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OH HB518
Bill
Status
4/17/2012
Primary Sponsor
John Adams
Click for details
AI Summary
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Allows the Bureau of Workers' Compensation to summarily suspend a provider's certification in the Health Partnership Program without prior hearing if the provider's professional license is revoked/suspended, has criminal convictions related to health care fraud or billing, or poses a danger to claimant health and safety.
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Requires the Bureau to issue a written suspension order by certified mail or in person, with any adjudicatory hearing scheduled 7-15 days after the provider's request, and a final decision issued within 75 days of the hearing.
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Suspension orders cannot be suspended by courts during appeal proceedings under section 119.12, though dissolution occurs if the Bureau fails to issue a final adjudication order within 75 days.
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Exempts documents, reports, and evidence from workers' compensation fraud investigations from public records disclosure for two years after investigation closure, though they remain accessible to law enforcement, prosecutors, and regulatory agencies investigating legal violations.
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Allows Bureau peer review committee proceedings and records regarding Health Partnership Program providers to be discoverable and admissible in criminal and administrative actions initiated by the Bureau involving alleged law violations.
Legislative Description
To statutorily allow the Bureau of Workers' Compensation to summarily suspend a provider's certification to participate in the Health Partnership Program, to specify procedures for that suspension, and to exempt documents, reports, and evidence pertaining to a workers' compensation fraud investigation from the Public Records Law.
Workers' Comp-provider suspensions/fraud investigations-confidentiality
Last Action
To Insurance
4/17/2012