BILL ANALYSIS                                                                                                                                                                                                    



          
           AB 933
                                                                  Page  1

          CONCURRENCE IN SENATE AMENDMENTS
          AB 933 (Fong)
          As Amended  August 17, 2010
          Majority vote
           
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          |ASSEMBLY:  |49-30|(May 21, 2009)  |SENATE: |22-12|(August 23,    |
          |           |     |                |        |     |2010)          |
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           Original Committee Reference:    INS.

          SUMMARY  :  Requires physicians in the workers' compensation  
          system who conduct utilization review to be licensed in the  
          state of California.

           The Senate amendments  initially made substantial changes to the  
          bill, but ultimately returned the bill to the same form as when  
          it passed the Assembly.

           EXISTING LAW  :

          1)Provides for a comprehensive system of workers' compensation  
            benefits for workers injured on the job, including medical  
            benefits.

          2)Requires medical treatment to be provided in most cases  
            consistent with the American College of Occupational and  
            Environmental Medicine Guidelines.

          3)Authorizes employers or insurers to conduct "utilization  
            review" of proposed medical treatment in order to determine  
            the appropriateness of that treatment and its compliance with  
            the applicable guidelines.

          4)Specifies that "[n]o person other than a licensed physician  
            who is competent to evaluate the specific clinical issues  
            involved . . . may modify, delay or deny requests" for medical  
            treatment.  By regulation, this has been interpreted to mean a  
            physician licensed in any state.

           AS PASSED BY THE ASSEMBLY  , this bill required physicians who  
          conduct utilization review to be licensed in California.









          
           AB 933
                                                                  Page  2

           FISCAL EFFECT:   Although the bill is tagged nonfiscal in its  
          current form, there is, according to the Senate Appropriations  
          Committee, the potential of costs to the state in its workers'  
          compensation program to the extent that any utilization review  
          expenses increase due to the California license requirement.


           Analysis Prepared by  :  Mark Rakich / /INS. / (916) 319-2086



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