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90-351
Workers' Compensation Board
2002-2003 Regulatory Agenda

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

CONTACT PERSON: John C. Rohde, General Counsel, 27 State House Station, Augusta, Maine 04333-0027. Tel.: (207) 287-7094

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 2002-03 RULE-MAKING ACTIVITY:

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, 2003.
ANTICIPATED SCHEDULE: Winter 2002-2003
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, 2003.
ANTICIPATED SCHEDULE: Winter 2002-2003
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 2002-03
AFFECTED PARTIES: Injured employees, employers, self-insured employers, insurance companies, third-party administrators, health care providers, attorneys.

CHAPTER 4(1)
STATUTORY AUTHORITY: 39-A M.R.S.A. § 152(2); § 312
PURPOSE: Clarify eligibility requirements to participate in the Board-appointed independent medical examiner program.
ANTICIPATED SCHEDULE: Winter 2002-2003
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 CPT Codes.
ANTICIPATED SCHEDULE: Winter/Spring 2002-2003
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 2002-2003
AFFECTED PARTIES: Injured employees, employers, self-insured employers, insurance companies, third-party administrators, health care providers, attorneys.

CHAPTER 9: Procedure for Coordination of Benefits
STATUTORY AUTHORITY: 39-A M.R.S.A. § 152(2); § 221(4)
PURPOSE: Establish rules for notification by an employer to an employee regarding possible eligibility for social security benefits.
ANTICIPATED SCHEDULE: Winter 2002-2003
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 ?: Electronic Filing
STATUTORY AUTHORITY: 39-A M.R.S.A. § 152
PURPOSE: To require electronic filing of some Board forms
ANTICIPATED SCHEDULE: Fall 2002
AFFECTED PARTIES: Injured employees, employers, self-insured employers, insurance companies, third-party administrators, health care providers, attorneys.


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