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H0331......................................................by STATE AFFAIRS
WORKER'S COMPENSATION - Amends existing law relating to worker's
compensation to set forth provisions applicable to setting fees for
physician services.
03/14 House intro - 1st rdg - to printing
03/15 Rpt prt - to Com/HuRes
03/18 Rpt out - rec d/p - to 2nd rdg
03/21 2nd rdg - to 3rd rdg
Rls susp - PASSED - 60-0-10
AYES -- Anderson, Andrus, Barraclough, Barrett, Bastian, Bayer,
Bedke, Bell, Bilbao, Block, Boe, Bolz, Bradford, Cannon, Chadderdon,
Clark, Collins, Crow, Denney, Edmunson(Barker), Ellsworth, Field(18),
Field(23), Garrett, Hart, Henbest, Henderson, Jaquet, Jones, Kemp,
Lake, LeFavour, Loertscher, Martinez, Mathews, McGeachin, McKague,
Miller, Moyle, Nielsen, Nonini, Pasley-Stuart, Pence, Raybould,
Ringo, Rydalch, Sali, Sayler, Schaefer, Shepherd(2), Shepherd(8),
Shirley, Skippen, Smith(30), Smith(24), Smylie, Snodgrass, Stevenson,
Trail, Wood
NAYS -- None
Absent and excused -- Black, Deal, Eskridge, Harwood, Mitchell, Ring,
Roberts, Rusche, Wills, Mr. Speaker
Floor Sponsor - Mathews
Title apvd - to Senate
03/22 Senate intro - 1st rdg - to Com/HuRes
03/25 Rpt out - rec d/p - to 2nd rdg
03/29 2nd rdg - to 3rd rdg
Rls susp - PASSED - 35-0-0
AYES -- Andreason, Brandt, Broadsword, Bunderson, Burkett,
Burtenshaw, Cameron, Coiner, Compton, Corder, Darrington, Davis,
Fulcher, Gannon, Geddes, Goedde, Hill, Jorgenson, Kelly, Keough,
Langhorst, Little, Lodge, Malepeai, Marley, McGee, McKenzie, Pearce,
Richardson, Schroeder, Stegner, Stennett, Sweet, Werk, Williams
NAYS -- None
Absent and excused -- None
Floor Sponsor - Goedde
Title apvd - to House
03/30 To enrol
03/31 Rpt enrol - Sp signed - Pres signed
04/04 To Governor
04/13 Governor signed
Session Law Chapter 371
Effective: 07/01/05
]]]] LEGISLATURE OF THE STATE OF IDAHO ]]]]
Fifty-eighth Legislature First Regular Session - 2005
IN THE HOUSE OF REPRESENTATIVES
HOUSE BILL NO. 331
BY STATE AFFAIRS COMMITTEE
1 AN ACT
2 RELATING TO WORKER'S COMPENSATION; AMENDING SECTION 72-803, IDAHO CODE, TO SET
3 FORTH PROVISIONS APPLICABLE TO SETTING FEES FOR PHYSICIAN SERVICES.
4 Be It Enacted by the Legislature of the State of Idaho:
5 SECTION 1. That Section 72-803, Idaho Code, be, and the same is hereby
6 amended to read as follows:
7 72-803. CLAIMS OF ATTORNEYS AND PHYSICIANS AND FOR MEDICAL AND RELATED
8 SERVICES -- APPROVAL. Claims of attorneys and claims for medical services and
9 for medicine and related benefits shall be subject to approval by the commis-
10 sion; provided however, that fees for physician services shall be set using
11 relative value units from the current year resource based relative value sys-
12 tem (RBRVS) as it is modified from time to time, multiplied by conversion fac-
13 tors to be determined by the commission in rule. Factors will be set for, at
14 least, the following CPT code areas: medicine, surgery, physical medicine,
15 radiology, anesthesia and pathology. The fees shall be adjusted each year
16 using the same methodology as set forth in section 56-136, Idaho Code. In
17 cases where RBRVS units are not available or have no relation to industrial
18 claims, relative value units for fees for physician services shall be deter-
19 mined by the commission. Initial conversion factors shall be determined by the
20 commission no later than January 1, 2006, to be effective April 1, 2006.
STATEMENT OF PURPOSE
RS 15129C1
The current system of physician compensation adopted by the
Industrial Commission has created reimbursement inequities. The
Advisory Committee to the Industrial Commission has struggled for
over two years to recommend changes acceptable to all parties
with no result. Forty (40) states now use a fee schedule as did
Idaho prior to adoption of its current system. This bill adopts
the fee schedule basis currently used by Blue Cross and Blue
Shield as well as 13 other states and charges the Industrial
Commission with developing responsible conversion factors.
FISCAL NOTE
There will be minor costs involved in adapting the Industrial
Commission computer system to recognize RBRVS codes. Note that
the Industrial Commission is funded by a portion of insurance
premium taxes rather than the general fund. In theory, workers
compensation rates could be reduced 2% by passage of this bill.
Contact
Name: Senator John Goedde
Phone: 208-332-1330
STATEMENT OF PURPOSE/FISCAL NOTE H 331