If enacted, Indiana House Bill 1069 would go into effect July 1, 2026, while Washington Senate Bill 5847 would go into effect June 30, 2027.
If enacted, Indiana House Bill 1069 would go into effect July 1, 2026, while Washington Senate Bill 5847 would go into effect June 30, 2027.
The bill would have duplicated existing protections for filling certain prescription out-of-network.
Delaware reported success with a recent bill, while Washington State is undergoing rulemaking and the U.S. Senate introduced a new bill.
The fee schedule has not been updated since 2009, resulting in low reimbursement rates, which has impacted access to care.
Qualifying CMS patients could face a co-pay of $50 a month for these highly popular drugs for obesity and diabetes.
The bill impacts required medical services, provider choice, preauthorization requests, and more.
Since October 1st, first responders have been able to select their own physician for heart and lung claims under certain conditions.
Proposed accommodations include deferring premium payments, extending grace periods, and waiving late fees and penalties.
The Medical Fee Guide Committee also discussed PPO practices, psychiatric IMEs, and more.
Stakeholders provided feedback on the DWC’s proposed rules.
While injured workers can choose any Level I or II provider from the DWC’s panel, employers and insurers may still share preferred or in-house lists.
Stakeholders discussed inefficiencies in claim procedures, and regulators will continue to review feedback prior to finalizing recommendations.
Three listening sessions will give stakeholders the chance to comment on how to implement major workers’ comp reforms.
The adjustment aims to address longstanding underpayment for E&M services, as low reimbursement has contributed to provider shortages.
Two recent committee meetings addressed access to care, exclusive remedy, and more.
