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First Substitute S.B. 147

Senator Karen Mayne proposes the following substitute bill:


             1     
WORKERS' COMPENSATION AND OCCUPATIONAL SAFETY

             2     
RELATED AMENDMENTS

             3     
2013 GENERAL SESSION

             4     
STATE OF UTAH

             5     
Chief Sponsor: Karen Mayne

             6     
House Sponsor: James A. Dunnigan

             7     
             8      LONG TITLE
             9      General Description:
             10          This bill modifies the Workers' Compensation Act, Utah Occupational Disease Act, and
             11      Utah Occupational Safety and Health Act to address issues related to health services
             12      and reporting.
             13      Highlighted Provisions:
             14          This bill:
             15          .    amends definitions;
             16          .    grants rulemaking authority related to treatment protocols and determinations of
             17      medical necessity;
             18          .    authorizes contracts related to treatment protocols;
             19          .    addresses reporting requirements, including:
             20              .    addressing reports by workers' compensation insurance carriers;
             21              .    granting rulemaking authority;
             22              .    addressing when civil assessments are imposed; and
             23              .    removing certain criminal penalties; and
             24          .    makes technical and conforming amendments.
             25      Money Appropriated in this Bill:


             26          None
             27      Other Special Clauses:
             28          This bill takes effect on July 1, 2013.
             29      Utah Code Sections Affected:
             30      AMENDS:
             31          34A-2-111, as last amended by Laws of Utah 2009, Chapter 220
             32          34A-2-407, as last amended by Laws of Utah 2009, Chapters 288 and 347
             33          34A-3-108, as last amended by Laws of Utah 2009, Chapter 288
             34          34A-6-301, as last amended by Laws of Utah 2011, Chapter 297
             35      ENACTS:
             36          34A-2-407.5, Utah Code Annotated 1953
             37     
             38      Be it enacted by the Legislature of the state of Utah:
             39          Section 1. Section 34A-2-111 is amended to read:
             40           34A-2-111. Managed health care programs -- Other safety programs.
             41          (1) As used in this section:
             42          (a) (i) "Health care provider" means a person who furnishes treatment or care to
             43      persons who have suffered bodily injury.
             44          (ii) "Health care provider" includes:
             45          (A) a hospital;
             46          (B) a clinic;
             47          (C) an emergency care center;
             48          (D) a physician;
             49          (E) a nurse;
             50          (F) a nurse practitioner;
             51          (G) a physician's assistant;
             52          (H) a paramedic; or
             53          (I) an emergency medical technician.
             54          (b) "Physician" means any health care provider licensed under:
             55          (i) Title 58, Chapter 5a, Podiatric Physician Licensing Act;
             56          (ii) Title 58, Chapter 24b, Physical Therapy Practice Act;


             57          (iii) Title 58, Chapter 67, Utah Medical Practice Act;
             58          (iv) Title 58, Chapter 68, Utah Osteopathic Medical Practice Act;
             59          (v) Title 58, Chapter 69, Dentist and Dental Hygienist Practice Act;
             60          (vi) Title 58, Chapter 70a, Physician Assistant Act;
             61          (vii) Title 58, Chapter 71, Naturopathic Physician Practice Act;
             62          (viii) Title 58, Chapter 72, Acupuncture Licensing Act; [and]
             63          (ix) Title 58, Chapter 73, Chiropractic Physician Practice Act[.]; and
             64          (x) Title 58, Chapter 31b, Nurse Practice Act, as an advanced practice registered nurse.
             65          (c) "Preferred health care facility" means a facility:
             66          (i) that is a health care facility as defined in Section 26-21-2 ; and
             67          (ii) designated under a managed health care program.
             68          (d) "Preferred provider physician" means a physician designated under a managed
             69      health care program.
             70          (e) "Self-insured employer" is as defined in Section 34A-2-201.5 .
             71          (2) (a) A self-insured employer and insurance carrier may adopt a managed health care
             72      program to provide employees the benefits of this chapter or Chapter 3, Utah Occupational
             73      Disease Act, beginning January 1, 1993. The plan shall comply with this Subsection (2).
             74          (b) (i) A preferred provider program may be developed if the preferred provider
             75      program allows a selection by the employee of more than one physician in the health care
             76      specialty required for treating the specific problem of an industrial patient.
             77          (ii) (A) Subject to the requirements of this section, if a preferred provider program is
             78      developed by an insurance carrier or self-insured employer, an employee is required to use:
             79          (I) preferred provider physicians; and
             80          (II) preferred health care facilities.
             81          (B) If a preferred provider program is not developed, an employee may have free
             82      choice of health care providers.
             83          (iii) The failure to do the following may, if the employee has been notified of the
             84      preferred provider program, result in the employee being obligated for any charges in excess of
             85      the preferred provider allowances:
             86          (A) use a preferred health care facility; or
             87          (B) initially receive treatment from a preferred provider physician.


             88          (iv) Notwithstanding the requirements of Subsections (2)(b)(i) through (iii), a
             89      self-insured employer or other employer may:
             90          (A) (I) (Aa) have its own health care facility on or near its worksite or premises; and
             91          (Bb) continue to contract with other health care providers; or
             92          (II) operate a health care facility; and
             93          (B) require employees to first seek treatment at the provided health care or contracted
             94      facility.
             95          (v) An employee subject to a preferred provider program or employed by an employer
             96      having its own health care facility may procure the services of any qualified health care
             97      provider:
             98          (A) for emergency treatment, if a physician employed in the preferred provider
             99      program or at the health care facility is not available for any reason;
             100          (B) for conditions the employee in good faith believes are nonindustrial; or
             101          (C) when an employee living in a rural area would be unduly burdened by traveling to:
             102          (I) a preferred provider physician; or
             103          (II) a preferred health care facility.
             104          (c) (i) (A) An employer, insurance carrier, or self-insured employer may enter into
             105      contracts with the following for the purposes listed in Subsection (2)(c)(i)(B):
             106          (I) health care providers;
             107          (II) medical review organizations; or
             108          (III) vendors of medical goods, services, and supplies including medicines.
             109          (B) A contract described in Subsection (1)(c)(i)(A) may be made for the following
             110      purposes:
             111          (I) insurance carriers or self-insured employers may form groups in contracting for
             112      managed health care services with health care providers;
             113          (II) peer review;
             114          (III) methods of utilization review;
             115          (IV) use of case management;
             116          (V) bill audit;
             117          (VI) discounted purchasing; and
             118          (VII) the establishment of a reasonable health care treatment protocol program


             119      including the implementation of medical treatment and quality care guidelines that are:
             120          (Aa) scientifically based;
             121          (Bb) peer reviewed; and
             122          (Cc) consistent with standards for health care treatment protocol programs that the
             123      commission shall establish by rules made in accordance with Title 63G, Chapter 3, Utah
             124      Administrative Rulemaking Act, including the authority of the commission to approve a health
             125      care treatment protocol program before it is used or disapprove a health care treatment protocol
             126      program that does not comply with this Subsection (2)(c)(i)(B)(VII).
             127          (ii) An insurance carrier may make any or all of the factors in Subsection (2)(c)(i) a
             128      condition of insuring an entity in its insurance contract.
             129          (3) (a) In addition to a managed health care program, an insurance carrier may require
             130      an employer to establish a work place safety program if the employer:
             131          (i) has an experience modification factor of 1.00 or higher, as determined by the
             132      National Council on Compensation Insurance; or
             133          (ii) is determined by the insurance carrier to have a three-year loss ratio of 100% or
             134      higher.
             135          (b) A workplace safety program may include:
             136          (i) a written workplace accident and injury reduction program that:
             137          (A) promotes safe and healthful working conditions; and
             138          (B) is based on clearly stated goals and objectives for meeting those goals; and
             139          (ii) a documented review of the workplace accident and injury reduction program each
             140      calendar year delineating how procedures set forth in the program are met.
             141          (c) A written workplace accident and injury reduction program permitted under
             142      Subsection (3)(b)(i) should describe:
             143          (i) how managers, supervisors, and employees are responsible for implementing the
             144      program;
             145          (ii) how continued participation of management will be established, measured, and
             146      maintained;
             147          (iii) the methods used to identify, analyze, and control new or existing hazards,
             148      conditions, and operations;
             149          (iv) how the program will be communicated to all employees so that the employees are


             150      informed of work-related hazards and controls;
             151          (v) how workplace accidents will be investigated and corrective action implemented;
             152      and
             153          (vi) how safe work practices and rules will be enforced.
             154          (d) For the purposes of a workplace accident and injury reduction program of an
             155      eligible employer described in Subsection 34A-2-103 (7)(f), the workplace accident and injury
             156      reduction program shall:
             157          (i) include the provisions described in Subsections (3)(b) and (c), except that the
             158      employer shall conduct a documented review of the workplace accident and injury reduction
             159      program at least semiannually delineating how procedures set forth in the workplace accident
             160      and injury reduction program are met; and
             161          (ii) require a written agreement between the employer and all contractors and
             162      subcontractors on a project that states that:
             163          (A) the employer has the right to control the manner or method by which the work is
             164      executed;
             165          (B) if a contractor, subcontractor, or any employee of a contractor or subcontractor
             166      violates the workplace accident and injury reduction program, the employer maintains the right
             167      to:
             168          (I) terminate the contract with the contractor or subcontractor;
             169          (II) remove the contractor or subcontractor from the work site; or
             170          (III) require that the contractor or subcontractor not permit an employee that violates
             171      the workplace accident and injury reduction program to work on the project for which the
             172      employer is procuring work; and
             173          (C) the contractor or subcontractor shall provide safe and appropriate equipment
             174      subject to the right of the employer to:
             175          (I) inspect on a regular basis the equipment of a contractor or subcontractor; and
             176          (II) require that the contractor or subcontractor repair, replace, or remove equipment
             177      the employer determines not to be safe or appropriate.
             178          (4) The premiums charged to any employer who fails or refuses to establish a
             179      workplace safety program pursuant to Subsection (3)(b)(i) or (ii) may be increased by 5% over
             180      any existing current rates and premium modifications charged that employer.


             181          Section 2. Section 34A-2-407 is amended to read:
             182           34A-2-407. Reporting of industrial injuries -- Regulation of health care providers
             183      -- Funeral expenses.
             184          (1) As used in this section, "physician" is as defined in Section 34A-2-111 .    
             185          (2) (a) An employee sustaining an injury arising out of and in the course of
             186      employment shall provide notification to the employee's employer promptly of the injury.
             187          (b) If the employee is unable to provide the notification required by Subsection (2)(a),
             188      the following may provide notification of the injury to the employee's employer:
             189          (i) the employee's next of kin; or
             190          (ii) the employee's attorney.
             191          (c) An employee claiming benefits under this chapter[,] or Chapter 3, Utah
             192      Occupational Disease Act, shall comply with rules adopted by the commission regarding
             193      disclosure of medical records of the employee medically relevant to the industrial accident or
             194      occupational disease claim.
             195          (3) (a) An employee is barred for any claim of benefits arising from an injury if the
             196      employee fails to notify within the time period described in Subsection (3)(b):
             197          (i) the employee's employer in accordance with Subsection (2); or
             198          (ii) the division.
             199          (b) The notice required by Subsection (3)(a) shall be made within:
             200          (i) 180 days of the day on which the injury occurs; or
             201          (ii) in the case of an occupational hearing loss, the time period specified in Section
             202      34A-2-506 .
             203          (4) The following constitute notification of injury required by Subsection (2):
             204          (a) an employer's [or] report filed with:
             205          (i) the division; or
             206          (ii) the employer's workers' compensation insurance carrier;
             207          (b) a physician's injury report filed with:
             208          (i) the division;
             209          (ii) the employer; or
             210          (iii) the employer's workers' compensation insurance carrier; [or]
             211          (c) a workers' compensation insurance carrier's report filed with the division; or


             212          [(b)] (d) the payment of any medical or disability benefits by:
             213          (i) the employer; or
             214          (ii) the employer's workers' compensation insurance carrier.
             215          (5) (a) [In the form prescribed by the division, an] An employer and the employer's
             216      workers' compensation insurance carrier, if any, shall file a report [with the division] in
             217      accordance with the rules made under Subsection (5)(b) of a:
             218          (i) work-related fatality; or
             219          (ii) work-related injury resulting in:
             220          (A) medical treatment;
             221          (B) loss of consciousness;
             222          (C) loss of work;
             223          (D) restriction of work; or
             224          (E) transfer to another job.
             225          (b) [The] An employer or the employer's workers' compensation insurance carrier, if
             226      any, shall file [the] a report required by Subsection (5)(a) [within seven days after:], and any
             227      subsequent reports of a previously reported injury as may be required by the commission,
             228      within the time limits and in the manner established by rule by the commission made after
             229      consultation with the workers' compensation advisory council and in accordance with Title
             230      63G, Chapter 3, Utah Administrative Rulemaking Act. A rule made under this Subsection
             231      (5)(b) shall:
             232          [(i) the occurrence of a fatality or injury;]
             233          [(ii) the employer's first knowledge of a fatality or injury; or]
             234          [(iii) the employee's notification of a fatality or injury.]
             235          [(c) (i) An employer shall file a subsequent report with the division of a previously
             236      reported injury that later results in death.]
             237          [(ii) The subsequent report required by this Subsection (5)(c) shall be filed with the
             238      division within seven days following:]
             239          [(A) the death; or]
             240          [(B) the employer's first knowledge or notification of the death.]
             241          (i) be reasonable; and
             242          (ii) take into consideration the practicality and cost of complying with the rule.


             243          [(d)] (c) A report is not required to be filed under this Subsection (5) for a minor
             244      injury, such as a cut or scratch that requires first aid treatment only, unless:
             245          (i) a treating physician files a report with the division in accordance with Subsection
             246      (9); or
             247          (ii) a treating physician is required to file a report with the division in accordance with
             248      Subsection (9).
             249          (6) An employer and its workers' compensation insurance carrier, if any, required to
             250      file a report under Subsection (5) shall provide the employee with:
             251          (a) a copy of the report submitted to the division; and
             252          (b) a statement, as prepared by the division, of the employee's rights and
             253      responsibilities related to the industrial injury.
             254          (7) An employer shall maintain a record in a manner prescribed by the commission by
             255      rule of all:
             256          (a) work-related fatalities; or
             257          (b) work-related injuries resulting in:
             258          (i) medical treatment;
             259          (ii) loss of consciousness;
             260          (iii) loss of work;
             261          (iv) restriction of work; or
             262          (v) transfer to another job.
             263          (8) (a) Except as provided in Subsection (8)(b), an employer or a workers'
             264      compensation insurance carrier who refuses or neglects to make a report, maintain a record, or
             265      file a report [with the division] as required by this section is[: (i) guilty of a class C
             266      misdemeanor; and (ii)] subject to a civil assessment:
             267          [(A)] (i) imposed by the division, subject to the requirements of Title 63G, Chapter 4,
             268      Administrative Procedures Act; and
             269          [(B)] (ii) that may not exceed $500.
             270          (b) An employer or workers' compensation insurance carrier is not subject to the civil
             271      assessment [or guilty of a class C misdemeanor] under this Subsection (8) if:
             272          (i) the employer or workers' compensation insurance carrier submits a report later than
             273      required by this section; and


             274          (ii) the division finds that the employer or workers' compensation insurance carrier has
             275      shown good cause for submitting a report later than required by this section.
             276          (c) (i) A civil assessment collected under this Subsection (8) shall be deposited into the
             277      Uninsured Employers' Fund created in Section 34A-2-704 to be used for a purpose specified in
             278      Section 34A-2-704 .
             279          (ii) The administrator of the Uninsured Employers' Fund shall collect money required
             280      to be deposited into the Uninsured Employers' Fund under this Subsection (8)(c) in accordance
             281      with Section 34A-2-704 .
             282          (9) (a) A physician attending an injured employee shall comply with rules established
             283      by the commission regarding:
             284          (i) fees for physician's services;
             285          (ii) disclosure of medical records of the employee medically relevant to the employee's
             286      industrial accident or occupational disease claim; [and]
             287          (iii) reports to the division regarding:
             288          (A) the condition and treatment of an injured employee; or
             289          (B) any other matter concerning industrial cases that the physician is treating[.]; and
             290          (iv) rules made under Section 34A-2-407.5 .
             291          (b) A physician who is associated with, employed by, or bills through a hospital is
             292      subject to Subsection (9)(a).
             293          (c) A hospital providing services for an injured employee is not subject to the
             294      requirements of Subsection (9)(a) except for rules made by the commission that are described
             295      in Subsection (9)(a)(ii) or (iii) or Section 34A-2-407.5 .
             296          (d) The commission's schedule of fees may reasonably differentiate remuneration to be
             297      paid to providers of health services based on:
             298          (i) the severity of the employee's condition;
             299          (ii) the nature of the treatment necessary; and
             300          (iii) the facilities or equipment specially required to deliver that treatment.
             301          (e) This Subsection (9) does not prohibit a contract with a provider of health services
             302      relating to the pricing of goods and services.
             303          (10) A copy of the initial report filed under Subsection (9)(a)(iii) shall be furnished to:
             304          (a) the division;


             305          (b) the employee; and
             306          (c) (i) the employer; or
             307          (ii) the employer's workers' compensation insurance carrier.
             308          (11) (a) Subject to appellate review under Section 34A-1-303 , the commission has
             309      exclusive jurisdiction to hear and determine:
             310          (i) whether goods provided to or services rendered to an employee are compensable
             311      pursuant to this chapter or Chapter 3, Utah Occupational Disease Act, including:
             312          (A) medical, nurse, or hospital services;
             313          (B) medicines; and
             314          (C) artificial means, appliances, or prosthesis;
             315          (ii) the reasonableness of the amounts charged or paid for a good or service described
             316      in Subsection (11)(a)(i); and
             317          (iii) collection issues related to a good or service described in Subsection (11)(a)(i).
             318          (b) Except as provided in Subsection (11)(a), Subsection 34A-2-211 (6), or Section
             319      34A-2-212 , a person may not maintain a cause of action in any forum within this state other
             320      than the commission for collection or payment for goods or services described in Subsection
             321      (11)(a) that are compensable under this chapter or Chapter 3, Utah Occupational Disease Act.
             322          Section 3. Section 34A-2-407.5 is enacted to read:
             323          34A-2-407.5. Rules regarding treatment protocols and determinations of medical
             324      necessity -- Contracts.
             325          (1) The commission may by rule, made in accordance with Title 63G, Chapter 3, Utah
             326      Administrative Rulemaking Act, establish for purposes of health care goods and services
             327      compensable under this chapter and Chapter 3, Utah Occupational Disease Act, reasonable
             328      health care treatment protocols, that include determinations of medical necessity, and medical
             329      treatment and quality care guidelines that are:
             330          (a) scientifically based;
             331          (b) peer reviewed; and
             332          (c) consistent with any general standards for health care treatment protocols that the
             333      commission establishes by rule.
             334          (2) Notwithstanding Subsection (1), the commission may authorize an insurer or
             335      employer to use all or part of reasonable health care treatment protocols, that include


             336      determinations of medical necessity, and medical treatment and quality care guidelines that are:
             337          (a) scientifically based;
             338          (b) peer reviewed; and
             339          (c) consistent with any general standards for health care treatment protocols that the
             340      commission shall establish by rule.
             341          (3) Nothing in this section shall be construed to prevent:
             342          (a) an insurer or employer from contracting with a provider of health services as
             343      permitted by Subsection 34A-2-111(2)(c)(i)(B)(VII);
             344          (b) the commission from adjudicating disputes arising under the terms of this section;
             345      or
             346          (c) a provider of health services from bringing to the commission a dispute arising
             347      under protocols, guidelines, or other terms of this section.
             348          Section 4. Section 34A-3-108 is amended to read:
             349           34A-3-108. Reporting of occupational diseases -- Regulation of health care
             350      providers.
             351          (1) An employee sustaining an occupational disease, as defined in this chapter, arising
             352      out of and in the course of employment shall provide notification to the employee's employer
             353      promptly of the occupational disease. If the employee is unable to provide notification, the
             354      employee's next of kin or attorney may provide notification of the occupational disease to the
             355      employee's employer.
             356          (2) (a) An employee who fails to notify the employee's employer or the division within
             357      180 days after the cause of action arises is barred from a claim of benefits arising from the
             358      occupational disease.
             359          (b) The cause of action is considered to arise on the date the employee first:
             360          (i) suffers disability from the occupational disease; and
             361          (ii) knows, or in the exercise of reasonable diligence should have known, that the
             362      occupational disease is caused by employment.
             363          (3) The following constitute notification of an occupational disease:
             364          (a) an employer's [or] report filed with the:
             365          (i) division; or
             366          (ii) workers' compensation insurance carrier;


             367          (b) a physician's injury report filed with the:
             368          (i) division;
             369          (ii) employer; or
             370          (iii) workers' compensation insurance carrier; [or]
             371          (c) a workers' compensation insurance carrier's report to the division; or
             372          [(b)] (d) the payment of any medical or disability benefit by the employer or the
             373      employer's workers' compensation insurance carrier.
             374          (4) (a) [In the form prescribed by the division, an] An employer and the employer's
             375      workers' compensation insurance carrier, if any, shall file a report [with the division] in
             376      accordance with the rules described in Subsection (4)(b) of any occupational disease resulting
             377      in:
             378          (i) medical treatment;
             379          (ii) loss of consciousness;
             380          (iii) loss of work;
             381          (iv) restriction of work; or
             382          (v) transfer to another job.
             383          (b) [The report] An employer or the employer's workers' compensation insurance
             384      carrier, if any, shall file a report required under Subsection (4)(a)[, shall be filed within seven
             385      days after:] and any subsequent reports of a previously reported occupational disease as may be
             386      required by the commission within the time limits and in the manner established by rule by the
             387      commission made in accordance with Title 63G, Chapter 3, Utah Administrative Rulemaking
             388      Act under Subsection 34A-2-403 (5).
             389          [(i) the occurrence of an occupational disease;]
             390          [(ii) the employer's first knowledge of an occupational disease; or]
             391          [(iii) the employee's notification of an occupational disease.]
             392          [(c) An employer shall file a subsequent report with the division of a previously
             393      reported occupational disease that later resulted in death. The subsequent report shall be filed
             394      with the division within seven days following:]
             395          [(i) the death; or]
             396          [(ii) the employer's first knowledge or notification of the death.]
             397          [(d)] (c) A report is not required [for]:


             398          (i) for a minor injury that requires first aid treatment only, unless a treating physician
             399      files, or is required to file, the Physician's Initial Report of Work Injury or Occupational
             400      Disease with the division;
             401          (ii) for occupational diseases that manifest after the employee is no longer employed by
             402      the employer with which the exposure occurred; or
             403          (iii) when the employer is not aware of an exposure occasioned by the employment that
             404      results in an occupational disease as defined by Section 34A-3-103 .
             405          (5) An employer or its workers' compensation insurance carrier, if any, shall provide
             406      the employee with:
             407          (a) a copy of the report submitted to the division; and
             408          (b) a statement, as prepared by the division, of the employee's rights and
             409      responsibilities related to the occupational disease.
             410          (6) An employer shall maintain a record in a manner prescribed by the division of
             411      occupational diseases resulting in:
             412          (a) medical treatment;
             413          (b) loss of consciousness;
             414          (c) loss of work;
             415          (d) restriction of work; or
             416          (e) transfer to another job.
             417          (7) An employer or a workers' compensation insurance carrier who refuses or neglects
             418      to make a report, maintain a record, or file a report with the division as required by this section
             419      is [guilty of a class C misdemeanor and] subject to citation [under Section 34A-6-302 and a
             420      civil assessment as provided under Section 34A-6-307 , unless the division finds that the
             421      employer has shown good cause for submitting a report later than required by this section] and
             422      civil assessment in accordance with Subsection 34A-2-407 (8).
             423          (8) (a) Except as provided in Subsection (8)(c), a physician, surgeon, or other health
             424      care provider attending an occupationally diseased employee shall:
             425          (i) comply with the rules, including the schedule of fees, for services as adopted by the
             426      commission; [and]
             427          (ii) make reports to the division at any and all times as required as to the condition and
             428      treatment of an occupationally diseased employee or as to any other matter concerning


             429      industrial cases being treated[.]; and
             430          (iii) comply with rules made under Section 34A-2-407.5 .
             431          (b) A physician, as defined in Section 34A-2-111 , who is associated with, employed
             432      by, or bills through a hospital is subject to Subsection (8)(a).
             433          (c) A hospital is not subject to the requirements of Subsection (8)(a) except a hospital
             434      is subject to rules made by the commission under Subsections 34A-2-407 (9)(a)(ii) and (iii) and
             435      Section 34A-2-407.5 .
             436          (d) The commission's schedule of fees may reasonably differentiate remuneration to be
             437      paid to providers of health services based on:
             438          (i) the severity of the employee's condition;
             439          (ii) the nature of the treatment necessary; and
             440          (iii) the facilities or equipment specially required to deliver that treatment.
             441          (e) This Subsection (8) does not prohibit a contract with a provider of health services
             442      relating to the pricing of goods and services.
             443          (9) A copy of the physician's initial report shall be furnished to the:
             444          (a) division;
             445          (b) employee; and
             446          (c) employer or its workers' compensation insurance carrier.
             447          (10) (a) A person subject to reporting under Subsection (8)(a)(ii) or Subsection
             448      34A-2-407 (9)(a)(iii) who refuses or neglects to make a report or comply with this section is
             449      [guilty of a class C misdemeanor for each offense, unless the division finds that there is good
             450      cause for submitting a late report] subject to a civil assessment in accordance with Subsection
             451      34A-2-407 (8).
             452          (11) (a) An application for a hearing to resolve a dispute regarding an occupational
             453      disease claim shall be filed with the Division of Adjudication.
             454          (b) After the filing, a copy shall be forwarded by mail to:
             455          (i) (A) the employer; or
             456          (B) the employer's workers' compensation insurance carrier;
             457          (ii) the applicant; and
             458          (iii) the attorneys for the parties.
             459          (12) (a) Subject to appellate review under Section 34A-1-303 , the commission has


             460      exclusive jurisdiction to hear and determine:
             461          (i) whether goods provided to or services rendered to an employee is compensable
             462      pursuant to this chapter and Chapter 2, Workers' Compensation Act, including the following:
             463          (A) medical, nurse, or hospital services;
             464          (B) medicines; and
             465          (C) artificial means, appliances, or prosthesis;
             466          (ii) the reasonableness of the amounts charged or paid for a good or service described
             467      in Subsection (12)(a)(i); and
             468          (iii) collection issues related to a good or service described in Subsection (12)(a)(i).
             469          (b) Except as provided in Subsection (12)(a), Subsection 34A-2-211 (6), or Section
             470      34A-2-212 , a person may not maintain a cause of action in any forum within this state other
             471      than the commission for collection or payment of goods or services described in Subsection
             472      (12)(a) that are compensable under this chapter or Chapter 2, Workers' Compensation Act.
             473          Section 5. Section 34A-6-301 is amended to read:
             474           34A-6-301. Inspection and investigation of workplace, worker injury, illness, or
             475      complaint -- Warrants -- Attendance of witnesses -- Recordkeeping by employers --
             476      Employer and employee representatives -- Request for inspection -- Compilation and
             477      publication of reports and information -- Rules.
             478          (1) (a) The division or its representatives, upon presenting appropriate credentials to
             479      the owner, operator, or agent in charge, may:
             480          (i) enter without delay at reasonable times any workplace where work is performed by
             481      an employee of an employer;
             482          (ii) inspect and investigate during regular working hours and at other reasonable times
             483      in a reasonable manner[,] any workplace, worker injury, occupational disease, or complaint and
             484      all pertinent methods, operations, processes, conditions, structures, machines, apparatus,
             485      devices, equipment, and materials in the workplace; and
             486          (iii) question privately any such employer, owner, operator, agent, or employee.
             487          (b) The division, upon an employer's refusal to permit an inspection, may seek a
             488      warrant pursuant to the Utah Rules of Criminal Procedure.
             489          (2) (a) The division or its representatives may require the attendance and testimony of
             490      witnesses and the production of evidence under oath.


             491          (b) Witnesses shall receive fees and mileage in accordance with Section 78B-1-119 .
             492          (c) (i) If any person fails or refuses to obey an order of the division to appear, any
             493      district court within the jurisdiction of which such person is found, or resides or transacts
             494      business, upon the application by the division, shall have jurisdiction to issue to any person an
             495      order requiring that person to:
             496          (A) appear to produce evidence if, as, and when so ordered; and
             497          (B) give testimony relating to the matter under investigation or in question.
             498          (ii) Any failure to obey an order of the court described in this Subsection (2)(c) may be
             499      punished by the court as a contempt.
             500          (3) (a) The commission shall make rules in accordance with Title 63G, Chapter 3, Utah
             501      Administrative Rulemaking Act, requiring employers:
             502          (i) to keep records regarding activities related to this chapter considered necessary for
             503      enforcement or for the development of information about the causes and prevention of
             504      occupational accidents and diseases; and
             505          (ii) through posting of notices or other means, to inform employees of their rights and
             506      obligations under this chapter including applicable standards.
             507          (b) The commission shall make rules in accordance with Title 63G, Chapter 3, Utah
             508      Administrative Rulemaking Act, requiring employers to keep records regarding any
             509      work-related death and injury and any occupational disease as provided in this Subsection
             510      (3)(b).
             511          (i) Each employer shall investigate or cause to be investigated all work-related injuries
             512      and occupational diseases and any sudden or unusual occurrence or change of conditions that
             513      pose an unsafe or unhealthful exposure to employees.
             514          (ii) Each employer shall, within eight hours of occurrence, notify the division of any:
             515          (A) work-related fatality;
             516          (B) disabling, serious, or significant injury; or
             517          (C) occupational disease incident.
             518          (iii) (A) Each employer shall file a report with the Division of Industrial Accidents
             519      [within seven days after the occurrence of an injury or occupational disease] in accordance with
             520      Sections 34A-2-407 and 34A-3-108 , after the employer's first knowledge of the occurrence, or
             521      after the employee's notification of the same, in the form prescribed by the Division of


             522      Industrial Accidents, of any work-related fatality or any work-related injury or occupational
             523      disease resulting in:
             524          (I) medical treatment;
             525          (II) loss of consciousness;
             526          (III) loss of work;
             527          (IV) restriction of work; or
             528          (V) transfer to another job.
             529          (B) (I) Each employer shall file a subsequent report with the Division of Industrial
             530      Accidents of any previously reported injury or occupational disease that later resulted in death.
             531          (II) The subsequent report shall be filed with the Division of Industrial Accidents
             532      [within seven days following the death or the employer's first knowledge or notification of the
             533      death] in accordance with Sections 34A-2-407 and 34A-3-108 .
             534          (iv) A report is not required for minor injuries, such as cuts or scratches that require
             535      first aid treatment only, unless a treating physician files, or is required to file, the Physician's
             536      Initial Report of Work Injury or Occupational Disease with the Division of Industrial
             537      Accidents.
             538          (v) A report is not required:
             539          (A) for occupational diseases that manifest after the employee is no longer employed
             540      by the employer with which the exposure occurred; or
             541          (B) where the employer is not aware of an exposure occasioned by the employment
             542      which results in a compensable occupational disease as defined by Section 34A-3-103 .
             543          (vi) Each employer shall provide the employee with:
             544          (A) a copy of the report submitted to the Division of Industrial Accidents; and
             545          (B) a statement, as prepared by the Division of Industrial Accidents, of the employee's
             546      rights and responsibilities related to the industrial injury or occupational disease.
             547          (vii) Each employer shall maintain a record in a manner prescribed by the commission
             548      of all work-related fatalities or work-related injuries and of all occupational diseases resulting
             549      in:
             550          (A) medical treatment;
             551          (B) loss of consciousness;
             552          (C) loss of work;


             553          (D) restriction of work; or
             554          (E) transfer to another job.
             555          (viii) The commission shall make rules in accordance with Title 63G, Chapter 3, Utah
             556      Administrative Rulemaking Act, to implement this Subsection (3)(b) consistent with nationally
             557      recognized rules or standards on the reporting and recording of work-related injuries and
             558      occupational diseases.
             559          (c) (i) The commission shall make rules in accordance with Title 63G, Chapter 3, Utah
             560      Administrative Rulemaking Act, requiring employers to keep records regarding exposures to
             561      potentially toxic materials or harmful physical agents required to be measured or monitored
             562      under Section 34A-6-202 .
             563          (ii) (A) The rules made under Subsection (3)(c)(i) shall provide for employees or their
             564      representatives:
             565          (I) to observe the measuring or monitoring; and
             566          (II) to have access to the records of the measuring or monitoring, and to records that
             567      indicate their exposure to toxic materials or harmful agents.
             568          (B) Each employer shall promptly notify employees being exposed to toxic materials or
             569      harmful agents in concentrations that exceed prescribed levels and inform any such employee
             570      of the corrective action being taken.
             571          (4) Information obtained by the division shall be obtained with a minimum burden
             572      upon employers, especially those operating small businesses.
             573          (5) A representative of the employer and a representative authorized by employees
             574      shall be given an opportunity to accompany the division's authorized representative during the
             575      physical inspection of any workplace. If there is no authorized employee representative, the
             576      division's authorized representative shall consult with a reasonable number of employees
             577      concerning matters of health and safety in the workplace.
             578          (6) (a) (i) (A) Any employee or representative of employees who believes that a
             579      violation of an adopted safety or health standard exists that threatens physical harm, or that an
             580      imminent danger exists, may request an inspection by giving notice to the division's authorized
             581      representative of the violation or danger. The notice shall be:
             582          (I) in writing, setting forth with reasonable particularity the grounds for notice; and
             583          (II) signed by the employee or representative of employees.


             584          (B) A copy of the notice shall be provided the employer or the employer's agent no
             585      later than at the time of inspection.
             586          (C) Upon request of the person giving notice, the person's name and the names of
             587      individual employees referred to in the notice may not appear in the copy or on any record
             588      published, released, or made available pursuant to Subsection (7).
             589          (ii) (A) If upon receipt of the notice the division's authorized representative determines
             590      there are reasonable grounds to believe that a violation or danger exists, the authorized
             591      representative shall make a special inspection in accordance with this section as soon as
             592      practicable to determine if a violation or danger exists.
             593          (B) If the division's authorized representative determines there are no reasonable
             594      grounds to believe that a violation or danger exists, the authorized representative shall notify
             595      the employee or representative of the employees in writing of that determination.
             596          (b) (i) Prior to or during any inspection of a workplace, any employee or representative
             597      of employees employed in the workplace may notify the division or its representative of any
             598      violation of a standard that they have reason to believe exists in the workplace.
             599          (ii) The division shall:
             600          (A) by rule, establish procedures for informal review of any refusal by a representative
             601      of the division to issue a citation with respect to any alleged violation; and
             602          (B) furnish the employees or representative of employees requesting review a written
             603      statement of the reasons for the division's final disposition of the case.
             604          (7) (a) The division may compile, analyze, and publish, either in summary or detailed
             605      form, all reports or information obtained under this section, subject to the limitations set forth
             606      in Section 34A-6-306 .
             607          (b) The commission shall make rules in accordance with Title 63G, Chapter 3, Utah
             608      Administrative Rulemaking Act, necessary to carry out its responsibilities under this chapter,
             609      including rules for information obtained under this section, subject to the limitations set forth
             610      in Section 34A-6-306 .
             611          (8) Any employer who refuses or neglects to make reports, to maintain records, or to
             612      file reports with the commission as required by this section is guilty of a class C misdemeanor
             613      and subject to citation under Section 34A-6-302 and a civil assessment as provided under
             614      Section 34A-6-307 , unless the commission finds that the employer has shown good cause for


             615      submitting a report later than required by this section.
             616          Section 6. Effective date.
             617          This bill takes effect on July 1, 2013.


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