Texas 2009 - 81st Regular

Texas House Bill HB4371 Compare Versions

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11 81R27190 ALB-D
22 By: Elkins H.B. No. 4371
33 Substitute the following for H.B. No. 4371:
44 By: Christian C.S.H.B. No. 4371
55
66
77 A BILL TO BE ENTITLED
88 AN ACT
99 relating to failure to submit to an examination by a designated
1010 doctor under the workers' compensation system.
1111 BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
1212 SECTION 1. Section 408.0041, Labor Code, is amended by
1313 amending Subsections (f) and (j) and adding Subsection (j-1) to
1414 read as follows:
1515 (f) Unless otherwise ordered by the commissioner, the
1616 insurance carrier shall pay benefits based on the opinion of the
1717 designated doctor during the pendency of any dispute. If the report
1818 of a designated doctor indicates that the injured employee has
1919 reached maximum medical improvement or is otherwise able to return
2020 to work immediately, the insurance carrier may suspend or reduce
2121 the payment of temporary income benefits. If an insurance carrier
2222 is not satisfied with the opinion rendered by a designated doctor
2323 under this section, the insurance carrier may request the
2424 commissioner to order an employee to attend an examination by a
2525 doctor selected by the insurance carrier.
2626 (j) An [employee is not entitled to temporary income
2727 benefits, and an] insurance carrier is authorized to suspend the
2828 payment of [temporary] income benefits[,] during and for a period
2929 in which the employee fails to submit without good cause to an
3030 examination required by Subsection (a) or (f) [unless the
3131 commissioner determines that the employee had good cause for the
3232 failure to submit to the examination. The commissioner may order
3333 temporary income benefits to be paid for the period for which the
3434 commissioner determined that the employee had good cause]. The
3535 commissioner by rule shall ensure that:
3636 (1) an employee receives reasonable notice of an
3737 examination and the insurance carrier's basis for suspension; and
3838 (2) the employee is provided a reasonable opportunity
3939 to reschedule an examination for good cause.
4040 (j-1) If an employee attends a rescheduled examination
4141 under Subsection (j)(2), the commissioner shall order income
4242 benefits to be paid after the examination if the employee is
4343 otherwise entitled to income benefits under this subchapter.
4444 Income benefits under this subsection shall be paid retroactive to:
4545 (1) the date of suspension of the benefits, if the
4646 employee had good cause for the failure to submit to the examination
4747 described by Subsection (j); or
4848 (2) the earlier of:
4949 (A) the seventh day after the date of the
5050 suspension of the benefits; or
5151 (B) the date on which the rescheduled examination
5252 occurs.
5353 SECTION 2. Section 408.0041(k), Labor Code, is repealed.
5454 SECTION 3. This Act takes effect immediately if it receives
5555 a vote of two-thirds of all the members elected to each house, as
5656 provided by Section 39, Article III, Texas Constitution. If this
5757 Act does not receive the vote necessary for immediate effect, this
5858 Act takes effect September 1, 2009.