! The Capitol Complex is closed to the public due to COVID-19. All meetings will be held virtually online. View procedures and guidelines (PDF) for remote public comment and virtual meeting instructions (PDF).

Download Zipped Amended WordPerfect SB0120.ZIP
[Introduced][Status][Bill Documents][Fiscal Note][Bills Directory]

S.B. 120

This document includes Senate 3rd Reading Floor Amendments incorporated into the bill on Wed, Feb 11, 2009 at 11:02 AM by rday. -->              1     

WORKERS' COMPENSATION ACT - MEDICAL

             2     
REPORTS

             3     
2009 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Karen Mayne

             6     
House Sponsor: Michael T. Morley

             7     

             8      LONG TITLE
             9      General Description:
             10          This bill modifies the Workers' Compensation Act to address the mailing of medical
             11      reports.
             12      Highlighted Provisions:
             13          This bill:
             14          .    removes the requirement that a medical report be mailed by certified mail, return
             15      receipt requested;
             16          .    expands the list of persons required to receive a copy of a medical report; and
             17          .    makes technical changes.
             18      Monies Appropriated in this Bill:
             19          None
             20      Other Special Clauses:
             21          None
             22      Utah Code Sections Affected:
             23      AMENDS:
             24          34A-2-601, as last amended by Laws of Utah 2002, Chapter 303
             25     

             26      Be it enacted by the Legislature of the state of Utah:
             27          Section 1. Section 34A-2-601 is amended to read:



Text Box

- 2 -
             28
          34A-2-601. Medical panel, director, or consultant -- Findings and reports --
             29      Objections to report -- Hearing -- Expenses.
             30          (1) (a) The Division of Adjudication may refer the medical aspects of a case described
             31      in this Subsection (1)(a) to a medical panel appointed by an administrative law judge:
             32          (i) upon the filing of a claim for compensation arising out of and in the course of
             33      employment for:
             34          (A) disability by accident; or
             35          (B) death by accident; and
             36          (ii) if the employer or the employer's insurance carrier denies liability.
             37          (b) An administrative law judge may appoint a medical panel [appointed by an
             38      administrative law judge] upon the filing of a claim for compensation based upon disability or
             39      death due to an occupational disease.
             40          (c) A medical panel appointed under this section shall consist of one or more
             41      physicians specializing in the treatment of the disease or condition involved in the claim.
             42          (d) As an alternative method of obtaining an impartial medical evaluation of the
             43      medical aspects of a controverted case, the division may employ a medical director or one or
             44      more medical consultants:
             45          (i) on a full-time or part-time basis; and
             46          (ii) for the purpose of:
             47          (A) evaluating [the] medical evidence; and
             48          (B) advising an administrative law judge with respect to the administrative law judge's
             49      ultimate fact-finding responsibility.
             50          (e) If all parties agree to the use of a medical director or one or more medical
             51      consultants, the medical director or one or more medical consultants [shall be] is allowed to
             52      function in the same manner and under the same procedures as required of a medical panel.
             53          (2) (a) A medical panel, medical director, or medical consultant may do the following
             54      to the extent the medical panel, medical director, or medical consultant determines that it is
             55      necessary or desirable:
             56          (i) conduct a study;
             57          (ii) take an x-ray;
             58          (iii) perform a test; or



Text Box

- 3 -
Senate 3rd Reading Amendments 2-11-2009 rd/
             59
         (iv) if authorized by an administrative law judge, conduct a post-mortem examination.
             60          (b) A medical panel, medical director, or medical consultant shall make:
             61          (i) a report in writing to the administrative law judge in a form prescribed by the
             62      Division of Adjudication; and
             63          (ii) additional findings as the administrative law judge may require.
             64          (c) In an occupational disease case, in addition to the requirements of Subsection
             65      (2)(b), a medical panel, medical director, or medical consultant shall certify to the
             66      administrative law judge:
             67          (i) the extent, if any, of the disability of the claimant from performing work for
             68      remuneration or profit;
             69          (ii) whether the sole cause of the disability or death, in the opinion of the medical
             70      panel, medical director, or medical consultant results from the occupational disease; and
             71          (iii) (A) whether any other [causes have] cause aggravated, prolonged, accelerated, or
             72      in any way contributed to the disability or death; and
             73          (B) if another cause [has] contributed to the disability or death, the extent in percentage
             74      to which the other cause [has] contributed to the disability or death.
             75          (d) (i) [The] An administrative law judge shall promptly distribute full copies of a
             76      report submitted to the administrative law judge under this Subsection (2) by [certified] mail
             77      [with return receipt requested] to:
             78          (A) the applicant;
             79          (B) the employer; [and]
             80          (C) the employer's insurance carrier[.]; and
             81          (D) an attorney employed by a person listed in Subsections (2)(d)(i)(A) through (C).
             82          (ii) Within S. [ 15 ] 20 .S days after the report described in Subsection (2)(d)(i) is
             82a      deposited in the
             83      United States post office, the following may file with the administrative law judge a written
             84      [objections] objection to the report:
             85          (A) the applicant;
             86          (B) the employer; or
             87          (C) the employer's insurance carrier.
             88          (iii) If no written [objections are] objection is filed within the period described in
             89      Subsection (2)(d)(ii), the report is considered admitted in evidence.



Text Box

- 4 -
             90
         (e) (i) [The] An administrative law judge may base the administrative law judge's
             91      finding and decision on the report of:
             92          (A) a medical panel;
             93          (B) the medical director; or
             94          (C) one or more medical consultants.
             95          (ii) Notwithstanding Subsection (2)(e)(i), an administrative law judge is not bound by a
             96      report described in Subsection (2)(e)(i) if other substantial conflicting evidence in the case
             97      supports a contrary finding.
             98          (f) (i) If [an] a written objection to a report is filed under Subsection (2)(d), the
             99      administrative law judge may set the case for hearing to determine the facts and issues
             100      involved.
             101          (ii) At a hearing held pursuant to this Subsection (2)(f), any party may request the
             102      administrative law judge to have any of the following present at the hearing for examination
             103      and cross-examination:
             104          (A) the chair of the medical panel;
             105          (B) the medical director; or
             106          (C) the one or more medical consultants.
             107          (iii) For good cause shown, [the] an administrative law judge may order the following
             108      to be present at the hearing for examination and cross-examination:
             109          (A) a member of a medical panel, with or without the chair of the medical panel;
             110          (B) the medical director; or
             111          (C) a medical consultant.
             112          (g) (i) [The] A written report of a medical panel, medical director, or one or more
             113      medical consultants may be received as an exhibit at [the] a hearing described in Subsection
             114      (2)(f).
             115          (ii) Notwithstanding Subsection (2)(g)(i), a report received as an exhibit under
             116      Subsection (2)(g)(i) may not be considered as evidence in the case except as far as the report is
             117      sustained by the testimony admitted.
             118          (h) For [any] a claim referred under Subsection (1) to a medical panel, medical
             119      director, or medical consultant before July 1, 1997, the commission shall pay out of the
             120      Employers' Reinsurance Fund established in Section 34A-2-702 :



Text Box

- 5 -
             121
         (i) expenses of [the] a study [and] or report of the medical panel, medical director, or
             122      medical consultant; and
             123          (ii) the expenses of the medical panel's, medical director's, or medical consultant's
             124      appearance before [the] an administrative law judge.
             125          (i) (i) For [any] a claim referred under Subsection (1) to a medical panel, medical
             126      director, or medical consultant on or after July 1, 1997, the commission shall pay out of the
             127      Uninsured Employers' Fund established in Section 34A-2-704 the expenses of:
             128          (A) [the] a study [and] or report of the medical panel, medical director, or medical
             129      consultant; and
             130          (B) the medical panel's, medical director's, or medical consultant's appearance before
             131      [the] an administrative law judge.
             132          (ii) Notwithstanding Section 34A-2-704 , the expenses described in Subsection (2)(i)(i)
             133      shall be paid from the Uninsured Employers' Fund whether or not the employment relationship
             134      during which the industrial accident or occupational disease occurred is localized in Utah as
             135      described in Subsection 34A-2-704 (20).





Legislative Review Note
    as of 1-26-09 9:03 AM


Office of Legislative Research and General Counsel


[Bill Documents][Bills Directory]