82R5357 KSD-D
 
  By: Giddings H.B. No. 1872
 
 
 
A BILL TO BE ENTITLED
 
AN ACT
  relating to requirements regarding information to be provided to
  employees covered by workers' compensation health care networks.
         BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS:
         SECTION 1.  Section 1305.103(c), Insurance Code, is amended
  to read as follows:
         (c)  An employee who lives within the service area of a
  network and who is being treated by a non-network provider for an
  injury that occurred before the employer's insurance carrier
  established or contracted with the network, shall select a network
  treating doctor on notification by the carrier that health care
  services are being provided through the network.  The carrier shall
  provide to the employee all information required by Section
  1305.451.  If the employee fails to select a treating doctor on or
  before the 14th day after the date of receipt of the information
  required by Section 1305.451, the network may assign the employee a
  network treating doctor. An issue regarding whether a carrier
  properly provided an employee the information required by this
  subsection may be resolved using the process for adjudication of
  disputes under Chapter 410, Labor Code, as used by the department's
  division of workers' compensation.
         SECTION 2.  Section 1305.451, Insurance Code, is amended by
  adding Subsection (e) to read as follows:
         (e)  An issue regarding whether an employer properly
  provided an employee with the information required by this section
  may be resolved using the process for adjudication of disputes
  under Chapter 410, Labor Code, as used by the department's division
  of workers' compensation.
         SECTION 3.  This Act takes effect September 1, 2011.