BILL ANALYSIS �
SB 863
Page 1
Date of Hearing: August 17, 2011
ASSEMBLY COMMITTEE ON APPROPRIATIONS
Felipe Fuentes, Chair
SB 863 (Lieu) - As Amended: June 6, 2011
Policy Committee: InsuranceVote:11
- 0
Urgency: No State Mandated Local Program:
No Reimbursable:
SUMMARY
This bill adopts reforms to the lien procedures in the workers'
compensation system. Specifically, this bill:
1)Requires lien claimants to file their liens in writing with
the Workers' Compensation Appeals Board (WCAB), accompanied by
a statement or itemized voucher supporting the lien and
justifying the right to reimbursement.
2)Requires the lien claimant to provide notice to all interested
parties.
3)Prohibits filing a lien after three years from the date the
services were provided for services provided prior to July 1,
2012, and 18 months from the date the services were provided
for services provided on or after July 1, 2012.
4)Provides that the limitation periods noted above apply to any
lien filed on or after the effective date of the bill,
regardless of the date the services were provided.
FISCAL EFFECT
A three-year statute of limitations should reduce overall system
costs by $44 million per year assuming a five percent reduction
in litigation and a general decrease in medical costs. The
state's share of that savings would be approximately $2 million
per year �General Fund and various special funds].
COMMENTS
SB 863
Page 2
1)Purpose . According to the author, this bill seeks to adopt
several of the less controversial recommendations made by the
Commission on Health and Safety and Workers' Compensation
(CHSWC) in its January, 2011 report on workers' compensation
liens. Specifically, the bill would adopt a statute of
limitations that would provide certainty to employers, and
prevent the filing of liens on old billings. The bill also
requires the lien claimant to actually file the lien, and do
so in writing, with accompanying documentation, eliminating
the uncertainty of implied liens.
2)Background . Within the workers' compensation system, liens
involving medical services or benefits are direct claims
against the defendant (either the employer or the insurer of
the employer) for medical benefits or services provided by the
lien claimant (the injured worker) which the lien claimant
thinks the employer was required to provide due to the
worker's industrial injury. The lien claimant may not pursue
the lien against an injured worker unless the injury is ruled
to be non-industrial, and therefore outside the workers'
compensation system. Liens are a process for contesting the
employer's determination (or the determination of the
employer's insurer) of the amount payable for medical goods or
services.
Analysis Prepared by : Julie Salley-Gray / APPR. / (916)
319-2081