Louisiana 2019 2019 Regular Session

Louisiana Senate Bill SB88 Comm Sub / Analysis

                    The original instrument and the following digest, which constitutes no part of the
legislative instrument, were prepared by Carla S. Roberts.
DIGEST
SB 88 Engrossed	2019 Regular Session	Luneau
Present law provides that a medical treatment schedule is to be used in the medical care, services,
and treatment in workers' compensation matters.
Present law provides that the medical treatment schedule shall be based upon guidelines which do
all of the following:
(1)Rely on specified, comprehensive, and ongoing systematic medical literature review.
(2)Contain published criteria for rating studies and for determining the overall strength of the
medical evidence.
(3)Are current and the most recent version produced.
(4)Are interdisciplinary and address the frequency, duration, intensity, and appropriateness of
treatment modalities for all disciplines commonly involved in the care, services, or treatment
provided to injured workers.
(5)Are adopted by rule or statute.
Present law provides that deviations from the medical treatment schedule may be approved by the
medical director or associate medical director of the office of workers' compensation.  Present law
further provides that any party may appeal the decision of the medical director or associate medical
director by filing a "Disputed Claim for Compensation" form provided by the La. Workforce
Commission.  Present law further provides that the appeal will be heard by a workers' compensation
judge and the decision may be overturned when it is shown, by clear and convincing evidence, that
the decision of the medical director or associate medical director was not in accordance with the
provisions of the medical treatment schedule as set forth in present law. 
Proposed law retains present law but provides that the appeal of the decision by the medical director
or associate medical director must be made within 30 days of the date of the issuance of the decision. 
Effective August 1, 2019.
 
(Amends R.S. 23:1203.1(K))