SF 3193

1st Engrossment - 93rd Legislature (2023 - 2024) Posted on 09/21/2023 09:33am

A bill for an act
relating to workers' compensation; adopting recommendations of the 2023 Workers'
Compensation Advisory Committee; modifying workers' compensation
self-insurance; improving system efficiencies; modifying the permanent partial
disability schedule; requiring a post-traumatic stress disorder study and report;
making housekeeping changes; appropriating money; amending Minnesota Statutes
2022, sections 79A.01, subdivision 4; 79A.04, subdivisions 7, 9, 10, 16, by adding
a subdivision; 79A.08; 79A.13; 79A.24, subdivision 4; 79A.25, subdivisions 1, 2,
3, by adding a subdivision; 176.011, subdivision 11a, by adding a subdivision;
176.081, subdivision 1; 176.101, subdivision 2a; 176.102, subdivision 3; 176.111,
subdivision 16, by adding a subdivision; 176.135, subdivisions 1, 1a, 7; 176.1362,
subdivision 1; 176.1364, subdivision 3; 176.155, subdivision 1; 176.239,
subdivisions 6, 7; 176.291; 176.305, subdivision 4; 176.331; repealing Minnesota
Statutes 2022, sections 176.1364, subdivision 6; 176.223.

BE IT ENACTED BY THE LEGISLATURE OF THE STATE OF MINNESOTA:

ARTICLE 1

WORKERS' COMPENSATION SELF-INSURANCE

Section 1.

Minnesota Statutes 2022, section 79A.01, subdivision 4, is amended to read:

Subd. 4.

Insolvent self-insurer.

"Insolvent self-insurer" means: (1) a member private
self-insurer who has failed to pay compensation as a result of a declaration of bankruptcy
or insolvency by a court of competent jurisdiction and whose security deposit has been
called by the commissioner pursuant to chapter 176; (2) a member self-insurer who has
failed to pay compensation and who has been issued a certificate of default by the
commissioner and whose security deposit has been called by the commissioner pursuant to
chapter 176; deleted text begin or deleted text end (3) a member or former member private self-insurer who has failed to pay
an assessment required by section 79A.12, subdivision 2, and who has been issued a
certificate of default by the commissioner and whose security deposit has been called by
the commissioner deleted text begin . deleted text end new text begin ; or (4) a member private self-insurer whose security deposit has been
called by the commissioner pursuant to chapter 176 and in accordance with section 79A.04,
subdivision 9a, paragraph (b).
new text end

Sec. 2.

Minnesota Statutes 2022, section 79A.04, subdivision 7, is amended to read:

Subd. 7.

Perfection of security.

Upon the commissioner sending a request to renew,
request to post, or request to increase a security deposit, a perfected security interest is
created in the private self-insured's assets in favor of the commissioner to the extent of any
then unsecured portion of the self-insured's incurred liabilities. That perfected security
interest is transferred to any cash or securities thereafter posted by the private self-insured
with the commissioner of management and budget and is released only upon either of the
following:

(1) the acceptance by the commissioner of a surety bond or irrevocable letter of credit
for the full amount of the incurred liabilities for the payment of compensation; or

(2) the return of cash or securities by the commissioner.

The private self-insured employer loses all right, title, and interest in and any right to
control all assets or obligations posted or left on deposit as security. In the event that deleted text begin a
private self-insurer is the subject of a voluntary or involuntary petition under the United
States Bankruptcy Code, title 11, or deleted text end a court of competent jurisdiction has declared the private
self-insurer to be deleted text begin bankrupt or deleted text end insolvent, or in the event of the issuance of a certificate of
default by the commissioner, the commissioner shall liquidate the deposit as provided in
this chapter, and transfer it to the self-insurer's security fund for application to the self-insured
employer's incurred liability and other current or future obligations of the self-insurers'
security fund. In the event that deleted text begin a private self-insurer is the subject of a voluntary or
involuntary petition under the United States Bankruptcy Code, title 11, or deleted text end a court of
competent jurisdiction has declared the private self-insurer to be deleted text begin bankrupt or deleted text end insolvent, or
in the event of the issuance of a certificate of default by the commissioner, all right, title,
and interest in and any right to control all assets or obligations which have been posted or
deposited as security must be transferred to the self-insurers' security fund.

Sec. 3.

Minnesota Statutes 2022, section 79A.04, subdivision 9, is amended to read:

Subd. 9.

Insolvency deleted text begin , bankruptcy, deleted text end or default; utilization of security deposit.

The
commissioner of labor and industry shall notify the commissioner and the security fund if
the commissioner of labor and industry has knowledge that any private self-insurer has
failed to pay workers' compensation benefits as required by chapter 176. The security deposit
shall be used to administer and pay the private self-insurers' workers' compensation or
assessment obligations or any other current or future obligations of the self-insurers' security
fund if any of the following occurs:

(1) the private self-insurer has failed to pay workers' compensation as required by chapter
176 and deleted text begin either:
deleted text end

deleted text begin (i) the commissioner determines that a private self-insurer is the subject of a voluntary
or involuntary petition under the United States Bankruptcy Code, title 11; or
deleted text end

deleted text begin (ii) deleted text end the commissioner determines that a court of competent jurisdiction has declared the
private self-insurer to be deleted text begin bankrupt or deleted text end insolvent; deleted text begin or
deleted text end

(2) the commissioner issues a certificate of default against a private self-insurer for
failure to pay workers' compensation as required by chapter 176; or

(3) the commissioner issues a certificate of default against a private self-insurer for
failure to pay an assessment to the self-insurer's security fund when due.

Sec. 4.

Minnesota Statutes 2022, section 79A.04, is amended by adding a subdivision to
read:

new text begin Subd. 9a. new text end

new text begin Bankruptcy; utilization of security deposit. new text end

new text begin (a) A private self-insurer must
notify the commissioner prior to, or immediately upon, the filing of a voluntary or involuntary
petition under the United States Bankruptcy Code, title 11, and when a court of competent
jurisdiction has declared the private self-insurer to be bankrupt.
new text end

new text begin (b) If a private self-insurer is (1) the subject of a voluntary or involuntary petition under
the United States Bankruptcy Code, title 11, or (2) a court of competent jurisdiction has
declared the private self-insurer to be bankrupt and the private self-insurer has failed to pay
workers' compensation as required by chapter 176, the commissioner must call the security
and proceed in accordance with this section.
new text end

new text begin (c) If, upon notice that a private self-insurer is the subject of a voluntary or involuntary
petition under the United States Bankruptcy Code, title 11, or a court of competent
jurisdiction has declared the private self-insurer to be bankrupt but the private self-insurer
has not failed to timely pay workers' compensation benefits as required by chapter 176, the
commissioner may call the security and proceed in accordance with this section if the
commissioner determines that the private self-insurer's payment of workers' compensation
benefits would be delayed in any way as a result of the bankruptcy petition or declaration
or that the private self-insurer would otherwise be unable to fulfill its obligations under
chapter 79A or 176.
new text end

new text begin (d) In making the determination provided for in paragraph (c) to call a private
self-insurer's security and proceed in accordance with this section, the commissioner must
consult with the commissioner of labor and industry to determine if the commissioner of
labor and industry has knowledge that the private self-insurer has failed to pay workers'
compensation benefits as required by chapter 176. The commissioner shall also consider
the following:
new text end

new text begin (1) the self-insurer's most recent actuarial statement, including but not limited to estimated
future liability and posted security;
new text end

new text begin (2) the self-insurer's claims history and claims projections;
new text end

new text begin (3) the circumstances surrounding the self-insurer's petition to file bankruptcy; and
new text end

new text begin (4) any other circumstances the commissioner deems relevant.
new text end

new text begin (d) In making the determination under paragraph (c), the commissioner must also meet
and confer with the private self-insurer and the security fund. The initial meet and confer
must occur within 30 days of the filing of the petition for chapter 11 bankruptcy. Failure to
participate in the meet and confer process by the self-insurer may result in a default
determination to immediately transfer the posted security and claims obligations to the
security fund. During the meet and confer, the commissioner may ask the self-insurer to
provide additional information. Additionally, the security fund may inspect the private
self-insurer's most recent actuarial study on file with the commissioner as well as its current
security deposit amount required by the commissioner. Data disclosed during the meet and
confer must remain confidential. Nothing in this section shall limit the fund's authority to
seek information directly from its members.
new text end

Sec. 5.

Minnesota Statutes 2022, section 79A.04, subdivision 10, is amended to read:

Subd. 10.

Notice; obligation of fund.

In the event of deleted text begin bankruptcy, deleted text end insolvency deleted text begin , deleted text end or
certificate of default, the commissioner shall immediately notify by certified mail the
commissioner of management and budget, the surety, the issuer of an irrevocable letter of
credit, and any custodian of the security required in this chapter. At the time of notification,
the commissioner shall also call the security and transfer and assign it to the self-insurers'
security fund. The commissioner shall also immediately notify by certified mail the
self-insurers' security fund, and order the security fund to assume the insolvent self-insurers'
obligations for which it is liable under chapter 176. The security fund shall commence
payment of these obligations within 14 days of receipt of this notification and order. Payments
shall be made to claimants whose entitlement to benefits can be ascertained by the security
fund, with or without proceedings before the Department of Labor and Industry, the Office
of Administrative Hearings, the Workers' Compensation Court of Appeals, or the Minnesota
Supreme Court. Upon the assumption of obligations by the security fund pursuant to the
commissioner's notification and order, the security fund has the right to immediate possession
of any posted or deposited security and the custodian, surety, or issuer of any irrevocable
letter of credit or the commissioner, if in possession of it, shall turn over the security,
proceeds of the surety bond, or letter of credit to the security fund together with the interest
that has accrued since the date of the self-insured employer's insolvency. The security fund
has the right to the immediate possession of all relevant workers' compensation claim files
and data of the self-insurer, and the possessor of the files and data must turn the files and
data, or complete copies of them, over to the security fund within five days of the notification
provided under this subdivision. If the possessor of the files and data fails to timely turn
over the files and data to the security fund, it is liable to the security fund for a penalty of
$500 per day for each day after the five-day period has expired. The security fund is entitled
to recover its reasonable attorney fees and costs in any action brought to obtain possession
of the workers' compensation claim files and data of the self-insurer, and for any action to
recover the penalties provided by this subdivision. The self-insurers' security fund may
administer payment of benefits or it may retain a third-party administrator to do so.

Sec. 6.

Minnesota Statutes 2022, section 79A.04, subdivision 16, is amended to read:

Subd. 16.

Certificate to self-insure; revocation.

If, following a private self-insurer's
deleted text begin bankruptcy, deleted text end insolvency deleted text begin , deleted text end or certificate of default, the commissioner calls its security and
proceeds in accordance with this section, the commissioner shall revoke the certificate to
self-insure of the private self-insurer as soon as practicable but no later than 30 days after
its security has been called. No insolvent self-insurer, as defined in section 79A.01,
subdivision 4, shall be eligible to receive another grant of authority to self-insure unless
either: (1) the insolvent self-insurer's posted security was sufficient to pay all direct and
indirect administrative and professional expenses of the security fund related to the insolvent
self-insurer, and all losses, including estimated future liability, allocated loss expense, and
unallocated loss expense of the insolvent self-insurer; or (2) the insolvent self-insurer pays
the security fund an amount equal to all such losses and expenses the security fund has paid
or will be required to pay related to this insolvent self-insurer.

Sec. 7.

Minnesota Statutes 2022, section 79A.08, is amended to read:

79A.08 LEGISLATIVE INTENT.

It is the intent of the legislature in enacting sections 79A.08 to 79A.10 to provide for
the continuation of workers' compensation benefits delayed due to the failure of a private
self-insured employer to meet its compensation obligations, whenever the commissioner
of commerce issues a certificate of default or there is a declaration of deleted text begin bankruptcy or deleted text end
insolvency by a court of competent jurisdiction. With respect to the continued liability of
a surety for claims that arise under a bond after termination of that bond and to a surety's
liability for the cost of administration of claims, it is the intent of the legislature to provide
that that liability ceases upon lawful termination of that bond. This applies to all surety
bonds which are purchased by the self-insured employer after July 1, 1988. The legislature
finds and declares that the establishment of the self-insurers' security fund is a necessary
component of a complete system of workers' compensation, required by chapter 176, to
have adequate provisions for the comfort, health, safety, and general welfare of any and all
workers and their dependents to the extent of relieving the consequences of any industrial
injury or death, and full provision for securing the payment of compensation.

Sec. 8.

Minnesota Statutes 2022, section 79A.13, is amended to read:

79A.13 AUDIT; ANNUAL REPORT.

The trustees shall annually contract for an independent certified audit of the financial
activities of the fund. An annual report on the financial status of the fund as of June 30 shall
be submitted to the commissioner and to each member.

The security fund shall be established on July 1, 1988, or 90 days after July 1, 1988,
whichever occurs later. All applications for private self-insurers which are made after July
1, 1988, prior to the establishment of the security fund, shall comply with all requirements
of this chapter. Applications for private self-insurers which are made after January 1, 1988,
but prior to July 1, 1988, shall, prior to the establishment of the security fund, comply with
the requirements of this chapter. The security fund shall be liable for payment of benefits
only for members where there has been a declaration of deleted text begin bankruptcy or deleted text end insolvency by a court
of competent jurisdiction after the date on which the security fund is established, or where
the commissioner has issued a certificate of default which has occurred after the date on
which the security fund is established.

Sec. 9.

Minnesota Statutes 2022, section 79A.24, subdivision 4, is amended to read:

Subd. 4.

Custodial accounts.

(a) All surety bonds, irrevocable letters of credit, and
documents showing issuance of any irrevocable letter of credit shall be deposited in
accordance with the provisions of section 79A.071.

(b) Upon the commissioner sending a request to renew, request to post, or request to
increase a security deposit, a perfected security interest is created in the commercial
self-insurance group's and member's assets in favor of the commissioner to the extent of
any then unsecured portion of the commercial self-insurance group's incurred liabilities.
The perfected security interest is transferred to any cash or securities thereafter posted by
the commercial self-insurance group with the commissioner of management and budget
and is released only upon either of the following:

(1) the acceptance by the commissioner of a surety bond or irrevocable letter of credit
for the full amount of the incurred liabilities for the payment of compensation; or

(2) the return of cash or securities by the commissioner. The commercial self-insurance
group loses all right, title, and interest in and any right to control all assets or obligations
posted or left on deposit as security. In the event of a declaration of deleted text begin bankruptcy or deleted text end insolvency
by a court of competent jurisdiction, or in the event of the issuance of a certificate of default
by the commissioner, the commissioner shall liquidate the deposit as provided in this chapter,
and transfer it to the commercial self-insurance group security fund for application to the
commercial self-insurance group's incurred liability.

(c) No securities in physical form on deposit with the commissioner of management and
budget or the commissioner or custodial accounts assigned to the state shall be released or
exchanged without an order from the commissioner. No security can be exchanged more
than once every 90 days.

(d) Any securities deposited with the commissioner of management and budget or with
a custodial account assigned to the commissioner of management and budget or letters of
credit or surety bonds held by the commissioner may be exchanged or replaced by the
depositor with any other acceptable securities or letters of credit or surety bond of like
amount so long as the market value of the securities or amount of the surety bonds or letter
of credit equals or exceeds the amount of the deposit required. If securities are replaced by
surety bond, the commercial self-insurance group must maintain securities on deposit in an
amount sufficient to meet all outstanding workers' compensation liability arising during the
period covered by the deposit of the replaced securities.

Sec. 10.

Minnesota Statutes 2022, section 79A.25, subdivision 1, is amended to read:

Subdivision 1.

Notice of insolvency deleted text begin , bankruptcy, deleted text end or default.

The commissioner of
labor and industry shall notify the commissioner and the commercial self-insurance group
security fund if the commissioner of labor and industry has knowledge that any commercial
self-insurance group has failed to pay workers' compensation benefits as required by chapter
176. If the commissioner determines that a court of competent jurisdiction has declared the
commercial self-insurance group to be deleted text begin bankrupt or deleted text end insolvent and the commercial
self-insurance group has failed to pay workers' compensation as required by chapter 176 or
if the commissioner issues a certificate of default against a commercial self-insurance group
for failure to pay workers' compensation as required by chapter 176, then the security deposit
posted by the commercial self-insurance group shall be utilized to administer and pay the
commercial self-insurance group's workers' compensation obligation.

Sec. 11.

Minnesota Statutes 2022, section 79A.25, subdivision 2, is amended to read:

Subd. 2.

new text begin Mandatory new text end revocation of certificate to self-insure.

(a) The commissioner
shall revoke the commercial self-insurance group's certificate to self-insure once notified
of the commercial self-insurance group's deleted text begin bankruptcy, deleted text end insolvency deleted text begin , deleted text end or upon issuance of a
certificate of default. The revocation shall be completed as soon as practicable, but no later
than 30 days after the commercial self-insurance group's security has been called.

(b) The commissioner shall also revoke a commercial self-insurance group's authority
to self-insure on the following grounds:

(1) failure to comply with any lawful order of the commissioner;

(2) failure to comply with any provision of chapter 176;

(3) a deterioration of the commercial self-insurance group's financial condition affecting
its ability to pay obligations in chapter 176;

(4) committing an unfair or deceptive act or practice as defined in section 72A.20; or

(5) failure to abide by the plan of operation of the Workers' Compensation Reinsurance
Association.

Sec. 12.

Minnesota Statutes 2022, section 79A.25, is amended by adding a subdivision to
read:

new text begin Subd. 2a. new text end

new text begin Discretionary revocation of certificate to self-insure. new text end

new text begin (a) A commercial
self-insurance group must notify the commissioner, prior to or immediately upon a court
of competent jurisdiction declaring it to be insolvent. If a commercial self-insurance group
has been declared insolvent by a court of competent jurisdiction and the commercial
self-insurance group has failed to pay workers' compensation as required by chapter 176,
the commissioner must call the security and proceed in accordance with this section.
new text end

new text begin (b) If a commercial self-insurance group has notified the commissioner that a court of
competent jurisdiction has declared it bankrupt but the commercial self-insurance group
has not failed to pay workers' compensation benefits as required by chapter 176, the
commissioner may call the security and proceed in accordance with this section if the
commissioner determines that the commercial self-insurance group's payment of workers'
compensation benefits would be delayed in any way as a result of the bankruptcy petition
or declaration or that the commercial self-insurance group would otherwise be unable to
fulfill its obligations under chapter 79A or 176.
new text end

new text begin (c) In making the determination provided for in paragraph (b) to call a commercial
self-insurance group's security and proceed in accordance with this section, the commissioner
must consult with the commissioner of labor and industry to determine if the commissioner
of labor and industry has knowledge that the commercial self-insurance group has failed to
pay workers' compensation benefits as required by chapter 176. The commissioner shall
also consider the following:
new text end

new text begin (1) the commercial self-insurance group's most recent actuarial statement, including but
not limited to estimated future liability and posted security;
new text end

new text begin (2) the commercial self-insurance group's claims history and claims projections;
new text end

new text begin (3) the circumstances surrounding the commercial self-insurance group's petition to file
bankruptcy; and
new text end

new text begin (4) any other circumstances the commissioner deems relevant.
new text end

new text begin (d) The commissioner must also meet and confer with the commercial self-insurance
group and the group security fund. The initial meet and confer must occur within 30 days
of the filing of the petition for chapter 11 bankruptcy. Failure to participate in the meet and
confer process by the commercial self-insurance group may result in a default determination
to immediately transfer the posted security and claims obligations to the fund. During the
meet and confer, the commissioner may ask the commercial self-insurance group to provide
additional information and the commercial self-insurance group security fund may inspect
the commercial self-insurance group's most recent actuarial study on file with the
commissioner as well as its current security deposit amount required by the commissioner.
Data disclosed during the meet and confer must remain confidential. Nothing in this section
shall limit the fund's authority to seek information directly from its members.
new text end

Sec. 13.

Minnesota Statutes 2022, section 79A.25, subdivision 3, is amended to read:

Subd. 3.

Notice by commissioner.

In the event of deleted text begin bankruptcy, deleted text end insolvency deleted text begin , deleted text end or certificate
of default, the commissioner shall immediately notify by certified mail the commissioner
of management and budget, the surety, the issuer of an irrevocable letter of credit, and any
custodian of the security. At the time of notification, the commissioner shall also call the
security and transfer and assign it to the commercial self-insurance group security fund.
The commissioner shall also notify by certified mail the commercial self-insurance group's
security fund and order the commercial security fund to assume the insolvent commercial
self-insurance group's obligations for which it is liable under chapter 176.

ARTICLE 2

SYSTEM EFFICIENCIES

Section 1.

Minnesota Statutes 2022, section 176.081, subdivision 1, is amended to read:

Subdivision 1.

Limitation of fees.

(a) A fee for legal services of 20 percent of the first
$130,000 of compensation awarded to the employee is the maximum permissible fee and
does not require approval by the commissioner, compensation judge, or any other party.
All fees, including fees for obtaining medical or rehabilitation benefits, must be calculated
according to the formula under this subdivision, except as otherwise provided in clause (1)
or (2).

(1) The contingent attorney fee for recovery of monetary benefits according to the
formula in this section is presumed to be adequate to cover recovery of medical and
rehabilitation benefit or services concurrently in dispute. Attorney fees for recovery of
medical or rehabilitation benefits or services shall be assessed against the employer or
insurer only if the attorney establishes that the contingent fee is inadequate to reasonably
compensate the attorney for representing the employee in the medical or rehabilitation
dispute. In cases where the contingent fee is inadequate the employer or insurer is liable for
attorney fees based on the formula in this subdivision or in clause (2).

For the purposes of applying the formula where the employer or insurer is liable for
attorney fees, the amount of compensation awarded for obtaining disputed medical and
rehabilitation benefits under sections 176.102, 176.135, and 176.136 shall be the dollar
value of the medical or rehabilitation benefit awarded, where ascertainable.

(2) The maximum attorney fee for obtaining a change of doctor or qualified rehabilitation
consultant, or any other disputed medical or rehabilitation benefit for which a dollar value
is not reasonably ascertainable, is the amount charged in hourly fees for the representation
or $500, whichever is less, to be paid by the employer or insurer.

(3) The fees for obtaining disputed medical or rehabilitation benefits are included in the
$26,000 limit in paragraph (b). An attorney must concurrently file all outstanding disputed
issues. An attorney is not entitled to attorney fees for representation in any issue which
could reasonably have been addressed during the pendency of other issues for the same
injury.

(b) All fees for legal services related to the same injury are cumulative and may not
exceed $26,000. If multiple injuries are the subject of a dispute, the commissioner,
compensation judge, or court of appeals shall specify the attorney fee attributable to each
injury.

(c) If the employer or the insurer or the defendant is given written notice of claims for
legal services or disbursements, the claim shall be a lien against the amount paid or payable
as compensation. Subject to the foregoing maximum amount for attorney fees, up to 20
percent of the first $130,000 of periodic compensation awarded to the employee may be
withheld from the periodic payments for attorney fees or disbursements if the payor of the
funds clearly indicates on the check or draft issued to the employee for payment the purpose
of the withholding, the name of the attorney, the amount withheld, and the gross amount of
the compensation payment before withholding. In no case shall fees be calculated on the
basis of any undisputed portion of compensation awards. Allowable fees under this chapter
shall be new text begin available to an attorney who procures a benefit on behalf of the employee and be
new text end based solely upon genuinely disputed claims or portions of claims, including disputes related
to the payment of rehabilitation benefits or to other aspects of a rehabilitation plan. The
existence of a dispute is dependent upon a disagreement after the employer or insurer has
had adequate time and information to take a position on liability. Neither the holding of a
hearing nor the filing of an application for a hearing alone may determine the existence of
a dispute. Except where the employee is represented by an attorney in other litigation pending
at the department or at the Office of Administrative Hearings, a fee may not be charged
deleted text begin after June 1, 1996, deleted text end for services with respect to a medical or rehabilitation issue arising under
section 176.102, 176.135, or 176.136 performed before the deleted text begin employee has consulted with
the department deleted text end new text begin attorney has filed with the commissioner and served on the employer or
insurer and the attorney representing the employer or insurer, if any, a request for certification
of dispute containing the name of the employer and its insurer, the date of the injury, and
a description of the benefits claimed, new text end and the department certifies that there is a dispute and
that it has tried to resolve the dispute. new text begin If within 30 days of the filing of the request the
department has not issued a determination of whether a dispute exists, the dispute shall be
certified if all of the following apply:
new text end

new text begin (1) the insurer has not approved the requested benefit;
new text end

new text begin (2) the employee, the employee's attorney, or the employee's treating provider has
submitted any and all additional information requested by the insurer necessary to determine
whether the requested benefit is disputed or approved; and
new text end

new text begin (3) the insurer has had at least seven calendar days to review any additional information
submitted.
new text end

new text begin In cases of nonemergency surgery, if the employer or insurer has requested a second opinion
under section 176.135, subdivision 1a, or an examination under section 176.155, subdivision
1, a dispute shall be certified if 45 days have passed following a written request for an
examination or second opinion and the conditions in clauses (1) to (3) have been met.
new text end

(d) An attorney who is claiming legal fees for representing an employee in a workers'
compensation matter shall file a statement of attorney fees with the commissioner or
compensation judge before whom the matter was heard. A copy of the signed retainer
agreement shall also be filed. The employee deleted text begin and insurer deleted text end new text begin , employer or insurer, and the
attorney representing the employer or insurer, if any, new text end shall receive a copy of the statement new text begin
of attorney fees new text end . The statement shall be on a form prescribed by the commissioner and shall
report the number of hours spent on the case.

(e) Employers and insurers may not pay attorney fees or wages for legal services of
more than $26,000 per case.

(f) An attorney must file a statement of attorney fees within 12 months of the date the
attorney has submitted the written notice specified in paragraph (c). If the attorney has not
filed a statement of attorney fees within the 12 months, the attorney must send a renewed
notice of lien to the insurer. If 12 months have elapsed since the last notice of lien has been
received by the insurer and no statement of attorney fees has been filed, the insurer must
release the withheld money to the employee, except that before releasing the money to the
employee, the insurer must give the attorney 30 days' written notice of the pending release.
The insurer must not release the money if the attorney files a statement of attorney fees
within the 30 days.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2023.
new text end

Sec. 2.

Minnesota Statutes 2022, section 176.135, subdivision 1, is amended to read:

Subdivision 1.

Medical, psychological, chiropractic, podiatric, surgical, hospital.

(a)
The employer shall furnish any medical, psychological, chiropractic, podiatric, surgical and
hospital treatment, including nursing, medicines, medical, chiropractic, podiatric, and
surgical supplies, crutches and apparatus, including artificial members, or, at the option of
the employee, if the employer has not filed notice as hereinafter provided, Christian Science
treatment in lieu of medical treatment, chiropractic medicine and medical supplies, as may
reasonably be required at the time of the injury and any time thereafter to cure and relieve
from the effects of the injury. This treatment shall include treatments necessary to physical
rehabilitation.

(b) The employer shall pay for the reasonable value of nursing services provided by a
member of the employee's family in cases of permanent total disability.

(c) Exposure to rabies is an injury and an employer shall furnish preventative treatment
to employees exposed to rabies.

(d) The employer shall furnish replacement or repair for artificial members, glasses or
spectacles, artificial eyes, podiatric orthotics, dental bridge work, dentures or artificial teeth,
hearing aids, canes, crutches, or wheel chairs damaged by reason of an injury arising out
of and in the course of the employment. new text begin If an item under this paragraph is customized
specifically for the injured worker, the item is the property of the injured worker. new text end For the
purpose of this paragraph, "injury" includes damage wholly or in part to an artificial member.
In case of the employer's inability or refusal deleted text begin seasonably deleted text end to new text begin timely new text end provide the items required
to be provided under this paragraph, the employer is liable for the reasonable expense
incurred by or on behalf of the employee in providing the same, including costs of copies
of any medical records or medical reports that are in existence, obtained from health care
providers, and that directly relate to the items for which payment is sought under this chapter,
limited to the charges allowed by subdivision 7, and attorney fees incurred by the employee.

(e) Both the commissioner and the compensation judges have authority to make
determinations under this section in accordance with sections 176.106 and 176.305.

(f) An employer may require that the treatment and supplies required to be provided by
an employer by this section be received in whole or in part from a managed care plan certified
under section 176.1351 except as otherwise provided by that section.

(g) An employer may designate a pharmacy or network of pharmacies that employees
must use to obtain outpatient prescription and nonprescription medications. An employee
is not required to obtain outpatient medications at a designated pharmacy unless the pharmacy
is located within 15 miles of the employee's place of residence.

(h) Notwithstanding any fees established by rule adopted under section 176.136, an
employer may contract for the cost of medication provided to employees. All requests for
reimbursement from the special compensation fund formerly codified under section 176.131
for medication provided to an employee must be accompanied by the dispensing pharmacy's
invoice showing its usual and customary charge for the medication at the time it was
dispensed to the employee. The special compensation fund shall not reimburse any amount
that exceeds the maximum amount payable for the medication under Minnesota Rules, part
5221.4070, subparts 3 and 4, notwithstanding any contract under Minnesota Rules, part
5221.4070, subpart 5, that provides for a different reimbursement amount.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 3.

Minnesota Statutes 2022, section 176.135, subdivision 1a, is amended to read:

Subd. 1a.

Nonemergency surgery; second surgical opinion.

new text begin (a) new text end The employer new text begin or
insurer new text end is required to furnish surgical treatment pursuant to subdivision 1 when the surgery
is reasonably required to cure and relieve the effects of the personal injury or occupational
disease. An employee may not be compelled to undergo surgery. If an employee desires a
second opinion on the necessity of the surgery, the employer shall pay the costs of obtaining
the second opinion. Except in cases of emergency surgery, the employer or insurer may
require the employee to obtain a second opinion on the necessity of the surgery, at the
expense of the employer new text begin or insurer new text end , before the employee undergoes surgery. deleted text begin Failure to
obtain a second surgical opinion shall not be reason for nonpayment of the charges for the
surgery. The employer is required to pay the reasonable value of the surgery unless the
commissioner or compensation judge determines that the surgery is not reasonably required. deleted text end new text begin
If an employer or insurer receives a request for nonemergency surgery, the employer or
insurer must respond in writing no later than seven calendar days after receiving the request
from the health care provider or employee by approving the request, denying authorization,
requesting additional information, requesting a second opinion under this section, or
requesting an examination by the employer's physician under section 176.155.
new text end

new text begin (b) An employer or insurer requesting a second opinion must notify the employee and
the health care provider of the request for a second opinion within seven calendar days of
the request for nonemergency surgery. If the employer or insurer denies authorization within
seven calendar days of receiving the second opinion, the health care provider may elect to
perform the surgery, subject to a determination of compensability by the commissioner or
compensation judge.
new text end

new text begin (c) Failure to obtain a second surgical opinion is not reason for nonpayment of the
charges for the surgery. The employer or insurer is required to pay the reasonable value of
the surgery unless the commissioner or compensation judge determines that the surgery is
not reasonably required.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2023.
new text end

Sec. 4.

Minnesota Statutes 2022, section 176.135, subdivision 7, is amended to read:

Subd. 7.

Medical bills and records.

(a) Health care providers shall submit to the insurer
an itemized statement of charges in the standard electronic transaction format when required
by section 62J.536 or, if there is no prescribed standard electronic transaction format, on a
billing form prescribed by the commissioner. Health care providers shall also submit copies
of medical records or reports that substantiate the nature of the charge and its relationship
to the work injury. new text begin Pursuant to Minnesota Rules, part 5219.0300, new text end health care providers may
charge for copies of any records or reports that are in existence and directly relate to the
items for which payment is sought under this chapter. The commissioner shall adopt new text begin , by
rule, new text end a schedule of reasonable charges deleted text begin by rule deleted text end new text begin that will apply to charges not covered by
paragraphs (d) and (e) new text end .

A health care provider shall not collect, attempt to collect, refer a bill for collection, or
commence an action for collection against the employee, employer, or any other party until
the information required by this section has been furnished.

A United States government facility rendering health care services to veterans is not
subject to the uniform billing form requirements of this subdivision.

(b) For medical services provided under this section, the codes from the International
Classification of Diseases, Tenth Edition, Clinical Modification/Procedure Coding System
(ICD-10), must be used to report medical diagnoses and hospital inpatient procedures when
required by the United States Department of Health and Human Services for federal
programs. The commissioner must replace the codes from the International Classification
of Diseases, Ninth Edition, Clinical Modification/Procedure Coding System (ICD-9), with
equivalent ICD-10 codes wherever the ICD-9 codes appear in rules adopted under this
chapter. The commissioner must use the General Equivalence Mappings established by the
Centers for Medicare and Medicaid Services to replace the ICD-9 diagnostic codes with
ICD-10 codes in the rules.

(c) The commissioner shall amend rules adopted under this chapter as necessary to
implement the ICD-10 coding system in paragraph (b). The amendments shall be adopted
by giving notice in the State Register according to the procedures in section 14.386, paragraph
(a). The amended rules are not subject to expiration under section 14.386, paragraph (b).

new text begin (d) The requirements in this paragraph and paragraph (e) apply to each request for copies
of existing medical records that are required to be maintained in electronic format by state
or federal law.
new text end

new text begin (1) If an authorized requestor of copies of medical records submits a written request for
advance notice of the cost of the copies requested, the health care provider must notify the
requestor of the estimated cost before sending the copies. If the requestor approves the cost
and copies of the records are provided, the payment is the applicable fee under paragraph
(e). If the requestor does not pay for the records, the health care provider may charge a fee,
which must not exceed $10.
new text end

new text begin (2) A health care provider shall not require prepayment for the cost of copies of medical
records under this paragraph or Minnesota Rules, chapter 5219, unless there is an outstanding
past-due invoice for the requestor concerning a previous request for records from the health
care provider.
new text end

new text begin (3) A health care provider shall provide copies of medical records in electronic format.
new text end

new text begin (4) The charges under paragraph (e) include any fee for retrieval, download, or other
delivery of records.
new text end

new text begin (e) For any copies of electronic records provided under paragraph (d), a health care
provider may not charge more than a total of:
new text end

new text begin (1) $10 if there are no records available;
new text end

new text begin (2) $30 for copies of records of up to 25 pages;
new text end

new text begin (3) $50 for copies of records of up to 100 pages;
new text end

new text begin (4) $50, plus an additional 20 cents per page for pages 101 and above; or
new text end

new text begin (5) $500 for any request.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2023.
new text end

Sec. 5.

Minnesota Statutes 2022, section 176.155, subdivision 1, is amended to read:

Subdivision 1.

Employer's physician.

new text begin (a) new text end The injured employee must submit to
examination by the employer's physician, if requested by the employer, and at reasonable
times thereafter upon the employer's request. Examinations shall not be conducted in hotel
or motel facilities. The examination must be scheduled at a location within 150 miles of the
employee's residence unless the employer can show cause to the department to order an
examination at a location further from the employee's residence. The employee is entitled
upon request to have a personal physician new text begin or witness new text end present at any such examination. Each
party shall defray the cost of that party's physician.

new text begin (b) new text end Any report or written statement made by the employer's physician as a result of an
examination of the employee, regardless of whether the examination preceded the injury
or was made subsequent to the injury deleted text begin , shall be made available, upon request and without
charge, to the injured employee or representative of the employee deleted text end new text begin or whether litigation is
pending, must be served upon the employee and the attorney representing the employee, if
any, no later than 14 calendar days within the issuance of the report or written statement new text end .

new text begin (c) new text end The employer shall pay reasonable travel expenses incurred by the employee in
attending the examination including mileage, parking, and, if necessary, lodging and meals.
The employer shall also pay the employee for any lost wages resulting from attendance at
the examination.

new text begin (d) new text end A self-insured employer or insurer who is served with a claim petition pursuant to
section 176.271, subdivision 1, or 176.291, shall schedule any necessary examinations of
the employee, if an examination by the employer's physician or health care provider is
necessary to evaluate benefits claimed. The examination shall be completed and the report
of the examination shall be served on the employee and filed with the commissioner within
120 days of service of the claim petition. new text begin Any request for a good cause extension pursuant
to paragraph (e) must be made within 120 days of service of the claim petition, except that
a request may be made after 120 days of service of a claim petition in the following
circumstances:
new text end

new text begin (1) a change to the employee's claim regarding the nature and extent of the injury;
new text end

new text begin (2) a change to the permanency benefits claimed by the employee, including a change
in permanent partial disability percentage;
new text end

new text begin (3) a new claim for indemnity benefits; or
new text end

new text begin (4) the employment relationship is not admitted by the uninsured employer.
new text end

new text begin (e) new text end No evidence relating to the examination or report shall be received or considered by
the commissioner, a compensation judge, or the court of appeals in determining any issues
unless the report has been served and filed as required by this section, unless a written
extension has been granted by the commissioner or compensation judge. The commissioner
or a compensation judge shall extend the time for completing the adverse examination and
filing the report upon good cause shown. The extension must not be for the purpose of delay
and the insurer must make a good faith effort to comply with this subdivision. Good cause
shall include but is not limited to:

(1) that the extension is necessary because of the limited number of physicians or health
care providers available with expertise in the particular injury or disease, or that the extension
is necessary due to the complexity of the medical issues, or

(2) that the extension is necessary to gather additional information which was not included
on the petition as required by section 176.291.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2023.
new text end

Sec. 6.

Minnesota Statutes 2022, section 176.239, subdivision 6, is amended to read:

Subd. 6.

Scope of the administrative decision.

If benefits have been discontinued due
to the employee's return to work, the commissioner shall determine whether, as a result of
occurrences arising during the initial 14 calendar days after the return to work, the employee
is entitled to additional payment of temporary total, temporary partial, or permanent total
compensation.

If periodic payment of temporary total, temporary partial, or permanent total
compensation has been discontinued for reasons other than a return to work, the commissioner
shall determine whether the employer has reasonable grounds to support the discontinuance.
Only deleted text begin information or deleted text end reasons specified on the notice of discontinuance shall provide a basis
for a discontinuance, unless the parties agree otherwise.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2023.
new text end

Sec. 7.

Minnesota Statutes 2022, section 176.239, subdivision 7, is amended to read:

Subd. 7.

Interim administrative decision.

After considering the information provided
by the parties at the administrative conference new text begin and exhibits filed by the parties with the
office new text end , the commissioner shall issue to all interested parties a written decision on payment
of compensation. Administrative decisions under this section shall be issued within five
working days from the close of the conference. Disputed issues of fact shall be determined
by a preponderance of the evidence.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2023.
new text end

Sec. 8.

Minnesota Statutes 2022, section 176.291, is amended to read:

176.291 DISPUTES; PETITIONS; PROCEDURE.

(a) Where there is a dispute as to a question of law or fact in connection with a claim
for compensation, a party may serve on all other parties and file a petition with the office
stating the matter in dispute. The petition shall be on a form prescribed by the commissioner
and shall be signed by the petitioner.

(b) The petition shall also state and include, where applicable:

(1) names and residence or business address of parties;

(2) facts relating to the employment at the time of injury, including amount of wages
received;

(3) extent and character of new text begin each new text end injury;

(4) notice to or knowledge by employer of injury;

(5) copies of written medical reports or new text begin medical records supporting each claim asserted;
new text end

new text begin (6) copies of new text end other information in support of the claim;

deleted text begin (6) deleted text end new text begin (7) new text end names and addresses of all known witnesses intended to be called in support of
deleted text begin the deleted text end new text begin each injury and new text end claim;

deleted text begin (7) deleted text end new text begin (8) new text end the desired location of any hearing and estimated time needed to present evidence
at the hearing;

deleted text begin (8) deleted text end new text begin (9) new text end any requests for a prehearing or settlement conference;

deleted text begin (9) deleted text end new text begin (10) new text end a list of all known third parties, including the Departments of Human Services
and Employment and Economic Development, who may have paid any medical bills or
other benefits to the employee for the injuries or disease alleged in the petition or for the
time the employee was unable to work due to the injuries or disease, together with a listing
of the amounts paid by each;

deleted text begin (10) deleted text end new text begin (11) new text end the nature and extent of deleted text begin the deleted text end new text begin each new text end claim; and

deleted text begin (11) deleted text end new text begin (12) new text end a request for an expedited hearing which must include an attached affidavit of
significant financial hardship which complies with the requirements of section 176.341,
subdivision 6.

(c) Incomplete petitions may be stricken new text begin or dismissed new text end from the calendar as provided by
section 176.305, subdivision 4. Within deleted text begin 30 deleted text end new text begin 14 new text end days of a request by a party, an employee who
has filed a claim petition pursuant to section 176.271 or this section shall furnish a list of
physicians and health care providers from whom the employee has received treatment for
the same or a similar condition as well as authorizations to release relevant information,
data, and records to the requester. The petition may be stricken from the calendar upon
motion of a party for failure to timely provide the required list of health care providers or
authorizations.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2023.
new text end

Sec. 9.

Minnesota Statutes 2022, section 176.305, subdivision 4, is amended to read:

Subd. 4.

Striking from calendar.

A compensation judge, after receiving a properly
served motion, may strike a case from the active trial calendar after the employee has been
given 30 days to correct deleted text begin the deficiency deleted text end new text begin a deficient petition new text end if it is shown that the information
on the petition or included with the petition is incomplete. Once a case is stricken, it may
not be reinstated until the missing information is provided to the adverse parties and filed
with the compensation judge. If a case has been stricken from the calendar for deleted text begin one year deleted text end new text begin 180
days new text end or more and no corrective action has been taken, the compensation judge may, upon
the judge's own motion or a motion of a party which is properly served on all parties, dismiss
the case. The petitioner must be given at least 30 days' advance notice of the proposed
dismissal before the dismissal is effective.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2023.
new text end

Sec. 10.

Minnesota Statutes 2022, section 176.331, is amended to read:

176.331 PROCEEDINGS WHEN ANSWER NOT FILED.

Except in cases involving multiple employers or multiple insurers, if an adverse party
fails to file and serve an answer or obtain an extension from the office or the petitioner as
required by section 176.321, subdivision 3, the office shall set the matter for an immediate
new text begin pretrial conference and new text end hearing deleted text begin and deleted text end new text begin for new text end prompt award or other order. The adverse party that
failed to file an answer new text begin or appear at a pretrial conference new text end may appear at the hearing, present
evidence and question witnesses, but shall not be granted a continuance except upon a
showing of good cause.

If an adverse party who fails to serve and file an answer is neither insured for workers'
compensation liability nor a licensed self-insured as required by section 176.181 and the
special compensation fund is a party to the proceeding, the compensation judge may enter
an order awarding benefits to the petitioning party without a hearing if so requested by the
special compensation fund.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective August 1, 2023.
new text end

ARTICLE 3

PERMANENT PARTIAL DISABILITY SCHEDULE

Section 1.

Minnesota Statutes 2022, section 176.101, subdivision 2a, is amended to read:

Subd. 2a.

Permanent partial disability.

(a) Compensation for permanent partial disability
is as provided in this subdivision. Permanent partial disability must be rated as a percentage
of the whole body in accordance with rules adopted by the commissioner under section
176.105. new text begin During the 2026 regular legislative session, and every even-year legislative session
thereafter, the Workers' Compensation Advisory Council must consider whether the
permanent partial disability schedule in paragraph (b) represents adequate compensation
for permanent impairment.
new text end

new text begin (b) new text end The percentage determined pursuant to the rules new text begin adopted under section 176.105 new text end must
be multiplied by the corresponding amount in the following table new text begin at the time permanent
partial disability is payable according to paragraph (c) new text end :

Impairment Rating			Amount
(percent)
less than 5.5		$	deleted text begin 78,800 deleted text end new text begin 114,260 new text end
5.5 to less than 10.5			deleted text begin 84,000 deleted text end new text begin 121,800 new text end
10.5 to less than 15.5			deleted text begin 89,300 deleted text end new text begin 129,485 new text end
15.5 to less than 20.5			deleted text begin 94,500 deleted text end new text begin 137,025 new text end
20.5 to less than 25.5			deleted text begin 99,800 deleted text end new text begin 139,720 new text end
25.5 to less than 30.5			deleted text begin 105,000 deleted text end new text begin 147,000 new text end
30.5 to less than 35.5			deleted text begin 115,500 deleted text end new text begin 150,150 new text end
35.5 to less than 40.5			deleted text begin 126,000 deleted text end new text begin 163,800 new text end
40.5 to less than 45.5			deleted text begin 136,500 deleted text end new text begin 177,450 new text end
45.5 to less than 50.5			deleted text begin 147,000 deleted text end new text begin 177,870 new text end
50.5 to less than 55.5			deleted text begin 173,300 deleted text end new text begin 181,965 new text end
55.5 to less than 60.5			deleted text begin 199,500 deleted text end new text begin 209,475 new text end
60.5 to less than 65.5			deleted text begin 225,800 deleted text end new text begin 237,090 new text end
65.5 to less than 70.5			deleted text begin 252,000 deleted text end new text begin 264,600 new text end
70.5 to less than 75.5			deleted text begin 278,300 deleted text end new text begin 292,215 new text end
75.5 to less than 80.5			deleted text begin 330,800 deleted text end new text begin 347,340 new text end
80.5 to less than 85.5			deleted text begin 383,300 deleted text end new text begin 402,465 new text end
85.5 to less than 90.5			deleted text begin 435,800 deleted text end new text begin 457,590 new text end
90.5 to less than 95.5			deleted text begin 488,300 deleted text end new text begin 512,715 new text end
95.5 up to and including 100			deleted text begin 540,800 deleted text end new text begin 567,840 new text end

An employee may not receive compensation for more than a 100 percent disability of
the whole body, even if the employee sustains disability to two or more body parts.

deleted text begin (b) deleted text end new text begin (c) new text end Permanent partial disability is payable upon cessation of temporary total disability
under subdivision 1. If the employee requests payment in a lump sum, then the compensation
must be paid within 30 days. This lump-sum payment may be discounted to the present
value calculated up to a maximum five percent basis. If the employee does not choose to
receive the compensation in a lump sum, then the compensation is payable in installments
at the same intervals and in the same amount as the employee's temporary total disability
rate on the date of injury. Permanent partial disability is not payable while temporary total
compensation is being paid.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective for injuries occurring on or after October
1, 2023.
new text end

ARTICLE 4

HOSPITAL OUTPATIENT FEE SCHEDULE

Section 1.

Minnesota Statutes 2022, section 176.1364, subdivision 3, is amended to read:

Subd. 3.

Hospital outpatient fee schedule (HOFS).

(a) Effective for hospital outpatient
services on or after October 1, 2018, the commissioner shall establish a workers'
compensation hospital outpatient fee schedule (HOFS) to establish the payment for hospital
bills with charges for services with a J1 or J2 status indicator as listed in the status indicator
(SI) column of Addendum B and the comprehensive observation services Ambulatory
Payment Classification (APC) 8011 with a J2 status indicator in Addendum A. The
commissioner shall publish a link to the HOFS in the State Register before October 1, 2018,
and shall maintain the current HOFS on the department's website.

(b) The amount listed for each of the procedures in the HOFS as described in paragraph
(a) shall be the relative weight for the procedure multiplied by a HOFS conversion factor
that results in the same overall payment for hospital outpatient services under this section
as the actual payments made in the most recent 12-month period available before October
1, 2018. The commissioner must establish separate conversion factors to achieve the same
overall payment for noncritical access hospitals of 100 or fewer licensed beds and hospitals
with more than 100 licensed beds. The commissioner shall establish the two conversion
factors according to the requirements in clauses (1) to (4) in consultation with insurer and
hospital representatives.

(1) The commissioner shall obtain a suitable sample of de-identified data for Minnesota
workers' compensation outpatient cases at Minnesota hospitals for the most recently available
12-month period. The commissioner may obtain de-identified data from any reliable source,
including Minnesota hospitals and insurers, or their representatives. Any data provided to
the commissioner by a hospital, insurer, or their representative under this subdivision is
nonpublic data under section 13.02, subdivision 9.

(2) The sample must be divided into a data set for hospitals over 100 licensed beds, and
100 or fewer licensed beds, excluding critical access hospitals.

(3) For each data set the commissioner shall:

(i) calculate the total amount of the actual payments made in the most recent 12-month
period available before October 1, 2018, adjusted for inflation to July 2018; and

(ii) apply all of the payment provisions in this section to each claim including, as
applicable, payment under the relative value fee schedule or 85 percent of the hospital's
usual and customary charge under section 176.136, subdivisions 1a and 1b, to determine
the total payment amount using the Medicare conversion factor in effect for the OPPS in
effect on July 1, 2018.

(4) The commissioner shall calculate the Minnesota conversion factor to equal the
Medicare conversion factor multiplied by the ratio of total payments under clause (3), item
(i), divided by the total payments under clause (3), item (ii).

(c) For purposes of this section:

(1) the relative weight is the amount in the "relative weight" column in Addendum B
and Addendum A for comprehensive observation services;

(2) references to J1, J2, and H status indicators; Addenda A and B; APC 8011; and
HCPCS code G0378 includes any successor status indicators, addenda, APC, or HCPCS
code established by the Centers for Medicare and Medicaid Services.

(d) On October 1 of each year, the commissioner shall adjust the HOFS conversion
factors based on the market basket index for inpatient hospital services calculated by
Medicare and published on its website. The adjustment on each October 1 shall be a
percentage equal to the value of that index averaged over the four quarters of the most recent
calendar year divided by the value of that index over the four quarters of the prior calendar
year.

(e) No later than October 1, 2021, and at least once every three years thereafter, the
commissioner shall update the HOFS established under this subdivision by incorporating
services with a J1 or J2 status indicator, and the corresponding relative weights, listed in
the Addenda A and B most recently available on Medicare's website as of the preceding
July 1. If Addenda A and B are not available on Medicare's website on the preceding July
1, the HOFS most recently published on the department's website remains in effect.

(1) Each time the HOFS is updated under this paragraph, the commissioner shall adjust
the conversion factors so that there is no difference between the overall payment under the
new HOFS and the overall payment under the HOFS most recently in effect, for services
in both HOFSs.

(2) The conversion factor adjustments under this paragraph shall be made separately for
each hospital category in paragraph (b).

(3) The conversion factor adjustments under this paragraph must be made before making
any additional adjustment under paragraph (d).

(f) The commissioner shall give notice in the State Register of the adjusted conversion
factor in paragraph (d) no later than October 1 annually. The commissioner shall give notice
in the State Register of an updated HOFS under paragraph (e) no later than October 1 of
the year in which the HOFS becomes effective. The notice must include a link to the HOFS
published on the department's website. The notices, the updated fee schedules, and the
adjusted conversion factors are not rules subject to chapter 14, but have the force and effect
of law as of the effective date published in the State Register.

new text begin (g) Beginning October 1, 2023, to October 1, 2025, the commissioner shall adjust the
conversion factors calculated under this subdivision to result in the following:
new text end

new text begin (1) for services effective October 1, 2023, a three percent overall reduction in total
payments for hospital outpatient services;
new text end

new text begin (2) for services effective October 1, 2024, a three percent overall reduction in total
payments for hospital outpatient services; and
new text end

new text begin (3) for services effective October 1, 2025, a four percent overall reduction in total
payments for hospital outpatient services.
new text end

Sec. 2. new text begin REPEALER.
new text end

new text begin Minnesota Statutes 2022, section 176.1364, subdivision 6, new text end new text begin is repealed.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective for services on or after October 1, 2023.
new text end

ARTICLE 5

POST-TRAUMATIC STRESS DISORDER STUDY

Section 1. new text begin POST-TRAUMATIC STRESS DISORDER STUDY.
new text end

new text begin (a) The commissioner of labor and industry shall conduct a study to identify systemic
or regulatory changes to improve the experience and outcomes of employees with
work-related post-traumatic stress disorder. At a minimum, the study must:
new text end

new text begin (1) identify evidence-based methods and best practices for early detection and treatment
of post-traumatic stress disorder;
new text end

new text begin (2) review models, including those used in other jurisdictions and systems, for delivering
mental health wellness training or employee assistance programs, treatment for post-traumatic
stress disorder, and benefits related to post-traumatic stress disorder. Review must include
outcomes and cost considerations;
new text end

new text begin (3) identify any programs in other jurisdictions with effective prevention, timely and
effective medical intervention, or high return-to-work rates for employees with work-related
post-traumatic stress disorder;
new text end

new text begin (4) review the definition of post-traumatic stress disorder provided in Minnesota Statutes,
section 176.011, subdivision 15, paragraph (d), and compare to definitions in other
jurisdictions; and
new text end

new text begin (5) consider the list of occupations subject to the rebuttable presumption in Minnesota
Statutes, section 176.011, subdivision 15, paragraph (e).
new text end

new text begin (b) The Public Employees Retirement Association, the Minnesota State Retirement
System, the Minnesota Workers' Compensation Insurers Association, and any relevant state
agencies shall cooperate with the commissioner in conducting this study. The commissioner
must report the results of the study to the Workers' Compensation Advisory Council and
the chairs and ranking minority members of the house of representatives and senate
committees with jurisdiction over workers' compensation by August 1, 2025. The
commissioner may contract with a third party to complete part or all of the study. The
commissioner is exempt from the requirements of Minnesota Statutes, sections 16A.15,
subdivision 3; 16B.97; and 16B.98, subdivisions 5, 7, and 8; and chapter 16C, and any other
state procurement laws and procedures in completing the study.
new text end

new text begin (c) $500,000 in fiscal year 2023 is appropriated from the workers' compensation fund
to the commissioner of labor and industry to conduct the study in paragraph (a) and for the
Department of Labor and Industry's provision of legal, technical, and clerical staff support
for the study. This is a onetime appropriation and is available until June 30, 2026.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

ARTICLE 6

HOUSEKEEPING

Section 1.

Minnesota Statutes 2022, section 176.011, subdivision 11a, is amended to read:

Subd. 11a.

Family farm.

(a) "Family farm" means any farm operation which pays or is
obligated to pay cash wages, exclusive of machine hire, to farm laborers for services rendered
during the preceding calendar year in an amount:

(1) less than $8,000; or

(2) less than the statewide average annual wage as described in subdivision deleted text begin 20 deleted text end new text begin 1b new text end when
the farm operation has total liability and medical payment coverage equal to $300,000 and
$5,000, respectively, under a farm liability insurance policy, and the policy covers injuries
to farm laborers.

(b) For purposes of this subdivision, farm laborer does not include any spouse, parent
or child, regardless of age, of a farmer employed by the farmer, or any executive officer of
a family farm corporation as defined in section 500.24, subdivision 2, or any spouse, parent
or child, regardless of age, of such an officer employed by that family farm corporation, or
other farmers in the same community or members of their families exchanging work with
the employer. Notwithstanding any law to the contrary, a farm laborer shall not be considered
as an independent contractor for the purposes of this chapter; provided that a commercial
baler or commercial thresher shall be considered an independent contractor.

Sec. 2.

Minnesota Statutes 2022, section 176.011, is amended by adding a subdivision to
read:

new text begin Subd. 17b. new text end

new text begin Relative value fee schedule. new text end

new text begin "Relative value fee schedule" means the medical
fee schedule adopted by rule under section 176.136, subdivision 1a, using the Physician
Fee Schedule tables adopted for the federal Medicare program.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 3.

Minnesota Statutes 2022, section 176.102, subdivision 3, is amended to read:

Subd. 3.

Review panel.

There is created a rehabilitation review panel composed of the
commissioner or a designee, who shall serve as an ex officio member and two members
each from employers, insurers, and rehabilitation, two licensed or registered health care
providers, one chiropractor, and four members representing labor. The members shall be
appointed by the commissioner and shall serve four-year terms which may be renewed.
Terms, compensation, and removal for members shall be governed by section 15.0575.
Notwithstanding section 15.059, this panel does not expire unless the panel no longer fulfills
the purpose for which the panel was established, the panel has not met in the last 18 months,
or the panel does not comply with the registration requirements of section 15.0599,
subdivision 3. The panel shall select a chair. The panel shall review and make a determination
with respect to appeals from orders of the commissioner regarding certification approval
of qualified rehabilitation consultants new text begin , qualified rehabilitation consultant firms, new text end and vendors.
The hearings are de novo and initiated by the panel under the contested case procedures of
chapter 14, and are appealable to the Workers' Compensation Court of Appeals in the manner
provided by section 176.421.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 4.

Minnesota Statutes 2022, section 176.111, subdivision 16, is amended to read:

Subd. 16.

Cessation of compensation.

Except as provided in this chapter, compensation
ceases upon the death or marriage of any dependent. new text begin Cessation of benefits requires notice
pursuant to subdivision 23.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective for violations on or after August 1, 2023.
new text end

Sec. 5.

Minnesota Statutes 2022, section 176.111, is amended by adding a subdivision to
read:

new text begin Subd. 23. new text end

new text begin Notice of cessation of dependency benefits. new text end

new text begin If an employer intends to
discontinue dependency benefits of any individual identified as a dependent in this section,
the employer must file with the commissioner, as required under section 176.231, subdivision
6, paragraphs (a) and (e), and serve on the dependent whose benefits are being discontinued
written notice within 14 calendar days of discontinuance. The notice shall state the name
of the individual whose dependency benefits are being discontinued, the date the individual's
benefits will be discontinued, and a statement of facts clearly indicating the reason the
individual will no longer receive dependency benefits and is no longer considered a dependent
under this section. Any document in the employer's possession which is relied on for the
discontinuance shall be attached to the notice. Failure to file this form as required may result
in a penalty under section 176.231, subdivision 10.
new text end

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective for violations on or after August 1, 2023.
new text end

Sec. 6.

Minnesota Statutes 2022, section 176.1362, subdivision 1, is amended to read:

Subdivision 1.

Payment based on Medicare MS-DRG system.

(a) Except as provided
in subdivisions 2 and 3, deleted text begin the maximum deleted text end reimbursement for inpatient hospital services, articles,
and supplies is new text begin the lesser of the hospital's total usual and customary charge or new text end 200 percent
of the amount calculated for each hospital under the federal Inpatient Prospective Payment
System developed for Medicare, using the inpatient Medicare PC-Pricer program or the
inpatient PPS Web Pricer for the applicable MS-DRG as provided in this subdivision. All
adjustments included in the PC-Pricer program or the inpatient PPS Web Pricer are included
in the amount calculated, including but not limited to any outlier payments.

(b) Payment under this section is effective for services, articles, and supplies provided
to patients discharged from the hospital on or after January 1, 2016. Payment for services,
articles, and supplies provided to patients discharged on January 1, 2016, through December
31, 2016, must be based on the Medicare PC-Pricer program in effect on January 1, 2016.

(c) For patients discharged on or after May 31, 2017, payment for inpatient services,
articles, and supplies must be calculated according to the PC-Pricer program identified on
Medicare's website as FY 2016.1, updated on January 19, 2016.

(d) For patients discharged on or after October 1, 2017, payment for inpatient services,
articles, and supplies must be calculated according to the PC-Pricer program or the inpatient
PPS Web Pricer posted on the Department of Labor and Industry's website as follows:

(1) No later than October 1, 2017, and October 1 of each subsequent year until October
1, 2021, the commissioner must post on the department's website the version of the PC-Pricer
program that is most recently available on Medicare's website as of the preceding July 1.
If no PC-Pricer program is available on the Medicare website on any July 1, the PC-Pricer
program most recently posted on the department's website remains in effect.

The commissioner must publish notice of the applicable PC-Pricer program in the State
Register no later than October 1 of each year.

(2) Beginning on October 1, 2021, payment for inpatient services, articles, and supplies
must be calculated using the inpatient PPS Web Pricer available on Medicare's website
using the applicable dates of inpatient hospitalization. The department must publish the link
to the inpatient PPS Web Pricer on its website.

(e) The MS-DRG grouper software or program that corresponds to or is included with
the applicable version of the PC-Pricer program or inpatient PPS Web Pricer must be used
to determine payment under this subdivision.

(f) Hospitals must bill workers' compensation insurers using the same codes, formats,
and details that are required for billing for hospital inpatient services by the Medicare
program. The bill must be submitted to the insurer within the time period required by section
62Q.75, subdivision 3. For purposes of this section, "insurer" includes both workers'
compensation insurers and self-insured employers.

new text begin EFFECTIVE DATE. new text end

new text begin This section is effective the day following final enactment.
new text end

Sec. 7. new text begin REPEALER.
new text end

new text begin Minnesota Statutes 2022, section 176.223, new text end new text begin is repealed.
new text end

APPENDIX

Repealed Minnesota Statutes: S3193-1

176.1364 WORKERS' COMPENSATION HOSPITAL OUTPATIENT FEE SCHEDULE.

Subd. 6.

Study.

(a) The commissioner shall conduct a study analyzing the percentage of claims with a service in the HOFS that were paid timely and the percentage of claims paid accurately. The commissioner must report the results of the study and recommendations to the Workers' Compensation Advisory Council and chairs and ranking minority members of the house of representatives and senate committees with jurisdiction over workers' compensation by January 15, 2021.

(b) Based on the results of the study, the WCAC shall consider whether there is a minimum 80 percent compliance in timeliness and accuracy of payments, and additional statutory amendments, including but not limited to:

(1) a maximum ten percent reduction in payments under the HOFS; and

(2) an increase in indemnity benefits to injured workers.

176.223 PROMPT FIRST ACTION REPORT.

(a) For purposes of this section:

(1) "insurer" means a workers' compensation insurer licensed in Minnesota and a self-insured employer approved to self-insure by the commissioner of commerce;

(2) "prompt first action" means that an insurer commenced payment of wage loss benefits, or filed a denial of liability for an injury or for wage loss benefits, within the time frames required by section 176.221, subdivision 1; and

(3) "wage loss benefits" means temporary total disability, temporary partial disability, and permanent total disability benefits, as described in section 176.101.

(b) No later than March 15 of each year, beginning on March 15, 2022, the department shall publish a report providing data for each insurer on the total number of the insurer's claims, and the number and percentage of the insurer's claims with prompt first action. The report must be based on data that the insurer reported to the commissioner in the previous calendar year, except that the commissioner may exclude incomplete or unreliable data. The five most recent reports must be published on the department's website.

(c) On or before January 15, 2022, and on or before each January 15 thereafter, the department must provide each insurer listed in the report with notice of the data on that insurer that the department plans to include in the report. By February 15, 2022, and by each February 15 thereafter, the insurer must electronically file corrected data with the commissioner in CAMPUS in order for it to be reflected in the March 15 report.