Regulatory Tag: Access to Care

Topics discussed include proposals for a fee schedule by 2027, employer direction of care, and allowing more providers to provide disability opinions.

In a DWC meeting, stakeholders spoke regarding the timeline of when a physician evaluates a patient, versus other types of providers.

Assembly Bill 469 missed a committee deadline, removing it from consideration this legislative session.

Physician assistants will be able to conduct impairment ratings, while physical therapists are now included in the definition of treating providers.

Passing both chambers nearly unanimously, Senate Bill 109 currently sits with the governor.

Mental health nurse practitioners must hold a master’s degree and a terminal license within their profession.

The third such bill proposing updates, Assembly Bill 469 would divide the state into three geographic regions for the purpose of creating lists of physicians.

First responders with lung or heart disease could choose their own physician or chiropractor if fewer than 12 are available in the DIR’s list.

Stakeholders voiced concern around language surrounding interpreters, contracting requirements, and telehealth.

Insurers would be required to maintain a panel of at least 12 providers per medical specialty, with various stipulations for provider choice.

Governor Hochul reiterates proposals made in her budget bill, with additional efforts to align fee schedules with Medicare automatic updates.

Employers would be required to inform workers of their right to designate their primary care provider as the physician for their workplace injury.

Injured workers could utilize this network if their employer’s network cannot provide treatment within 30 days.

Among many proposed changes, the bill would automatically allow licensed physicians, chiropractors, psychologists, and others to treat injured workers.

The bill would also allow insurers to close claims when the claimant leaves the United States – regardless of citizenship status.