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A BILL TO BE ENTITLED
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AN ACT
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relating to certain requirements in connection with review |
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determinations by an independent review organization. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 413.031, Labor Code, is amended by |
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adding Subsection (j-1) to read as follows: |
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(j-1) After an independent review organization has issued a |
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decision under Subsection (d), a party may request a letter of |
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clarification from the independent review organization. The party |
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making the request shall send a copy of the request to each party |
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involved in the dispute. A request for clarification may request |
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that the independent review organization reconsider its decision or |
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issue a new decision. On receipt of a request for clarification, the |
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independent review organization shall reconsider its decision and |
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either clarify the original decision or issue a new decision. |
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SECTION 2. Section 4202.009, Insurance Code, is repealed. |
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SECTION 3. Section 413.031(j-1), Labor Code, as added by |
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this Act, applies only to the review of a medical service conducted |
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on or after the effective date of this Act. A review of a medical |
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service that is conducted before the effective date of this Act is |
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governed by the law in effect on the date the review was conducted, |
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and the former law is continued in effect for that purpose. |
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SECTION 4. This Act takes effect September 1, 2011. |