Virginia House Bill 1612 (Prior Session Legislation)

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Spectrum: Partisan Bill (Republican 3-0)
Status: Introduced on January 6 2013 - 25% progression, died in committee
Action: 2013-02-05 - Left in Commerce and Labor
Pending: House Commerce and Labor Committee
Text: Latest bill text (Prefiled) [HTML]

Workers' compensation; fee schedule for medical care services and prompt payment. Limits the pecuniary liability of an employer for medical, surgical, and hospital services provided on or after October 1, 2014, pursuant to the Virginia Workers' Compensation Act to the maximum amount that may be paid pursuant to fee schedules established by the Workers' Compensation Commission, unless a contract provides otherwise. The Workers' Compensation Commission is directed to promulgate regulations establishing medical care fee schedules governing all medical care services rendered pursuant to the Virginia Workers' Compensation Act. The schedules shall become effective on October 1, 2014. The bill requires the medical care fee schedule regulations to (i) be comprehensive in scope, (ii) be based on Medicare where applicable, (iii) utilize Medicare coding and reimbursement rules, and (iv) address fees of physicians and surgeons, hospitals, ancillary services provided by other health care facilities and providers, pharmacy and pharmaceutical services, and utilization review issues and procedures. The Commission is required to review the fee schedules annually and when appropriate revise them. The measure also requires an insurer or self-insured employer, effective October 1, 2014, to either pay a medical bill or deny payment of the bill within 60 days of receiving a bill and supporting medical documentation. If the Commission finds that the self-insured employer or insurer unreasonably denied payment for medical services, it shall order payment for the services with interest.

Workers' compensation; fee schedule for medical care services and prompt payment.

Del. Timothy Hugo [R]

Del. Chris Jones [R]

Del. Ron Villanueva [R]

Date	Chamber	Action
2013-02-05	House	Left in Commerce and Labor
2013-01-31	House	Subcommittee recommends laying on the table by voice vote
2013-01-23	House	Assigned C & L sub: Special Workers Comp
2013-01-06	House	Referred to Committee on Commerce and Labor
2013-01-06	House	Prefiled and ordered printed; offered 01/09/13 13103135D

Chapter	Article	Section	Citation Type	Statute Text
65	2	605	(n/a)	See Bill Text
65	2	605.1	(n/a)	See Bill Text

Type	Source
Summary	https://lis.virginia.gov/cgi-bin/legp604.exe?131+sum+HB1612
Text	https://lis.virginia.gov/cgi-bin/legp604.exe?131+ful+HB1612+hil