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Texas Department of Insurance
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AMA Guides Study - Impairment Rating Comparison of the Fourth and Sixth Editions

Impairment ratings and the AMA Guides

A new report has been released comparing impairment ratings assigned by doctors using the 4th and 6th editions of the AMA Guides.

Learn more

Workers' Compensation Research and Evaluation Group (REG)

REG authority

Per Chapter 405 of the Texas Labor Code, the Workers' Compensation Research and Evaluation Group (REG) is responsible for conducting professional studies and research on various system issues, including:

  • the delivery of benefits;
  • litigation and controversy related to workers' compensation;
  • insurance rates and ratemaking procedures;
  • rehabilitation and reemployment of injured employees;
  • the quality and cost of medical benefits;
  • employer participation in the workers' compensation system;
  • employment health and safety issues; and
  • other matters relevant to the cost, quality, and operational effectiveness of the workers' compensation system.



Per Sec. 1305.502 of the Texas Insurance Code
not later than December 1 of each even-numbered year, the group shall develop and issue an informational report card that identifies and compares, on an objective basis, the quality, costs, health care provider availability, and other analogous factors of workers' compensation health care networks operating under the workers' compensation system of this state with each other and with medical care provided outside of networks.

The report card must include a risk-adjusted evaluation of:

  • employee access to care;
  • return-to-work outcomes;
  • health-related outcomes;
  • employee satisfaction with care; and
  • health care costs and utilization of health care.

Professional studies and research

The Annual Research Agenda is adopted for each fiscal year as specified in the Texas Labor Code Section 405.0026.

  • AMA Guides Study, Impairment Rating Comparison of the Fourth and Sixth Editions 2026 | snapshot
  • Income Benefits in the Texas Workers’ Compensation System 2025 | snapshot
  • An Overview of COVID-19 Claims in the Texas Workers’ Compensation System 2022 | snapshot
  • Designated Doctors in the Texas Workers’ Compensation System 2026 | snapshot
  • Medical Necessity Dispute Resolution Trends 2021snapshot
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  • Health Care Cost and Utilization in the Texas Workers' Compensation System
  • Access to Medical Care in the Texas Workers' Compensation System
  • Pharmacy Cost and Utilization in the Texas Workers' Compensation System 2023 | snapshot
  • Impact of the Texas Pharmacy Closed Formulary October 2019 | snapshot
  • Utilization and Cost of Hospital/Institutional Services in the Texas Workers’ Compensation System 2022snapshot
  • Evaluation of Telemedicine Services in the Texas Workers’ Compensation System 2021snapshot

Registrations

None at this time.

Surveys

None at this time.

Data calls

None at this time.

For more information, contact: WCResearch@tdi.texas.gov

Last updated: 5/1/2026