Text: H08171 Text: H08173 Text: H08100 - H08199 Text: H Index Bills and Amendments: General Index Bill History: General Index
PAG LIN
1 1 Amend House File 2305 as follows:
1 2 #1. Page 1, by inserting before line 1 the
1 3 following:
1 4 "Sec. . Section 85.27, subsection 3, Code 2003,
1 5 is amended to read as follows:
1 6 3. Notwithstanding section 85.26, subsection 4,
1 7 charges believed to be excessive or unnecessary may be
1 8 referred by the employer, insurance carrier, or health
1 9 service provider to the workers' compensation
1 10 commissioner for determination, and the commissioner
1 11 may utilize the procedures provided in sections 86.38
1 12 and 86.39, or set by rule, and conduct such inquiry as
1 13 the commissioner deems necessary. Any health service
1 14 provider charges not in dispute shall be paid directly
1 15 to the health service provider prior to utilization of
1 16 procedures provided in sections 86.38 and 86.39 or set
1 17 by rule. A health service provider rendering
1 18 treatment to an employee whose injury is compensable
1 19 under this section agrees to be bound by such charges
1 20 as allowed by the workers' compensation commissioner
1 21 and shall not recover in law or equity any amount in
1 22 excess of charges set by the commissioner. When a
1 23 dispute under chapter 85, 85A, or 85B regarding
1 24 reasonableness of a fee for medical services arises
1 25 between a health service provider and an employer or
1 26 insurance carrier, the health service provider,
1 27 employer, or insurance carrier shall not seek payment
1 28 from the injured employee. The workers' compensation
1 29 commissioner, in consultation with the insurance
1 30 commissioner, shall adopt a fee schedule for medical
1 31 services provided as described in this section. The
1 32 fee schedule shall be set to ensure that workers'
1 33 compensation premiums charged to employers in this
1 34 state shall be kept at a minimum and to avoid
1 35 substantial increases due to increases in the cost of
1 36 medical services. In addition, the fee schedule shall
1 37 be set, if applicable, at an amount that does not
1 38 exceed the rates set for similar services for purposes
1 39 of Medicaid as approved by the department of human
1 40 services."
1 41 #2. By renumbering as necessary.
1 42
1 43
1 44
1 45 HUSER of Polk
1 46 HF 2305.301 80
1 47 rj/cf
Text: H08171 Text: H08173 Text: H08100 - H08199 Text: H Index Bills and Amendments: General Index Bill History: General Index
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