Bill Text: TX SB1492 | 2013-2014 | 83rd Legislature | Introduced


Bill Title: Relating to the dispute by an insurer of a determination of specific injuries and diagnoses in connection with a compensable injury in certain workers' compensation claims.

Spectrum: Partisan Bill (Democrat 1-0)

Status: (Introduced - Dead) 2013-03-18 - Referred to State Affairs [SB1492 Detail]

Download: Texas-2013-SB1492-Introduced.html
  83R2408 JSC-D
 
  By: Van de Putte S.B. No. 1492
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to the dispute by an insurer of a determination of specific
  injuries and diagnoses in connection with a compensable injury in
  certain workers' compensation claims.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 408.0042, Labor Code, is amended by
  amending Subsection (c) and adding Subsection (c-1) to read as
  follows:
         (c)  After the medical examination is performed, the
  treating doctor shall submit to the insurance carrier a report that
  details all injuries and diagnoses related to the compensable
  injury, on receipt of which the insurance carrier shall:
               (1)  accept all injuries and diagnoses as related to
  the compensable injury; or
               (2)  dispute the determination of specific injuries and
  diagnoses by requesting:
                     (A)  an examination by a designated doctor under
  Section 408.0041; or
                     (B)  a benefit review conference under Section
  410.023.
         (c-1)  If an insurance carrier does not dispute the
  determination of specific injuries and diagnoses detailed in the
  report submitted by the treating doctor under Subsection (c) on or
  before the 90th day after the date the report is provided to the
  insurance carrier, the insurance carrier waives its right to
  dispute the determination, unless there is a finding of evidence
  that could not reasonably have been discovered earlier.
         SECTION 2.  The change in law made by this Act applies only
  to a medical examination by a treating doctor that occurs on or
  after the effective date of this Act. A medical examination that
  occurs before that date is governed by the law as it existed
  immediately before the effective date of this Act, and the former
  law is continued in effect for that purpose.
         SECTION 3.  This Act takes effect September 1, 2013.
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