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Health Care Service Provider Advisory Committee. June 23, 2006. Frances Huntley – Cooper Administrator of Worker’s Compensation Division. History of this Committee. Created under rule: 81.00 Advises: Department of Workforce Development and Worker’s Compensation Advisory Council

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health care service provider advisory committee

Health Care Service Provider Advisory Committee

June 23, 2006

Frances Huntley – Cooper

Administrator of Worker’s Compensation Division

history of this committee
History of this Committee
  • Created under rule: 81.00
  • Advises:
  • Department of Workforce Development and
  • Worker’s Compensation Advisory Council
  • Supervises any modifications of Treatment Guidelines
appointments
Appointments
  • Health Care Service Providers Committee:
    • Consensus list of twenty four (24) names
      • Wisconsin Medical Society
        • (Russ Leonard)
      • Wisconsin Chiropractic Association
        • (Laura Leitch)
      • Wisconsin Hospital Association
        • (Mark Grapetine)
structure of the committee
Structure of the Committee
  • Chair - Administrator of Worker’s Compensation (WC)
  • Total of 14 Members
  • License and Practice in Wisconsin
  • Providers of medical treatment to Worker’s Compensation
representation of committee members
Representation of Committee Members
  • 12 Members comprised of:
    • Six (6) medical doctors of different specialties
    • Two (2) chiropractors
    • Two (2) hospital representatives
    • One (1) registered nurse
    • One (1) physical therapist
members at large
Members At-Large
  • Two individuals selected by:
    • Department of Workforce Development (Worker’s Compensation Administrator)
  • License and Practice in Wisconsin
committee primary duties
Committee Primary Duties:
  • Review Rule: 81.00 (Handout)
  • Update guidelines to include:
    • “New Procedures”
    • “Treatment Options” for injuries classified within the initial guideline
  • “Expanding” the guidelines to cover new classes of injuries
  • “Clarifying” the intent and description of the guidelines
worker s compensation agreed upon bill sb 474 2005 wis act 172
Worker’s Compensation “Agreed Upon” Bill - (SB 474)2005 WIS ACT 172
  • Introduced in Senate 12/13/05
  • Passed in Senate 2/25/06
  • Passed in Assembly 3/9/06
  • Governor Doyle signed bill 3/21/06
  • Effective 4/1/06
rules vs statutes
Rules vs. Statutes
  • State Constitution grants Legislature power to enact laws
  • Legislature delegates to state agencies (DWD) authority to promulgate administrative rules
  • Rule implement or interpret statutory provision
  • Rule created HCPA committee and Guidelines
administrative rule
Administrative Rule
  • Requires Legislative review prior to promulgation (adoption)
  • Allows for monitoring by elected officials
  • Allows for legislatures & DWD to work together and resolve issues
  • DWD holds Public Hearings
dwd has authority to enact and revise rule
DWD has authority to enact and revise rule
  • Some rules maybe too controversial to be included in law
  • Allows agency experts the task of regulating highly technical fields (i.e. Heath Care Provider Advisory committee guidelines)
  • Allows for quicker response to problems or emergency situations
where are we now
Where Are We Now?
  • Rule will be submitted
  • Amendments or Revisions
  • Consensus by HCPA committee for minor revisions
  • Worker’s Compensation Advisory Council approval (August 16)
amendments or revisions
Amendments or Revisions
  • Minor ones with committee agreement may be considered
  • WCAC reviews changes
worker s compensation advisory committee
Worker’s Compensation Advisory Committee
  • Respects the committee’s expertise
  • Will take action based on committee work and recommendations
  • Thanks for lending your expertise and taking on this important task!
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