Researcher: AS Page 1 4/3/25
OLR Bill Analysis
HB 5605
AN ACT CONCERNING MINOR REVISIONS TO THE WORKERS'
COMPENSATION ACT.
SUMMARY
This bill removes the current requirement that the conversion to the
Medicare resource-based relative value scale (RBRVS) as the basis for
practitioner fees for medical services under the Workers’ Compensation
Act be revenue-neutral.
Current law generally requires the Workers’ Compensation
Commission’s chairperson to annually (1) set a fee schedule for workers’
compensation medical providers and (2) update relative values based
on the RBRVS.
EFFECTIVE DATE: July 1, 2025
BACKGROUND
By April 1, 2008, the Workers’ Compensation Commission
chairperson was required to convert to a medical practitioners’ fee
schedule using RBRVS. This scale ranks medical services according to
the relative costs of resources needed to produce the services. Medicare
uses three components to calculate resource costs (and, therefore, the
relative value) of each medical service: (1) physician (or other provider)
work, (2) practice expense, and (3) liability insurance. The total relative
value of a particular medical service is multiplied by a conversion factor
to determine the Medicare fee. The RBRVS method is familiar to, and
accepted by, physician practices because Medicare is the nation’s largest
medical services payer. 2025HB-05605-R000502-BA.DOCX
Researcher: AS Page 2 4/3/25
COMMITTEE ACTION
Labor and Public Employees Committee
Joint Favorable
Yea 13 Nay 0 (03/20/2025)