Loading
Loading
Your feedback directly shapes Sporos.
Sign in to track your feedback history
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 employment. Existing law requires an employer to provide medical, surgical, chiropractic, acupuncture, and hospital treatment that is reasonably required to cure or relieve the injured worker from the effects of the injury. Upon payment, adjustment, or denial of a complete or incomplete itemization of medical services, existing law requires an employer to provide an explanation of review that includes, among other information, the amount paid and the basis for any adjustment, change, or denial of the item or procedure billed. This bill would, when the basis for any adjustment, change, or denial of an item or procedure is a contract, require the explanation of review to include information on that underlying contract, including whom the rendering medical provider may contact to seek a copy of the underlying contract. The bill would state that disclosure of a medical provider network does not satisfy this requirement and would state that if the contract is not sent to the rendering provider or their agent within 30 business days of the provider's request, the bill shall be reprocessed and paid, as specified. Existing law requires each employer to establish a utilization review process to review and approve, modify, or deny treatment recommendations and establishes an independent medical review process to resolve disputes over a utilization review decision. Existing law requires various requirements to be met in determining whether to approve, modify, or deny requests by a physician for medical services. This bill would require a request for authorization of medical services by a physician to be signed by that physician, and would authorize a request to be sent via mail, fax, or electronic methods, as specified. The bill would make other conforming changes.
Introduced
Feb 20, 2025
Last Action
Jan 22, 2026
Session
CA 20252026
Sponsors
1 primary · 0 co
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on RLS.
Re-referred to Com. on RLS.
Read second time. Ordered to third reading.
(Ayes 5. Noes 0. Page 2570.)
Re-referred to Com. on L., P.E. & R. pursuant to Senate Rule 29.10(b).
Re-referred to Com. on RLS. pursuant to Senate Rule 29.10(b).
Withdrawn from committee.
Read third time and amended. Ordered to second reading.
Read second time. Ordered to third reading.
From committee: Be ordered to second reading pursuant to Senate Rule 28.8.
From committee: Do pass and re-refer to Com. on APPR. (Ayes 5. Noes 0.) (July 9). Re-referred to Com. on APPR.
Referred to Com. on L., P.E. & R.
In Senate. Read first time. To Com. on RLS. for assignment.
Read third time. Passed. Ordered to the Senate. (Ayes 76. Noes 0. Page 2057.)
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 12. Noes 0.) (May 23).
Joint Rule 62(a), file notice suspended. (Page 1627.)
In committee: Set, second hearing. Referred to APPR. suspense file.
In committee: Set, first hearing. Hearing canceled at the request of author.
From committee: Do pass and re-refer to Com. on APPR. (Ayes 17. Noes 0.) (April 23). Re-referred to Com. on APPR.
Re-referred to Com. on INS.
From committee chair, with author's amendments: Amend, and re-refer to Com. on INS. Read second time and amended.
Re-referred to Com. on INS.
From committee chair, with author's amendments: Amend, and re-refer to Com. on INS. Read second time and amended.
Referred to Com. on INS.
From printer. May be heard in committee March 23.
Read first time. To print.
Get a plain-English explanation of what this bill does, who it affects, and why it matters.
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on RLS.