TITLE 28.INSURANCE

Part 2. TEXAS WORKERS' COMPENSATION COMMISSION

Chapter 134. BENEFITS--GUIDELINES FOR MEDICAL SERVICES, CHARGES, AND PAYMENTS

Subchapter A. MEDICAL POLICIES

28 TAC §134.2

(Editor's note: The text of the following section proposed for repeal will not be published. The section may be examined in the offices of the Texas Workers' Compensation Commission or in the Texas Register office, Room 245, James Earl Rudder Building, 1019 Brazos Street, Austin.)

The Texas Workers' Compensation Commission (the Commission) proposes the repeal §134.2, concerning Insurance Carrier Responsibility to Submit Medical Reports.

The Commission proposes the repeal to eliminate redundancy in the rules. Newly adopted §102.9 of this title (relating to Submission of Information Requested by the Commission) makes current §134.2 unnecessary.

Victor Rodriguez, Chief Financial Officer, has determined that the proposed repeal will have no fiscal implications for state or local governments.

The impact to local government and state government as covered regulated entities is the same as described later in this preamble for persons required to comply with the repeal.

Mr. Rodriguez has also determined that for each year of the first five years the repeal is in effect the public benefits anticipated as a result of the repeal will be elimination of redundant provisions in the rules. There will be no anticipated economic costs to persons who are required to comply with the repeal of the rule as proposed. There will be no adverse economic impact on small businesses and micro-businesses.

Comments on the proposal must be received by 5:00 p.m., June 5, 2000. You may comment via the Internet by accessing the Commission's website at www.twcc.state.tx.us and then clicking on "Proposed Rules." This medium for commenting will help you organize your comments by rule chapter. You may also comment by emailing your comments to RuleComments@twcc.state.tx.us or by mailing or delivering your comments to Sue Cutler at the Office of the General Counsel, Mailstop #4-D, Texas Workers' Compensation Commission, Southfield Building, 4000 South IH-35, Austin, Texas 78704-7491.

Commenters are requested to clearly identify by number the specific rule and paragraph commented upon. The Commission may not be able to respond to comments that cannot be linked to a particular proposed rule. Along with your comment, it is suggested that you include the reasoning for the comment in order for Commission staff to fully evaluate your recommendations.

Based upon various considerations, including comments received and the staff's or commissioners' review of those comments, or based upon the commissioners' action at the public meeting, the rule as adopted may be revised from the rule as proposed in whole or in part. Persons in support of the rule as proposed, in whole or in part, may wish to comment to that effect.

The repeal is proposed under the Texas Labor Code, §402.061, which authorizes the Commission to adopt rules necessary to administer the Act; the Texas Labor Code §406.010 which authorizes the Commission to adopt rules necessary to specify the requirements for carriers to provide claims service and establishes that a person commits a violation if the person violates a rule adopted under this section; the Texas Labor Code §413.002, which requires the Commission to monitor health care providers and insurance carriers to ensure compliance with Commission rules relating to health care; the Texas Labor Code §413.007, which requires the Commission to maintain a statewide database of medical charges, actual payments, and treatment protocols; the Texas Labor Code §413.011, which requires the Commission by rule to establish medical policies relating to necessary treatments for injuries and designed to ensure the quality of medical care and to achieve effective medical cost control; the Texas Labor Code §413.012, which requires the Commission to review and revise medical policies and fee guidelines to reflect current medical treatment and fees that are reasonable and necessary; and the Texas Labor Code §413.013, which requires the Commission to establish a program for the systematic monitoring of the necessity of the treatments administered and fees charged and paid for medical treatments or services, including the authorization of prospective, concurrent, or retrospective review under the medical policies of the Commission to ensure the medical policies and guidelines are not exceeded, and a program to detect practices and patterns by insurance carriers in unreasonably denying authorization of payment for medical services requested or performed if authorization is required by the medical policies of the Commission.

The proposed repeal affects the following statutes: the Texas Labor Code, §402.061, which authorizes the Commission to adopt rules necessary to administer the Act; the Texas Labor Code §406.010 which authorizes the Commission to adopt rules necessary to specify the requirements for carriers to provide claims service and establishes that a person commits a violation if the person violates a rule adopted under this section; the Texas Labor Code §413.002, which requires the Commission to monitor health care providers and insurance carriers to ensure compliance with Commission rules relating to health care; the Texas Labor Code §413.007, which requires the Commission to maintain a statewide database of medical charges, actual payments, and treatment protocols; the Texas Labor Code §413.011, which requires the Commission by rule to establish medical policies relating to necessary treatments for injuries and designed to ensure the quality of medical care and to achieve effective medical cost control; the Texas Labor Code §413.012, which requires the Commission to review and revise medical policies and fee guidelines to reflect current medical treatment and fees that are reasonable and necessary; and the Texas Labor Code §413.013, which requires the Commission to establish a program for the systematic monitoring of the necessity of the treatments administered and fees charged and paid for medical treatments or services, including the authorization of prospective, concurrent, or retrospective review under the medical policies of the Commission to ensure the medical policies and guidelines are not exceeded, and a program to detect practices and patterns by insurance carriers in unreasonably denying authorization of payment for medical services requested or performed if authorization is required by the medical policies of the Commission.

§134.2. Insurance Carrier Responsibility to Submit Medical Reports.

This agency hereby certifies that the proposal has been reviewed by legal counsel and found to be within the agency's legal authority to adopt.

Filed with the Office of the Secretary of State, on April 20, 2000.

TRD-200002820

Susan Cory

General Counsel

Texas Workers' Compensation Commission

Earliest possible date of adoption: June 4, 2000

For further information, please call: (512) 804-4287