Texas 2009 - 81st Regular

Texas House Bill HB2429 Compare Versions

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11 By: Deshotel H.B. No. 2429
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44 A BILL TO BE ENTITLED
55 AN ACT
66 relating to return-to-work coordination services and the
77 return-to-work reimbursement program for employers participating
88 in the Texas workers' compensation system.
99 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1010 SECTION 1. Section 413.021, Labor Code, Subsection (a) is
1111 amended to read as follows: Sec. 413.021. RETURN-TO-WORK
1212 COORDINATION SERVICES. (a) An insurance carrier shall, with the
1313 agreement of a participating employer, provide the employer with
1414 return-to-work coordination services on an ongoing basis as
1515 necessary to facilitate an employee's return to employment,
1616 including upon receipt of a notice that an injured employee is
1717 eligible to receive temporary income benefits. The insurance
1818 carrier shall also notify the employer of the availability of
1919 [return-to-work coordination services] the return-to-work
2020 reimbursement program under Section 413.022. [In offering
2121 providing the services, insurance carriers and the division shall
2222 target employers without return-to-work programs shall focus
2323 return-to-work efforts on workers who begin to receive temporary
2424 income benefits.] The insurance carrier shall evaluate a
2525 compensable injury in which the injured employee sustains an injury
2626 that could potentially result in lost time from employment as early
2727 as practicable to determine if skilled case management is necessary
2828 for the injured employee's case. As necessary, case managers who
2929 are appropriately [licensed to practice in this state] certified
3030 shall be used to perform these evaluations. A claims adjuster may
3131 not be used as a case manager. These services may be offered by
3232 insurance carriers in conjunction with the accident prevention
3333 services provided under Section 411.061. Nothing in this section
3434 supersedes the provisions of a collective bargaining agreement
3535 between an employer and the employer's employees, and nothing in
3636 this section authorizes or requires an employer to engage in
3737 conduct that would otherwise be a violation of the employer's
3838 obligations under the National Labor Relations Act (29 U.S.C.
3939 Section 151 et seq.).
4040 SECTION 2. Section 413.022, Labor Code, is amended to read
4141 as follows:
4242 Sec. 413.022. RETURN-TO-WORK [PILOT] REIMBURSEMENT PROGRAM
4343 FOR [SMALL] EMPLOYERS; FUND. (a) In this section:
4444 (1) "Account" means the workers' compensation
4545 return-to-work account.
4646 (2) "Eligible employer" means any employer, other than
4747 this state or a political subdivision subject to Subtitle C, who
4848 employs at least two but not more than 50 employees on each business
4949 day during the preceding calendar year and who has workers'
5050 compensation insurance coverage.
5151 (b) The commissioner shall establish by rule a
5252 return-to-work [pilot] reimbursement program designed to promote
5353 the early and sustained return to work of an injured employee who
5454 sustains a compensable injury. Notwithstanding Subsection (a) (2),
5555 the commissioner may, by rule, expand the types of employers who are
5656 eligible for reimbursements under this section.
5757 (c) The [pilot] program shall reimburse from the account an
5858 eligible employer for expenses incurred by the employer to make
5959 workplace modifications necessary to accommodate an injured
6060 employee's return to modified or alternative work. Reimbursement
6161 under this section to an eligible employer may not exceed [$2,500]
6262 $5,000. The expenses must be incurred to allow the employee to
6363 perform modified or alternative work within doctor-imposed work
6464 restrictions. Allowable expenses may include:
6565 (1) physical modifications to the worksite;
6666 (2) equipment, devices, furniture, or tools; and
6767 (3) other costs necessary for reasonable
6868 accommodation of the employee's restrictions.
6969 (c-1) The commissioner by rule shall establish an optional
7070 preauthorization plan for eligible employers who participate in the
7171 pilot program. To participate in the preauthorization plan, an
7272 employer must submit a proposal to the division, in the manner
7373 prescribed by the division, that describes the workplace
7474 modifications and other changes that the employer proposes to make
7575 to accommodate an injured employee's return to work. If the
7676 division approves the employer's proposal, the division shall
7777 guarantee reimbursement of the expenses incurred by the employer in
7878 implementing the modifications and changes from the account unless
7979 the division determines that the modifications and changes differ
8080 materially from the employer's proposal. At the discretion of the
8181 commissioner, the division may provide the employer an advance of
8282 funds. Reimbursement or an advance of funds under this subsection
8383 is subject to the limit imposed under Subsection (c).
8484 (d) The account is established as a special account in the
8585 general revenue fund. From administrative penalties received by
8686 the division under this subtitle, the commissioner shall deposit in
8787 the account an amount not to exceed $100,000 annually. Money in
8888 the account may be spent by the division, on appropriation by the
8989 legislature, only for the purposes of implementing this section.
9090 (e) An employer who wilfully applies for or receives
9191 reimbursement from the account under this section knowing that the
9292 employer is not an eligible employer commits a violation.
9393 (f) Notwithstanding Subsections (a)-(e), this section may
9494 be implemented only to the extent funds are available.
9595 (g) [This section expires September 1, 2009] The
9696 commissioner may adopt rules as necessary to implement the
9797 provisions of this section.
9898 SECTION 3. EFFECTIVE DATE. This Act takes effect
9999 immediately if it receives a vote of two-thirds of all the members
100100 elected to each house, as provided by Section 39, Article III, Texas
101101 Constitution. If this Act does not receive the vote necessary for
102102 immediate effect, this Act takes effect September 1, 2009.