Texas 2021 - 87th Regular

Texas House Bill HB1753 Compare Versions

Version 1 (Old)

Version 2 (New)

Old	New		Differences
1		-	H.B. No. 1753
	1	+	By: Oliverson (Senate Sponsor - Schwertner) H.B. No. 1753
	2	+	(In the Senate - Received from the House May 10, 2021;
	3	+	May 11, 2021, read first time and referred to Committee on Business &
	4	+	Commerce; May 20, 2021, reported favorably by the following vote:
	5	+	Yeas 9, Nays 0; May 20, 2021, sent to printer.)
	6	+	Click here to see the committee vote
2	7
3	8
	9	+	A BILL TO BE ENTITLED
4	10		AN ACT
5	11		relating to certain required reports under the Texas workers'
6	12		compensation system.
7	13		BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
8	14		SECTION 1. Section 1305.502(a), Insurance Code, is amended
9	15		to read as follows:
10	16		(a) Not later than December 1 of each even-numbered year,
11	17		the [The] group shall develop and issue an [annual] informational
12	18		report card that identifies and compares, on an objective basis,
13	19		the quality, costs, health care provider availability, and other
14	20		analogous factors of workers' compensation health care networks
15	21		operating under the workers' compensation system of this state with
16	22		each other and with medical care provided outside of networks.
17	23		SECTION 2. Sections 504.053(c) and (d), Labor Code, are
18	24		amended to read as follows:
19	25		(c) If the political subdivision or pool provides medical
20	26		benefits in the manner authorized under Subsection (b)(2), the
21	27		following do not apply:
22	28		(1) Sections 408.004 and 408.0041, unless use of a
23	29		required medical examination or designated doctor is necessary to
24	30		resolve an issue relating to the entitlement to or amount of income
25	31		benefits under this title;
26	32		(2) Subchapter B, Chapter 408, except for Section
27	33		408.021;
28	34		(3) Chapter 413, except for Section 413.042; and
29	35		(4) Chapter 1305, Insurance Code, except for Sections
30	36		[1305.501,] 1305.502[,] and 1305.503.
31	37		(d) If the political subdivision or pool provides medical
32	38		benefits in the manner authorized under Subsection (b)(2), the
33	39		following standards apply:
34	40		(1) the political subdivision or pool must ensure that
35	41		workers' compensation medical benefits are reasonably available to
36	42		all injured workers of the political subdivision or the injured
37	43		workers of the members of the pool within a designed service area;
38	44		(2) the political subdivision or pool must ensure that
39	45		all necessary health care services are provided in a manner that
40	46		will ensure the availability of and accessibility to adequate
41	47		health care providers, specialty care, and facilities;
42	48		(3) the political subdivision or pool must have an
43	49		internal review process for resolving complaints relating to the
44	50		manner of providing medical benefits, including an appeal to the
45	51		governing body or its designee and appeal to an independent review
46	52		organization;
47	53		(4) the political subdivision or pool must establish
48	54		reasonable procedures for the transition of injured workers to
49	55		contract providers and for the continuity of treatment, including
50	56		notice of impending termination of providers and a current list of
51	57		contract providers;
52	58		(5) the political subdivision or pool shall provide
53	59		for emergency care if an injured worker cannot reasonably reach a
54	60		contract provider and the care is for medical screening or other
55	61		evaluation that is necessary to determine whether a medical
56	62		emergency condition exists, necessary emergency care services
57	63		including treatment and stabilization, and services originating in
58	64		a hospital emergency facility following treatment or stabilization
59	65		of an emergency medical condition;
60	66		(6) prospective or concurrent review of the medical
61	67		necessity and appropriateness of health care services must comply
62	68		with Article 21.58A, Insurance Code;
63	69		(7) the political subdivision or pool shall continue
64	70		to report data to the appropriate agency as required by Title 5 of
65	71		this code and Chapter 1305, Insurance Code; and
66	72		(8) a political subdivision or pool is subject to the
67	73		requirements under Sections [1305.501,] 1305.502[,] and 1305.503,
68	74		Insurance Code.
69	75		SECTION 3. The following provisions are repealed:
70	76		(1) Section 1305.501, Insurance Code;
71	77		(2) Section 2053.012, Insurance Code; and
72	78		(3) Sections 405.0025(b) and (c), Labor Code.
73	79		SECTION 4. This Act takes effect immediately if it receives
74	80		a vote of two-thirds of all the members elected to each house, as
75	81		provided by Section 39, Article III, Texas Constitution. If this
76	82		Act does not receive the vote necessary for immediate effect, this
77	83		Act takes effect September 1, 2021.
78		-	______________________________ ______________________________
79		-	President of the Senate Speaker of the House
80		-	I certify that H.B. No. 1753 was passed by the House on May 7,
81		-	2021, by the following vote: Yeas 143, Nays 0, 1 present, not
82		-	voting.
83		-	______________________________
84		-	Chief Clerk of the House
85		-	I certify that H.B. No. 1753 was passed by the Senate on May
86		-	26, 2021, by the following vote: Yeas 31, Nays 0.
87		-	______________________________
88		-	Secretary of the Senate
89		-	APPROVED: _____________________
90		-	Date
91		-	_____________________
92		-	Governor
	84	+	* * * * *