Subject area to be addressed: The proposed amendments will update the rules to conform with recent changes made to the Workers’ Compensation Law by Chapter 2022-138, Laws of Florida.

The Notice of Proposed Rule appeared in Volume 49, Number 63 of the Florida Administrative Register.

The text of the proposed Rules may be found here.

Subject area to be addressed: The rules update procedural requirements regarding physician dispensed medication.

The Notice of Proposed Rule appeared in Volume 48, Number 251, of the Florida Administrative Register, published on December 29, 2022.

The text of proposed Rules 69L-7.730 and 69L-7.740, F.A.C. may be found here.

The SERC can be found here.

Subject Area to be Addressed: Rules specifying injuries qualifying as grievous bodily harm of a nature that shocks the conscience for purposes of section 112.18155, F.S.

The Notice of Rule Development was published in Volume 48, Number 211 of the Florida Administrative Weekly, on 10/28/2022.

A copy of the draft rule text can be found here.

Subject Area to be Addressed: This rulemaking will address training, education, and reemployment benefits provided to injured workers.

The Notice of Rule Development was published in Volume 48, Number 150 of the Florida Administrative Weekly, on 8/3/2022.

69L-6.012 - Notice of Election to Be Exempt
69L-6.025 - Conditional Release of Stop-Work Order and Periodic Payment Agreement
69L-6.027 - Penalty Calculation Worksheet
69L-6.028 - Procedures for Imputing Payroll and Penalty Calculations
69L-6.029 - Employer Worksites
69L-6.030 - Penalties for Employers Currently in Compliance Previously Failing to Secure the Payment of Compensation
69L-6.032 - Contractor Requirements For Obtaining Evidence That Subcontractors Possess Workers' Compensation Insurance or Otherwise Comply with Chapter 440, F.S.
69L-6.036 - Online Workers’ Compensation Coverage and Compliance Tutorial for 15% Penalty Reduction

The Florida Department of Economic Opportunity has determined the statewide average weekly wage paid by employers subject to the Florida Reemployment Assistance Program Law to be $1,259.76 for the four calendar quarters ending June 30, 2023.

Section 440.12(2), Florida Statutes (2023), expressly provides that, for injuries occurring on or after August 1, 1979, the weekly compensation rate shall be equal to 100 percent of the statewide average weekly wage, adjusted to the nearest dollar, and that the average weekly wage determined by the Department of Economic Opportunity for the four calendar quarters ending each June 30 shall be used in determining the maximum weekly compensation rate with respect to injuries occurring in the calendar year immediately following.

Accordingly, the maximum weekly compensation rate for work-related injuries and illnesses occurring on or after January 1, 2024 shall be $1,260.

2024 Max Comp Rate Bulletin

The Florida Legislature has passed House Bill 487, providing legislative ratification of the Florida Workers’ Compensation Health Care Provider Reimbursement Manual, 2020 Edition. This Bill has been signed by the Governor. 

A copy of the Florida Workers’ Compensation Health Care Provider Reimbursement Manual, 2020 Edition can be found here.

The anticipated effective date of the Florida Division of Workers’ Compensation Reimbursement Manuals for Hospitals, 2020 Edition (Rule Chapter 69L-7.501, Florida Administrative Code) is May 25, 2023.

A copy of the Florida Workers' Compensation Reimbursement Manual for Hospitals, 2020 Edition can be found here.

The Florida Division of Workers’ Compensation Reimbursement Manuals for Ambulatory Surgical Centers, 2020 Edition (Rule Chapter 69L-7.100, Florida Administrative Code) will become effective July 1, 2023.

The official notice can be found here. 

The Florida Division of Workers' Compensation submitted a Notice of Change regarding the proposed Rule 69L-7.100, F.A.C., Florida Workers' Compensation Reimbursement Manual for Ambulatory Surgical Centers (ASCs).

See Volume 49, No. 34, in the February 20, 2023, issue of the Florida Administrative Register (F.A.R.) for a complete copy of the Notice.

The following change is made:

On Page 16, under the heading “Minimum Partial Payment Required,” the second sentence of the paragraph is amended to remove the words “for which there is no dispute as to the medical necessity.” The entire paragraph is amended to read as follows:

When a carrier denies, disallows, or adjusts payment for ASC charges, in accordance with the time limitation and coding requirements established by statute and by rule, the carrier must remit a minimum partial payment of the ASC’s charges. Minimum partial payment means payment of all non-disputed charges. The payment must accompany the Explanation of Bill Review (EOBR).

If you have questions or comments contact Mark Harrell, Medical Health Care Program Analyst, Bureau of Monitoring and Audit, at (850) 413-1726 or Mark.Harrell@MyFloridaCFO.com.

• Hearing 69L-7.730 and 69L-7.740 January 13, 2023 Audio

The DEPARTMENT OF FINANCIAL SERVICES, DIVISION OF WORKERS’ COMPENSATION announces a public meeting of the Three-Member Panel to which all persons are invited. This meeting will not be held in person.

DATE AND TIME: January 5, 2023, 4:00 – 5:00 p.m. ET

Please join the meeting from your computer, tablet, or smartphone.
https://meet.goto.com/989161421
You can also dial in using your phone.
United States (Toll Free): 1 866 899 4679
United States: +1 (571) 317-3116
Access Code: 989-161-421
Join from a video-conferencing room or system.
Dial in or type: 67.217.95.2 or inroomlink.goto.com
Meeting ID: 989 161 421
Or dial directly: 989161421@67.217.95.2 or 67.217.95.2##989161421
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GENERAL SUBJECT MATTER TO BE CONSIDERED:  Subparagraph 440.13(12)(e)4, F.S., requires the Three-Member Panel to submit recommendations on or before January 15, 2017, and biennially thereafter, to the President of the Senate and the Speaker of the House of Representatives on methods to improve the workers’ compensation health care delivery system.  The Three-Member Panel will consider adopting recommendations at this meeting.

Notice of this public meeting appeared in Volume 48, Number 250, of the Florida Administrative Register, published on December 28, 2022.

A copy of the agenda can be found here.
Biennial Report - DRAFT
Report to the Three-Member-Panel Regarding the Resolution of Medical Reimbursement Disputes

The Florida Department of Economic Opportunity has determined the statewide average weekly wage paid by employers subject to the Florida Reemployment Assistance Program Law to be $1,197.43 for the four calendar quarters ending June 30, 2022.

Section 440.12(2), Florida Statutes (2022), expressly provides that, for injuries occurring on or after August 1, 1979, the weekly compensation rate shall be equal to 100 percent of the statewide average weekly wage, adjusted to the nearest dollar, and that the average weekly wage determined by the Department of Economic Opportunity for the four calendar quarters ending each June 30 shall be used in determining the maximum weekly compensation rate with respect to injuries occurring in the calendar year immediately following.

Accordingly, the maximum weekly compensation rate for work-related injuries and illnesses occurring on or after January 1, 2023, shall be $1,197.

2023 Max Comp Rate Bulletin

On May 25, 2022, Governor Ron DeSantis signed HB 959 amending the requirement for workers’ compensation insurers to mail informational brochures pursuant to s. 440.185(3), F.S., and allowed such insurers the option to deliver the brochures by e-mail.

s. 440.185(3)  Within 3 business days after the employer or the employee informs the carrier of an injury, the carrier shall  send by regular mail or email to the injured worker an informational brochure approved by the department which sets forth in clear and understandable language an explanation of the rights, benefits, procedures for obtaining benefits and assistance, criminal penalties, and obligations of injured workers and their employers under the Florida Workers’ Compensation Law. Annually, the carrier or its third-party administrator shall  send by regular mail or e-mail to the employer an informational brochure approved by the department which sets forth in clear and understandable language an explanation of the rights, benefits, procedures for obtaining benefits and assistance, criminal penalties, and obligations of injured workers and their employers under the Florida Workers’ Compensation Law. All such informational brochures shall contain a notice that clearly states in substance the following: “Any person who knowingly and with intent of injure, defraud, or deceive any employer or employee, insurance company, or self-insured program, files a statement of claim containing any false or misleading information commits a felony of the third degree.”

Effective July 1,2022, the Injured Worker Informational Brochure (DFS-F2-DWC-60 and/or DFS-F2-DWC-61) shall be mailed or e-mailed to the injured worker pursuant to s. 440.185(3), Florida Statute, and 69L-3.0035, Florida Administrative Code, and the Employer Informational Brochure (DFS-F2-DWC-65) and/or DFS-F2-DWC-66) shall be mailed or e-mailed to the employer pursuant to s. 440.185(3), Florida Statute, and 69L-3.0035, Florida Administrative Code.

The Three-Member Panel will consider adopting the methodologies for maximum reimbursement allowances. Pursuant to subsection 440.13(12), F.S., the Three-Member Panel shall annually adopt schedules of maximum reimbursement allowances for physicians, hospital inpatient care, hospital outpatient care, and ambulatory surgical centers. In addition, the Three-Member Panel will discuss possible topics to be addressed in the 2023 Biennial Report.

A copy of the agenda and related meeting documents may be found here: 3MP-AgendaMeetingMaterialsPublic

This meeting will not be held in person.
Please join the meeting from your computer, tablet or smartphone
https://meet.goto.com/603199453

You can also dial in using your phone.
United States (Toll Free): 1 866 899 4679
United States: +1 (571) 317-3116
Access Code: 603-199-453
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Dial in or type: 67.217.95.2 or inroomlink.goto.com
Meeting ID: 603 199 453
Or dial directly: 603199453@67.217.95.2 or 67.217.95.2##603199453

The Florida Division of Workers' Compensation recently participated in the 75th Annual Workers' Compensation Educational Conference with the Workers' Compensation Institute, in Orlando, Florida.  The Division's breakout session included the following topics: Legislative and Rule Updates, Opportunities for Industry Improvement, and Medical Services Updates. If you were unable to attend or would like to view the presentations, click here. Please contact Brittany O'Neil at 850-413-1927 with any questions.

• 69L-7.020, F.A.C. Hearing Audio 8-26-2021

• 69L-7.730 Workshop Audio 6-30-21
• 69L-7.740 Workshop Audio 6-30-21

• Hearing 69L-31 5-27-2021 Audio

• Hearing 69L-7.020 5-6-2021 Audio

• Hearing 69L-7.020 3-4-2021 Audio

• Hearing 69L-31 2-9-2021 Audio

• 3MP 1-27-2021 Audio

The DEPARTMENT OF FINANCIAL SERVICES, DIVISION OF WORKERS’ COMPENSATION announces a public meeting of the Three-Member Panel to which all persons are invited. This meeting will not be held in person.
DATE AND TIME: January 27, 2021, 3:00 – 4:00 p.m. ET
PLACE: Please join the meeting from your computer, tablet or smartphone
Please join the meeting from your computer, tablet or smartphone.
https://global.gotomeeting.com/join/298656589

You can also dial in using your phone.
United States (Toll Free): 1 866 899 4679
United States: +1 (571) 317-3116
Access Code: 298-656-589
Join from a video-conferencing room or system.
Dial in or type: 67.217.95.2 or inroomlink.goto.com
Meeting ID: 298 656 589
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GENERAL SUBJECT MATTER TO BE CONSIDERED:  Subparagraph 440.13(12)(e)4, F.S., requires the Three-Member Panel to submit recommendations on or before January 15, 2017, and biennially thereafter, to the President of the Senate and the Speaker of the House of Representatives on methods to improve the workers’ compensation health care delivery system.  The Three-Member Panel will consider adopting recommendations at this meeting.
A copy of the agenda can be found here.

• 3MP 12-17-2020 Audio

• Rule chapter 69L-31 SERC