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8 Document(s) [ Subject: Workers%20Compensation%20Commission%2C%20Texas ]

Committee:	House Insurance
Title:	Interim Report
Subjects:	Assisted living facilities | Fraud | Health care provider networks | Health insurance | Insurance industry | Insurance, Texas Department of | Medical bill balance billing | Prompt payment of insurance claims | Property insurance | Texas Mutual Insurance | Texas Windstorm Insurance Association | Windstorm insurance | Workers Compensation Commission, Texas | Workers' compensation |
Library Call Number:	L1836.84 In7
Session:	84th R.S. (2015)
Online version:	View report [87 pages]
Charges:	This report should address the charges below.
1.	Examine available data on the cost of weather-related property insurance claims and the incidence of litigation of these claims. Study whether these data reveal trends or patterns over time and what the drivers of these trends might be. Identify impacts on the property insurance market and on consumers from claims litigation.
2.	Examine the effectiveness of previous legislative efforts to encourage transparency and adequacy of health care networks, and of legislation to protect consumers from the negative impacts of disputes over out-of-network services. Study whether enhancements in transparency or regulation are necessary.
3.	Evaluate the statutory penalty calculations under Texas's prompt payment laws regarding health care claims. Include an analysis of whether the proper benchmarks are used to establish penalties commensurate with an improper payment and the effect of the abolition of the Texas Health Insurance Pool on the use of funds collected under the statute.
4.	Study the Texas credit for reinsurance statutes and how they affect market capacity, the cost of regulatory compliance, and the prospect of federal preemption of the state's ability to regulate reinsurance. Examine how alternative credit for reinsurance statutes in other jurisdictions function, including in the regulatory and legal systems of those jurisdictions.
5.	Monitor the implementation of SB 900 (84R), including the rulemaking process by the Texas Department of Insurance and the adoption of an updated plan of operation by the Texas Windstorm Insurance Association.
6.	Examine the effectiveness of residual market programs in the insurance industry in Texas, as well as approaches used in other states.
7.	Review the implementation of HB 2929, 83rd R.S.. Examine the bill's impact and compliance among affected health plans. Examine the costs incurred by the Employees Retirement System, Teacher Retirement System, and any other affected state health plans as a result of the legislation.
8.	Review current statutory provisions regarding the prosecution of workers' compensation insurance fraud. Examine ways to maintain or enhance fraud prosecution while ensuring a fair process for all parties involved.
9.	Conduct legislative oversight and monitoring of the agencies and programs under the committee’s jurisdiction and the implementation of relevant legislation passed by the 84th Legislature. In conducting this oversight, the committee should: a. consider any reforms to state agencies to make them more responsive to Texas taxpayers and citizens; b. identify issues regarding the agency or its governance that may be appropriate to investigate, improve, remedy, or eliminate; c. determine whether an agency is operating in a transparent and efficient manner; and d. identify opportunities to streamline programs and services while maintaining the mission of the agency and its programs.
Supporting documents
Committee:	House Insurance
Title:	Committee meeting handouts and testimony, March 30, 2016 (Prompt pay, post-acute brain injury care, workers' compensation fraud)
Library Call Number:
Session:	84th R.S. (2015)
Online version:	View document [168 pages  File size: 17,722 kb]
Committee:	House Business and Industry
Title:	Interim Report
Library Catalog Title:	House Committee on Business & Industry, Texas House of Representatives interim report, 2004 : a report to the House of Representatives, 79th Texas Legislature
Subjects:	Dry cleaners | Environmental cleanup | Hazardous substances | Workers Compensation Commission, Texas | Workers' compensation |
Library Call Number:	L1836.78 B964
Session:	78th R.S. (2003)
Online version:	View report [56 pages  File size: 1,269 kb]
Charges:	This report should address the charges below.
1.	Study ways to reduce specific cost drivers under the workers' compensation system related to provider, surgical and physical therapy services or care and the reduction of return-to-work time periods.
2.	Study the cost effectiveness of the state workers' compensation system including: (a) Economic benefits, if any, of inclusion of the UT System, A&M University System, Texas Department of Transportation and Employees Retirement System under the State Office of Risk Management programs; (b) Costs or savings to the state by allowing state agencies to self-insure; and (c)The creation of workers' compensation provider networks for state employees.
3.	Actively monitor the activities of the Texas Workers' Compensation Commission in the continued implementation of HB 2600, 77th R.S., and workers' compensation legislation passed during the 78th Legislature.
4.	Monitor the implementation of HB 1366, 78th R.S.. Consider concerns from interested parties regarding the use of the remediation funds and recommend legislative changes to the 79th Legislature.
5.	Study the potential impact on the cost and quality of medical care through employer and/or insurance carrier selection of initial treating doctor and change of doctor in the workers' compensation system.
6.	Monitor the agencies under the committee's jurisdiction.
Committee:	Senate Workers' Compensation, Select, Interim
Title:	Interim Report
Library Catalog Title:	Report to the 79th Legislature
Subjects:	Health care costs | Workers Compensation Commission, Texas | Workers' compensation |
Library Call Number:	L1836.78 W892s
Session:	78th R.S. (2003)
Online version:	View report [235 pages  File size: 1,581 kb]
Charges:	This report should address the charges below.
1.	Examine the status of the Health Care Network Advisory Committee's (HNAC) and the Texas Workers' Compensation Commission's implementation of the regional workers' compensation health care delivery networks outlined in Article 2 of HB 2600, 77th R.S. (2001).
2.	Study the potential impact of networks on the workers' compensation health care delivery system. Include in the study: a. Quality of care; b. Network adequacy and access to care; c. Disclosure of information to patients, complaint procedures, appeal rights and overall patient satisfaction; d. Costs of care; e. Provider credentialing, selection and dispute resolution; f. Financial risks to providers, employers and carriers; g. Effects of networks on the Texas Workers' Compensation Commission; and h. Quality monitoring systems such as independent report cards.
3.	Study the impact of the Texas Workers' Compensation Commission's 2002 Medical Fee Guideline on access to quality medical care for injured workers and medical costs, including recommendations on whether the legislature should statutorily prescribe a methodology for calculating the workers' compensation conversion factor.
4.	Conduct a cost-benefit analysis, to the extent possible, comparing the Texas workers' compensation system to systems operating in other states. Make recommendations to improve the quality of care for injured workers, reduce fraud and inefficiencies, reduce overall claim costs, and streamline the administration of the system. Recommendations should address data exchange, advisory groups and review panels, dispute resolution, enforcement issues, paperwork reduction, and billing and administrative efficiencies.
5.	Study the efficiency and effectiveness of the state's workers' compensation system including a comparison of the medical and indemnity costs associated with the Texas A&M University system, the Texas Department of Transportation and the State Office of Risk Management. Evaluate the potential costs and benefits associated with state agency participation in workers' compensation networks.
6.	Survey the costs and benefits of other health system cost-containment strategies as they relate to medical, therapeutic, and pharmaceutical care, including but not limited to, doctor selection, deductibles, co-payments, preauthorization of services, and return-to-work programs.
7.	Study and make recommendations relating to the pricing of workers' compensation insurance premiums in Texas, including, but not limited to, the impact of rating tools such as schedule rating, negotiated experience modifiers, negotiated deductibles and underwriting.
Committee:	House Business and Industry
Title:	Interim Report
Library Catalog Title:	House Committee on Business & Industry, Texas House of Representatives interim report, 2002 : a report to the House of Representatives, 78th Texas Legislature.
Subjects:	Consumer protection | Funeral industry | Statutory revision | Texas Workers' Compensation Insurance Fund | Workers Compensation Commission, Texas | Workers' compensation |
Library Call Number:	L1836.77 b964
Session:	77th R.S. (2001)
Online version:	View report [163 pages  File size: 8,971 kb]
Charges:	This report should address the charges below.
1.	Review trends in the use of binding arbitration requirements in consumer agreements, with special attention to transactions in which the consumer has little or no bargaining power.
2.	Review the performance of the workers' compensation system in returning injured workers to safe and productive employment in a timely manner. Consider system features, policies of the Texas Workers' Compensation Commission and actions on the part of health care providers or other system participants that may adversely affect returns to work.
3.	Review and evaluate the substantive recodifications of the Business Organizations Code that were considered by the 76th and 77th Legislatures.
4.	Review the fiscal condition of the workers' compensation subsequent injury fund. Determine whether changes will be needed to keep the fund viable in light of increased demands placed on it by recent legislation.
5.	Assess the need for regulation or other consumer protections in the sale of caskets.
6.	Actively monitor the agencies under the committee's oversight jurisdiction.
Committee:	House Business and Industry
Title:	Interim Report
Library Catalog Title:	House Committee on Business & Industry, Texas House of Representatives interim report, 2000 : a report to the House of Representatives, 77th Texas Legislature.
Subjects:	Biotechnology industry | Construction industry | Consumer protection | Fraud | General contractors | Medical research | Senior citizens | Sweepstakes | Telemarketers | Texas Workers' Compensation Insurance Fund | Workers Compensation Commission, Texas | Workers' compensation |
Library Call Number:	L1836.76 b964
Session:	76th R.S. (1999)
Online version:	View report [107 pages  File size: 535 kb]
Charges:	This report should address the charges below.
1.	Examine ways to deter and punish consumer fraud directed at senior citizens, including telemarketing fraud.
2.	Assess the public's view of telemarketing generally, the desire and need for simpler ways to prevent nuisance calls, and whether views depend on the business of the vendor or solicitor.
3.	Consider the legal status and policies appropriate to any surplus funds held by the Texas Workers' Compensation Insurance Fund. The committee's consideration should be directed at assuring that sufficient funds are available to deal with all possible market conditions.
4.	Consider the benefits and problems associated with contingency clauses in construction contracts.
5.	Study the emergence of the healthcare technology industry in Texas. Identify factors promoting and inhibiting development of the industry and consider state or private actions potentially affecting its growth.
Committee:	House Business and Industry
Title:	Interim report
Library Catalog Title:	House Committee on Business and Industry, Texas House of Representatives interim report, 1998 : a report to the House of Representatives, 76th Texas Legislature.
Subjects:	Consumer protection | e-commerce | Employees | Employers | Employment | Internet | Mergers and acquisitions | Telemarketers | Texas Workers' Compensation Insurance Fund | Workers Compensation Commission, Texas | Workers' compensation |
Library Call Number:	L1836.75 b964
Session:	75th R.S. (1997)
Online version:	View report [67 pages  File size: 3,139 kb]
Charges:	This report should address the charges below.
1.	Study the development of commerce on the internet to determine whether existing consumer protection laws are adequate to deal with the present and future issues that may arise.
2.	Review consumer protection issues as they pertain to telemarketing. Determine whether the registration of telemarketers may be necessary to provide adequate protection of the public.
3.	Study the issues surrounding "truth-in-hiring" legislation. Investigate the possibility of protecting both employees and employers when prospective employers request job references.
4.	Review the Texas Free Enterprise and Antitrust Act of 1983. Assess its adequacy in protecting the public interest when mergers and acquisitions occur.
5.	Review workers' compensation insurance carriers' payments and denials of medical benefits and supplemental income benefits. Determine whether carries' actions are reasonable and consistent with the overall design of the law.
Committee:	House Business and Industry
Title:	Interim report
Library Catalog Title:	Committee on Business and Industry, Texas House of Representatives interim report, 1994 : a report to the House of Representatives, 74th Texas Legislature.
Subjects:	State agency mandated reports | Workers Compensation Commission, Texas | Workers' compensation |
Library Call Number:	L1836.73 b964
Session:	73rd R.S. (1993)
Online version:	View report [111 pages  File size: 3,533 kb]
Charges:	This report should address the charges below.
1.	Study the various insurance pools that provide workers' compensation coverage for public entities (such as cities, counties, school districts, water districts, etc.) to determine whether regulation is needed to protect members and claimants, or to otherwise protect the integrity of the pool.
2.	Study the method by which the state provides workers' compensation insurance coverage to its employees. Determine whether changes in organization and management would reduce injuries to employees, improve loss control and claims handling or otherwise enhance the quality and cost-effectiveness of the program.
3.	Conduct active oversight of agencies under the committee's jurisdiction, including a study of mandated reports to the legislature and legislative agencies. The study should consist of a review of the legislative reporting requirements of all agencies to identify areas where reporting obligations could be streamlined and agency accountability improved. The committee shall make specific recommendations about the continuation, modification or elimination of required legislative reports.

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