Require a case management service provider to disclose communications to an employee.
Impact
The legislation is expected to significantly impact the administration of workers' compensation benefits in South Dakota. By guaranteeing employees access to discussions and documentation pertaining to their case management, the bill aims to empower workers, allowing them to better understand the compensability and causation of their claims. This could lead to improved information flow and potentially more favorable outcomes for employees navigating the complexities of workers' compensation claims.
Summary
House Bill 1085 aims to enhance transparency and communication between case management service providers and employees concerning their case management plans. The bill mandates that case management service providers must inform employees of their right to participate in discussions, either in-person or remotely, concerning their case management with medical providers. This provision seeks to ensure that employees are fully aware of their medical management process and fosters a cooperative environment between employees and case managers.
Contention
There may be points of contention arising from the implementation of HB 1085, particularly concerning the balance of operational efficiency for case management providers and the rights of employees. Supporters of the bill argue that increased transparency will lead to better advocacy for workers, while critics may raise concerns about the added burden this requirement could place on case management providers. The potential for disputes over what constitutes adequate disclosure and communication may also be a contentious area as the bill is enacted, prompting further legislative or regulatory scrutiny.