Bill Text: TX HB1753 | 2021-2022 | 87th Legislature | Enrolled
Bill Title: Relating to certain required reports under the Texas workers' compensation system.
Spectrum: Partisan Bill (Republican 2-0)
Status: (Passed) 2021-06-15 - Effective immediately [HB1753 Detail]
Download: Texas-2021-HB1753-Enrolled.html
H.B. No. 1753 |
|
||
relating to certain required reports under the Texas workers' | ||
compensation system. | ||
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: | ||
SECTION 1. Section 1305.502(a), Insurance Code, is amended | ||
to read as follows: | ||
(a) Not later than December 1 of each even-numbered year, | ||
the [ |
||
report card that identifies and compares, on an objective basis, | ||
the quality, costs, health care provider availability, and other | ||
analogous factors of workers' compensation health care networks | ||
operating under the workers' compensation system of this state with | ||
each other and with medical care provided outside of networks. | ||
SECTION 2. Sections 504.053(c) and (d), Labor Code, are | ||
amended to read as follows: | ||
(c) If the political subdivision or pool provides medical | ||
benefits in the manner authorized under Subsection (b)(2), the | ||
following do not apply: | ||
(1) Sections 408.004 and 408.0041, unless use of a | ||
required medical examination or designated doctor is necessary to | ||
resolve an issue relating to the entitlement to or amount of income | ||
benefits under this title; | ||
(2) Subchapter B, Chapter 408, except for Section | ||
408.021; | ||
(3) Chapter 413, except for Section 413.042; and | ||
(4) Chapter 1305, Insurance Code, except for Sections | ||
[ |
||
(d) If the political subdivision or pool provides medical | ||
benefits in the manner authorized under Subsection (b)(2), the | ||
following standards apply: | ||
(1) the political subdivision or pool must ensure that | ||
workers' compensation medical benefits are reasonably available to | ||
all injured workers of the political subdivision or the injured | ||
workers of the members of the pool within a designed service area; | ||
(2) the political subdivision or pool must ensure that | ||
all necessary health care services are provided in a manner that | ||
will ensure the availability of and accessibility to adequate | ||
health care providers, specialty care, and facilities; | ||
(3) the political subdivision or pool must have an | ||
internal review process for resolving complaints relating to the | ||
manner of providing medical benefits, including an appeal to the | ||
governing body or its designee and appeal to an independent review | ||
organization; | ||
(4) the political subdivision or pool must establish | ||
reasonable procedures for the transition of injured workers to | ||
contract providers and for the continuity of treatment, including | ||
notice of impending termination of providers and a current list of | ||
contract providers; | ||
(5) the political subdivision or pool shall provide | ||
for emergency care if an injured worker cannot reasonably reach a | ||
contract provider and the care is for medical screening or other | ||
evaluation that is necessary to determine whether a medical | ||
emergency condition exists, necessary emergency care services | ||
including treatment and stabilization, and services originating in | ||
a hospital emergency facility following treatment or stabilization | ||
of an emergency medical condition; | ||
(6) prospective or concurrent review of the medical | ||
necessity and appropriateness of health care services must comply | ||
with Article 21.58A, Insurance Code; | ||
(7) the political subdivision or pool shall continue | ||
to report data to the appropriate agency as required by Title 5 of | ||
this code and Chapter 1305, Insurance Code; and | ||
(8) a political subdivision or pool is subject to the | ||
requirements under Sections [ |
||
Insurance Code. | ||
SECTION 3. The following provisions are repealed: | ||
(1) Section 1305.501, Insurance Code; | ||
(2) Section 2053.012, Insurance Code; and | ||
(3) Sections 405.0025(b) and (c), Labor Code. | ||
SECTION 4. This Act takes effect immediately if it receives | ||
a vote of two-thirds of all the members elected to each house, as | ||
provided by Section 39, Article III, Texas Constitution. If this | ||
Act does not receive the vote necessary for immediate effect, this | ||
Act takes effect September 1, 2021. | ||
______________________________ | ______________________________ | |
President of the Senate | Speaker of the House | |
I certify that H.B. No. 1753 was passed by the House on May 7, | ||
2021, by the following vote: Yeas 143, Nays 0, 1 present, not | ||
voting. | ||
______________________________ | ||
Chief Clerk of the House | ||
I certify that H.B. No. 1753 was passed by the Senate on May | ||
26, 2021, by the following vote: Yeas 31, Nays 0. | ||
______________________________ | ||
Secretary of the Senate | ||
APPROVED: _____________________ | ||
Date | ||
_____________________ | ||
Governor |