Lawmakers Pass In-State Licensing for UR Docs, E-Signature Bills as Session Ends

State: California
Topic: Top
- Popular with: Legal
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California lawmakers closed out the 2024 legislative session by passing a bill that would …

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2 Comments

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Steve Cattolica Sep 4, 2024 a 1:51 pm PDT

Opponents of SB 636 miss the mark referring to the MTUS and its basis. There is no argument regarding that aspect of the UR system.

SB 636 builds appropriate medical accountability...accountability that is currently non-existent...into how the system is operated. Too often - and there is plenty of contemporary and historic evidence to back up the fact that - attorneys, adjusters, nurses and other lay people and third party MPNs illegally deny or delay care that is already approved.

Because they hold the purse strings, sometimes laypeople even deny approval of care found to be appropriate by the MTUS.

The system does not provide any recourse when this happens except a slow and convoluted IMR process that makes no allowance for adverse medical issues that may result.

In its opinion in the case of King v CompPartners, the California Supreme Court specifically asked the Legislature to reconsider the UR system it had legislated into existence because "it may not be working (as intended)." The Legislature has done so and it's now time to add an important level of accountability into that system as the Legislature has once again deemed necessary. If the system is working as well as we're told, this should be an easy lift.