LD 1913
pg. 3
Page 2 of 3 An Act to Ensure Fair Access under the Workers' Compensation Utilization and Re... LD 1913 Title Page
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LR 2653
Item 1

 
SUMMARY

 
The purpose of this bill is to streamline the procedures for
the review of medical treatment provided to an injured worker
under the workers' compensation laws. This bill repeals those
provisions that:

 
1. Define "utilization review";

 
2. Require a utilization review;

 
3. Require the certification of insurance carriers;

 
4. Deem a health care provider to have consented to submit
records and information by accepting payment;

 
5. Allow an insurer to withhold payment if the insurer
determines a health care cost is excessive;

 
6. Allow a health facility or health care provider to appeal
the determination of an insurer that certain health care was
inappropriate or improperly utilized; and

 
7. Make a Class D crime the knowing submission of false or
misleading records of information to an insurer by a health
facility or health care provider.


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