1 | 1 | | 81R27190 ALB-D |
---|
2 | 2 | | By: Elkins H.B. No. 4371 |
---|
3 | 3 | | Substitute the following for H.B. No. 4371: |
---|
4 | 4 | | By: Christian C.S.H.B. No. 4371 |
---|
5 | 5 | | |
---|
6 | 6 | | |
---|
7 | 7 | | A BILL TO BE ENTITLED |
---|
8 | 8 | | AN ACT |
---|
9 | 9 | | relating to failure to submit to an examination by a designated |
---|
10 | 10 | | doctor under the workers' compensation system. |
---|
11 | 11 | | BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
---|
12 | 12 | | SECTION 1. Section 408.0041, Labor Code, is amended by |
---|
13 | 13 | | amending Subsections (f) and (j) and adding Subsection (j-1) to |
---|
14 | 14 | | read as follows: |
---|
15 | 15 | | (f) Unless otherwise ordered by the commissioner, the |
---|
16 | 16 | | insurance carrier shall pay benefits based on the opinion of the |
---|
17 | 17 | | designated doctor during the pendency of any dispute. If the report |
---|
18 | 18 | | of a designated doctor indicates that the injured employee has |
---|
19 | 19 | | reached maximum medical improvement or is otherwise able to return |
---|
20 | 20 | | to work immediately, the insurance carrier may suspend or reduce |
---|
21 | 21 | | the payment of temporary income benefits. If an insurance carrier |
---|
22 | 22 | | is not satisfied with the opinion rendered by a designated doctor |
---|
23 | 23 | | under this section, the insurance carrier may request the |
---|
24 | 24 | | commissioner to order an employee to attend an examination by a |
---|
25 | 25 | | doctor selected by the insurance carrier. |
---|
26 | 26 | | (j) An [employee is not entitled to temporary income |
---|
27 | 27 | | benefits, and an] insurance carrier is authorized to suspend the |
---|
28 | 28 | | payment of [temporary] income benefits[,] during and for a period |
---|
29 | 29 | | in which the employee fails to submit without good cause to an |
---|
30 | 30 | | examination required by Subsection (a) or (f) [unless the |
---|
31 | 31 | | commissioner determines that the employee had good cause for the |
---|
32 | 32 | | failure to submit to the examination. The commissioner may order |
---|
33 | 33 | | temporary income benefits to be paid for the period for which the |
---|
34 | 34 | | commissioner determined that the employee had good cause]. The |
---|
35 | 35 | | commissioner by rule shall ensure that: |
---|
36 | 36 | | (1) an employee receives reasonable notice of an |
---|
37 | 37 | | examination and the insurance carrier's basis for suspension; and |
---|
38 | 38 | | (2) the employee is provided a reasonable opportunity |
---|
39 | 39 | | to reschedule an examination for good cause. |
---|
40 | 40 | | (j-1) If an employee attends a rescheduled examination |
---|
41 | 41 | | under Subsection (j)(2), the commissioner shall order income |
---|
42 | 42 | | benefits to be paid after the examination if the employee is |
---|
43 | 43 | | otherwise entitled to income benefits under this subchapter. |
---|
44 | 44 | | Income benefits under this subsection shall be paid retroactive to: |
---|
45 | 45 | | (1) the date of suspension of the benefits, if the |
---|
46 | 46 | | employee had good cause for the failure to submit to the examination |
---|
47 | 47 | | described by Subsection (j); or |
---|
48 | 48 | | (2) the earlier of: |
---|
49 | 49 | | (A) the seventh day after the date of the |
---|
50 | 50 | | suspension of the benefits; or |
---|
51 | 51 | | (B) the date on which the rescheduled examination |
---|
52 | 52 | | occurs. |
---|
53 | 53 | | SECTION 2. Section 408.0041(k), Labor Code, is repealed. |
---|
54 | 54 | | SECTION 3. This Act takes effect immediately if it receives |
---|
55 | 55 | | a vote of two-thirds of all the members elected to each house, as |
---|
56 | 56 | | provided by Section 39, Article III, Texas Constitution. If this |
---|
57 | 57 | | Act does not receive the vote necessary for immediate effect, this |
---|
58 | 58 | | Act takes effect September 1, 2009. |
---|