Workers' Compensation

Overview

The California workers’ compensation system, created in 1913, constitutionally guarantees every worker the right to compensation for workplace injuries and all medical treatment required in order to “cure and relieve” the worker. In the late 1990s, California’s system of workers’ compensation insurance, which is in a state of constant reform and re-reform, began to experience massive cost increases. These increases were the result of overutilization of medical services, higher-than-normal indemnity benefit costs, and increased litigation. At the height of the workers’ compensation crisis in 2003, employers in the state were facing double-digit insurance premium increases, causing California to have the most expensive workers’ compensation premiums in the nation. Workers' Compensation 

Major Victories

  • Stopped costly workplace mandates, such as 2011 bills increasing workers’ compensation costs (AB 375, AB 1155); and a 2010 proposal eroding the cost-saving workers’ compensation reforms (SB 145).
  • Helping control workers’ compensation costs by backing 2011 proposals signed into law to lower pharmaceutical costs, lower frictional costs in the workers’ compensation system, streamline the process, establish a fee schedule for vocational experts and ensure contractors have coverage (AB 378, AB 335, AB 1426, AB 1168, AB 397).
  • Halted costly workplace mandates in 2009, such as legislation that would increase workers’ compensation costs (AB 664).
  • Stalled legislation in 2009 that would have increased workers’ compensation costs significantly and made it more expensive to employ Californians by arbitrarily increasing permanent disability benefits (SB 773).
  • In 2008, protected workers' compensation cost savings by stopping a roll-back of reforms and the resulting doubling of permanent disability costs (SB 1717).
  • In 2007, protected workers’ compensation cost savings by stopping roll-back of reforms and doubling of permanent disability cost increases (SB 936), plus requirement for employers to provide an injured worker with a job voucher before knowing the amount of benefit due with no avenue to recoup costs (SB 942).
  • In 2007, resolved workers’ compensation temporary disability issues. Converted a former “job killer” proposal into a positive vehicle, negotiating amendments to resolve a problem in current law in a way that retains the cost savings in the 2004 reforms by maintaining the current 104-week cap on temporary disability benefits while allowing injured workers to receive those benefits within five years from the date of injury (AB 338)
  • Protected workers' compensation reforms in court. See CalChamber in Court.
  • In 2006, protected workers’ compensation reforms by securing a veto of legislation rolling back the reforms by arbitrarily doubling the permanent disability payments over three years without sound data with which to base the increase (SB 815).
  • Safeguarded the reforms that have led to a steady decline in workers’ compensation premiums by stopping legislation that would have negated those reforms, including a “job killer” bill that would have increased costs and uncertainty in the workers’ compensation system by allowing unqualified injured workers to select and pay for medical treatment outside the exclusive remedy workers compensation system — opening up the floodgates to abuse injured workers and create liability for employers.
  • Worked on numerous regulatory packages that implemented the reform proposals in the CalChamber-supported workers’ compensation reform legislative package. The regulations included the permanent disability rating schedule, medical provider networks, independent medical review, utilization review standards, audit penalties, utilization review penalties and repackaged drugs.
  • Stalled legislation that would have lifted caps on the number of treatment visits allowed for chiropractic and physical and occupational therapy, previously out-of-control and overused treatment and a significant cost driver.
  • Neutralized legislation that would have prohibited the administrative director of the Department of Workers' Compensation from setting a reasonable fee schedule for repackaged drugs, a major workers' compensation cost driver.

Goals

  • Promote legislative, judicial and regulatory actions that maintain an efficient workers' compensation system that provides adequate worker benefits while protecting the competitive position of California employers.
  • Work to ensure that workers’ compensation reforms are implemented as the reformers intended. Play a “watchdog” role to ensure that members and the media are informed about the implementation process so the legislative gains are protected, costs are reduced and the system is more efficient for employers and injured workers.

Position

Workers’ compensation costs must continue to decrease to ensure that California remains economically competitive. CalChamber-supported reforms that had delivered significant cost savings must be protected. Any discussion of raising workers’ compensation program costs must be met with offsets in other parts of the workers’ compensation system, such as lowering frictional costs. The ultimate goal is preserving a balanced system that provides fair benefits to injured workers at a low cost to employers, while minimizing friction to the system.  


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