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A BILL TO BE ENTITLED
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AN ACT
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relating to certain information reporting requirements regarding |
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workers' compensation claims. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Sections 2053.151(a) through (c), Insurance |
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Code, are amended to read as follows: |
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(a) The commissioner by rule shall prescribe the |
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[following] information that must be reported on each workers' |
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compensation claim[:
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[(1) the hazard classification of the affected
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employee;
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[(2)the date of injury;
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[(3)the social security number of the claimant;
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[(4) the severity classification of the claim,
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including separate classifications for:
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[(A)claims in which death benefits are paid;
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[(B) claims in which lifetime income benefits are
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paid;
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[(C) claims in which only temporary income
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benefits are paid;
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[(D) claims in which impairment income benefits
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are paid;
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[(E) claims in which supplemental income
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benefits are paid; and
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[(F) claims in which only medical benefits are
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paid;
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[(5)the amount paid in periodic payments;
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[(6)the amount paid in lump-sum payments;
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[(7)the amount paid for:
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[(A)temporary income benefits;
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[(B)impairment income benefits;
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[(C)supplemental income benefits; and
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[(D)death and burial benefits;
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[(8)the total amount paid for:
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[(A)income, death, or burial benefits; and
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[(B)medical benefits;
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[(9)the total amount of incurred losses for:
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[(A)income, death, or burial benefits; and
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[(B)medical benefits;
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[(10)the amount paid to:
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[(A)doctors and other health care providers; and
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[(B) hospitals and other health care facilities;
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and
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[(11) other information required by the
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commissioner]. |
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(b) For purposes of Subsection (a), the commissioner shall |
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establish standards and procedures for categorizing insurance and |
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medical benefits required to be reported on each workers' |
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compensation claim[. In establishing the standards, the
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commissioner shall consult with the Texas Workers' Compensation
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Commission] to ensure that the data collection methodology will |
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yield data necessary for research and medical cost containment |
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efforts. |
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(c) The commissioner by rule shall establish reporting |
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requirements for insurance companies regarding workers' |
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compensation claims [may allow the information required by
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Subsection (a) to be reported in the aggregate for each risk for
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claims in which benefit payments are less than $5,000]. The |
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commissioner may reduce or eliminate reporting requirements for |
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insurance companies whose workers' compensation insurance business |
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falls below a specific minimum premium volume established by the |
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commissioner by rule [adjust the $5,000 threshold for aggregate
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reporting to account for inflationary changes]. |
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SECTION 2. To the extent of any conflict, this Act prevails |
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over another Act of the 80th Legislature, Regular Session, 2007, |
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relating to nonsubstantive additions to and corrections in enacted |
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codes. |
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SECTION 3. This Act takes effect September 1, 2007. |