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IA SF456

IA SF456
A bill for an act relating to the choice of doctor to treat injured employees under workers' compensation laws and including effective date and applicability provisions.


summary

Introduced
02/26/2025
In Committee
02/26/2025
Crossed Over
Passed
Dead
05/03/2026

Introduced Session

91st General Assembly

Bill Summary

This bill relates to the choice of a physician to treat an injured employee under the state’s workers’ compensation laws. The bill allows the employer to choose care unless the employee has predesignated a physician as provided in the bill. The bill gives an employee the right to predesignate a physician who is a primary care provider, who has previously provided treatment to the employee and has retained the employee’s medical records, to provide treatment for a work-related injury. The employer is required to provide written notice to employees of this right upon hire, and periodically during employment, and upon receiving notice of an injury from an employee who has not yet predesignated a physician of the employee’s right to do so, in a manner prescribed by the workers’ compensation commissioner. An employer or an employer’s insurer shall not coerce or otherwise attempt to influence an injured employee’s choice of a physician. If the employer fails to provide such notification, an injured employee has the right to choose any physician to provide treatment for the work-related injury and that treatment shall be considered authorized care. If the employer or employee is dissatisfied with the care chosen by the other party, the dissatisfied party should communicate the basis of dissatisfaction to the other party, in writing if requested, and the parties may agree to alternate care reasonably suited to treat the injury. If the parties cannot agree to such alternate care, the dissatisfied party may make an application for alternate care to the commissioner. The bill provides procedures for proceedings on such applications. The bill provides that if the employee has chosen care, when it is medically indicated that no significant improvement from an injury is anticipated, the employee may obtain a medical opinion regarding the extent of the employee’s permanent disability. If the employer believes that the evaluation of permanent disability obtained by the employee is too high, the employer has the right to obtain another medical opinion from a physician of the employer’s choosing. The bill takes effect and applies to injuries occurring on or after January 1, 2026.

AI Summary

This bill modifies Iowa's workers' compensation laws to give injured employees more control over their medical treatment. Under the new provisions, employees can predesignate a primary care physician (such as a family doctor, pediatrician, internist, obstetrician, or gynecologist) who will provide treatment for a work-related injury, provided that physician has previously treated the employee and retained their medical records. Employers must notify employees of this predesignation right upon hiring and periodically during employment, and cannot coerce or influence the employee's physician choice. If an employer fails to provide proper notification, the employee can choose any physician for treatment. The bill also establishes procedures for resolving disputes about medical care, allowing either the employer or employee to request alternate care if they are dissatisfied with the initial treatment. Additionally, when it appears that no significant improvement is expected from an injury, the employee may obtain a medical opinion about permanent disability at the employer's expense, and the employer can then arrange a separate medical examination if they believe the employee's evaluation is too high. The bill will take effect and apply to injuries occurring on or after January 1, 2026, giving employers and employees time to understand and implement the new provisions.

Committee Categories

Labor and Employment

Sponsors (9)

Last Action

Subcommittee: Driscoll, Schultz, and Townsend. S.J. 381. (on 02/27/2025)

bill text


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