81R6435 PB-D
 
  By: Leibowitz H.B. No. 1166
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to certain requirements for doctors providing
  professional services under the workers' compensation system.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 408.0043, Labor Code, is amended by
  amending Subsection (b) and adding Subsection (c) to read as
  follows:
         (b)  A person described by Subsection (a) who reviews a
  specific workers' compensation case must:
               (1)  hold a professional certification in a health care
  specialty appropriate to the type of health care that the injured
  employee is receiving; and
               (2)  if appropriate to the specific case, hold the same
  professional certification as the employee's treating doctor.
         (c)  A person described by Subsection (a) must:
               (1)  be licensed to practice in this state;
               (2)  maintain the person's primary practice location in
  this state; and
               (3)  actively engage in the treatment of patients in
  this state in person.
         SECTION 2.  Section 408.0044(b), Labor Code, is amended to
  read as follows:
         (b)  A person described by Subsection (a) who reviews a
  dental service provided in conjunction with a specific workers'
  compensation case must:
               (1)  be licensed to practice dentistry in this state;
               (2)  maintain the person's primary practice location in
  this state; and
               (3)  actively engage in the treatment of patients in
  this state in person.
         SECTION 3.  Section 408.0045(b), Labor Code, is amended to
  read as follows:
         (b)  A person described by Subsection (a) who reviews a
  chiropractic service provided in conjunction with a specific
  workers' compensation case must:
               (1)  be licensed to engage in the practice of
  chiropractic in this state;
               (2)  maintain the person's primary practice location in
  this state; and
               (3)  actively engage in the treatment of patients in
  this state in person.
         SECTION 4.  Section 413.031(e-2), Labor Code, is amended to
  read as follows:
         (e-2)  Notwithstanding Section 4202.002, Insurance Code, an
  independent review organization that uses doctors to perform
  reviews of health care services provided under this title may only
  use doctors who are licensed to practice in this state, who are
  actively engaged in the treatment of patients in this state in
  person, and whose primary practice location is in this state.
         SECTION 5.  The change in law made by this Act applies only
  to professional services provided in conjunction with a claim for
  workers' compensation benefits based on a compensable injury that
  occurs on or after the effective date of this Act. Professional
  services provided in conjunction with a claim based on a
  compensable injury that occurs before that date is governed by the
  law in effect on the date the compensable injury occurred, and the
  former law is continued in effect for that purpose.
         SECTION 6.  This Act takes effect September 1, 2009.