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Joint Outreach Task Group Meeting

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Title: Joint Outreach Task Group Meeting Author: U.S. Department of Labor Last modified by: tran-steffany Created Date: 8/18/2014 8:47:25 PM Document presentation format – PowerPoint PPT presentation

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Title: Joint Outreach Task Group Meeting


1
Joint Outreach Task Group Meeting
  • August 27, 2014
  • Spokane, Washington

2
Administrative Issues
  • Emergency Exits
  • Rest Rooms
  • Photos
  • Cell Phones

3
Todays Agenda
  • Introductions
  • Overview of EEOIC Program
  • Part B Benefits
  • Part E Benefits
  • EEOICPA Ombudsmans Office
  • Department of Energy (DOE)
  • DOE-funded Former Worker Screening Program
  • Questions and Answers
  • Opportunity to Meet with Various Representatives

4
PRESENTERS and ATTENDEES
  • Presenters
  • Department of Labor
  • Office of the Ombudsman for EEOICPA
  • Department of Energy
  • Building Trades National Medical Screening
    Program

5
  • Attendees
  • National Institute of Occupational Safety and
    Health
  • DOL Seattle District Office
  • DOL Hanford Resource Center

6
Energy Employees Occupational Illness
Compensation Program
Joint Outreach Task Group Meeting Spokane,
Washington August 27, 2014
7
Washington 2 Covered Facilities are located in
Washington
  • Hanford (1942-Present)
  • Pacific Northwest National Laboratory
    (2005-Present)
  • http//www.hss.energy.gov/healthsafety/fwsp/advoca
    cy/faclist/findfacility.cfm

8
Means of Verifying Employment
  • DOE
  • EE-5 Employment Verification Form
  • Oak Ridge Institute for Science and Education
    (ORISE)
  • The Center for Construction Research and Training
    (CPWR)
  • Corporate Verifiers
  • SSA wage data
  • Other Sources
  • Including affidavits and records or documents
    created by state and federal agencies

8
9
Part B Whos Eligible?
  • Beryllium Vendors (BV)
  • RECA Section 5 awardees
  • Grandchildren
  • Grandparents
  • Covered Employees
  • DOE employees or its contractors/subcontractors
  • Atomic Weapons Employers (AWE)
  • Eligible Survivors
  • Surviving spouse
  • Children Regardless of age
  • Parents

10
Part B Covered Conditions
  • Radiation induced cancer
  • Beryllium Disease
  • Beryllium Sensitivity Medical Monitoring Only
  • Chronic Silicosis
  • Supplement for RECA Section 5 uranium workers

11
Part B Dose Reconstruction Probability of
Causation
  • Part B Cancer Cases
  • Dose Reconstruction Needed - Conducted by NIOSH
  • Level and extent of occupational radiation dose
  • Probability of Causation (PoC)
  • Scientific calculation of likelihood that
    radiation exposure caused cancer
  • NIOSH-IREP
  • PoC - 50 or greater for award

12
Part B Special Exposure Cohort
  • Causation presumed for Special Exposure Cohort
    (SEC) members diagnosed with a specified cancer
  • NIOSH Dose Reconstruction is not needed
  • Specified Cancer
  • 22 cancers named in law

13
Hanford Site SEC Class
  • Effective January 9, 2010 the following class of
    employees was added to the Special Exposure
    Cohort (SEC) of the EEOICPA 
  • All employees of DOE, its predecessor agencies,
    and its contractors and subcontractors who worked
    at the Hanford Site in Richland, Washington, from
    October 1, 1943 through June 30, 1972, for a
    number of workdays aggregating at least 250
    workdays, occurring either solely under this
    employment or in combination with workdays within
    the parameters established for one or more other
    class of employees in the SEC. 
  • The January 9, 2010, SEC class subsumed both
    prior June 29, 2008 and October 12, 2007, Hanford
    Site SEC classes

14
Hanford Site SEC Class
  • Effective September 22, 2012, the following
    additional class of employees was added to the
    SEC of the EEOICPA 
  • All employees of the Department of Energy (DOE),
    its predecessor agencies, and its contractors and
    subcontractors who worked at the Hanford Site in
    Richland, Washington, from July 1, 1972 through
    December 31, 1983, for a number of workdays
    aggregating at least 250 workdays, occurring
    either solely under this employment or in
    combination with workdays within the parameters
    established for one or more other class of
    employees in the SEC. 

15
Part E Whos Eligible?
  • Eligible Covered Employees
  • DOE contractor or subcontractor employees
  • Does NOT include DOE, AWE, and BV workers
  • Eligible Survivors
  • Surviving Spouse
  • Employees Children, if no surviving spouse, and
    if at the time of the employees death the child
    was
  • Under the age of 18
  • Under the age of 23 and a full-time student,
    continuously enrolled in an educational
    institution since age 18
  • Any age if medically incapable of self support

16
Part E Illness from Toxic Exposure
  • All conditions (not symptoms of conditions) are
    covered
  • Must show that toxic exposure at a covered DOE
    facility was a significant factor in
  • Causing, contributing to, or aggravating the
    claimed condition
  • DOL will assist with verifying Part E toxic
    exposure
  • Claimant bears overall burden of proving his or
    her claim

17
Part E Means of Verifying Toxic Exposure
  • DOL Resource Centers
  • Occupational History Questionnaires (OHQ)
  • Site Exposure Matrices (SEM)
  • Identifies toxic substances related to labor
    categories, processes, buildings, and major
    incidents
  • Website available at www.sem.dol.gov
  • DOE Document Acquisition Request (DAR)
  • Claimant Records

18
Part E Employee Impairment
  • Determination of permanent whole person
    impairment due to covered illness
  • AMAs Guides to the Evaluation of Permanent
    Impairment, 5th Edition
  • 2,500 awarded for each of impairment

19
Part E Employee Wage Loss
  • Medical evidence must show decreased capacity to
    work
  • Employee Compensation
  • Any year lt50 of the pre-disability annual wage
    15,000 compensation
  • Any year gt 50 but lt75 of the pre-disability
    annual wage 10,000 compensation

20
Benefits
Part B Part E
150,000 Employee Survivor Impairment 2,500 per (Employee)
50,000 RECA Employee Survivor Wage Loss 10,000 -15,000 per year (Employee)
125,000 Survivor ( lump-sum Wage Loss if eligible)
400,000 CAP for BE combined 400,000 CAP for BE combined
20
21
Medical Benefits
  • Broad coverage for medical treatment costs linked
    to accepted work-related illness(es)
  • Routine medical care - including office visits,
    diagnostic services (lab and radiology services)
  • Prescription medications
  • Other services including inpatient care,
    outpatient services (chemotherapy, radiation
    treatment, etc.)
  • Medical travel expenses
  • Transportation, lodging, meals, and misc.
    expenses (tolls, parking, baggage, etc.)
  • Durable Medical Equipment
  • Wheel chairs, hospital beds, oxygen and supplies

22
Medical Benefits (continued)
  • Extended care facility
  • Residential nursing home, assisted living
    facility, etc.
  • Hospice
  • Home Health Care (HHC)
  • Skilled nursing-LPN, RN
  • Personal assistance-HHA, PCA

23
Decision Process
  • Recommended Decision District Office
  • Preliminary determination
  • Cover letter, decision, and rights to object
    (oral hearing/review of written record)
  • Final Decision Final Adjudication Branch (FAB)
  • Affirmation of recommend decision or remand based
    on objection/independent review
  • Claimant Rights Reconsideration Reopening

24
Claimant Responsibilities
  • File Claim
  • Collect/Copy/Submit relevant records
  • Respond to information requests
  • Talk to co-workers get affidavits
  • Seek assistance if you need help call Resource
    Center
  • Review decision and information for appeal

25
EEOICPA Compensation
  • 10.6 Billion Total Compensation
  • 5.44 Billion Part B
  • 3.26 Billion Part E
  • 1.98 Billion Medical

Data as of August 3, 2014
26
Washington
  • 873.6 Million Total Compensation
  • 490.8 Million Part B
  • 279.9 Million Part E
  • 102.9 Million Medical

Data as of August 3, 2014
27
Claimant Resources
  • Resource Centers 11 locations
  • Hanford Resource Center toll free number (888)
    654-0014
  • District Offices 4 locations
  • Seattle District Office toll free number (888)
    805-3401
  • DEEOIC web site
  • http//www.dol.gov/owcp/energy/
  • General program information
  • SEM website
  • Forms
  • Sample decisions

28
District Office Jurisdictional Map
29
(No Transcript)
30
EEOICPA OFFICE OF THE OMBUDSMAN
  • August 27, 2014
  • Spokane, Washington

31
EEOICPA and THE OFFICE OF THE OMBUDSMAN
  • History
  • October 2000 Congress enacted EEOICPA
  • Part B administered by Department of Labor
  • Part D administered by Department of Energy
  • October 2004 - Congress repealed Part D and
    established Part E.
  • Part E administered by the Department of Labor

32
OFFICE OF THE OMBUDSMAN
  • October 2004 legislation also created the Office
    of the Ombudsman.
  • The Office of the Ombudsman is independent from
    the offices within the Department of Labor that
    administer EEOICPA.
  • The Office initially only had authority to
    address Part E claims. The 2010 National Defense
    Authorization Act expanded authority to include
    Part B of the EEOICPA.
  • October 24, 2012 - Secretary of Labor Solis
    signed a Memorandum continuing the Office of the
    Ombudsman.

33
OFFICE OF THE OMBUDSMAN
  • Duties
  • Provide information on the benefits available
    under the EEOICPA.
  • Make recommendations regarding the location of
    resource centers for the acceptance and
    development of claims there are currently 11
    resource centers.
  • Submit an annual report to Congress detailing
  • a) The number and types of complaints,
    grievances and requests for assistance received
    during the year and
  • b) An assessment of the most common difficulties
    encountered by claimants during the year.

34
OFFICE OF THE OMBUDSMAN
  • Limitations the Office cannot
  • Rule or make decisions on claims.
  • Make DEEOIC reverse or change a decision.
  • Make Congress revise the EEOICPA.
  • Take DEEOIC to court
  • Lobby Congress
  • Act as an advocate

35
OMBUDSMAN ASSISTANCE
  • When the Office receives complaints, grievances,
    and requests for assistance
  • We respond to claimants, attorneys, lay
    representatives, congressional staff and others.
  • We explain, review and discuss aspects of the
    EEOICPA claims process.
  • We answer questions and provide other assistance
    to individuals encountering difficulties with
    claims pending with DEEOIC.
  • We discuss your concerns in our annual report to
    Congress.

36
OMBUDSMAN ASSISTANCE
  • Outreach efforts and initiatives include
  • Sponsoring town hall meetings.
  • Participating in DEEOIC sponsored town hall
    meetings and traveling resource centers.
  • Offering opportunities for individuals to speak
    on-on-one with Ombudsman staff.
  • Coordinating efforts with the Joint Outreach Task
    Group (JOTG).

37
Ombudsman Contact Information
  • Mail U.S. Department of Labor
  • Office of the Ombudsman 200 Constitution Ave.,
    NW,
  • Room N2454
  • Washington, D.C. 20210
  • Toll Free 1-877-662-8363
  • Email ombudsman_at_dol.gov
  • Website www.dol.gov/eeombd

38
Department of Energy Support to the Energy
Employees Occupational Illness Compensation
Program Act (EEOICPA) and the Former Worker
Medical Screening Program (FWP)
  • Office of Environment, Health, Safety and
    Security
  • August 2014

39
DOE Responsibilities
  • Respond to DOL and NIOSH requests for information
    related to individual claims (employment
    verification, exposure records).
  • Provide support and assistance to DOL, NIOSH, and
    Advisory Board on large-scale research and site
    characterization projects through records
    research and retrieval efforts at various DOE
    sites.
  • Conduct research, in coordination with DOL and
    NIOSH, on issues related to covered facilities
    designations.

40
Individual Records
  • Claimants often worked at multiple DOE sites, for
    multiple contractors and subcontractors, and in
    different jobs or divisions over a career.
  • Records packages that DOE provides to DOL and
    NIOSH can be hundreds of pages long.

41
  • Former Worker Medical Screening Program

42
FWP Background
  • Program serves all former Federal, contractor,
    and subcontractor workers from all DOE sites

43
FWP Background (cont.)
  • Mission
  • Identify and notify former workers at risk for
    occupational disease.
  • Offer them medical screening that can lead to
    treatment.
  • Provide information and assistance about medical
    follow-up and compensation.
  • Use findings to strengthen safety and health
    protection for current and future workers.

44
Hanford FWP Contacts
  • Hanford- Production Workers
  • National Supplemental Screening Program (NSSP)
  • All former Production Workers from Hanford
  • 1-866-812-6703 or http//www.orau.org/nssp
  • Hanford-Construction Workers
  • Building Trades National Medical Screening
    Program (BTMed)
  • All former Construction Workers from Hanford
  • 1-800-866-9663 or www.btmed.org

45
Idaho National LaboratoryFWP Contacts
  • Idaho National Laboratory (INL)- Production
    Workers
  • Worker Health Protection Program (WHPP)
  • All former Production Workers from INL
  • 1-888-241-1199 or http//worker-health.org/
  • Idaho National Laboratory(INL)-Construction
    Workers
  • Building Trades National Medical Screening
    Program (BTMed)
  • All former Construction Workers from INL
  • 1-800-866-9663 or www.btmed.org

46
  • Questions?

47
Building Trades National Medical Screening
Program (BTMed)
  • August 2014

48
BTMed Team
  • DOE Funding Agency
  • CPWR Responsible for performance
  • Duke University Industrial Hygiene, Statistical
    Q/A and Epidemiology
  • University of Cincinnati Site History and SEC
    fact sheets
  • Zenith American Solutions Operations

49
BTMed Overview
  • Offers free screening services to former DOE
    construction/trades workers
  • Covers 27 DOE sites
  • Completed 29,400 screens (21,500 workers)
  • Screen about 45 workers/week
  • Started ELCD program for Hanford workers in 2013
  • Provide information and assistance about medical
    follow-up and compensation

50
Ashtabula
Shippingport Atomic
Power Plant
National Energy
Technology Lab
51
(No Transcript)
52
Screening Services
  • Screenings
  • Occupational and medical history
  • Physical exam
  • Chest X-ray
  • Blood test (including GHP, BeLPT)
  • Spirometry
  • Hearing test
  • CT Scans

53
Medical Component
  • More than 200 clinics to choose from
    -Credentialed and malpractice verification
  • Use a national lab for blood testing (Quest)
  • X-ray B-readers
  • University of Washington - David Godwin
  • National Jewish several readers
  • Michigan State, Ken Rosenman

54
NETWORK PROVIDER LOCATIONS

55
Medical Findings
  • Abnormal chest x-rays in 18,
  • Abnormal pulmonary function in 40, and
  • Evidence of hearing loss in 64.
  • Beryllium sensitization in about 1.5
  •  

56
  • www.btmed.org
  • Toll-free at 1-800-866-9663

57
  • Questions????
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