HB 4202 — Workers compensation; reimbursement; magnetic resonance imaging; emergency.

HOUSEENGROSSED OF REPRESENTATIVES - FLOOR VERSION STATE OF OKLAHOMA 2nd Session of the 60th Legislature (2026) COMMITTEE SUBSTITUTE FOR HOUSE BILL NO.

Schreiber of the House and Gollihare of the Senate 95 COMMITTEE7 SUBSTITUTE An Act relating to workers' compensation;

HB4202 HFLR Page 1 BOLD FACE denotes Committee Amendments.

If the employer fails or neglects to provide medical treatment within five (5) days after actual knowledge is received of anENGR. injury, the injured employee may select a physician or chiropractor to provide medical treatment at the expense of the employer;

H.

B.

NO.

4202 Page 1 an injury, the injured employee may select a physician or chiropractor to provide medical treatment at the expense of the employer;

HB4202 HFLR Page 2 BOLD FACE denotes Committee Amendments.

If an employee refuses toENGR. submit himself or herself to examination, his or her right to prosecute any proceeding under the Administrative Workers' Compensation Act shall be suspended, and no compensation shall be payable for the period of such refusal.

H.

B.

NO.

4202 Page 2 to submit himself or herself to examination, his or her right to prosecute any proceeding under the Administrative Workers' Compensation Act shall be suspended, and no compensation shall be payable for the period of such refusal.

HB4202 HFLR Page 3 BOLD FACE denotes Committee Amendments.

The Fee Schedule shall establish the maximum rates that medicalENGR. providers shall be reimbursed for medical care provided to injured employees including, but not limited to, charges by physicians, chiropractors, dentists, counselors, hospitals, ambulatory and outpatient facilities, clinical laboratory services, diagnostic testing services, and ambulance services, and charges for durable medical equipment, prosthetics, orthotics, and supplies.

H.

B.

NO.

4202 Page 3 medical providers shall be reimbursed for medical care provided to injured employees including, but not limited to, charges by physicians, chiropractors, dentists, counselors, hospitals, ambulatory and outpatient facilities, clinical laboratory services, diagnostic testing services, and ambulance services, and charges for durable medical equipment, prosthetics, orthotics, and supplies.

The Commission shall give due consideration to additional requirements for physicians treating an injured worker under the Administrative Workers' Compensation Act, including, but not limited to, HB4202communication HFLRwith Pageclaims 4representatives, BOLDcase FACEmanagers, denotesattorneys, Committeeand Amendments.representatives of employers, and the additional time required to complete forms for the Commission, insurance carriers, and employers.

communicationENGR. with claims representatives, case managers, attorneys, and representatives of employers, and the additional time required to complete forms for the Commission, insurance carriers, and employers.

3.H.

B.

NO.

4202 Page 4 3.

No reimbursement shall be allowed for any magnetic resonance imaging (MRI) unless the MRI is provided by an entity that meets Medicare requirements for the payment of MRI services or is accredited by the HB4202American HFLRCollege Pageof 5Radiology, BOLDthe FACEIntersocietal denotesAccreditation CommitteeCommission Amendments.or the Joint Commission on Accreditation of Healthcare Organizations.

AmericanFor Collegeall ofother Radiology,radiology theprocedures, Intersocietal Accreditation Commission or the Jointreimbursement Commissionrate onENGR. Accreditation of Healthcare Organizations.

ForH. all other radiology procedures, the reimbursement rate shall be the lesser of the reimbursement rate allowed by the 2010 Oklahoma Fee Schedule and two hundred seven percent (207%) of the Medicare Fee Schedule.

B.

NO.

4202 Page 5 shall be the lesser of the reimbursement rate allowed by the 2010 Oklahoma Fee Schedule and two hundred seven percent (207%) of the Medicare Fee Schedule.

The Commission shall develop a reasonable stop-loss provision of the Fee Schedule to provide for adequate reimbursement for treatment for major burns, severe head and neurological injuries, multiple system HB4202injuries, HFLRand Pageother 6catastrophic BOLDinjuries FACErequiring denotesextended Committeeperiods Amendments.of intensive care.

injuries,An andemployer otheror catastrophicinsurance injuriescarrier requiringshall extendedhave periodsthe ofright intensiveto care.audit the charges and question the reasonableness and necessity ENGR.

AnH. employer or insurance carrier shall have the right to audit the charges and question the reasonableness and necessity of medical treatment contained in a bill for treatment covered by the stop-loss provision.

B.

NO.

4202 Page 6 of medical treatment contained in a bill for treatment covered by the stop-loss provision.

The Commission's review of medical and treatment charges pursuant to this section shall be conducted pursuant to the Fee HB4202Schedule HFLRin Pageexistence 7at BOLDthe FACEtime denotesthe Committeemedical Amendments.care or treatment was provided.

ScheduleThe injudgment existenceapproving at the timemedical theand medicaltreatment carecharges orpursuant treatmentto wasthis provided.section shall be enforceable by the Commission in ENGR.