3. According to rules promulgated by DWD in cases in which the employer or
insurer concedes liability for the injury but disputes the extent of permanent
disability.
Under current law, DWD may direct an employer or an employer's insurer to
pay unaccrued compensation or death benefits to an injured employee or the
employee's dependents in advance if DWD determines that the advance payment is
in the best interest of the injured employee or the employee's dependents. This bill
specifies that DWD may direct advance payment of death benefits or of unaccrued
compensation for permanent disability.
Reasonableness of fees and necessity of treatment disputes
Under current law, DWD has jurisdiction to resolve a dispute between a health
service provider and an insurer or self-insured employer over the reasonableness of
any health service fee charged by the health service provider for services provided
to an injured employee who claims worker's compensation benefits or over the
necessity of any treatment provided to the employee. This bill prohibits a health
service provider from submitting a fee dispute or a dispute over necessity of
treatment to DWD before all treatment by the health service provider for the
employee's injury has ended if the amount in controversy, whether based on a single
charge or a combination of charges for one or more days of service, is less than $25.
After all treatment has ended, a health service provider may submit any fee dispute
or dispute over necessity of treatment to DWD, regardless of the amount in
controversy.
Under current law, DWD is required to determine the reasonableness of a
disputed fee by comparing the disputed fee to the mean fee for the procedure for
which the disputed fee was charged, as shown by data from a database certified by
DWD. If the disputed fee is at or below the mean fee, plus 1.5 standard deviations
from that mean, DWD shall determine that the disputed fee is reasonable and order
the fee to be paid. If the disputed fee is above the mean fee, plus 1.5 standard
deviations from that mean, DWD shall determine that the disputed fee is
unreasonable and order that a reasonable fee be paid, unless the health service
provider proves that a higher fee is justified. This bill lowers the standard deviations
used to determine the reasonableness of a disputed health service fee to 1.4 standard
deviations from the mean.
Under current law, DWD may set aside, reverse, or modify a determination as
to the reasonableness of a health service fee charged by a health service provider for
services provided to an injured employee who claims worker's compensation benefits
or as to the necessity of any treatment provided to such an employee within 30 days
after the determination. This bill permits DWD to set aside, reverse, or modify a
reasonableness of fee or necessity of treatment determination within 60 days after
the determination on the grounds of mistake.
Supplemental benefits; disability or death payments
Under current law, temporary and permanent disability benefits are subject to
maximum weekly compensation rates specified in statute. Currently, an injured
employee who is receiving the maximum weekly benefit in effect at the time of the
injury for permanent total disability or continuous temporary total disability
resulting from an injury that occurred before January 1, 1978, is entitled to receive
supplemental benefits in an amount that, when added to the employee's regular
benefits, equals $202. This bill makes an employee who is injured prior to May 13,
1980, eligible for those supplemental benefits. The bill also increases the
supplemental benefit amount for a week of disability occurring after January 1,
2004, to an amount that, when added to the employee's regular benefits, equals $233.
Work injury supplemental benefit fund
Under current law, if an otherwise meritorious claim is barred by the statute
of limitations, if the status or existence of the employer or insurer cannot be
determined, or if there is otherwise no adequate remedy, DWD, in lieu of worker's
compensation benefits, may direct payment from the work injury supplemental
benefit fund of such compensation and such medical expenses as would otherwise be
due to or on behalf of the injured employee. The work injury supplemental benefit
fund consists of moneys that an employer or insurer is required to pay into the state
treasury in cases of injuries resulting in death or in the loss or total impairment of
a hand, arm, foot, leg, or eye. Specifically, current law requires an employer to pay
into the state treasury $5,000 in each case of injury resulting in death and $7,000 in
each case of injury resulting in the loss or total impairment of a hand, arm, foot, leg,
or eye. This bill increases those amounts to $10,000.
Examinations and treatment
Under current law, whenever an employee claims worker's compensation, the
employee must, on the request of his or her employer or the employer's worker's
compensation carrier, submit to reasonable examinations by physicians,
chiropractors, psychologists, dentists, or podiatrists (practitioners) provided and
paid for by the employer or insurer. Currently, an employee is entitled to have a
practitioner provided by himself or herself present at the examination and to receive
a copy of all reports of the examination. Also, under current law, if two or more
practitioners disagree as to the extent of an injured employee's temporary disability,
the end of the employee's healing period, the employee's ability to return to work, or
the necessity of further treatment or for a particular type of treatment, DWD may
appoint another practitioner to examine the employee and render an opinion. In
addition, under current law, a certified report of a practitioner who has examined or
treated an injured employee is admissible as evidence of the diagnosis, the necessity
of treatment, and the cause and extent of disability of the injured employee, except
that a certified report of a dentist is admissible as evidence of the diagnosis and the
necessity of treatment, but not of the cause and extent of disability, of the injured
employee. Furthermore, under current law, if the testimony presented at a hearing
indicates a dispute or creates a doubt as to the extent or cause of an employee's
disability or death, DWD may direct that the injured employee be examined, that an
autopsy be performed, or that an opinion be obtained by an impartial, competent
practitioner. Finally, under current law, subject to certain exceptions, when an
employer has notice of an employee's injury and its relationship to the employee's
employment, the employer must offer to the employee his or her choice of any
practitioner licensed to practice in this state and practicing in this state for
treatment of the injury.
This bill includes physician assistants and advanced practice nurse prescribers
among the practitioners to which the provisions of current law relating to
examination and treatment of an injured employee apply, except as follows:
1. The bill does not permit DWD to appoint a physician assistant or an
advanced practice nurse prescriber to examine an injured employee and render an
opinion, if two or more practitioners disagree as to the extent of the employee's
temporary disability, the end of the employee's healing period, the employee's ability
to return to work, or the necessity of further treatment or for a particular type of
treatment.
2. The bill does not permit DWD to direct that an injured employee be examined
by, that an autopsy be performed by, or that an opinion be obtained from a physician
assistant or an advanced practice nurse prescriber, if the testimony at a hearing
indicates a dispute or creates a doubt as to the extent or cause of an employee's
disability or death.
3. The bill provides that a certified report of a physician assistant or an
advanced practice nurse prescriber who has examined or treated an injured
employee is admissible as evidence of the diagnosis and necessity of treatment, but
not of the cause and extent of disability, of the injured employee.
Under current law, a physician assistant is a person licensed to provide medical
care with physician supervision and direction, and an advanced practice nurse
prescriber is an advanced practice nurse who is certified to prescribe drugs.
Uninsured employer payments
Under current law, if an employee of an employer that is not insured or
self-insured as required by the worker's compensation law suffers an injury for
which the employer is liable under that law, DWD or a reinsurer retained by DWD
must pay to the injured employee or the employee's dependents benefits in an
amount equal to the worker's compensation that is owed by the uninsured employer,
and the uninsured employer must reimburse DWD for the amount of benefits paid,
less any amounts that the employee repays DWD from any compensation recovered
from the uninsured employer or a third party. This bill requires an uninsured
employer, in addition, to reimburse DWD for any expenses paid by DWD in
administering the employee's claim.
Program administration
Current law requires employers that are subject to the worker's compensation
law to keep records of all accidents causing death or disability of an employee while
performing services growing out of and incidental to the employee's employment;
requires insurers and self-insured employers to keep records of all payments made
under the worker's compensation law; and requires reports based on those records
to be furnished to DWD at the times and in the manner that DWD may require by
rule or general order. An employer or insurer that fails to keep those records or to
make those reports is subject to a forfeiture of not less than $10 nor more than $100
for each offense. This bill permits DWD to waive or reduce a forfeiture imposed for
failure to keep those records or to make those reports if the employer or insurer
requests a waiver or reduction of the forfeiture within 45 days after notice of the
forfeiture is mailed to the employer or insurance company and shows that the
violation was due to mistake or an absence of information.
Under current law, if an insurer cancels or terminates a worker's compensation
insurance policy, the insurer must provide notice of the cancellation or termination
to DWD or, if DWD so provides by rule, to the Wisconsin Compensation Rating
Bureau (WCRB), which is a rate service organization licensed by the Commissioner
of Insurance to establish worker's compensation premium rates. Currently, notice
of cancellation or termination of a worker's compensation insurance policy may be
served personally on DWD at its office in Madison or sent to DWD or WCRB by
certified mail or facsimile machine transmission. This bill permits that notice, in
addition, to be send to DWD or WCRB by electronic mail or by any electronic,
magnetic, or other medium approved by DWD.
For further information see the state and local fiscal estimate, which will be
printed as an appendix to this bill.
The people of the state of Wisconsin, represented in senate and assembly, do
enact as follows:
AB669, s. 1
1Section
1. 102.13 (1) (a) of the statutes is amended to read:
AB669,6,122
102.13
(1) (a) Except as provided in sub. (4), whenever compensation is claimed
3by an employee, the employee shall, upon the written request of the employee's
4employer or worker's compensation insurer, submit to reasonable examinations by
5physicians, chiropractors, psychologists, dentists
, physician assistants, advanced
6practice nurse prescribers, or podiatrists provided and paid for by the employer or
7insurer. No employee who submits to an examination under this paragraph is a
8patient of the examining physician, chiropractor, psychologist, dentist
, physician
9assistant, advanced practice nurse prescriber, or podiatrist for any purpose other
10than for the purpose of bringing an action under ch. 655, unless the employee
11specifically requests treatment from that physician, chiropractor, psychologist,
12dentist
, physician assistant, advanced practice nurse prescriber, or podiatrist.
AB669, s. 2
13Section
2. 102.13 (1) (b) (intro.) of the statutes is amended to read:
AB669,7,614
102.13
(1) (b) (intro.) An employer or insurer who requests that an employee
15submit to reasonable examination under par. (a) or (am) shall tender to the employee,
16before the examination, all necessary expenses including transportation expenses.
17The employee is entitled to have a physician, chiropractor, psychologist, dentist
,
18physician assistant, advanced practice nurse prescriber, or podiatrist provided by
19himself or herself present at the examination and to receive a copy of all reports of
20the examination that are prepared by the examining physician, chiropractor,
21psychologist, podiatrist, dentist
, physician assistant, advanced practice nurse
1prescriber, or vocational expert immediately upon receipt of those reports by the
2employer or worker's compensation insurer. The employee is also entitled to have
3a translator provided by himself or herself present at the examination if the
4employee has difficulty speaking or understanding the English language. The
5employer's or insurer's written request for examination shall notify the employee of
6all of the following:
AB669, s. 3
7Section
3. 102.13 (1) (b) 1. of the statutes is amended to read:
AB669,7,118
102.13
(1) (b) 1. The proposed date, time
, and place of the examination and the
9identity and area of specialization of the examining physician, chiropractor,
10psychologist, dentist, podiatrist
, physician assistant, advanced practice nurse
11prescriber, or vocational expert.
AB669, s. 4
12Section
4. 102.13 (1) (b) 3. of the statutes is amended to read:
AB669,7,1513
102.13
(1) (b) 3. The employee's right to have his or her physician, chiropractor,
14psychologist, dentist
, physician assistant, advanced practice nurse prescriber, or
15podiatrist present at the examination.
AB669, s. 5
16Section
5. 102.13 (1) (b) 4. of the statutes is amended to read:
AB669,7,2117
102.13
(1) (b) 4. The employee's right to receive a copy of all reports of the
18examination that are prepared by the examining physician, chiropractor,
19psychologist, dentist, podiatrist
, physician assistant, advanced practice nurse
20prescriber, or vocational expert immediately upon receipt of these reports by the
21employer or worker's compensation insurer.
AB669, s. 6
22Section
6. 102.13 (1) (d) 1. of the statutes is amended to read:
AB669,8,223
102.13
(1) (d) 1. Any physician, chiropractor, psychologist, dentist, podiatrist
,
24physician assistant, advanced practice nurse prescriber, or vocational expert who is
1present at any examination under par. (a) or (am) may be required to testify as to the
2results
thereof of the examination.
AB669, s. 7
3Section
7. 102.13 (1) (d) 2. of the statutes is amended to read:
AB669,8,84
102.13
(1) (d) 2. Any physician, chiropractor, psychologist, dentist
, physician
5assistant, advanced practice nurse prescriber, or podiatrist who attended a worker's
6compensation claimant for any condition or complaint reasonably related to the
7condition for which the claimant claims compensation may be required to testify
8before the department when
it the department so directs.
AB669, s. 8
9Section
8. 102.13 (1) (d) 3. of the statutes is amended to read:
AB669,8,1610
102.13
(1) (d) 3. Notwithstanding any statutory provisions except par. (e), any
11physician, chiropractor, psychologist, dentist
, physician assistant, advanced
12practice nurse prescriber, or podiatrist attending a worker's compensation claimant
13for any condition or complaint reasonably related to the condition for which the
14claimant claims compensation may furnish to the employee, employer, worker's
15compensation insurer, or the department information and reports relative to a
16compensation claim.
AB669, s. 9
17Section
9. 102.13 (1) (d) 4. of the statutes is amended to read:
AB669,8,2218
102.13
(1) (d) 4. The testimony of any physician, chiropractor, psychologist,
19dentist
, physician assistant, advanced practice nurse prescriber, or podiatrist who
20is licensed to practice where he or she resides or practices in any state and the
21testimony of any vocational expert may be received in evidence in compensation
22proceedings.
AB669, s. 10
23Section
10. 102.13 (2) (a) of the statutes is amended to read:
AB669,9,924
102.13
(2) (a) An employee who reports an injury alleged to be work-related
25or files an application for hearing waives any physician-patient,
1psychologist-patient or chiropractor-patient privilege with respect to any condition
2or complaint reasonably related to the condition for which the employee claims
3compensation. Notwithstanding ss. 51.30 and 146.82 and any other law, any
4physician, chiropractor, psychologist, dentist, podiatrist,
physician assistant,
5advanced practice nurse prescriber, hospital
, or health care provider shall, within a
6reasonable time after written request by the employee, employer, worker's
7compensation insurer
, or department or its representative, provide that person with
8any information or written material reasonably related to any injury for which the
9employee claims compensation.
AB669, s. 11
10Section
11. 102.13 (2) (b) of the statutes is amended to read:
AB669,9,2011
102.13
(2) (b) A physician, chiropractor, podiatrist, psychologist, dentist,
12physician assistant, advanced practice nurse prescriber, hospital
, or health service
13provider shall furnish a legible, certified duplicate of the written material requested
14under par. (a) upon payment of the actual costs of preparing the certified duplicate,
15not to exceed the greater of 45 cents per page or $7.50 per request, plus the actual
16costs of postage. Any person who refuses to provide certified duplicates of written
17material in the person's custody that is requested under par. (a) shall be liable for
18reasonable and necessary costs and, notwithstanding s. 814.04 (1), reasonable
19attorney fees incurred in enforcing the requester's right to the duplicates under par.
20(a).
AB669, s. 12
21Section
12. 102.16 (2) (a) of the statutes is amended to read:
AB669,9,2522
102.16
(2) (a)
The Except as provided in this paragraph, the department has
23jurisdiction under this subsection, sub. (1m) (a)
, and s. 102.17 to resolve a dispute
24between a health service provider and an insurer or self-insured employer over the
25reasonableness of a fee charged by the health service provider for health services
1provided to an injured employee who claims benefits under this chapter.
A health
2service provider may not submit a fee dispute to the department under this
3subsection before all treatment by the health service provider of the employee's
4injury has ended if the amount in controversy, whether based on a single charge or
5a combination of charges for one or more days of service, is less than $25. After all
6treatment by a health service provider of an employee's injury has ended, the health
7service provider may submit any fee dispute to the department, regardless of the
8amount in controversy. The department shall deny payment of a health service fee
9that the department determines under this subsection, sub. (1m) (a)
, or s. 102.18 (1)
10(b) to be unreasonable.
AB669,10,23
11(am) A health service provider and an insurer or self-insured employer that
12are parties to a fee dispute under this subsection are bound by the department's
13determination under this subsection on the reasonableness of the disputed fee,
14unless that determination is set aside on judicial review as provided in par. (f). A
15health service provider and an insurer or self-insured employer that are parties to
16a fee dispute under sub. (1m) (a) are bound by the department's determination under
17sub. (1m) (a) on the reasonableness of the disputed fee, unless that determination is
18set aside or modified by the department under sub. (1). An insurer or self-insured
19employer that is a party to a fee dispute under s. 102.17 and a health service provider
20are bound by the department's determination under s. 102.18 (1) (b) on the
21reasonableness of the disputed fee, unless that determination is set aside, reversed
, 22or modified by the department under s. 102.18 (3) or by the commission under s.
23102.18 (3) or (4) or is set aside on judicial review under s. 102.23.
AB669, s. 13
24Section
13. 102.16 (2) (d) of the statutes is amended to read:
AB669,11,14
1102.16
(2) (d) The department shall analyze the information provided to the
2department under par. (c) according to the criteria provided in this paragraph to
3determine the reasonableness of the disputed fee. The department shall determine
4that a disputed fee is reasonable and order that the disputed fee be paid if that fee
5is at or below the mean fee for the health service procedure for which the disputed
6fee was charged, plus
1.5 1.4 standard deviations from that mean, as shown by data
7from a database that is certified by the department under par. (h). The department
8shall determine that a disputed fee is unreasonable and order that a reasonable fee
9be paid if the disputed fee is above the mean fee for the health service procedure for
10which the disputed fee was charged, plus
1.5 1.4 standard deviations from that mean,
11as shown by data from a database that is certified by the department under par. (h),
12unless the health service provider proves to the satisfaction of the department that
13a higher fee is justified because the service provided in the disputed case was more
14difficult or more complicated to provide than in the usual case.
AB669, s. 14
15Section
14. 102.16 (2) (f) of the statutes is amended to read:
AB669,11,2416
102.16
(2) (f)
The Within 30 days after a determination under this subsection,
17the department may set aside, reverse
, or modify
a determination under this
18subsection within 30 days after the date of the determination
for any reason that the
19department considers sufficient. Within 60 days after a determination under this
20subsection, the department may set aside, reverse, or modify the determination on
21grounds of mistake. A health service provider, insurer
, or self-insured employer that
22is aggrieved by a determination of the department under this subsection may seek
23judicial review of that determination in the same manner that compensation claims
24are reviewed under s. 102.23.
AB669, s. 15
25Section
15. 102.16 (2m) (a) of the statutes is amended to read:
AB669,12,14
1102.16
(2m) (a)
The Except as provided in this paragraph, the department has
2jurisdiction under this subsection, sub. (1m) (b)
, and s. 102.17 to resolve a dispute
3between a health service provider and an insurer or self-insured employer over the
4necessity of treatment provided for an injured employee who claims benefits under
5this chapter.
A health service provider may not submit a dispute over necessity of
6treatment to the department under this subsection before all treatment by the health
7service provider of the employee's injury has ended if the amount in controversy,
8whether based on a single charge or a combination of charges for one or more days
9of service, is less than $25. After all treatment by a health service provider of an
10employee's injury has ended, the health service provider may submit any dispute
11over necessity of treatment to the department, regardless of the amount in
12controversy. The department shall deny payment for any treatment that the
13department determines under this subsection, sub. (1m) (b)
, or s. 102.18 (1) (b) to be
14unnecessary.
AB669,13,3
15(am) A health service provider and an insurer or self-insured employer that
16are parties to a dispute under this subsection over the necessity of treatment are
17bound by the department's determination under this subsection on the necessity of
18that treatment, unless that determination is set aside on judicial review as provided
19in par. (e). A health service provider and an insurer or self-insured employer that
20are parties to a dispute under sub. (1m) (b) over the necessity of treatment are bound
21by the department's determination under sub. (1m) (b) on the necessity of that
22treatment, unless that determination is set aside or modified by the department
23under sub. (1). An insurer or self-insured employer that is a party to a dispute under
24s. 102.17 over the necessity of treatment and a health service provider are bound by
25the department's determination under s. 102.18 (1) (b) on the necessity of that
1treatment, unless that determination is set aside, reversed or modified by the
2department under s. 102.18 (3) or by the commission under s. 102.18 (3) or (4) or is
3set aside on judicial review under s. 102.23.
AB669, s. 16
4Section
16. 102.16 (2m) (e) of the statutes is amended to read:
AB669,13,135
102.16
(2m) (e)
The Within 30 days after a determination under this
6subsection, the department may set aside, reverse
, or modify
a determination under
7this subsection within 30 days after the date of the determination
for any reason that
8the department considers sufficient. Within 60 days after a determination under
9this subsection, the department may set aside, reverse, or modify the determination
10on grounds of mistake. A health service provider, insurer
, or self-insured employer
11that is aggrieved by a determination of the department under this subsection may
12seek judicial review of that determination in the same manner that compensation
13claims are reviewed under s. 102.23.
AB669, s. 17
14Section
17. 102.17 (1) (d) of the statutes is renumbered 102.17 (1) (d) 1. and
15amended to read:
AB669,14,1116
102.17
(1) (d) 1. The contents of certified medical and surgical reports by
17physicians, podiatrists, surgeons, dentists, psychologists
, physician assistants,
18advanced practice nurse prescribers, and chiropractors licensed in and practicing in
19this state
, and of certified reports by experts concerning loss of earning capacity
20under s. 102.44 (2) and (3), presented by a party for compensation constitute prima
21facie evidence as to the matter contained in
them
those reports, subject to any rules
22and limitations the department prescribes. Certified reports of physicians,
23podiatrists, surgeons, dentists, psychologists
, physician assistants, advanced
24practice nurse prescribers, and chiropractors, wherever licensed and practicing, who
25have examined or treated the claimant, and of experts, if the practitioner or expert
1consents to
subject himself or herself being subjected to cross-examination also
2constitute prima facie evidence as to the matter contained in
them those reports.
3Certified reports of physicians, podiatrists, surgeons, psychologists
, and
4chiropractors are admissible as evidence of the diagnosis, necessity of the treatment
, 5and cause and extent of the disability. Certified reports by doctors of dentistry
,
6physician assistants, and advanced practice nurse prescribers are admissible as
7evidence of the diagnosis and necessity
for of treatment but not of
the cause and
8extent of disability. Any physician, podiatrist, surgeon, dentist, psychologist,
9chiropractor
, physician assistant, advanced practice nurse prescriber, or expert who
10knowingly makes a false statement of fact or opinion in such a certified report may
11be fined or imprisoned, or both, under s. 943.395.
AB669,14,22
122. The record of a hospital or sanatorium in this state
operated by any
13department or agency of the federal or state government or by any municipality, or
14of any other hospital or sanatorium in this state which that is satisfactory to the
15department, established by certificate, affidavit
, or testimony of the supervising
16officer
or of the hospital or sanitorium, any other person having charge of
such
17records the record, or
of a physician, podiatrist, surgeon, dentist, psychologist
,
18physician assistant, advanced practice nurse prescriber, or chiropractor to be the
19record of the patient in question, and made in the regular course of examination or
20treatment of
such the patient, constitutes prima facie evidence
in any worker's
21compensation proceeding as to the matter contained in
it the record, to the extent
22that
it the record is otherwise competent and relevant.
AB669,15,4
233. The department may, by rule, establish the qualifications of and the form
24used for certified reports submitted by experts who provide information concerning
25loss of earning capacity under s. 102.44 (2) and (3). The department may not admit
1into evidence a certified report of a practitioner or other expert or a record of a
2hospital or sanatorium that was not filed with the department and all parties in
3interest at least 15 days before the date of the hearing, unless the department is
4satisfied that there is good cause for the failure to file the report.
AB669, s. 18
5Section
18. 102.17 (1) (g) of the statutes is amended to read:
AB669,15,196
102.17
(1) (g) Whenever the testimony presented at any hearing indicates a
7dispute
, or is such as to create or creates a doubt as to the extent or cause of disability
8or death, the department may direct that the injured employee be examined
or, that
9an autopsy be performed, or
that an opinion
of a physician, chiropractor, dentist,
10psychologist or podiatrist be obtained without examination or autopsy, by
or from an
11impartial, competent physician, chiropractor, dentist, psychologist or podiatrist
12designated by the department who is not under contract with or regularly employed
13by a compensation insurance carrier or self-insured employer. The expense of
such 14the examination
, autopsy, or opinion shall be paid by the employer or, if the employee
15claims compensation under s. 102.81, from the uninsured employers fund. The
16report of
such the examination
, autopsy, or opinion shall be transmitted in writing
17to the department and a copy
thereof of the report shall be furnished by the
18department to each party, who shall have an opportunity to rebut such report on
19further hearing.
AB669, s. 19
20Section
19. 102.18 (1) (e) of the statutes is amended to read:
AB669,16,221
102.18
(1) (e) Except as provided in s. 102.21, if the department orders a party
22to pay an award of compensation, the party shall pay the award no later than 21 days
23after the date on which the order is mailed to the last-known address of the party,
24unless
a the party files a petition for review under sub. (3). This paragraph applies
25to all awards of compensation ordered by the department, whether the award results
1from a hearing, the default of a party, or a compromise or stipulation confirmed by
2the department.
AB669, s. 20
3Section
20. 102.29 (3) of the statutes is amended to read:
AB669,16,84
102.29
(3) Nothing in this chapter shall prevent an employee from taking the
5compensation
he or she that the employee may be entitled to under
it this chapter 6and also maintaining a civil action against any physician, chiropractor, psychologist,
7dentist
, physician assistant, advanced practice nurse prescriber, or podiatrist for
8malpractice.
AB669, s. 21
9Section
21. 102.31 (2) (a) of the statutes is amended to read:
AB669,17,1010
102.31
(2) (a) No party to a contract of insurance may cancel
it the contract 11within the contract period or terminate or not renew
it the contract upon the
12expiration date until a notice in writing is given to the other party fixing the proposed
13date of cancellation or declaring that the party intends to terminate or does not
14intend to renew the policy upon expiration. Except as provided in par. (b), when an
15insurance company does not renew a policy upon expiration, the nonrenewal is not
16effective until 60 days after the insurance company has given written notice of the
17nonrenewal to the insured employer and the department. Cancellation or
18termination of a policy by an insurance company for any reason other than
19nonrenewal is not effective until 30 days after the insurance company has given
20written notice of the cancellation or termination to the insured employer and the
21department. Notice to the department may be given
either by personal service of the
22notice upon the department at its office in Madison
or
, by sending the notice by
23facsimile machine transmission or certified mail addressed to the department at its
24office in Madison
, or by transmitting the notice to the department at its office in
25Madison by facsimile machine transmission, electronic mail, or any electronic,
1magnetic, or other medium approved by the department. The department may
2provide by rule that the notice of cancellation or termination be given
by certified
3mail or facsimile machine transmission to the Wisconsin compensation rating
4bureau rather than to the department
and that the notice of cancellation or
5termination be given to the Wisconsin compensation rating bureau by certified mail,
6facsimile machine transmission, electronic mail, or other medium approved by the
7department after consultation with the Wisconsin compensation rating bureau.
8Whenever the Wisconsin compensation rating bureau receives such a notice of
9cancellation or termination it shall immediately notify the department of the notice
10of cancellation or termination.
AB669, s. 22
11Section
22. 102.32 (6) of the statutes is renumbered 102.32 (6) (a) and
12amended to read:
AB669,17,1613
102.32
(6) (a) If compensation is due for permanent disability following an
14injury or if death benefits are payable, payments shall be made to the employee or
15dependent on a monthly basis
. Compensation for permanent disability that results
16from an injury for which as provided in pars. (b) to (e).
AB669,17,22
17(b) Subject to par. (d), if the employer or the employer's insurer concedes
18liability
and that is for an injury that results in permanent disability and if the extent
19of the permanent disability can be determined based on a minimum permanent
20disability rating promulgated by the department by rule
, compensation for
21permanent disability shall begin within 30 days after the end of the employee's
22healing period
or.
AB669,18,13
23(c) Subject to par. (d), if the employer or the employer's insurer concedes
24liability for an injury that results in permanent disability, but the extent of the
25permanent disability cannot be determined without a medical report that provides
1the basis for a minimum permanent disability rating, compensation for permanent
2disability shall begin within 30 days after the employer or the employer's insurer
3receives a medical report that provides a
basis for a permanent disability rating
,
4whichever is later. Compensation for permanent disability that results from an
5injury for which the employer or the employer's insurer does not concede liability or
6that is based on a permanent disability rating that is above a minimum permanent
7disability rating promulgated by the department by rule shall begin within the later
8of those 30-day periods unless within the later of those 30-day periods the employer
9or insurer notifies the employee that the employer or insurer is requesting an
10examination under s. 102.13 (1) (a), in which case compensation for permanent
11disability shall begin within 30 days after the employer or insurer receives the report
12of the examination or within 90 days after the date of the request for the
13examination, whichever is earlier.
AB669,18,18
14(e) Payments for permanent disability, including payments based on minimum
15permanent disability ratings promulgated by the department by rule, shall continue
16on a monthly basis and shall accrue and be payable between intermittent periods of
17temporary disability so long as the employer or insurer knows the nature of the
18permanent disability.
AB669, s. 23
19Section
23. 102.32 (6) (d) of the statutes is created to read:
AB669,18,2320
102.32
(6) (d) The department shall promulgate rules for determining when
21compensation for permanent disability shall begin in cases in which the employer or
22the employer's insurer concedes liability, but disputes the extent of permanent
23disability.
AB669, s. 24
24Section
24. 102.32 (6m) of the statutes is amended to read:
AB669,19,6
1102.32
(6m) The department may direct an advance on a payment of unaccrued
2compensation
for permanent disability or death benefits if the department
3determines that the advance payment is in the best interest of the injured employee
4or the employee's dependents. In directing the advance, the department shall give
5the employer or the employer's insurer an interest credit against its liability. The
6credit shall be computed at 7%.
AB669, s. 25
7Section
25. 102.35 (1) of the statutes is amended to read:
AB669,19,158
102.35
(1) Every employer and every insurance company that fails to keep the
9records or to make the reports required by this chapter or that knowingly falsifies
10such records or makes false reports shall forfeit to the state not less than $10 nor
11more than $100 for each offense.
The department may waive or reduce a forfeiture
12imposed under this subsection if the employer or insurance company that violated
13this subsection requests a waiver or reduction of the forfeiture within 45 days after
14notice of the forfeiture is mailed to the employer or insurance company and shows
15that the violation was due to mistake or an absence of information.
AB669, s. 26
16Section
26. 102.42 (2) (a) of the statutes is amended to read:
AB669,20,417
102.42
(2) (a)
Where When the employer has notice of an injury and its
18relationship to the employment
, the employer shall offer to the injured employee his
19or her choice of any physician, chiropractor, psychologist, dentist
, physician
20assistant, advanced practice nurse prescriber, or podiatrist licensed to practice and
21practicing in this state for treatment of the injury. By mutual agreement, the
22employee may have the choice of any qualified practitioner not licensed in this state.
23In case of emergency, the employer may arrange for treatment without tendering a
24choice. After the emergency has passed the employee shall be given his or her choice
25of attending practitioner at the earliest opportunity. The employee has the right to
1a 2nd choice of attending practitioner on notice to the employer or its insurance
2carrier. Any further choice shall be by mutual agreement. Partners and clinics are
3deemed considered to be one practitioner. Treatment by a practitioner on referral
4from another practitioner is
deemed considered to be treatment by one practitioner.
AB669, s. 27
5Section
27. 102.44 (1) (intro.) of the statutes is amended to read:
AB669,20,156
102.44
(1) (intro.) Notwithstanding any other provision of this chapter, every
7employee who is receiving compensation under this chapter for permanent total
8disability or continuous temporary total disability more than 24 months after the
9date of injury resulting from an injury which occurred prior to
January 1, 1978, May
1013, 1980, shall receive supplemental benefits which shall be payable in the first
11instance by the employer or the employer's insurance carrier, or in the case of
12benefits payable to an employee under s. 102.66, shall be paid by the department out
13of the fund created under s. 102.65. These supplemental benefits shall be paid only
14for weeks of disability occurring after January 1,
1980 1982, and shall continue
15during the period of such total disability subsequent to that date.
AB669, s. 28
16Section
28. 102.44 (1) (a) of the statutes is amended to read:
AB669,20,2017
102.44
(1) (a) If such employee is receiving the maximum weekly benefits in
18effect at the time of the injury, the supplemental benefit for a week of disability
19occurring after January 1,
2002 2004, shall be an amount which, when added to the
20regular benefit established for the case, shall equal
$202 $233.
AB669, s. 29
21Section
29. 102.44 (1) (b) of the statutes is amended to read: