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H 7773Labor Relations

Labor and Labor Relations - Workers' Compensation - Procedure

Protects a worker's settlement money for pain and suffering from being taken to reimburse workers' compensation insurers.

Held for study
Population
Affected
15
Introduced Feb 12, 2026Committee House Labor

Plain-English Summary

This legislation modifies Rhode Island's workers' compensation laws regarding lawsuits against "third parties" (people other than the employer who caused an injury). Currently, if an injured worker sues a third party and wins, they must use that money to pay back the workers' compensation insurer. This bill changes the rules so that money specifically awarded for "pain and suffering," "loss of consortium," or lost wages not covered by insurance cannot be taken for reimbursement. It also ensures that if the worker was partially at fault, the amount they have to pay back to the insurer is reduced accordingly.

For younger readers

Imagine you are working and someone who doesn't work there hurts you by accident, like a bad driver hitting your truck. Your job's insurance pays for your doctor. If you sue the bad driver and win money because you were in pain or sad, normally you have to give that money to your job's insurance to pay them back for the doctor. This new rule says you get to keep the money meant for your pain. The insurance company can't take the money that is specifically for your feelings or hurt, only money meant for things they paid for.

Who & Where It Applies

Impacted groups
Injured EmployeesWorkers' Compensation InsurersEmployersPersonal Injury AttorneysThird-Party Defendants
Impacted communities
All

Constitutional & Fiscal Check

None Likely

Estimated cost
None
Estimated revenue
None

Bill Analysis

Both viewpoints
For Progressives
  • Prevents corporate insurance entities from seizing settlement funds that are specifically designated for a worker's personal pain, suffering, and loss of quality of life, ensuring the money goes to the victim rather than the corporation.
  • Strengthens the financial security of injured workers by allowing them to retain a larger portion of third-party settlements, which helps address the long-term economic hardships caused by workplace injuries.
  • Ensures fairness by mandating that reimbursement to insurers is reduced by the percentage of the employee's comparative negligence, preventing insurers from profiting fully when the worker was partially responsible.
  • May lead to an increase in workers' compensation insurance premiums, which could negatively impact small business owners and non-profit organizations operating on tight margins.
  • Does not completely eliminate the subrogation lien, meaning workers must still navigate complex legal systems and potentially pay back medical costs, rather than having a fully comprehensive social safety net.
  • Could create an incentive for insurers to aggressively dispute the categorization of damages in court, potentially delaying the release of funds to injured workers who need immediate financial assistance.
For Conservatives
  • Upholds the sanctity of private property rights by ensuring that damages awarded to an individual for their specific personal suffering are not confiscated by a third-party entity.
  • Codifies the principle of personal responsibility through the inclusion of comparative negligence, ensuring that financial recoveries accurately reflect the individual's role in the incident.
  • Streamlines judicial efficiency by clarifying that disputes over reimbursement apportionment must be heard by the court already handling the underlying claim, reducing the need for separate litigation tracks.
  • Imposes additional financial burdens on businesses and insurers by limiting their ability to recover costs, which will almost certainly result in higher insurance premiums for employers across the state.
  • Likely encourages increased litigation and benefits trial lawyers, who will be incentivized to manipulate settlement structures to maximize non-reimbursable damages at the expense of the insurer's contract rights.
  • Undermines the traditional "grand bargain" of workers' compensation by shifting the cost balance further against employers while allowing employees to essentially double-dip on certain aspects of recovery.

Votes

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Full Bill Text

Changes to existing Rhode Island law · 11 additions · 3 deletions

SECTION 1. Section 28-35-58 of the General Laws in Chapter 28-35 entitled "Workers’ Compensation — Procedure" is hereby amended to read as follows: 28-35-58. Liability of third person for damages.

(a) Where the injury for which compensation is payable under chapters 29 — 38 of this title was caused under circumstances creating a legal liability in some person other than the employer to pay damages in respect of the injury, the employee may take proceedings, both against that person to recover damages and against any person liable to pay compensation under those chapters for that compensation, and the employee shall be entitled to receive both damages and compensation. The employee, in recovering damages either by judgment or settlement from the person so liable to pay damages, shall reimburse the person by whom the compensation was paid to the extent of the compensation paid as of the date of the judgment or settlement and the receipt of those damages by the employee shall not bar future compensation. An insurer shall be entitled to suspend the payment of compensation benefits payable to the employee when the damages recovered by judgment or settlement from the person so liable to pay damages exceeds the compensation paid as of the date of the judgment or settlement. The suspension period shall be the number of weeks that are equal to the excess damages paid divided by the employee’s weekly compensation rate; however, during the period of suspension the employee shall be entitled to receive the benefit of all medical and hospital payments on his or her behalf. If the employee has been paid compensation under those chapters, the person by whom the compensation was paid shall be entitled to indemnity from the person liable to pay damages, and to the extent of that indemnity shall be subrogated to the rights of the employee to recover those damages. When money has been recovered either by judgment or by settlement by an employee from the person liable to pay damages, by suit or settlement, and the employee is required to reimburse the person by whom the compensation was paid, the employee or his or her attorney shall be entitled to withhold from the amount to be reimbursed that proportion of the costs, witness expenses, and other out-of-pocket expenses and attorney fees which the amount which the employee is required to reimburse the person by whom compensation was paid bears to the amount recovered from the third party.

(b) Any money recovered by judgment, award, or settlement that includes damages for past or future pain and suffering, loss of consortium, loss of society, loss of wages and/or earning capacity or other damages not fully compensated by workers' compensation, shall not be reimbursed. The amount to be reimbursed shall also be reduced by any percentage of the employee's comparative negligence. Any dispute regarding the appropriate apportionment of the amount to be reimbursed by the employee shall be heard in the court having jurisdiction of the underlying third- party claim. (b)(c) In any case in which the employee or, in case of death, the administrator of the employee’s estate neglects to exercise the employee’s right of action by failing to file a lawsuit against such third person within two (2) years and eight (8) months after the injury, the self-insured employer or the employer’s insurance carrier may so proceed and shall be subrogated to the rights of the injured employee or, in case of death, to the rights of the administrator to recover against such person; provided, that no subrogation action shall commence unless at least twenty-six (26) weeks prior to the expiration of the two (2) years and eight (8) months the self-insured employer or the employer’s insurance carrier has notified the employee, or in the case of death, the administrator of the employee’s estate, in writing by personal service or certified mail, that failure to commence such action within two (2) years and eight (8) months after the injury will operate as an assignment of the right of action to the self-insured employer or the employer’s insurance carrier. Upon filing the lawsuit, the attorney for the self-insured employer or the employer’s insurance carrier shall notify the employee in writing by personal service or certified mail of the action and the name of the court where it was filed and the employee may join as a plaintiff in the action within thirty (30) days after the notification, and, if the employee fails to join, the right of joinder shall abate. The right of the employee, or in case of death, the administrator of the employee’s estate, to be fully compensated for the damages sustained shall be fully preserved as outlined in subsection (a). (c)(d) If the self-insured employer or the employer’s insurance carrier recovers from these other personal damages or benefits, after expenses and costs of action have been paid, in excess of the amount of the lien as defined in this section, then that excess shall be paid to the injured employee or, in the case of death, to the administrator of the employee’s estate for distribution. (d)(e) In the event there is a dispute over the reimbursement owed or the period of suspension going forward, the court, by agreement of the parties and upon petition by either the employee or the employer and/or its insurance carrier, shall assign the dispute to the workers’ compensation court’s mediation program, in accordance with the rules and procedures established by the court. Nothing herein shall preclude any party or attorney from pursuing any action otherwise available.

SECTION 2. This act shall take effect upon passage.