July 18, 2004 11:13 PM
MEDICAL GUIDELINES IN WC CASES APPROVED BY TEXAS SP CT. "In this opinion, we conclude that the Legislature authorized TWCC to set upper limits on reimbursement amounts and establish a reasonable time limitation on requests for medical dispute resolution. TWCC acted consistently with the Legislature’s mandates - (1) the establishment of fair and reasonable guidelines designed to ensure quality medical care for injured workers, TEX. LAB. CODE § 413.011(b), (2) the achievement of effective medical cost control in the workers’ compensation system, id., and (3) the establishment of a program for resolution of disputes regarding health care treatments and services, id. § 413.013(1). "
Texas Workers' Compensation Commission v. Patient Advocates of Texas, et al, Decided May 28, 2004.