed a new
definition of Volunteer fire department
to address the status of volunteer fire
departments as ‘‘public agencies’’ under
the PSOB Act. (See discussion under
B.10. above.) After further analysis and
study, and following somewhat upon
the suggestion of one commenter on the
proposed rule (who recommended that
the proposed change be accomplished—
if at all—through amendment of the
definition of Instrumentality), OJP has
determined that a better approach is to
create a legal presumption that certain
legally licensed or -authorized volunteer
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fire departments satisfy various
provisions of the definition of
Instrumentality.
PSOB II proposed to make certain
amendments to § 32.5, including
amendments relating to the
presumption at 34 U.S.C. 10281(k)
(affecting heart attack/stroke/vascular
rupture cases) (§ 32.5(i), to general
evidentiary rules (§§ 32.5(b) and (c);
32.5(k)), and to WTC-related health
conditions. Although these proposals
garnered some comments favoring the
policy, the proposals also were the
object of very forceful negative
commentary (which included citation to
H.R. Rep. 112–548 (accompanying the
Dale Long Act))—almost entirely of a
legal nature—opining that the several
proposals variously would ‘‘write[ ] the
very meaning of [certain language] out
of the PSOB statute,’’ would ‘‘swallow’’
exceptions established in the PSOB Act,
appeared to involve ‘‘overreach by DOJ
to get around statutory language in order
to pay claims,’’ and would produce
‘‘case after case in litigation.’’
After further reflection on the
comments received, and after close
consideration of the stern admonition in
H.R. Rep. 112–548 to the effect that the
PSOB Act’s ‘‘requirements [are] firmly
established in the law and therefore
[are] to be given full effect, rather than
minimized, ignored, or interpreted
away, judicially or administratively,’’ H.
Rep. No. 112–548 (2012), OJP agrees
largely with the negative commentary it
received. Accordingly—with one partial
exception involving WTC-related health
conditions—the final rule does not
include the proposed changes to § 32.5.
In the final rule, the substance of the
change proposed to be made to § 32.5
involving WTC-related health
conditions is being implemented,
instead, through a direct amendment to
the definition of Injury under § 32.3.
E. Section 32.6—Payment and
repayment
OJP proposed to amend this provision
to specify how the PSOB Program will
calculate the offset of PSOB death or
disability benefits based on the actual
net amount of compensation paid to or
on behalf of a public safety officer under
the September 11th VCF program after
all VCF-mandated offsets have been
subtracted. No comments were received
on the proposal, which is included in
the final rule without substantive
change.
F. Section 32.7—Fees for representative
services
Various changes were proposed to the
fee provisions in the current regulations
to establish the maximum fees that may
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be charged for services performed in
connection with a claim, to eliminate
restrictions on types of fee
arrangements, and to establish fee
amounts that are presumptively
reasonable in claims determined at the
PSOB Office level, at the Hearing Officer
level, or at the BJA Director level. The
agency did not receive comments on the
proposed rule.
The final rule provides for a
percentage-fee arrangement as an option
that may be used in appropriate
circumstances to determine attorneys’
fees. That is, claimants may choose the
new percentage-fee approach in lieu of
the traditional fee petition process
(entailing submission of itemized
specifics of fees) that is in place under
the current rule. Petitions for
authorization to receive fees in amounts
greater than those specified in in the
percentage-fee provision (or under
circumstances not covered by that
provision) otherwise will be continue to
be considered as they are at present
under this section of the regulations.
G. Sections 32.12 and 32.22—Time for
filing a claim.
In response to the comments on the
proposed rule’s changes to § 32.2
Computation of time (see discussion at
II.A. above), the final rule revises the
provisions prescribing when claims for
PSOB Program death and disability
must be filed: For ordinary claims,
claimants must file a claim before the
later of three years from the date of the
officer’s death or injury, or one year
from the date of a final public agency
decision of eligibility to receive or
denial of death (or disability) benefits
based on the officer’s service. For claims
based on an injury resulting from the
September 11, 2001, attacks, claimants
must file such claims before the latter of
two years from the effective date of this
final rule, two years from the date the
WTC-related health condition upon
which the claim is based is added to the
List of WTC-Related Health Conditions,
or two years from the date such
condition is certified by the
Administrator of the WTC Health
Program as medically associated with a
WTC-related health condition.
Much of the proposed rule, and of the
public comments, concerned
circumstances under which OJP may
consider a claim abandoned, and what
to do when a claim cannot be properly
processed because evidence is lacking
(at times through no fault of the
claimant), and the mechanics of a
contemplated ‘‘complete applications’’
scheme. Consistent with the thrust of
the proposed rule (but not its precise
terminology and mechanics), the final
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rule provides an optional pre-claim
evidence collection period mechanism
that stops the filing-deadline clock so
that individuals are given time to gather
the basic foundational evidence without
the looming prospect of a claim’s being
deemed abandoned. Individuals will
have the option of filing a ‘‘notice of
intent to file’’, rather than filing a claim
directly, in order to afford them time to
gather the ‘‘foundational evidence’’
needed to establish a claim. This
approach, together with the new, online
PSOB application system currently in
beta-testing, will improve clarity and
transparency throughout the process
regarding the status of filings and
claims, and avoid delays occasioned by
miscommunication and
misunderstandings regarding claim
requirements and status. Throughout
this period and the claim process
period, the PSOB Office will continue to
assist individuals in obtaining
information needed to move a claim
forward, using its subpoena authority
wherever and whenever appropriate and
necessary.
M. Section 32.26—Payment.
H. Section 32.14—PSOB Office
determination.
In keeping with the proposed rule, the
final rule amends this section to allow
reconsideration of certain denied claims
where the public safety officer was WTC
responder.
The final rule makes conforming
changes largely related to the modified
claims processing procedures described
in B.6, above, and to the phrasing in the
rest of the rule.
I. Section 32.15—Prerequisite
certification.
The final rule makes conforming
changes related to the Dale Long Act
amendment adding a new category of
public safety officer, described in B.1,
above.
J. Section 32.16—Payment.
The final rule makes conforming
changes related to the Dale Long Act
amendment related to distribution of
benefits under 34 U.S.C. 10281(a).
K. Section 32.24—PSOB Office
determination.
The final rule makes conforming
changes related to the modified claims
processing procedures described in B.6,
above, and to the phrasing in the rest of
the rule.
L. Section 32.25—Prerequisite
certification.
The final rule makes conforming
changes related to the Dale Long Act
amendment adding a new category of
public safety officer, described in B.1,
above.
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The final rule removes and reserves
this section to conform to the Dale Long
Act amendment related to distribution
of benefits under 34 U.S.C. 10281(a).
N. Section 32.32—Time for filing a
claim.
The final rule makes a grammatical
correction.
O. Section 32.44—Hearing Officer
determination.
The final rule makes non-substantive,
stylistic changes, to conform the
phrasing to the rest of the rule.
P. Section 32.45—Hearings.
The final rule adds language that is
substantively the same as language
proposed in PSOB II, relating to who
may examine claimants during hearings.
Q. Section 32.52—Time for filing
Director appeal.
The final rule makes a grammatical
correction.
R. Section 32.53(a)—Review.
S. Section 32.54—Director
determination.
The final rule makes stylistic,
conforming changes related to the
modified claims processing procedures
described in B.6, above, and to the
phrasing in the rest of the rule.
T. Section 32.55—Judicial Appeal.
The final rule removes language that
unnecessarily repeats the substance of
language in 34 U.S.C. 10287.
III. Regulatory Requirements
Executive Order 12866 and 13563—
Regulatory Planning and Review;
Executive Order 13771—Reducing
Regulation and Controlling Cost
This rule has been drafted and
reviewed in accordance with Executive
Order 12866, ‘‘Regulatory Planning and
Review,’’ section 1(b), Principles of
Regulation, and in accordance with
Executive Order 13563, ‘‘Improving
Regulation and Regulatory Review,’’
section 1(b), General Principles of
Regulation. The Office of Justice
Programs has determined that this rule
is a ‘‘significant regulatory action’’
(though not an ‘‘economically
significant’’ action) under section 3(f) of
the Executive Order 12866, and
accordingly this rule has been reviewed
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by the Office of Management and
Budget (OMB).
Executive Orders 12866 and 13563
direct agencies to assess all costs and
benefits of available regulatory
alternatives and, if regulation is
necessary, to select regulatory
approaches that maximize net benefits
(including potential economic,
environmental, public health and safety
effects, distributive impacts, and
equity). As explained below, the agency
has assessed the costs and benefits of
this rule as required by Executive Order
12866 and 13563 and has determined
that the benefits of the rule justify the
costs.
The final rule may result in a deminimis—approximately one percent of
BJA’s annual outlays for the PSOB
Program—increase in transfer payments
going forward, which BJA estimates at
approximately 3 claims, or $1,032,000
per year.5 The rule provisions relating to
9/11 claims will permit BJA to pay
certain claims more quickly, by
clarifying BJA’s authority to apply the
WTC Health Program standards, but it
would be speculative to assume that this
would create additional transfer
payments or that these payments would
be attributable to this rule (see
discussion below). In any event, BJA
estimates that its current appropriation
levels are sufficient to cover the annual
costs of transfer payments potentially
associated with this aspect of the rule,
which (based on pending cases) BJA
estimates to be approximately $8.8M in
currently pending claims, plus $450,000
in associated educational benefits
payments. The amount would be
significantly less on an annual basis
going forward because the bulk of 9/11
claims have likely already been
submitted.
OMB’s April 5, 2017, guidance on
E.O. 13771 (M–17–21), explains, with
regard to transfer payments, that—
Federal spending regulatory actions that
cause only income transfers between
taxpayers and program beneficiaries (for
example, regulations associated with . . .
Medicare spending) are considered ‘transfer
rules’ and are not covered by E.O. 13771.
. . . However . . . such regulatory actions
may impose requirements apart from
transfers . . . In those cases, the actions
would need to be offset to the extent they
impose more than de minimis costs.
Examples of ancillary requirements that may
require offsets include new reporting or
recordkeeping requirements.
5 This estimate is based on the changes related to
Line of duty injury to cover retaliation for actions
taken in the line of duty; to Evidence related to out
of jurisdiction activity; and to the presumption
relating to volunteer fire departments and certain
elements of the definition of Instrumentality. The
amount is based on the FY17 death benefit amount.
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In accordance with OMB’s guidance,
BJA has determined that this final rule
is a transfer rule. Aside from these
potential transfer payments, the rule
reduces the burden on claimants in
substantiating certain claims under the
applicable statutory requirements. The
rule provisions affecting matters other
than the transfer payments are
deregulatory (i.e., they reduce costs and
burdens) by a value estimated to be
approximately $24,723 per year, which
amounts to $210,892 in present value
over ten years.6 This final rule is
considered an E.O. 13771 deregulatory
action. Details on the estimated cost
savings of this proposed rule can be
found below. Consistent with the
principles above, BJA discusses below
the costs and benefits of each
substantive change to the existing rule.
A. Section 32.2—Computation of time;
filing.
BJA amends this provision to
authorize BJA to require that claimants
file claims electronically. In October
2017, BJA deployed its online filing
system, PSOB 2.0, which standardizes
submission of electronic forms. Since
that time, PSOB has required and only
received electronic submissions. This
provisions codifies the requirement that
claims be submitted electronically. The
electronic filing system typically saves
claimants one hour per form, because
the system automatically prompts users
for missing items, hides irrelevant
fields, and eliminates form version
control problems. PSOB 2.0 allows
claimants to review the contents of their
claim files online and retrieve
documents as needed from their
submissions without the need to call or
request that BJA copy and send such
documents by mail, thus reducing
printing and mailing costs, and the
administrative time BJA staff spend
handling these issues. The changes do
not change the substance of the required
forms, or create any new procedural or
evidentiary requirements, and thus
impose no new burdens on claimants.
6 As set out in more detail below, this figure is
based on the estimated annual cost savings to the
public from changes to the Dale Long Act
implementing provisions that will reduce the
number of independent medical reviews required
($24,723); and a variety of marginal efficiencies and
burden reduction for claimants created by certain
streamlined provisions and definitions. BJA
estimated the present day value of these cost
savings over ten years using a discount rate of 3
percent.
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B. Sections 32.3, 32.13, 32.23, and
32.33—Definitions.
1. Implementation of Dale Long Act
Amendments Applicable to Certain
Members of a Rescue Squad or
Ambulance Crew
BJA makes conforming changes to
address the Dale Long Act provisions
that expanded the types of rescue squad
and ambulance crew members covered
under the PSOB Act to include nonpublic employee members of such
squads or crews, under certain
circumstances. Any potential costs for
additional payable claims are created by
the Dale Long Act, which has been in
effect and implemented by BJA since
2013, and not by the conforming
changes made by this rule. The changes
will marginally reduce burdens on BJA
and claimants by making the text of the
PSOB rule conform to the statute.
2. Implementation of Dale Long Act
Amendments Relating to Heart Attacks,
Strokes, and Vascular Ruptures
BJA makes conforming and
interpretive changes to address the Dale
Long Act provisions that amend the
PSOB Act standards at 34 U.S.C.
10281(k), for cases involving heart
attacks, strokes, or vascular ruptures.
The PSOB Act, as amended by the
Hometown Heroes Survivors’ Benefits
Act of 2003, but prior to the Dale Long
Act amendment in 2013, contained a
presumption allowing payment of death
benefits under certain circumstances to
public safety officers who died of heart
attacks or strokes, unless the
presumption was overcome by
‘‘competent medical evidence to the
contrary.’’ The Dale Long Act, among
other things, added vascular ruptures to
the presumption (in addition to heart
attacks and strokes), and elaborated on
what evidence would overcome the
presumption—i.e., where competent
medical evidence establishes either that
the heart attack, stroke, or vascular
rupture was ‘‘unrelated’’ to the officer’s
engagement or participation in a
qualifying activity; or that the heart
attack, stroke, or vascular rupture ‘‘was
directly and proximately caused by
something other than the mere presence
of cardiovascular-disease risk factors.’’
BJA makes conforming changes to the
rule to include vascular ruptures,
consistent with 34 U.S.C. 10281(k)(3), to
define more precisely the circumstances
under which the statutory presumption
relating to heart attacks, strokes, and
vascular ruptures would be overcome.
This will create no costs beyond those
created by the Dale Long Act. In short,
BJA defines Competent medical
evidence to rely upon the existing
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definition of Medical probability, which
may be established pursuant to a
medical assessment based on the
preponderance of the available
evidence. BJA defines the first rebuttal
factor, where an officer’s heart attack,
stroke, or vascular rupture is Unrelated
to the engagement or participation in
qualifying activity, in a common-sense
way: requiring a finding that ‘‘an
independent event or occurrence’’ (e.g.,
an off-duty officer’s accident) was a
‘‘substantial contributing factor’’ (a term
defined in the existing regulation) in
bringing the heart attack, stroke, or
vascular rupture about. BJA defines the
second rebuttal factor, where Something
other than the mere presence of
cardiovascular disease risk factors
caused the heart attack, stroke, or
vascular rupture, consistent with its
current interpretation, to require a
finding that the heart attack, stroke, or
vascular rupture was caused by the
ingestion of Schedule I drugs, or abuse
of Schedule II, III, IV, or V drugs.
These interpretive amendments
conform the rule to the statutory
provision, and impose no costs beyond
those additional transfer payments
created by the statute itself. The rules
should reduce the number of claims
sent to an independent medical review,
and the associated costs. BJA estimates
that these changes will eliminate the
need for approximately 41 medical
reviews each year, saving BJA
approximately $67,732 annually in
medical review costs,7 which amounts
to $577,768 in present costs over a tenyear period, and saving claimants (in
aggregate) approximately $24,723
annually, which amounts to $210,892 in
present costs over a ten-year period.8
7 This estimate is based on an average of 92
relevant claims per year that BJA processes, of
which, approximately 46 required medical review
under the previous regulatory interpretation. BJA
estimates it will need to conduct medical reviews
for only 5 of those 92 claims under the revised rule,
resulting in 41 fewer medical reviews per year.
Each medical review costs BJA an average of $1652
(based on 2009–2015 death benefit data). Present
costs calculated at a 3% discount rate.
8 This estimate is based on 41 medical reviews,
and the maximum fees permitted by law, which
vary by state, though here BJA assumed $.67/page,
and an average of 900 pages of medical records in
claims for PSOB Program death benefits, as
determined in a random sampling of claims
involving medical issues that require a claimant to
provide such records. See, e.g., Joy Pritts, et al.,
Privacy and Security Solutions for Interoperable
Health Information Exchange: Report on State
Medical Record Access Laws, https://
www.healthit.gov/sites/default/files/290-05-0015state-law-access-report-1.pdf; Table A–5, Overview
of State Law: Maximum Fees Doctors and Hospitals
May Charge Patients for Copies of Medical Records
https://www.healthit.gov/sites/default/files/appa51.pdf (accessed June 16, 2016). BJA estimated the
present day value of these cost savings over ten
years using a discount rate of 3 percent.
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3. Provision Relating to the WTC Health
Program and September 11th VCF
Program
BJA makes changes to provisions
affecting the PSOB payments related to
the September 11, 2001, attacks.
First, it provides that OJP will rely on
the expertise of the WTC Health
Program in making a determination as to
whether a condition resulted from a
WTC responder’s 9/11 exposures, and
thus an Injury under the PSOB Program.
Currently, 28 CFR 32.5 expressly
provides that BJA may rely upon a
public agency’s factual finding (e.g., a
certification by the WTC Health
Program regarding an officer’s
condition, or a VCF eligibility finding)
to determine that an officer sustained a
qualifying injury, or it may evaluate the
evidence submitted by a claimant to
determine whether the injury qualifies.
This rule expressly provides a third
approach (that could be used in the
absence of a public agency finding
regarding that specific officer’s
condition, and in lieu of independently
creating standards and evaluating
whether the officer’s condition resulted
from 9/11 exposures) under which BJA
could apply the WTC Health Program’s
standards for when a condition is
related to a WTC responder’s 9/11
exposures, when determining whether
an officer’s condition is an injury for
purposes of the PSOB Program.9 This
express approach thus would reduce
costs for BJA and claimants, who would
not have to replicate the scientific and
medical analysis already performed by
the WTC Health Program. BJA expects
this would benefit those 9/11 claimants
who will not obtain a public agency
finding regarding the officer’s exposure
(e.g., a claimant for a deceased officer
who never sought a certification of
eligibility for treatment by the WTC
Health Program before dying).
Attributing these transfer payments to
this rule, is difficult, however, because
some of these claimants may be able to
substantiate their claims under the
current rule, albeit at a greater cost and
time burden to everyone involved, and
some may eventually obtain a public
agency finding from the VCF or WTC
Health Program. Estimating the amount
of the transfer payments also is difficult
because PSOB likely will receive
additional claims based on 9/11 as
conditions manifest over time,
conditions may be added to the List of
WTC-Related Health Conditions by the
9 See the discussion of the James Zadroga 9/11
Health and Compensation Act of 2010, describing
the analysis performed by the WTC Health Program,
at 81 FR 46019, 46020 (PSOB I Notice of Proposed
Rulemaking).
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WTC Health Program, and many
payments are likely to be offset by VCF
payments. BJA estimates that this
provision would affect approximately
29 claims (27 death, 2 disability) based
on WTC-related health conditions that
are pending with BJA and for which BJA
would, under the final rule,
independently apply the WTC Health
Program standards to determine an
injury for purposes of the PSOB
Program. (This is of 158 pending 9/11
exposure claims.) This would
potentially increase transfer payments
by a maximum of $8.8M total, plus
approximately $450,000 in educational
benefits associated with those 29 claims.
Additional transfer payments would be
significantly less than this amount on an
annual basis going forward because the
bulk of 9/11 claims have likely already
been submitted.10 Cost savings from this
change are difficult to forecast, because
it is uncertain how claimants would
pursue their claims in the absence of the
final rule, but BJA expects this to save
at least several thousand dollars in BJA
processing costs and claimant costs
associated with establishing that a
condition is related to 9/11.
Second, it specifies how offset of
PSOB benefits by September 11th VCF
benefits (a requirement of the Dale Long
Act) will be calculated. Offset is
required by statute, which the rule
merely implements—thus, it creates no
new costs.
Third, it clarifies that PSOB claimants
whose payments are offset are still
eligible for PSOB educational
assistance. This change reflects BJA’s
current practice and the statutory
framework; i.e., that there is no required
offset of educational assistance under
the statute (as amended by Dale Long),
thus it makes the rule more transparent
and creates no new costs.
Fourth, it provides additional time for
9/11 exposure claimants to file their
10 As of July 17, 2017, there were 158 total PSOB
death and disability claims pending with assertions
of injuries based on some kind of 9/11-related
exposure. Of these, BJA estimates that
approximately 29 would be determined much
sooner if BJA uses the authority in the final rule to
independently apply the WTC Health Program
standards, instead of waiting for the claimant to
obtain a WTC Health Program certification or VCF
equivalent or requiring additional evidence. Some
of those claimants may be able to substantiate their
claims without the rule change, though only with
additional documentation, and it is likely that some
payments would be offset for VCF benefits. For this
subset of pending claims based on 9/11-related
exposure, BJA estimates that if all 29 claims are
approved, up to 49 additional people may qualify
for educational assistance at some point in the
future. BJA estimated the annual educational
assistance benefit increase using the FY 2017
maximum monthly payment rate of $1024 per
month based on those 49 additional people each
claiming 9 months of educational assistance.
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claims (see Time for filing a claim
provisions at 32.12 and 32.22), and
allows reconsideration of certain denied
claims for WTC responders (see
32.53(a)). These equitable procedural
rule changes prevent unfairness to
claimants whose claims would be
approved under the WTC Health
Program standards, or who would have
filed had they been able to take
advantage of those standards. This may
cause BJA to make some transfer
payments that it would not have done
under the current rule, but BJA does not
expect this to alter its overall cost
estimate for 9/11 claims that take
advantage of BJA’s reliance upon the
WTC Health Program standards (see
above).
4. Trainees
BJA makes express the coverage of
certain public safety officer trainees by
adding new terms, Candidate officer
and Candidate-officer training, and
amending the terms Firefighter,
Involvement, and Member of a rescue
squad or ambulance crew to include the
new terms. This change will not impose
any new costs, but it will marginally
reduce the burden for program staff and
claimants in understanding the
conditions under which trainees are
covered.
5. Child of a Public Safety Officer
BJA makes a conforming change to
this definition related to the Dale Long
Act. It creates no new costs.
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6. Provisions Related to Claims
Processing
This rule creates a pre-claim process
by which claimants may stay the claim
filing deadline while they continue to
gather necessary evidence, and BJA may
more expeditiously issue a final
determination on claims that patently
lack necessary evidence. BJA anticipates
that this procedure will allow it to better
allocate resources to reviewing
completed files, and will clarify for
reporting purposes which files are
‘‘ripe’’ and should be counted as claims
pending with BJA versus those where
the claimant is still gathering evidence.
BJA expects that this will preempt the
need for hearing officer proceedings in
several claims each year, and marginally
reduce the burden on program staff.
Hearing officer proceedings can cost
several thousand dollars (or more when
claimant attorneys’ fees are factored in),
thus BJA expects this provision to save
several thousand dollars each year for
BJA and claimants.
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7. Gross Negligence
BJA amends the definition of Gross
negligence to make patent in the rule
that actions that otherwise would be
gross negligence, and thus a statutory
bar to payment, are not considered gross
negligence when reasonably excused or
objectively justified. BJA expects the
revised provision will create no new
costs, but will be easier for program staff
and claimants to understand and apply,
thus marginally reducing the burden
associated with claims involving actions
potentially implicating this disentitling
factor.
8. Authorized Commuting Clarification
BJA amends the definition of
Authorized commuting to clarify that
return travel by a public safety officer
from certain activities constitutes
‘‘authorized commuting’’ and, therefore,
injuries sustained in the course of such
travel are compensable as line of duty
injuries. This clarification merely makes
patent BJA’s existing interpretation
related to injuries sustained by public
safety officers while commuting, thus
imposes no new costs. It will, however,
marginally reduce the burden on
claimants by clarifying an aspect of
authorized commuting that may have
caused confusion among claimants and
program staff, thus facilitating the
collection of relevant documentation,
reducing delays associated with
resolving factual questions, and
preempting potential litigation.
9. Line of Duty Injury—Retaliation for
Action in the Line of Duty
BJA amends the term Line of duty
injury so as expressly to include those
injuries sustained as a result of
retaliation for actions taken in the line
of duty by an officer. This adds to the
existing regulations, which provide that
a Line of duty injury includes an injury
resulting from the injured party’s status
as a public safety officer. Very few
PSOB claims received to date have
involved retaliation. Accordingly, BJA
anticipates—at most (perhaps one claim
per year, if that)—a negligible increase
in transfer payments as a result of this
provision.
10. Volunteer Fire Departments as
Instrumentalities
BJA adds a legal presumption that
volunteer fire departments meeting
specified criteria satisfy certain
elements of the definition of
Instrumentality of a public agency. BJA
anticipates that this change may
marginally (by perhaps one claim per
year) increase the transfer payments
under the program. The change would
marginally reduce the burden for
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program staff in determining, and of
claimants in showing, that a volunteer
fire department qualifies under the
program.
11. Spouse
BJA amends the definition of Spouse
to update the rule to reflect current
jurisprudence. This does not create any
new costs.
C. Section 32.4—Terms; construction;
severability.
BJA makes a technical change
conforming the rule to the PSOB Act.
This change creates no new costs.
D. Section 32.5—Evidence.
BJA makes express the circumstances
under which officers engaging in public
safety activity outside of their
jurisdictions would be considered to be
acting in the line of duty, by adding a
series of presumptions in the Evidence
provision at 32.5. BJA anticipates that
this change may marginally (by an
estimated one claim per year) increase
the transfer payments under the
program, because it may make it easier
for officers injured outside of their
jurisdiction to establish that they were
engaging in a line of duty activity or
action when injured. The change will
marginally reduce the burden for
program staff and claimants of
understanding the circumstances under
which such officers are covered.
BJA makes a conforming change to
Evidence at 32.5(b) related to the PSOB
Improvement Act of 2017, to ensure that
those reading the rule do not overlook
a relevant statutory provision. The
change creates no new costs, but may
marginally reduce burdens by
preventing confusion.
E. Section 32.6—Payment and
repayment.
BJA amends this provision to
implement offset of PSOB death and
disability benefits by September 11th
VCF program compensation. The
amendments reflect BJA’s current
practice and create no new costs.
F. Section 32.7—Fees for representative
services.
BJA amends this section to provide a
percentage-fee option, which offers a
simplified and more transparent way for
attorneys to determine how much they
can charge for representing PSOB
claimants in their PSOB claims, and
eliminates the need for BJA to review
fee petitions in such cases. BJA
anticipates the change will not result in
increased payment of attorneys’ fees,
but will reduce BJA’s administrative
burden by 2.5 hours of GS–14 time for
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each fee petition, saving an estimated
$1391 worth of staff time annually.
G. Sections 32.12 and 32.22—Time for
filing a claim; 32.53(a)—Review.
BJA makes certain changes to filing
deadlines for 9/11 claimants—see costsbenefit discussion above in paragraph
III.B.3.
H. Non-Substantive Changes To
Conform the Rule to the Statute or Other
Provisions of the Rule, or To Make
Technical Corrections.
BJA makes conforming or technical
changes to sections 32.14, 32.15, 32.16,
32.24, 32.25, 32.26, 32.32, 32.44, 32.45,
32.52, 32.54, and 32.55, and removes
the definitions of Dependent, Eligible
dependent, and Tax year. These changes
do not create costs beyond those
addressed above.
Executive Order 13132—Federalism
This rule would not have substantial
direct effects on the States, on the
relationship between the federal
government and the States, or on
distribution of power and
responsibilities among the various
levels of government. The PSOB
program statutes provide benefits to
individuals and do not impose any
special or unique requirements on
States or localities. Therefore, in
accordance with Executive Order No.
13132, it is determined that this rule
does not have sufficient federalism
implications to warrant the preparation
of a Federalism Assessment.
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Executive Order 12988—Civil Justice
Reform
This rule meets the applicable
standards set forth in sections 3(a) &
(b)(2) of Executive Order No. 12988.
Pursuant to section 3(b)(1)(I) of the
Executive Order, nothing in this rule or
any previous rule (or in any
administrative policy, directive, ruling,
notice, guideline, guidance, or writing)
directly relating to the Program that is
the subject of this rule is intended to
create any legal or procedural rights
enforceable against the United States,
except as the same may be contained
within part 32 of title 28 of the Code of
Federal Regulations.
Regulatory Flexibility Act
This rule will not have a significant
economic impact on a substantial
number of small entities for the
following reasons: This rule addresses
federal agency procedures; furthermore,
this rule makes amendments to clarify
existing regulations and agency practice
concerning public safety officers’ death,
disability, and education benefits and
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does nothing to increase the financial
burden on any small entities. Therefore,
an analysis of the impact of this rule on
such entities is not required under the
Regulatory Flexibility Act (5 U.S.C. 601
et seq.).
Paperwork Reduction Act of 1995
The PRA requires certain actions
before an agency can adopt or revise a
collection of information, including
publishing a summary of the collection
of information and a brief description of
the need for and proposed use of the
information. 44 U.S.C. 3507.
This rule would not impose any new
reporting or recordkeeping requirements
under the Paperwork Reduction Act of
1995 (44 U.S.C. 3501 et seq.) and its
implementing regulations at 5 CFR part
1320. OMB has approved the collection
of information for the PSOB Program
under the following: Report of Public
Safety Officers’ Permanent and Total
Disability, OMB Control No. 1121–0166,
approved July 27, 2016; Report of Public
Safety Officers’ Death, OMB Control No.
1121–0025, approved July 27, 2016;
Claim for Death Benefits, OMB Control
No. 1121–0024, approved August 18,
2016. OJP will comply with the PRA by
revising its collection of information to
reflect modified reporting requirements
when it implements electronic filing as
provided in the newly added 28 CFR
32.2(g).
Unfunded Mandates Reform Act of 1995
This rule will not result in the
expenditure by State, local, and tribal
governments, in the aggregate, or by the
private sector, of $100,000,000 or more
in any one year, and it will not
significantly or uniquely affect small
governments. The PSOB program is a
federal benefits program that provides
benefits directly to qualifying
individuals. Therefore, no actions were
deemed necessary under the provisions
of the Unfunded Mandates Reform Act
of 1995.
List of Subjects in 28 CFR Part 32
Administrative practice and
procedure, Claims, Disability benefits,
Education, Emergency medical services,
Firefighters, Law enforcement officers,
Reporting and recordkeeping
requirements, Rescue squad.
Accordingly, for the reasons set forth
in the preamble, part 32 of chapter I of
Title 28 of the Code of Federal
Regulations is amended as follows:
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PART 32—PUBLIC SAFETY OFFICERS’
DEATH, DISABILITY, AND
EDUCATIONAL ASSISTANCE BENEFIT
CLAIMS
1. The authority citation for 28 CFR
Part 32 is revised to read as follows:
■
Authority: 34 U.S.C. ch. 101, subch. XI; 34
U.S.C. 10110, 10221(a), 10225, 10226,
10251(a), 10261(a)(4) & (b), 10272, 110286,
10287, 10288; Pub. L. 90 351, title IX, sec.
1601, 82 Stat. 239; Pub. L. 94 430, secs. 4
through 6, 90 Stat. 1348; Pub. L. 106–113,
div. B, sec. 1000(a)(1) [title I, sec. 108(a)], 113
Stat. 1535, 1501A–20, as amended by Pub. L.
107–56, title VI, sec. 614, 115 Stat. 370, and
codified (as amended) as a statutory note to
34 U.S.C. 10110; Pub. L. 106–553, sec. 1(a)(2)
[title I, sec. 108], 114 Stat. 2762, 2762A–6;
Pub. L. 107 37, secs. 1 and 2, 115 Stat. 219.
2. Amend § 32.2 as follows:
a. In paragraph (b), remove ‘‘A filing’’
and add in its place ‘‘Except as provided
in paragraph (g) of this section, a filing’’.
■ b. In paragraph (c) introductory text,
remove ‘‘Notice’’ and add in its place
‘‘Except as provided in paragraph (g) of
this section, notice’’.
■ c. In paragraph (c)(1), add ‘‘or’’ after
the semicolon.
■ d. In paragraph (c)(2), remove ‘‘; or’’
and add in its place a period.
■ e. Remove paragraph (c)(3).
■ f. In paragraphs (e) and (f), remove ‘‘42
U.S.C. 3796(a)’’ and add in its place ‘‘34
U.S.C. 10281(a)’’.
■ g. In paragraphs (e) and (f), remove
‘‘42 U.S.C. 3796c–1’’ and add in its
place ‘‘34 U.S.C. 10286’’.
■ h. Add paragraph (g).
The addition reads as follows:
■
■
§ 32.2
Computation of time; filing.
*
*
*
*
*
(g) The Director may prescribe that—
(1) Any filing be filed using electronic
means, in which case it shall be deemed
filed when it is submitted electronically;
and
(2) Any notice, within the meaning of
paragraph (c) of this section, be served
by the PSOB Office upon an individual
by electronic means (such as by
telefacsimile or electronic mail
addressed to the individual (or to his
representative) at his (or his
representative’s) last address known to
such Office), in which case it shall be
deemed served on the day that such
notice is sent.
■ 3. Amend § 32.3 as follows:
■ a. Revise the definition of Act.
■ b. Revise the definition of Authorized
commuting.
■ c. Add definitions of Candidateofficer; Candidate-officer training; and
Certification described in the Act, at 34
U.S.C. 10286 or Public Law 107–37 in
alphabetical order.
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d. Remove the definition of
Certification described in the Act, at 42
U.S.C. 3796c–1 or Public Law 107–37.
■ e. In the definition of Chaplain,
remove ‘‘42 U.S.C. 3796b(2)’’ and add in
its place ‘‘34 U.S.C. 10284(2)’’.
■ f. Revise paragraph (1) of the
definition of Child of a public safety
officer.
■ g. Add definitions of Claim and
Claimant in alphabetical order.
■ h. Remove the definition of
Consequences of an injury that
permanently prevent an individual from
performing any gainful work.
■ i. In the definition of Department or
agency, remove ‘‘42 U.S.C. 3796b(8)’’
and add in its place ‘‘34 U.S.C.
10284(8)’’.
■ j. In paragraph (2) of the definition of
Department or agency, remove ‘‘42
U.S.C. 3796b(9)(B)’’ and add in its place
‘‘34 U.S.C. 10284(9)(B)’’.
■ k. In the definition of Determination,
remove ‘‘, the determination described
in the Act, at 42 U.S.C. 3796(c), or any
recommendation under § 32.54(c)(3)’’.
■ l. In the definitions of Direct and
proximate cause and Direct and
proximate result of an injury, remove
‘‘42 U.S.C. 3796(k)’’ each place it
appears and add in its place ‘‘34 U.S.C.
10281(k)’’.
■ m. In the definitions of Disaster relief
activity and Disaster relief worker,
remove ‘‘42 U.S.C. 3796b(9)(B)’’ each
place it appears and add in its place ‘‘34
U.S.C. 10284(9)(B)’’.
■ n. In the definition of Divorce, remove
‘‘divorce from the’’ and add in its place
‘‘(for civil purposes) dissolution of the’’.
■ o. Revise the definition of Drugs or
other substances.
■ p. In paragraph (1) of the definition of
Eligible payee, remove ‘‘42 U.S.C.
3796(a)’’ and add in its place ‘‘34 U.S.C.
10281(a)’’.
■ q. In paragraph (2) of the definition of
Eligible payee, remove ‘‘42 U.S.C.
3796(b)’’ and add in its place ‘‘34 U.S.C.
10281(b)’’.
■ r. In paragraph (1) of the definition of
Emergency medical services, remove
‘‘Provision of first-response’’ and add in
its place ‘‘First-response’’.
■ s. In the introductory text of the
definition of Employed by a public
agency, remove ‘‘42 U.S.C. 3796c–1’’
and add in its place ‘‘34 U.S.C. 10286’’.
■ t. In paragraph (2)(i) of the definition
of Employed by a public agency, remove
‘‘of any kind but disaster relief workers);
or’’ and add in its place ‘‘described in
the Act, at 34 U.S.C. 10284(9)(A));’’.
■ u. In paragraph (2)(ii) of the definition
of Employed by a public agency, remove
‘‘42 U.S.C. 3796b(9)(B) or (C) (with
respect to disaster relief workers)’’ and
add in its place ‘‘34 U.S.C. 10284(9)(B)
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■
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or (C) (with respect to disaster relief
workers); or’’.
■ v. In the definition of Employed by a
public agency, add paragraph (2)(iii).
■ w. In paragraph (1) of the definition of
Firefighter, add ‘‘(or is receiving
candidate-officer training)’’ after
‘‘trained’’.
■ x. In the introductory text of
paragraph (2) of the definition of
Firefighter, remove ‘‘authority and’’ and
add in its place ‘‘authority or’’.
■ y. In paragraph (2)(i) of the definition
of Firefighter, add ‘‘(or candidateofficer)’’ after ‘‘employee’’.
■ z. In paragraph (2)(i) of the definition
of Firefighter, remove ‘‘42 U.S.C.
3796b(4)’’ and add in its place ‘‘34
U.S.C. 10284(4)’’.
■ aa. Add a definition of Foundational
evidence as to status or injury in
alphabetical order.
■ bb. In the introductory text of the
definition of Gross negligence, remove
‘‘practice—’’ and add in its place
‘‘practice (which departure is without
reasonable excuse and is objectively
unjustified)—’’.
■ cc. In the definition of Injury, remove
‘‘radiation, virii, or bacteria, but’’ and
add in its place ‘‘radiation, virus, or
bacteria, and includes (with respect to a
WTC responder) a WTC-related health
condition, but’’.
■ dd. In the introductory text of the
definition of Injury date, remove ‘‘42
U.S.C. 3796(k) (where, for purposes of
determining beneficiaries under the Act,
at 42 U.S.C. 3796(a), it generally means
the time of the heart attack or stroke
referred to in the Act, at 42 U.S.C.
3796(k)(2)), injury’’ and add in its place
‘‘34 U.S.C. 10281(k) (where, for
purposes of determining beneficiaries
under the Act, at 34 U.S.C. 10281(a), it
generally means the time of the
engagement or participation referred to
in the Act, at 34 U.S.C. 10281(k)(1)),
injury’’.
■ ee. In the introductory text of the
definition of Instrumentality, remove
‘‘except that no entity shall be
considered an instrumentality within
the meaning of the Act, at 42 U.S.C.
3796b(8), or’’ and add in its place
‘‘except that, subject to § 32.5(m), no
entity shall be considered an
instrumentality within the meaning of
the Act, at 34 U.S.C. 10284(8), or’’.
■ ff. Add a definition of Intention-notice
filer in alphabetical order.
■ gg. In paragraph (1)(i)(B) of the
definition of Intentional misconduct,
remove ‘‘the public agency in which he
serves’’ and add in its place ‘‘his public
safety agency’’.
■ hh. In the definition of Involvement,
remove ‘‘officer of a public agency and,
in that capacity, has legal authority
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22379
and’’ and add in its place ‘‘officer
(including a candidate-officer) of a
public agency and, in that capacity, has
legal authority or’’.
■ ii. Revise the introductory text of the
definition of Line of duty activity or
action.
■ jj. In the introductory text of
paragraph (1) of the definition of Line of
duty activity or action, remove ‘‘officer,
a firefighter, or a member of a rescue
squad or ambulance crew—’’ and add in
its place ‘‘officer or a firefighter—’’.
■ kk. Revise paragraph (1)(i) of the
definition of Line of duty activity or
action.
■ ll. Revise paragraph (1)(ii) of the
definition of Line of duty activity or
action.
■ mm. In paragraph (2) of the definition
of Line of duty activity or action, remove
‘‘agency he serves (or the relevant
government), being described in the Act,
at 42 U.S.C. 3796b(9)(B)’’ and add in its
place ‘‘public agency in which he is an
employee (or the relevant government),
being described in the Act, at 34 U.S.C.
10284(9)(B)’’.
■ nn. In paragraph (2) and paragraph (3)
introductory text of the definition of
Line of duty activity or action, remove
‘‘42 U.S.C. 3796a(1), and not being’’
each place it appears and add in its
place ‘‘34 U.S.C. 10282(a), and not being
commuting or’’.
■ oo. In the definition of Line of duty
activity or action, add paragraph (4).
■ pp. Revise paragraph (2) of the
definition of Line of duty injury.
■ qq. Add a definition of Notice of
intention to file a claim in alphabetical
order.
■ rr. In the definition of Official
capacity, remove ‘‘An’’ and add in its
place ‘‘Subject to § 32.5(l), an’’.
■ ss. Remove the definition of Official
training program of a public safety
officer’s public agency.
■ tt. Add a definition of Official training
program of a public safety officer’s
public safety agency in alphabetical
order.
■ uu. Add a definition of Officially
recognized or designated employee
member of a rescue squad or ambulance
crew in alphabetical order.
■ vv. In the definition of Officially
recognized or designated member of a
department or agency, remove ‘‘42
U.S.C. 3796b(8)’’ and add in its place
‘‘34 U.S.C. 10284(8)’’.
■ ww. Remove the definition of
Officially recognized or designated
public employee member of a squad or
crew.
■ xx. Add a definition of Officially
recognized or designated volunteer
member of a rescue squad or ambulance
crew in alphabetical order.
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yy. In the definition of Public
employee, remove ‘‘42 U.S.C. 3796b(8)’’
each place it appears and add in its
place ‘‘34 U.S.C. 10284(8)’’.
■ zz. Remove the definition of Public
employee member of a squad or crew.
■ aaa. Add a definition of Public safety
agency in alphabetical order.
■ bbb. In the introductory text of the
definition of Qualified beneficiary,
remove ‘‘42 U.S.C. 3796c-1’’ and add in
its place ‘‘34 U.S.C. 10286’’.
■ ccc. In paragraph (1)(i) of the
definition of Qualified beneficiary,
remove ‘‘42 U.S.C. 3796(a)’’ and add in
its place ‘‘34 U.S.C. 10281(a)’’.
■ ddd. In the introductory text of the
definition of Rescue squad or
ambulance crew, add ‘‘(including
candidate-officers)’’ after ‘‘members’’.
■ eee. In paragraph (1) of the definition
of Rescue squad or ambulance crew,
add ‘‘(or are receiving candidate-officer
training)’’ after ‘‘trained’’.
■ fff. Add a definition of September 11,
2001, attacks in alphabetical order.
■ ggg. Revise the definition of Spouse.
■ hhh. In the definition of Stroke,
remove ‘‘cerebral vascular’’ and add in
its place ‘‘cerebrovascular’’.
■ iii. In the definition of Student,
remove ‘‘42 U.S.C. 3796b(3)(ii)’’ and add
in its place ‘‘34 U.S.C. 10284(3)(ii)’’.
■ jjj. In the introductory text of the
definition of Substantial contributing
factor, remove ‘‘, or disability,’’ and add
in its place ‘‘, disability, heart attack,
stroke, or vascular rupture,’’.
■ kkk. Add a definition of Supportingevidence collection period in
alphabetical order.
■ lll. In the introductory text of the
definition of Terrorist attack, remove
‘‘42 U.S.C. 3796c-1(a)’’ and add in its
place ‘‘34 U.S.C. 10286(a)’’.
■ mmm. Remove the definition of
Voluntary intoxication at the time of
death or catastrophic injury.
■ nnn. Add definitions of Voluntary
intoxication at the time of fatal or
catastrophic injury; WTC-related health
condition; and WTC responder in
alphabetical order.
The additions and revisions read as
follows:
■
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§ 32.3
Definitions.
Act means the Public Safety Officers’
Benefits Act of 1976 (generally codified
at 34 U.S.C. 10281, et seq.; part L of title
I of the Omnibus Crime Control and
Safe Streets Act of 1968) (including
(uncodified) sections 4 through 6
thereof (payment in advance of
appropriations, rule of construction and
severability, and effective date and
applicability)), as applicable (cf.
§ 32.4(d)) according to its effective date
and those of its various amendments
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(e.g., Sep. 29, 1976 (deaths of State and
local law enforcement officers and
firefighters); Oct 3, 1996 (educational
assistance (federal law enforcement
officer disabled)); Nov. 14, 1998
(educational assistance (officer (other
than federal law enforcement officer)
disabled)); Oct. 30, 2000 (disaster relief
workers); Sep. 11, 2001 (chaplains and
insurance beneficiaries); Dec. 15, 2003
(certain heart attacks and strokes); Apr.
5, 2006 (designated beneficiaries); June
1, 2009 (certain members of rescue
squads or ambulance crews); Jan. 2,
2013 (designated beneficiaries; vascular
ruptures); and June 2, 2017 (certain
administrative changes)); and also
includes Public Law 107–37 and section
611 of the USA PATRIOT Act (both of
which relate to payment of benefits,
described under subpart 1 of such part
L, in connection, respectively, with the
terrorist attacks of Sept. 11, 2001, or
with such terrorist attacks as may occur
after Oct. 26, 2001), as well as the
proviso under the Public Safety Officers
Benefits heading in title II of division B
of section 6 of Public Law 110–161.
*
*
*
*
*
Authorized commuting means travel
(not being described in the Act, at 34
U.S.C. 10282, and not being a frolic or
detour) by a public safety officer to and
from work (at a situs (for the
performance of line of duty activity or
action) authorized or required by his
public safety agency)—
(1) In the course of actually
responding (as authorized)—
(i) Directly to a fire, rescue, or police
emergency; or
(ii) To a particular and extraordinary
request (by such public safety agency)
for that specific officer to perform
public safety activity (including
emergency response activity the agency
is authorized to perform), within his
line of duty; or
(2) Under circumstances not
described in paragraph (1) of this
definition—
(i) While using a vehicle provided by
such agency, pursuant to a requirement
or authorization by such agency that he
use the same for travel to and from
work; or
(ii) While using a vehicle not
provided by such agency, pursuant to a
requirement by such agency that he use
the same for work.
*
*
*
*
*
Candidate-officer means an
individual who is officially enrolled or
-admitted, as a cadet or trainee, in
candidate-officer training.
Candidate-officer training means a
formal and officially recognized
program of instruction or of training
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(e.g., a police or fire academy) that is
specifically intended to result, directly
or immediately upon completion, in—
(1) Commissioning of such individual
as a law enforcement officer;
(2) Conferral upon such individual of
official authority to engage in fire
suppression (as an officer or employee
of a public fire department or as an
officially recognized or -designated
member of a legally organized volunteer
fire department); or
(3) The granting to such individual of
official authorization or -license to
engage in rescue activity, or in the
provision of emergency medical
services, as a member of a rescue squad
or ambulance crew that is (or is part of)
the agency or entity sponsoring the
individual’s enrollment or admission
*
*
*
*
*
Certification described in the Act, at
34 U.S.C. 10286 or Public Law 107–37
means a certification, acknowledging all
the matter specified in § 32.5(f)(1) and
(2)—
(1) In which the fact (or facts) asserted
is the matter specified in § 32.5(f)(3);
(2) That expressly indicates that all of
the terms used in making the assertion
described in paragraph (1) of this
definition (or used in connection with
such assertion) are within the meaning
of the Act, at 34 U.S.C. 10286 or Public
Law 107–37, and of this part; and
(3) That otherwise satisfies the
provisions of the Act, at 34 U.S.C. 10286
or Public Law 107–37, and of this part.
*
*
*
*
*
Child of a public safety officer means
an individual—
(1) Who meets the definition provided
in the Act, at 34 U.S.C. 10284(3); and
*
*
*
*
*
Claim means a request (in such form,
and containing such information, as the
Director may require from time to time)
for payment of benefits under this part,
where the individual seeking payment
has affirmatively requested that the
PSOB Office proceed to determination
on the basis of the supporting evidence
filed by or on behalf of the individual
(and any associated legal arguments so
filed) at or before the time of that
affirmative request: Provided, That
nothing in this definition shall be
understood to preclude any PSOB
determining official from (at any time)
obtaining or considering other evidence
in connection with a determination of
the claim.
Claimant means an individual who
has filed a claim on his own behalf or
on whose behalf a claim has been filed.
*
*
*
*
*
Drugs or other substances means—
(1) Controlled substances within the
meaning of the drug control and
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enforcement laws, at 21 U.S.C. 802(6),
including any active metabolite (i.e.,
any metabolite whose introduction into
(or presence otherwise in) the human
body, ordinarily or objectively can
result in a disturbance of mental or
physical faculties) of any such
controlled substance; or
(2) Any physical matter (other than
alcohol, or anything described in
paragraph (1) of this definition) whose
introduction into (or presence otherwise
in) the human body, ordinarily or
objectively can result in a disturbance of
mental or physical faculties.
*
*
*
*
*
Employed by a public agency
*
*
*
*
*
(2) * * *
(iii) Engaging in activity (or in the
provision of services) described in the
Act, at 34 U.S.C. 10284(9)(D), under the
authority (or by the license) of a public
agency (with respect to rescue squad or
ambulance crew members).
*
*
*
*
*
Foundational evidence as to status
and injury means supporting evidence
(filed by a claimant at or before the time
his claim is filed) that constitutes the
basis for his belief or assertion that—
(1) The individual upon whose injury
the claim is predicated—
(i) Was a public safety officer as of the
injury date; and
(ii) As the direct and proximate result
of a personal injury sustained in the line
of duty, either—
(A) Died (with respect to a claim
under subpart B of this part); or
(B) Became permanently and totally
disabled (with respect to a claim under
subpart C of this part); and
(2) With respect to a claim under
subpart B of this part, the claimant is an
eligible payee.
*
*
*
*
*
Intention-notice filer means an
individual—
(1) Who believes that he may be an
eligible payee;
(2) Who has filed a notice of intention
to file a claim; and
(3) Who has no claim pending.
*
*
*
*
*
Line of duty activity or action—
Subject to § 32.5(j) and (k), activity or an
action is performed in the line of duty,
in the case of a public safety officer who
is (as of the injury date)—
(1) * * *
(i) Whose primary function (as
applicable) is public safety activity, only
if, not being described in the Act, at 34
U.S.C. 10282(a), and not being
commuting or a frolic or detour—
(A) It is activity or an action that he
is obligated or authorized by statute,
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rule, regulation, condition of
employment or service, official mutualaid agreement, or other law, to perform
(including any social, ceremonial, or
athletic functions (or any official
training programs of his public agency)
to which he is assigned, or for which he
is compensated), under the auspices of
the public agency he serves; and
(B) Such agency (or the relevant
government) legally recognizes that
activity or action to have been so
obligated or authorized at the time
performed (or, at a minimum, does not
deny (or has not denied) it to have been
such); or
(ii) Whose primary function is not
public safety activity, only if, not being
described in the Act, at 34 U.S.C.
10282(a), and not being commuting or a
frolic or detour—
(A) It is activity or an action that he
is obligated or authorized by statute,
rule, regulation, condition of
employment or service, official mutualaid agreement, or other law, to perform
(including any social, ceremonial, or
athletic functions (or any official
training programs of his public agency)
to which he is assigned, or for which he
is compensated), under the auspices of
the public agency he serves;
(B) It is performed (as applicable) in
the course of public safety activity
(including emergency response activity
the agency is authorized to perform), or
taking part (as a trainer or trainee) in an
official training program of his public
agency for such activity, and such
agency (or the relevant government)
legally recognizes it to have been such
at the time performed (or, at a
minimum, does not deny (or has not
denied) it to have been such); and
(C) Such agency (or the relevant
government) legally recognizes (or, at a
minimum, does not deny (or has not
denied) that activity or action to have
been—
(1) Obligated or authorized (as
described in paragraph (1)(ii)(A) of this
definition) at the time performed; and
(2) Performed as described in
paragraph (1)(ii)(B) of this definition;
*
*
*
*
*
(4) A member of a rescue squad or
ambulance crew, only if, not being
described in the Act, at 34 U.S.C.
10282(a), and not being commuting or a
frolic or detour, it is performed in the
course of rescue activity (or of the
provision of emergency medical
services) that he is authorized or
licensed, by law and by his public safety
agency, to engage in (or provide) as
described in the Act, at 34 U.S.C.
10284(9)(D), and such agency (and the
relevant government) legally recognizes
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it to have been such at the time
performed (or, at a minimum, does not
deny (or has not denied) it to have been
such).
*
*
*
*
*
Line of duty injury
*
*
*
*
*
(2) In connection with any claim in
which the injury is not sustained as
described in paragraph (1) of this
definition:
(i) The injured party’s status as a
public safety officer was a substantial
contributing factor in the injury; and
(ii) Where the injury is brought about
by the hostile action of an individual—
(A) The individual knew of the
injured party’s status as a public safety
officer; and
(B) Nothing else motivated the
individual’s taking of his hostile action
to so great a degree as either of the
following did:
(1) The injured party’s status as a
public safety officer; or
(2) Retaliation for line of duty activity
or a line of duty action performed by a
public safety officer (including the
injured party).
*
*
*
*
*
Notice of intention to file a claim—
Nothing shall be understood to be a
notice of intention to file a claim unless
it names the individual upon whose
injury such a claim would be predicated
and otherwise is in such form, and
contains such other information, as the
Director may require from time to time
therefor.
*
*
*
*
*
Official training program of a public
safety officer’s public safety agency
means a program—
(1) That is officially sponsored,
-conducted, or -authorized by his public
safety agency; and
(2) Whose purpose is to train public
safety officers of his kind in (or to
improve their skills in), specific activity
or actions encompassed within their
respective lines of duty.
Officially recognized or designated
employee member of a rescue squad or
ambulance crew means an employee
member of a rescue squad or ambulance
crew (described in the Act, at 34 U.S.C.
10284(7)) who is officially recognized
(or officially designated) as such an
employee member, by such squad or
crew.
Officially recognized or designated
volunteer member of a rescue squad or
ambulance crew means a volunteer
member of a rescue squad or ambulance
crew (described in the Act, at 34 U.S.C.
10284(7)) who is officially recognized
(or officially designated) as such a
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volunteer member, by such squad or
crew.
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Public safety agency means—
(1) A public agency—
(i) That an individual described in the
Act, at 34 U.S.C. 10284(9)(A), serves in
an official capacity; or
(ii) For which an employee described
in the Act, at 34 U.S.C. 10284(9)(B) or
(C) performs official duties; or
(2) An agency or entity under whose
authority (or by whose license) a
member of a rescue squad or ambulance
crew engages in activity (or in the
provision of services) described in the
Act, at 34 U.S.C. 10284(9)(D).
*
*
*
*
*
September 11, 2001, attacks means
September 11, 2001, terrorist attacks, as
defined (as of January 17, 2017) at 42
CFR 88.1.
Spouse means an individual with
whom another individual lawfully
entered into marriage under the law of
the jurisdiction in which it was entered
into, and includes a spouse living apart
from the other individual, other than
pursuant to divorce, except that—
(1) In connection with a claim, the
term does not include anyone upon
whose injury the claim is predicated;
and
(2) Notwithstanding any other
provision of law—
(i) For an individual purporting to be
a spouse on the basis of a common-law
marriage (or a putative marriage), or on
any other basis, to be considered a
spouse within the meaning of this
definition, it is necessary (but not
sufficient) for the jurisdiction of
domicile of the parties to recognize such
individual as the lawful spouse of the
other individual; and
(ii) In deciding who may be the
spouse of a public safety officer—
(A) The relevant jurisdiction of
domicile is the officer’s (as of the injury
date); and
(B) With respect to a claim under
subpart B of this part, the relevant date
is that of the officer’s death.
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Supporting-evidence collection period
means the period—
(1) That begins upon the filing of a
notice of intention to file a claim, and
ends upon the earlier of—
(i) One year thereafter (unless, for
good cause shown, the Director extends
the period); or
(ii) The date on which such claim is
filed; and
(2) During which an intention-notice
filer may collect and assemble
supporting evidence for his intended
claim.
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Voluntary intoxication at the time of
fatal or catastrophic injury means the
following, as shown by any commonlyaccepted tissue, -fluid, or -breath test or
by other competent evidence:
(1) With respect to alcohol,
(i) In any claim arising from a public
safety officer’s death in which the death
was simultaneous (or practically
simultaneous) with the injury, it means
intoxication as defined in the Act, at 34
U.S.C. 10284(5), unless convincing
evidence demonstrates that the officer
did not introduce the alcohol into his
body intentionally; and
(ii) In any claim not described in
paragraph (1)(i) of this definition, unless
convincing evidence demonstrates that
the officer did not introduce the alcohol
into his body intentionally, it means
intoxication—
(A) As defined in the Act, at 34 U.S.C.
10284(5), mutatis mutandis (i.e., with
‘‘post-mortem’’ (each place it occurs)
and ‘‘death’’ being substituted,
respectively, by ‘‘post-injury’’ and
‘‘injury’’); and
(B) As of the injury date; and
(2) With respect to drugs or other
substances, it means intoxication as
defined in the Act, at 34 U.S.C.
10284(5), as evidenced by the presence
(as of the injury date) in the body of the
public safety officer—
(i) Of any of the following, unless
convincing evidence demonstrates that
the introduction of the controlled
substance into the body was not a
culpable act of the officer’s under the
criminal laws:
(A) Any controlled substance
included on Schedule I of the drug
control and enforcement laws (see 21
U.S.C. 812(a));
(B) Any controlled substance
included on Schedule II, III, IV, or V of
the drug control and enforcement laws
(see 21 U.S.C. 812(a)) and with respect
to which there is no therapeutic range
or maximum recommended dosage;
(C) Any controlled substance
included on Schedule II, III, IV, or V of
the drug control and enforcement laws
(see 21 U.S.C. 812(a)) and with respect
to which there is a therapeutic range or
maximum recommended dosage, at
levels above or in excess of such range
or dosage; or
(D) Any active metabolite of any
controlled substance within the
meaning of the drug control and
enforcement laws, at 21 U.S.C. 802(6),
which metabolite is not itself such a
controlled substance;
(ii) Of any drug or other substance
(other than one present as described in
paragraph (2)(i) of this definition),
unless convincing evidence
demonstrates that—
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(A) The introduction of the drug or
other substance into the body was not
a culpable act of the officer’s under the
criminal laws; and
(B) The officer was not acting in an
intoxicated manner immediately prior
to the injury date.
WTC-related health condition
means—
(1) A WTC-related physical health
condition determined by the September
11th Victim Compensation Fund, for the
specific WTC responder, to meet the
definition at section 104.2(i) of this title
(as in effect on January 17, 2017);
(2) A WTC-related health condition
(other than a mental health condition)
that the WTC Health Program has
certified, for the specific WTC
responder, under (as applicable) 42
U.S.C. 300mm–22(b)(1)(B)(ii) or 42
U.S.C. 300mm–22(b)(2)(A)(ii); or
(3) An illness or health condition, as
defined in (and determined pursuant to)
42 U.S.C. 300mm–22(a)(1)(A)(i), that is
a WTC-related physical health
condition, as defined at section 104.2(i)
of this title (as in effect on January 17,
2017).
WTC responder means an individual
who—
(1) Meets the definition at 42 U.S.C.
300mm–21(a)(1)(A) and has been
identified as enrolled in the WTC
Health Program, under 42 CFR 88.3 (as
in effect on January 17, 2017);
(2) Meets the definition at 42 U.S.C.
300mm–21(a)(1)(B) and has received an
affirmative decision from the WTC
Health Program under 42 CFR 88.6(d)(1)
(as in effect on January 17, 2017);
(3) Meets the definition at 42 U.S.C.
300mm–31(a)(1) and—
(i) Has been identified as certifiedeligible under 42 CFR 88.7 (as in effect
on January 17, 2017); or
(ii) Has received the status of a
certified-eligible survivor from the WTC
Health Program under 42 CFR 88.12 (as
in effect on January 17, 2017);
(4) Has been determined by the
September 11th Victim Compensation
Fund to be an eligible claimant under
section 104.2(b)(1) of this title (as in
effect on January 17, 2017); or
(5) Subject to 42 U.S.C. 300mm–
21(a)(5), meets the definition at 42
U.S.C. 300mm–21(a)(1).
■ 4. Amend § 32.4 as follows:
■ a. In paragraph (b), remove ‘‘42 U.S.C.
3796a(4)’’ and add in its place ‘‘34
U.S.C. 10282(a)(4)’’.
■ b. In paragraph (d), remove ‘‘42 U.S.C.
3796(k), shall apply only with respect to
heart attacks or strokes referred to in the
Act, at 42 U.S.C. 3796(k)(2)’’ and add in
its place ‘‘34 U.S.C. 10281(k), shall
apply only with respect to heart attacks,
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strokes, or vascular ruptures referred to
in the Act, at 34 U.S.C. 10281(k)(2))’’.
■ c. Add paragraph (e).
The addition reads as follows:
§ 32.4 Terms; construction; severability;
effect.
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*
*
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(e) Unless expressly provided
otherwise, any reference in this part to
any provision of law not in this part
shall be understood to constitute a
general reference under the doctrine of
incorporation by reference, and thus to
include any subsequent amendments to
the provision.
■ 5. Amend § 32.5 as follows:
■ a. In paragraph (b), remove ‘‘provided
in this part, the PSOB determining
official may, at his discretion, consider
(but shall not be bound by) the factual
findings of a public agency.’’ and add in
its place ‘‘provided in the Act or this
part, the PSOB determining official may,
at his discretion, consider (but shall not
be bound by) the factual findings of a
public agency (or public safety
agency).’’.
■ b. In paragraph (f), remove ‘‘42 U.S.C.
3796c–1’’ each place it appears and add
in its place ‘‘34 U.S.C. 10286’’.
■ c. In paragraph (f)(1)(ii), remove (i.e.,
performing official functions for, or on
behalf of, the agency);’’ and add in its
place ‘‘and performing official functions
for, or on behalf of, the agency;’’.
■ d. In paragraph (f)(1)(iii)(D), remove
‘‘public employee member of one of the
agency’s rescue squads or ambulance
crews;’’ and add in its place ‘‘employee
member or volunteer member of a
rescue squad or ambulance crew that is
(or is a component of) the agency;’’.
■ e. In paragraph (f)(1)(iii)(E), remove
‘‘42 U.S.C. 3796b(9)(B)’’ and add in its
place ‘‘34 U.S.C. 10284(9)(B)’’.
■ f. In paragraph (g), remove ‘‘42 U.S.C.
3787 (hearings, subpoenas, oaths,
witnesses, evidence), and to the
authorities specified at 42 U.S.C.
3788(b)–(d)’’ and add in its place ‘‘34
U.S.C. 10225 (hearings, subpoenas,
oaths, witnesses, evidence), and to the
authorities specified at 34 U.S.C.
10226(b)–(d)’’.
■ g. In paragraph (h)(2)(v), remove ‘‘42
U.S.C. 3795a’’ and add in its place ‘‘34
U.S.C. 10272’’.
■ h. In paragraph (i), remove ‘‘public
agency’’ and add in its place ‘‘public
safety agency’’.
■ i. Add paragraphs (j), (k), (l) and (m).
The additions read as follows:
§ 32.5
Evidence.
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*
(j) Public safety activity that is
performed by a law enforcement officer
or a firefighter shall be presumed to
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satisfy the requirements of paragraph
(1)(i)(A) or (1)(ii)(A) (as the case may be)
of the definition of Line of duty activity
or action in § 32.3 if the public safety
activity—
(1) Was not forbidden (at the time
performed) by any applicable statute,
rule, regulation, condition of
employment or service, official mutualaid agreement, or other law; and
(2) Occurred—
(i) Within a jurisdiction where he is
authorized to act, in the ordinary
course, in an official capacity as such a
law enforcement officer or firefighter; or
(ii) Within a jurisdiction (not
described in the immediately-preceding
paragraph) that, at the time the public
safety activity was performed, had a
statute, rule, regulation, official mutualaid agreement, or other law, in effect
that authorized law enforcement officers
or firefighters from outside such
jurisdiction to perform, within the
jurisdiction, the activity that occurred.
(k) Absent evidence that the public
safety activity was forbidden as
described in paragraph (j)(1) of this
section, the requirements of such
paragraph (j) shall be presumed to be
satisfied in any case in which full lineof-duty death or disability benefits (as
the case may be) have been paid—
(1) By (or on behalf of) any
jurisdiction described in paragraph (j)(2)
of this section;
(2) With respect to a law enforcement
officer or firefighter; and
(3) Upon an administrative or judicial
determination in the ordinary course
(other than pursuant to a settlement or
quasi-settlement) that such law
enforcement officer or firefighter
sustained an injury in the line of duty
that caused his death or disability.
(l) In the event that the presumption
established by paragraph (j) of this
section should arise pursuant to
paragraph (j)(2)(ii) thereof, the law
enforcement officer or firefighter shall
be presumed to have been serving the
jurisdiction described in such paragraph
(j)(2)(ii) in an official capacity at the
time he performed the public safety
activity.
(m) A volunteer fire department that
is legally licensed or-authorized to
engage in fire suppression shall be
presumed to satisfy the requirements of
paragraphs (1)(ii) and (2)(iii) of the
definition of Instrumentality.
■ 6. Amend § 32.6 as follows:
■ a. Revise paragraph (b).
■ b. In paragraph (d), remove ‘‘42 U.S.C.
3796(m)’’ and add in its place ‘‘34
U.S.C. 10281(m)’’.
■ c. Add paragraph (f).
The revision and addition read as
follows:
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§ 32.6
22383
Payment and repayment.
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(b) No payment shall be made, save
pursuant to a claim, filed by (or on
behalf of) the payee, that (except as
provided in the Act, at 34 U.S.C.
10281(c)) has been approved in a final
agency determination.
*
*
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*
(f)(1) If the actual net payment of the
Victim Compensation Fund after
subtraction of any offset required by law
(compensation) made under the
September 11th Victim Compensation
Fund of 2001 (49 U.S.C. 40101 note) has
been paid with respect to an injury, the
total amount payable under subpart B or
C of this part, with respect to the same
injury, shall be reduced by the amount
of such payment of compensation.
(2) Nothing in paragraph (f)(1) of this
section, or in the Act, at 34 U.S.C.
10281(f)(3), shall be understood to
preclude payment under this part before
the final payment of compensation
under such Fund.
(3) Nothing in the Act, at 34 U.S.C.
10281(f)(3), shall be understood to
require reduction of any amount
payable under subpart D of this part.
■ 7. Amend § 32.7 as follows:
■ a. In the first sentence of paragraph
(a), remove ‘‘claimant for representative
services provided in connection with
any claim may’’ and add in its place
‘‘claimant for representative services
provided in connection with any matter
under this part may’’.
■ b. Revise the introductory text of
paragraph (c).
■ c. Revise the introductory text of
paragraph (d).
■ d. In the first sentence of paragraph
(f), remove ‘‘Upon its authorizing or not
authorizing the payment of any amount
under paragraph’’ and add in its place
‘‘Upon its approving (in whole or in
part), or denying, a petition under
paragraph’’.
■ e. In the second sentence of paragraph
(f), remove ‘‘authorization’’ and add in
its place ‘‘approval or denial’’.
■ f. Add paragraph (h).
The revisions and addition read as
follows:
§ 32.7
Fees for representative services.
*
*
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*
(c) Unless the petition is approved
pursuant to paragraph (h)(1) of this
section (without regard to the exception
thereto), consideration of a petition
under paragraph (a) of this section shall
be subject to paragraph (d) of this
section and shall be based on the
following factors:
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*
(d) Unless the petition is approved
pursuant to paragraph (h)(1) of this
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section (without regard to the exception
thereto), no amount in a petition under
paragraph (a) of this section shall be
approved for—
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*
(h)(1) Except as provided in paragraph
(h)(2) of this section, the PSOB Office
shall approve any petition under
paragraph (a) of this section for
authorization to receive an amount that
is not greater than the following, for
representative services provided by an
individual who was duly licensed to
practice law in the jurisdiction in any
State:
(i) In connection with a claim that is
approved under subpart B or C, an
amount equal to three percent of the
benefit paid to (or with respect to) the
claimant on whose behalf the
representative services were provided;
(ii) In connection with a claim
approved under subpart E that is
subsequently approved under subpart F,
an amount equal to six percent of the
benefit paid to (or with respect to) the
claimant on whose behalf the
representative services were provided;
and
(iii) In connection with a claim
denied under subpart E that is
subsequently approved under subpart F,
an amount equal to nine percent of the
benefit paid to (or with respect to) the
claimant on whose behalf the
representative services were provided.
(2) In the event that it decides that the
amount set forth in paragraph (h)(1) of
this section would be excessive (or
otherwise inappropriate) for the
representative services that form the
substance of a particular petition under
paragraph (a) of this section, the PSOB
Office shall consider the petition
pursuant to paragraph (c) of this section.
§ 32.11
[Amended]
8. Amend § 32.11 as follows:
a. In paragraph (a), remove ‘‘42 U.S.C.
3796(a)’’ and add in its place ‘‘34 U.S.C.
10281(a)’’.
■ b. In paragraph (b), remove ‘‘42 U.S.C.
3796c–1’’ and add in its place ‘‘34
U.S.C. 10286’’.
■ 9. Effective June 14, 2018, revise
§ 32.12 to read as follows:
■
■
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§ 32.12
Time for filing claim.
(a) Unless, for good cause shown, the
Director extends the time for filing, no
claim shall be considered if it is filed
with the PSOB Office after whichever of
the following is latest:
(1) Three years after the public safety
officer’s death; or
(2) One year after the later of—
(i) A final determination of
entitlement to receive, or of denial of,
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the benefits, if any, described in
§ 32.15(a)(1)(i); or
(ii) The receipt of the certification
described in § 32.15(a)(1)(ii); or
(3) The end of the supportingevidence collection period.
(b) Unless, for good cause shown, the
Director extends the time for filing, no
individual may file a notice of intention
to file a claim after the later of—
(1) The period described in paragraph
(a)(1) of this section; or
(2) The period described in paragraph
(a)(2) of this section.
(c) In the event that a claim is filed
that fails to identify and provide
foundational evidence as to status and
injury, the Director shall deny the claim
for lack of that foundational evidence.
Not less than thirty-three days prior to
such denial, the PSOB Office shall serve
the claimant with notice of the date on
which the Director will deny for that
lack of evidence. Upon the claimant’s
request, filed prior to the date specified
for the denial, the Director shall, in lieu
of the denial—
(1) Allow the claimant to withdraw
his claim; and
(2) Deem (as of the date of the request
to withdraw) the claimant to have filed
a notice of intention to file a claim, if
a notice of intention otherwise filed by
the claimant on that date would be
timely under paragraph (b) of this
section.
(d) Notwithstanding paragraph (a) of
this section, unless, for good cause
shown, the Director extends the time for
filing, no claim based on an injury
sustained by a WTC responder and
resulting from the September 11, 2001,
attacks shall be considered if it is filed
with the PSOB Office after the latest
of—
(1) The time provided in paragraph (a)
of this section;
(2) Two years after the earlier of—
(i) The date on which the WTCrelated physical health condition, if any,
is determined by the September 11th
Victim Compensation Fund, for the
WTC responder, to meet the definition
at section 104.2(i) of this title (as in
effect on January 17, 2017); or
(ii) The date on which the WTCrelated health condition, if any, is
certified, for the WTC responder, under
(as applicable) 42 U.S.C. 300mm–
22(b)(1)(B)(ii) or 42 U.S.C. 300mm–
22(b)(2)(A)(ii); or
(3) June 14, 2020.
■ 10. Effective June 14, 2020, revise
paragraph (d) of § 32.12 to read as
follows:
§ 32.12
Time for filing claim.
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*
(d) Notwithstanding paragraph (a) of
this section, unless, for good cause
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shown, the Director extends the time for
filing, no claim based on an injury
sustained by a WTC responder and
resulting from the September 11, 2001,
attacks shall be considered if it is filed
with the PSOB Office after the later of—
(1) The time provided in paragraph (a)
of this section; or
(2) Two years after the earlier of—
(i) The date on which the WTCrelated physical health condition, if any,
is determined by the September 11th
Victim Compensation Fund, for the
WTC responder, to meet the definition
at section 104.2(i) of this title (as in
effect on January 17, 2017); or
(ii) The date on which the WTCrelated health condition, if any, is
certified, for the WTC responder, under
(as applicable) 42 U.S.C. 300mm–
22(b)(1)(B)(ii) or 42 U.S.C. 300mm–
22(b)(2)(A)(ii).
■ 11. Amend § 32.13 as follows:
■ a. Remove the definition of
Beneficiary under the Act, at 42 U.S.C.
3796(a)(4)(A).
■ b. Add definitions of Beneficiary
under the Act, at 34 U.S.C.
10281(a)(4)(A) and Competent medical
evidence in alphabetical order.
■ c. Remove the definition of Competent
medical evidence to the contrary.
■ d. In the definition of Designation on
file, remove ‘‘42 U.S.C. 3796(a)(4)(A)’’
and add in its place ‘‘34 U.S.C.
10281(a)(4)(A)’’.
■ e. In paragraph (2) of the definition of
Engagement in a situation involving law
enforcement, fire suppression, rescue,
hazardous material response,
emergency medical services, prison
security, disaster relief, or other
emergency response activity, remove
‘‘The public agency he serves’’ and add
in its place ‘‘His public safety agency’’.
■ f. In the definition of Event, remove
‘‘42 U.S.C. 3796(k)(1)’’ and add in its
place ‘‘34 U.S.C. 10281(k)(1)’’.
■ g. Remove the definition of Excessive
consumption of alcohol.
■ h. Add a definition of Execution of a
designation of beneficiary under the
Act, at 34 U.S.C. 10281(a)(4)(A) in
alphabetical order.
■ i. Remove the definitions of Extrinsic
circumstances; Execution of a
designation of beneficiary under the
Act, at 42 U.S.C. 3796(a)(4)(A) and Most
recently executed designation of
beneficiary under the Act, at 42 U.S.C.
3796 (a)(4)(A).
■ j. Add a definition of Most recently
executed designation of beneficiary
under the Act, at 34 U.S.C.
10281(a)(4)(A) in alphabetical order.
■ k. In the definitions of Nonroutine
strenuous physical activity and
Nonroutine stressful physical activity,
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remove ‘‘42 U.S.C. 3796(l)’’ and add in
its place ‘‘34 U.S.C. 10281(l)’’.
■ l. In paragraph (1) of the definition of
Participation in a training exercise,
remove ‘‘public agency;’’ and add in its
place ‘‘public safety agency;’’.
■ m. Remove the definition of Public
safety agency, -organization, or-unit.
■ n. Add a definition of Public safety
organization or unit in alphabetical
order.
■ o. Remove the definition of Risky
behavior.
■ p. In paragraph (1) of the definition of
Routine, remove ‘‘public agency’’ and
add in its place ‘‘public safety agency’’.
■ q. Add definitions of Something other
than the mere presence of
cardiovascular disease risk factors and
Unrelated, in alphabetical order.
■ r. Remove the definition of
Undertaking of treatment.
The additions read as follows:
§ 32.13
Definitions.
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Beneficiary under the Act, at 34
U.S.C. 10281(a)(4)(A)—An individual
(living or deceased on the date of death
of the public safety officer) is
designated, by such officer (and as of
such date), as beneficiary under the Act,
at 34 U.S.C. 10281(a)(4)(A), only if the
designation is, as of such date, legal and
valid and unrevoked (by such officer or
by operation of law) or otherwise
unterminated, except that—
(1) Any designation of an individual
(including any designation of the
biological or adoptive offspring of such
individual) made in contemplation of
such individual’s marriage (or
purported marriage) to such officer shall
be considered to be revoked by such
officer as of such date of death if the
marriage (or purported marriage) did not
take place, unless preponderant
evidence demonstrates that—
(i) It did not take place for reasons
other than personal differences between
the officer and the individual; or
(ii) No such revocation was intended
by the officer; and
(2) Any designation of a spouse (or
purported spouse) made in
contemplation of or during such
spouse’s (or purported spouse’s)
marriage (or purported marriage) to such
officer (including any designation of the
biological or adoptive offspring of such
spouse (or purported spouse)) shall be
considered to be revoked by such officer
as of such date of death if the spouse (or
purported spouse) is divorced from such
officer subsequent to the date of
designation and before such date of
death, unless preponderant evidence
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Jkt 244001
demonstrates that no such revocation
was intended by the officer.
*
*
*
*
*
Competent medical evidence means
evidence that indicates a fact to a degree
of medical probability.
*
*
*
*
*
Execution of a designation of
beneficiary under the Act, at 34 U.S.C.
10281(a)(4)(A) means the legal and valid
execution, by the public safety officer,
of a writing that, designating a
beneficiary, expressly, specifically, or
unmistakably refers to—
(1) The Act (or the program it creates);
or
(2) All the death benefits with respect
to which such officer lawfully could
designate a beneficiary (if there be no
writing that satisfies paragraph (1) of
this definition).
*
*
*
*
*
Most recently executed designation of
beneficiary under the Act, at 34 U.S.C.
10281(a)(4)(A) means the most recently
executed such designation that, as of the
date of death of the public safety officer,
designates a beneficiary.
*
*
*
*
*
Public safety organization or unit
means—
(1) The component of a public agency,
in which component—
(i) An individual described in the Act,
at 34 U.S.C. 10284(9)(A), serves in an
official capacity; or
(ii) An employee described in the Act,
at 34 U.S.C. 10284(9)(B) or (C) performs
official duties; or
(2) The component of an agency or
entity, under the authority (or by the
license) of which component a member
of a rescue squad or ambulance crew
engages in activity (or in the provision
of services) described in the Act, at 34
U.S.C. 10284(9)(D).
*
*
*
*
*
Something other than the mere
presence of cardiovascular disease risk
factors means—
(1) Ingestion of controlled substances
included on Schedule I of the drug
control and enforcement laws (see 21
U.S.C. 812(a)); or
(2) Abuse of controlled substances
included on Schedule II, III, IV, or V of
the drug control and enforcement laws
(see 21 U.S.C. 812(a)).
*
*
*
*
*
Unrelated — A public safety officer’s
heart attack, stroke, or vascular rupture
is unrelated to the officer’s engagement
in a situation or participation in a
training exercise, when an independent
event or occurrence is a substantial
contributing factor in bringing the
officer’s heart attack, stroke, or vascular
rupture about.
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22385
12. Amend § 32.14 as follows:
a. Revise paragraph (a).
b. In paragraph (b), remove
‘‘abandoned.’’ and add in its place
‘‘abandoned, as though never filed.’’
■ c. Remove paragraph (c).
The revision reads as follows:
■
■
■
§ 32.14
PSOB Office determination.
(a) Upon its approving or denying a
claim, the PSOB Office shall serve
notice of the same upon the claimant
(and upon any other claimant who may
have filed a claim with respect to the
same public safety officer). Such notice
shall—
(1) Specify the factual findings and
legal conclusions that support it; and
(2) In the event of a denial, provide
information as to requesting a Hearing
Officer determination.
*
*
*
*
*
§ 32.15
[Amended]
13. Amend § 32.15 as follows:
a. In paragraph (a) introductory text,
remove ‘‘42 U.S.C. 3796c–1’’ and add in
its place ‘‘34 U.S.C. 10286’’.
■ b. In paragraph (a)(1) introductory
text, remove ‘‘the public agency in
which the public safety officer served’’
and add in its place ‘‘the public safety
officer’s public safety agency’’.
■ c. In paragraph (a)(2), add ‘‘(or public
safety agency)’’ after ‘‘public agency’’.
■ d. In paragraph (b), remove ‘‘public
agency that legally is authorized to pay
death benefits with respect to the
agency described in that paragraph.’’
and add in its place ‘‘public agency (or
public safety agency) that legally is
authorized to pay death benefits with
respect to the agency described in such
paragraph (a)(1).’’.
■ e. In paragraph (c)(1), add ‘‘, and every
public safety agency,’’ before ‘‘that’’.
■ f. In paragraph (c)(2), add ‘‘, or public
safety agency,’’ before ‘‘legally’’.
■ g. In paragraph (d) introductory text,
remove ‘‘42 U.S.C. 3796(k), are satisfied
with respect to a particular public safety
officer’s death, and that no circumstance
specified in the Act, at 42 U.S.C.
3796a(1),’’ and add in its place ‘‘34
U.S.C. 10281(k), are satisfied with
respect to a particular public safety
officer’s death, and that no circumstance
specified in the Act, at 34 U.S.C.
10282(a)(1),’’.
■ h. In paragraph (d)(2)(i), add ‘‘(or
public safety agency’s)’’ before
‘‘understanding’’.
■ i. In paragraph (d)(2)(ii), add ‘‘(or
public safety agency)’’ before ‘‘is’’.
■
■
§ 32.16
■
§ 32.21
■
[Amended]
14. Remove paragraph (c) of § 32.16.
[Amended]
15. Amend § 32.21 as follows:
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a. In paragraph (a), remove ‘‘42 U.S.C.
3796(b)’’ and add in its place ‘‘34 U.S.C.
10281(b)’’.
■ b. In paragraph (b), remove ‘‘42 U.S.C.
3796c–1’’ and add in its place ‘‘34
U.S.C. 10286’’.
■ 16. Effective June 14, 2018, revise
§ 32.22 to read as follows:
■
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§ 32.22
Time for filing claim.
(a) Unless, for good cause shown, the
Director extends the time for filing, no
claim shall be considered if it is filed
with the PSOB Office after the later of—
(1) Three years after the injury date;
or
(2) One year after the later of—
(i) A final determination of
entitlement to receive, or of denial of,
the benefits, if any, described in
§ 32.25(a)(1)(i); or
(ii) The receipt of the certification
described in § 32.25(a)(1)(ii); or
(3) The end of the supportingevidence collection period.
(b) Unless, for good cause shown, the
Director extends the time for filing, no
individual may file a notice of intention
to file a claim after the later of—
(1) The period described in paragraph
(a)(1) of this section; or
(2) The period described in paragraph
(a)(2) of this section.
(c) In the event that a claim is filed
that fails to identify and provide
foundational evidence as to status and
injury, the Director shall deny the claim
for lack of that foundational evidence.
Not less than thirty-three days prior to
such denial, the PSOB Office shall serve
the claimant with notice of the date on
which the Director will deny for that
lack of evidence. Upon the claimant’s
request, filed prior to the date specified
for the denial, the Director shall, in lieu
of the denial—
(1) Allow the claimant to withdraw
his claim; and
(2) Deem (as of the date of the request
to withdraw) the claimant to have filed
a notice of intention to file a claim, if
a notice of intention otherwise filed by
the claimant on that date would be
timely under paragraph (b) of this
section.
(d) Notwithstanding paragraph (a) of
this section, unless, for good cause
shown, the Director extends the time for
filing, no claim based on an injury
sustained by a WTC responder and
resulting from the September 11, 2001,
attacks shall be considered if it is filed
with the PSOB Office after the latest
of—
(1) The time provided in paragraph (a)
of this section;
(2) Two years after the earlier of—
(i) The date on which the WTCrelated physical health condition, if any,
VerDate Sep<11>2014
16:07 May 14, 2018
Jkt 244001
is determined by the September 11th
Victim Compensation Fund, for the
WTC responder, to meet the definition
at section 104.2(i) of this title (as in
effect on January 17, 2017); or
(ii) The date on which the WTCrelated health condition, if any, is
certified, for the WTC responder, under
(as applicable) 42 U.S.C. 300mm–
22(b)(1)(B)(ii) or 42 U.S.C. 300mm–
22(b)(2)(A)(ii); or
(3) June 14, 2020.
■ 17. Effective June 14, 2020, revise
paragraph (d) of § 32.22 to read as
follows:
§ 32.22
Time for filing claim.
*
*
*
*
*
(d) Notwithstanding paragraph (a) of
this section, unless, for good cause
shown, the Director extends the time for
filing, no claim based on an injury
sustained by a WTC responder and
resulting from the September 11, 2001,
attacks shall be considered if it is filed
with the PSOB Office after the later of—
(1) The time provided in paragraph (a)
of this section; or
(2) Two years after the earlier of—
(i) The date on which the WTCrelated physical health condition, if any,
is determined by the September 11th
Victim Compensation Fund, for the
WTC responder, to meet the definition
at section 104.2(i) of this title (as in
effect on January 17, 2017); or
(ii) The date on which the WTCrelated health condition, if any, is
certified, for the WTC responder, under
(as applicable) 42 U.S.C. 300mm–
22(b)(1)(B)(ii) or 42 U.S.C. 300mm–
22(b)(2)(A)(ii).
■ 18. Amend § 32.24 as follows:
■ a. Revise paragraph (a).
■ b. In paragraph (b), remove
‘‘abandoned.’’ and add in its place
‘‘abandoned, as though never filed.’’
The revision reads as follows:
§ 32.24
PSOB Office determination.
(a) Upon its approving or denying a
claim, the PSOB Office shall serve
notice of the same upon the claimant
(and upon any other claimant who may
have filed a claim with respect to the
same public safety officer). Such notice
shall—
(1) Specify the factual findings and
legal conclusions that support it; and
(2) In the event of a denial, provide
information as to—
(i) Requesting a Hearing Officer
determination; or
(ii) As applicable, moving to
reconsider a negative disability finding.
*
*
*
*
*
§ 32.25
■
[Amended]
19. Amend § 32.25 as follows:
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a. In paragraph (a) introductory text,
remove ‘‘42 U.S.C. 3796c–1’’ and add in
its place ‘‘34 U.S.C. 10286’’.
■ b. In paragraph (a)(1) introductory
text, remove ‘‘the public agency in
which the public safety officer served’’
and add in its place ‘‘the public safety
officer’s public safety agency’’.
■ c. In paragraph (a)(2)(ii), remove
‘‘made by any public agency’’ and add
in its place ‘‘or findings made by any
public agency (or public safety
agency)’’.
■ d. In paragraph (b), add ‘‘(or public
safety agency)’’ after ‘‘public agency’’.
■ e. In paragraph (c)(1), add ‘‘, and every
public safety agency,’’ before ‘‘that’’.
■ f. In paragraph (c)(2), add ‘‘, or public
safety agency,’’ before ‘‘legally’’.
■
§ 32.26
■
[Removed and reserved]
20. Remove and reserve § 32.26.
§ 32.31
[Amended]
21. In § 32.31, remove ‘‘42 U.S.C.
3796d–1.’’ and add in its place ‘‘34
U.S.C. 10302.’’.
■
§ 32.32
[Amended]
22. Amend § 32.32 as follows:
a. In paragraph (a), remove ‘‘42 U.S.C.
3796d–1(c),’’ and add in its place ‘‘34
U.S.C. 10302(c),’’.
■ b. In paragraph (c), remove
‘‘nonphysical’’ and add in its place
‘‘non-physical’’.
■ 23. Amend § 32.33 as follows:
■ a. Remove the definitions of
Dependent and Eligible dependent.
■ b. Revise the definition of Eligible
public safety officer.
■ c. In the definition of Financial
assistance, remove ‘‘42 U.S.C. 3796d–1’’
and add in its place ‘‘34 U.S.C. 10302’’.
■ d. In paragraph (1) of the definition of
Financial need, remove ‘‘42 U.S.C.
3796d–1(a)(3)(A)’’ and add in its place
‘‘34 U.S.C. 10302(a)(3)’’.
■ e. Remove the definitions of Public
safety agency and Tax year.
The revision reads as follows:
■
■
§ 32.33
Definitions.
*
*
*
*
*
Eligible public safety officer means a
public safety officer—
(1) With respect to whose death,
benefits under subpart B of this part
properly—
(i) Have been paid; or
(ii) Would have been paid but for
operation of the Act, at 34 U.S.C.
10281(f); or
(2) With respect to whose disability,
benefits under subpart C of this part
properly—
(i) Have been paid; or
(ii) Would have been paid, but for
operation of—
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(A) Paragraph (b) of § 32.6; or
(B) The Act, at 34 U.S.C. 10281(f).
*
*
*
*
*
■
§ 32.34
*
§ 32.53
[Amended]
24. In paragraph (c) of § 32.34, remove
‘‘abandoned.’’ and add in its place
‘‘abandoned, as though never filed.’’
■
§ 32.36
[Amended]
25. In paragraph (a) of § 32.36, remove
‘‘42 U.S.C. 3796d–1(a)(2),’’ and add in
its place ‘‘34 U.S.C. 10302(a)(2),’’.
■
§ 32.43
[Amended]
26. In paragraph (a) of § 32.43, remove
‘‘42 U.S.C. 3787’’ and add in its place
‘‘34 U.S.C. 10225’’.
■ 27. Revise paragraph (b) of § 32.44 to
read as follows:
■
§ 32.44
Hearing Officer determination.
*
*
*
*
*
(b) Upon a Hearing Officer’s
approving or denying a claim, the PSOB
Office shall serve notice of the same
simultaneously upon the claimant (and
upon any other claimant who may have
filed a claim with respect to the same
public safety officer). Such notice
shall—
(1) Specify the Hearing Officer’s
factual findings and legal conclusions
that support it; and
(2) In the event of a denial, provide
information as to Director appeals.
*
*
*
*
*
■ 28. Amend § 32.45 as follows:
■ a. In paragraph (d)(1), remove ‘‘; and’’.
■ b. In paragraph (d)(2), remove the
period and add in its place ‘‘; and’’.
■ c. Add paragraph (d)(3).
The addition reads as follows:
§ 32.45
Hearings.
*
*
*
*
*
(d) * * *
(3) Shall (unless the Director should
direct or allow otherwise) be the only
individual (other than the claimant’s
representative, if any) who may examine
the claimant.
*
*
*
*
*
§ 32.51
[Amended]
29. In § 32.51, remove ‘‘42 U.S.C.
3796c–1’’ and add in its place ‘‘34
U.S.C. 10286’’.
■
§ 32.52
30. In paragraph (b) of § 32.52, remove
‘‘nonphysical’’ and add in its place
‘‘non-physical’’.
■ 31. Effective June 14, 2018, amend
§ 32.53 as follows:
■ a. In paragraph (b)(2), remove ‘‘42
U.S.C. 3796c–1’’ and add in its place
‘‘34 U.S.C. 10286’’.
daltland on DSKBBV9HB2PROD with RULES
■
16:07 May 14, 2018
Jkt 244001
Review.
*
*
*
*
(d) The Director may reconsider a
claim under subparts B or C of this part
that has been denied in a final agency
determination if—
(1) The public safety officer was a
WTC responder;
(2) The claim was based on the
allegation that—
(i) The WTC responder sustained an
injury that was the direct and proximate
cause of his death or of his permanent
and total disability; and
(ii) The WTC responder’s injury was
sustained in the course of performance
of line of duty activity or a line of duty
action that exposed him to airborne
toxins, other hazards, or other adverse
conditions resulting from the September
11, 2001, attacks;
(3) The sole ground of the denial was
that the claim did not establish that—
(i) The WTC responder sustained an
injury in the course of performance of
line of duty activity or a line of duty
action; or
(ii) The injury allegedly sustained by
the WTC responder was the direct and
proximate cause of his death or
permanent and total disability;
(4) The alleged injury on which the
claim was based is a WTC-related health
condition; and
(5) The claimant files with the PSOB
Office a motion for such reconsideration
before the later of—
(i) Two years after the earlier of—
(A) The date on which the WTCrelated physical health condition, if any,
is determined by the September 11th
Victim Compensation Fund, for the
WTC responder, to meet the definition
at section 104.2(i) of this title (as in
effect on January 17, 2017); or
(B) The date on which the WTCrelated health condition, if any, is
certified, for the WTC responder, under
(as applicable) 42 U.S.C. 300mm–
22(b)(1)(B)(ii) or 42 U.S.C. 300mm–
22(b)(2)(A)(ii); or
(ii) June 14, 2020.
■ 32. Effective June 14, 2020, revise
paragraph (d)(5) of § 32.53, to read as
follows:
§ 32.53
[Amended]
VerDate Sep<11>2014
b. Add paragraph (d).
The addition reads as follows:
Review.
*
*
*
*
*
(d) * * *
(5) The claimant files with the PSOB
Office a motion for such reconsideration
before the earlier of two year—
(i) The date on which the WTCrelated physical health condition, if any,
is determined by the September 11th
Victim Compensation Fund, for the
PO 00000
Frm 00039
Fmt 4700
Sfmt 4700
22387
WTC responder, to meet the definition
at section 104.2(i) of this title (as in
effect on January 17, 2017); or
(ii) The date on which the WTCrelated health condition, if any, is
certified, for the WTC responder, (as
applicable) 42 U.S.C. 300mm–
22(b)(1)(B)(ii) or 42 U.S.C. 300mm–
22(b)(2)(A)(ii).
■ 33. Amend § 32.54 as follows:
■ a. Revise paragraph (a).
■ b. In paragraph (c) introductory text,
remove ‘‘may—’’ and add in its place
‘‘may (among other things)—’’.
The revision reads as follows:
§ 32.54
Director determination.
(a) Upon the Director’s approving or
denying a claim, the PSOB Office shall
serve notice of the same simultaneously
upon the claimant (and upon any other
claimant who may have filed a claim
with respect to the same public safety
officer), and upon any Hearing Officer
who made a determination with respect
to the claim. Such notice shall—
(1) Specify the factual findings and
legal conclusions that support it; and
(2) In the event of a denial, provide
information as to judicial appeals.
*
*
*
*
*
■ 34. Revise § 32.55 to read as follows:
§ 32.55
Judicial appeal.
Consistent with § 32.8, no
administrative action other than an
approval or denial described in
§ 32.54(a) shall constitute a final agency
determination for purposes of the Act, at
34 U.S.C. 10287.
Dated May 2, 2018.
Alan R. Hanson,
Principal Deputy Assistant Attorney General.
[FR Doc. 2018–09640 Filed 5–14–18; 8:45 am]
BILLING CODE 4410–18–P
PENSION BENEFIT GUARANTY
CORPORATION
29 CFR Part 4022
Benefits Payable in Terminated SingleEmployer Plans; Interest Assumptions
for Paying Benefits
Pension Benefit Guaranty
Corporation.
ACTION: Final rule.
AGENCY:
This final rule amends the
Pension Benefit Guaranty Corporation’s
regulation on Benefits Payable in
Terminated Single-Employer Plans to
prescribe interest assumptions under
the regulation for valuation dates in
June 2018. The interest assumptions are
used for paying benefits under
SUMMARY:
E:\FR\FM\15MYR1.SGM
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Agencies
[Federal Register Volume 83, Number 94 (Tuesday, May 15, 2018)]
[Rules and Regulations]
[Pages 22367-22387]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 2018-09640]
=======================================================================
-----------------------------------------------------------------------
DEPARTMENT OF JUSTICE
28 CFR Part 32
[Docket No.: OJP (BJA) 1722]
RIN 1121-AA85
Public Safety Officers' Benefits Program
AGENCY: Office of Justice Programs, Department of Justice.
ACTION: Final rule.
-----------------------------------------------------------------------
SUMMARY: This final rule finalizes two proposed rules in order to
update and improve the regulations of the Office of Justice Programs
(OJP) implementing the Public Safety Officers' Benefits (PSOB) Program,
in order to incorporate several statutory changes enacted in recent
years, address some gaps in the regulations, and improve the efficiency
of the PSOB Program claims process. After careful consideration and
analysis of the public comments on both proposed rules, the final rule
incorporates a number of changes as discussed below.
DATES: This rule is effective June 14, 2018, except for amendatory
instructions 10 (amending 28 CFR 32.12), 17 (amending 28 CFR 32.22),
and 32 (amending 28 CFR 32.53), which are effective June 14, 2020.
FOR FURTHER INFORMATION CONTACT: Hope Janke, Bureau of Justice
Assistance; Telephone: (202) 514-6278, or toll-free at (888) 744-6513.
SUPPLEMENTARY INFORMATION: The Public Safety Officers' Benefits (PSOB)
Program provides a statutory death benefit to certain survivors of
public safety officers who are fatally injured in the line of duty,
disability benefits to public safety officers catastrophically injured
in the line of duty, and education benefits to certain of the survivors
and family members of the foregoing public safety officers. Under the
Program, claims are filed with, and adjudicated by, the Office of
Justice Programs (OJP) of the U.S. Department of Justice. The
regulations for the PSOB Program are codified at 28 CFR part 32.
I. Executive Summary
A. Purpose of the Regulatory Action
OJP published two proposed rules for the PSOB Program, one on July
15, 2016, 81 FR 46019 (``PSOB I''), and the other on August 22, 2016,
81 FR 57348 (``PSOB II''). PSOB I primarily focused on certain changes
needed to implement statutory changes made by the Dale Long Act
(affecting members of rescue squad and ambulance crews, as well as
provisions related to certain heart attack/stroke/vascular rupture
cases), and also to align the workings of the PSOB Program with certain
provisions under the World Trade Center (WTC) Health Program, as well
as with the September 11th Victim Compensation Fund (VCF). PSOB II was
to implement recent statutory changes, address some gaps in the
regulations, and to improve the efficiency of the PSOB Program claims
process.
During the comment periods, OJP received comments on its proposed
rules from various parties. After further review of the proposed rules
and careful consideration and analysis of all comments on both proposed
rules, OJP has made amendments that are incorporated into this final
rule. In addition, the final rule includes a technical change
necessitated by the newly-enacted provisions of the Public Safety
Officers' Benefits Improvement Act of 2017, Public Law 115-36, 131
Stat. 841 (June 2, 2017). The final rule also includes (non-
substantive) changes to myriad cross-references to statutory
provisions, referred to in the regulations, that--effective September
1, 2017--were reclassified by the Law Revision Counsel of the House of
Representatives from title 42 of the U.S. Code to title 34 of the U.S.
Code.
During the comment period, OJP received comments on its proposed
rules from a number of interested parties: Various national police-,
fire-, and rescue associations and unions; a foundation supporting 9/11
responders; an organization that provides support and assistance to the
survivors of fallen law enforcement officers; a prosecutor and former
claims attorney, and two members of Congress. OJP received input from a
total of 7 commenters on the first proposed rule, and 8 commenters on
the second rule.
After careful consideration and analysis of all comments received,
OJP has made amendments that are incorporated into this consolidated
final rule. The final rule also contains a few clarifying changes to
provisions in the proposed rule where there were some previously
unnoticed ambiguities, or where the language was more complex than
necessary. A summary overview of the changes made by the final rule
follows below, with a more complete discussion (below that) of the
provisions of the rule, the public comments received on the proposed
rule, the Department's response, and the final changes incorporated
into the final rule.
Pursuant to 34 U.S.C. 10287, this final rule is intended (insofar
as consistent with law) to be effective and applicable to all claims
from and after the effective date hereof, whether pending (in any
stage) as of that date or subsequently filed.
B. Summary of the Major Changes in the Final Rule
The final rule makes the following conforming changes required by
the Dale Long Public Safety Officers' Benefits Improvement Act of 2012
(Dale Long Act), Public Law 112-239, which, among other things, added
(as codified at 34 U.S.C. 10282(9)(D)) as a new category of public
safety officer--``a member of a rescue squad or ambulance crew who, as
authorized or licensed by law and by the applicable agency or entity,
is engaging in rescue activity or in the provision of emergency medical
services''. The following changes implement the inclusion of the new
category of public safety officer by the following revisions and
additions to the PSOB regulations:
Revise definition of Employed by a public agency;
Revise definition of Line of duty activity or action to
align with statutory inclusion of members of rescue squads and
ambulance crews;
Revise definition of Officially recognized or designated
public employee member of a squad or crew;
Add a definition for Officially recognized or designated
volunteer member of a squad or crew;
Revise definition of Official training program of public
agency;
Remove definition of Public employee member of a squad or
crew, and
[[Page 22368]]
Redesignate and revise definition for Public safety
agency.
The Dale Long Act also amended some provisions in the PSOB Act
relating to cases involving heart attacks, strokes, or vascular rupture
cases. The following changes in the final rule implement those changes:
Define Competent medical evidence, Unrelated, and
Something other than the mere presence of cardiovascular disease risk
factors; remove certain no-longer-needed definitions.
The Dale Long Act also amended provisions of the PSOB Act affecting
the payment offset scheme for the PSOB Program relative to the
September 11th VCF Program. The final rule makes the following changes
in the regulations to implement these amendments, and also makes
changes in order to align the PSOB Program with WTC Health Program and
the VCF Program:
Revise the definition of Injury to include WTC-related
health condition;
Add definition for WTC-related health condition =to enable
the agency to use certain provisions of the WTCHP in determining
whether a responder suffered an ``injury'' in connection with his
response to the September 11, 2001, attacks;
Add definition for September 11, 2001, attacks;
Add definition for WTC responder; and
Amend the Payment and repayment provision (28 CFR 32.6) to
specify how the offset of PSOB benefits by September 11th VCF program
will be calculated.
The final rule makes the following changes in response to
identified ambiguities and gaps in existing regulations, as well as
opportunities to simplify and improve the program's administration:
Amends the Computation of time; filing provision (Sec.
32.2) to make explicit agency authority to prescribe an online claim
filing system;
Amends Time for filing a claim provisions (Sec. Sec.
32.12 and 32.22), and adds a suite of new definitions--Claim, Claimant,
Foundational evidence as to status and injury, Intention-notice filer,
Notice of intention to file a claim, Supporting-evidence collection
period--to implement a revised version of the ``completed application''
notion proposed in PSOB II;
Amends Authorized commuting to clarify that return travel
from responding to a fire-, rescue-, or police emergency is included;
Amends Gross negligence to allow for ``reasonable excuse/
objective justification'' exceptions;
Amends Line of duty injury to make explicit the inclusion
of injuries sustained as result of retaliation for line-of-duty actions
taken by an officer;
Makes express the coverage of certain trainees by defining
new terms (Candidate-officer and Candidate-officer training), and makes
corresponding amendments to the definitions of Firefighter,
Involvement, and Rescue squad or ambulance crew;
Amends the definition of Spouse to reflect current
jurisprudence, including the recent holding of the U.S. Court of
Appeals for the Federal Circuit in Hesson v. Department of Justice, 664
Fed. App'x 932 (2016), a PSOB case;
Makes express the circumstances under which officers
engaging in public safety activity outside of their jurisdictions would
be considered to be acting in the line of duty by adding a series of
presumptions in the Evidence provision at Sec. 32.5;
Amends the Evidence provision at Sec. 32.5 to create a
legal presumption that certain legally licensed or -authorized
volunteer fire departments satisfy various provisions the definition of
Instrumentality and a revised version of the substance of the
definition of Volunteer fire department proposed in PSOB II;
Amends the Evidence provision at Sec. 32.5(b) to include
specific reference to the PSOB Act, in order to ensure proper
application of the amendment made to the Act by the PSOB Improvement
Act of 2017 relating to weight of evidence and factual findings;
Amends the Fees for representative services provision
(Sec. 32.7) to provide for a percentage-fee option; and
Removes definitions for Dependent, Eligible dependent, and
Tax year to conform to statutory amendments made by the Dale Long Act.
C. Estimated Costs and Benefits
This final rule is considered an E.O. 13771 deregulatory action.
Details on the estimated cost savings of this proposed rule can be
found in the rule's economic analysis. The rule is expect to lead to an
increase in transfer payments. In addition, it will result in net cost
savings of approximately $24,723 per year to claimants and public
safety agencies in substantiating claims. As set out in more detail
below, this figure is based on the estimated annual cost savings to the
public from changes to the Dale Long Act implementing provisions that
will reduce the number of independent medical reviews required; and a
variety of marginal efficiencies and burden reduction for claimants
created by certain streamlined provisions and definitions.
II. Discussion of the Provisions of the Final Rule and Responses to
Public Comments on the Proposed Rules
A. Section 32.2--Computation of time; filing.
This section sets forth the timeframes, means, and deadlines for
filing a claim. The proposed rule sets forth some changes relating to
specification of what would be considered ``good cause'' for purposes
of waiver of filing deadlines. OJP received some comments on the PSOB I
proposed rule expressing concern that ``good cause'' did not cover
circumstances in which a claimant does not file a claim within time due
to a lack of regulation or process such as 9/11 exposure claims, and in
these comments OJP was asked to add to the proposed definition of
``good cause'' two provisions to address such circumstances. One
commenter suggested that OJP create a three-year filing window for 9/
11-health related death or disability claims similar to that provided
in VCF regulations that runs from three years of the date of the
regulation's publication. Another commenter recommended that ``good
cause'' also be extended to cases in which the claimant's death or
disability claim was not covered by the PSOB Program at the time of the
officer's death or disability or in cases where regulations permitting
such a claim were not promulgated in time for a claim to be timely
made.
OJP agrees that 9/11 exposure claimants should be provided with
additional time to file claims for death and disability benefits.
Rather than define ``good cause,'' OJP has decided that particular
issues can be best addressed by establishing specific exceptions to the
regulations that prescribe the time for filing death and disability
claims. Accordingly, the final rule amends those sections. See
discussion below on Sec. Sec. 32.12 and 32.22--Time for filing a
claim.
The final rule also makes minor technical changes for clarity at
Sec. Sec. 32.2(c) and 32.2(g) to make express reference to the
Director of BJA's authority to prescribe filing of claims by electronic
means (Sec. 32.2(g)), in anticipation of the rollout of the new online
PSOB claim system.
B. Sections 32.3, 32.13, 32.23, and 32.33--Definitions.
The proposed rules presented various technical and substantive
changes/additions to the definitions sections of the rule in order to
implement certain statutory changes (in particular, the Dale Long Act),
and also to align the PSOB program with the WTC Health Program.
[[Page 22369]]
The proposed rules also amended some definitions and added others to
address gaps and remove ambiguities, and to implement improvements in
claims processing. Considering all comments received, and upon further
study of the regulatory and statutory scheme, OJP has revised some
definitions as in the proposed rules, and declined to adopt others.
These changes are discussed by topic below.
1. Definitions To Implement the Dale Long Act Amendments Applicable to
Members of a Rescue Squad or Ambulance Crew
The Dale Long Act amended the PSOB Act to include a new category of
public safety officer--``a member of a rescue squad or ambulance crew
who, as authorized or licensed by law and by the applicable agency or
entity, is engaging in rescue activity or in the provision of emergency
medical services''. This amendment removed the requirement that an
individual member of a rescue squad or ambulance crew be a ``public
employee'', and also established the requirement that employee- and
volunteer members of public agency and nonprofit entity ambulance
squads and rescue crews actually be engaging in rescue activity or
providing emergency medical services in order to qualify as public
safety officers under the Act.
The proposed rule provided revised definitions for Line of duty
activity or action and Officially recognized or designated public
employee member of a squad or crew and Eligible public safety officer
to implement these changes. The agency did not receive any comments on
this aspect of the proposed rule. After further analysis, the agency
has determined that proper implementation of the statutory changes
requires some additional definitions and slight changes to what was set
forth in the proposed rule.
Accordingly, the final rule amends the program regulations in a
more efficient way (with the same substantive result proposed to be
reached in PSOB II)--i.e., the final rule amends the program
regulations by removing or amending the provisions that related to the
former statutory requirement that members of a rescue squad or
ambulance crew be ``public employees'' and adding provisions that
reflect the new statutory requirements that replaced the former
``public employee'' requirement (see definitions of Employed by a
public agency, Line of duty activity or action, Officially recognized
or designated employee member of a squad or crew, Officially recognized
or designated volunteer member of a squad or crew, and Public safety
agency).
2. Definitions To Implement Dale Long Act Amendments Relating to the
Heart Attack-, Stroke- or Vascular Rupture Cases
The Dale Long Act amended the statutory presumption in the PSOB Act
covering certain fatal heart attacks, strokes, and vascular ruptures
(at 34 U.S.C. 10281(k). Specifically, the new language provides that
the presumption of coverage is overcome if ``competent medical evidence
establishes that the heart attack, stroke, or vascular rupture was
unrelated to the engagement or participation or was directly and
proximately caused by something other than the mere presence of
cardiovascular-disease risk factors.''
PSOB I proposed to add definitions for Unrelated, Competent medical
evidence, and Something other than the mere presence of cardiovascular
disease risk factor. One commenter expressed approval that ``PSOB is
proposing to amend approved causes of death to include heart attacks,
strokes, and vascular ruptures.'' OJP appreciates the support for the
proposed rule but notes that the commenter appears to misunderstand the
operation of the legal presumption in the statute. The proposed rule
would not have amended anything relating to ``cause of death''--but
rather would have implemented the statutory changes made to the
presumption of a line-of-duty death for certain heart attack/stroke/
vascular rupture cases by defining the new terms not defined in the
statute itself.
Another commenter supported the proposed rule and stated that it
would eliminate unnecessary medical evidence; another stated that the
proposed rule would implement the Hometown Heroes Act as Congress
intended. One commenter noted that the Dale Long Act did not define the
phrase ``something other than the mere presence of cardiovascular
disease risk factors'' and stated that the proposed definition did not
support the intent of the Dale Long Act of ensuring that the families
of officers who died or were permanently and totally disabled in the
line of duty were provided benefits, and asked that the proposed
definition be removed from the final rule. OJP appreciates these
comments but does not agree, that the proposed definition is contrary
to the intent of the Dale Long Act, or that it would limit the
availability of benefits other than as the statute already has
directed. The statutory term is key to determining when the presumption
afforded by 34 U.S.C. 10281(k) is rebutted. In itself, the phrase
``something other than'' is inherently ambiguous; to leave it undefined
invites uncertainty. Accordingly, by defining the term in the
regulation, OJP provides clarity and direction as to the circumstances
under which the presumption would be rebutted, and the nature of the
additional evidentiary development and medical review of the record
that may be required in certain cases. Accordingly, the final rule
adopts, with minor, non-substantive change, the language of the
proposed rule, which implements the statutory changes by providing
definitions of the statutory terms, so that claimants are informed
under what circumstances the presumption provided at 34 U.S.C. 10281(k)
may be overcome.
3. Provision Relating to the WTC Health Program and September 11th VCF
Program
PSOB I proposed to amend the PSOB regulations in an effort to align
the PSOB Program with the WTC Health Program and the VCF Program:
Defining new terms--September 11, 2001, terrorist attacks, List of WTC-
related health conditions, and Physical harm (and amending the Evidence
provision of the regulation at 32.4 to include this latter term)--and
amending the term Injury to include the notion of a health condition
that is ``medically associated with a WTC-related health condition.''
One commenter stated that although it was generally supportive of
the regulatory changes proposed to address the unique circumstances of
9/11 claims, it noted that OJP relied on an outdated version of VCF's
definition of ``physical harm'' in 28 CFR 104.2. The commenter noted
that the current rule, codified at 104.2(d) as published in the Federal
Register on June 15, 2016, 81 FR 38936, 38941, added to the previous
definition, ``A WTC-Related Physical Health Condition,'' which
eliminated the requirements that a WTC-Related Physical Health
Condition must have been treated by a medical professional within a
reasonable period of time from the date such harm was discovered and be
verifiable by contemporaneously created medical records. Another
commenter noted the same issue and stated that the proposed rule should
reflect the VCF's amended definition. Based on the comments, OJP has
determined that proposed incorporation of the term ``physical harm'' as
a definition in the PSOB rule is not necessary, as the VCF regulations
do not require such harm to establish a WTC-related physical health
condition. Accordingly, OJP has omitted the definition from the final
rule.
[[Page 22370]]
The proposed rule did not include a definition for ``medically
associated'' (a term included in the proposed amendment of the
definition of Injury), as OJP had anticipated that the analysis
required for such determinations was better suited for the expertise of
the WTC Health Program. Some commenters stated that the rule should
include provisions that would enable the PSOB Program independently to
identify as an injury those conditions ``medically associated'' with
WTC-related health conditions. Other commenters pointed out that the
law authorizing the Administrator of the WTC Health Program to certify
a health condition as ``WTC-related'' also extends to conditions not on
the List of WTC-Related Health Conditions, by virtue of the
Administrator's authority to require the WTC Health Program cover
conditions that he finds to be ``medically associated with a WTC-
related health condition.'' \1\ As the WTC Health Program Administrator
is authorized to make such certifications, the commenters suggest that
the PSOB Program should also adopt this authority.
---------------------------------------------------------------------------
\1\ 42 U.S.C. 300mm-22(b)(2)(A)-(B).
---------------------------------------------------------------------------
Although the proposed rule did not include ``medically associated''
conditions within its definition, after careful consideration, OJP
recognizes that a condition certified by the Administrator of the WTC
Health Program as ``medically associated'' with a WTC-related health
condition could be an injury that directly and proximately causes a
public safety officer's death or permanent and total disability.
Accordingly, the final rule replaces the definition of List of WTC-
related health conditions with a definition of WTC-related health
condition, a term that is broader than the one in the proposed rule.
OJP is not inclined, despite encouragement by one commenter,
independently to determine when a condition is ``medically
associated,'' because OJP has determined that it should rely on the
expertise of the WTC Health Program in these matters. As revised in the
final rule, the definition of a ``WTC-related health condition'' allows
the agency to use certain provisions of the WTCHP in determining
whether a responder suffered an ``injury'' in connection with his
response to the September 11, 2001, attacks. To further this alignment
of the PSOB Program with the WTC Health Program, the final rule also
defines the terms September 11, 2001, attacks and WTC responder (which
relates to the definition of Injury) to tie them to the WTC Health
Program statute and implementing regulations at 42 CFR part 88.
4. Definitions Relating to Trainees, Suppression of Fire, Onsite Hazard
Management, and Officers Acting Outside of Jurisdiction
OJP had attempted, in its proposed rule, to expand coverage under
the PSOB Program to include trainees (and certain others) as ``public
safety officers'' under circumstances in which they have no authority
to engage in public safety activity, and also to expand coverage to
officers responding outside of their jurisdiction where no law
authorized such response. A number of commenters understandably
applauded these proposed provisions, strictly on policy grounds, rather
than on the basis of anything authorized by the law. Regarding the
proposed addition of trainees (and others) as public safety officers
and coverage of officers acting outside of their jurisdictions where no
law authorized such action, however, one commenter forcefully pointed
out that the provision was contrary to the language of the PSOB Act and
to the legislative history of the Dale Long Act, and that a provision
covering injuries sustained by law enforcement trainees with no
authority to enforce the law was at odds with Hawkins v. United States,
469 F.3d 993 (Fed. Cir. 2006), providing that a law enforcement
officer's ``actual responsibilities and obligations'' determine whether
an individual is in fact a law enforcement officer.
Upon further reflection, careful review of PSOB rulings by the
federal courts, see, e.g., Howard v. United States, 229 Ct. Cl. 507
(1981); Budd v. United States, 225 Ct. Cl. 725 (1980); Tafoya v. United
States, 8 Cl. Ct. 256 (1985); Yanco v. United States, 45 Fed. Cl. 782
(2000); and Amber-Messick ex rel. Kangas v. United States, 483 F.3d
1316 (Fed. Cir. 2007); and close consideration of the lengthy
discussion in H.R. Rep. 112-548 (accompanying the Dale Long Act), OJP
has determined these proposed expansions of coverage may not lawfully
be made by regulation, as such expansions would be ultra vires under
the PSOB Act. The discussion in the House Report on the Dale Long Act
refers specifically to the authority requirement under the PSOB Act:
[U]nder the PSOBA as currently in effect, police academy trainees
are considered ``law enforcement officers'' only after they acquire
the legal authority and responsibility to go out and enforce the law
by making arrests and detaining real or suspected criminals,
because, under the PSOBA and related statutes, one cannot be a ``law
enforcement officer'' unless one actually has the legal duty to
enforce the criminal law; and the same goes for fire-fighter
trainees, who are not considered ``firefighters'' until they
actually acquire the legal authority and responsibility to go out
and protect the public by fighting fires, because one is not a
``firefighter'' under the PSOBA and related statutes if one is not
under the duty to fight fires. Mere authority to engage in training
activities has never been enough to make someone a public safety
officer, and when the dangers inherent in some academy or other
training exercises lead to fatal or catastrophic injury, only those
trainees who coincidentally happen already to have that outside
legal authority and responsibility are covered under current law.
H. Rep. No. 112-548 (2012).
OJP has concluded that the specific expansions that were proposed
to cover trainees and officers acting outside their jurisdictions,
however desirable, may be accomplished only through legislation. For
this reason, the final rule does not include the specific expansions
proposed. Nonetheless, the final rule does modify the current
regulations to make express that trainee officers are covered, where
those trainee-officers do have legal authority. To this end, the final
rule adds the following new definitions: Candidate officer and
Candidate-officer training, and amends the definitions of Firefighter,
Involvement, and Member of a rescue squad or ambulance crew to include
the terms ``candidate-officer'' and ``candidate-officer training''. As
a result of these revisions, the final rule makes clear that a trainee
public safety officer who possesses requisite authority would be
covered as a ``public safety officer'' under the PSOB Act.
Similarly, for an officer acting outside of his jurisdiction, the
final rule clarifies the circumstances when such an officer would be
covered, through the mechanism of certain evidentiary presumptions.
(See discussion below of Evidence at Sec. 32.5.)
5. Amendment of Definition of ``Child of a Public Safety Officer''
The Dale Long Act amended the definition of ``child'' under the
PSOB Act by tying the term, for the first time, specifically to ``the
time of the public safety officer's fatal or catastrophic injury.'' 34
U.S.C. 10284(3) (Emphasis added.) Pursuant to this statutory amendment,
the final rule makes conforming changes to the regulatory definition of
Child of a public safety officer.
6. Provisions Relating to Claims Processing
In OJP's current practice, when it receives an application for
benefits that lacks the basic required documents
[[Page 22371]]
needed to render a determination, it assigns it a claim number,
processes it as a claim from the moment a claim form is received, and
thereafter conducts biweekly outreach efforts to obtain from the
applicant and the officer's public agency information required to
establish eligibility for benefits. Claims lacking the basic required
documents are currently treated as part of the backlog, even though
those claims are not ready for adjudication.
In an effort to improve the efficiency of claims processing, PSOB
II proposed to add a new provision, at Sec. 32.9, setting forth a new
notion, called ``completed application'' for benefits. Under the
proposed rule, the PSOB Office would maintain and publish on the PSOB
Program website a list of basic required documents that claimants would
be required to file with applications for PSOB Program death,
disability, and education benefits--which would be the absolute minimum
documentation that the PSOB Program would require before treating an
application as a claim, and devoting resources to processing it as
such.
OJP did not receive specific comments about the proposed Sec.
32.9. As discussed below, however, at Time for filing a claim under
Sec. Sec. 32.12 and 32.22, the final rule implements the substance of
the proposed mechanism in a somewhat different way, and with largely
the same effect. Accordingly, the final rule does not include a new
Sec. 32.9, but, instead, provides new definitions for the following
terms: Claim, Claimant, Foundational evidence as to status and injury,
Intention-notice filer, Notice of intention to file a claim, and
Supporting-evidence collection period. Under the final rule, an
individual may elect (instead of filing a claim) to file a ``notice of
intention to file''--which essentially stops the clock for a year
(called the Supporting-evidence period), while the individual and the
involved agencies gather Foundational evidence (which was what the
proposed rule had intended to refer to by a list on the PSOB website.)
At any time during this period, an individual may opt to submit a
claim. In line with the proposed rule, this mechanism is designed to
assist individuals who intend to file claims by affording them time to
gather the information necessary for the claim, as well as provide
transparency regarding the progress of the process so that they better
understand what foundational evidence is required for their claims. In
addition, the mechanism set out in the final rule will assist OJP in
improving efficiencies in claims review.
7. Provisions Relating to Statutory Limitations on Payment (34 U.S.C.
10282)
PSOB II proposed changes to the existing definitions of Voluntary
intoxication at the time of death or catastrophic injury and Gross
negligence, which implement statutory limitations in the PSOB Act found
at 34 U.S.C. 10282. The preamble to the proposed rule explained that
the aim of these changes was OJP's effort to ``focus its inquiry'' with
regard to the issues arising under this provision, and ``to
streamline'' and ``to simplify the application of this statutory bar to
payment and limit its application.'' The proposed rule also amended the
term defined in the existing regulation (Voluntary intoxication at the
time of death or catastrophic injury) to reflect a statutory amendment
that changed the statutory reference to voluntary intoxication at ``the
time of the officer's fatal or catastrophic injury.''
Since the proposed rule was published, however, the legal landscape
with regard to the limitations provision in the PSOB Act has changed
significantly. Enacted on June 2, 2017, the PSOB Improvements Act of
2017 amended 34 U.S.C. 10282 to provide that when determining a PSOB
claim, OJP ``shall presume that none of limitations'' in 34 U.S.C.
10282(a) applies, and that it ``shall not determine that a limitation .
. . applies, absent clear and convincing evidence.'' Public Law 115-36.
This statutory amendment alters how the agency must apply 34 U.S.C.
10282. OJP has determined that most of the proposed changes to the
definition of Voluntary intoxication at the time of death or
catastrophic injury are not necessary. Consonant with the thrust of the
proposed rule, however, and with the positive commentary received in
connection with the proposed changes, the final rule does (1) replace
the existing definition of Voluntary intoxication at the time of death
or catastrophic injury with a new definition of Voluntary intoxication
at the time of fatal or catastrophic injury that largely restates the
substance of the existing one, but is framed using much more
``streamlined'' and ``simplified'' language that is tied to analogous
changes to the existing regulatory definition of the statutory term
Drugs and other substances; and (2) amend the definition of Gross
negligence to allow for reasonable excuse- and objective justification
exceptions from the departure from standard of care.
8. Authorized Commuting
A few commenters commented on the proposed amendment of the
definition of authorized commuting in PSOB II. One commenter supported
the clarification in the proposed rule that return travel from public
safety is a line of duty activity and recommended that OJP revise
paragraph (2)(ii) of the definition of authorized commuting in the
proposed rule to cover travel in a vehicle not issued by the officer's
agency pursuant to an authorization by the agency that the officer use
such vehicle for work. Another commenter, while supporting the proposed
revision of the rule to cover return travel from public safety
activity, recommended that OJP revise paragraph (2) of the proposed
rule to cover all travel to and from work as in the line of duty.
OJP declines to expand the definition of ``authorized commuting''
to include all travel to and from work, as this would be inconsistent
with the rationale and legal basis for the current rule. The current
rule is based on well-established exceptions to the ``coming and
going'' rule and covers three categories of work-related travel
situations that indicate a connection between the officer's employment
and the circumstances of the officer's injury such that the injury can
be said to have been sustained in the line of duty.\2\ As described in
OJP's 2006 rulemaking, these exceptions are: ``(1) the officer is
responding to a particular fire, police or rescue emergency; (2) the
officer is commuting to or from work in an agency vehicle; or (3) the
officer is commuting to or from work in a personal vehicle that [the
officer] is required to use for work.'' \3\
---------------------------------------------------------------------------
\2\ See Russell v. Law Enforcement Assistance Admin., 637 F.2d
1255, 1263-64 (9th Cir. 1980).
\3\ 71 FR 46028, 46033 (Aug. 10, 2006).
---------------------------------------------------------------------------
The final rule amends the definition in a slightly different way
from the proposed rule, but with substantially the same result of
including as authorized commuting travel to and from work in those
circumstances where: (1) The officer is responding to a particular
fire, police or rescue emergency (or returning from such response); (2)
the officer is commuting to or from work in an agency vehicle; or (3)
the officer is commuting to or from work in a personal vehicle that the
officer is required to use for work.
9. Line of Duty Injury
Two commenters supported the proposed rule's revision of the term
``line of duty injury'' to include those injuries sustained as a result
of retaliation for actions taken in the line of duty by an officer.
Consistent with
[[Page 22372]]
the thrust of PSOB II, the final rule amends the term to include those
injuries sustained as a result of retaliation for actions taken in the
line of duty by an officer.
10. Instrumentality
With respect to non-profit volunteer fire departments, the proposed
rule introduced a new definition of volunteer fire department in an
attempt to include those volunteer fire departments that would not
otherwise meet the definition of public agency because the particular
arrangements they have with their jurisdictions. One commenter
generally supported the proposed definition of a volunteer fire
department, but expressed concern about the third condition in the
proposed rule, to require that a VFD provide ``fire protection to the
public without preference or subscription.'' Noting that some VFDs
provide services to all members of the public but are funded through
subscriptions, the commenter recommended that the term ``subscription''
be deleted from the rule. A second commenter disagreed with the
proposed definition of volunteer fire department, asserting that the
proposed regulation would revise the definition to permit VFDs to
qualify as instrumentalities ``even when they are not
instrumentalities'' and, in so doing, impermissibly ``writes the words
out of the law.'' The commenter recommended that OJP should consider
amending its own definition of instrumentality ``to better reflect the
realities of volunteer fire departments.'' The final rule establishes
an evidentiary presumption, in lieu of the definitional change that had
been proposed in PSOB II, with substantially the same result and which
addresses the concerns raised by the commenters. (See discussion below
of Sec. 32.5.)
11. Spouse
The definition is modified to reflect current jurisprudence,
including the holding of the U.S. Court of Appeals for the Federal
Circuit in a PSOB case decided only last year, Hesson v. Department of
Justice, 664 Fed. App'x 932 (2016). The final rule makes clear that the
regulatory definition does not refer to the injured or deceased public
safety officer.
12. Proposed Definitional Changes That Are Not Included in Final Rule
PSOB II proposed various other changes to the definitions (not
otherwise discussed above), which are not adopted in the final rule:
Injury--PSOB II proposed to amend the definition of Injury
to make certain changes, including some changes relating to stress and
strain (including mental stress and strain) and some changes that would
have added a series of examples of types of injuries. After considering
comments that criticized the proposed amendments on the grounds that
they may be misleading and could be interpreted as not including other,
similar injuries, and after reflecting further on certain relevant
judicial holdings in several PSOB cases,\4\ OJP declines, in this final
rule, to make the amendments to this definition that were proposed.
Unrelated to this, however, OJP does amend the definition of Injury
with regard to WTC-related health conditions, discussed above in B.3.
---------------------------------------------------------------------------
\4\ Juneau v. Dep't of Justice, 583 F.3d 777 (Fed. Cir. 2009)
(``conditions caused by `stress or strain' '' not covered under
PSOB); Yanco v. United States, 258 F.3d 1356 (Fed. Cir. 2001) (``. .
. Congress's intent in enacting the Benefits Act was to provide a
death benefit for the survivor or survivors of a law enforcement
officer who dies as the result of what one would understand to be
some kind of a physical assault or trauma to the body. . . . In
short, the legislative history points away from an intent on the
part of Congress to have the statutory term 'personal injury'
include mental strain.''), aff'g 45 Fed. Cl. 782 (2000); Greeley ex
rel. Greeley v. United States, 50 F.3d 1009 (Fed. Cir. 1995);
Russell v. United States, 231 Ct. Cl. 1022; Smykowski v. United
States, 647 F.2d 1103 (Ct. Cl. 1981) (``exclu[sion of] stress [and]
strain . . . from the coverage of the Act [is] amply justified by
the statutory language, legislative history, and medical
statistics.''); Morrow v. United States, 647 F.2d 1099 (Ct. Cl.
1981); Curtis v. Dep't of Justice, 342 Fed. App'x 610 (Fed. Cir.
2009) (``the PSOB Act does not provide compensation for'' such
conditions as ``mental strains such as PTSD and depression'');
Canfield v. United States, No. 339-79 (Fed. Cir. Dec. 29, 1982)
(non-coverage of strain ``is well within the purposes and intent of
the statute''); Porter v. United States, 64 Fed. Cl. 143 (2005),
aff'd mem., 176 Fed. App'x 111 (Fed. Cir. 2006); Durco v. United
States, 14 Cl. Ct. 424 (1988); North v. United States, 555 F. Supp.
382 (Cl. Ct. 1982); Cook v. United States, No. 05-1050C (Fed. Cl.
Jun. 15, 2006); Davison v. United States, No. 99-361C (Fed. Cl. Apr.
19, 2002); Askew v. United States, No. 542-83C (Cl. Ct. Aug. 27,
1984); see also Harrison v. Dep't of Justice, No. 14-8006 (Fed. Cir.
Oct. 16, 2015).
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PSOB Counsel--PSOB II proposed to add a new section 32.10
(PSOB Counsel) that, among other things, would have severely limited
the internal, administrative review of factual findings in PSOB claims.
Some favorable comments were received (mostly on grounds of preventing
unnecessary delay by counsel). Notwithstanding the opinion reflected in
these comments, in this connection, OJP notes that the Office of the
Inspector General's ``Audit of the Office of Justice Programs'
Processing of Public Safety Officers' Benefit Programs Claims'' (Audit
Division Report No. 15-21: July, 2015) determined that the chronic
delays in processing of PSOB claims had various causes, none of which
was attributable to actions taken by the OJP Office of the General
Counsel, or the PSOB Legal Counsel. Another commenter (currently a
prosecutor--and thus a public safety officer under the PSOB Act--and
formerly a claims attorney) expressed strenuous opposition to the
proposal, citing both a very-detailed and sharply-critical, recent
determination by the Department of Justice's Inspector General
(Oversight and Review Division Report #16-03 (May 3016)) ``that the
Director of the Bureau [of Justice Assistance], in a PSOB Act case,
made factual findings that were not supported by any evidence in the
record and actually paid the claim against the law'' and the House
Judiciary Committee Report that accompanied the Dale Long Act (H.R.
Rep. No. 112-548). The House Report does include discussion that runs
counter to the thrust of the proposal:
When it approves claims for the benefits payable under the PSOBA
and related statutes, the Bureau of Justice Assistance of the
Justice Department's Office of Justice Programs has a legal duty to
do so judiciously. The Bureau has the concurrent duty to be both the
impartial administrator of the PSOBA according to the law and the
impartial guardian of the public treasury with respect to it.
Failure to administer the PSOBA program in keeping with these two
principles could jeopardize the program's continued existence. It is
just as problematic for the program if the Department of Justice
pays a PSOBA claim when payment is not unequivocally warranted by
the PSOBA program statutes and implementing regulations, or is not
supported by the evidence, as it is for the Department to deny
payment when payment is clearly required.
Under 31 U.S.C. 3528, every Department official who determines
PSOBA claims and/or certifies payments is personally ``responsible
for . . . repaying a payment [that is] illegal, improper, or
incorrect because of an inaccurate or misleading certificate; [that
is] prohibited by law; or . . . that does not represent a legal
obligation under the appropriation . . . involved'' unless the
determination ``was based on official records and the official did
not know, and by reasonable diligence and inquiry could not have
discovered, the correct information.'' Under 31 U.S.C. 3528, every
Department official who determines PSOBA claims and/or certifies
payments is personally ``responsible for . . . repaying a payment
[that is] illegal, improper, or incorrect because of an inaccurate
or misleading certificate; [that is] prohibited by law; or . . .
that does not represent a legal obligation under the appropriation .
. . involved'' unless the determination ``was based on official
records and the official did not know, and by reasonable diligence
and inquiry could not have discovered, the correct information.''
Moreover, under 31 U.S.C. 1301(a), a payment pursuant to a
legally unwarranted PSOBA determination would appear to be a
[[Page 22373]]
violation of 31 U.S.C. 1341(a)(1)(A), the Anti-Deficiency Act, which
is a felony statute in addition to carrying civil and administrative
penalties, 31 U.S.C. 1350, 1349(a).
* * * * *
Every PSOBA case is a legal claim against the Treasury, and the
[PSOB] regulations and consistent administrative precedents have
helped to ensure that the Federal Government, which is in the midst
of its greatest debt crisis since the Founding, decides these claims
strictly in accordance with the PSOBA and the underlying law
governing legal gratuities, in a generally consistent and orderly
manner over time, and based on real, objective, and legally
sufficient evidence that objectively meets the standards of proof
set forth in the law, rather than speculation, fancied legislative
intent, uncorroborated assertions, biased evidence, a slanted
record, incomplete information, or sympathy, however understandable
or deeply felt.
H.R. Rep. No. 112-548 (2012). Given all the foregoing, OJP declines, in
this final rule, to add the proposed Sec. 32.10.
Miscellaneous proposed changes--PSOB II proposed to amend
the PSOB regulatory definitions of Beneficiary of life insurance policy
of public safety officer, Engagement in a situation, Gainful work,
Medical certainty, Non-routine strenuous physical activity, Non-routine
stressful physical activity, Permanently disabled, and Totally
disabled. After reflecting further on the text of the PSOB Act itself,
and on the discussion about the Department's responsibilities in
adjudicating PSOB claims, quoted immediately above, from the House
Judiciary Committee Report that accompanied the Dale Long Act (H.R.
Rep. No. 112-548), OJP declines, in this final rule, to make proposed
amendments to these definitions.
C. Section 32.4--Terms; construction; severability.
The final rule makes a change to this section to make it parallel
to a provision of the PSOB Act (at 34 U.S.C. 10285(d)), so that the
same rule regarding the operation of the legal doctrine of
incorporation applies both in the PSOB Act and in the PSOB regulations.
D. Section 32. 5--Evidence.
As discussed in Section B.4 above, the PSOB II rule proposed, ultra
vires, to expand coverage under the PSOB Program to certain law
enforcement officers and firefighters who respond to public safety
events outside of their respective jurisdictions even where no law
authorized such response.
After reconsidering the regulatory and statutory schemes, OJP is
adopting amendments to Sec. 32.5 in this final rule, to establish
certain evidentiary presumptions that will accomplish as much of the
substance of the rule proposed as may be accomplished without statutory
change. The new paragraphs (j), (k) and (l) in Sec. 32.5 operate as a
suite of presumptions designed to cover public safety activity
performed by a law enforcement officer or firefighter as Line of duty
activity or action under certain circumstances.
Section 32.5(j) provides that public safety activity
performed by a law enforcement officer or firefighter is presumed to be
activity or action that he is obligated or authorized to perform under
the auspices of the public agency he serves if--(1) the public safety
activity is not forbidden (by law, rule, regulation, condition of
employment, etc.); and (2) the officer performs the public safety
activity either (a) within his jurisdiction (i.e., within the
jurisdiction where he normally is authorized to act in the line of his
duty); or (b) within a jurisdiction (not his own) that provides
authority for law enforcement officers or firefighters from outside the
jurisdiction to perform the public safety activity he performed.
Section 32.5(k) establishes that the requirements of Sec.
32.5(j) generally will be presumed to be satisfied if full line-of-duty
death or disability benefits have been paid in the ordinary course.
Section 32.5(l) provides that if the presumption
established by Sec. 32.5(j) arises under circumstances where the
public safety activity is performed outside the jurisdiction where the
law enforcement officer or the firefighter normally is authorized to
act in the line of his duty, then the law enforcement officer or the
firefighter shall be deemed to serving that jurisdiction ``in an
official capacity'' when he performed the public safety activity (which
an element required under the PSOB Act's definition of ``public safety
officer'' at 34 U.S.C. 10284(9)). To be eligible as a ``public safety
officer'' under the Act, a firefighter must be serving ``a public
agency in an official capacity.'' 34 U.S.C. 10284(9)(A); the statutory
definition of ``public agency'' includes an ``instrumentality'' of a
government.
In PSOB II, OJP proposed a new definition of Volunteer fire
department to address the status of volunteer fire departments as
``public agencies'' under the PSOB Act. (See discussion under B.10.
above.) After further analysis and study, and following somewhat upon
the suggestion of one commenter on the proposed rule (who recommended
that the proposed change be accomplished--if at all--through amendment
of the definition of Instrumentality), OJP has determined that a better
approach is to create a legal presumption that certain legally licensed
or -authorized volunteer fire departments satisfy various provisions of
the definition of Instrumentality.
PSOB II proposed to make certain amendments to Sec. 32.5,
including amendments relating to the presumption at 34 U.S.C. 10281(k)
(affecting heart attack/stroke/vascular rupture cases) (Sec. 32.5(i),
to general evidentiary rules (Sec. Sec. 32.5(b) and (c); 32.5(k)), and
to WTC-related health conditions. Although these proposals garnered
some comments favoring the policy, the proposals also were the object
of very forceful negative commentary (which included citation to H.R.
Rep. 112-548 (accompanying the Dale Long Act))--almost entirely of a
legal nature--opining that the several proposals variously would
``write[ ] the very meaning of [certain language] out of the PSOB
statute,'' would ``swallow'' exceptions established in the PSOB Act,
appeared to involve ``overreach by DOJ to get around statutory language
in order to pay claims,'' and would produce ``case after case in
litigation.''
After further reflection on the comments received, and after close
consideration of the stern admonition in H.R. Rep. 112-548 to the
effect that the PSOB Act's ``requirements [are] firmly established in
the law and therefore [are] to be given full effect, rather than
minimized, ignored, or interpreted away, judicially or
administratively,'' H. Rep. No. 112-548 (2012), OJP agrees largely with
the negative commentary it received. Accordingly--with one partial
exception involving WTC-related health conditions--the final rule does
not include the proposed changes to Sec. 32.5. In the final rule, the
substance of the change proposed to be made to Sec. 32.5 involving
WTC-related health conditions is being implemented, instead, through a
direct amendment to the definition of Injury under Sec. 32.3.
E. Section 32.6--Payment and repayment
OJP proposed to amend this provision to specify how the PSOB
Program will calculate the offset of PSOB death or disability benefits
based on the actual net amount of compensation paid to or on behalf of
a public safety officer under the September 11th VCF program after all
VCF-mandated offsets have been subtracted. No comments were received on
the proposal, which is included in the final rule without substantive
change.
F. Section 32.7--Fees for representative services
Various changes were proposed to the fee provisions in the current
regulations to establish the maximum fees that may
[[Page 22374]]
be charged for services performed in connection with a claim, to
eliminate restrictions on types of fee arrangements, and to establish
fee amounts that are presumptively reasonable in claims determined at
the PSOB Office level, at the Hearing Officer level, or at the BJA
Director level. The agency did not receive comments on the proposed
rule.
The final rule provides for a percentage-fee arrangement as an
option that may be used in appropriate circumstances to determine
attorneys' fees. That is, claimants may choose the new percentage-fee
approach in lieu of the traditional fee petition process (entailing
submission of itemized specifics of fees) that is in place under the
current rule. Petitions for authorization to receive fees in amounts
greater than those specified in in the percentage-fee provision (or
under circumstances not covered by that provision) otherwise will be
continue to be considered as they are at present under this section of
the regulations.
G. Sections 32.12 and 32.22--Time for filing a claim.
In response to the comments on the proposed rule's changes to Sec.
32.2 Computation of time (see discussion at II.A. above), the final
rule revises the provisions prescribing when claims for PSOB Program
death and disability must be filed: For ordinary claims, claimants must
file a claim before the later of three years from the date of the
officer's death or injury, or one year from the date of a final public
agency decision of eligibility to receive or denial of death (or
disability) benefits based on the officer's service. For claims based
on an injury resulting from the September 11, 2001, attacks, claimants
must file such claims before the latter of two years from the effective
date of this final rule, two years from the date the WTC-related health
condition upon which the claim is based is added to the List of WTC-
Related Health Conditions, or two years from the date such condition is
certified by the Administrator of the WTC Health Program as medically
associated with a WTC-related health condition.
Much of the proposed rule, and of the public comments, concerned
circumstances under which OJP may consider a claim abandoned, and what
to do when a claim cannot be properly processed because evidence is
lacking (at times through no fault of the claimant), and the mechanics
of a contemplated ``complete applications'' scheme. Consistent with the
thrust of the proposed rule (but not its precise terminology and
mechanics), the final rule provides an optional pre-claim evidence
collection period mechanism that stops the filing-deadline clock so
that individuals are given time to gather the basic foundational
evidence without the looming prospect of a claim's being deemed
abandoned. Individuals will have the option of filing a ``notice of
intent to file'', rather than filing a claim directly, in order to
afford them time to gather the ``foundational evidence'' needed to
establish a claim. This approach, together with the new, online PSOB
application system currently in beta-testing, will improve clarity and
transparency throughout the process regarding the status of filings and
claims, and avoid delays occasioned by miscommunication and
misunderstandings regarding claim requirements and status. Throughout
this period and the claim process period, the PSOB Office will continue
to assist individuals in obtaining information needed to move a claim
forward, using its subpoena authority wherever and whenever appropriate
and necessary.
H. Section 32.14--PSOB Office determination.
The final rule makes conforming changes largely related to the
modified claims processing procedures described in B.6, above, and to
the phrasing in the rest of the rule.
I. Section 32.15--Prerequisite certification.
The final rule makes conforming changes related to the Dale Long
Act amendment adding a new category of public safety officer, described
in B.1, above.
J. Section 32.16--Payment.
The final rule makes conforming changes related to the Dale Long
Act amendment related to distribution of benefits under 34 U.S.C.
10281(a).
K. Section 32.24--PSOB Office determination.
The final rule makes conforming changes related to the modified
claims processing procedures described in B.6, above, and to the
phrasing in the rest of the rule.
L. Section 32.25--Prerequisite certification.
The final rule makes conforming changes related to the Dale Long
Act amendment adding a new category of public safety officer, described
in B.1, above.
M. Section 32.26--Payment.
The final rule removes and reserves this section to conform to the
Dale Long Act amendment related to distribution of benefits under 34
U.S.C. 10281(a).
N. Section 32.32--Time for filing a claim.
The final rule makes a grammatical correction.
O. Section 32.44--Hearing Officer determination.
The final rule makes non-substantive, stylistic changes, to conform
the phrasing to the rest of the rule.
P. Section 32.45--Hearings.
The final rule adds language that is substantively the same as
language proposed in PSOB II, relating to who may examine claimants
during hearings.
Q. Section 32.52--Time for filing Director appeal.
The final rule makes a grammatical correction.
R. Section 32.53(a)--Review.
In keeping with the proposed rule, the final rule amends this
section to allow reconsideration of certain denied claims where the
public safety officer was WTC responder.
S. Section 32.54--Director determination.
The final rule makes stylistic, conforming changes related to the
modified claims processing procedures described in B.6, above, and to
the phrasing in the rest of the rule.
T. Section 32.55--Judicial Appeal.
The final rule removes language that unnecessarily repeats the
substance of language in 34 U.S.C. 10287.
III. Regulatory Requirements
Executive Order 12866 and 13563--Regulatory Planning and Review;
Executive Order 13771--Reducing Regulation and Controlling Cost
This rule has been drafted and reviewed in accordance with
Executive Order 12866, ``Regulatory Planning and Review,'' section
1(b), Principles of Regulation, and in accordance with Executive Order
13563, ``Improving Regulation and Regulatory Review,'' section 1(b),
General Principles of Regulation. The Office of Justice Programs has
determined that this rule is a ``significant regulatory action''
(though not an ``economically significant'' action) under section 3(f)
of the Executive Order 12866, and accordingly this rule has been
reviewed
[[Page 22375]]
by the Office of Management and Budget (OMB).
Executive Orders 12866 and 13563 direct agencies to assess all
costs and benefits of available regulatory alternatives and, if
regulation is necessary, to select regulatory approaches that maximize
net benefits (including potential economic, environmental, public
health and safety effects, distributive impacts, and equity). As
explained below, the agency has assessed the costs and benefits of this
rule as required by Executive Order 12866 and 13563 and has determined
that the benefits of the rule justify the costs.
The final rule may result in a de-minimis--approximately one
percent of BJA's annual outlays for the PSOB Program--increase in
transfer payments going forward, which BJA estimates at approximately 3
claims, or $1,032,000 per year.\5\ The rule provisions relating to 9/11
claims will permit BJA to pay certain claims more quickly, by
clarifying BJA's authority to apply the WTC Health Program standards,
but it would be speculative to assume that this would create additional
transfer payments or that these payments would be attributable to this
rule (see discussion below). In any event, BJA estimates that its
current appropriation levels are sufficient to cover the annual costs
of transfer payments potentially associated with this aspect of the
rule, which (based on pending cases) BJA estimates to be approximately
$8.8M in currently pending claims, plus $450,000 in associated
educational benefits payments. The amount would be significantly less
on an annual basis going forward because the bulk of 9/11 claims have
likely already been submitted.
---------------------------------------------------------------------------
\5\ This estimate is based on the changes related to Line of
duty injury to cover retaliation for actions taken in the line of
duty; to Evidence related to out of jurisdiction activity; and to
the presumption relating to volunteer fire departments and certain
elements of the definition of Instrumentality. The amount is based
on the FY17 death benefit amount.
---------------------------------------------------------------------------
OMB's April 5, 2017, guidance on E.O. 13771 (M-17-21), explains,
with regard to transfer payments, that--
Federal spending regulatory actions that cause only income transfers
between taxpayers and program beneficiaries (for example,
regulations associated with . . . Medicare spending) are considered
`transfer rules' and are not covered by E.O. 13771. . . . However .
. . such regulatory actions may impose requirements apart from
transfers . . . In those cases, the actions would need to be offset
to the extent they impose more than de minimis costs. Examples of
ancillary requirements that may require offsets include new
reporting or recordkeeping requirements.
In accordance with OMB's guidance, BJA has determined that this final
rule is a transfer rule. Aside from these potential transfer payments,
the rule reduces the burden on claimants in substantiating certain
claims under the applicable statutory requirements. The rule provisions
affecting matters other than the transfer payments are deregulatory
(i.e., they reduce costs and burdens) by a value estimated to be
approximately $24,723 per year, which amounts to $210,892 in present
value over ten years.\6\ This final rule is considered an E.O. 13771
deregulatory action. Details on the estimated cost savings of this
proposed rule can be found below. Consistent with the principles above,
BJA discusses below the costs and benefits of each substantive change
to the existing rule.
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\6\ As set out in more detail below, this figure is based on the
estimated annual cost savings to the public from changes to the Dale
Long Act implementing provisions that will reduce the number of
independent medical reviews required ($24,723); and a variety of
marginal efficiencies and burden reduction for claimants created by
certain streamlined provisions and definitions. BJA estimated the
present day value of these cost savings over ten years using a
discount rate of 3 percent.
---------------------------------------------------------------------------
A. Section 32.2--Computation of time; filing.
BJA amends this provision to authorize BJA to require that
claimants file claims electronically. In October 2017, BJA deployed its
online filing system, PSOB 2.0, which standardizes submission of
electronic forms. Since that time, PSOB has required and only received
electronic submissions. This provisions codifies the requirement that
claims be submitted electronically. The electronic filing system
typically saves claimants one hour per form, because the system
automatically prompts users for missing items, hides irrelevant fields,
and eliminates form version control problems. PSOB 2.0 allows claimants
to review the contents of their claim files online and retrieve
documents as needed from their submissions without the need to call or
request that BJA copy and send such documents by mail, thus reducing
printing and mailing costs, and the administrative time BJA staff spend
handling these issues. The changes do not change the substance of the
required forms, or create any new procedural or evidentiary
requirements, and thus impose no new burdens on claimants.
B. Sections 32.3, 32.13, 32.23, and 32.33--Definitions.
1. Implementation of Dale Long Act Amendments Applicable to Certain
Members of a Rescue Squad or Ambulance Crew
BJA makes conforming changes to address the Dale Long Act
provisions that expanded the types of rescue squad and ambulance crew
members covered under the PSOB Act to include non-public employee
members of such squads or crews, under certain circumstances. Any
potential costs for additional payable claims are created by the Dale
Long Act, which has been in effect and implemented by BJA since 2013,
and not by the conforming changes made by this rule. The changes will
marginally reduce burdens on BJA and claimants by making the text of
the PSOB rule conform to the statute.
2. Implementation of Dale Long Act Amendments Relating to Heart
Attacks, Strokes, and Vascular Ruptures
BJA makes conforming and interpretive changes to address the Dale
Long Act provisions that amend the PSOB Act standards at 34 U.S.C.
10281(k), for cases involving heart attacks, strokes, or vascular
ruptures. The PSOB Act, as amended by the Hometown Heroes Survivors'
Benefits Act of 2003, but prior to the Dale Long Act amendment in 2013,
contained a presumption allowing payment of death benefits under
certain circumstances to public safety officers who died of heart
attacks or strokes, unless the presumption was overcome by ``competent
medical evidence to the contrary.'' The Dale Long Act, among other
things, added vascular ruptures to the presumption (in addition to
heart attacks and strokes), and elaborated on what evidence would
overcome the presumption--i.e., where competent medical evidence
establishes either that the heart attack, stroke, or vascular rupture
was ``unrelated'' to the officer's engagement or participation in a
qualifying activity; or that the heart attack, stroke, or vascular
rupture ``was directly and proximately caused by something other than
the mere presence of cardiovascular-disease risk factors.''
BJA makes conforming changes to the rule to include vascular
ruptures, consistent with 34 U.S.C. 10281(k)(3), to define more
precisely the circumstances under which the statutory presumption
relating to heart attacks, strokes, and vascular ruptures would be
overcome. This will create no costs beyond those created by the Dale
Long Act. In short, BJA defines Competent medical evidence to rely upon
the existing
[[Page 22376]]
definition of Medical probability, which may be established pursuant to
a medical assessment based on the preponderance of the available
evidence. BJA defines the first rebuttal factor, where an officer's
heart attack, stroke, or vascular rupture is Unrelated to the
engagement or participation in qualifying activity, in a common-sense
way: requiring a finding that ``an independent event or occurrence''
(e.g., an off-duty officer's accident) was a ``substantial contributing
factor'' (a term defined in the existing regulation) in bringing the
heart attack, stroke, or vascular rupture about. BJA defines the second
rebuttal factor, where Something other than the mere presence of
cardiovascular disease risk factors caused the heart attack, stroke, or
vascular rupture, consistent with its current interpretation, to
require a finding that the heart attack, stroke, or vascular rupture
was caused by the ingestion of Schedule I drugs, or abuse of Schedule
II, III, IV, or V drugs.
These interpretive amendments conform the rule to the statutory
provision, and impose no costs beyond those additional transfer
payments created by the statute itself. The rules should reduce the
number of claims sent to an independent medical review, and the
associated costs. BJA estimates that these changes will eliminate the
need for approximately 41 medical reviews each year, saving BJA
approximately $67,732 annually in medical review costs,\7\ which
amounts to $577,768 in present costs over a ten-year period, and saving
claimants (in aggregate) approximately $24,723 annually, which amounts
to $210,892 in present costs over a ten-year period.\8\
---------------------------------------------------------------------------
\7\ This estimate is based on an average of 92 relevant claims
per year that BJA processes, of which, approximately 46 required
medical review under the previous regulatory interpretation. BJA
estimates it will need to conduct medical reviews for only 5 of
those 92 claims under the revised rule, resulting in 41 fewer
medical reviews per year. Each medical review costs BJA an average
of $1652 (based on 2009-2015 death benefit data). Present costs
calculated at a 3% discount rate.
\8\ This estimate is based on 41 medical reviews, and the
maximum fees permitted by law, which vary by state, though here BJA
assumed $.67/page, and an average of 900 pages of medical records in
claims for PSOB Program death benefits, as determined in a random
sampling of claims involving medical issues that require a claimant
to provide such records. See, e.g., Joy Pritts, et al., Privacy and
Security Solutions for Interoperable Health Information Exchange:
Report on State Medical Record Access Laws, https://www.healthit.gov/sites/default/files/290-05-0015-state-law-access-report-1.pdf; Table A-5, Overview of State Law: Maximum Fees Doctors
and Hospitals May Charge Patients for Copies of Medical Records
https://www.healthit.gov/sites/default/files/appa5-1.pdf (accessed
June 16, 2016). BJA estimated the present day value of these cost
savings over ten years using a discount rate of 3 percent.
---------------------------------------------------------------------------
3. Provision Relating to the WTC Health Program and September 11th VCF
Program
BJA makes changes to provisions affecting the PSOB payments related
to the September 11, 2001, attacks.
First, it provides that OJP will rely on the expertise of the WTC
Health Program in making a determination as to whether a condition
resulted from a WTC responder's 9/11 exposures, and thus an Injury
under the PSOB Program. Currently, 28 CFR 32.5 expressly provides that
BJA may rely upon a public agency's factual finding (e.g., a
certification by the WTC Health Program regarding an officer's
condition, or a VCF eligibility finding) to determine that an officer
sustained a qualifying injury, or it may evaluate the evidence
submitted by a claimant to determine whether the injury qualifies. This
rule expressly provides a third approach (that could be used in the
absence of a public agency finding regarding that specific officer's
condition, and in lieu of independently creating standards and
evaluating whether the officer's condition resulted from 9/11
exposures) under which BJA could apply the WTC Health Program's
standards for when a condition is related to a WTC responder's 9/11
exposures, when determining whether an officer's condition is an injury
for purposes of the PSOB Program.\9\ This express approach thus would
reduce costs for BJA and claimants, who would not have to replicate the
scientific and medical analysis already performed by the WTC Health
Program. BJA expects this would benefit those 9/11 claimants who will
not obtain a public agency finding regarding the officer's exposure
(e.g., a claimant for a deceased officer who never sought a
certification of eligibility for treatment by the WTC Health Program
before dying). Attributing these transfer payments to this rule, is
difficult, however, because some of these claimants may be able to
substantiate their claims under the current rule, albeit at a greater
cost and time burden to everyone involved, and some may eventually
obtain a public agency finding from the VCF or WTC Health Program.
Estimating the amount of the transfer payments also is difficult
because PSOB likely will receive additional claims based on 9/11 as
conditions manifest over time, conditions may be added to the List of
WTC-Related Health Conditions by the WTC Health Program, and many
payments are likely to be offset by VCF payments. BJA estimates that
this provision would affect approximately 29 claims (27 death, 2
disability) based on WTC-related health conditions that are pending
with BJA and for which BJA would, under the final rule, independently
apply the WTC Health Program standards to determine an injury for
purposes of the PSOB Program. (This is of 158 pending 9/11 exposure
claims.) This would potentially increase transfer payments by a maximum
of $8.8M total, plus approximately $450,000 in educational benefits
associated with those 29 claims. Additional transfer payments would be
significantly less than this amount on an annual basis going forward
because the bulk of 9/11 claims have likely already been submitted.\10\
Cost savings from this change are difficult to forecast, because it is
uncertain how claimants would pursue their claims in the absence of the
final rule, but BJA expects this to save at least several thousand
dollars in BJA processing costs and claimant costs associated with
establishing that a condition is related to 9/11.
---------------------------------------------------------------------------
\9\ See the discussion of the James Zadroga 9/11 Health and
Compensation Act of 2010, describing the analysis performed by the
WTC Health Program, at 81 FR 46019, 46020 (PSOB I Notice of Proposed
Rulemaking).
\10\ As of July 17, 2017, there were 158 total PSOB death and
disability claims pending with assertions of injuries based on some
kind of 9/11-related exposure. Of these, BJA estimates that
approximately 29 would be determined much sooner if BJA uses the
authority in the final rule to independently apply the WTC Health
Program standards, instead of waiting for the claimant to obtain a
WTC Health Program certification or VCF equivalent or requiring
additional evidence. Some of those claimants may be able to
substantiate their claims without the rule change, though only with
additional documentation, and it is likely that some payments would
be offset for VCF benefits. For this subset of pending claims based
on 9/11-related exposure, BJA estimates that if all 29 claims are
approved, up to 49 additional people may qualify for educational
assistance at some point in the future. BJA estimated the annual
educational assistance benefit increase using the FY 2017 maximum
monthly payment rate of $1024 per month based on those 49 additional
people each claiming 9 months of educational assistance.
---------------------------------------------------------------------------
Second, it specifies how offset of PSOB benefits by September 11th
VCF benefits (a requirement of the Dale Long Act) will be calculated.
Offset is required by statute, which the rule merely implements--thus,
it creates no new costs.
Third, it clarifies that PSOB claimants whose payments are offset
are still eligible for PSOB educational assistance. This change
reflects BJA's current practice and the statutory framework; i.e., that
there is no required offset of educational assistance under the statute
(as amended by Dale Long), thus it makes the rule more transparent and
creates no new costs.
Fourth, it provides additional time for 9/11 exposure claimants to
file their
[[Page 22377]]
claims (see Time for filing a claim provisions at 32.12 and 32.22), and
allows reconsideration of certain denied claims for WTC responders (see
32.53(a)). These equitable procedural rule changes prevent unfairness
to claimants whose claims would be approved under the WTC Health
Program standards, or who would have filed had they been able to take
advantage of those standards. This may cause BJA to make some transfer
payments that it would not have done under the current rule, but BJA
does not expect this to alter its overall cost estimate for 9/11 claims
that take advantage of BJA's reliance upon the WTC Health Program
standards (see above).
4. Trainees
BJA makes express the coverage of certain public safety officer
trainees by adding new terms, Candidate officer and Candidate-officer
training, and amending the terms Firefighter, Involvement, and Member
of a rescue squad or ambulance crew to include the new terms. This
change will not impose any new costs, but it will marginally reduce the
burden for program staff and claimants in understanding the conditions
under which trainees are covered.
5. Child of a Public Safety Officer
BJA makes a conforming change to this definition related to the
Dale Long Act. It creates no new costs.
6. Provisions Related to Claims Processing
This rule creates a pre-claim process by which claimants may stay
the claim filing deadline while they continue to gather necessary
evidence, and BJA may more expeditiously issue a final determination on
claims that patently lack necessary evidence. BJA anticipates that this
procedure will allow it to better allocate resources to reviewing
completed files, and will clarify for reporting purposes which files
are ``ripe'' and should be counted as claims pending with BJA versus
those where the claimant is still gathering evidence. BJA expects that
this will preempt the need for hearing officer proceedings in several
claims each year, and marginally reduce the burden on program staff.
Hearing officer proceedings can cost several thousand dollars (or more
when claimant attorneys' fees are factored in), thus BJA expects this
provision to save several thousand dollars each year for BJA and
claimants.
7. Gross Negligence
BJA amends the definition of Gross negligence to make patent in the
rule that actions that otherwise would be gross negligence, and thus a
statutory bar to payment, are not considered gross negligence when
reasonably excused or objectively justified. BJA expects the revised
provision will create no new costs, but will be easier for program
staff and claimants to understand and apply, thus marginally reducing
the burden associated with claims involving actions potentially
implicating this disentitling factor.
8. Authorized Commuting Clarification
BJA amends the definition of Authorized commuting to clarify that
return travel by a public safety officer from certain activities
constitutes ``authorized commuting'' and, therefore, injuries sustained
in the course of such travel are compensable as line of duty injuries.
This clarification merely makes patent BJA's existing interpretation
related to injuries sustained by public safety officers while
commuting, thus imposes no new costs. It will, however, marginally
reduce the burden on claimants by clarifying an aspect of authorized
commuting that may have caused confusion among claimants and program
staff, thus facilitating the collection of relevant documentation,
reducing delays associated with resolving factual questions, and
preempting potential litigation.
9. Line of Duty Injury--Retaliation for Action in the Line of Duty
BJA amends the term Line of duty injury so as expressly to include
those injuries sustained as a result of retaliation for actions taken
in the line of duty by an officer. This adds to the existing
regulations, which provide that a Line of duty injury includes an
injury resulting from the injured party's status as a public safety
officer. Very few PSOB claims received to date have involved
retaliation. Accordingly, BJA anticipates--at most (perhaps one claim
per year, if that)--a negligible increase in transfer payments as a
result of this provision.
10. Volunteer Fire Departments as Instrumentalities
BJA adds a legal presumption that volunteer fire departments
meeting specified criteria satisfy certain elements of the definition
of Instrumentality of a public agency. BJA anticipates that this change
may marginally (by perhaps one claim per year) increase the transfer
payments under the program. The change would marginally reduce the
burden for program staff in determining, and of claimants in showing,
that a volunteer fire department qualifies under the program.
11. Spouse
BJA amends the definition of Spouse to update the rule to reflect
current jurisprudence. This does not create any new costs.
C. Section 32.4--Terms; construction; severability.
BJA makes a technical change conforming the rule to the PSOB Act.
This change creates no new costs.
D. Section 32.5--Evidence.
BJA makes express the circumstances under which officers engaging
in public safety activity outside of their jurisdictions would be
considered to be acting in the line of duty, by adding a series of
presumptions in the Evidence provision at 32.5. BJA anticipates that
this change may marginally (by an estimated one claim per year)
increase the transfer payments under the program, because it may make
it easier for officers injured outside of their jurisdiction to
establish that they were engaging in a line of duty activity or action
when injured. The change will marginally reduce the burden for program
staff and claimants of understanding the circumstances under which such
officers are covered.
BJA makes a conforming change to Evidence at 32.5(b) related to the
PSOB Improvement Act of 2017, to ensure that those reading the rule do
not overlook a relevant statutory provision. The change creates no new
costs, but may marginally reduce burdens by preventing confusion.
E. Section 32.6--Payment and repayment.
BJA amends this provision to implement offset of PSOB death and
disability benefits by September 11th VCF program compensation. The
amendments reflect BJA's current practice and create no new costs.
F. Section 32.7--Fees for representative services.
BJA amends this section to provide a percentage-fee option, which
offers a simplified and more transparent way for attorneys to determine
how much they can charge for representing PSOB claimants in their PSOB
claims, and eliminates the need for BJA to review fee petitions in such
cases. BJA anticipates the change will not result in increased payment
of attorneys' fees, but will reduce BJA's administrative burden by 2.5
hours of GS-14 time for
[[Page 22378]]
each fee petition, saving an estimated $1391 worth of staff time
annually.
G. Sections 32.12 and 32.22--Time for filing a claim; 32.53(a)--Review.
BJA makes certain changes to filing deadlines for 9/11 claimants--
see costs-benefit discussion above in paragraph III.B.3.
H. Non-Substantive Changes To Conform the Rule to the Statute or Other
Provisions of the Rule, or To Make Technical Corrections.
BJA makes conforming or technical changes to sections 32.14, 32.15,
32.16, 32.24, 32.25, 32.26, 32.32, 32.44, 32.45, 32.52, 32.54, and
32.55, and removes the definitions of Dependent, Eligible dependent,
and Tax year. These changes do not create costs beyond those addressed
above.
Executive Order 13132--Federalism
This rule would not have substantial direct effects on the States,
on the relationship between the federal government and the States, or
on distribution of power and responsibilities among the various levels
of government. The PSOB program statutes provide benefits to
individuals and do not impose any special or unique requirements on
States or localities. Therefore, in accordance with Executive Order No.
13132, it is determined that this rule does not have sufficient
federalism implications to warrant the preparation of a Federalism
Assessment.
Executive Order 12988--Civil Justice Reform
This rule meets the applicable standards set forth in sections 3(a)
& (b)(2) of Executive Order No. 12988. Pursuant to section 3(b)(1)(I)
of the Executive Order, nothing in this rule or any previous rule (or
in any administrative policy, directive, ruling, notice, guideline,
guidance, or writing) directly relating to the Program that is the
subject of this rule is intended to create any legal or procedural
rights enforceable against the United States, except as the same may be
contained within part 32 of title 28 of the Code of Federal
Regulations.
Regulatory Flexibility Act
This rule will not have a significant economic impact on a
substantial number of small entities for the following reasons: This
rule addresses federal agency procedures; furthermore, this rule makes
amendments to clarify existing regulations and agency practice
concerning public safety officers' death, disability, and education
benefits and does nothing to increase the financial burden on any small
entities. Therefore, an analysis of the impact of this rule on such
entities is not required under the Regulatory Flexibility Act (5 U.S.C.
601 et seq.).
Paperwork Reduction Act of 1995
The PRA requires certain actions before an agency can adopt or
revise a collection of information, including publishing a summary of
the collection of information and a brief description of the need for
and proposed use of the information. 44 U.S.C. 3507.
This rule would not impose any new reporting or recordkeeping
requirements under the Paperwork Reduction Act of 1995 (44 U.S.C. 3501
et seq.) and its implementing regulations at 5 CFR part 1320. OMB has
approved the collection of information for the PSOB Program under the
following: Report of Public Safety Officers' Permanent and Total
Disability, OMB Control No. 1121-0166, approved July 27, 2016; Report
of Public Safety Officers' Death, OMB Control No. 1121-0025, approved
July 27, 2016; Claim for Death Benefits, OMB Control No. 1121-0024,
approved August 18, 2016. OJP will comply with the PRA by revising its
collection of information to reflect modified reporting requirements
when it implements electronic filing as provided in the newly added 28
CFR 32.2(g).
Unfunded Mandates Reform Act of 1995
This rule will not result in the expenditure by State, local, and
tribal governments, in the aggregate, or by the private sector, of
$100,000,000 or more in any one year, and it will not significantly or
uniquely affect small governments. The PSOB program is a federal
benefits program that provides benefits directly to qualifying
individuals. Therefore, no actions were deemed necessary under the
provisions of the Unfunded Mandates Reform Act of 1995.
List of Subjects in 28 CFR Part 32
Administrative practice and procedure, Claims, Disability benefits,
Education, Emergency medical services, Firefighters, Law enforcement
officers, Reporting and recordkeeping requirements, Rescue squad.
Accordingly, for the reasons set forth in the preamble, part 32 of
chapter I of Title 28 of the Code of Federal Regulations is amended as
follows:
PART 32--PUBLIC SAFETY OFFICERS' DEATH, DISABILITY, AND EDUCATIONAL
ASSISTANCE BENEFIT CLAIMS
0
1. The authority citation for 28 CFR Part 32 is revised to read as
follows:
Authority: 34 U.S.C. ch. 101, subch. XI; 34 U.S.C. 10110,
10221(a), 10225, 10226, 10251(a), 10261(a)(4) & (b), 10272, 110286,
10287, 10288; Pub. L. 90 351, title IX, sec. 1601, 82 Stat. 239;
Pub. L. 94 430, secs. 4 through 6, 90 Stat. 1348; Pub. L. 106-113,
div. B, sec. 1000(a)(1) [title I, sec. 108(a)], 113 Stat. 1535,
1501A-20, as amended by Pub. L. 107-56, title VI, sec. 614, 115
Stat. 370, and codified (as amended) as a statutory note to 34
U.S.C. 10110; Pub. L. 106-553, sec. 1(a)(2) [title I, sec. 108], 114
Stat. 2762, 2762A-6; Pub. L. 107 37, secs. 1 and 2, 115 Stat. 219.
0
2. Amend Sec. 32.2 as follows:
0
a. In paragraph (b), remove ``A filing'' and add in its place ``Except
as provided in paragraph (g) of this section, a filing''.
0
b. In paragraph (c) introductory text, remove ``Notice'' and add in its
place ``Except as provided in paragraph (g) of this section, notice''.
0
c. In paragraph (c)(1), add ``or'' after the semicolon.
0
d. In paragraph (c)(2), remove ``; or'' and add in its place a period.
0
e. Remove paragraph (c)(3).
0
f. In paragraphs (e) and (f), remove ``42 U.S.C. 3796(a)'' and add in
its place ``34 U.S.C. 10281(a)''.
0
g. In paragraphs (e) and (f), remove ``42 U.S.C. 3796c-1'' and add in
its place ``34 U.S.C. 10286''.
0
h. Add paragraph (g).
The addition reads as follows:
Sec. 32.2 Computation of time; filing.
* * * * *
(g) The Director may prescribe that--
(1) Any filing be filed using electronic means, in which case it
shall be deemed filed when it is submitted electronically; and
(2) Any notice, within the meaning of paragraph (c) of this
section, be served by the PSOB Office upon an individual by electronic
means (such as by telefacsimile or electronic mail addressed to the
individual (or to his representative) at his (or his representative's)
last address known to such Office), in which case it shall be deemed
served on the day that such notice is sent.
0
3. Amend Sec. 32.3 as follows:
0
a. Revise the definition of Act.
0
b. Revise the definition of Authorized commuting.
0
c. Add definitions of Candidate-officer; Candidate-officer training;
and Certification described in the Act, at 34 U.S.C. 10286 or Public
Law 107-37 in alphabetical order.
[[Page 22379]]
0
d. Remove the definition of Certification described in the Act, at 42
U.S.C. 3796c-1 or Public Law 107-37.
0
e. In the definition of Chaplain, remove ``42 U.S.C. 3796b(2)'' and add
in its place ``34 U.S.C. 10284(2)''.
0
f. Revise paragraph (1) of the definition of Child of a public safety
officer.
0
g. Add definitions of Claim and Claimant in alphabetical order.
0
h. Remove the definition of Consequences of an injury that permanently
prevent an individual from performing any gainful work.
0
i. In the definition of Department or agency, remove ``42 U.S.C.
3796b(8)'' and add in its place ``34 U.S.C. 10284(8)''.
0
j. In paragraph (2) of the definition of Department or agency, remove
``42 U.S.C. 3796b(9)(B)'' and add in its place ``34 U.S.C.
10284(9)(B)''.
0
k. In the definition of Determination, remove ``, the determination
described in the Act, at 42 U.S.C. 3796(c), or any recommendation under
Sec. 32.54(c)(3)''.
0
l. In the definitions of Direct and proximate cause and Direct and
proximate result of an injury, remove ``42 U.S.C. 3796(k)'' each place
it appears and add in its place ``34 U.S.C. 10281(k)''.
0
m. In the definitions of Disaster relief activity and Disaster relief
worker, remove ``42 U.S.C. 3796b(9)(B)'' each place it appears and add
in its place ``34 U.S.C. 10284(9)(B)''.
0
n. In the definition of Divorce, remove ``divorce from the'' and add in
its place ``(for civil purposes) dissolution of the''.
0
o. Revise the definition of Drugs or other substances.
0
p. In paragraph (1) of the definition of Eligible payee, remove ``42
U.S.C. 3796(a)'' and add in its place ``34 U.S.C. 10281(a)''.
0
q. In paragraph (2) of the definition of Eligible payee, remove ``42
U.S.C. 3796(b)'' and add in its place ``34 U.S.C. 10281(b)''.
0
r. In paragraph (1) of the definition of Emergency medical services,
remove ``Provision of first-response'' and add in its place ``First-
response''.
0
s. In the introductory text of the definition of Employed by a public
agency, remove ``42 U.S.C. 3796c-1'' and add in its place ``34 U.S.C.
10286''.
0
t. In paragraph (2)(i) of the definition of Employed by a public
agency, remove ``of any kind but disaster relief workers); or'' and add
in its place ``described in the Act, at 34 U.S.C. 10284(9)(A));''.
0
u. In paragraph (2)(ii) of the definition of Employed by a public
agency, remove ``42 U.S.C. 3796b(9)(B) or (C) (with respect to disaster
relief workers)'' and add in its place ``34 U.S.C. 10284(9)(B) or (C)
(with respect to disaster relief workers); or''.
0
v. In the definition of Employed by a public agency, add paragraph
(2)(iii).
0
w. In paragraph (1) of the definition of Firefighter, add ``(or is
receiving candidate-officer training)'' after ``trained''.
0
x. In the introductory text of paragraph (2) of the definition of
Firefighter, remove ``authority and'' and add in its place ``authority
or''.
0
y. In paragraph (2)(i) of the definition of Firefighter, add ``(or
candidate-officer)'' after ``employee''.
0
z. In paragraph (2)(i) of the definition of Firefighter, remove ``42
U.S.C. 3796b(4)'' and add in its place ``34 U.S.C. 10284(4)''.
0
aa. Add a definition of Foundational evidence as to status or injury in
alphabetical order.
0
bb. In the introductory text of the definition of Gross negligence,
remove ``practice--'' and add in its place ``practice (which departure
is without reasonable excuse and is objectively unjustified)--''.
0
cc. In the definition of Injury, remove ``radiation, virii, or
bacteria, but'' and add in its place ``radiation, virus, or bacteria,
and includes (with respect to a WTC responder) a WTC-related health
condition, but''.
0
dd. In the introductory text of the definition of Injury date, remove
``42 U.S.C. 3796(k) (where, for purposes of determining beneficiaries
under the Act, at 42 U.S.C. 3796(a), it generally means the time of the
heart attack or stroke referred to in the Act, at 42 U.S.C.
3796(k)(2)), injury'' and add in its place ``34 U.S.C. 10281(k) (where,
for purposes of determining beneficiaries under the Act, at 34 U.S.C.
10281(a), it generally means the time of the engagement or
participation referred to in the Act, at 34 U.S.C. 10281(k)(1)),
injury''.
0
ee. In the introductory text of the definition of Instrumentality,
remove ``except that no entity shall be considered an instrumentality
within the meaning of the Act, at 42 U.S.C. 3796b(8), or'' and add in
its place ``except that, subject to Sec. 32.5(m), no entity shall be
considered an instrumentality within the meaning of the Act, at 34
U.S.C. 10284(8), or''.
0
ff. Add a definition of Intention-notice filer in alphabetical order.
0
gg. In paragraph (1)(i)(B) of the definition of Intentional misconduct,
remove ``the public agency in which he serves'' and add in its place
``his public safety agency''.
0
hh. In the definition of Involvement, remove ``officer of a public
agency and, in that capacity, has legal authority and'' and add in its
place ``officer (including a candidate-officer) of a public agency and,
in that capacity, has legal authority or''.
0
ii. Revise the introductory text of the definition of Line of duty
activity or action.
0
jj. In the introductory text of paragraph (1) of the definition of Line
of duty activity or action, remove ``officer, a firefighter, or a
member of a rescue squad or ambulance crew--'' and add in its place
``officer or a firefighter--''.
0
kk. Revise paragraph (1)(i) of the definition of Line of duty activity
or action.
0
ll. Revise paragraph (1)(ii) of the definition of Line of duty activity
or action.
0
mm. In paragraph (2) of the definition of Line of duty activity or
action, remove ``agency he serves (or the relevant government), being
described in the Act, at 42 U.S.C. 3796b(9)(B)'' and add in its place
``public agency in which he is an employee (or the relevant
government), being described in the Act, at 34 U.S.C. 10284(9)(B)''.
0
nn. In paragraph (2) and paragraph (3) introductory text of the
definition of Line of duty activity or action, remove ``42 U.S.C.
3796a(1), and not being'' each place it appears and add in its place
``34 U.S.C. 10282(a), and not being commuting or''.
0
oo. In the definition of Line of duty activity or action, add paragraph
(4).
0
pp. Revise paragraph (2) of the definition of Line of duty injury.
0
qq. Add a definition of Notice of intention to file a claim in
alphabetical order.
0
rr. In the definition of Official capacity, remove ``An'' and add in
its place ``Subject to Sec. 32.5(l), an''.
0
ss. Remove the definition of Official training program of a public
safety officer's public agency.
0
tt. Add a definition of Official training program of a public safety
officer's public safety agency in alphabetical order.
0
uu. Add a definition of Officially recognized or designated employee
member of a rescue squad or ambulance crew in alphabetical order.
0
vv. In the definition of Officially recognized or designated member of
a department or agency, remove ``42 U.S.C. 3796b(8)'' and add in its
place ``34 U.S.C. 10284(8)''.
0
ww. Remove the definition of Officially recognized or designated public
employee member of a squad or crew.
0
xx. Add a definition of Officially recognized or designated volunteer
member of a rescue squad or ambulance crew in alphabetical order.
[[Page 22380]]
0
yy. In the definition of Public employee, remove ``42 U.S.C. 3796b(8)''
each place it appears and add in its place ``34 U.S.C. 10284(8)''.
0
zz. Remove the definition of Public employee member of a squad or crew.
0
aaa. Add a definition of Public safety agency in alphabetical order.
0
bbb. In the introductory text of the definition of Qualified
beneficiary, remove ``42 U.S.C. 3796c-1'' and add in its place ``34
U.S.C. 10286''.
0
ccc. In paragraph (1)(i) of the definition of Qualified beneficiary,
remove ``42 U.S.C. 3796(a)'' and add in its place ``34 U.S.C.
10281(a)''.
0
ddd. In the introductory text of the definition of Rescue squad or
ambulance crew, add ``(including candidate-officers)'' after
``members''.
0
eee. In paragraph (1) of the definition of Rescue squad or ambulance
crew, add ``(or are receiving candidate-officer training)'' after
``trained''.
0
fff. Add a definition of September 11, 2001, attacks in alphabetical
order.
0
ggg. Revise the definition of Spouse.
0
hhh. In the definition of Stroke, remove ``cerebral vascular'' and add
in its place ``cerebrovascular''.
0
iii. In the definition of Student, remove ``42 U.S.C. 3796b(3)(ii)''
and add in its place ``34 U.S.C. 10284(3)(ii)''.
0
jjj. In the introductory text of the definition of Substantial
contributing factor, remove ``, or disability,'' and add in its place
``, disability, heart attack, stroke, or vascular rupture,''.
0
kkk. Add a definition of Supporting-evidence collection period in
alphabetical order.
0
lll. In the introductory text of the definition of Terrorist attack,
remove ``42 U.S.C. 3796c-1(a)'' and add in its place ``34 U.S.C.
10286(a)''.
0
mmm. Remove the definition of Voluntary intoxication at the time of
death or catastrophic injury.
0
nnn. Add definitions of Voluntary intoxication at the time of fatal or
catastrophic injury; WTC-related health condition; and WTC responder in
alphabetical order.
The additions and revisions read as follows:
Sec. 32.3 Definitions.
Act means the Public Safety Officers' Benefits Act of 1976
(generally codified at 34 U.S.C. 10281, et seq.; part L of title I of
the Omnibus Crime Control and Safe Streets Act of 1968) (including
(uncodified) sections 4 through 6 thereof (payment in advance of
appropriations, rule of construction and severability, and effective
date and applicability)), as applicable (cf. Sec. 32.4(d)) according
to its effective date and those of its various amendments (e.g., Sep.
29, 1976 (deaths of State and local law enforcement officers and
firefighters); Oct 3, 1996 (educational assistance (federal law
enforcement officer disabled)); Nov. 14, 1998 (educational assistance
(officer (other than federal law enforcement officer) disabled)); Oct.
30, 2000 (disaster relief workers); Sep. 11, 2001 (chaplains and
insurance beneficiaries); Dec. 15, 2003 (certain heart attacks and
strokes); Apr. 5, 2006 (designated beneficiaries); June 1, 2009
(certain members of rescue squads or ambulance crews); Jan. 2, 2013
(designated beneficiaries; vascular ruptures); and June 2, 2017
(certain administrative changes)); and also includes Public Law 107-37
and section 611 of the USA PATRIOT Act (both of which relate to payment
of benefits, described under subpart 1 of such part L, in connection,
respectively, with the terrorist attacks of Sept. 11, 2001, or with
such terrorist attacks as may occur after Oct. 26, 2001), as well as
the proviso under the Public Safety Officers Benefits heading in title
II of division B of section 6 of Public Law 110-161.
* * * * *
Authorized commuting means travel (not being described in the Act,
at 34 U.S.C. 10282, and not being a frolic or detour) by a public
safety officer to and from work (at a situs (for the performance of
line of duty activity or action) authorized or required by his public
safety agency)--
(1) In the course of actually responding (as authorized)--
(i) Directly to a fire, rescue, or police emergency; or
(ii) To a particular and extraordinary request (by such public
safety agency) for that specific officer to perform public safety
activity (including emergency response activity the agency is
authorized to perform), within his line of duty; or
(2) Under circumstances not described in paragraph (1) of this
definition--
(i) While using a vehicle provided by such agency, pursuant to a
requirement or authorization by such agency that he use the same for
travel to and from work; or
(ii) While using a vehicle not provided by such agency, pursuant to
a requirement by such agency that he use the same for work.
* * * * *
Candidate-officer means an individual who is officially enrolled or
-admitted, as a cadet or trainee, in candidate-officer training.
Candidate-officer training means a formal and officially recognized
program of instruction or of training (e.g., a police or fire academy)
that is specifically intended to result, directly or immediately upon
completion, in--
(1) Commissioning of such individual as a law enforcement officer;
(2) Conferral upon such individual of official authority to engage
in fire suppression (as an officer or employee of a public fire
department or as an officially recognized or -designated member of a
legally organized volunteer fire department); or
(3) The granting to such individual of official authorization or -
license to engage in rescue activity, or in the provision of emergency
medical services, as a member of a rescue squad or ambulance crew that
is (or is part of) the agency or entity sponsoring the individual's
enrollment or admission
* * * * *
Certification described in the Act, at 34 U.S.C. 10286 or Public
Law 107-37 means a certification, acknowledging all the matter
specified in Sec. 32.5(f)(1) and (2)--
(1) In which the fact (or facts) asserted is the matter specified
in Sec. 32.5(f)(3);
(2) That expressly indicates that all of the terms used in making
the assertion described in paragraph (1) of this definition (or used in
connection with such assertion) are within the meaning of the Act, at
34 U.S.C. 10286 or Public Law 107-37, and of this part; and
(3) That otherwise satisfies the provisions of the Act, at 34
U.S.C. 10286 or Public Law 107-37, and of this part.
* * * * *
Child of a public safety officer means an individual--
(1) Who meets the definition provided in the Act, at 34 U.S.C.
10284(3); and
* * * * *
Claim means a request (in such form, and containing such
information, as the Director may require from time to time) for payment
of benefits under this part, where the individual seeking payment has
affirmatively requested that the PSOB Office proceed to determination
on the basis of the supporting evidence filed by or on behalf of the
individual (and any associated legal arguments so filed) at or before
the time of that affirmative request: Provided, That nothing in this
definition shall be understood to preclude any PSOB determining
official from (at any time) obtaining or considering other evidence in
connection with a determination of the claim.
Claimant means an individual who has filed a claim on his own
behalf or on whose behalf a claim has been filed.
* * * * *
Drugs or other substances means--
(1) Controlled substances within the meaning of the drug control
and
[[Page 22381]]
enforcement laws, at 21 U.S.C. 802(6), including any active metabolite
(i.e., any metabolite whose introduction into (or presence otherwise
in) the human body, ordinarily or objectively can result in a
disturbance of mental or physical faculties) of any such controlled
substance; or
(2) Any physical matter (other than alcohol, or anything described
in paragraph (1) of this definition) whose introduction into (or
presence otherwise in) the human body, ordinarily or objectively can
result in a disturbance of mental or physical faculties.
* * * * *
Employed by a public agency
* * * * *
(2) * * *
(iii) Engaging in activity (or in the provision of services)
described in the Act, at 34 U.S.C. 10284(9)(D), under the authority (or
by the license) of a public agency (with respect to rescue squad or
ambulance crew members).
* * * * *
Foundational evidence as to status and injury means supporting
evidence (filed by a claimant at or before the time his claim is filed)
that constitutes the basis for his belief or assertion that--
(1) The individual upon whose injury the claim is predicated--
(i) Was a public safety officer as of the injury date; and
(ii) As the direct and proximate result of a personal injury
sustained in the line of duty, either--
(A) Died (with respect to a claim under subpart B of this part); or
(B) Became permanently and totally disabled (with respect to a
claim under subpart C of this part); and
(2) With respect to a claim under subpart B of this part, the
claimant is an eligible payee.
* * * * *
Intention-notice filer means an individual--
(1) Who believes that he may be an eligible payee;
(2) Who has filed a notice of intention to file a claim; and
(3) Who has no claim pending.
* * * * *
Line of duty activity or action--Subject to Sec. 32.5(j) and (k),
activity or an action is performed in the line of duty, in the case of
a public safety officer who is (as of the injury date)--
(1) * * *
(i) Whose primary function (as applicable) is public safety
activity, only if, not being described in the Act, at 34 U.S.C.
10282(a), and not being commuting or a frolic or detour--
(A) It is activity or an action that he is obligated or authorized
by statute, rule, regulation, condition of employment or service,
official mutual-aid agreement, or other law, to perform (including any
social, ceremonial, or athletic functions (or any official training
programs of his public agency) to which he is assigned, or for which he
is compensated), under the auspices of the public agency he serves; and
(B) Such agency (or the relevant government) legally recognizes
that activity or action to have been so obligated or authorized at the
time performed (or, at a minimum, does not deny (or has not denied) it
to have been such); or
(ii) Whose primary function is not public safety activity, only if,
not being described in the Act, at 34 U.S.C. 10282(a), and not being
commuting or a frolic or detour--
(A) It is activity or an action that he is obligated or authorized
by statute, rule, regulation, condition of employment or service,
official mutual-aid agreement, or other law, to perform (including any
social, ceremonial, or athletic functions (or any official training
programs of his public agency) to which he is assigned, or for which he
is compensated), under the auspices of the public agency he serves;
(B) It is performed (as applicable) in the course of public safety
activity (including emergency response activity the agency is
authorized to perform), or taking part (as a trainer or trainee) in an
official training program of his public agency for such activity, and
such agency (or the relevant government) legally recognizes it to have
been such at the time performed (or, at a minimum, does not deny (or
has not denied) it to have been such); and
(C) Such agency (or the relevant government) legally recognizes
(or, at a minimum, does not deny (or has not denied) that activity or
action to have been--
(1) Obligated or authorized (as described in paragraph (1)(ii)(A)
of this definition) at the time performed; and
(2) Performed as described in paragraph (1)(ii)(B) of this
definition;
* * * * *
(4) A member of a rescue squad or ambulance crew, only if, not
being described in the Act, at 34 U.S.C. 10282(a), and not being
commuting or a frolic or detour, it is performed in the course of
rescue activity (or of the provision of emergency medical services)
that he is authorized or licensed, by law and by his public safety
agency, to engage in (or provide) as described in the Act, at 34 U.S.C.
10284(9)(D), and such agency (and the relevant government) legally
recognizes it to have been such at the time performed (or, at a
minimum, does not deny (or has not denied) it to have been such).
* * * * *
Line of duty injury
* * * * *
(2) In connection with any claim in which the injury is not
sustained as described in paragraph (1) of this definition:
(i) The injured party's status as a public safety officer was a
substantial contributing factor in the injury; and
(ii) Where the injury is brought about by the hostile action of an
individual--
(A) The individual knew of the injured party's status as a public
safety officer; and
(B) Nothing else motivated the individual's taking of his hostile
action to so great a degree as either of the following did:
(1) The injured party's status as a public safety officer; or
(2) Retaliation for line of duty activity or a line of duty action
performed by a public safety officer (including the injured party).
* * * * *
Notice of intention to file a claim--Nothing shall be understood to
be a notice of intention to file a claim unless it names the individual
upon whose injury such a claim would be predicated and otherwise is in
such form, and contains such other information, as the Director may
require from time to time therefor.
* * * * *
Official training program of a public safety officer's public
safety agency means a program--
(1) That is officially sponsored, -conducted, or -authorized by his
public safety agency; and
(2) Whose purpose is to train public safety officers of his kind in
(or to improve their skills in), specific activity or actions
encompassed within their respective lines of duty.
Officially recognized or designated employee member of a rescue
squad or ambulance crew means an employee member of a rescue squad or
ambulance crew (described in the Act, at 34 U.S.C. 10284(7)) who is
officially recognized (or officially designated) as such an employee
member, by such squad or crew.
Officially recognized or designated volunteer member of a rescue
squad or ambulance crew means a volunteer member of a rescue squad or
ambulance crew (described in the Act, at 34 U.S.C. 10284(7)) who is
officially recognized (or officially designated) as such a
[[Page 22382]]
volunteer member, by such squad or crew.
* * * * *
Public safety agency means--
(1) A public agency--
(i) That an individual described in the Act, at 34 U.S.C.
10284(9)(A), serves in an official capacity; or
(ii) For which an employee described in the Act, at 34 U.S.C.
10284(9)(B) or (C) performs official duties; or
(2) An agency or entity under whose authority (or by whose license)
a member of a rescue squad or ambulance crew engages in activity (or in
the provision of services) described in the Act, at 34 U.S.C.
10284(9)(D).
* * * * *
September 11, 2001, attacks means September 11, 2001, terrorist
attacks, as defined (as of January 17, 2017) at 42 CFR 88.1.
Spouse means an individual with whom another individual lawfully
entered into marriage under the law of the jurisdiction in which it was
entered into, and includes a spouse living apart from the other
individual, other than pursuant to divorce, except that--
(1) In connection with a claim, the term does not include anyone
upon whose injury the claim is predicated; and
(2) Notwithstanding any other provision of law--
(i) For an individual purporting to be a spouse on the basis of a
common-law marriage (or a putative marriage), or on any other basis, to
be considered a spouse within the meaning of this definition, it is
necessary (but not sufficient) for the jurisdiction of domicile of the
parties to recognize such individual as the lawful spouse of the other
individual; and
(ii) In deciding who may be the spouse of a public safety officer--
(A) The relevant jurisdiction of domicile is the officer's (as of
the injury date); and
(B) With respect to a claim under subpart B of this part, the
relevant date is that of the officer's death.
* * * * *
Supporting-evidence collection period means the period--
(1) That begins upon the filing of a notice of intention to file a
claim, and ends upon the earlier of--
(i) One year thereafter (unless, for good cause shown, the Director
extends the period); or
(ii) The date on which such claim is filed; and
(2) During which an intention-notice filer may collect and assemble
supporting evidence for his intended claim.
* * * * *
Voluntary intoxication at the time of fatal or catastrophic injury
means the following, as shown by any commonly-accepted tissue, -fluid,
or -breath test or by other competent evidence:
(1) With respect to alcohol,
(i) In any claim arising from a public safety officer's death in
which the death was simultaneous (or practically simultaneous) with the
injury, it means intoxication as defined in the Act, at 34 U.S.C.
10284(5), unless convincing evidence demonstrates that the officer did
not introduce the alcohol into his body intentionally; and
(ii) In any claim not described in paragraph (1)(i) of this
definition, unless convincing evidence demonstrates that the officer
did not introduce the alcohol into his body intentionally, it means
intoxication--
(A) As defined in the Act, at 34 U.S.C. 10284(5), mutatis mutandis
(i.e., with ``post-mortem'' (each place it occurs) and ``death'' being
substituted, respectively, by ``post-injury'' and ``injury''); and
(B) As of the injury date; and
(2) With respect to drugs or other substances, it means
intoxication as defined in the Act, at 34 U.S.C. 10284(5), as evidenced
by the presence (as of the injury date) in the body of the public
safety officer--
(i) Of any of the following, unless convincing evidence
demonstrates that the introduction of the controlled substance into the
body was not a culpable act of the officer's under the criminal laws:
(A) Any controlled substance included on Schedule I of the drug
control and enforcement laws (see 21 U.S.C. 812(a));
(B) Any controlled substance included on Schedule II, III, IV, or V
of the drug control and enforcement laws (see 21 U.S.C. 812(a)) and
with respect to which there is no therapeutic range or maximum
recommended dosage;
(C) Any controlled substance included on Schedule II, III, IV, or V
of the drug control and enforcement laws (see 21 U.S.C. 812(a)) and
with respect to which there is a therapeutic range or maximum
recommended dosage, at levels above or in excess of such range or
dosage; or
(D) Any active metabolite of any controlled substance within the
meaning of the drug control and enforcement laws, at 21 U.S.C. 802(6),
which metabolite is not itself such a controlled substance;
(ii) Of any drug or other substance (other than one present as
described in paragraph (2)(i) of this definition), unless convincing
evidence demonstrates that--
(A) The introduction of the drug or other substance into the body
was not a culpable act of the officer's under the criminal laws; and
(B) The officer was not acting in an intoxicated manner immediately
prior to the injury date.
WTC-related health condition means--
(1) A WTC-related physical health condition determined by the
September 11th Victim Compensation Fund, for the specific WTC
responder, to meet the definition at section 104.2(i) of this title (as
in effect on January 17, 2017);
(2) A WTC-related health condition (other than a mental health
condition) that the WTC Health Program has certified, for the specific
WTC responder, under (as applicable) 42 U.S.C. 300mm-22(b)(1)(B)(ii) or
42 U.S.C. 300mm-22(b)(2)(A)(ii); or
(3) An illness or health condition, as defined in (and determined
pursuant to) 42 U.S.C. 300mm-22(a)(1)(A)(i), that is a WTC-related
physical health condition, as defined at section 104.2(i) of this title
(as in effect on January 17, 2017).
WTC responder means an individual who--
(1) Meets the definition at 42 U.S.C. 300mm-21(a)(1)(A) and has
been identified as enrolled in the WTC Health Program, under 42 CFR
88.3 (as in effect on January 17, 2017);
(2) Meets the definition at 42 U.S.C. 300mm-21(a)(1)(B) and has
received an affirmative decision from the WTC Health Program under 42
CFR 88.6(d)(1) (as in effect on January 17, 2017);
(3) Meets the definition at 42 U.S.C. 300mm-31(a)(1) and--
(i) Has been identified as certified-eligible under 42 CFR 88.7 (as
in effect on January 17, 2017); or
(ii) Has received the status of a certified-eligible survivor from
the WTC Health Program under 42 CFR 88.12 (as in effect on January 17,
2017);
(4) Has been determined by the September 11th Victim Compensation
Fund to be an eligible claimant under section 104.2(b)(1) of this title
(as in effect on January 17, 2017); or
(5) Subject to 42 U.S.C. 300mm-21(a)(5), meets the definition at 42
U.S.C. 300mm-21(a)(1).
0
4. Amend Sec. 32.4 as follows:
0
a. In paragraph (b), remove ``42 U.S.C. 3796a(4)'' and add in its place
``34 U.S.C. 10282(a)(4)''.
0
b. In paragraph (d), remove ``42 U.S.C. 3796(k), shall apply only with
respect to heart attacks or strokes referred to in the Act, at 42
U.S.C. 3796(k)(2)'' and add in its place ``34 U.S.C. 10281(k), shall
apply only with respect to heart attacks,
[[Page 22383]]
strokes, or vascular ruptures referred to in the Act, at 34 U.S.C.
10281(k)(2))''.
0
c. Add paragraph (e).
The addition reads as follows:
Sec. 32.4 Terms; construction; severability; effect.
* * * * *
(e) Unless expressly provided otherwise, any reference in this part
to any provision of law not in this part shall be understood to
constitute a general reference under the doctrine of incorporation by
reference, and thus to include any subsequent amendments to the
provision.
0
5. Amend Sec. 32.5 as follows:
0
a. In paragraph (b), remove ``provided in this part, the PSOB
determining official may, at his discretion, consider (but shall not be
bound by) the factual findings of a public agency.'' and add in its
place ``provided in the Act or this part, the PSOB determining official
may, at his discretion, consider (but shall not be bound by) the
factual findings of a public agency (or public safety agency).''.
0
b. In paragraph (f), remove ``42 U.S.C. 3796c-1'' each place it appears
and add in its place ``34 U.S.C. 10286''.
0
c. In paragraph (f)(1)(ii), remove (i.e., performing official functions
for, or on behalf of, the agency);'' and add in its place ``and
performing official functions for, or on behalf of, the agency;''.
0
d. In paragraph (f)(1)(iii)(D), remove ``public employee member of one
of the agency's rescue squads or ambulance crews;'' and add in its
place ``employee member or volunteer member of a rescue squad or
ambulance crew that is (or is a component of) the agency;''.
0
e. In paragraph (f)(1)(iii)(E), remove ``42 U.S.C. 3796b(9)(B)'' and
add in its place ``34 U.S.C. 10284(9)(B)''.
0
f. In paragraph (g), remove ``42 U.S.C. 3787 (hearings, subpoenas,
oaths, witnesses, evidence), and to the authorities specified at 42
U.S.C. 3788(b)-(d)'' and add in its place ``34 U.S.C. 10225 (hearings,
subpoenas, oaths, witnesses, evidence), and to the authorities
specified at 34 U.S.C. 10226(b)-(d)''.
0
g. In paragraph (h)(2)(v), remove ``42 U.S.C. 3795a'' and add in its
place ``34 U.S.C. 10272''.
0
h. In paragraph (i), remove ``public agency'' and add in its place
``public safety agency''.
0
i. Add paragraphs (j), (k), (l) and (m).
The additions read as follows:
Sec. 32.5 Evidence.
* * * * *
(j) Public safety activity that is performed by a law enforcement
officer or a firefighter shall be presumed to satisfy the requirements
of paragraph (1)(i)(A) or (1)(ii)(A) (as the case may be) of the
definition of Line of duty activity or action in Sec. 32.3 if the
public safety activity--
(1) Was not forbidden (at the time performed) by any applicable
statute, rule, regulation, condition of employment or service, official
mutual-aid agreement, or other law; and
(2) Occurred--
(i) Within a jurisdiction where he is authorized to act, in the
ordinary course, in an official capacity as such a law enforcement
officer or firefighter; or
(ii) Within a jurisdiction (not described in the immediately-
preceding paragraph) that, at the time the public safety activity was
performed, had a statute, rule, regulation, official mutual-aid
agreement, or other law, in effect that authorized law enforcement
officers or firefighters from outside such jurisdiction to perform,
within the jurisdiction, the activity that occurred.
(k) Absent evidence that the public safety activity was forbidden
as described in paragraph (j)(1) of this section, the requirements of
such paragraph (j) shall be presumed to be satisfied in any case in
which full line-of-duty death or disability benefits (as the case may
be) have been paid--
(1) By (or on behalf of) any jurisdiction described in paragraph
(j)(2) of this section;
(2) With respect to a law enforcement officer or firefighter; and
(3) Upon an administrative or judicial determination in the
ordinary course (other than pursuant to a settlement or quasi-
settlement) that such law enforcement officer or firefighter sustained
an injury in the line of duty that caused his death or disability.
(l) In the event that the presumption established by paragraph (j)
of this section should arise pursuant to paragraph (j)(2)(ii) thereof,
the law enforcement officer or firefighter shall be presumed to have
been serving the jurisdiction described in such paragraph (j)(2)(ii) in
an official capacity at the time he performed the public safety
activity.
(m) A volunteer fire department that is legally licensed or-
authorized to engage in fire suppression shall be presumed to satisfy
the requirements of paragraphs (1)(ii) and (2)(iii) of the definition
of Instrumentality.
0
6. Amend Sec. 32.6 as follows:
0
a. Revise paragraph (b).
0
b. In paragraph (d), remove ``42 U.S.C. 3796(m)'' and add in its place
``34 U.S.C. 10281(m)''.
0
c. Add paragraph (f).
The revision and addition read as follows:
Sec. 32.6 Payment and repayment.
* * * * *
(b) No payment shall be made, save pursuant to a claim, filed by
(or on behalf of) the payee, that (except as provided in the Act, at 34
U.S.C. 10281(c)) has been approved in a final agency determination.
* * * * *
(f)(1) If the actual net payment of the Victim Compensation Fund
after subtraction of any offset required by law (compensation) made
under the September 11th Victim Compensation Fund of 2001 (49 U.S.C.
40101 note) has been paid with respect to an injury, the total amount
payable under subpart B or C of this part, with respect to the same
injury, shall be reduced by the amount of such payment of compensation.
(2) Nothing in paragraph (f)(1) of this section, or in the Act, at
34 U.S.C. 10281(f)(3), shall be understood to preclude payment under
this part before the final payment of compensation under such Fund.
(3) Nothing in the Act, at 34 U.S.C. 10281(f)(3), shall be
understood to require reduction of any amount payable under subpart D
of this part.
0
7. Amend Sec. 32.7 as follows:
0
a. In the first sentence of paragraph (a), remove ``claimant for
representative services provided in connection with any claim may'' and
add in its place ``claimant for representative services provided in
connection with any matter under this part may''.
0
b. Revise the introductory text of paragraph (c).
0
c. Revise the introductory text of paragraph (d).
0
d. In the first sentence of paragraph (f), remove ``Upon its
authorizing or not authorizing the payment of any amount under
paragraph'' and add in its place ``Upon its approving (in whole or in
part), or denying, a petition under paragraph''.
0
e. In the second sentence of paragraph (f), remove ``authorization''
and add in its place ``approval or denial''.
0
f. Add paragraph (h).
The revisions and addition read as follows:
Sec. 32.7 Fees for representative services.
* * * * *
(c) Unless the petition is approved pursuant to paragraph (h)(1) of
this section (without regard to the exception thereto), consideration
of a petition under paragraph (a) of this section shall be subject to
paragraph (d) of this section and shall be based on the following
factors:
* * * * *
(d) Unless the petition is approved pursuant to paragraph (h)(1) of
this
[[Page 22384]]
section (without regard to the exception thereto), no amount in a
petition under paragraph (a) of this section shall be approved for--
* * * * *
(h)(1) Except as provided in paragraph (h)(2) of this section, the
PSOB Office shall approve any petition under paragraph (a) of this
section for authorization to receive an amount that is not greater than
the following, for representative services provided by an individual
who was duly licensed to practice law in the jurisdiction in any State:
(i) In connection with a claim that is approved under subpart B or
C, an amount equal to three percent of the benefit paid to (or with
respect to) the claimant on whose behalf the representative services
were provided;
(ii) In connection with a claim approved under subpart E that is
subsequently approved under subpart F, an amount equal to six percent
of the benefit paid to (or with respect to) the claimant on whose
behalf the representative services were provided; and
(iii) In connection with a claim denied under subpart E that is
subsequently approved under subpart F, an amount equal to nine percent
of the benefit paid to (or with respect to) the claimant on whose
behalf the representative services were provided.
(2) In the event that it decides that the amount set forth in
paragraph (h)(1) of this section would be excessive (or otherwise
inappropriate) for the representative services that form the substance
of a particular petition under paragraph (a) of this section, the PSOB
Office shall consider the petition pursuant to paragraph (c) of this
section.
Sec. 32.11 [Amended]
0
8. Amend Sec. 32.11 as follows:
0
a. In paragraph (a), remove ``42 U.S.C. 3796(a)'' and add in its place
``34 U.S.C. 10281(a)''.
0
b. In paragraph (b), remove ``42 U.S.C. 3796c-1'' and add in its place
``34 U.S.C. 10286''.
0
9. Effective June 14, 2018, revise Sec. 32.12 to read as follows:
Sec. 32.12 Time for filing claim.
(a) Unless, for good cause shown, the Director extends the time for
filing, no claim shall be considered if it is filed with the PSOB
Office after whichever of the following is latest:
(1) Three years after the public safety officer's death; or
(2) One year after the later of--
(i) A final determination of entitlement to receive, or of denial
of, the benefits, if any, described in Sec. 32.15(a)(1)(i); or
(ii) The receipt of the certification described in Sec.
32.15(a)(1)(ii); or
(3) The end of the supporting-evidence collection period.
(b) Unless, for good cause shown, the Director extends the time for
filing, no individual may file a notice of intention to file a claim
after the later of--
(1) The period described in paragraph (a)(1) of this section; or
(2) The period described in paragraph (a)(2) of this section.
(c) In the event that a claim is filed that fails to identify and
provide foundational evidence as to status and injury, the Director
shall deny the claim for lack of that foundational evidence. Not less
than thirty-three days prior to such denial, the PSOB Office shall
serve the claimant with notice of the date on which the Director will
deny for that lack of evidence. Upon the claimant's request, filed
prior to the date specified for the denial, the Director shall, in lieu
of the denial--
(1) Allow the claimant to withdraw his claim; and
(2) Deem (as of the date of the request to withdraw) the claimant
to have filed a notice of intention to file a claim, if a notice of
intention otherwise filed by the claimant on that date would be timely
under paragraph (b) of this section.
(d) Notwithstanding paragraph (a) of this section, unless, for good
cause shown, the Director extends the time for filing, no claim based
on an injury sustained by a WTC responder and resulting from the
September 11, 2001, attacks shall be considered if it is filed with the
PSOB Office after the latest of--
(1) The time provided in paragraph (a) of this section;
(2) Two years after the earlier of--
(i) The date on which the WTC-related physical health condition, if
any, is determined by the September 11th Victim Compensation Fund, for
the WTC responder, to meet the definition at section 104.2(i) of this
title (as in effect on January 17, 2017); or
(ii) The date on which the WTC-related health condition, if any, is
certified, for the WTC responder, under (as applicable) 42 U.S.C.
300mm-22(b)(1)(B)(ii) or 42 U.S.C. 300mm-22(b)(2)(A)(ii); or
(3) June 14, 2020.
0
10. Effective June 14, 2020, revise paragraph (d) of Sec. 32.12 to
read as follows:
Sec. 32.12 Time for filing claim.
* * * * *
(d) Notwithstanding paragraph (a) of this section, unless, for good
cause shown, the Director extends the time for filing, no claim based
on an injury sustained by a WTC responder and resulting from the
September 11, 2001, attacks shall be considered if it is filed with the
PSOB Office after the later of--
(1) The time provided in paragraph (a) of this section; or
(2) Two years after the earlier of--
(i) The date on which the WTC-related physical health condition, if
any, is determined by the September 11th Victim Compensation Fund, for
the WTC responder, to meet the definition at section 104.2(i) of this
title (as in effect on January 17, 2017); or
(ii) The date on which the WTC-related health condition, if any, is
certified, for the WTC responder, under (as applicable) 42 U.S.C.
300mm-22(b)(1)(B)(ii) or 42 U.S.C. 300mm-22(b)(2)(A)(ii).
0
11. Amend Sec. 32.13 as follows:
0
a. Remove the definition of Beneficiary under the Act, at 42 U.S.C.
3796(a)(4)(A).
0
b. Add definitions of Beneficiary under the Act, at 34 U.S.C.
10281(a)(4)(A) and Competent medical evidence in alphabetical order.
0
c. Remove the definition of Competent medical evidence to the contrary.
0
d. In the definition of Designation on file, remove ``42 U.S.C.
3796(a)(4)(A)'' and add in its place ``34 U.S.C. 10281(a)(4)(A)''.
0
e. In paragraph (2) of the definition of Engagement in a situation
involving law enforcement, fire suppression, rescue, hazardous material
response, emergency medical services, prison security, disaster relief,
or other emergency response activity, remove ``The public agency he
serves'' and add in its place ``His public safety agency''.
0
f. In the definition of Event, remove ``42 U.S.C. 3796(k)(1)'' and add
in its place ``34 U.S.C. 10281(k)(1)''.
0
g. Remove the definition of Excessive consumption of alcohol.
0
h. Add a definition of Execution of a designation of beneficiary under
the Act, at 34 U.S.C. 10281(a)(4)(A) in alphabetical order.
0
i. Remove the definitions of Extrinsic circumstances; Execution of a
designation of beneficiary under the Act, at 42 U.S.C. 3796(a)(4)(A)
and Most recently executed designation of beneficiary under the Act, at
42 U.S.C. 3796 (a)(4)(A).
0
j. Add a definition of Most recently executed designation of
beneficiary under the Act, at 34 U.S.C. 10281(a)(4)(A) in alphabetical
order.
0
k. In the definitions of Nonroutine strenuous physical activity and
Nonroutine stressful physical activity,
[[Page 22385]]
remove ``42 U.S.C. 3796(l)'' and add in its place ``34 U.S.C.
10281(l)''.
0
l. In paragraph (1) of the definition of Participation in a training
exercise, remove ``public agency;'' and add in its place ``public
safety agency;''.
0
m. Remove the definition of Public safety agency, -organization, or-
unit.
0
n. Add a definition of Public safety organization or unit in
alphabetical order.
0
o. Remove the definition of Risky behavior.
0
p. In paragraph (1) of the definition of Routine, remove ``public
agency'' and add in its place ``public safety agency''.
0
q. Add definitions of Something other than the mere presence of
cardiovascular disease risk factors and Unrelated, in alphabetical
order.
0
r. Remove the definition of Undertaking of treatment.
The additions read as follows:
Sec. 32.13 Definitions.
* * * * *
Beneficiary under the Act, at 34 U.S.C. 10281(a)(4)(A)--An
individual (living or deceased on the date of death of the public
safety officer) is designated, by such officer (and as of such date),
as beneficiary under the Act, at 34 U.S.C. 10281(a)(4)(A), only if the
designation is, as of such date, legal and valid and unrevoked (by such
officer or by operation of law) or otherwise unterminated, except
that--
(1) Any designation of an individual (including any designation of
the biological or adoptive offspring of such individual) made in
contemplation of such individual's marriage (or purported marriage) to
such officer shall be considered to be revoked by such officer as of
such date of death if the marriage (or purported marriage) did not take
place, unless preponderant evidence demonstrates that--
(i) It did not take place for reasons other than personal
differences between the officer and the individual; or
(ii) No such revocation was intended by the officer; and
(2) Any designation of a spouse (or purported spouse) made in
contemplation of or during such spouse's (or purported spouse's)
marriage (or purported marriage) to such officer (including any
designation of the biological or adoptive offspring of such spouse (or
purported spouse)) shall be considered to be revoked by such officer as
of such date of death if the spouse (or purported spouse) is divorced
from such officer subsequent to the date of designation and before such
date of death, unless preponderant evidence demonstrates that no such
revocation was intended by the officer.
* * * * *
Competent medical evidence means evidence that indicates a fact to
a degree of medical probability.
* * * * *
Execution of a designation of beneficiary under the Act, at 34
U.S.C. 10281(a)(4)(A) means the legal and valid execution, by the
public safety officer, of a writing that, designating a beneficiary,
expressly, specifically, or unmistakably refers to--
(1) The Act (or the program it creates); or
(2) All the death benefits with respect to which such officer
lawfully could designate a beneficiary (if there be no writing that
satisfies paragraph (1) of this definition).
* * * * *
Most recently executed designation of beneficiary under the Act, at
34 U.S.C. 10281(a)(4)(A) means the most recently executed such
designation that, as of the date of death of the public safety officer,
designates a beneficiary.
* * * * *
Public safety organization or unit means--
(1) The component of a public agency, in which component--
(i) An individual described in the Act, at 34 U.S.C. 10284(9)(A),
serves in an official capacity; or
(ii) An employee described in the Act, at 34 U.S.C. 10284(9)(B) or
(C) performs official duties; or
(2) The component of an agency or entity, under the authority (or
by the license) of which component a member of a rescue squad or
ambulance crew engages in activity (or in the provision of services)
described in the Act, at 34 U.S.C. 10284(9)(D).
* * * * *
Something other than the mere presence of cardiovascular disease
risk factors means--
(1) Ingestion of controlled substances included on Schedule I of
the drug control and enforcement laws (see 21 U.S.C. 812(a)); or
(2) Abuse of controlled substances included on Schedule II, III,
IV, or V of the drug control and enforcement laws (see 21 U.S.C.
812(a)).
* * * * *
Unrelated -- A public safety officer's heart attack, stroke, or
vascular rupture is unrelated to the officer's engagement in a
situation or participation in a training exercise, when an independent
event or occurrence is a substantial contributing factor in bringing
the officer's heart attack, stroke, or vascular rupture about.
0
12. Amend Sec. 32.14 as follows:
0
a. Revise paragraph (a).
0
b. In paragraph (b), remove ``abandoned.'' and add in its place
``abandoned, as though never filed.''
0
c. Remove paragraph (c).
The revision reads as follows:
Sec. 32.14 PSOB Office determination.
(a) Upon its approving or denying a claim, the PSOB Office shall
serve notice of the same upon the claimant (and upon any other claimant
who may have filed a claim with respect to the same public safety
officer). Such notice shall--
(1) Specify the factual findings and legal conclusions that support
it; and
(2) In the event of a denial, provide information as to requesting
a Hearing Officer determination.
* * * * *
Sec. 32.15 [Amended]
0
13. Amend Sec. 32.15 as follows:
0
a. In paragraph (a) introductory text, remove ``42 U.S.C. 3796c-1'' and
add in its place ``34 U.S.C. 10286''.
0
b. In paragraph (a)(1) introductory text, remove ``the public agency in
which the public safety officer served'' and add in its place ``the
public safety officer's public safety agency''.
0
c. In paragraph (a)(2), add ``(or public safety agency)'' after
``public agency''.
0
d. In paragraph (b), remove ``public agency that legally is authorized
to pay death benefits with respect to the agency described in that
paragraph.'' and add in its place ``public agency (or public safety
agency) that legally is authorized to pay death benefits with respect
to the agency described in such paragraph (a)(1).''.
0
e. In paragraph (c)(1), add ``, and every public safety agency,''
before ``that''.
0
f. In paragraph (c)(2), add ``, or public safety agency,'' before
``legally''.
0
g. In paragraph (d) introductory text, remove ``42 U.S.C. 3796(k), are
satisfied with respect to a particular public safety officer's death,
and that no circumstance specified in the Act, at 42 U.S.C. 3796a(1),''
and add in its place ``34 U.S.C. 10281(k), are satisfied with respect
to a particular public safety officer's death, and that no circumstance
specified in the Act, at 34 U.S.C. 10282(a)(1),''.
0
h. In paragraph (d)(2)(i), add ``(or public safety agency's)'' before
``understanding''.
0
i. In paragraph (d)(2)(ii), add ``(or public safety agency)'' before
``is''.
Sec. 32.16 [Amended]
0
14. Remove paragraph (c) of Sec. 32.16.
Sec. 32.21 [Amended]
0
15. Amend Sec. 32.21 as follows:
[[Page 22386]]
0
a. In paragraph (a), remove ``42 U.S.C. 3796(b)'' and add in its place
``34 U.S.C. 10281(b)''.
0
b. In paragraph (b), remove ``42 U.S.C. 3796c-1'' and add in its place
``34 U.S.C. 10286''.
0
16. Effective June 14, 2018, revise Sec. 32.22 to read as follows:
Sec. 32.22 Time for filing claim.
(a) Unless, for good cause shown, the Director extends the time for
filing, no claim shall be considered if it is filed with the PSOB
Office after the later of--
(1) Three years after the injury date; or
(2) One year after the later of--
(i) A final determination of entitlement to receive, or of denial
of, the benefits, if any, described in Sec. 32.25(a)(1)(i); or
(ii) The receipt of the certification described in Sec.
32.25(a)(1)(ii); or
(3) The end of the supporting-evidence collection period.
(b) Unless, for good cause shown, the Director extends the time for
filing, no individual may file a notice of intention to file a claim
after the later of--
(1) The period described in paragraph (a)(1) of this section; or
(2) The period described in paragraph (a)(2) of this section.
(c) In the event that a claim is filed that fails to identify and
provide foundational evidence as to status and injury, the Director
shall deny the claim for lack of that foundational evidence. Not less
than thirty-three days prior to such denial, the PSOB Office shall
serve the claimant with notice of the date on which the Director will
deny for that lack of evidence. Upon the claimant's request, filed
prior to the date specified for the denial, the Director shall, in lieu
of the denial--
(1) Allow the claimant to withdraw his claim; and
(2) Deem (as of the date of the request to withdraw) the claimant
to have filed a notice of intention to file a claim, if a notice of
intention otherwise filed by the claimant on that date would be timely
under paragraph (b) of this section.
(d) Notwithstanding paragraph (a) of this section, unless, for good
cause shown, the Director extends the time for filing, no claim based
on an injury sustained by a WTC responder and resulting from the
September 11, 2001, attacks shall be considered if it is filed with the
PSOB Office after the latest of--
(1) The time provided in paragraph (a) of this section;
(2) Two years after the earlier of--
(i) The date on which the WTC-related physical health condition, if
any, is determined by the September 11th Victim Compensation Fund, for
the WTC responder, to meet the definition at section 104.2(i) of this
title (as in effect on January 17, 2017); or
(ii) The date on which the WTC-related health condition, if any, is
certified, for the WTC responder, under (as applicable) 42 U.S.C.
300mm-22(b)(1)(B)(ii) or 42 U.S.C. 300mm-22(b)(2)(A)(ii); or
(3) June 14, 2020.
0
17. Effective June 14, 2020, revise paragraph (d) of Sec. 32.22 to
read as follows:
Sec. 32.22 Time for filing claim.
* * * * *
(d) Notwithstanding paragraph (a) of this section, unless, for good
cause shown, the Director extends the time for filing, no claim based
on an injury sustained by a WTC responder and resulting from the
September 11, 2001, attacks shall be considered if it is filed with the
PSOB Office after the later of--
(1) The time provided in paragraph (a) of this section; or
(2) Two years after the earlier of--
(i) The date on which the WTC-related physical health condition, if
any, is determined by the September 11th Victim Compensation Fund, for
the WTC responder, to meet the definition at section 104.2(i) of this
title (as in effect on January 17, 2017); or
(ii) The date on which the WTC-related health condition, if any, is
certified, for the WTC responder, under (as applicable) 42 U.S.C.
300mm-22(b)(1)(B)(ii) or 42 U.S.C. 300mm-22(b)(2)(A)(ii).
0
18. Amend Sec. 32.24 as follows:
0
a. Revise paragraph (a).
0
b. In paragraph (b), remove ``abandoned.'' and add in its place
``abandoned, as though never filed.''
The revision reads as follows:
Sec. 32.24 PSOB Office determination.
(a) Upon its approving or denying a claim, the PSOB Office shall
serve notice of the same upon the claimant (and upon any other claimant
who may have filed a claim with respect to the same public safety
officer). Such notice shall--
(1) Specify the factual findings and legal conclusions that support
it; and
(2) In the event of a denial, provide information as to--
(i) Requesting a Hearing Officer determination; or
(ii) As applicable, moving to reconsider a negative disability
finding.
* * * * *
Sec. 32.25 [Amended]
0
19. Amend Sec. 32.25 as follows:
0
a. In paragraph (a) introductory text, remove ``42 U.S.C. 3796c-1'' and
add in its place ``34 U.S.C. 10286''.
0
b. In paragraph (a)(1) introductory text, remove ``the public agency in
which the public safety officer served'' and add in its place ``the
public safety officer's public safety agency''.
0
c. In paragraph (a)(2)(ii), remove ``made by any public agency'' and
add in its place ``or findings made by any public agency (or public
safety agency)''.
0
d. In paragraph (b), add ``(or public safety agency)'' after ``public
agency''.
0
e. In paragraph (c)(1), add ``, and every public safety agency,''
before ``that''.
0
f. In paragraph (c)(2), add ``, or public safety agency,'' before
``legally''.
Sec. 32.26 [Removed and reserved]
0
20. Remove and reserve Sec. 32.26.
Sec. 32.31 [Amended]
0
21. In Sec. 32.31, remove ``42 U.S.C. 3796d-1.'' and add in its place
``34 U.S.C. 10302.''.
Sec. 32.32 [Amended]
0
22. Amend Sec. 32.32 as follows:
0
a. In paragraph (a), remove ``42 U.S.C. 3796d-1(c),'' and add in its
place ``34 U.S.C. 10302(c),''.
0
b. In paragraph (c), remove ``nonphysical'' and add in its place ``non-
physical''.
0
23. Amend Sec. 32.33 as follows:
0
a. Remove the definitions of Dependent and Eligible dependent.
0
b. Revise the definition of Eligible public safety officer.
0
c. In the definition of Financial assistance, remove ``42 U.S.C. 3796d-
1'' and add in its place ``34 U.S.C. 10302''.
0
d. In paragraph (1) of the definition of Financial need, remove ``42
U.S.C. 3796d-1(a)(3)(A)'' and add in its place ``34 U.S.C.
10302(a)(3)''.
0
e. Remove the definitions of Public safety agency and Tax year.
The revision reads as follows:
Sec. 32.33 Definitions.
* * * * *
Eligible public safety officer means a public safety officer--
(1) With respect to whose death, benefits under subpart B of this
part properly--
(i) Have been paid; or
(ii) Would have been paid but for operation of the Act, at 34
U.S.C. 10281(f); or
(2) With respect to whose disability, benefits under subpart C of
this part properly--
(i) Have been paid; or
(ii) Would have been paid, but for operation of--
[[Page 22387]]
(A) Paragraph (b) of Sec. 32.6; or
(B) The Act, at 34 U.S.C. 10281(f).
* * * * *
Sec. 32.34 [Amended]
0
24. In paragraph (c) of Sec. 32.34, remove ``abandoned.'' and add in
its place ``abandoned, as though never filed.''
Sec. 32.36 [Amended]
0
25. In paragraph (a) of Sec. 32.36, remove ``42 U.S.C. 3796d-
1(a)(2),'' and add in its place ``34 U.S.C. 10302(a)(2),''.
Sec. 32.43 [Amended]
0
26. In paragraph (a) of Sec. 32.43, remove ``42 U.S.C. 3787'' and add
in its place ``34 U.S.C. 10225''.
0
27. Revise paragraph (b) of Sec. 32.44 to read as follows:
Sec. 32.44 Hearing Officer determination.
* * * * *
(b) Upon a Hearing Officer's approving or denying a claim, the PSOB
Office shall serve notice of the same simultaneously upon the claimant
(and upon any other claimant who may have filed a claim with respect to
the same public safety officer). Such notice shall--
(1) Specify the Hearing Officer's factual findings and legal
conclusions that support it; and
(2) In the event of a denial, provide information as to Director
appeals.
* * * * *
0
28. Amend Sec. 32.45 as follows:
0
a. In paragraph (d)(1), remove ``; and''.
0
b. In paragraph (d)(2), remove the period and add in its place ``;
and''.
0
c. Add paragraph (d)(3).
The addition reads as follows:
Sec. 32.45 Hearings.
* * * * *
(d) * * *
(3) Shall (unless the Director should direct or allow otherwise) be
the only individual (other than the claimant's representative, if any)
who may examine the claimant.
* * * * *
Sec. 32.51 [Amended]
0
29. In Sec. 32.51, remove ``42 U.S.C. 3796c-1'' and add in its place
``34 U.S.C. 10286''.
Sec. 32.52 [Amended]
0
30. In paragraph (b) of Sec. 32.52, remove ``nonphysical'' and add in
its place ``non-physical''.
0
31. Effective June 14, 2018, amend Sec. 32.53 as follows:
0
a. In paragraph (b)(2), remove ``42 U.S.C. 3796c-1'' and add in its
place ``34 U.S.C. 10286''.
0
b. Add paragraph (d).
The addition reads as follows:
Sec. 32.53 Review.
* * * * *
(d) The Director may reconsider a claim under subparts B or C of
this part that has been denied in a final agency determination if--
(1) The public safety officer was a WTC responder;
(2) The claim was based on the allegation that--
(i) The WTC responder sustained an injury that was the direct and
proximate cause of his death or of his permanent and total disability;
and
(ii) The WTC responder's injury was sustained in the course of
performance of line of duty activity or a line of duty action that
exposed him to airborne toxins, other hazards, or other adverse
conditions resulting from the September 11, 2001, attacks;
(3) The sole ground of the denial was that the claim did not
establish that--
(i) The WTC responder sustained an injury in the course of
performance of line of duty activity or a line of duty action; or
(ii) The injury allegedly sustained by the WTC responder was the
direct and proximate cause of his death or permanent and total
disability;
(4) The alleged injury on which the claim was based is a WTC-
related health condition; and
(5) The claimant files with the PSOB Office a motion for such
reconsideration before the later of--
(i) Two years after the earlier of--
(A) The date on which the WTC-related physical health condition, if
any, is determined by the September 11th Victim Compensation Fund, for
the WTC responder, to meet the definition at section 104.2(i) of this
title (as in effect on January 17, 2017); or
(B) The date on which the WTC-related health condition, if any, is
certified, for the WTC responder, under (as applicable) 42 U.S.C.
300mm-22(b)(1)(B)(ii) or 42 U.S.C. 300mm-22(b)(2)(A)(ii); or
(ii) June 14, 2020.
0
32. Effective June 14, 2020, revise paragraph (d)(5) of Sec. 32.53, to
read as follows:
Sec. 32.53 Review.
* * * * *
(d) * * *
(5) The claimant files with the PSOB Office a motion for such
reconsideration before the earlier of two year--
(i) The date on which the WTC-related physical health condition, if
any, is determined by the September 11th Victim Compensation Fund, for
the WTC responder, to meet the definition at section 104.2(i) of this
title (as in effect on January 17, 2017); or
(ii) The date on which the WTC-related health condition, if any, is
certified, for the WTC responder, (as applicable) 42 U.S.C. 300mm-
22(b)(1)(B)(ii) or 42 U.S.C. 300mm-22(b)(2)(A)(ii).
0
33. Amend Sec. 32.54 as follows:
0
a. Revise paragraph (a).
0
b. In paragraph (c) introductory text, remove ``may--'' and add in its
place ``may (among other things)--''.
The revision reads as follows:
Sec. 32.54 Director determination.
(a) Upon the Director's approving or denying a claim, the PSOB
Office shall serve notice of the same simultaneously upon the claimant
(and upon any other claimant who may have filed a claim with respect to
the same public safety officer), and upon any Hearing Officer who made
a determination with respect to the claim. Such notice shall--
(1) Specify the factual findings and legal conclusions that support
it; and
(2) In the event of a denial, provide information as to judicial
appeals.
* * * * *
0
34. Revise Sec. 32.55 to read as follows:
Sec. 32.55 Judicial appeal.
Consistent with Sec. 32.8, no administrative action other than an
approval or denial described in Sec. 32.54(a) shall constitute a final
agency determination for purposes of the Act, at 34 U.S.C. 10287.
Dated May 2, 2018.
Alan R. Hanson,
Principal Deputy Assistant Attorney General.
[FR Doc. 2018-09640 Filed 5-14-18; 8:45 am]
BILLING CODE 4410-18-P