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This bill would provide, for injuries that cause permanent partial disability and occur on or after January 1, 2013, for a supplemental job displacement benefit in the form of a voucher for up to ,000 to cover various education-related retraining and skill enhancement expenses, as specified, which would expire 2 years after the date the voucher is furnished to the employee or 5 years after the date of injury, whichever is later.
The bill would exempt employers who make an offer of employment, as specified, from providing vouchers.
The bill would authorize any person contending that a medical provider network is not validly constituted to petition the administrative director to suspend or revoke the approval of the medical provider network.
The bill would authorize the administrative director to adopt regulations establishing a schedule of administrative penalties, not to exceed ,000 per violation, or probation, or both, in lieu of revocation or suspension.
The bill would prohibit an employer from engaging in any conduct that delays the medical review process, and would authorize the administrative director to levy certain administrative penalties in connection with this prohibition, to be deposited in the Workers’ Compensation Administration Revolving Fund.
The bill would require that the costs of independent medical review and the administration of the independent medical review system be borne by employers through a fee system established by the administrative director.
Existing law requires that, in determining the percentages of permanent disability, account be taken of the nature of the injury, the occupation of the injured employee, and his or her age at the time of the injury, and requires that specified factors be considered in determining an employee’s diminished earning capacity for these purposes.
This bill would provide that the above provisions shall apply to injuries occurring before January 1, 2013.
This bill would require public self-insured employers to provide certain information to the director, and would require the Commission on Health and Safety and Workers’ Compensation to conduct an examination of the public self-insured program, and to publish a preliminary and final report on its Internet Web site, as specified.(6) Existing law establishes certain procedures that govern the determination of an employee’s eligibility for permanent disability indemnity commencing with the final payment of the employee’s temporary disability indemnity.(7) Existing law establishes procedures for the resolution of disputes regarding the compensability of an injury.The independent medical review process established by the bill would be used to resolve disputes over a utilization review decision for injuries occurring on or after January 1, 2013, and for any decision that is communicated to the requesting physician on or after July 1, 2013, regardless of the date of injury.The bill would require an independent medical review organization to conduct the review in accordance with specified provisions, and would limit this review to an examination of the medical necessity of the disputed medical treatment.The bill would dismiss by operation of law on January 1, 2014, all liens and costs filed as liens for which the filing fee or activation fee is not paid.This bill would require that all fees collected pursuant to these provisions be deposited in the Workers’ Compensation Administration Revolving Fund.