Amendment No. 112

 

Senate Amendment to Senate Bill No. 319                                                                         (BDR 57‑599)

Proposed by: Committee on Commerce and Labor

Amendment Box:

Resolves Conflicts with: N/A

Amends:         Summary:               Title:              Preamble:               Joint Sponsorship:

 

ASSEMBLY ACTION              Initial and Date              |SENATE ACTION                        Initial and Date

       Adopted       Lost                                               |          Adopted       Lost                                           

Concurred In                     Not                                                        |Concurred In  Not                                       

       Receded        Not                                               |         Receded        Not                                           

 

     Amend the bill as a whole by deleting section 1 and renumbering sections 2 through 8 as sections 1 through 7.

     Amend sec. 2, page 2, by deleting line 35 and inserting:

     “7.  A policy that is not subject to taxation pursuant to NRS 680B.025.”.

     Amend sec. 3, page 2, by deleting line 42 and inserting:

“Commissioner. If practicable, one of the members of the Board must be an”.

     Amend sec. 4, page 3, line 31, by deleting “One” and inserting:

If practicable, one”.

     Amend sec. 4, page 3, line 32, by deleting “be the” and inserting “be an”.

     Amend the bill as a whole by renumbering sec. 9 as sec. 10 and adding new sections designated sections 8 and 9, following sec. 8, to read as follows:

     “Sec. 8.  NRS 616C.330 is hereby amended to read as follows:

     616C.330  1.  The hearing officer shall:

     (a) Within 5 days after receiving a request for a hearing, set the hearing for a date and time within 30 days after his receipt of the request [;] and at a place in Reno, Nevada, or Las Vegas, Nevada, or any other place of convenience to the parties, as determined by the hearing officer;

     (b) Give notice by mail or by personal service to all interested parties to the hearing at least 15 days before the date and time scheduled; and

     (c) Conduct hearings expeditiously and informally.

     2.  The notice must include a statement that the injured employee may be represented by a private attorney or seek assistance and advice from the Nevada Attorney for Injured Workers.

     3.  If necessary to resolve a medical question concerning an injured employee’s condition or to determine the necessity of treatment for which authorization for payment has been denied, the hearing officer may refer the employee to a physician or chiropractor of his choice who has demonstrated special competence to treat the particular medical condition of the employee. If the medical question concerns the rating of a permanent disability, the hearing officer may refer the employee to a rating physician or chiropractor. The rating physician or chiropractor must be selected in rotation from the list of qualified physicians and chiropractors maintained by the Administrator pursuant to subsection 2 of NRS 616C.490, unless the insurer and injured employee otherwise agree to a rating physician or chiropractor. The insurer shall pay the costs of any medical examination requested by the hearing officer.

     4.  If an injured employee has requested payment for the cost of obtaining a second determination of his percentage of disability pursuant to NRS 616C.100, the hearing officer shall decide whether the determination of the higher percentage of disability made pursuant to NRS 616C.100 is appropriate and, if so, may order the insurer to pay to the employee an amount equal to the maximum allowable fee established by the Administrator pursuant to NRS 616C.260 for the type of service performed, or the usual fee of that physician or chiropractor for such service, whichever is less.

     5.  The hearing officer shall order an insurer, organization for managed care or employer who provides accident benefits for injured employees pursuant to NRS 616C.265 to pay the charges of a provider of health care if the conditions of NRS 616C.138 are satisfied.

     6.  The hearing officer may allow or forbid the presence of a court reporter and the use of a tape recorder in a hearing.

     7.  The hearing officer shall render his decision within 15 days after:

     (a) The hearing; or

     (b) He receives a copy of the report from the medical examination he requested.

     8.  The hearing officer shall render his decision in the most efficient format developed by the Chief of the Hearings Division of the Department of Administration.

     9.  The hearing officer shall give notice of his decision to each party by mail. He shall include with the notice of his decision the necessary forms for appealing from the decision.

     10.  Except as otherwise provided in NRS 616C.380, the decision of the hearing officer is not stayed if an appeal from that decision is taken unless an application for a stay is submitted by a party. If such an application is submitted, the decision is automatically stayed until a determination is made on the application. A determination on the application must be made within 30 days after the filing of the application. If, after reviewing the application, a stay is not granted by the hearing officer or an appeals officer, the decision must be complied with within 10 days after the refusal to grant a stay.

     Sec. 9.  NRS 616C.345 is hereby amended to read as follows:

     616C.345  1.  Any party aggrieved by a decision of the hearing officer relating to a claim for compensation may appeal from the decision by filing a notice of appeal with an appeals officer within 30 days after the date of the decision.

     2.  If a dispute is required to be submitted to a procedure for resolving complaints pursuant to NRS 616C.305 and:

     (a) A final determination was rendered pursuant to that procedure; or

     (b) The dispute was not resolved pursuant to that procedure within 14 days after it was submitted,

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any party to the dispute may file a notice of appeal within 70 days after the date on which the final determination was mailed to the employee, or his dependent, or the unanswered request for resolution was submitted. Failure to render a written determination within 30 days after receipt of such a request shall be deemed by the appeals officer to be a denial of the request.

     3.  Except as otherwise provided in NRS 616C.380, the filing of a notice of appeal does not automatically stay the enforcement of the decision of a hearing officer or a determination rendered pursuant to NRS 616C.305. The appeals officer may order a stay, when appropriate, upon the application of a party. If such an application is submitted, the decision is automatically stayed until a determination is made concerning the application. A determination on the application must be made within 30 days after the filing of the application. If a stay is not granted by the officer after reviewing the application, the decision must be complied with within 10 days after the date of the refusal to grant a stay.

     4.  Except as otherwise provided in [this subsection,] subsection 5, the appeals officer shall, within 10 days after receiving a notice of appeal pursuant to this section or a contested claim pursuant to subsection 5 of NRS 616C.315 [, schedule] :

     (a) Schedule a hearing on the merits of the appeal or contested claim for a date and time within 90 days after his receipt of the notice and at a place in Reno, Nevada, or Las Vegas, Nevada, or any other place of convenience to the parties, as determined by the appeals officer; and [give]

     (b) Give notice by mail or by personal service to all parties to the matter and their attorneys or agents at least 30 days before the date and time scheduled.

     5.  A request to schedule the hearing for a date and time which is:

     (a) Within 60 days after the receipt of the notice of appeal or contested claim; or

     (b) More than 90 days after the receipt of the notice or claim,

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may be submitted to the appeals officer only if all parties to the appeal or contested claim agree to the request.

     [5.] 6. An appeal or contested claim may be continued upon written stipulation of all parties, or upon good cause shown.

     [6.] 7. Failure to file a notice of appeal within the period specified in subsection 1 or 2 may be excused if the party aggrieved shows by a preponderance of the evidence that he did not receive the notice of the determination and the forms necessary to appeal the determination. The claimant, employer or insurer shall notify the hearing officer of a change of address.”.

     Amend the title of the bill to read as follows:

“AN ACT relating to insurance; providing an exception to the counter-signature requirement for certain types of insurance; revising the membership of certain boards; providing that any refund of an assessment by the Division of Industrial Relations of the Department of Business and Industry must include payment for interest earned; providing that hearings officers and appeals officers shall designate the location of certain hearings; requiring the Commissioner of Insurance to conduct a study relating to the Investments of Insurers Model Act adopted by the National Association of Insurance Commissioners; and providing other matters properly relating thereto.”.