HI SB2663

Employers must provide written approval or denial of workers' compensation treatment plans within seven days of receipt, with denials requiring supporting documentary evidence filed with the Director of Labor and Industrial Relations.

Employers who fail to respond within the seven-day timeline face fines of $250 per day for each violation, with funds deposited into the special compensation fund.

Approved treatment plans obligate employers to pay health care providers according to the established medical fee schedule, and employers cannot deny payment even if they later object based on new evidence until a hearing is held.

The Director of Labor and Industrial Relations must assess penalties of at least $1,000 against employers who deny treatment plans without reasonable grounds, frivolously, or for delay purposes, plus the employer becomes liable for the injured employee's attorney fees and costs.

Effective date is January 1, 2077.