SLS 17RS-65 ORIGINAL 2017 Regular Session SENATE BILL NO. 121 BY SENATOR WARD Prefiled pursuant to Article III, Section 2(A)(4)(b)(i) of the Constitution of Louisiana. CIVIL PROCEDURE. Provides relative to terminology of court-ordered and other mandatory examinations in civil and administrative matters and claims. (gov sig) 1 AN ACT 2 To amend and reenact Code of Civil Procedure Articles 1421 and 1464, R.S. 23:1123, 1124, 3 1203(E), 1221(4)(s)(ii), 1307 and 1317.1, R.S. 39:1952(14)(e), and R.S. 4 46:2136(A)(4), relative to court-ordered and other mandatory physical and mental 5 examinations; to provide relative to such examinations in certain civil and 6 administrative matters, procedures, and claims; to provide for consistency in 7 terminology and nomenclature, and to provide for related matters. 8 Be it enacted by the Legislature of Louisiana: 9 Section 1. Code of Civil Procedure Articles 1421 and 1464 are hereby amended and 10 reenacted to read as follows: 11 Art. 1421. Discovery methods 12 Parties may obtain discovery by one or more of the following methods: 13 depositions upon oral examination or written questions; written interrogatories; 14 production of documents or things or permission to enter upon land or other 15 property, for inspection and other purposes; physical and mental examinations, 16 including compulsory examinations under Article 1464; request for release of 17 medical records; and requests for admission. Unless the court orders otherwise under Page 1 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 121 SLS 17RS-65 ORIGINAL 1 Article 1426, the frequency of use of these methods is not limited. 2 * * * 3 Art. 1464. Order for compulsory physical or mental examination of persons 4 When the mental or physical condition of a party, or of a person in the 5 custody or under the legal control of a party, is in controversy, the court in which the 6 action is pending may order the party to submit to a compulsory physical or mental 7 examination by a physician or to produce for examination the person in his custody 8 or legal control, except as provided by law. In addition, the court may order the party 9 to submit to an a compulsory examination by a vocational rehabilitation expert or 10 a licensed clinical psychologist who is not a physician, provided the party has given 11 notice of intention to use such an expert. The order may be made only on motion for 12 good cause shown and upon notice to the person to be examined and to all parties 13 and shall specify the time, place, manner, conditions, and scope of the examination 14 and the person or persons by whom it is to be made. 15 Section 2. R.S. 23:1123, 1124, 1203(E), 1221(4)(s)(ii), 1307 and 1317.1 are hereby 16 amended and reenacted to read as follows: 17 §1123. Disputes as to condition or capacity to work; compulsory examination 18 under supervision of the director 19 If any dispute arises as to the condition of the employee, or the employee's 20 capacity to work, the director, upon application of any party, shall order an a 21 compulsory examination of the employee to be made by a medical practitioner 22 selected and appointed by the director. The medical examiner shall report his 23 conclusions from the examination to the director and to the parties and such report 24 shall be prima facie evidence of the facts therein stated in any subsequent 25 proceedings under this Chapter. 26 §1124. Refusal to submit to compulsory examination; effect on right to 27 compensation 28 If the employee refuses to submit himself to a compulsory medical 29 examination at the behest of the employer or an examination conducted pursuant to Page 2 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 121 SLS 17RS-65 ORIGINAL 1 R.S. 23:1123, or in anywise obstructs the same, his right to compensation and to take 2 or prosecute any further proceedings under this Chapter may be suspended by the 3 employer or payor until the examination takes place. Such suspension of benefits by 4 the employer or payor shall be made in accordance with the provisions of R.S. 5 23:1201.1(A)(4) and (5). When the employee has filed a disputed claim, the 6 employer or payor may move for an order to compel the employee to appear for an 7 a compulsory examination. The employee shall receive at least fourteen days written 8 notice prior to the compulsory examination. When a right to compensation is 9 suspended no compensation shall be payable in respect to the period of suspension. 10 * * * 11 §1203. Duty to furnish medical and vocational rehabilitation expenses; prosthetic 12 devices; other expenses 13 * * * 14 E. Upon the first request for authorization pursuant to R.S. 23:1142(B)(1), 15 for a claimant's medical care, service, or treatment, the payor, as defined in R.S. 16 23:1142(A)(1), shall communicate to the claimant information, in plain language, 17 regarding the procedure for requesting an independent a compulsory medical 18 examination in the event a dispute arises as to the condition of the employee or the 19 employee's capacity to work, and the procedure for appealing the denial of medical 20 treatment to the medical director as provided in R.S. 23:1203.1. A payor shall not 21 deny medical care, service, or treatment to a claimant unless the payor can document 22 a reasonable and diligent effort in communicating such information. A payor who 23 denies medical care, service, or treatment without making such an effort may be 24 fined an amount not to exceed five hundred dollars or the cost of the medical care, 25 service, or treatment, whichever is more. 26 * * * 27 §1221. Temporary total disability; permanent total disability; supplemental earnings 28 benefits; permanent partial disability; schedule of payments 29 Compensation shall be paid under this Chapter in accordance with the Page 3 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 121 SLS 17RS-65 ORIGINAL 1 following schedule of payments: 2 * * * 3 (4) Permanent partial disability. In the following cases, compensation shall 4 be solely for anatomical loss of use or amputation and shall be as follows: 5 * * * 6 (s)(i) * * * 7 (ii) In any claim for an injury, it must be established by clear and convincing 8 evidence that the employee suffers an injury and that such resulted from an accident 9 arising out of and in the course and scope of his employment. Nothing herein shall 10 limit the right of any party to obtain a second medical opinion or, in appropriate 11 cases, the opinion of an independent a compulsory medical examiner pursuant to 12 R.S. 23:1123. 13 * * * 14 §1307. Information to injured employee 15 Upon receipt of notice of injury from the employer or other indication of an 16 injury reportable under R.S. 23:1306, the office shall mail immediately to the injured 17 employee and employer a brochure which sets forth in clear understandable language 18 a summary statement of the rights, benefits, and obligations of employers and 19 employees under this Chapter, together with an explanation of the operations of the 20 office, and shall invite the employer and employee to seek the advice of the office 21 with reference to any question or dispute which the employee has concerning the 22 injury. Such brochure shall specifically state the procedure for requesting an 23 independent a compulsory medical examination in the event a dispute arises as to 24 the condition of the employee or the employee's capacity to work and the procedure 25 for appealing the denial of medical treatment to the medical director as provided in 26 R.S. 23:1203.1. If such brochure has previously been mailed to an employer within 27 the calendar year, the office shall not mail such employer an additional brochure 28 unless the employer specifically requests such. 29 * * * Page 4 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 121 SLS 17RS-65 ORIGINAL 1 §1317.1. Independent Compulsory medical examinations 2 A. Any party wishing to request an independent a compulsory medical 3 examination of the claimant pursuant to R.S. 23:1123 and 1124.1 shall be required 4 to make its request at or prior to the pretrial conference. Requests for independent 5 compulsory medical examinations made after that time shall be denied except for 6 good cause or if it is found to be in the best interest of justice to order such 7 examination. 8 B. An examiner performing independent compulsory exams pursuant to R.S. 9 23:1123 shall be required to prepare and send to the office a certified report of the 10 examination within thirty days after its occurrence. 11 C. The report of the examination shall contain the following, when 12 applicable: 13 (1) A statement of the medical and legal issues the examiner was asked to 14 address. 15 (2) A detailed summary of the basis of the examiner's opinion, including but 16 not limited to a listing of reports or documents reviewed in formulating that opinion. 17 (3) The medical treatment and physical rehabilitative procedures which have 18 already been rendered and the treatment, if any, which the examiner recommends for 19 the future, together with reasons for the recommendation. 20 (4) Any other conclusions required by the scope of the independent 21 compulsory medical examination, together with reasons for the conclusion reached. 22 (5) A curriculum vitae of the examiner. 23 (6) A written certification personally signed by the examiner that the report 24 is true. The substance of the certification shall be: "I certify that I have caused this 25 report to be prepared, I have examined it, and to the best of my knowledge and 26 belief, all statements contained herein are true, accurate, and complete." 27 D. If a physical examination of the claimant was conducted, the certified 28 report shall contain all of the following additional information: 29 (1) A complete history of the claimant, including all previous relevant or Page 5 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 121 SLS 17RS-65 ORIGINAL 1 contributory injuries with a detailed description of the present injury. 2 (2) The complaints of the claimant. 3 (3) A complete listing of tests and diagnostic procedures conducted during 4 the course of the examination. 5 (4) The examiner's findings on examination, including but not limited to a 6 description of the examination and any diagnostic tests and X-rays. 7 E. When the independent compulsory medical examiner's report is presented 8 within thirty days as provided in this Section: 9 (1) The examiner shall be protected from subpoena except for a single trial 10 deposition. However, upon a proper motion for cause, the workers' compensation 11 judge may order further discovery of the independent compulsory medical examiner 12 as deemed appropriate. 13 (2) Except to schedule the deposition or further discovery as described above, 14 the office of the independent compulsory medical examiner shall not be contacted 15 regarding the claimant by any party, attorney, or agent. 16 F. Objections to the independent compulsory medical examination shall be 17 made on form LDOL-WC-1008, and shall be set for hearing before a workers' 18 compensation judge within thirty days of receipt. No mediation shall be scheduled 19 on disputes arising under this Section. 20 Section 3. R.S. 39:1952(14)(e) is hereby amended and reenacted to read as follows: 21 §1952. Definitions 22 Unless the context requires otherwise, the following words shall have the 23 following meanings: 24 * * * 25 (14) "Minority" means a person who is a citizen or permanent resident of the 26 United States residing in Louisiana and who is any of the following: 27 * * * 28 (e) Person with a disability: a person who has a permanent physical 29 impairment which includes any physiological disorder or condition, cosmetic Page 6 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 121 SLS 17RS-65 ORIGINAL 1 disfigurement, or anatomical loss affecting one or more of the following body 2 systems: neurological, musculoskeletal, speech organs, skin, and endocrine, which 3 substantially limits at least one major life activity of an individual, as defined in R.S. 4 28:477(3)(a), as verified by two physicians or as certified by the United States 5 Department of Veterans Affairs as meeting the qualifications and approved by the 6 division. The division may require an additional independent compulsory medical 7 examination by a physician chosen by the division, at the applicant's expense, prior 8 to approval of an application. For the purpose of this Subparagraph, "disability" shall 9 not mean mental impairment, temporary impairment, alcohol or drug addiction, 10 sexual or behavioral disorders, or substantially limiting illnesses including human 11 immunodeficiency virus. 12 * * * 13 Section 4. R.S. 46:2136(A)(4) is hereby amended and reenacted to read as follows: 14 §2136. Protective orders; content; modification; service 15 A. The court may grant any protective order or approve any consent 16 agreement to bring about a cessation of domestic abuse as defined in R.S. 17 46:2132(3), or the threat or danger thereof, to a party, any minor children, or any 18 person alleged to be incompetent, which relief may include but is not limited to: 19 * * * 20 (4)(a) Ordering a compulsory medical evaluation of the defendant or the 21 abused person, or both, to be conducted by an independent court-appointed evaluator 22 who qualifies as an expert in the field of domestic abuse. The evaluation shall be 23 conducted by a person who has no family, financial, or prior medical relationship 24 with the defendant or abused person, or their attorneys of record. 25 (b) If the compulsory medical evaluation is ordered for both the defendant 26 and abused person, two separate evaluators shall be appointed. 27 (c) After an independent a compulsory medical evaluation has been 28 completed and a report issued, the court may order counseling or other medical 29 treatment as deemed appropriate. Page 7 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 121 SLS 17RS-65 ORIGINAL 1 * * * 2 Section 5. This Act shall become effective upon signature by the governor or, if not 3 signed by the governor, upon expiration of the time for bills to become law without signature 4 by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana. If 5 vetoed by the governor and subsequently approved by the legislature, this Act shall become 6 effective on the day following such approval. The original instrument and the following digest, which constitutes no part of the legislative instrument, were prepared by Jerry G. Jones. DIGEST SB 121 Original 2017 Regular Session Ward Present law provides that in civil proceedings the parties may obtain discovery by various methods, including physical and mental examinations. Present law further provides that when the mental or physical condition of a party, or of a person in the custody or under the legal control of a party, is in controversy, the court in which the action is pending may order the party to submit to a physical or mental examination by a physician or to produce for examination the person in his custody or legal control, except as provided by law. In addition, the court may order the party to submit to an examination by a vocational rehabilitation expert or a licensed clinical psychologist who is not a physician, provided the party has given notice of intention to use such an expert. Present law further provides that such court orders for mandatory examinations may be made only on motion for good cause shown and upon notice to the person to be examined and to all parties and shall specify the time, place, manner, conditions, and scope of the examination and the person or persons by whom it is to be made. Proposed law retains present law and adds reference to such examinations as compulsory physical and mental examinations. Present law relative to employer and employee administrative procedures and claims provides that if a dispute arises as to the condition of an employee, or the employee's capacity to work, the employee may be ordered to undergo an examination to be made by a medical practitioner selected and appointed by the director. The medical examiner shall report his conclusions from the examination to the director and to the parties and such report shall be prima facie evidence of the facts therein stated. Present law further provides procedures for such examination and resulting report, including communications to the employee regarding such examination, and requesting by any party of such examination in a dispute prior to pretrial conference. Further provides for potential sanctions for an employee who refuses to submit himself to such examination, including suspension by the employer or payor of the employee's right to compensation or action until the examination takes place. Present law refers to such examinations as independent medical examinations and the examiner as an independent medical examiner. Proposed law changes references to compulsory medical examinations and compulsory medical examiners. Present law relative to Minority and Women's Business Enterprise Act provides that for the purpose of determining whether a person is disabled the state may require an additional Page 8 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions. SB NO. 121 SLS 17RS-65 ORIGINAL medical examination by a physician chosen by the state, at the applicant's expense, prior to approval of an application. Proposed law changes reference from independent medical examination to compulsory medical examination. Present law relative to the Protection From Family Violence Act provides that in domestic abuse cases the court may grant any protective order or approve any consent agreement to bring about a cessation of domestic abuse, or the threat or danger thereof, to a party, any minor children, or any person alleged to be incompetent, which relief may include but is not limited to, ordering a medical evaluation of the defendant or the abused person, or both. Proposed law changes reference from medical evaluation to compulsory medical evaluation. Effective upon signature of governor or lapse of time for gubernatorial actions. (Amends C.C.P. Arts. 1421 and 1464, R.S. 23:1123, 1124, 1203(E), 1221(4)(s)(ii), 1307 and 1317.1, R.S. 39:1952(14)(e), and R.S. 46:2136(A)(4)) Page 9 of 9 Coding: Words which are struck through are deletions from existing law; words in boldface type and underscored are additions.