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CA SB914
Bill
AI Summary
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Deletes the authorization to use the American College of Occupational and Environmental Medicine's Occupational Medicine Practice Guidelines as standards for independent medical reviews in medical provider networks.
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Establishes that the standard for medical provider network independent medical reviews shall be identical to the medical treatment utilization schedule established in Section 5307.27.
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Requires the administrative director to contract with individual physicians or independent medical review organizations to conduct independent medical reviews when treatment remains disputed after a third physician's opinion.
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Specifies that medical professionals conducting reviews must be appropriately credentialed physicians with current specialty board certification, no disciplinary history, and no conflicts of interest.
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Sets a 30-day timeline for the independent medical reviewer to issue a written report to the administrative director, with expedited 3-day reviews available when an imminent threat to the employee's health exists.
Legislative Description
Workers' compensation: medical provider networks: independent medical reviews.
Last Action
Chaptered by Secretary of State. Chapter 84, Statutes of 2016.
7/22/2016