2003-4 Regulatory Agenda (Rules) - Workers' Compensation Board - State of Maine

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90-351
Workers' Compensation Board
2003-2004 Regulatory Agenda

AGENCY UMBRELLA-UNIT NUMBER: 90-351
AGENCY NAME: Workers' Compensation Board

CONTACT PERSON: Timothy W. Collier, Assistant General Counsel, 27 State House Station, Augusta, Maine 04333-0027. Tel.: (207)287-7086

EMERGENCY RULES ADOPTED SINCE THE LAST REGULATORY AGENDA: None

CONSENSUS-BASED RULE DEVELOPMENT: The Agency expects to employ consensus-based rule development in formatting planned rule changes.

EXPECTED 2003-04 RULE-MAKING ACTIVITY:

CHAPTER 1(7): Payment of Benefits
STATUTORY AUTHORITY: 39-A M.R.S.A. § 152(2)
PURPOSE: Update the Board forms for Wage Statement (WCB-2) and Schedule of Dependents and Filing Status Statement (WCB-2A).
ANTICIPATED SCHEDULE: Winter 2003-2004
AFFECTED PARTIES: Injured employees, employers, self-insured employers, insurance companies, third-party administrators, health care providers, attorneys.

CHAPTER 2(1): Section 213 Compensation for Partial Incapacity
STATUTORY AUTHORITY: 39-A M.R.S.A. § 152(2); § 213
PURPOSE: The permanent impairment threshold is due to be re-examined by January 1, 2004.
ANTICIPATED SCHEDULE: Winter 2003-2004
AFFECTED PARTIES: Injured employees, employers, self-insured employers, insurance companies, third-party administrators, health care providers, attorneys.

CHAPTER 2(2): Section 213 Compensation for Partial Incapacity
STATUTORY AUTHORITY: 39-A M.R.S.A. § 152(2); § 213
PURPOSE: The benefit limitation in Section 213(4) is due to be re-examined by January 1, 2004.
ANTICIPATED SCHEDULE: Winter 2003-2004
AFFECTED PARTIES: Injured employees, employers, self-insured employers, insurance companies, third-party administrators, health care providers, attorneys.

CHAPTER 2(3): Section 213 Compensation for Partial Incapacity
STATUTORY AUTHORITY: 39-A M.R.S.A. § 152(2); § 213(2)
PURPOSE: Clarify procedures for collecting permanent impairment data.
ANTICIPATED SCHEDULE: Winter 2003-04
AFFECTED PARTIES: Injured employees, employers, self-insured employers, insurance companies, third-party administrators, health care providers, attorneys.

CHAPTER 3: Form Filing
STATUTORY AUTHORITY: 39-A M.R.S.A. § 152(2-A)
PURPOSE: To require electronic filing of some Board forms
ANTICIPATED SCHEDULE: Fall 2003
AFFECTED PARTIES: Injured employees, employers, self-insured employers, insurance companies, third-party administrators, health care providers, attorneys.

CHAPTER 4(1): Independent Medical Examiner
STATUTORY AUTHORITY: 39-A M.R.S.A. § 152(2); § 312
PURPOSE: Clarify independent medical examiner procedures.
ANTICIPATED SCHEDULE: Winter 2003-2004
AFFECTED PARTIES: Injured employees, employers, self-insured employers, insurance companies, third-party administrators, health care providers, attorneys.

CHAPTER 5(4): Medical Fee Schedule
STATUTORY AUTHORITY: 39-A M.R.S.A. § 152(2); § 209
PURPOSE: Update Fee Schedule and procedures.
ANTICIPATED SCHEDULE: Spring/Summer 2004
AFFECTED PARTIES: Injured employees, employers, self-insured employers, insurance companies, third-party administrators, health care providers, attorneys.

CHAPTER 7(6): Utilization Review, Treatment Guidelines, Permanent Impairment
STATUTORY AUTHORITY: 39-A M.R.S.A. § 152(2); § 153(8)
PURPOSE: Establish a schedule for determining permanent impairment.
ANTICIPATED SCHEDULE: Spring 2004
AFFECTED PARTIES: Injured employees, employers, self-insured employers, insurance companies, third-party administrators, health care providers, attorneys.

CHAPTER 8(9) and (10): Procedures for Payment
STATUTORY AUTHORITY: 39-A M.R.S.A. § 152(2)
PURPOSE: Update the Board forms for Wage Statement (WCB-2) and Schedule of Dependents and Filing Status Statement (WCB-2A).
ANTICIPATED SCHEDULE: Winter 2003-2004
AFFECTED PARTIES: Injured employees, employers, self-insured employers, insurance companies, third-party administrators, health care providers, attorneys.

CHAPTER 12: Formal Hearings
STATUTORY AUTHORITY: 39-A M.R.S.A. § 152(2)
PURPOSE: Clarify procedure related to filing of Joint Scheduling Memo
ANTICIPATED SCHEDULE: Fall 2002
AFFECTED PARTIES: Injured employees, employers, self-insured employers, insurance companies, third-party administrators, health care providers, attorneys.

CHAPTER 18: Examinations by Impartial Physicians Pursuant to 39-A M.R.S.A. § 611
STATUTORY AUTHORITY: 39-A M.R.S.A. § 152(2); § 611
PURPOSE: To update expenses and fees.
ANTICIPATED SCHEDULE: Winter 2004
AFFECTED PARTIES: Injured employees, employers, self-insured employers, insurance companies, third-party administrators, health care providers, attorneys.