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NC S165

Bill

Status

Introduced

3/1/2017

Primary Sponsor

Warren Daniel

Click for details

Origin

Senate

2017-2018 Session

AI Summary

  • Clarifies that the schedule of maximum fees for medical compensation under North Carolina's workers' compensation law must be based on Medicare payment methodologies with necessary adjustments.

  • Establishes that the Industrial Commission must ensure injured workers receive appropriate services, providers receive reasonable reimbursement, and medical costs are adequately contained when setting fee schedules.

  • Allows the Industrial Commission to consider statewide fee averages, geographical variations, other state workers' compensation payment structures, and Medicare fee schedule changes when reviewing and adjusting fee schedules.

  • Requires the Industrial Commission to establish a transition plan and timeline for direct claims submission and reimbursement for medical compensation fees, including notice to affected stakeholders.

  • Exempts the Industrial Commission from certification and fiscal note requirements under state administrative procedures when developing the required fee schedule, effective upon enactment.

Legislative Description

Workers' Comp./Clarify Medicare Methodology

Last Action

Ref To Com On Rules and Operations of the Senate

3/6/2017

Committee Referrals

Rules and Operations of the Senate3/2/2017

Full Bill Text

No bill text available