Legislative Updates

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StateWatch: Bill Review February/March 2019

Posted by Genex on February 28, 2019

Keep current with new legislation and its potential effect on your organization. This regulatory update is for informational purposes only, and provides some key highlights on state initiatives that may impact the bill review services Genex provides.

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The state’s Medical Treatment Utilization Schedule (MTUS) guidelines is now accessible online for free to providers treating injured workers.

The Division of Workers’ Compensation has made updates to the Hospital Outpatient and Ambulatory Surgery Center (ASC) fee schedules to comply to Medicare’s updates, effective Feb. 15.


The Workers’ Compensation Board of Indiana has announced its postponing implementation electronic reporting requirements for first reports of injury (FROI) and subsequent reports of injury (SROI) IAIABC Release 3.1 standards. The implementation date change from Jan. 1 to March 20 has been made to allow additional time for the trading partner and EDI vendors to complete required testing, board officials said.


WATCHLIST: The Division of Workers’ Compensation has posted the proposed Medical Fee Schedule. If adopted, changes are effective on and after March 29.


The Department of Workers’ Compensation has adopted new rules establishing a pharmaceutical formulary to facilitate the safe and appropriate use of prescription drugs. The target implementation date is July 1.


The Department of Industrial Relations has submitted the finalized Medical Fee Schedule, which is effective through Jan. 31, 2020.


The Workers' Compensation Board has released a list of providers who have voluntarily resigned their authorization to treat injured workers and perform independent medical examinations under the New York workers’ compensation system.

WATCHLIST: On Feb. 8, a single payer health care bill was introduced in the New York State Legislature. A.5248/S.3577 would enact the "New York Health Act" and includes a workers' compensation component. The bill, which is currently in committee, was introduced by the Assembly and Senate Health Committee Chairs. The bill provides that, no later than two years after the effective date, the Board of the New York Health Act "shall develop a proposal for New York Health coverage of health care services covered under the workers' compensation law, including whether and how to continue funding for those services under that law and whether and how to incorporate an element of experience rating.”


The Bureau of Workers’ Compensation has made changes to the Inpatient Reimbursement Rule. The changes became effective Feb. 1.


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