The proposal includes a requirement that physical therapy care be limited by standardized guidelines.  Where the specifically sited  standards have been employed, they provided too little care for most injured workers. The result of this is more permanent disability among patients and much higher costs.  We acknowledge the cost containment and standardization of practice needs of employers.  However, as written this provision is too nebulous.  If the legislature wants to proceed with this type of provision, any guidelines should be clear and written with stakeholder input.  

No single provider can be the best choice for every injured worker. Current law allows workers to seek a second opinion and treatment from a healthcare provider of their choice with charges paid by the employer’s Worker Compensation Insurance.  This proposal eliminates payment for second opinions.