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Text: SF02432                           Text: SF02434
Text: SF02400 - SF02499                 Text: SF Index
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Senate File 2433

Partial Bill History

Bill Text

PAG LIN
  1  1    Section 1.  Section 85.27, unnumbered paragraph 3, Code
  1  2 1995, is amended to read as follows:
  1  3    Notwithstanding section 85.26, subsection 4, charges
  1  4 believed to be excessive or unnecessary may be referred by the
  1  5 employer, insurance carrier, or health service provider to the
  1  6 industrial commissioner for determination, and the
  1  7 commissioner may utilize the procedures provided in sections
  1  8 86.38 and 86.39, or set by rule, and conduct such inquiry as
  1  9 the commissioner deems necessary.  Any health service provider
  1 10 charges not in dispute shall be paid directly to the health
  1 11 service provider prior to utilization of procedures provided
  1 12 in sections 86.38 and 86.39 or set by rule.  A health service
  1 13 provider rendering treatment to an employee whose injury is
  1 14 compensable under this section agrees to be bound by such
  1 15 charges as allowed by the industrial commissioner and shall
  1 16 not recover in law or equity any amount in excess of charges
  1 17 set by the commissioner.  When a dispute under this chapter 85
  1 18 regarding reasonableness of a fee for medical services arises
  1 19 between a health service provider and an employer or insurance
  1 20 carrier, the health service provider, employer, or insurance
  1 21 carrier shall not seek payment from the injured employee.
  1 22 When a dispute under this chapter regarding reasonableness of
  1 23 a fee for medical services arises between a health service
  1 24 provider and an insurance carrier, the health service provider
  1 25 shall not seek payment from the employer.
  1 26    Sec. 2.  Section 85.27, unnumbered paragraph 6, Code 1995,
  1 27 is amended to read as follows:
  1 28    While a contested case proceeding for determination of
  1 29 liability for workers' compensation benefits is pending before
  1 30 the industrial commissioner relating to an injury alleged to
  1 31 have given rise to treatment, no debt collection, as defined
  1 32 by section 537.7102, shall be undertaken against an the
  1 33 employee or, the employee's dependents, or the employer for
  1 34 the collection of charges for that treatment rendered an
  1 35 employee by any health service provider.  However, the health
  2  1 service provider may send one itemized written bill to the
  2  2 employee and the employer setting forth the amount of the
  2  3 charges in connection with the treatment after notification of
  2  4 the contested case proceeding.
  2  5    Sec. 3.  Section 85.35, Code 1995, is amended by adding the
  2  6 following new subsection:
  2  7    NEW SUBSECTION.  9.  The claimed disability is related to
  2  8 an injury occurring under the coverage of another carrier
  2  9 during the period of employment with an employer or during a
  2 10 period when the employer is relieved from insurance under
  2 11 section 87.11.  
  2 12                           EXPLANATION
  2 13    This bill provides that when a workers' compensation
  2 14 dispute as to the reasonableness of a medical services fee
  2 15 under chapter 85 arises between a health service provider and
  2 16 an insurance carrier, the health service provider is
  2 17 prohibited from seeking payment of the fee from the employer.
  2 18    The bill also provides that no debt collection can be
  2 19 undertaken against an employer for recovery of medical charges
  2 20 while a contested case proceeding for determination of
  2 21 liability for workers' compensation benefits is pending.
  2 22    In addition, the bill provides that a workers' compensation
  2 23 dispute concerning whether a claimed disability is related to
  2 24 an injury occurring under another carrier's coverage or during
  2 25 a period when an employer is relieved from carrying insurance
  2 26 is a basis for settlement under the special settlement
  2 27 procedure for workers' compensation cases provided in section
  2 28 85.35.  
  2 29 LSB 4348SV 76
  2 30 ec/jw/5
     
Text: SF02432                           Text: SF02434
Text: SF02400 - SF02499                 Text: SF Index
Bills and Amendments: General Index     Bill History: General Index
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