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Bill

S 1821

An Act relative to disability or death caused by post-traumatic stress disorder

194th Legislature (2025-2026) Introduced by Mike Brady and 15 co-sponsors

Expands Massachusetts workers' compensation to cover PTSD disability and death, extending benefits beyond first responders to broader worker populations affected by job-related trauma.

Bill reported favorably by committee and referred to the committee on Senate Ways and Means
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Bill Summary · S 1821

Legislative bill overview

S 1821 expands workers' compensation coverage in Massachusetts to include disability or death caused by post-traumatic stress disorder (PTSD), removing current restrictions that limit PTSD claims primarily to first responders. The bill would allow a broader class of workers to claim workers' compensation benefits if they develop PTSD as a result of work-related incidents or conditions.

Why is this important

This change would significantly expand the financial safety net for workers who develop PTSD from job-related trauma, potentially affecting mental health treatment access and long-term financial security for affected employees. It also carries fiscal implications for employers and the workers' compensation system, as PTSD claims could increase substantially depending on how broadly "work-related" trauma is defined.

Potential points of contention

  • Definition and causation disputes: Determining which workplace incidents qualify as PTSD-causing events could be contentious, as mental health conditions are complex and multi-factorial; employers may argue difficulty in attributing PTSD solely to work versus personal circumstances
  • Cost and premium impacts: Expanding coverage will likely increase workers' compensation insurance costs for employers, potentially affecting small businesses disproportionately and raising premiums across the system
  • Evidentiary standards: Questions remain about what medical evidence and documentation will be required to prove work-related PTSD, which could create litigation over claim denials and appeal processes

Compiled from official sources — confirm details with the bill’s official record.

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