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Amend CSSB 5, in SECTION 4.02, by striking Sec. 1305.105
(page 92, lines 14-28), and substituting the following:
Sec. 1305.105. TREATMENT BY A PRIMARY CARE PROVIDER UNDER
CHAPTERS 843 AND 1301, INSURANCE CODE. (a) Notwithstanding any
other provision of this chapter, an injured employee required to
receive health care services within a network may select as the
employee's treating doctor a doctor who the employee selected,
prior to injury, as the employee's primary care provider under
Chapter 843.
(b) A doctor serving as an employee's treating doctor under
Subsection (a) must agree to abide by the terms of the network's
contract and comply with the provisions of this subchapter and
Subchapters D and E. Services provided by such a doctor are subject
to Subchapters F and G.
(c) Notwithstanding any other provision of this chapter, an
injured employee required to receive health care services within a
network may select as the employee's treating doctor a doctor with
whom the employee has a demonstrated, pre-existing treating
relationship under Chapter 1301, Insurance Code, provided;
(1) The doctor is a member of the preferred provider
panel pursuant to the terms of the employee's group health
insurance plan; and
(2) The doctor agrees to be bound by the contractual
terms of the network governing payment schedules, treatment
guidelines, quality control and dispute resolution procedures and
termination of the contractual relationship.
(d) Any change of doctor requested by an employee being
treated by a doctor under Subsection (a) or (b) must be to a network
doctor and is subject to the requirements of this chapter.