LEGISLATIVE SERVICES AGENCY OFFICE OF FISCAL AND MANAGEMENT ANALYSIS 200 W. Washington St., Suite 301 Indianapolis, IN 46204 (317) 233-0696 iga.in.gov FISCAL IMPACT STATEMENT LS 6464 NOTE PREPARED: Dec 18, 2023 BILL NUMBER: HB 1246 BILL AMENDED: SUBJECT: Choice of Physician for Worker Injury or Disease. FIRST AUTHOR: Rep. Moseley BILL STATUS: As Introduced FIRST SPONSOR: FUNDS AFFECTED:XGENERAL IMPACT: State & Local XDEDICATED XFEDERAL Summary of Legislation: The bill permits an employee to choose the attending physician who will provide services and goods resulting from an employment injury or occupational disease for purposes of the worker's compensation law. Effective Date: Upon passage; July 1, 2024. Explanation of State Expenditures: The state as an employer could experience an expenditure increase under the bill, but the impact is dependent upon the medical costs of the employee’s choice for treatment compared to the employer’s choice. [This bill has the potential to impact all agencies as employers, thus impacting all funds that provide operating funds to agency staff.] Additional Information - Research findings vary on the cost implications of allowing employees to select physicians for medical treatment for workplace injuries or occupational disease. Some research suggests that allowing employees to select treatment physicians results in higher costs. However, other research found no difference in average medical costs. Explanation of State Revenues: Explanation of Local Expenditures: See Explanation of State Expenditures. Local units could be impacted as employers. Explanation of Local Revenues: HB 1246 1 State Agencies Affected: All. Local Agencies Affected: All. Information Sources: Neumark, David, and Bogdan Savych. “The Effects of Provider Choice Policies on Workers’ Compensation Costs.” National Bureau of Economic Research, Working Paper 23611, July 2017. https://www.nber.org/system/files/working_papers/w23611/w23611.pdf. Accessed 18 Dec. 2023. Fiscal Analyst: Camille Tesch, 317-232-5293. HB 1246 2