SB673,1 1Section 1 . 20.005 (3) (schedule) of the statutes: at the appropriate place, insert
2the following amounts for the purposes indicated: - See PDF for table PDF - See PDF for table PDF - See PDF for table PDF - See PDF for table PDF
SB673,2 3Section 2 . 20.445 (1) (ra) of the statutes is amended to read:
SB673,7,44 20.445 (1) (ra) Worker's compensation operations fund; administration. From
5the worker's compensation operations fund, the amounts in the schedule for the
6administration of the worker's compensation program by the department, for
7assistance to the department of justice in investigating and prosecuting fraudulent
8activity related to worker's compensation, for transfer to the uninsured employers
9fund under s. 102.81 (1) (c), and for transfer to the appropriation accounts under par.
10(rp) and s. 20.427 (1) (ra). All moneys received under ss. 102.28 (2) (b) and 102.75
11(1) shall be credited to this appropriation account. From this appropriation, an
12amount not to exceed $5,000 may be expended each fiscal year for payment of
13expenses for travel and research by the council on worker's compensation, an amount
14not to exceed $500,000 may be transferred in each fiscal year to the uninsured

1employers fund under s. 102.81 (1) (c), the amount in the schedule under par. (rp)
2shall be transferred to the appropriation account under par. (rp), and the amount in
3the schedule under s. 20.427 (1) (ra) shall be transferred to the appropriation account
4under s. 20.427 (1) (ra).
SB673,3 5Section 3 . 20.445 (1) (rc) of the statutes is created to read:
SB673,7,106 20.445 (1) (rc) Worker's compensation operations fund; supplemental benefits.
7From the worker's compensation operations fund, the amounts in the schedule for
8providing reimbursement to insurance carriers paying supplemental benefits under
9s. 102.44 (1) (c). All moneys received under s. 102.75 (1g) shall be credited to this
10appropriation account.
SB673,4 11Section 4 . 20.445 (1) (sm) of the statutes is amended to read:
SB673,7,1812 20.445 (1) (sm) Uninsured employers fund; payments. From the uninsured
13employers fund, a sum sufficient to make all moneys received from sources identified
14under s. 102.80 (1m) for the purpose of making
the payments under s. 102.81 (1) and
15to obtain reinsurance under s. 102.81 (2). No moneys may be expended or
16encumbered under this paragraph until the first day of the first July beginning after
17the day that the secretary of workforce development files the certificate under s.
18102.80 (3) (a).
SB673,5 19Section 5. 40.65 (2) (a) of the statutes is amended to read:
SB673,8,920 40.65 (2) (a) This paragraph applies to participants who first apply for benefits
21before May 3, 1988. Any person desiring a benefit under this section must apply to
22the department of workforce development, which department shall determine
23whether the applicant is eligible to receive the benefit and the participant's monthly
24salary. Appeals from the eligibility decision shall follow the procedures under ss.
25102.16 to 102.26. If it is determined that an applicant is eligible, the department of

1workforce development shall notify the department of employee trust funds and
2shall certify the applicant's monthly salary. If at the time of application for benefits
3an applicant is still employed in any capacity by the employer in whose employ the
4disabling injury occurred or disease was contracted, that continued employment
5shall not affect that applicant's right to have his or her eligibility to receive those
6benefits determined in proceedings before the division of hearings and appeals in the
7department of administration
department of workforce development or the labor and
8industry review commission or in proceedings in the courts. The department of
9workforce development may promulgate rules needed to administer this paragraph.
SB673,6 10Section 6. 40.65 (2) (b) 3. of the statutes is amended to read:
SB673,8,1511 40.65 (2) (b) 3. The department shall determine whether or not the applicant
12is eligible for benefits under this section on the basis of the evidence in subd. 2. An
13applicant may appeal a determination under this subdivision to the division of
14hearings and appeals in the department of administration
department of workforce
15development
.
SB673,7 16Section 7. 40.65 (2) (b) 4. of the statutes is amended to read:
SB673,8,1917 40.65 (2) (b) 4. In hearing an appeal under subd. 3., the division of hearings and
18appeals in the department of administration
department of workforce development
19shall follow the procedures under ss. 102.16 to 102.26.
SB673,8 20Section 8 . 46.275 (4m) of the statutes is amended to read:
SB673,9,221 46.275 (4m) Worker's compensation coverage. An individual who is
22performing services for a person receiving long-term care benefits under this section
23on a self-directed basis and who does not otherwise have worker's compensation
24coverage for those services is considered, for purposes of worker's compensation

1coverage,
to be an employee of the entity that is providing financial management
2services for that person.
SB673,9 3Section 9 . 46.277 (3r) of the statutes is amended to read:
SB673,9,94 46.277 (3r) Worker's compensation coverage. An individual who is
5performing services for a person receiving long-term care benefits under this section
6on a self-directed basis and who does not otherwise have worker's compensation
7coverage for those services is considered, for purposes of worker's compensation
8coverage,
to be an employee of the entity that is providing financial management
9services for that person.
SB673,10 10Section 10 . 46.281 (1k) of the statutes is amended to read:
SB673,9,1611 46.281 (1k) Worker's compensation coverage. An individual who is
12performing services for a person receiving the Family Care benefit, or benefits under
13Family Care Partnership, on a self-directed basis and who does not otherwise have
14worker's compensation coverage for those services is considered, for purposes of
15worker's compensation coverage,
to be an employee of the entity that is providing
16financial management services for that person.
SB673,11 17Section 11 . 46.2897 (3) of the statutes is amended to read:
SB673,9,2218 46.2897 (3) Worker's compensation coverage. An individual who is
19performing services for a person participating in the self-directed services option
20and who does not otherwise have worker's compensation coverage for those services
21is considered, for purposes of worker's compensation coverage, to be an employee of
22the entity that is providing financial management services for that person.
SB673,12 23Section 12 . 46.995 (3) of the statutes is amended to read:
SB673,9,2524 46.995 (3) An individual who is performing services for a person receiving
25long-term care benefits under any children's long-term support waiver program on

1a self-directed basis and who does not otherwise have worker's compensation
2coverage for those services is considered, for purposes of worker's compensation
3coverage,
to be an employee of the entity that is providing financial management
4services for that person.
SB673,13 5Section 13. 102.01 (2) (ad) of the statutes is repealed.
SB673,14 6Section 14. 102.01 (2) (ar) of the statutes is repealed.
SB673,15 7Section 15. 102.01 (2) (dm) of the statutes is amended to read:
SB673,10,108 102.01 (2) (dm) “Order" means any decision, rule, regulation, direction,
9requirement, or standard of the department or the division, or any other
10determination arrived at or decision made by the department or the division.
SB673,16 11Section 16 . 102.04 (1) (b) 1. of the statutes is amended to read:
SB673,10,1712 102.04 (1) (b) 1. Every person who usually at any time employs 3 or more
13employees for services performed in this state, whether in one or more trades,
14businesses, professions, or occupations, and whether in one or more locations. A
15person who employs 3 or more employees for services performed in this state becomes
16subject to this chapter on the day on which the person employs 3 or more such
17employees.
SB673,17 18Section 17 . 102.04 (1) (b) 2. of the statutes is amended to read:
SB673,10,2219 102.04 (1) (b) 2. Every person who usually employs less fewer than 3
20employees, provided the person has paid wages of $500 or more in any calendar
21quarter for services performed in this state. Such employer a person shall become
22subject to this chapter on the 10th day of the month next succeeding such quarter.
SB673,18 23Section 18 . 102.04 (2g) of the statutes is created to read:
SB673,11,3
1102.04 (2g) Liability under s. 102.03 with respect to a leased employee, as
2defined in s. 102.315 (1) (g), shall be determined as provided in s. 102.315 (2) or (2m)
3(c), whichever is applicable.
SB673,19 4Section 19 . 102.04 (2m) of the statutes is amended to read:
SB673,11,155 102.04 (2m) A Except as otherwise provided in an employee leasing agreement
6that meets the requirements of s. 102.315 (2m), a
temporary help agency is the
7employer of an employee whom the temporary help agency has placed with or leased
8to another employer that compensates the temporary help agency for the employee's
9services. A Except as provided in s. 102.315 (2m) (c), a temporary help agency is
10liable under s. 102.03 for all compensation and other payments payable under this
11chapter to or with respect to that employee, including any payments required under
12s. 102.16 (3), 102.18 (1) (b) 3. or (bp), 102.22 (1), 102.35 (3), 102.57, or 102.60. Except
13as permitted under s. 102.29, a temporary help agency may not seek or receive
14reimbursement from another employer for any payments made as a result of that
15liability.
SB673,20 16Section 20. 102.04 (2r) (b) of the statutes is amended to read:
SB673,11,2017 102.04 (2r) (b) The franchisor has been found by the department or the division
18to have exercised a type or degree of control over the franchisee or the franchisee's
19employees that is not customarily exercised by a franchisor for the purpose of
20protecting the franchisor's trademarks and brand.
SB673,21 21Section 21. 102.07 (8) (c) of the statutes is amended to read:
SB673,11,2522 102.07 (8) (c) The division department may not admit in evidence any state or
23federal law, regulation, or document granting operating authority , or a license when
24determining whether an independent contractor meets the conditions specified in
25par. (b) 1. or 3.
SB673,22
1Section 22. 102.11 (1) (am) 1. of the statutes is amended to read:
SB673,12,82 102.11 (1) (am) 1. The employee is a member of a class of employees that does
3the same type of work at the same location and, in the case of an employee in the
4service of the state, is employed in the same office, department, independent agency,
5authority, institution, association, society, or other body in state government or, if the
6department or the division determines appropriate, in the same subunit of an office,
7department, independent agency, authority, institution, association, society, or other
8body in state government.
SB673,23 9Section 23. 102.12 of the statutes is amended to read:
SB673,13,3 10102.12 Notice of injury, exception, laches. No claim for compensation may
11be maintained unless, within 30 days after the occurrence of the injury or within 30
12days after the employee knew or ought to have known the nature of his or her
13disability and its relation to the employment, actual notice was received by the
14employer or by an officer, manager or designated representative of an employer. If
15no representative has been designated by posters placed in one or more conspicuous
16places where notices to employees are customarily posted, then notice received by
17any superior is sufficient. Absence of notice does not bar recovery if it is found that
18the employer was not misled by that absence. Regardless of whether notice was
19received, if no payment of compensation, other than medical treatment or burial
20expense, is made, and if no application is filed with the department within 2 years
21after the date of the injury or death or the date the employee or his or her dependent
22knew or ought to have known the nature of the disability and its relation to the
23employment, the right to compensation for the injury or death is barred, except that
24the right to compensation is not barred if the employer knew or should have known,
25within the 2-year period, that the employee had sustained the injury on which the

1claim is based. Issuance of notice of a hearing on the motion of the department or
2the division
has the same effect for the purposes of this section as the filing of an
3application. This section does not affect any claim barred under s. 102.17 (4).
SB673,24 4Section 24. 102.13 (1) (c) of the statutes is amended to read:
SB673,13,125 102.13 (1) (c) So long as the employee, after a written request of the employer
6or insurer that complies with par. (b), refuses to submit to or in any way obstructs
7the examination, the employee's right to begin or maintain any proceeding for the
8collection of compensation is suspended, except as provided in sub. (4). If the
9employee refuses to submit to the examination after direction by the department, the
10division,
or an examiner, or in any way obstructs the examination, the employee's
11right to the weekly indemnity that accrues and becomes payable during the period
12of that refusal or obstruction, is barred, except as provided in sub. (4).
SB673,25 13Section 25. 102.13 (1) (d) 2. of the statutes is amended to read:
SB673,13,1814 102.13 (1) (d) 2. Any physician, chiropractor, psychologist, dentist, physician
15assistant, advanced practice nurse prescriber, or podiatrist who attended a worker's
16compensation claimant for any condition or complaint reasonably related to the
17condition for which the claimant claims compensation may be required to testify
18before the division department when the division department so directs.
SB673,26 19Section 26. 102.13 (1) (d) 3. of the statutes is amended to read:
SB673,14,220 102.13 (1) (d) 3. Notwithstanding any statutory provisions except par. (e), any
21physician, chiropractor, psychologist, dentist, physician assistant, advanced
22practice nurse prescriber, or podiatrist attending a worker's compensation claimant
23for any condition or complaint reasonably related to the condition for which the
24claimant claims compensation may furnish to the employee, employer, worker's

1compensation insurer, or department, or division information and reports relative to
2a compensation claim.
SB673,27 3Section 27. 102.13 (1) (f) of the statutes is amended to read:
SB673,14,64 102.13 (1) (f) If an employee claims compensation under s. 102.81 (1), the
5department or the division may require the employee to submit to physical or
6vocational examinations under this subsection.
SB673,28 7Section 28. 102.13 (2) (a) of the statutes is amended to read:
SB673,14,188 102.13 (2) (a) An employee who reports an injury alleged to be work-related
9or files an application for hearing waives any physician-patient,
10psychologist-patient, or chiropractor-patient privilege with respect to any condition
11or complaint reasonably related to the condition for which the employee claims
12compensation. Notwithstanding ss. 51.30 and 146.82 and any other law, any
13physician, chiropractor, psychologist, dentist, podiatrist, physician assistant,
14advanced practice nurse prescriber, hospital, or health care provider shall, within a
15reasonable time after written request by the employee, employer, worker's
16compensation insurer, or department, or division, or its representative, provide that
17person with any information or written material reasonably related to any injury for
18which the employee claims compensation.
SB673,29 19Section 29 . 102.13 (2) (am) of the statutes is created to read:
SB673,15,720 102.13 (2) (am) Notwithstanding s. 51.30, within 30 days after receiving a
21request by a representative or agent of a worker's compensation insurer, a physician,
22chiropractor, podiatrist, psychologist, dentist, physician assistant, advanced
23practice nurse prescriber, hospital, or other health care provider shall furnish to the
24representative or agent a complete copy of a billing statement regarding an injury
25for which an employee claims compensation. The physician, chiropractor, podiatrist,

1psychologist, dentist, physician assistant, advanced practice nurse prescriber,
2hospital, or other health care provider shall provide the billing statement upon the
3standard billing form required by the federal centers for Medicare and Medicaid
4services and may not charge for providing the statement. If a person does not timely
5comply with a request made pursuant to this paragraph, the worker's compensation
6insurer is not liable for any services provided that were billed on the requested billing
7statement.
SB673,30 8Section 30. 102.13 (3) of the statutes is amended to read:
SB673,15,219 102.13 (3) If 2 or more physicians, chiropractors, psychologists, dentists, or
10podiatrists disagree as to the extent of an injured employee's temporary disability,
11the end of an employee's healing period, an employee's ability to return to work at
12suitable available employment or the necessity for further treatment or for a
13particular type of treatment, the department or the division may appoint another
14physician, chiropractor, psychologist, dentist, or podiatrist to examine the employee
15and render an opinion as soon as possible. The department or the division shall
16promptly notify the parties of this appointment. If the employee has not returned
17to work, payment for temporary disability shall continue until the department or the
18division
receives the opinion. The employer or its insurance carrier, or both, shall
19pay for the examination and opinion. The employer or insurance carrier, or both,
20shall receive appropriate credit for any overpayment to the employee determined by
21the department or the division after receipt of the opinion.
SB673,31 22Section 31. 102.13 (4) of the statutes is amended to read:
SB673,16,1223 102.13 (4) The right of an employee to begin or maintain proceedings for the
24collection of compensation and to receive weekly indemnities that accrue and become
25payable shall not be suspended or barred under sub. (1) when an employee refuses

1to submit to a physical examination, upon the request of the employer or worker's
2compensation insurer or at the direction of the department, the division, or an
3examiner, that would require the employee to travel a distance of 100 miles or more
4from his or her place of residence, unless the employee has claimed compensation for
5treatment from a practitioner whose office is located 100 miles or more from the
6employee's place of residence or the department, division, or examiner determines
7that any other circumstances warrant the examination. If the employee has claimed
8compensation for treatment from a practitioner whose office is located 100 miles or
9more from the employee's place of residence, the employer or insurer may request,
10or the department, the division, or an examiner may direct, the employee to submit
11to a physical examination in the area where the employee's treatment practitioner
12is located.
SB673,32 13Section 32. 102.13 (5) of the statutes is amended to read:
SB673,16,2214 102.13 (5) The department or the division may refuse to receive testimony as
15to conditions determined from an autopsy if it appears that the party offering the
16testimony had procured the autopsy and had failed to make reasonable effort to
17notify at least one party in adverse interest or the department or the division at least
1812 hours before the autopsy of the time and place at which the autopsy would be
19performed, or that the autopsy was performed by or at the direction of the coroner
20or medical examiner or at the direction of the district attorney for purposes not
21authorized under ch. 979. The department or the division may withhold findings
22until an autopsy is held in accordance with its directions.
SB673,33 23Section 33 . 102.14 (title) of the statutes is amended to read:
SB673,16,25 24102.14 (title) Jurisdiction, powers, and duties of department and
25division; advisory committee council.
SB673,34
1Section 34. 102.14 (1) of the statutes is amended to read:
SB673,17,32 102.14 (1) Except as otherwise provided, this chapter shall be administered by
3the department and the division.
SB673,35 4Section 35. 102.14 (2) of the statutes is amended to read:
SB673,17,125 102.14 (2) The council on worker's compensation shall advise the department
6and the division in carrying out the purposes of this chapter, shall submit its
7recommendations with respect to amendments to this chapter to each regular
8session of the legislature, and shall report its views upon any pending bill relating
9to this chapter to the proper legislative committee. At the request of the chairpersons
10of the senate and assembly committees on labor, the department shall schedule a
11meeting of the council with the members of the senate and assembly committees on
12labor to review and discuss matters of legislative concern arising under this chapter.
SB673,36 13Section 36. 102.15 (1) of the statutes is amended to read:
SB673,17,1514 102.15 (1) Subject to this chapter, the division department may adopt its own
15promulgate rules of procedure and may change the same from time to time.
SB673,37 16Section 37. 102.15 (2) of the statutes is amended to read:
SB673,17,1817 102.15 (2) The division department may provide by rule the conditions under
18which transcripts of testimony and proceedings shall be furnished.
SB673,38 19Section 38. 102.16 (1) of the statutes is repealed and recreated to read:
SB673,18,920 102.16 (1) Any controversy concerning compensation or a violation of sub. (3),
21including a controversy in which the state may be a party, shall be submitted to the
22department in the manner and with the effect provided in this chapter. Every
23compromise of any claim for compensation may be reviewed and set aside, modified,
24or confirmed by the department within one year after the date on which the
25compromise is filed with the department, the date on which an award has been

1entered based on the compromise, or the date on which an application for the
2department to take any of those actions is filed with the department. Unless the
3word “compromise" appears in a stipulation of settlement, the settlement shall not
4be considered a compromise, and further claim is not barred except as provided in
5s. 102.17 (4) regardless of whether an award is made. The employer, insurer or
6dependent under s. 102.51 (5) shall have equal rights with the employee to have a
7compromise or any other stipulation of settlement reviewed under this subsection.
8Upon petition filed with the department under this subsection, the department may
9set aside the award or otherwise determine the rights of the parties.
SB673,39 10Section 39. 102.16 (1m) (a) of the statutes is amended to read:
SB673,19,211 102.16 (1m) (a) If an insurer or self-insured employer concedes by compromise
12under sub. (1) or stipulation under s. 102.18 (1) (a) that the insurer or self-insured
13employer is liable under this chapter for any health services provided to an injured
14employee by a health service provider, but disputes the reasonableness of the fee
15charged by the health service provider, the department or the division may include
16in its order confirming the compromise or stipulation a determination made by the
17department under sub. (2) as to the reasonableness of the fee or, if such a
18determination has not yet been made, the department or the division may notify, or
19direct the insurer or self-insured employer to notify, the health service provider
20under sub. (2) (b) that the reasonableness of the fee is in dispute. The department
21or the division shall deny payment of a health service fee that the department
22determines under sub. (2) to be unreasonable. A health service provider and an
23insurer or self-insured employer that are parties to a fee dispute under this
24paragraph are bound by the department's determination under sub. (2) on the
25reasonableness of the disputed fee, unless that determination is set aside, reversed,

1or modified by the department under sub. (2) (f) or is set aside on judicial review as
2provided in sub. (2) (f).
SB673,40 3Section 40. 102.16 (1m) (b) of the statutes is amended to read:
SB673,20,24 102.16 (1m) (b) If an insurer or self-insured employer concedes by compromise
5under sub. (1) or stipulation under s. 102.18 (1) (a) that the insurer or self-insured
6employer is liable under this chapter for any treatment provided to an injured
7employee by a health service provider, but disputes the necessity of the treatment,
8the department or the division may include in its order confirming the compromise
9or stipulation a determination made by the department under sub. (2m) as to the
10necessity of the treatment or, if such a determination has not yet been made, the
11department or the division may notify, or direct the insurer or self-insured employer
12to notify, the health service provider under sub. (2m) (b) that the necessity of the
13treatment is in dispute. Before determining under sub. (2m) the necessity of
14treatment provided to an injured employee, the department may, but is not required
15to, obtain the opinion of an expert selected by the department who is qualified as
16provided in sub. (2m) (c). The standards promulgated under sub. (2m) (g) shall be
17applied by an expert and by the department in rendering an opinion as to, and in
18determining, necessity of treatment under this paragraph. In cases in which no
19standards promulgated under sub. (2m) (g) apply, the department shall find the facts
20regarding necessity of treatment. The department or the division shall deny
21payment for any treatment that the department determines under sub. (2m) to be
22unnecessary. A health service provider and an insurer or self-insured employer that
23are parties to a dispute under this paragraph over the necessity of treatment are
24bound by the department's determination under sub. (2m) on the necessity of the
25disputed treatment, unless that determination is set aside, reversed, or modified by

1the department under sub. (2m) (e) or is set aside on judicial review as provided in
2sub. (2m) (e).
SB673,41 3Section 41. 102.16 (1m) (c) of the statutes is amended to read:
SB673,20,234 102.16 (1m) (c) If an insurer or self-insured employer concedes by compromise
5under sub. (1) or stipulation under s. 102.18 (1) (a) that the insurer or self-insured
6employer is liable under this chapter for the cost of a prescription drug dispensed
7under s. 102.425 (2) for outpatient use by an injured employee, but disputes the
8reasonableness of the amount charged for the prescription drug, the department or
9the division
may include in its order confirming the compromise or stipulation a
10determination made by the department under s. 102.425 (4m) as to the
11reasonableness of the prescription drug charge or, if such a determination has not
12yet been made, the department or the division may notify, or direct the insurer or
13self-insured employer to notify, the pharmacist or practitioner dispensing the
14prescription drug under s. 102.425 (4m) (b) that the reasonableness of the
15prescription drug charge is in dispute. The department or the division shall deny
16payment of a prescription drug charge that the department determines under s.
17102.425 (4m) to be unreasonable. A pharmacist or practitioner and an insurer or
18self-insured employer that are parties to a dispute under this paragraph over the
19reasonableness of a prescription drug charge are bound by the department's
20determination under s. 102.425 (4m) on the reasonableness of the disputed
21prescription drug charge, unless that determination is set aside, reversed, or
22modified by the department under s. 102.425 (4m) (e) or is set aside on judicial review
23as provided in s. 102.425 (4m) (e).
SB673,42 24Section 42. 102.16 (2) (a) of the statutes is amended to read:
SB673,21,14
1102.16 (2) (a) Except as provided in this paragraph, the department has
2jurisdiction under this subsection, the department and the division have jurisdiction
3under
sub. (1m) (a), and the division has jurisdiction under s. 102.17 to resolve a
4dispute between a health service provider and an insurer or self-insured employer
5over the reasonableness of a fee charged by the health service provider for health
6services provided to an injured employee who claims benefits under this chapter. A
7health service provider may not submit a fee dispute to the department under this
8subsection before all treatment by the health service provider of the employee's
9injury has ended if the amount in controversy, whether based on a single charge or
10a combination of charges for one or more days of service, is less than $25. After all
11treatment by a health service provider of an employee's injury has ended, the health
12service provider may submit any fee dispute to the department, regardless of the
13amount in controversy. The department shall deny payment of a health service fee
14that the department determines under this subsection to be unreasonable.
SB673,43 15Section 43. 102.16 (2) (b) of the statutes is amended to read:
SB673,21,2316 102.16 (2) (b) An insurer or self-insured employer that disputes the
17reasonableness of a fee charged by a health service provider or the department or the
18division
under sub. (1m) (a) or s. 102.18 (1) (bg) 1. shall provide reasonable written
19notice to the health service provider that the fee is being disputed. After receiving
20reasonable written notice under this paragraph or under sub. (1m) (a) or s. 102.18
21(1) (bg) 1. that a health service fee is being disputed, a health service provider may
22not collect the disputed fee from, or bring an action for collection of the disputed fee
23against, the employee who received the services for which the fee was charged.
SB673,44 24Section 44. 102.16 (2m) (a) of the statutes is amended to read:
SB673,22,14
1102.16 (2m) (a) Except as provided in this paragraph, the department has
2jurisdiction under this subsection, the department and the division have jurisdiction
3under
sub. (1m) (b), and the division has jurisdiction under s. 102.17 to resolve a
4dispute between a health service provider and an insurer or self-insured employer
5over the necessity of treatment provided for an injured employee who claims benefits
6under this chapter. A health service provider may not submit a dispute over
7necessity of treatment to the department under this subsection before all treatment
8by the health service provider of the employee's injury has ended if the amount in
9controversy, whether based on a single charge or a combination of charges for one or
10more days of service, is less than $25. After all treatment by a health service provider
11of an employee's injury has ended, the health service provider may submit any
12dispute over necessity of treatment to the department, regardless of the amount in
13controversy. The department shall deny payment for any treatment that the
14department determines under this subsection to be unnecessary.
SB673,45 15Section 45. 102.16 (2m) (b) of the statutes is amended to read:
SB673,22,2416 102.16 (2m) (b) An insurer or self-insured employer that disputes the
17necessity of treatment provided by a health service provider or the department or the
18division
under sub. (1m) (b) or s. 102.18 (1) (bg) 2. shall provide reasonable written
19notice to the health service provider that the necessity of that treatment is being
20disputed. After receiving reasonable written notice under this paragraph or under
21sub. (1m) (b) or s. 102.18 (1) (bg) 2. that the necessity of treatment is being disputed,
22a health service provider may not collect a fee for that disputed treatment from, or
23bring an action for collection of the fee for that disputed treatment against, the
24employee who received the treatment.
SB673,46 25Section 46. 102.16 (4) of the statutes is amended to read:
SB673,23,8
1102.16 (4) The department and the division have has jurisdiction to pass on any
2question arising out of sub. (3) and to order the employer to reimburse an employee
3or other person for any sum deducted from wages or paid by him or her in violation
4of that subsection. In addition to the penalty provided in s. 102.85 (1), any employer
5violating sub. (3) shall be liable to an injured employee for the reasonable value of
6the necessary services rendered to that employee under any arrangement made in
7violation of sub. (3) without regard to that employee's actual disbursements for those
8services.
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