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CA SB914

Bill

Status

Passed

7/22/2016

Primary Sponsor

Tony Mendoza

Click for details

Origin

Senate

2015-2016 Session

AI Summary

  • 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.

  • 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.

  • 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.

  • Specifies that medical professionals conducting reviews must be appropriately credentialed physicians with current specialty board certification, no disciplinary history, and no conflicts of interest.

  • 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

Committee Referrals

Insurance4/28/2016
Labor and Industrial Relations2/4/2016
Rules1/26/2016

Full Bill Text

No bill text available