National Banner 2012 Chess Board
Vol. 3, Issue 27

Find Solutions & Strategies                               July 2, 2012

Health CareHealth Care Reform Law Upheld

 

Workers' comp experts and others
react to the Supreme Court's decision 

In This Issue
-HEALTH CARE REFORM
-ROMNEYCARE & WC
-LARSON'S SPOTLIGHT: Fraud, Unfair Settlement Practices, Penalty for Late Payment, Altercation
-NATIONAL CONFERENCE
-BLOGS AT THE WCLC: Fraud, Louisiana Legislation, MSP and Future Medical, Sex Romp Hotel Case
-NATIONAL NEWS
-STATE NEWS
-eNEWSLETTER ARCHIVES
A Note From The Editor
Fireworks

Dear Workers' Comp Community:

 

Happy  Fourth of July!

 

To sign up for this free weekly eNewsletter, click here. To read past issues, access the archives.

 

Sincerely,
Robin E. Kobayashi, JD
LexisNexis Legal & Professional Operations
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LRP National Workers Comp Conference 2012 combined

Register today

 

Solutions for Opioid Crisis

Regional Differences Sessions

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Cutting Edge, But Practical Solutions

 

***LexisNexis Workers' Comp Law Community members are eligible for a special discount.*** 

health care reform law

United States Supreme CourtExperts, Officials, Media Offer Their Two Cents on Constitutionality of Affordable Care Act. John Stahl, Esq. says the Supreme Court's decision upholding the Affordable Care Act was a "where were you" moment in American history. He surveys how LexisNexis authors Thomas A. Robinson, Robert G. Rassp, and Jennifer C. Jordan, as well as other experts and officials, reacted to the news. Read it.

romneycare & workers' comp

Stahl, JohnWorkers' Compensation Under Romneycare Provides Clues for Nationwide Future of Systems, by John Stahl, Esq. Uncertainty regarding how the U.S. Supreme Court deciding that the Patient Protection and Affordable Care Act (ACA) was constitutional would impact workers' compensation systems makes this a good time to review an expert's related research. RAND Director for Research Paul Heaton prepared a report entitled "The Impact of Health Care Reform on Workers' Compensation Medical Care: Evidence from Massachusetts" earlier this year. Read more.

Larson's spotlight: fraud

Tom Robinson thumbnail

Claimant's Unpaid Work for Wife's Business Did Not Constitute Fraud, by Thomas A. Robinson. In virtually all states, if an employee misrepresents the nature of his or her injury, claiming that the worker is unable to work and yet evidence is presented that the employee was engaged in gainful activity inconsistent with his or her injured state, the employee is not only disqualified from receiving workers' compensation disability benefits, he or she may have to repay some or all of the benefits already received. In truly egregious situations, the employee may also be subjected to civil or criminal penalties....Read more about this case and other cases involving unfair settlement practices, penalty for late payment, and altercation.

rebecca shafer to speak at national workers' comp conference

LexisNexis has partnered with the National Workers' Compensation Conference to create an enhanced legal track for attorneys and other workers' comp professionals. Rebecca ShaferLarson's Advisory Board Executive Committee member Rebecca Shafer will be speaking on Legal Triage. View the program agenda. Overall, there are 15 members of the Larson's National Workers' Compensation Advisory Board speaking at this event. You don't want to miss this conference! Take advantage of the special discount for all LexisNexis Workers' Compensation Law Community members. Community membership is free at our site.

blogs at the lexisnexis workers' comp law community

Fraud SignWorkers' Comp Fraud Blotter: Painter Convicted for Double Dipping, by LexisNexis Workers' Compensation Law Community Staff. Read it.

 

 

 

 

Denis Paul Juge 2Louisiana Workers' Compensation Law Changes 2012, by Denis Paul Juge, Esq. Read it.

 

 

 

 

Mark Popolizio 2012

CMS Releases Advance Notice of Proposed Rulemaking in Future Medical Situations, by Marty Cassavoy & Mark Popolizio. Read it.

 

 

 

 

CassandraVIDEO: Cassandra Roberts, Esq. on the Australian Rough Sex in a Hotel Workers' Comp Claim. View it.

national news
state news

AZ: IC Provides Update on Calculation of Average Monthly Wage Maximum.

CA: WCIRB Releases Report on Losses and Expenses for CY 2011.

CA: Zenith Says Terminated Employees Using CT Claims to Avoid Post-Termination Defense.

CA: CAAA Says Average WC Rate of Per $100 Still Lower Than Peak in 2003.

CA: Los Angeles City Controller Finds $225K Workers Comp Overpayment.

CA: Insurance Commissioner, Monterey County DA Announce Workers Comp Fraud Grant.

IL: One-Year Post Reforms, Still No Relief in Sight for Employers.

LA: Governor Signs SB 520 Changing Death Benefits for Dependents.

ME: WCB Posts Summary of 2012 Workers Comp Legislative Changes.

ME: Slight Reduction in Workers Comp Assessment Indicates More Mainers Are Working.

MD: Hooters Waitress Receives WC Benefits for Tuberculosis.

MI: WCA Posts IRS Revenue Ruling Re Independent Contractors.

MS: WCC Posts Changes to Workers Comp Laws Effective 7/1/2012.

NV: DIR Posts New Maximum/Minimum Benefit Rates.

NY: SWCB Suspends Dr. Frank Telang's Authorization to Treat Injured Workers.

NC: HB 237 Might Restrict Public Access to Workers Comp Insurance Coverage Information.

NC: Media Groups Pressure Governor to Veto HB 237.

NC: IC Publishes Proposed Rule Changes.

OH: BWC Offers Solutions for Preventing Common Workplace Injuries.

OK: WCC Posts 2011 Annual Report.

OR: WCD Revises Employer-at-Injury Program Reimbursement Request Form.

OR: Court Awards WC Benefits to Officer Hit by Car While Walking to Get Coffee.

PA: SB 1478 Annual Transfer From Workers Comp Fund Sent to Governor.

PA: BWC to Make Improvements to Electronic Filing System Beginning Fall 2012.

TN: New Maximum Benefit Rates Effective 7/1/2012.

TX: WCRI Says Reforms Reduced Costs of Medical Care for Injured Workers.

TX: TDI Calls for Workers Comp & Employers' Liability Rate Filings for 2012 Public Rate Hearing.

TX: DWC Posts Recent Adoption of General Medical Provision Rules.

TX: DWC Posts Recent Adoption of Preauthorization, UR, Health Care Certification Rules.

UT: State Probes Two Labor Commission Officials for Alleged Destruction of WC Documents.

New York Workers Comp 2012

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Top 25 Blogs 2011

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ENEWSLETTER ARCHIVES

ArchivesTake a deep dive into our past eNewsletters for 2012 and prior...warning - some links to articles may not work...report any linking problems to Robin.E.Kobayashi@lexisnexis.com.

 

June 25, 2012: Compromising "The Great Compromise".

June 18, 2012: Muddying the Water in Longshore Act Hearing Loss Cases.

June 11, 2012: Claimants' Narcotic Use Mismanaged.

June 4, 2012: Self-Insured Groups for Workers Comp.

May 29, 2012: Workers' Comp Insurance Trends 2012.

May 21, 2012: OSHA Regulatory Burden: New Study Debunks Theories.

May 14, 2012: A New Medicare Set-Aside Reform Bill.

May 7, 2012: Death of a Workers' Comp Opt Out Bill.

April 30, 2012: The Australian Motel Sex Injury Case.

April 23, 2012: Will the SMART Act Pass This Year?

April 16, 2012: The Battle Beween RICO and Exclusive Remedy.

April 9, 2012: Aggressive Surveillance of Injured Worker's Family.

April 2, 2012: Intoxication Presumption.

March 26, 2012: U.S. Supreme Court Decides Roberts (LHWCA case).

March 19, 2012: Recent Medicare Set-Aside Changes.

March 12, 2012: SCOTUS Hears Roberts Oral Argument.

March 5, 2012: The Defense of Intentional Self-Injury.

February 27, 2012: Workers' Comp Reform: Spotlight on North Carolina.

February 21, 2012: Workers' Comp Reform: Spotlight on Illinois.

February 13, 2012: Exclusivity & Intentional Torts Under LHWCA.

February 6, 2012: Chronic Pain Treatment: New Attitudes and Alternatives.

January 30, 2012: Impact of Workers' Comp Reform: NY and CA.

January 23, 2012: Economic Costs of Occupational Injuries.

January 17, 2012: U.S. Supreme Court Decision on Outer Continental Shelf.

January 9, 2012: Top 10 Bizarre Cases for 2011.

January 2, 2012: 10 Myths and Facts About Workers' Compensation.

ACCESS 2010-2011 ARCHIVES AND ARTICLES LIST HERE.

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