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A BILL TO BE ENTITLED
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AN ACT
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relating to reimbursement of federal military treatment facilities |
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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. Subchapter B, Chapter 413, Labor Code, is |
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amended by adding Section 413.0112 to read as follows: |
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Sec. 413.0112. REIMBURSEMENT OF FEDERAL MILITARY TREATMENT |
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FACILITY. (a) In this section, "federal military treatment |
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facility" means a medical facility that operates as part of the |
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Military Health System of the United States Department of Defense. |
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(b) The reimbursement rates for medical services provided |
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to an injured employee by a federal military treatment facility |
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must be the amount charged by the facility as determined under 32 |
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C.F.R. Part 220. |
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(c) Chapter 1305, Insurance Code, and the following |
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sections of this code do not apply to the reimbursement of a federal |
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military treatment facility's charges for medical services |
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provided to an injured employee: |
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(1) Sections 408.027(a) and (f); |
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(2) Section 408.0271; |
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(3) Section 408.0272; |
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(4) Section 408.028; |
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(5) Section 408.0281; |
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(6) Section 413.011; |
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(7) Section 413.014; |
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(8) Section 413.031, as that section relates to |
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medical fee disputes; |
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(9) Section 413.041; and |
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(10) Section 504.053. |
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(d) The commissioner shall adopt rules necessary to |
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implement this section, including rules establishing: |
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(1) requirements for processing medical bills for |
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services provided to an injured employee by a federal military |
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treatment facility; and |
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(2) a separate medical dispute resolution process to |
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resolve disputes over charges billed directly to an injured |
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employee by a federal military treatment facility. |
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SECTION 2. The commissioner of workers' compensation shall |
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adopt rules as required by Section 413.0112, Labor Code, as added by |
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this Act, not later than December 1, 2019. |
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SECTION 3. The change in law made by this Act applies only |
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to health care services provided on or after January 1, 2020, in |
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conjunction with a claim for workers' compensation benefits, |
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regardless of the date on which the compensable injury that is the |
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basis of the claim occurred. |
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SECTION 4. This Act takes effect September 1, 2019. |