Existing law establishes a workers' compensation system, administered by the Administrative Director of the Division of Workers' Compensation, to compensate an employee for injuries sustained in the course of his or her employment. Existing law requires every employer, for purposes of workers' compensation, to establish a utilization review process to prospectively, retrospectively, or concurrently review and approve, modify, delay, or deny, based in whole or in part on medical necessity to cure and relieve, treatment recommendations by physicians prior to, retrospectively, or concurrent with the provision of medical treatment services, as provided. Existing law requires prospective or concurrent decisions to be made in a timely fashion that is appropriate for the nature of the employee's condition. Existing law also requires that decisions to approve, modify, delay, or deny requests by physicians for authorization prior to, or concurrent with, the provision of medical treatment services to employees be communicated to the requesting physician within 24 hours of the decision.
California AB 2503 (20152016) — Workers' compensation: utilization review.
Existing law establishes a workers' compensation system, administered by the Administrative Director of the Division of Workers' Compensation, to compensate an employee for injuries sustained in the course of his or her employment. Existing law requires every employer, for purposes of workers' compensation, to establish a utilization review process to prospectively, retrospectively, or concurrently review and approve, modify, delay, or deny, based in whole or in part on medical necessity to cure and relieve, treatment recommendations by physicians prior to, retrospectively, or concurrent with the provision of medical treatment services, as provided. Existing law requires prospective or concurrent decisions to be made in a timely fashion that is appropriate for the nature of the employee's condition. Existing law also requires that decisions to approve, modify, delay, or deny requests by physicians for authorization prior to, or concurrent with, the provision of medical treatment services to employees be communicated to the requesting physician within 24 hours of the decision.
Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
The legislative action history — every referral, reading, and vote.
2016-02-19 Introduced. To print. introduction
2016-02-21 From printer. May be heard in committee March 22.
2016-02-22 Read first time. reading-1
2016-03-08 Referred to Com. on INS. referral-committee
2016-03-29 From committee chair, with author's amendments: Amend, and re-refer to Com. on INS. Read second time and amended. reading-2, amendment-introduction, amendment-passage, reading-1
2016-03-30 Re-referred to Com. on INS. referral-committee
2016-04-19 From committee chair, with author's amendments: Amend, and re-refer to Com. on INS. Read second time and amended. reading-2, amendment-introduction, amendment-passage, reading-1
2016-04-20 Re-referred to Com. on INS. referral-committee
2016-05-04 From committee: Do pass. To Consent Calendar. (Ayes 13. Noes 0.) (May 4). committee-passage-favorable, committee-passage
2016-05-05 Read second time. Ordered to Consent Calendar. reading-2, reading-1
2016-05-12 Read third time. Passed. Ordered to the Senate. (Ayes 78. Noes 0. Page 4785.) reading-3, passage, reading-1
2016-05-12 In Senate. Read first time. To Com. on RLS. for assignment. reading-1
2016-05-19 Referred to Com. on L. & I.R. referral-committee
2016-06-08 From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 4. Noes 0.) (June 8). Re-referred to Com. on APPR. referral-committee, committee-passage-favorable, committee-passage
2016-06-09 Withdrawn from committee.
2016-06-09 Ordered to second reading.
2016-06-13 Read second time. Ordered to third reading. reading-2, reading-1
2016-08-19 Read third time and amended. Ordered to second reading. reading-3, amendment-passage, reading-1
2016-08-22 Read second time. Ordered to third reading. reading-2, reading-1