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First Responder Benefit Bills Heading to Governor

09/15/2023
. The bill would add state game wardens and park rangers to the list of workers eligible for the presumption that skin cancer arose out of employment. The Assembly passed the amended bill 80-0 on Tuesday. The Assembly on Wednesday voted 80-0 to concur in amendments to AB 621. The bill by

Category: News

Bill to Extend TD for Medical Dispute Resolution Heads to Governor

09/14/2023
California lawmakers voted to send Gov. Gavin Newsom a bill that would create a three-year period during which temporary disability paid while an injured worker successfully challenges a utilization review denial would not count toward the aggregate cap on benefits. Lawmakers on Tuesday also

Category: News

Lawmakers Pass TD Duration, Presumption Bills

09/13/2023
30-9 to pass AB 1213 by Assemblymember Liz Ortega D-Hayward which addresses how time spent appealing utilization review decisions applies to the 104-week cap on TD benefits. As introduced the bill would have excluded the time spent successfully appealing a UR decision from the cap on benefits

Category: News

Amended Bill Would Cap TD Extension at 90 Days for Successful IMR Challenge

09/06/2023
An amended bill that would extend the duration of temporary disability benefits by up to 90 days when an injured worker successfully challenges a denial of requested medical treatment was among measures fiscal committees in both chambers of Californias Legislature passed last week. Senate and

Category: News

Bill to Mandate In-State Licensing for UR Docs Sent to 'Inactive File'

08/30/2023
A California lawmaker moved to the Assemblys inactive file a bill that would require some doctors performing utilization review to be licensed in the state. Assembly Majority Leader Isaac Bryan D-Los Angeles on Monday requested that SB 636 be placed on the chambers inactive file. The bill

Category: News

Amendment Removes Psychologists From UR Licensing Requirement

08/28/2023
A California lawmaker recently amended a bill to remove a provision that aimed to ensure that psychologists conducting utilization review for employees of private businesses are licensed in California. Sen. Dave Cortese D-Campbell on Thursday amended SB 636 which as introduced would have

Category: News

DWC: Providers Can Disregard Coupa Solicitation in Maximus Emails

08/28/2023
The California Division of Workers' Compensation said providers should disregard an email from Maximus Federal Services saying that failure to enroll in a procurement portal could impact their ability to do business with the independent bill review and independent medical review vendor. The

Category: News

Comp Bills on Agenda for Appropriations Hearing

08/28/2023
A bill that would exclude time spent resolving medical treatment disputes from the cap on temporary disability duration is among a handful of work comp bills on the agenda when the California Senate Appropriations Committee meets Friday. The committee is also scheduled to vote on measures

Category: News

Committee Passes Private Employer UR Bill

08/18/2023
The California Assembly Appropriations Committee passed a bill requiring in-state licensing for doctors performing utilization reviews for those injured working for private employers. The committee on Wednesday voted 12-2 to pass SB 636. The bill would establish that for private employers

Category: News

Insurance Carrier's Claims of Fraud Revived Against Alleged Radiology Service Brokers

08/17/2023
was fraudulent. The court said it found no authority for the defendants' arguments that Allstate was required to identify the dates of each alleged bill the person or entity who prepared individual bills and the person or entity submitting bills. "Moreover even if these details were required

Category: News

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