Bill Text: TX SB1494 | 2017-2018 | 85th Legislature | Engrossed
NOTE: There are more recent revisions of this legislation. Read Latest Draft
Bill Title: Relating to preauthorization and concurrent review of certain health care services under the workers' compensation system.
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Passed) 2017-05-22 - Effective on 9/1/17 [SB1494 Detail]
Download: Texas-2017-SB1494-Engrossed.html
Bill Title: Relating to preauthorization and concurrent review of certain health care services under the workers' compensation system.
Spectrum: Partisan Bill (Democrat 2-0)
Status: (Passed) 2017-05-22 - Effective on 9/1/17 [SB1494 Detail]
Download: Texas-2017-SB1494-Engrossed.html
By: Zaffirini | S.B. No. 1494 |
|
||
|
||
relating to preauthorization and concurrent review of certain | ||
health care services under the workers' compensation system. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 413.014, Labor Code, is amended by | ||
amending Subsection (c) and adding Subsection (c-1) to read as | ||
follows: | ||
(c) The commissioner's rules adopted under this section | ||
must provide that preauthorization and concurrent review are | ||
required at a minimum for: | ||
(1) spinal surgery, as provided by Section 408.026; | ||
(2) work-hardening or work-conditioning services | ||
[ |
||
|
||
(3) inpatient hospitalization, including any | ||
procedure and length of stay; | ||
(4) physical and occupational therapy; | ||
(5) outpatient or ambulatory surgical services, as | ||
defined by commissioner rule; and | ||
(6) any investigational or experimental services or | ||
devices. | ||
(c-1) Notwithstanding Subsection (c)(2), the commissioner | ||
by rule may exempt from preauthorization and concurrent review | ||
work-hardening or work-conditioning services provided by a health | ||
care facility that is credentialed by an organization designated by | ||
commissioner rule. | ||
SECTION 2. The change in law made by this Act applies only | ||
to health care services provided on or after the effective date of | ||
this Act in conjunction with a claim for workers' compensation | ||
benefits, regardless of the date on which the compensable injury | ||
that is the basis of the claim occurred. | ||
SECTION 3. This Act takes effect September 1, 2017. |