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CA AB1278

Bill

Status

Failed

2/1/2024

Primary Sponsor

Freddie Rodriguez

Click for details

Origin

State Assembly

2023-2024 Session

AI Summary

  • Allows injured employees to authorize their primary treating physician to request electronic copies of notifications regarding medical provider network (MPN) eligibility or required treatment transfers.

  • Expands MPN rosters to include all physicians and permits inclusion of entities providing ancillary services, management services, or patient care coordination, replacing previous detailed listing requirements.

  • Requires the administrative director to provide applicants 45 calendar days to submit additional information if an MPN plan is disapproved or contains deficiencies, with a required director response within 30 days.

  • Clarifies that employers and insurers have the right to determine network members including duly licensed physicians within their scope of practice and ancillary service providers regardless of business entity type.

  • Establishes that approved MPN plans remain valid during the reapproval process for timely submitted renewal applications.

Legislative Description

Workers’ compensation: medical provider networks.

Last Action

From committee: Filed with the Chief Clerk pursuant to Joint Rule 56.

2/1/2024

Committee Referrals

Appropriations4/26/2023
Insurance3/2/2023

Full Bill Text

No bill text available