Category: UCA News

eCapitol News: OK-Workers’ comp reforms pass without debate in House

Author: Erin Boeckman
Date: 03/01/2010

(OK) Several reforms related to the workers’ compensation system passed the House Monday without debate after the author of several proposals agreed to strike title from the bills.

The author of four of the measures, Rep. Daniel Sullivan, R-Tulsa, said the removal of the titles means they continue to be a work in progress.

Two such bills Sullivan described as shell bills when they were heard in committee.

HB 2658, with title stricken, by Sullivan, modifies language related to the requirement that an employer provide prosthetic devices to injured workers, as determined by the Workers’ Compensation Court. The bill passed 73 to 24.

HB 2659, with title stricken, also by Sullivan, modifies language related to the Workers’ Compensation Act. The bill passed 62 to 35.

Sullivan also called his HB 1611, with title stricken, a shell bill on Monday. It modifies workers compensation time extension period relating to surgery recommendations for soft-tissue injuries. The bill also stipulates that normally a soft-tissue injury does not result in entitlement to permanent impairment. It passed 62 to 35.

Rep. Mike Brown, D-Tahlequah, asked why Sullivan would ask members to vote on a bill that does not have final language in it. Sullivan replied, “So that we would have a vehicle later if needed.”

Sullivan’s current proposal for workers’ compensation reform is within HB 2652. However, he said he is still meeting with claimants’ and respondents’ lawyers, medical providers and other interested parties on the matter.

“Our state’s workers’ compensation system is broken, both for injured workers and businesses paying the insurance premiums,” Sullivan said in a news release. “We are hopeful that we will be able to put meaningful reforms in place this session that will protect workers, shore up the system, eliminate fraud and reduce costs.”

At 5 p.m., the House began consideration of HB 2652, with title stricken, by Sullivan, which contains multiple provisions, including changes to how soft tissue injuries are handled, the reporting of injuries to employers and court procedures. It passed 66 to 31 with few questions and no debate.

The bill provides a definition of “surgery” under the Workers’ Compensation Act to mean a medical procedure involving an incision into the skin for the insertion of an instrument or device for treatment or diagnosis. It states that an injection or the forcing of fluids beneath the skin does not constitute surgery. The bill also modifies language related to soft tissue injuries, stating that if a surgery is not recommended or is recommended but not performed within 90 days, extended benefits are to terminate. It prohibits employees with soft tissue injuries from being entitled to permanent impairment unless there is medical evidence of a permanent anatomical abnormality.

The measure also removes and modifies language under the definition of “permanent impairment.” It modifies the definition of “child” as it relates to language regarding death benefits under the Workers’ Compensation Act. The measure also states that compensation to an alien nonresident dependent of the United States is to be the same as that provided for a resident dependent, except that an alien nonresident dependent in any foreign country is limited to the surviving spouse or minor children, or both. It states that unless a single-incident injury either renders an employee physically or mentally unable to do so, the employee is required to report the injury to the employer on a form approved by the Workers’ Compensation Court and to a person or place specified by the employer. It states that the employer is not responsible for disability, medical or other benefits if the report is not made in writing within 10 business days of the date of the injury. It states that a signed statement from an employee that an injury or illness was not work related serves as an absolute bar against any future workers’ compensation claim for that injury or illness. It directs the Workers’ Compensation Court to promulgate rules for a preliminary conference procedure for claims occurring on or after Nov. 1, 2010. It states that any agreed-upon settlement between a claimant and an employer is to be final upon signed agreement by both parties. It states that the Workers’ Compensation Court is to be bound by the Oklahoma Evidence Code. It directs the court to determine whether the party having the burden of proof has established it by a preponderance of evidence.

The measure also states that medical reports and depositions are only to be allowed to assist the court in determining compensability of claims. It clarifies that the Supreme Court may hear appeals and modify, reverse, remand for rehearing or set aside or award only on certain grounds. It modifies language related to compensation for disability or death of an employee under the Workers’ Compensation Act. The measure states that any employer required to secure payment for compensation under the Workers’ Compensation Act and fails to do so is subject to a $10,000 fine payable to the Death and Permanent Total Disability Trust Fund or is subject to a misdemeanor, punishable by a fine of up to $500 and/or imprisonment in county jail for up to one year. It requires every employer who has secured compensation under the act to keep posted in a conspicuous place in and about the place of business printed notices in accordance with a form prescribed by the Workers’ Compensation Court stating that the employer has secured payment of compensation under the act. It states that an employer is not liable for any payments provided by the Workers Compensation Act if the Workers’ Compensation Court determines the injury is not compensable. It modifies language related to treatment for injury, stating it is subject to the limitation established by the Physician Advisory Committee, unless waived by the employer. It increases from one year to five years the period for which an insured may contract independently with a plan of his or her choice for a certified workplace medical plan if an insurer has failed to do so.

The measure also requires all state agencies to adopt and implement the certified workplace medical plan of their insurer’s choice by Nov. 1, 2011. The measure requires the Workers’ Compensation Court administrator to hire a vocational rehabilitation director to oversee the vocational rehabilitation program of the court. It increases from 52 to 104 weeks the maximum amount of time vocational rehabilitation services or training may extend. It modifies language related to permanent total disability. It states that injuries on or after Nov. 1, 2010, that are partial in character but permanent in quality to be eligible for compensation that is 66 and two-thirds percent of the employee’s average weekly wages, not to exceed $342 per week, and it establishes a schedule of payments for various injuries. It allows the Workers’ Compensation Court to review any compensation order, award or decision, except joint petition settlements that have been agreed upon and filed with the court. It allows such review within three months of termination of compensation, upon application of any interested party and upon a change in physical condition. It limits to 20 percent of the award or settlement of permanent partial disability the amount of attorney fees allowed in a claim with a settlement that is offered in writing within 30 days after receipt of notice that the claimant has reached maximum medical improvement. It prohibits an attorney from deducting or withholding any portion of a court judgment or settlement any monies for the purpose of donating or contributing the monies to a political fund, political action committee, campaign of any kind or candidate for state, federal or local office. It lowers from two years to six months the time after the date of an accidental injury or death during which a claim for compensation under the Workers’ Compensation Act may be made, and it allows a claim to be filed within 90 days of the last medical treatment authorized by the employer or insurance carrier or other payment. It lowers from two years to six months the date by which a claim must be made after a trauma or hazardous exposure. It requires injury claims to be filed within 10 business days of termination of employment. It removes language related to causes of action against third parties whose wrongful or negligent conduct causes the death of an employee entitled to compensation. It modifies language related to the Advisory Council on Workers’ Compensation, reducing from nine to seven the membership and adjusting the appointing authority. It also modifies language related to the duties of the Physician Advisory Committee. It also repeals multiple sections of current statutory language related to the Workers’ Compensation Act.

Two other measures received approval Monday with their titles in tact.

HB 2894, by Rep. Purcy Walker, D-Elk City, and Sen. Mike Schulz, R-Altus, modifies language requiring any person who commits workers’ compensation fraud, upon conviction, to pay the employer for the difference between premiums prior to the fraud and premiums after the fraud if the employer incurs additional premium costs as a result of the fraud. The bill passed 93 to 2.

HB 3169, by Rep. Jeff Hickman, R-Dacoma, passed 95 to 0. The bill states that the spouse of any employer who is exempt from the Workers’ Compensation Act is also exempt.

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Pain management bill draws debate in Oklahoma House

BY MICHAEL MCNUTT
The Oklahoman
Published: February 26, 2010

Discussion over a bill that would allow only physicians to administer precise pain management injections developed Thursday into a skirmish in the House over the needs of rural versus urban residents.

“This is the bill to kill rural Oklahoma,” Rep. Gus Blackwell told fellow House members. “If you have boots, you better vote against it.”

Urban members mostly voted for Senate Bill 1133, a contentious measure that got bogged down last year, while mostly rural members voted against it. SB 1133 passed 55-33 and now goes to the Senate.

The measure basically stripped certified nurse anesthetists of the right to give pain management injections into a patient’s spinal or neck area.

Rep. John Trebilcock, who took over authorship of the bill, said the pain management injections must be precisely administered. An injection in the wrong spot could cause paralysis or not effectively treat the pain, he said.

Certified nurse anesthetists still would be allowed to continue to give other injections; it’s estimated the chronic pain injections take up only about 4 percent of their duties, Trebilcock said.

The bill does not affect certified nurse anesthetists giving injections in the lumbar, or lower back, area, he said. It does prohibit them from giving pain injections in other parts of the body, such as shoulders and knees.

Chronic pain medication is medicine and should be practiced by doctors, said Trebilcock, R-Broken Arrow, during a rare Thursday afternoon debate in House chambers that took about two hours.

SB 1133 keeps the practice of nursing from encroaching into the practice of medicine, he said.

Blackwell, R-Goodwell, said passage of the measure would reduce the number of pain-management treatment providers in rural Oklahoma, giving rural residents two choices — live in pain or drive hours for treatment.

Rural residents now depend on certified nurse anesthetists in their local area for pain management injections, he said.

Trebilcock said pain management physicians would be willing to drive to rural areas. He presented data that showed only five certified nurse anesthetists in two counties were giving pain management injections.

Rep. Pat Ownbey, R-Ardmore, said no complaints have been filed against certified nurse anesthetists administering chronic pain management injections.

“This is nothing more than a turf war,” he said. “This is not an issue of public safety … .”

Rep. Corey Holland, R-Marlow, said rural residents deserve the same type of quality care that people get in urban areas.

Rep. Doug Cox, an emergency room doctor, voted for the measure.

“The spinal cord is an unforgiving organ,” said Cox, R-Grove. “It’s a high-risk procedure.”

Injections into the spinal cord from the base of the skull to the bottom of the rib need to be precise, he said.

Cox said he works only with certified nurse anesthetists, and that passage of the bill would not affect their ability to give injections to put people to sleep for surgery or anesthesia for women having babies.

This is the bill to kill rural Oklahoma. If you have boots, you better vote against it.”

Rep. Gus Blackwell This is nothing more than a turf war. This is not an issue of public safety or competency.”

Rep. Pat Ownbey

via Pain management bill draws debate in Oklahoma House | NewsOK.com.

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