86R5362 KKR-F
By: Hancock S.B. No. 935
A BILL TO BE ENTITLED
AN ACT
relating to reimbursement of federal military treatment facilities
under the workers' compensation system.
BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
SECTION 1. Subchapter B, Chapter 413, Labor Code, is
amended by adding Section 413.0112 to read as follows:
Sec. 413.0112. REIMBURSEMENT OF FEDERAL MILITARY TREATMENT
FACILITY. (a) In this section, "federal military treatment
facility" means a medical facility that operates as part of the
Military Health System of the United States Department of Defense.
(b) The reimbursement rates for medical services provided
to an injured employee by a federal military treatment facility
must be equal to the rates at which a third-party payer is required
to reimburse a treatment facility for the same services as
determined under 32 C.F.R. Part 220.
(c) Chapter 1305, Insurance Code, and the following
sections of this code do not apply to the reimbursement of a federal
military treatment facility's charges for medical services
provided to an injured employee:
(1) Sections 408.027(a) and (f);
(2) Section 408.0271;
(3) Section 408.0272;
(4) Section 408.028;
(5) Section 408.0281;
(6) Section 413.011;
(7) Section 413.014;
(8) Section 413.031;
(9) Section 413.032;
(10) Section 413.041; and
(11) Section 504.053.
(d) The commissioner shall adopt rules necessary to
implement this section, including rules establishing:
(1) requirements for processing medical bills for
services provided to an injured employee by a federal military
treatment facility; and
(2) a separate medical dispute resolution process to
resolve disputes over charges billed directly to an injured
employee by a federal military treatment facility.
SECTION 2. The commissioner of workers' compensation shall
adopt rules as required by Section 413.0112, Labor Code, as added by
this Act, not later than December 1, 2019.
SECTION 3. The change in law made by this Act applies only
to health care services provided on or after January 1, 2020, in
conjunction with a claim for workers' compensation benefits,
regardless of the date on which the compensable injury that is the
basis of the claim occurred.
SECTION 4. This Act takes effect September 1, 2019.