Texas 2019 - 86th Regular

Texas House Bill HB2207 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	86R17329 KKR-F
2		-	By: Shine, Cortez, Darby, Martinez Fischer H.B. No. 2207
3		-	Substitute the following for H.B. No. 2207:
4		-	By: Darby C.S.H.B. No. 2207
	1	+	86R5362 KKR-F
	2	+	By: Shine H.B. No. 2207
5	3
6	4
7	5		A BILL TO BE ENTITLED
8	6		AN ACT
9	7		relating to reimbursement of federal military treatment facilities
10	8		under the workers' compensation system.
11	9		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
12	10		SECTION 1. Subchapter B, Chapter 413, Labor Code, is
13	11		amended by adding Section 413.0112 to read as follows:
14	12		Sec. 413.0112. REIMBURSEMENT OF FEDERAL MILITARY TREATMENT
15	13		FACILITY. (a) In this section, "federal military treatment
16	14		facility" means a medical facility that operates as part of the
17	15		Military Health System of the United States Department of Defense.
18	16		(b) The reimbursement rates for medical services provided
19	17		to an injured employee by a federal military treatment facility
20		-	must be the amount charged by the facility as determined under 32
21		-	C.F.R. Part 220.
	18	+	must be equal to the rates at which a third-party payer is required
	19	+	to reimburse a treatment facility for the same services as
	20	+	determined under 32 C.F.R. Part 220.
22	21		(c) Chapter 1305, Insurance Code, and the following
23	22		sections of this code do not apply to the reimbursement of a federal
24	23		military treatment facility's charges for medical services
25	24		provided to an injured employee:
26	25		(1) Sections 408.027(a) and (f);
27	26		(2) Section 408.0271;
28	27		(3) Section 408.0272;
29	28		(4) Section 408.028;
30	29		(5) Section 408.0281;
31	30		(6) Section 413.011;
32	31		(7) Section 413.014;
33		-	(8) Section 413.031~~, as that section relates to~~
34		-	~~medical fee disputes~~;
35		-	(9) Section 413.041; and
36		-	(10) Section 504.053.
	32	+	(8) Section 413.031;
	33	+	(9) Section 413.032;
	34	+	(10) Section 413.041; and
	35	+	(11) Section 504.053.
37	36		(d) The commissioner shall adopt rules necessary to
38	37		implement this section, including rules establishing:
39	38		(1) requirements for processing medical bills for
40	39		services provided to an injured employee by a federal military
41	40		treatment facility; and
42	41		(2) a separate medical dispute resolution process to
43	42		resolve disputes over charges billed directly to an injured
44	43		employee by a federal military treatment facility.
45	44		SECTION 2. The commissioner of workers' compensation shall
46	45		adopt rules as required by Section 413.0112, Labor Code, as added by
47	46		this Act, not later than December 1, 2019.
48	47		SECTION 3. The change in law made by this Act applies only
49	48		to health care services provided on or after January 1, 2020, in
50	49		conjunction with a claim for workers' compensation benefits,
51	50		regardless of the date on which the compensable injury that is the
52	51		basis of the claim occurred.
53	52		SECTION 4. This Act takes effect September 1, 2019.