California 2015-2016 Regular Session Status: Passed Senate

SB 563 — Workers' compensation: utilization review.

Last action — Ordered to inactive file on request of Assembly Member Calderon.

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed Assembly
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2015-2016 Regular Session. It reached “Passed Senate” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Existing law requires every employer, for purposes of workers' compensation, to establish a utilization review process to prospectively, retrospectively, or concurrently review requests by physicians for authorization to provide recommended medical treatment to injured employees. Existing law establishes timeframes for an employer to make a determination regarding a physician's request. Existing law requires the utilization review process to be governed by written policies and procedures, and requires that these policies and procedures be filed with the Administrative Director of the Division of Workers' Compensation and disclosed by the employer to employees, physicians, and the public upon request. This bill would prohibit the employer, or any entity conducting utilization review on behalf of the employer, from offering or providing any financial incentive or consideration to a physician based on the number of modifications, delays, or denials made by the physician. The bill would authorize the administrative director to review any compensation agreement, payment schedule, or contract between the employer, or any entity conducting utilization review on behalf of the employer, and the utilization review physician. The bill would make any information disclosed to the administrative director confidential and not subject to public disclosure, except as specified. Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest. This bill would make legislative findings to that effect.

Bill Text

Action History

  1. Ordered to inactive file on request of Assembly Member Calderon.

  2. Read second time. Ordered to third reading.

  3. From committee: Do pass. (Ayes 20. Noes 0.) (August 11).

  4. August 3 set for first hearing. Placed on APPR. suspense file.

  5. Read second time and amended. Re-referred to Com. on APPR.

  6. From committee: Do pass as amended and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 13. Noes 0.) (June 22).

  7. From committee with author's amendments. Read second time and amended. Re-referred to Com. on INS.

  8. Referred to Com. on INS.

  9. In Assembly. Read first time. Held at Desk.

  10. Read third time. Passed. (Ayes 38. Noes 0. Page 2953.) Ordered to the Assembly.

  11. Read second time. Ordered to third reading.

  12. From committee: Do pass. (Ayes 7. Noes 0. Page 2934.) (January 21).

  13. Set for hearing January 21.

  14. January 19 hearing: Placed on APPR. suspense file.

  15. Set for hearing January 19.

  16. From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 5. Noes 0. Page 2896.) (January 13). Re-referred to Com. on APPR.

  17. Set for hearing January 13.

  18. Re-referred to Com. on L. & I.R.

  19. Re-referred to Com. on RLS.

  20. Withdrawn from committee.

  21. From committee with author's amendments. Read second time and amended. Re-referred to Com. on APPR.

  22. May 28 hearing: Held in committee and under submission.

  23. Set for hearing May 28.

  24. May 18 hearing: Placed on APPR. suspense file.

  25. Set for hearing May 18.

  26. Re-referred to Com. on APPR.

  27. Withdrawn from committee.

  28. Read second time and amended. Re-referred to Com. on RLS.

  29. From committee: Do pass as amended and re-refer to Com. on RLS. (Ayes 4. Noes 1. Page 820.) (April 29).

  30. Set for hearing April 29.

  31. April 22 set for first hearing. Testimony taken. Further hearing to be set.

  32. From committee with author's amendments. Read second time and amended. Re-referred to Com. on L. & I.R.

  33. Set for hearing April 22.

  34. Referred to Com. on L. & I.R.

  35. From printer. May be acted upon on or after March 29.

  36. Introduced. Read first time. To Com. on RLS. for assignment. To print.

Sponsors

  • Pan · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 121 not signed on · 1 voted No

Sponsors (1)

  • Pan

Co-sponsors (0)

None.

Not signed on (121)

121 members have not signed on to this bill.

Show all 121 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Do pass.

Passed 20 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 16000
Democratic 2000
Republican 2000
Total 20000
% of votes cast 100%0%0%0%
How each member voted (20)
Member Party Vote
Bigelow — Yea
Bloom — Yea
McCarty — Yea
Quirk — Yea
Santiago — Yea
Weber — Yea
Eggman — Yea
Daly — Yea
Bonilla — Yea
Holden — Yea
Obernolte — Yea
Chang — Yea
Wagner — Yea
Wood — Yea
Eduardo Garcia — Yea
Lorena Gonzalez — Yea
Bonta, Mia Democratic Yea
Calderon, Lisa Democratic Yea
Gallagher, James Republican Yea
Jones, Brian W. Republican Yea

Official roll call →

Do pass as amended, and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar

Passed 13 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 11000
Democratic 1000
Republican 1000
Total 13000
% of votes cast 100%0%0%0%
How each member voted (13)
Member Party Vote
Bigelow — Yea
Melendez — Yea
Cooper — Yea
Daly — Yea
Frazier — Yea
Gatto — Yea
Chu — Yea
Cooley — Yea
Dababneh — Yea
Rodriguez — Yea
Travis Allen — Yea
Calderon, Lisa Democratic Yea
Dahle, Megan Republican Yea

Official roll call →

3rd Reading

Passed 38 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 35002
Democratic 3000
Total 38002
% of votes cast 95%0%0%5%
How each member voted (40)
Member Party Vote
Anderson — Yea
Block — Yea
Hernandez — Yea
Hueso — Yea
Leno — Yea
Leyva — Yea
Mendoza — Yea
Morrell — Yea
Wieckowski — Yea
Fuller — Yea
Galgiani — Yea
Glazer — Yea
Allen — Yea
Mitchell — Yea
De León — Yea
Runner — Yea
Hancock — Yea
Cannella — Yea
Hertzberg — Yea
Hill — Yea
Lara — Yea
Liu — Yea
Monning — Yea
Moorlach — Yea
Nielsen — Yea
Pan — Yea
Pavley — Yea
Roth — Yea
Huff — Yea
Bates — Not Voting
Beall — Yea
Vidak — Yea
Wolk — Not Voting
Hall — Yea
Beth Gaines — Yea
Bill Berryhill — Yea
Mark Stone — Yea
Jackson, Corey A. Democratic Yea
McGuire, Mike Democratic Yea
Nguyen, Stephanie Democratic Yea

Official roll call →

Do pass

Passed 7 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 7000
Total 7000
% of votes cast 100%0%0%0%
How each member voted (7)
Member Party Vote
Beall — Yea
Lara — Yea
Leyva — Yea
Hill — Yea
Bates — Yea
Mendoza — Yea
Nielsen — Yea

Official roll call →

Placed on suspense file

Passed 7 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 7000
Total 7000
% of votes cast 100%0%0%0%
How each member voted (7)
Member Party Vote
Bates — Yea
Beall — Yea
Lara — Yea
Leyva — Yea
Nielsen — Yea
Hill — Yea
Mendoza — Yea

Official roll call →

Placed on suspense file

Passed 7 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 7000
Total 7000
% of votes cast 100%0%0%0%
How each member voted (7)
Member Party Vote
Beall — Yea
Hill — Yea
Mendoza — Yea
Bates — Yea
Lara — Yea
Leyva — Yea
Nielsen — Yea

Official roll call →

Subjects

healthcare labor health-insurance
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Frequently asked questions

What does SB 563 do?
Existing law requires every employer, for purposes of workers' compensation, to establish a utilization review process to prospectively, retrospectively, or concurrently review requests by physicians for authorization to provide recommended medical treatment to injured employees. Existing law establishes timeframes for an employer to make a determination regarding a physician's request. Existing law requires the utilization review process to be governed by written policies and procedures, and requires that these policies and procedures be filed with the Administrative Director of the Division of Workers' Compensation and disclosed by the employer to employees, physicians, and the public upon request. This bill would prohibit the employer, or any entity conducting utilization review on behalf of the employer, from offering or providing any financial incentive or consideration to a physician based on the number of modifications, delays, or denials made by the physician. The bill would authorize the administrative director to review any compensation agreement, payment schedule, or contract between the employer, or any entity conducting utilization review on behalf of the employer, and the utilization review physician. The bill would make any information disclosed to the administrative director confidential and not subject to public disclosure, except as specified. Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest. This bill would make legislative findings to that effect.
Who sponsors SB 563?
SB 563 is sponsored by Pan.
What is the current status of SB 563?
This bill died with 2015-2016 Regular Session. It reached “Passed Senate” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track SB 563?
Track SB 563 free on One Click Politics — get push/email alerts when it moves.

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Last checked for changes 3 months ago · updated continuously

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