Sec. 405.0025. RESEARCH DUTIES OF GROUP    


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  • (a) The group shall conduct professional studies and research related to:

    (1) the delivery of benefits;

    (2) litigation and controversy related to workers' compensation;

    (3) insurance rates and ratemaking procedures;

    (4) rehabilitation and reemployment of injured employees;

    (5) the quality and cost of medical benefits;

    (6) employer participation in the workers' compensation system;

    (7) employment health and safety issues; and

    (8) other matters relevant to the cost, quality, and operational effectiveness of the workers' compensation system.

    (b) The group shall:

    (1) objectively evaluate the impact of the workers' compensation health care networks certified under Chapter 1305, Insurance Code, on the cost and the quality of medical care provided to injured employees; and

    (2) report the group's findings to the governor, the lieutenant governor, the speaker of the house of representatives, and the members of the legislature not later than December 1 of each even-numbered year.

    (c) At a minimum, the report required under Subsection (b) must evaluate the impact of workers' compensation health care networks on:

    (1) the average medical and indemnity cost per claim;

    (2) access and utilization of health care;

    (3) injured employee return-to-work outcomes;

    (4) injured employee satisfaction;

    (5) injured employee health-related functional outcomes;

    (6) the frequency, duration, and outcome of complaints; and

    (7) the frequency, duration, and outcome of disputes regarding medical benefits.

Added by Acts 2005, 79th Leg., Ch. 265 , Sec. 3.020, eff. September 1, 2005.