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A BILL TO BE ENTITLED
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AN ACT
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relating to preauthorization and concurrent review of certain |
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health care services under the workers' compensation system. |
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BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF TEXAS: |
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SECTION 1. Section 413.014, Labor Code, is amended by |
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amending Subsection (c) and adding Subsection (c-1) to read as |
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follows: |
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(c) The commissioner's rules adopted under this section |
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must provide that preauthorization and concurrent review are |
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required at a minimum for: |
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(1) spinal surgery, as provided by Section 408.026; |
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(2) work-hardening or work-conditioning services |
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[provided by a health care facility that is not credentialed by an
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organization recognized by commissioner rules]; |
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(3) inpatient hospitalization, including any |
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procedure and length of stay; |
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(4) physical and occupational therapy; |
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(5) outpatient or ambulatory surgical services, as |
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defined by commissioner rule; and |
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(6) any investigational or experimental services or |
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devices. |
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(c-1) Notwithstanding Subsection (c)(2), the commissioner |
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by rule may exempt from preauthorization and concurrent review |
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work-hardening or work-conditioning services provided by a health |
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care facility that is credentialed by an organization designated by |
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commissioner rule. |
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SECTION 2. The change in law made by this Act applies only |
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to health care services provided on or after the effective date of |
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this Act in conjunction with a claim for workers' compensation |
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benefits, regardless of the date on which the compensable injury |
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that is the basis of the claim occurred. |
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SECTION 3. This Act takes effect September 1, 2017. |