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House of Representatives
Session of 2015 - 2016 Regular Session

MEMORANDUM

Posted:	September 29, 2015 10:29 AM
From:	Representative Stan Saylor
To:	All House members
Subject:	Proposed Legislation - Workers' Compensation Act Reforms

In the near future, I will be introducing legislation to amend the state Workers’ Compensation Act (Act 338 of 1915). My legislation will: Mandate insurers to accept electronic billing by January 1, 2017, thereby reducing costs and increasing the timely processing of transactions between providers and insurers. Impose financial penalties on insurers and their third party administrators (TPA’s) who fail to implement the updated Workers’ Compensation fee schedule by January 10 of each year Impose financial penalties on insurers who fail to pay claims within 30 days of receipt Eliminate the practice of “silent discounting” by requiring the establishment of a bona fide provider network agreement between physicians/insurers/employers and third parties and requiring that physicians receive notice when such a contractual agreement is made between an insurer/employer and a third party. Prohibit insurers and their agents from using threats or coercion in their solicitations for discounted reimbursements Allow providers access to relevant and appropriate claim information (i.e. the description of injury for which the insurer has accepted liability) It is my sincere belief that this legislation will improve the Commonwealth’s workers’ compensation system by protecting health care providers and ensuring the uninterrupted and cost-efficient provision of services to injured workers. Please join me in co-sponsoring this important piece of legislation.

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