1 | 1 | | By: Deshotel H.B. No. 2429 |
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2 | 2 | | |
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3 | 3 | | |
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4 | 4 | | A BILL TO BE ENTITLED |
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5 | 5 | | AN ACT |
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6 | 6 | | relating to return-to-work coordination services and the |
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7 | 7 | | return-to-work reimbursement program for employers participating |
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8 | 8 | | in the Texas workers' compensation system. |
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9 | 9 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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10 | 10 | | SECTION 1. Section 413.021, Labor Code, Subsection (a) is |
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11 | 11 | | amended to read as follows: Sec. 413.021. RETURN-TO-WORK |
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12 | 12 | | COORDINATION SERVICES. (a) An insurance carrier shall, with the |
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13 | 13 | | agreement of a participating employer, provide the employer with |
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14 | 14 | | return-to-work coordination services on an ongoing basis as |
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15 | 15 | | necessary to facilitate an employee's return to employment, |
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16 | 16 | | including upon receipt of a notice that an injured employee is |
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17 | 17 | | eligible to receive temporary income benefits. The insurance |
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18 | 18 | | carrier shall also notify the employer of the availability of |
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19 | 19 | | [return-to-work coordination services] the return-to-work |
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20 | 20 | | reimbursement program under Section 413.022. [In offering |
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21 | 21 | | providing the services, insurance carriers and the division shall |
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22 | 22 | | target employers without return-to-work programs shall focus |
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23 | 23 | | return-to-work efforts on workers who begin to receive temporary |
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24 | 24 | | income benefits.] The insurance carrier shall evaluate a |
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25 | 25 | | compensable injury in which the injured employee sustains an injury |
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26 | 26 | | that could potentially result in lost time from employment as early |
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27 | 27 | | as practicable to determine if skilled case management is necessary |
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28 | 28 | | for the injured employee's case. As necessary, case managers who |
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29 | 29 | | are appropriately [licensed to practice in this state] certified |
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30 | 30 | | shall be used to perform these evaluations. A claims adjuster may |
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31 | 31 | | not be used as a case manager. These services may be offered by |
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32 | 32 | | insurance carriers in conjunction with the accident prevention |
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33 | 33 | | services provided under Section 411.061. Nothing in this section |
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34 | 34 | | supersedes the provisions of a collective bargaining agreement |
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35 | 35 | | between an employer and the employer's employees, and nothing in |
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36 | 36 | | this section authorizes or requires an employer to engage in |
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37 | 37 | | conduct that would otherwise be a violation of the employer's |
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38 | 38 | | obligations under the National Labor Relations Act (29 U.S.C. |
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39 | 39 | | Section 151 et seq.). |
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40 | 40 | | SECTION 2. Section 413.022, Labor Code, is amended to read |
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41 | 41 | | as follows: |
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42 | 42 | | Sec. 413.022. RETURN-TO-WORK [PILOT] REIMBURSEMENT PROGRAM |
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43 | 43 | | FOR [SMALL] EMPLOYERS; FUND. (a) In this section: |
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44 | 44 | | (1) "Account" means the workers' compensation |
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45 | 45 | | return-to-work account. |
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46 | 46 | | (2) "Eligible employer" means any employer, other than |
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47 | 47 | | this state or a political subdivision subject to Subtitle C, who |
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48 | 48 | | employs at least two but not more than 50 employees on each business |
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49 | 49 | | day during the preceding calendar year and who has workers' |
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50 | 50 | | compensation insurance coverage. |
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51 | 51 | | (b) The commissioner shall establish by rule a |
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52 | 52 | | return-to-work [pilot] reimbursement program designed to promote |
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53 | 53 | | the early and sustained return to work of an injured employee who |
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54 | 54 | | sustains a compensable injury. Notwithstanding Subsection (a) (2), |
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55 | 55 | | the commissioner may, by rule, expand the types of employers who are |
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56 | 56 | | eligible for reimbursements under this section. |
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57 | 57 | | (c) The [pilot] program shall reimburse from the account an |
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58 | 58 | | eligible employer for expenses incurred by the employer to make |
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59 | 59 | | workplace modifications necessary to accommodate an injured |
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60 | 60 | | employee's return to modified or alternative work. Reimbursement |
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61 | 61 | | under this section to an eligible employer may not exceed [$2,500] |
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62 | 62 | | $5,000. The expenses must be incurred to allow the employee to |
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63 | 63 | | perform modified or alternative work within doctor-imposed work |
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64 | 64 | | restrictions. Allowable expenses may include: |
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65 | 65 | | (1) physical modifications to the worksite; |
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66 | 66 | | (2) equipment, devices, furniture, or tools; and |
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67 | 67 | | (3) other costs necessary for reasonable |
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68 | 68 | | accommodation of the employee's restrictions. |
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69 | 69 | | (c-1) The commissioner by rule shall establish an optional |
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70 | 70 | | preauthorization plan for eligible employers who participate in the |
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71 | 71 | | pilot program. To participate in the preauthorization plan, an |
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72 | 72 | | employer must submit a proposal to the division, in the manner |
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73 | 73 | | prescribed by the division, that describes the workplace |
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74 | 74 | | modifications and other changes that the employer proposes to make |
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75 | 75 | | to accommodate an injured employee's return to work. If the |
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76 | 76 | | division approves the employer's proposal, the division shall |
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77 | 77 | | guarantee reimbursement of the expenses incurred by the employer in |
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78 | 78 | | implementing the modifications and changes from the account unless |
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79 | 79 | | the division determines that the modifications and changes differ |
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80 | 80 | | materially from the employer's proposal. At the discretion of the |
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81 | 81 | | commissioner, the division may provide the employer an advance of |
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82 | 82 | | funds. Reimbursement or an advance of funds under this subsection |
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83 | 83 | | is subject to the limit imposed under Subsection (c). |
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84 | 84 | | (d) The account is established as a special account in the |
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85 | 85 | | general revenue fund. From administrative penalties received by |
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86 | 86 | | the division under this subtitle, the commissioner shall deposit in |
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87 | 87 | | the account an amount not to exceed $100,000 annually. Money in |
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88 | 88 | | the account may be spent by the division, on appropriation by the |
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89 | 89 | | legislature, only for the purposes of implementing this section. |
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90 | 90 | | (e) An employer who wilfully applies for or receives |
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91 | 91 | | reimbursement from the account under this section knowing that the |
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92 | 92 | | employer is not an eligible employer commits a violation. |
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93 | 93 | | (f) Notwithstanding Subsections (a)-(e), this section may |
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94 | 94 | | be implemented only to the extent funds are available. |
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95 | 95 | | (g) [This section expires September 1, 2009] The |
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96 | 96 | | commissioner may adopt rules as necessary to implement the |
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97 | 97 | | provisions of this section. |
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98 | 98 | | SECTION 3. EFFECTIVE DATE. This Act takes effect |
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99 | 99 | | immediately if it receives a vote of two-thirds of all the members |
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100 | 100 | | elected to each house, as provided by Section 39, Article III, Texas |
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101 | 101 | | Constitution. If this Act does not receive the vote necessary for |
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102 | 102 | | immediate effect, this Act takes effect September 1, 2009. |
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