Workers' Comp Reform

Delaware Legislation to Cut Reimbursements by One-Third

The Delaware Legislature's House Bill 373 aims to reverse the state's trend of double-digit rate increases.
By: | July 25, 2014

Reform legislation passed by the Delaware Legislature seeks to reduce medical costs in the workers’ comp system by a third, according to its sponsors. House Bill 373 was based on recommendations from a task force aimed at reversing a trend of double-digit rate increases.

The task force was established by the legislature 18 months ago and chaired by Lt. Gov. Matt Denn. It was charged with undertaking an expedited review of the state’s workers’ comp law, assessing the impact on premiums of amendments passed in 2007, and finding the reasons for recent increases in premiums. The task force’s prior report said Delaware’s workers’ comp premiums had risen by calendar year 2006 to be the third most expensive in the country.

“I applaud the lieutenant governor’s work on this extremely important issue for Delaware’s business community,” said Gov. Jack Markell, who was expected to sign the legislation. “The bipartisan reform represents the culmination of a great deal of work, commitment, and compromise by everyone involved with the task force.”

The legislation includes three specific areas:

Controlling medical costs. The Workers’ Compensation Oversight Panel would create a medical fee schedule, using multipliers of medical codes used by the Centers for Medicare and Medicaid Services, which results in a 33 percent reduction in reimbursements to health care providers, to be phased in over a three-year period. It also calls for reimbursements starting in 2017 for individual procedures to be capped at specific percentages of what the Medicare program pays for identical procedures, though it has a provision allowing the legislature to reexamine the impending Medicare caps in 2016 to determine whether they should be adjusted given the experience in 2015.  Finally, there is a recommendation that the General Assembly monitor both rate impact and their impact on providers as the recommendations are phased in and make statutory adjustments in the fee schedule if appropriate.

Consideration of new rating organization. The Department of Insurance would consider whether to change the Delaware Compensation Rating Bureau and include members of the task force.

Heightened oversight of insurance carriers. The Data Collection Committee and the Health Care Advisory Panel would be joined in a single committee and a ratepayer advocate would be hired and overseen by the Workers’ Compensation Oversight Panel with staff support provided by the Department of Labor.

“House Bill 373 will make the system more efficient and will result in relief for Delaware businesses that have had to endure such significant premium increases over the past few years,” according to a statement from the governor’s office.

Nancy Grover is the president of NMG Consulting and the Editor of Workers' Compensation Report, a publication of our parent company, LRP Publications. She can be reached at [email protected].

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