By: Bhojani H.B. No. 4524 A BILL TO BE ENTITLED AN ACT relating to conducting certain medical examinations using telemedicine under the workers' compensation system. BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: SECTION 1. Section 408.123, Labor Code, is amended by adding Subsections (i) and (j) to read as follows: (i) A medical examination conducted to certify maximum medical improvement or assign an impairment rating may be performed using telehealth services or telemedicine medical services, as defined by Section 111.001, Occupations Code. Except as provided by Subsection (j), a health care professional must be physically present in the room in which the employee is located to assist the certifying doctor in conducting the examination and administering any necessary testing. For purposes of this subsection, "health care professional" means an individual licensed, certified, or otherwise authorized to administer health care, for profit or otherwise, in the ordinary course of business or professional practice. (j) A health care professional is not required to be physically present in the room in which the patient is located during a medical examination performed using telehealth services or telemedicine medical services as provided by Subsection (i) that is conducted to assign an impairment rating if: (1) a doctor certified maximum medical improvement during an examination; and (2) based on the examination described by Subdivision (1), the doctor concluded there was no possibility of impairment. SECTION 2. Sections 408.123(i) and (j), Labor Code, as added by this Act, apply only to a medical examination to certify an employee's maximum medical improvement or assign an employee's impairment rating conducted on or after the effective date of this Act. A medical examination conducted before the effective date of this Act is governed by the law in effect on the date the examination was conducted, and the former law is continued in effect for that purpose. SECTION 3. This Act takes effect September 1, 2023.