By Janek, Brimer                                      H.B. No. 3196

         Substitute the following for H.B. No. 3196:

         By Corte                                          C.S.H.B. No. 3196

                                A BILL TO BE ENTITLED

 1-1                                   AN ACT

 1-2     relating to workers' compensation medical benefits, impairment

 1-3     income benefits, and lifetime income benefits.

 1-4           BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:

 1-5           SECTION 1.  Section 408.004(d), Labor Code, is amended to

 1-6     read as follows:

 1-7           (d)  An injured employee is entitled to have the employee's

 1-8     treating [a] doctor, a doctor designated by the treating doctor, or

 1-9     a family member selected by the employee [of the employee's choice]

1-10     present at an examination required by the commission at the request

1-11     of an insurance carrier.  The insurance carrier shall pay a fee set

1-12     by the commission to the treating doctor or the treating doctor's

1-13     designee [the doctor selected by the employee].

1-14           SECTION 2.  Section 408.122(b), Labor Code, is amended to

1-15     read as follows:

1-16           (b)  To be eligible to serve as a designated doctor, a doctor

1-17     must meet specific qualifications, including training in the

1-18     determination of impairment ratings.  The executive director shall

1-19     develop qualification standards and administrative policies to

1-20     implement this subsection, and the commission may adopt rules as

1-21     necessary.  To the extent possible, a designated doctor must be of

1-22     the same specialty [in the same discipline] and licensed by the

1-23     same board of examiners as the employee's doctor of choice.

1-24           SECTION 3.  Section 408.161(a), Labor Code, is amended to

 2-1     read as follows:

 2-2           (a)  Lifetime income benefits are paid until the death of the

 2-3     employee for:

 2-4                 (1)  total and permanent loss of sight in both eyes;

 2-5                 (2)  loss of both feet at or above the ankle;

 2-6                 (3)  loss of both hands at or above the wrist;

 2-7                 (4)  loss of one foot at or above the ankle and the

 2-8     loss of one hand at or above the wrist;

 2-9                 (5)  an injury to the spine that results in permanent

2-10     and complete paralysis of both arms, both legs, or one arm and one

2-11     leg; or

2-12                 (6)  an injury to the brain [skull] resulting in

2-13     incurable insanity or imbecility.

2-14           SECTION 4.  Section 408.023, Labor Code, is amended by adding

2-15     a new subsection (d) to read:

2-16           (d)  The commission shall develop standards for the inclusion

2-17     and removal of doctors on the list of approved doctors as described

2-18     in this section by December 31, 1997.  The commission shall publish

2-19     the standards by January 31, 1998.  The commission shall accept

2-20     applications from doctors seeking inclusion on the list of approved

2-21     doctors from March 1, 1998 to July 1, 1998.  The commission shall

2-22     notify each doctor who submits an application but is denied

2-23     inclusion on the list of approved doctors by October 1, 1998.

2-24     Doctors denied inclusion on the list may submit a request to the

2-25     commission for a reconsideration of their request within three

2-26     weeks of notification by the commission.  The list of approved

2-27     doctors shall be approved by the commission not later than December

 3-1     31, 1998.

 3-2           SECTION 5.  The effective dates of this Act are the

 3-3     following:

 3-4                 a)  The effective date of SECTION 1 of this Act is

 3-5     September 1, 1997.

 3-6                 b)  The effective date of SECTION 2 of this Act is

 3-7     September 1, 1997.

 3-8                 c)  The effective date of SECTION 3 of this Act is

 3-9     September 1, 1997, and applies to those dates of injury occurring

3-10     on or after that date.  The current law is continued in effect for

3-11     dates of injury prior to September 1, 1997.

3-12                 d)  The effective date of SECTION 4 of this Act is

3-13     September 1, 1997.

3-14           SECTION 6.  The importance of this legislation and the

3-15     crowded condition of the calendars in both houses create an

3-16     emergency and an imperative public necessity that the

3-17     constitutional rule requiring bills to be read on three several

3-18     days in each house be suspended, and this rule is hereby suspended,

3-19     and that this Act take effect and be in force from and after its

3-20     passage, and it is so enacted.