Minnesota SF 1196: Workers compensation chiropractic services conversion factors modification; steering practices prohibition

Status: Referred to Jobs, Agriculture and Rural Development (as of 2013-03-11)

State: Minnesota · Session: 2013-2014 · Bill: SF 1196

Subjects: Health and Health Department, Insurance-Health, Labor, Employment, and Labor and Industry Department, Workers Compensation

Sponsors: Koenen, Eken, Hawj, Sparks

Bill Text

03/04/13REVISORSS/KS13-2390asintroduced
Abillforanact1.1
relatingtoworkers'compensation;modifyingconversionfactorsforchiropractic1.2
services;prohibitingsteeringpractices;amendingMinnesotaStatutes2012,1.3
sections176.135,subdivision1;176.136,subdivision1a.1.4
BEITENACTEDBYTHELEGISLATUREOFTHESTATEOFMINNESOTA:1.5
Section1.MinnesotaStatutes2012,section176.135,subdivision1,isamendedtoread:1.6
Subdivision1.Medical,psychological,chiropractic,podiatric,surgical,hospital.1.7
(a)Theemployershallfurnishanymedical,psychological,chiropractic,podiatric,surgical1.8
andhospitaltreatment,includingnursing,medicines,medical,chiropractic,podiatric,and1.9
surgicalsupplies,crutchesandapparatus,includingartificialmembers,or,attheoptionof1.10
theemployee,iftheemployerhasnotfilednoticeashereinafterprovided,ChristianScience1.11
treatmentinlieuofmedicaltreatment,chiropracticmedicineandmedicalsupplies,asmay1.12
reasonablyberequiredatthetimeoftheinjuryandanytimethereaftertocureandrelieve1.13
fromtheeffectsoftheinjury.Thistreatmentshallincludetreatmentsnecessarytophysical1.14
rehabilitation.Theemployermustnotdiscourageorinanywayinfluenceapatient's
1.15
decisiontopursuechiropractictreatmentinlieuofmedicaltreatmentortoobtainanMRI.1.16
(b)Theemployershallpayforthereasonablevalueofnursingservicesprovidedby1.17
amemberoftheemployee'sfamilyincasesofpermanenttotaldisability.1.18
(c)Exposuretorabiesisaninjuryandanemployershallfurnishpreventative1.19
treatmenttoemployeesexposedtorabies.1.20
(d)Theemployershallfurnishreplacementorrepairforartificialmembers,glasses1.21
orspectacles,artificialeyes,podiatricorthotics,dentalbridgework,denturesorartificial1.22
teeth,hearingaids,canes,crutches,orwheelchairsdamagedbyreasonofaninjuryarising1.23
outofandinthecourseoftheemployment.Forthepurposeofthisparagraph,"injury"1.24
Section1.1
SENATE
STATEOFMINNESOTA
EIGHTY-EIGHTHLEGISLATURES.F.No.1196
(SENATEAUTHORS:KOENEN,Sparks,EkenandHawj)
DATED-PGOFFICIALSTATUS
03/11/2013764Introductionandfirstreading
ReferredtoJobs,AgricultureandRuralDevelopment

03/04/13REVISORSS/KS13-2390asintroduced
includesdamagewhollyorinparttoanartificialmember.Incaseoftheemployer's2.1
inabilityorrefusalseasonablytoprovidetheitemsrequiredtobeprovidedunderthis2.2
paragraph,theemployerisliableforthereasonableexpenseincurredbyoronbehalfof2.3
theemployeeinprovidingthesame,includingcostsofcopiesofanymedicalrecordsor2.4
medicalreportsthatareinexistence,obtainedfromhealthcareproviders,andthatdirectly2.5
relatetotheitemsforwhichpaymentissoughtunderthischapter,limitedtothecharges2.6
allowedbysubdivision7,andattorneyfeesincurredbytheemployee.2.7
(e)Boththecommissionerandthecompensationjudgeshaveauthoritytomake2.8
determinationsunderthissectioninaccordancewithsections176.106and176.305.2.9
(f)Anemployermayrequirethatthetreatmentandsuppliesrequiredtobeprovided2.10
byanemployerbythissectionbereceivedinwholeorinpartfromamanagedcareplan2.11
certifiedundersection176.1351exceptasotherwiseprovidedbythatsection.2.12
(g)Anemployermaydesignateapharmacyornetworkofpharmaciesthat2.13
employeesmustusetoobtainoutpatientprescriptionandnonprescriptionmedications.An2.14
employeeisnotrequiredtoobtainoutpatientmedicationsatadesignatedpharmacyunless2.15
thepharmacyislocatedwithin15milesoftheemployee'splaceofresidence.2.16
(h)Notwithstandinganyfeesestablishedbyruleadoptedundersection176.136,an2.17
employermaycontractforthecostofmedicationprovidedtoemployees.2.18
Sec.2.MinnesotaStatutes2012,section176.136,subdivision1a,isamendedtoread:2.19
Subd.1a.Relativevaluefeeschedule.(a)Theliabilityofanemployerforservices2.20
includedinthemedicalfeescheduleislimitedtothemaximumfeeallowedbythe2.21
scheduleineffectonthedateofthemedicalservice,ortheprovider'sactualfee,whichever2.22
islower.Thecommissionershalladoptpermanentrulesregulatingfeesallowablefor2.23
medical,chiropractic,podiatric,surgical,andotherhealthcareprovidertreatmentor2.24
service,includingthoseprovidedtohospitaloutpatients,byimplementingarelativevalue2.25
feeschedule.Thecommissionermayadoptbyreference,accordingtotheproceduresin2.26
paragraph(h),clause(2),therelativevaluefeescheduletablesadoptedforthefederal2.27
Medicareprogram.Therelativevaluefeeschedulemustcontainreasonableclassifications2.28
including,butnotlimitedto,classificationsthatdifferentiateamonghealthcareprovider2.29
disciplines.Theconversionfactorsfortheoriginalrelativevaluefeeschedulemust2.30
reasonablyreflecta15percentoverallreductionfromthemedicalfeeschedulemost2.31
recentlyineffect.Thereductionneednotbeappliedequallytoalltreatmentorservices,2.32
butmustrepresentagross15percentreduction.2.33
Sec.2.2

03/04/13REVISORSS/KS13-2390asintroduced
(b)EffectiveOctober1,2005,thecommissionershallremoveallscalingfactors3.1
fromtherelativevalueunitsandestablishfourseparateconversionfactorsaccordingto3.2
paragraphs(c)and(d)foreachofthefollowingpartsofMinnesotaRules:3.3
(1)medical/surgicalservicesinMinnesotaRules,part5221.4030,asdefinedinpart3.4
5221.0700,subpart3,itemC,subitem(2);3.5
(2)pathologyandlaboratoryservicesin

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