BILL ANALYSIS                                                                                                                                                                                                    



                                                                       


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          |SENATE RULES COMMITTEE            |                   SB 899|
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                                 IN CONFERENCE


          Bill No:  SB 899
          Author:   Poochigian (R)
          Amended:  7/14/03
          Vote:     21

           
           SENATE LABOR & IND. RELATIONS COMMITTEE  :  7-0, 4/23/03
          AYES:  Alarcon, Oller, Dunn, Figueroa, Kuehl, McClintock,  
            Romero
          ABSENT/NO VOTE RECORDED:  Margett

           SENATE FLOOR  :  36-1, 6/4/03
          AYES:  Ackerman, Alarcon, Alpert, Ashburn, Battin, Bowen,  
            Brulte, Burton, Cedillo, Chesbro, Denham, Ducheny, Dunn,  
            Escutia, Figueroa, Florez, Hollingsworth, Karnette,  
            Knight, Kuehl, Machado, Margett, McClintock, McPherson,  
            Murray, Oller, Ortiz, Perata, Poochigian, Romero, Scott,  
            Sher, Soto, Speier, Torlakson, Vincent
          NOES:  Aanestad
          ABSENT/NO VOTE RECORDED:  Johnson, Morrow, Vasconcellos



           ASSEMBLY FLOOR  :  78-0, 7/17/03 (Passed on Consent) - See  
            last page for vote


           SUBJECT :    Workers' compensation:  physician referral

           SOURCE  :     California Chamber of Commerce


           DIGEST  :    This bill states the intent of the Legislature  
          to improve the workers' compensation system by promoting  
                                                           CONTINUED





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          the efficient delivery of high quality appropriate medical  
          care.

           Assembly amendments  delete the prior version.  As it left  
          the Senate, the bill prohibited a physician from referring  
          a person for outpatient surgery purposes if the physician  
          or his or her immediate family has a financial interest  
          with the person or in the entity that receives the  
          referral.

           ANALYSIS  :    Workers' compensation, implemented in  
          California in 1913, is a no-fault system, entitling workers  
          to compensation for illness or injury arising out of and in  
          the course of work duties, regardless of the blame which  
          might otherwise be placed on the employer or the employee.   
          The workers' compensation system is premised on a bargain  
          between employers and employees:  employees are supposed to  
          receive benefits for on-the-job injuries, and in return,  
          the benefits are the exclusive remedy for injured employees  
          against their employer, even when the employer negligently  
          caused the injury. 

          There are five basic types of workers' compensation  
          benefits available, depending on the nature and severity of  
          the worker's injury:  (1) medical care; (2) temporary  
          disability benefits; (3) permanent disability; (4)  
          vocational rehabilitation services; and, (5) death  
          benefits. 

          This bill states that it is the intent of the Legislature  
          to improve the workers' compensation system by promoting  
          the efficient delivery of high quality appropriate medical  
          care.

           Conference Committee  : 

          While there is agreement among the parties that the system  
          is in need of repair, what remains subject for debate is  
          what the real systemic problems are and how best to address  
          them without diminishing the arguably meager benefits  
          injured workers receive in this state.

          There are 20 workers' compensation measures, which have  
          passed out of their houses of origin this session.  These  







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          bills cover such complex and varied subject matter areas as  
          medical fee scheduling, utilization and insurance market  
          regulation. 

          With the agreement of Senate and Assembly Leadership, the  
          Chairs of the Senate Labor and Industrial Relations  
          Committee and the Assembly Committee on Insurance, and the  
          authors of this session's workers' compensation  
          legislation, all workers' compensation bills will be  
          submitted to conference committee to ensure comprehensive  
          workers' compensation reform.  To that end, all such  
          workers' compensation bills will be amended to reflect the  
          same intent language prior to submission to conference. 

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  No    
          Local:  No

           ASSEMBLY FLOOR  :
          AYES:  Aghazarian, Bates, Benoit, Berg, Bermudez, Bogh,  
            Calderon, Campbell, Canciamilla, Chan, Chavez, Chu,  
            Cogdill, Cohn, Corbett, Correa, Cox, Daucher, Diaz,  
            Dutra, Dutton, Frommer, Garcia, Goldberg, Hancock,  
            Harman, Haynes, Jerome Horton, Shirley Horton, Houston,  
            Jackson, Keene, Kehoe, Kortez, La Malfa, La Suer, Laird,  
            Leno, Leslie, Levine, Lieber, Liu, Longville, Lowenthal,  
            Maddox, Maldonado, Matthews, Maze, McCarthy, Montanez,  
            Mountjoy, Mullin, Nakanishi, Nakano, Nation, Negrete  
            Mcleod, Nunez, Oropeza, Pacheco, Parra, Pavley, Plescia,  
            Reyes, Richman, Ridley-Thomas, Runner, Salinas,  
            Samuelian, Simitian, Spitzer, Steinberg, Strickland,  
            Vargas, Wiggins, Wolk, Wyland, Yee, Wesson


          NC:sl  7/22/03   Senate Floor Analyses 

                       SUPPORT/OPPOSITION:  NONE RECEIVED

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