by Scott O'Mara | Nov 30, 2023 | Newsletter
WHAT IS AN ADR (CARVE-OUT)? The 1993/1994 Senate Bill 853 by Leroy Green opened up the door for a small group of employers and unions/associations to pull themselves out of the established workers’ compensation system by usage of a ADR (CARVE-OUT) PROGRAM. With this...
by Scott O'Mara | Nov 30, 2023 | Newsletter
Assembly Member Liz Ortega from Hayward, California has introduced an Assembly Bill, No.1213, which deals with the inadequacies of the current utilization and independent medical review process. Her bill recognizes that the period of time that people have eligibility...
by Scott O'Mara | Nov 30, 2023 | Newsletter
The California Legislation Senate Bill 863 was signed by Governor Brown on 09/18/2012. Section 1, subdivision (e) states that “having medical professionals ultimately determine the necessity of requested treatment furthers the social policy of this state in reference...
by Scott O'Mara | Nov 30, 2023 | Newsletter
SUMMARY & REVIEW: SB 636 would protect some workers by requiring, only private employers, to engage with the utilization review in workers’ compensation cases to be done by medical professionals who are licensed in California and subject to regulation by the...
by Scott O'Mara | Nov 30, 2023 | Newsletter
This is a summary of UR and IMR and modifications required to provide medical care. As Stated in the LAW1199 2019 Issue #3 page 1: “Senate Bill 863, which was signed by Gov. Brown in September 2012 and went into effect in January 2013, changed the Workers’...
