SB 408 — WORKERS' COMPENSATION: Provides relative to the workers' compensation reimbursement schedule. (gov sig) (EN INCREASE SD EX See Note)

(b) Any decrease shall be phased in over not less than two years.

(c) Notwithstanding the provisions of Subparagraph (4)(a) of this Subsection, within the thirty-six month period following the initial adoption of a fee schedule developed pursuant to Section 4 of this Act, the assistant secretarymayproposeaone-timecorrectiveadjustmenttoanyindividualCPT, HCPCS, facility classification, or reimbursement category in excess of five percent upon meeting the following criteria:

(i) A finding by a qualified independent actuary, retained by the office at the office's expense, that the initial benchmark for the affected category is materially inaccurate as a result of data limitations, statistical methodology error, or inadequate representation of Louisiana market conditions.

(ii)ApprovalbytheSenateandHouseofRepresentativescommitteeson Page 3 of 23 Coding:

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SLS 26RS-205 RE-REENGROSSED SB NO.

408 labor and industrial affairs meeting jointly.

(iii) Any corrective adjustment made pursuant to this Subparagraph shall not be subject to the five percent cap but shall itself be nonrepeatable.

No further corrections under this Subparagraph shall be permitted for any category that has already received one corrective adjustment.

(5)Theofficeofworkers'compensationadministrationshallreviewand update all fee schedules adopted by the office every two years.

(6) Pending approval by the House and Senate labor committees of the fee schedule adopted under this Section, reimbursement for drugs, supplies, hospitalcareandservices,medicalandsurgicaltreatment,andanynonmedical treatment recognized by the laws of this state as legal and due under this Chapter shall be governed by the law in effect prior to the effective date of this Section.

C.(1) The reimbursement scheduleshall includechargeslimited to themean of the usual and customary charges for such care, services, treatment, drugs, and supplies.

Any necessary adjustments to the reimbursement schedule adopted and established in accordancewith the provisions of this Section maybe made annually Reimbursementforanimplantshallbethetotalof theoriginalmanufacturer's invoiceortheauthorizeddistributor'sinvoiceamountpaidplustwentypercent.

For the purpose of this Subsection, "implant" means plastic and metallic implants or nonautogenous graft materials.

(c) The information requested shall be based upon data at least six months Pageold. 4 of 23 Coding:

(d) There shall be a minimum of thirty health care providers reporting data upon which each disseminated statistic is based.

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SLS 26RS-205 RE-REENGROSSED SB NO.

408 old.ENROLLED (e) No individual health care provider's data shall represent more than twenty-five percent on a weighted basis of each statistic.

(d) There shall be a minimum of thirty health care providers reporting data upon which each disseminated statistic is based.

(e) No individual health care provider's data shall represent more than twenty-five percent on a weighted basis of each statistic.

(3)AllinformationcollectedpursuanttothisSubsectionshallbeconfidential andprivileged,shallnotbepublicrecord,andshallnotbesubjecttoandprivileged,shallnotbepublicrecord,andshallnotbesubjecttosubpoena.Such subpoena.Such confidentiality shall be strictly maintained by the assistant secretary, all employees of the office, and by the academic institution and shall be used exclusively for the purpose of promulgating the workers' compensation reimbursement schedule.

(4) Notwithstanding anyotherprovisionsanyother ofprovisions thisofthis Section, reimbursement for dentalservicesshalldentalservicesshallnotexceedtheseventiethpercentilein notthecurrentedition exceedtheseventiethpercentileinthecurrentedition ofthe NationalDentalAdvisoryService(NDAS)ComprehensiveFeeReport,utilizingthe average of geographic multipliers for Louisiana as published in the NDAS report.

* * * F.(1)Shouldadisputearisebetweenahealthcareproviderandtheemployee, employer, or workers' compensation insurer either payor regarding billing, payment, explanation of benefits, reconsideration, or the appropriate amount owedfortheowedfortheprovisionofmedicalservicesthathavebeenrenderedpursuant provisionto of medicalservicesthathavebeenrenderedpursuantto this Section,theSection,thedisputing disputing partymayshall submit thedisputethe dispute forresolution to the office in the same manner and subject to the same procedures as established for dispute resolution of claims for workers' compensation benefits of workers' compensation administration's medical services section in a form and manner as promulgated in rule by the assistant secretary.

The office shall render a Pagedecisionnolaterthanfifteenbusiness 5daysfromsubmissionofthedispute.The nonprevailing partyshall pay thecostof the review and if thejudgmentresults in the payment of 23a Coding:claim that was denied, interest shall be paid in the amount of twelve percent per annum from the date of the denial of the claim.

The Page 3 of 24 Coding:

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408 decisionnolaterthanfifteenbusinessENROLLED daysfromsubmissionofthedispute.Thedecision nonprevailingof party shall pay thecostof thereviewand if the judgmentoffice results in the payment of aworkers' claimcompensation thatadministration's wasmedical denied,services interestsection shall be paidfinal. in the amount of twelve percent per annum from the date of the denial of the claim.

(2) Upon thewritten issuancenotice of athe decision by the workers' compensation administration's medical services section, the nonprevailing party may appeal the decision with the assistant secretary within fivethirty business days of its receipt by certified mail.

UponThe theappeal lodging of an appeal, the assistant secretary shall appointbe antothejudicialdistrictcourtof independentpropervenueas reviewerprovided to consider the continued dispute and issue a decision in accordancetheCodeof withCivil theProcedure. rules and regulations promulgated by the assistant secretary.The cost of theindependent reviewshall besetforthin rule and shall be assessed against the nonprevailing party.

If(3) theThe appealassistant resultssecretary inshall apublish, splitat decision,least thenannually, thedata costand ofstatistics theregarding independent review shall be divided equally amongtheparties.Allcostsoftheindependentreviewshallbedueandpayable to the officedisputes offiled workers'and compensation within thirty days of the decisiondecisions beingrendered rendered.Anypursuant partyfailingto totimelyremitpaymentthis shallSection. beturned overtothe Louisiana office of debt recovery.

If(4) theIn decisionaddition results in the workers' compensation payor having to payany theother healthcareoccasion providerwhen forconsolidation theof medicalclaims servicesis rendered,otherwise theallowed paymentby shallapplicable belaw, madewhenever withinWhenever fifteenmultiple daysdisputes afterexist thebetween expirationa ofsingle timehealth tocare lodgehealthcare anprovider appeal and shalla includesingle interest"payor" atas nodefined lessin thanR.S. twelve percent per annum from the date the claim is adjudicated by the workers' compensation payor.

Failure23:1142(A) byconcerning the workers'proper compensationamount payorpayable pursuant to providepaymentinaccordancewiththisSectionshallresultininterestaccruing on the unpaidreimbursementschedulethenworkers'compensation balancepayor,eitherthehealth atcare thehealthcare rateprovider ofor eighteenthe percentpayor pershall annumhave from the dateright paymentto washave due,all ansuch administrativedisputes finebetween assessed by the assistantpayor secretaryand ofthe notlessthantwothousandfivehundreddollarsandnotmorethantenthousandhealth dollarscare perhealthcare unpaidprovider claimconsolidated per thirty-day period of noncompliance, and upontried adecided findingtogether. by theassistant secretarythatthefailuretopay constitutesapatternof willfulnoncompliance,suspensionorrevocationofthepayor'sauthoritytoself- Page 6 of 23 Coding:

WordsThe venue for such consolidated claims shall be in either the workers'compensation district of the parish in which arethe struckdomicile throughof arethe deletionsprovider fromis existinglocated law;or the workers' compensation district of the parish in which the domicile of the payor or employer is located.

words(5) inThe boldfaceassistant typesecretary shall promulgate rules and underscoredforms arepursuant additions.to the Administrative Procedure Act necessary to implement the dispute resolutionprocessprovidedforinthisSubsectionnolaterthanJanuary1,2028.

SLS 26RS-205 RE-REENGROSSED SB NO.

408 insure or to administer workers' compensation claims in Louisiana, as applicable.AllfinescollectedpursuanttothisSectionshallbedepositedintothe Workers' Compensation Administration Fund.

The decision of the workers' compensationadministration'smedicalservicessectionshallbeconclusiveifan appeal is not timely filed.

(3) Within five business days of the issuance of a decision by the independent reviewer, either party may appeal the decision to the Nineteenth Judicial District Court.

The decision of the Nineteenth Judicial District Court shall be final and nonappealable and court costs shall be cast against the nonprevailing party.

(4) The assistant secretary shall publish, at least annually, data and statistics regarding the disputes filed and the decisions rendered pursuant to this Section.

(5) In addition to any other occasion when consolidation of claims is otherwise allowed by applicable law, whenever Whenever multiple disputes exist between a single health care provider and a single "payor" as defined in R.S.

23:1142(A) concerning the proper amount payable pursuant to the reimbursement schedule workers' compensation payor, then either the health care provider or the payor shall have the right to have all such disputes between the payor and the health care provider consolidated and tried decided together.

The venue for such consolidatedclaimsshallbeineithertheworkers'compensationdistrictoftheparish inwhichthedomicileoftheproviderislocatedortheworkers'compensationdistrict of the parish in which the domicile of the payor or employer is located.

(6) The assistant secretary shall promulgate rules and forms pursuant to the Administrative Procedure Act necessary to implement the dispute resolution process provided for under this Subsection no later than January 1, 2028.

penalties and attorney fees * * * E.(1) Medical benefits payable under this Chapter shall be paid within sixty days after the employer or insurer receives written notice thereof, if the provider of Page 74 of 2324 Coding:

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408 penaltiesENROLLED andmedicalservicesis attorneynot feesutilizingthe *electronicbillingrulesandregulations * * E.(1) Medical benefits payable under this Chapter shall be paid within sixty days after the employer or insurer receives written notice thereof, if the provider of medical servicesisnot utilizingtheelectronicbillingrulesandregulations provided for in R.S.

23:1203.2, medical Medical benefits payableunderpayable under pursuant to this Chapter shall be paid within thirtydaysthirty afterthedays employerafter payorthe oremployerpayor insurerorinsurerreceivesacompleteelectronicmedicalbill,asdefinedby receivesrules apromulgated completerequired electronicby medicaladministrative bill,rules aspromulgated defined by rulesLouisiana promulgatedrequiredbyadministrativerulespromulgatedbyLouisianaWorks.Works.

(2)Inaddition(2) toanypenaltiesorattorneyfeesadjudicatedbytheofficeFailure ofworkers'compensationcourts,theassistantsecretaryshallimposeacivilfine ofnotlessthanonethousanddollarsandnomorethanfivethousanddollarson any workers' compensation payor who fails to pay medical benefits payableas underrequired by this ChapterSubsection inshall thebe timesubject frameto setfines forthand ininterest thispursuant Subsection.to R.S.

In23:1034.2(F). the event the assistant secretary finds that a workers' compensation payor is willfully violating the provisions of this Subsection, the assistant secretary shall be authorized to levy civil fines of not less than twenty-five thousand dollars per violation.Workers'compensationpayorsshallestablishappropriateprocedures approvedbytheassistant secretarytoassurethatanyhealthcareproviderwho is not paid within the time frame specified in this Section receives a late payment adjustment equal to twelve percent per annum of the amount due.

*F. * * §1203.

Except as otherwise provided in this Chapter, failure to provide payment in accordance with this Section or failure to consent to the employee's request to select a treating physician or change physicians when such consent is required by R.S.

23:1121 shall result in the assessment of a penalty in an amount up to the greater of twelve percent of any unpaid compensation or medical benefits, or fifty dollars per calendar dayfor each dayin which anyand all compensation or medical benefitsremainunpaidorsuchconsentiswithheld,togetherwithreasonableattorney feesforeachdisputedclaim;however,thefiftydollarspercalendardaypenaltyshall not exceed a maximum of two thousand dollars in the aggregate for any claim.

The maximum amount of penalties which may be imposed at a hearing on the merits regardless of the number of penalties which might be imposed under pursuant to this Section is eight thousand dollars.

An awardofpenaltiesandattorneyfeesatany hearingonthemeritsshallberesjudicataastoanyandallclaimsforwhichpenalties may be imposed under pursuant to this Section which precedes the date of the hearing.

Penalties shall be assessed in the following manner:

* * * (2)This Subsection shallnot applyiftheclaimis reasonablycontroverted or if such nonpayment results from conditions over which the employer or insurer had no control.

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408 ENROLLED §1203.

The obligation of the employer to furnish such care, services, treatment, drugs, and supplies, whether in state or out of state, is limited to the reimbursement Pagedetermined 8to be the mean of 23the Coding:usual and customary charges for such care, services, treatment, drugs, and supplies, as determined under the reimbursement schedule annually published pursuant to R.S.

Words which are struck through are deletions from existing law;

words in boldface type and underscored are additions.

SLS 26RS-205 RE-REENGROSSED SB NO.

408 determined to be the mean of the usual and customary charges for such care, services, treatment, drugs, and supplies, as determined under the reimbursement schedule annually published pursuant to R.S.

medical advisorycouncil * * * J.(1) After a medical provider has submitted to the payor the request for authorization and the information required by the Louisiana Administrative Code, Title 40, Chapter 27, the payor shall notify the medical provider of their its action ontherequestwithinfivebusinessdaysofreceiptoftherequest.Ifanydisputearises after January 1, 2011, Any request for authorization of office visits, diagnostic testing,chiropractictherapyoftwelvedaysorless,orphysicaltherapyoftwelvetesting,chiropractictreatmentoftwelveofficevisitsorless,orphysicaltherapy daysof twelve office visits or less is considered authorized and approved by the payorpayor, if it has not been specifically denied within five business days.

Upon expiration of five business days of submission of a request for authorization of nonsurgical treatment, the healthcare provider that made the request may notify the director of the office of workers' compensation that no denial of authorization has occurred on a form promulgated by the office of workers' compensation, and within five business days of receipt of such notice the director of the office of workers' compensation shall issue an order directing that the requested treatment, procedureprocedure, or testing is authorized, if it is found that the medical provider properly submitted to the payor the request for authorization along with the information required by Chapter 27 of Title 40 of the Louisiana AdministrativeCode.Ifthepayorhastimelydeniedauthorizationandadispute arises as to whether the recommended care, services, or treatment is in accordance with the medical treatment schedule, or whether a variance from the medical Page 96 of 2324 Coding:

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408 treatmentENROLLED scheduleauthorization isalong reasonablywith the information required asby contemplatedChapter in27 Subsectionof ITitle 40 of thistheLouisianaAdministrativeCode.Ifthepayorhastimelydeniedauthorization Section,and anya aggrieveddispute partyarises shallas file,to withinwhether fifteenthe calendarrecommended days,care, anservices, appealor treatment is in accordance with the officemedical oftreatment workers'schedule, compensationor administrationwhether a variance from the medical directortreatment orschedule associateis reasonably required as contemplated in Subsection I ofthis Section,anyaggrievedpartyshall file,withinfifteencalendardays,anappeal withtheofficeofworkers'compensationadministrationmedicaldirectororassociate medical director on a form promulgated by the assistant secretary.

23:1201.1(A), (B), (D), (E), (G) through (I), (J)(2) through (4), the introductory paragraph of (K)(1)and (K)(2) through (5) are herebyamended and reenacted to read as follows:

§1201.1.

Controversion of compensation and medical benefits A.

Upon the first payment of compensation or upon any modification, suspension, termination, or controversion of compensation or medical benefits for anyreason,including but not limited to issues of medical causation, compensability of the claim, or issues arising out of R.S.

23:1121, 1124, 1208, and 1226, the employer or payor who has been notified of the claim, shall do all of the following:

(1) Prepare a "Notice of Payment, Modification, Suspension, Termination, or Controversion of Compensation and/or or Medical Benefits" on a LWC-WC 1002formorsuchotherformasmaybepromulgatedbytheassistantsecretary pursuant to the Administrative Procedure Act.

(2)SendthenoticeoftheinitialindemnitypaymentrequiredbyParagraph (1) of this Subsection to the injured employee on the same day as no later than three business days after the first payment of compensation is made by the payor after the payor has received notice of the claim from the employer.

(3) Send a copy of the notice of the initial payment of indemnity required by Paragraph (1) of this Subsection to the office within ten days from the on the Page 7 of 24 Coding:

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408 ENROLLED same date the original notice was sent to theinjuredemployee or byfacsimile to the injured employee's representative.

(4)Sendthe"NoticeofPayment,Modification,Suspension,Termination,or Controversion of Compensation and/or Medical Benefits" to the injured employee by certified mail, to the address at which the employee is receiving payments of compensation, on or before the effective date of a modification, suspension, termination, or controversion.

B.

The form of the "Notice of Payment, Modification, Suspension, Termination, or Controversion of Compensation and/or Medical Benefits" shall be promulgated by the office Upon any modification, suspension, termination, or controversionofcompensationormedicalbenefitsforanyreason,includingbut notlimitedtoissuesof medicalcausation,compensability oftheclaim,orissues arising out of R.S.

23:1121, 1124, 1208, or 1226, the employer or payor shall do all of the following:

(1) Prepare a "Notice of Payment, Modification, Suspension, Termination, or Controversion of Compensation or Medical Benefits" on a LWC-WC 1002 form or such other form as may be promulgated by the assistant secretary pursuant to the Administrative Procedure Act.

(2) Send the notice required by Paragraph (1) of this Subsection to the injured employee within three business days after the effective date of the modification, suspension, termination, or controversion.

(3) Send a copy of the notice required by Paragraph (1) of this Subsection to the office on the same date the original notice was sent to the employee.

* * * D.(1)Anynoticerequiredtobesenttotheinjuredemployeepursuantto this Section shall be sent by certified mail or commercial carrier to the address atwhichtheemployeeisreceivingpaymentofindemnitybenefits,byelectronic mail to the employee's electronic mail address on file with the employer or payor or by hand delivery to the employee.

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408 ENROLLED (2) For purposes of receiving notice required by this Section, the employee shall provide a mailing address and may also provide an electronic mail address upon request from the employer or payor.

(3)Iftheinjuredemployeeisrepresentedbyanattorney,thenoticeshallalso be provided sent to the employee's representative attorney by facsimile, certified mail, commercial carrier,electronicmail, orhand delivery.Proofthatthenotice was sent to the employee's representative by facsimile as required by this Paragraph shall be prima facie evidence of compliance with Subsection A of this Section.

E.

The provisions of this Section shall not apply to questions of medical necessity as provided by R.S.

23:1203.1, or disputes concerning the amount of reimbursement pursuant to R.S.

23:1034.2.

* * * G.(1) If the employer or the payor provides the benefit that the employee claims is due, including any arrearage, on the returned form or letter of amicable demand within seven ten business days of receipt of the employee's demand, the employerorpayorshall not besubjectto anyclaim for anypenalties orattorneyfees arising from the disputed payment, modification, suspension, termination, or controversion.

(2) If the employer or payor does not provide the benefit that the employee claims is due, the employee mayfile a disputed claim for benefit provided it is filed withintheprescriptiveperiodestablishedunderR.S.23:1209.Iftheprescriptiondate of the claim occurs within the seven-dayten-day waiting period, the employee will be allowed to file a disputed claim without waiting the seven ten business days as provided in Paragraph (1) of this Subsection.

However, the employer or payor shall still be allowed seven ten business days to provide the benefit that the employee claims is due, and if the employer does provide the benefit, the disputed claim will be moot regarding the issues arising out of the payment, suspension, modification, termination, or controversion of benefits.

All other issues alleged in the disputed claim will be unaffected bythe payment.

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SB NO.

408 ENROLLED H.

The employer or the payor who wishes to have a preliminary determination hearing shall request the hearing in his answer to the disputed claim arising from the notice of initial payment or any subsequent modification, suspension, termination, or notice ofcontroversion.Incaseswherea disputed claim is already pending when an issue arises from a subsequent notice of payment, modification, suspension, termination, or controversion of benefits, such request shall be made in an amended pleading filed within fifteen ten business days of the expiration of the seven-day ten-day period set forth in Paragraph (G)(1) of this Section.

I.(1) An Preliminary determinations as provided for in this Section are favored under the law and an employer or payor who has not complied with the requirements set forth in either Subsection A through E of this Section or has not initially accepted the claim as compensable, subject to further investigation and subsequent controversion or Subsection B of this Section, and who has provided notice as required by Subsection D of this Section, shall not be entitled to a preliminarydetermination.Anemployerorpayorwhoisnotentitledtoapreliminary determination or who is so entitled but fails to request a preliminary determination may be subject to penalties and attorney fees pursuant to R.S.

23:1201 at a trial on the merits or hearing held pursuant to Paragraph (K)(8) of this Section.

(2) If disputed by the parties, upon a rule to show cause held prior to the preliminarydetermination or anyhearing held pursuant to this Section, the workers' compensation judge shall determine whether the employer is in compliance An employee who objects to a request for a preliminary determination shall file a notice of objection to the request within twenty-one business days of receiving thedocumentationrequiredtobeproducedbytheemployerorpayorpursuant to Paragraph (J)(4) of this Section.

The notice of objection shall be considered by the workers’ compensation judge by a rule to show cause prior to any preliminarydeterminationhearing.Failuretofilethenoticeofobjectionwithin the prescribed time period shall be deemed a waiver of any objection to the preliminary determination hearing.Theassistant secretaryshall promulgate a Page 10 of 24 Coding:

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408 ENROLLED standard notice of objection form in accordance with the Administrative Procedure Act.

J.

* * * (2) The testimony of physicians may be introduced by certified records or deposition.Thepartiesmayagreetoallowuncertifiedmedicalrecordsandphysician reports to be introduced into evidence.

Witnesses may testify at the hearing or, if agreed on by the parties, may offer testimony by introduction of a deposition.

(3) The preliminary determination hearing shall be held no later than ninety days from the scheduling conference.However, upon a showing of good cause, one extension of an additional thirty days is permitted upon approval by the workers' compensation judge.

The workers' compensation judge shall issue a preliminary determination no later than thirty fifteen days after the hearing.

(4) Any employer or payor requesting a preliminary determination hearing shall produce all documentation relied on by the employer or payor in calculating, modifying,suspending,terminating,orcontrovertingtheemployee'sbenefits.These documentsshallbedisclosedtotheemployeeortheemployee'srepresentativewithin ten business days of the request for the preliminarydetermination hearing.

K.(1) The employer or payor shall, within ten calendar business days of the mailingofthepreliminarydeterminationfromtheworkers'compensationjudge,do either of the following:

* * * (2) Any employer or payor who accepts and complies with the workers' compensation judge's determination within ten calendar business days, shall not be subject to any penalty or attorney fees arising out of the original notice which was the subject of the preliminary hearing.

(3) Any employer or payor who accepts and complies with the workers' compensation judge's determination, but who disagrees with such preliminary determination, shall notify the court within ten business days of receipt of the preliminary determination of his desire to proceed to a trial on the merits of the matters that were the subject of the preliminaryhearing.

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408 ENROLLED (4) Any employer or payor who does not accept the workers' compensation judge's determination or fails to comply with the determination within ten calendar business days, may, at the trial on the merits, be subject to penalties and attorney fees pursuant to R.S.

23:1201, arising out of the issues raised in the original notice of payment, modification, suspension, termination, or controversion of benefits, which was the subject of the preliminaryhearing.

(5) Anyinjuredemployeewho disagrees with the preliminarydetermination shall notify the court within ten business days of the receipt of such preliminary determinationofhis desireto proceedtoatrialonthemeritsofthemattersthat were the subject of the preliminary hearing.

If the employer or payor has accepted and complied with the preliminary hearing determination, the employer or payor shall also be entitled to litigate all issues including those issues presented at the preliminary determination hearing.

* * * Section 3.

R.S.

23:1200.1823:1200.18.1 through 1200.261200.18.9, is hereby enacted to read as follows:

ALL WORKERS' COMPENSATION MEDICAL CLAIMSBILL DATABASE §1200.18.§1200.18.1.

Short title This Subpart shall be known and may be cited as the "Louisiana All Workers' Compensation Medical ClaimsBill Database Act".

§1200.19.§1200.18.2.

Terms defined As used in this Subpart, unless the context clearly indicates otherwise, thefollowingthe following terms shallbegiventhemeaninghave ascribedtotheminthe thismeanings Section:ascribed to them:

(1) "Database" means the All Workers' Compensation Medical ClaimsBill Database.

(2)"Medicalclaim"meansanyclaimsubmittedbyahealthcareprovider to a payor for payment for healthcare services, pharmaceuticals, durable medicalequipment,orrelatedservicesprovidedtoanemployeepursuanttothis Chapter.Page 12 of 24 Coding:

§1200.20.

Establishment of database A.(1) The assistant secretary of the office of workers' compensation administration shall establish and maintain the All Workers' Compensation Medical Claims Database.

(2)Thedatabaseshallcontainmedicalandpharmacyclaimsinformation Page 10 of 23 Coding:

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408 submittedbyallpayorsprovidingworkers'compensationcoverageinthisstate.ENROLLED Chapter.

§1200.18.3.

Establishment of database A.(1) The assistant secretary of the office of workers' compensation administration shall establish and maintain the All Workers' Compensation Medical Bill Database.

(2)Thedatabaseshallcontainmedicalandpharmacyclaimsinformation submittedbyallpayorsprovidingworkers'compensationcoverageinthisstate.

The purpose of the database shall be to:to do all of the following:

The assistant secretary may retain and consult with qualified individualsororganizationswithexpertiseindataanalyticsandmedicalbilling forforpurposesofcreation,operation,andmaintenanceofthedatabase.However, purposesdatacontainedinthedatabaseshallonlyconsistofclaimsdataobtaineddirectly offrom creation,workers' operationcompensation andpayors maintenancein ofthis thestate. All Workers' Compensation Medical Claims Database.

However,D.(1) dataThe containedoffice inmay theretain, databaseat shallits onlyexpense, consista ofqualified and independent provider-based claims dataadministrator obtainedor directlyclaims fromexaminer workers'with compensationdemonstrated payorsexpertise in thisLouisiana state.claims administration, reimbursement methodologies, and payor payment data analysis.

§1200.21.The administrator or examiner shall collect, analyze,andreportprofessionalandtechnicalclaimschargeandpaymentdata for actuarial review and system oversight purposes.

MandatoryThe reportingsubmitted requirementsdata A.(1)BeginningJanuary1,2027,allworkers'compensationpayorsshallshall submitbeutilizedtodevelopevidence-basedfeeschedulerecommendationstotheoffice to the assistant secretary of the office of workers' compensation administration medical and pharmacyto claimsidentify datasystem forimbalances, allincluding: workers' compensation claims arising under Louisiana law.

(a) Outlier provider claims patterns.

(b) Unpaid claims.

(c) Underpaid claims.

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408 ENROLLED (d) Untimely paid claims.

(e) Revenue cycle management aging metrics by payor and by claim service line.

(2) The office shall utilize the data to promote transparency, accountability,and evidence-basedoperational practiceswithin thehealthcare claims payment system.

The office may evaluate provider claims activity and payor revenue cycle management behavioral algorithms to identify inefficiencies,improvedigitalandelectronicclaimsprocessingwork-flows,and enhance administrative efficiency throughout the system.

(3) All data collected and maintained pursuant to this Section shall remain confidential and shall be protected in accordance with applicable state andfederalprivacyanddatasecuritylaws.Theofficeshallestablishsafeguards necessary to preserve data integrity, prevent unauthorized disclosure, and ensure compliance with all applicable confidentiality requirements.

(4) The office may further utilize RCM data and actuarial findings to determinewhetherpenalties,correctiveactions,orotherenforcementmeasures should be assessed against providers for improper billing practices or against payors for improper payment practices, including patterns of delayed, denied, or inaccurate reimbursement.

§1200.18.4.

Mandatory reporting requirements A.(1)BeginningJanuary1,2027,allworkers'compensationpayorsshall submit to the assistant secretary of the office of workers' compensation administration medical and pharmacy claims data for all workers' compensation claims arising pursuant to state law.

Required data elements shall include:include all of the following:

(4)Page Current14 procedural terminology (CPT) codes, Healthcare Common Procedure Coding System (HCPCS) codes, National Drug Code (NDC) codes, and International Classification of Diseases24 (ICD)Coding: codes, as applicable.

(5) Billed charge and allowed amount.

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408 (6)ENROLLED Paid(4) amount.Current procedural terminology (CPT) codes, Healthcare Common Procedure Coding System (HCPCS) codes, National Drug Code (NDC) codes, and International Classification of Diseases (ICD) codes, as applicable.

(5) Billed charge and allowed amount.

(6) Paid amount.

§1200.22.§1200.18.5.

Rules shall include but not be limited to:to all of the following:

§1200.23.§1200.18.6.

Confidentiality and data protection A.(1)AllinformationcollectedpursuanttothisSubpartandmaintained in the Alldatabase Workers' Compensation Medical Claims Database shall be confidential and privileged,privileged and shall not be public record,andrecordandsubjecttosubpoena.Thisconfidentialityshallbestrictlymaintained shallby notthe assistant secretary, all employees of the office, and by any agent or contractor of the state and shall be subjectused toexclusively subpoena.for the purposes set forth in this Subpart.

ThisWhoever confidentiality shall be strictly maintained by the assistant secretary,allemployeesoftheoffice,andbyanyagentorcontractorofthestate andshallbeusedexclusivelyforthepurposessetforthinthisSubpart.Whoever violates the provisions of this Paragraph shall be guilty of a misdemeanor and fined not moremorethan than five hundred dollars for each offense.

(2)Page The15 databaseof shall24 complyCoding: with applicable stateand federal privacy and security laws.

B.

Public reports shall present only aggregated or de-identified data.

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408 §1200.24.ENROLLED (2) The database shall comply with applicable state and federal privacy and security laws.

AuthorizedB. uses The assistant secretary of the office of workers' compensation administration shall only use the database data for:

Public reports shall present only aggregated or de-identified data.

§1200.18.7.

Authorized uses The assistant secretary of the office of workers' compensation administrationshallonlyusethedatabasedataforanyofthefollowingreasons:

§1200.25.§1200.18.8.

Failure of a workers' compensation payor to fully cooperate with an investigation or audit conducted pursuant to this Section shall be grounds for theimpositiontheimpositionofacivilfine of acivil fine not toexceedtenthousand dollarsperdayforeachdollars perdayforeach day of noncompliance until such time as the payor fully complies with the requests of the assistant secretary.

§1200.26.§1200.18.9.

If anya payor fails to submit required data to the Alldatabase Workers' Compensation Medical Claims Database on a timely basis, fails to correct submissions rejected because of errors, or otherwise does not comply with the Page 1316 of 2324 Coding:

SLS 26RS-205 RE-REENGROSSED SB NO.

408 provisionsofthisSubpartortherulesandregulationspromulgatedtocarryoutENROLLED basis, fails to correct submissions rejectedbecause of errors, or otherwise does not comply with the provisions of this Subpart,Subpart or the assistantrules and regulations promulgated tocarryout theprovisionsofthisSubpart,theassistant secretary shall provide written notice to the payor.

The assistant secretarysecretarymay may grant an extension of time for justjustcause.Theassistant cause.secretarymay assess a fine not to exceedfivehundreddollarsperdayfornoncomplianceafterwrittennoticeand opportunity to cure the noncompliance.

TheIn determining whether to impose a penalty, the assistant secretarymaysecretary assessmay consider mitigating factors, including the size and sophistication of a finepayor, notthe reasons for the failure to exceedreport, fiveand hundredthe dollarsdetrimental perdayfornoncomplianceimpact afterwrittennoticeandupon opportunitythe tocurepublic purpose served by the noncompliance.database.

In determining whether to impose a penalty, the assistant secretarymayconsidermitigatingfactors,including thesizeandsophistication of a payor, the reasons for the failure to report, and the detrimental impact upon the public purpose served by the database.

1302d et seq., and 45 Page 1417 of 2324 Coding:

SLS 26RS-205 RE-REENGROSSED SB NO.

408 ENROLLED CFR Parts 160 and 162), that includes all of the following:

(2)(a) Such rules shall taketakeeffectno effect no later than January1, 2012.

(b)(b)Theexceptionreportshallcontain,ataminimum,allofthefollowing The exception report shall contain at a minimum the following information, if known at that time, for each claim submitted:

ThefollowingThefollowinggroups groups shall make provisions for suchanelectronicclaimssuch an electronicclaims system:

Workers' compensation payors shall adopt appropriate handling procedures approved by the office for the acceptance of electronic claim Page 1518 of 2324 Coding:

SLS 26RS-205 RE-REENGROSSED SB NO.

408 proceduresENROLLED approved by the office for the acceptance of electronic claim submissions.

The procedures shall include but not be limited to all of the following:

A process for electronicallyrecordingthetimeanddateofelectronicallyrecordingthetimeanddateofactualreceiptof actualreceiptof electronicclaims.

OnorafterJanuary1,2012,theOnorafter TheJanuary1,2012,theThe assistant secretarymaycreateand maintain a statewide electronic prior authorization portal for purposes of approving medical careincare in accordancewith R.S.

23:1142.The portalportalshall shall have the capability to track and document prior authorization requests, responses, and supporting medical documentation.

49:950 et seq., regardingregardingthe the development and implementation of a centralized datawarehouseforthecollectionofmedicalbillingandpaymentdata.Nolaterthan January1,2031,theassistantsecretaryshalldevelopandimplementaWorkers' Compensation Medical Quality and Outcomes Program designed to measure, Page 1619 of 2324 Coding:

SLS 26RS-205 RE-REENGROSSED SB NO.

408 CompensationENROLLED Medical Quality and Outcomes Program designed to measure, evaluate,andimprovethequalityandeffectivenessofmedicalcareprovidedto injured employees underpursuant to this Chapter.

(2) The program shall complement the purposes of the workers' compensation system by maintaining measurable indicators of quality and outcomes, which may include but shall not be limited to:to any of the following:

(3) In order to support the program, the office may collect and analyze data from the Alldatabase. Workers' Compensation Medical Claims Database.

Section 3.4.

23:1177, 1197, 1200.7, 1200.18,1200.18.1, 1291, 1292, 1293, 1306, 1660, 1671 * * * Section4.Section 5.

BeginningnoBeginning laterthanJune30,2028,theassistantsecretaryoftheofficeno later than July 1, 2029, the assistant secretaryof the office of workers' compensation administration shall initiate formal rulemaking to update and modernize the workers'compensation medical feeschedule using data derived from the All Page 1720 of 2324 Coding:

SLS 26RS-205 RE-REENGROSSED SB NO.

408 ofENROLLED workers' compensation administration shall initiate formal rulemaking to update and modernize the workers'compensation medical feeschedule using data derived from the All Workers' Compensation Medical Claims Database established pursuant to this Act.

The updated fee schedule shall:shall do all of the following:

In developing the inpatient and outpatient hospital services and ambulatorysurgery services reimbursement amounts, the administrator shall:shall do all of the following:

No revised fee schedule adopted pursuant to this Section shall become effective unless approved bybythelegislatureandsignedbythegovernor.Theassistant secretaryof the Senateoffice and House of Representativesworkers' committeescompensation onadministration laborshall andsubmit: industrialaffairs,meetingseparatelyorjointly.Thelegislaturemayapprove,reject,orreturn the proposal with recommendations.

The assistant secretary of the office of workers' compensation administration shall submit:

Page(3) 18The ofactuarial 23impact Coding:analysis.

Not later than thirty days prior to the start of the 2029 Regular Session of the Legislature,theassistantsecretaryshallsubmit awrittenreportto thelegislature.Thereport shall be submitted for the purpose of assisting the legislature in the development and consideration of future legislation establishing or revising a medical fee schedule or Page 21 of 24 Coding:

SLS 26RS-205 RE-REENGROSSED SB NO.

408 (3)ENROLLED Thereimbursement actuarialmethodologyfor impactworkers’ analysis.compensation medical services.

NotThe laterreport thanshall Marchinclude, 1,to 2028, the assistantextent secretarypracticable ofand based upon data available to the officeoffice, an analysis of workers'medical compensationcharges, administrationallowed shallamounts, submitpaid aamounts, progressreimbursement reportpatterns, toutilization, provider access, and other factorsrelevantto the Houseestablishment Committeeof ona LaborandIndustrialRelationsandtheSenateCommitteeonLaborandIndustrialRelations.workers’ compensation medical fee schedule.

Section5.The report shall include the following:

TheprovisionsofSection1shallonlybecomeeffectiveuponapprovalby(1)Asummaryofcharge,allowedamount,andpaidamountdatabyprocedurecode, theSenateandHouseofRepresentativescommitteesonlaborandindustrialaffairs,meetingprovider separatelytype, orspecialty, jointly,place of theservice, updatedand feegeographic schedulearea. as required in Section 4 of this Act.

Section(2) 6.An analysis of median, average, and percentile-based reimbursement amounts, includingthetwenty-fifthpercentile,seventy-fifthpercentile,andninetiethpercentile,where sufficient data exists.

The(3) provisionA comparison of thisworkers’ Sectioncompensation andreimbursement Sectionsamounts 2,to 3,Medicare 4,reimbursement andamounts, 5including shall become effective upon signature by the governorpercentage or,of ifMedicare notpaid signed by thecode, governor,service uponcategory, expirationprovider ofthetimeforbillstobecomelawwithoutsignaturebythegovernor,asprovidedbyArticletype, III,specialty, Sectionand 18facility ofsetting, thewhere Constitutionapplicable. of Louisiana.

If(4) vetoedAn bytheanalysis governorofallowed-to-chargeratiosandvariations andin subsequentlybilled approvedcharges, byallowed theamounts, legislature,and thispaid Actamounts. shall become effective on the day following such approval.

The(5) originalIdentification instrumentof high-volume and thehigh-cost followingservices, digest,including whichprofessional constitutesservices,hospitaloutpatientservices,ambulatorysurgicalcenterservices,imaging,physical nomedicine, partpain ofmanagement, theorthopedic legislativeservices, instrument,and wereother preparedcategories bySenatedetermined Legislativerelevant Services.by the assistant secretary.

The(6) keyword,An summary,analysis andof digestutilization dopatterns, notincluding constituteunits partof service, frequency of theservices, lawtreatment orintensity, proofand orvariation indiciaby ofinjury legislativetype, intent.provider type, specialty, and geographic area, where such information is available.

[R.S.(7) An analysis of outlier billing, reimbursement, or utilization patterns, including unusualvariations,excessiveunits,upcoding,unbundling,duplicatebilling,orotherpatterns that may affect the reliability of fee schedule development.

1:13(B)(8) andAn 24:177(E)]analysis DIGEST SB 408 Re-Reengrossed 2026 Regular Session Myers Present law requires the assistant secretary of theprovider officeaccess, ofincluding workers'provider compensationparticipation, administrationappointment toavailability, creategeographic aaccess, reimbursementand scheduleany thatavailable setsinformation theregarding maximumdelays amountin thatcare, candenial bepatterns, paid to doctors, hospitals, pharmacies, or providerstreatment fordisputes. prescription drugs, medical supplies,hospitalcareandservices,andmedicalandsurgicaltreatmentsprovidedtoinjured workers.

ProposedlawretainspresentlawandaddsthatifamedicalservicehasaCPT(9) code,thentheAn reimbursementanalysis amountof willtotal bemedical calculatedcost usingby thatclaim code.or injury episode, including, where available,therelationshipbetweenreimbursement,utilization,disabilityduration,return-to- Page 22 of 24 Coding:

Proposed law also provides that the reimbursement amount will be set at the 75th percentile of the PMIC Medical Fees Directory.

Proposed law prohibits "by report" billing.

ProposelawprovidesthatindividualCPT,HCPCS,facilityclassification,orreimbursement schedules will increase or decrease by more than 5% in any 12 month period unless the following criteria are satisfied:

(1) Demonstration of material access-to-care deficiencies.

(2) Clear actuarial evidence of system imbalance.

(3) Approval by concurrent resolution of the legislature.

Page 19 of 23 Coding:

SLS 26RS-205 RE-REENGROSSED SB NO.

408 ProposedENROLLED lawwork furtheroutcomes, provideslitigation, thatand anyclaim decreaseclosure. will be phased in over not less than two years.

Present(10) lawA providesdiscussion thatof thepotential schedulereimbursement willmethodologies, includeincluding chargesMedicare- whichbased reflectmultipliers, thepercentile-based meanreimbursement, ofblended themethodologies, usualgeographic andadjustments, customaryservice-category chargeadjustments, foror medicalother care,approaches services,used treatment,in drugsworkers’ andcompensation supplies.medical fee schedules.

Proposed(11) lawIdentification repealsof presentdata law.limitations, assumptions, exclusions, and areas where additional data may be necessary before a medical fee schedule or reimbursement methodology is proposed by legislation.

ProposedThe lawreport requiresshall reimbursement for implants to be theinformational totalonlyand ofshall thenot originalconstitute manufacturer'sa invoicerule, orregulation, thefee authorizedschedule,reimbursementschedule,maximumallowablereimbursementamount,orproposed distributor'smedical invoicefee amountschedule. paid plus 20%.

ProposedNothing lawin definesthe "byreport report",shall "database",authorize "medicalthe claim",assistant "payor"secretary andor "electronicthe claim".office to establish, implement, enforce, or require payment pursuant to a medical fee schedule unless expressly authorized by law.

PresentSection law6. provides that the assistant secretary will collect the information and data necessary to calculate the reimbursement schedule.

PresentThe lawprovisions furtherof providesSection that1 theof informationthis andAct datashall willonly bebecome governedeffective upon approval by the followinglegislature guidelines:of the updated fee schedule as required in Section 5 of this Act.

(1)Section The7. assistant secretary will create a written survey detailing the information requested.

(2) The surveyprovisions will be managed by the office of workers'R.S. compensation administration in conjunction with an academic institution.

(3)23:1034.2(F) Theshall informationbecome requestedeffective mustno belater basedthan uponJanuary data1, at2029. least six months old.

(4)Section Therewill8. beaminimum of30healthcareprovidersreportingdatauponwhicheach disseminated statistic is based.

(5)The Noindividualhealthcareprovider'sdatacanrepresentmorethan25%onaweightedprovisions basisof this Section and Sections 2, 3, 4, 5, 6, and 7 of eachthis statistic.Act shall become effective upon signature by the governor or, if not signed by the governor, upon expiration of the time for bills to become law without signature by the governor, as provided by Article III, Section 18 of the Constitution of Louisiana.

(6)If Anyvetoed informationby disseminatedthe mustgovernor beand sufficientlysubsequently aggregatedapproved suchby thatthe itlegislature, willthis notAct allowrecipientstoidentifythepriceschargedorcompensationpaidbyanyparticularshall healthcarebecome provider.effective on the day following such approval.

ProposedSection9.Untiltheadoptionandpromulgationofarevisedreimbursementschedule lawbythe repealsassistant presentsecretaryof law.the office of workers’compensation administration pursuant to R.S.

Presentlawprovidesthatdisputesbetweenhealthcareprovidersandemployees,employers,23:1034.2 orand insurersthe mayAdministrative beProcedure submittedAct, to the officecurrent ofreimbursement workers'fee compensationschedule and all rules, regulations, manuals, and reimbursement methodologies in effect prior to the sameeffective mannerdate asof establishedthis forAct disputeshall resolutioncontinue ofto claimsgovern reimbursement for workers'medical compensationservices benefits.rendered under the Louisiana Workers’ Compensation Act.

PresentSection law10. retains proposed law and adds that if the dispute is regarding billing, payment, explanation of benefits, reconsideration, or the appropriate amount owed for the provision of medical services that have been rendered, the disputing party will submit the dispute for resolutiontotheofficeofworkers'compensation'sadministration'smedicalservicessection.

ProposedIf lawa providesreimbursement thatschedule thefor nonprevailingcare, partyservices, willtreatment, paydrugs, theand costPage 23 of the24 review.Coding:

Proposed law provides an appeals process.

Proposed law provides that reimbursement due for certain professional services that do not have specific CPT code or a comparable CPT code, then reimbursement will be the mean of the usual and customary payment for the professional service.

Proposed law provides that the fee schedule in present law will remain in effect until the House and Senate Labor committees adopt the new fee schedule.

Page 20 of 23 Coding:

SLS 26RS-205 RE-REENGROSSED SB NO.

408 ProposedlawinstructsENROLLED theassistantsupplies secretarytohas imposenot acivilbeen fineofatleast$1,000butnotadopted moreand thanimplemented $5,000on toor anybefore workers'July compensation1, payor2029, whothe doesassistant notsecretary timelyshall, payin medicalaccordance benefits.with the Administrative Procedure Act, promulgate all rules andregulationsnecessarytoestablish,implement,administer,andenforceareimbursement scheduleforsuchcare,services,treatment,drugs,andsupplies.Thereimbursementschedule shall be based upon usual and customary charges derived from the All Workers' Compensation Medical Bill Database.

ProposedlawprovidesthatarequestforauthorizationforcertainmedicalservicesisdeemedSection authorized11. if not denied within five business days.

ProposedIf lawany requiresprovision or item of this Act, or the assistantapplication secretarythereof, tois establishheld invalid, such invalidity shall not affect other provisions, items, or applications of the Act which can be given effectwithout the invalid provision, item, or application and maintainto this end the "Allprovisions Workers'of Compensationthis MedicalAct Claimsare Database"herebydeclared (database).severable.

ProposedPRESIDENT lawOF providesTHE thatSENATE theSPEAKER purposeOF ofTHE theHOUSE databaseOF isREPRESENTATIVES to:GOVERNOR OF THE STATE OF LOUISIANA APPROVED:

(1)Page Improve24 transparencyinof medical24 reimbursementCoding: trends.

(2) Assist in enforcement and maintenance of an appropriate fee schedule.

(3) Evaluate medical utilization patterns and outcomes.

(4) Detect fraud, waste, and abuse.

(5) Support policy development, rate analysis, and system oversight.

Proposed law requires all workers' compensation payors to submit medical and pharmacy claimsdataforallworkers'compensationclaimsarisingunderLouisianalawtotheassistant secretary of the office of workers' compensation administration.

Proposed law provides that the medical and pharmacydata must include:

(1) Date of injury.

(2) Employer industry classification.

(3) Provider specialty and identifier.

(4) CPT, HCPCS, ICD, and NDC codes as applicable.

(5) Billed charge and allowed amount.

(6) Paid amount.

(7) Service dates.

(8) Utilization review actions.

(9) Claim status indicators.

Proposedlawrequiresmedicalandpharmacydatatobesubmittedquarterlyunlessotherwise required by provisions of present law that establish, promulgate, and update the reimbursement schedule.

Proposedlawprovidesthattheinformationcollectedandmaintainedinthedatabasewillbe confidential and privileged.

Proposed law also provides for criminal penalties for unauthorized disclosure.

Proposed law allows the assistant secretaryto use the data collected for the database for:

(1) Monitoring compliance with medical fee schedule regulations.

Page 21 of 23 Coding:

Words which are struck through are deletions from existing law;

words in boldface type and underscored are additions.

SLS 26RS-205 RE-REENGROSSED SB NO.

408 (2) Studying medical cost drivers and utilization trends.

(3) Supporting actuarial review and rate analysis.

(4) Evaluating the effectiveness of medical treatment guidelines.

(5) Developing, revising, or modernizing the workers' compensation medical fee schedule.

(6) Reporting annually to the legislature.

Proposed law provides that payors who fail to submit required information to the database or correct submissions rejected because of errors will receive a notice from the assistant secretary, and an extension of time may be granted for just cause.

Proposed law further provides that the assistant secretarymayassess a fine that does not exceed $500 per dayfor noncompliance.

Present law provides that the assistant secretary will adopt rules and regulations regarding an electronic system of submission, processing, and payment of workers' compensation-related medical bills.

Presentlawprovidesthatinsurancecarrierswillacceptmedicalbillselectronicallysubmitted by healthcare providers and electronic payment of such bills, and healthcare providers will accept payment of medical claims submitted electronically by insurance carriers.

ProposedlawprovidesthatbeginningJuly1,2027,claimsformedicalservicesrenderedwill be submitted to a workers' compensation payor in electronic format.

Proposed law requires the assistant secretary to develop and implement a Workers' Compensation Medical Qualityand Outcomes Program designed to measure,evaluate,and improve the quality of effectiveness of medical care provided to injured employees.

Present law provides a declaration bythe legislature that the people should be aware of all of the exceptions, exemptions, and limitations to the public records law and that such exceptions, exemptions, and limitations should be provided only in present law relative to public records or the Constitution of Louisiana.

Proposed law further provides that any exceptions, exemptions, and limitations elsewherein the law will not haveeffect.Proposed law further recognizes that there currently exists a number of exceptions, exemptions, and limitations located elsewhere in present law.

Proposedlawretainspresentlawandaddsprovisionsofproposedlawrelativetothemedical claims database to the list of public records exceptions.

Effective upon signature of the governor or lapse of time for gubernatorial action.

(Amends R.S.

23:1034.2(B), (C), and (F), 1201(E), 1203(B), 1203.1(J)(1) and 1203.2 and R.S.

44:4.1(B)(12);

adds 23:1021(14) and (15), and 1200.18-1200.26) Summary of Amendments Adopted by Senate Committee Amendments Proposed by Senate Committee on Labor and Industrial Relations to the original bill 1.

Add definition of "payor".

2.

Remove requirement for workers' compensation payor to respond to a surgicalpriorauthorizationrequestwithinsevenbusinessdaysunderpenalty of automatic approval.

Page 22 of 23 Coding:

Words which are struck through are deletions from existing law;

words in boldface type and underscored are additions.

SLS 26RS-205 RE-REENGROSSED SB NO.

408 3.

Add provision that requires the reimbursement schedule for professional service charges for certain services not priced under a CPT code or a comparable code for substantially similar service to be set at the mean of usual and customary service.

4.

Addprovision thatthecurrentfeeschedulewill bein effectuntil thenew fee schedule is approved by the House and Senate Labor Committees.

5.

Add proposed law relative to authorization for certain medical services.

6.

Make technical changes.

Committee Amendments Proposed by Senate Committee on Finance to the engrossed bill 1.

Require medical and pharmacy data to be submitted quarterly unless otherwise required by provisions of present law that establish, promulgate, and update the reimbursement schedule.

2.

Make technical changes.

Senate Floor Amendments to reengrossed bill 1.

Makes technical changes.

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