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HB212 Alabama 2021 Session

Updated Feb 26, 2026
Notable

Summary

Session
Regular Session 2021
Title
Workers' compensation, firefighters, law enforcement officers, diagnosed with post-traumatic stress disorder, reimbursed for certain out-of-pocket expenses, co's and municipalities required to maintain certain disability insurance coverage
Summary

HB212 would require local governments to reimburse PTSD treatment co-pays for police and firefighters and provide disability benefits when PTSD prevents them from working.

What This Bill Does

Currently PTSD isn’t treated as an occupational disease unless there’s a physical injury. The bill would allow police officers and firefighters diagnosed with PTSD to be reimbursed for treatment co-pays (including counseling) or have local governments cover those costs. It also requires counties, municipalities, and fire districts to provide disability payments or insurance coverage for those unable to return to work due to PTSD, with specific eligibility and medical certification requirements. Payments would be tax-favored, and the act would take effect January 1, 2022, with no coverage for PTSD from events before that date.

Who It Affects
  • Law enforcement officers and firefighters employed by counties, municipalities, or fire districts who are diagnosed with PTSD (eligible for co-pay reimbursements and disability benefits).
  • Counties, municipalities, fire districts, and self-insurance groups that employ these workers (required to provide reimbursements/coverage and administer disability benefits).
Key Provisions
  • Reimbursement of co-payments for PTSD treatment and/or maintenance of coverage to reimburse co-payments for treatment (including counseling), available to officers and firefighters diagnosed with PTSD related to a specific event in the line of duty.
  • Eligibility criteria for reimbursement require: agreement that the employer is not liable under certain state laws; participation in peer support; diagnosis by a licensed clinical psychologist or board-certified psychiatrist with appropriate testing to rule out malingering; and medical necessity of treatment.
  • Disability benefits for eligible personnel: 66 2/3% of base pay, paid monthly for up to 24 months per incident; eligibility limited to those unable to continue work due to PTSD from a specific event and who stay in treatment with monthly attendance confirmations; return-to-work authorization required from the treating clinician; self-insurance groups may provide these payments.
  • Tax treatment: reimbursements/benefits are excluded from state income tax, and premiums for the provided coverage are not subject to premium taxes.
  • Specific events (defined) include on-scene or immediate-after-event actions causing severe injuries or death, with eligibility tied to PTSD arising from those events and occurring during employment.
  • Effective date and applicability: provisions do not apply to PTSD from events before the act’s effective date; the act becomes effective January 1, 2022.
AI-generated summary using openai/gpt-5-nano on Feb 22, 2026. May contain errors — refer to the official bill text for accuracy.
Subjects
Workers' Compensation

Bill Actions

S

Pending third reading on day 28 Favorable from Finance and Taxation General Fund

S

Read for the second time and placed on the calendar

S

Read for the first time and referred to the Senate committee on Finance and Taxation General Fund

H

Motion to Read a Third Time and Pass adopted Roll Call 17

H

Simpson motion to Table adopted Roll Call 16

H

Hanes Amendment Offered

H

Third Reading Passed

H

Read for the second time and placed on the calendar

H

Read for the first time and referred to the House of Representatives committee on Ways and Means General Fund

Bill Text

Votes

HBIR: Simpson motion to Adopt Roll Call 15

February 9, 2021 House Passed
Yes 99
Absent 5

Simpson motion to Table Roll Call 16

February 9, 2021 House Passed
Yes 63
No 23
Abstained 6
Absent 12

Motion to Read a Third Time and Pass Roll Call 17

February 9, 2021 House Passed
Yes 98
Abstained 1
Absent 5

Documents

Source: Alabama Legislature