Workers' compensation; fees for medical services.
Summary
Provides that the pecuniary liability of an employer for a medical service provided for the treatment of a traumatic injury or serious burn includes liability for any professional service rendered during the dates of service of the admission or transfer to a Level I or Level II trauma center or to a burn center, as applicable. The measure increases the initial charge outlier threshold, which under the stop-loss feature allows hospitals to receive payments or reimbursements that exceed the fee schedule amount for certain claims, from 150 percent of the maximum fee for the service set forth in the applicable fee schedule to 300 percent of such amount. The measure allows the Workers' Compensation Commission to adjust the charge outlier threshold percentage; under existing law, it is allowed only to decrease the percentage. The measure also (i) expands the definition of codes, as used in the provision directing the Commission to establish fee schedules for scheduled medical services, to include revenue codes, which are defined in the bill; (ii) clarifies the definition of "HCPCS codes"; (iii) directs the Commission to use the regulatory advisory panel on all matters involving or related to the fee schedule as deemed necessary by the Commission; (iv) adds a definition of "new type of technology"; and (v) extends the deadline by which the regulatory advisory panel is required to meet, review, and make recommendations to the Commission from July 1, 2017, to July 1, 2018. The bill contains an emergency clause.
Bill status
signed
all 5 stages cleared
Introduction
Jan 2017
Committee Review
Jan 2017
House of Delegates Passage
Jan 2017
Senate Passage
Jan 2017
Signed into Law
Mar 2017
Introduced Jan 2, 2017
Signed Mar 13, 2017
Floor votes
How they voted
This bill passed the Senate by voice vote (no roll call recorded).
Full legislative history
Actions timeline
Total actions
17
Key actions
3
Committee
3
Amendments
1
Mar 13, 2017
Signed into law
Approved by Governor-Chapter 478 (effective 3/13/17)
executive
Jan 19, 2017
Committee
Referred to Committee on Commerce and Labor
legislature
Jan 18, 2017
Legislature · Passed
Read third time and passed House BLOCK VOTE (96-Y 0-N)
legislature
Jan 17, 2017
Introduced
Engrossed by House as amended HB1571E
legislature
Jan 17, 2017
Legislature · Passed
Committee amendments agreed to
legislature
Jan 2, 2017
Committee
Referred to Committee on Commerce and Labor
legislature
Jan 2, 2017
Introduced
Prefiled and ordered printed with emergency clause; offered 01/13/16 17102180D
legislature
1 primary · 0 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Peter F. Farrell
RRepublican
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