Kentucky House Bill 26 was introduced, which would expand the definition of "injury" to include psychological injuries that are not a direct result of physical injuries for police officers, firefighters, emergency medical services personnel, front-line staff members as defined by KRS 61.315, or members of the National Guard.

As for defining psychological injuries, the bill notes that such injuries must be the result of a work-related event or cumulative work-related stress that is extraordinary and unusual in comparison to pressures and tensions experienced by the average employee across all occupations. Furthermore, such an event cannot be related to disciplinary action, work evaluation, job transfer, layoff, demotion, termination, or similar actions.

The bill also notes that if a defined first responder is diagnosed with PTSD within three years of the last active date of employment then there shall be a rebuttable presumption.