Committee Moves MLFS Update and Cost-of-Living Bills to Suspense File

CWCI: CA Workers’ Comp Med-Legal Costs Surge Under 2021 Fee Schedule

• News

April 15, 2025 | MedLegalNews.com – CWCI: CA Workers’ Comp: The California Workers’ Compensation Institute (CWCI) has released a new study showing a sharp increase in medical-legal (med-legal) costs following the implementation of the updated Medical-Legal Fee Schedule (MLFS) in April 2021. Although the schedule aimed to improve Qualified Medical Evaluator (QME) retention and streamline […]

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Workers' Comp Rate Filing Hearing Scheduled by CDI for June 10

WCIRB Proposes 11.2% Hike in Workers’ Comp Pure Premium Rates

• News

April 15, 2025 | MedLegalNews.com – WCIRB Proposes 11.2% Hike in advisory pure premium rates, citing rising claims costs and changing industry dynamics. The California Department of Insurance (CDI) will review the recommendation in an upcoming public hearing. What Is Changing and Why It Matters The pure premium rate serves as a benchmark for insurers,

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CA Court Reinstates Injured Worker’s Civil Suit Against Employer

CA Court Reinstates Injured Worker’s Civil Suit Against Employer

• News

April 15, 2025 | MedLegalNews.com – CA Court Reinstates: In a pivotal decision, a California appellate court has reinstated an injured worker’s civil lawsuit against both his employer and a co-worker, challenging long-held assumptions about workers’ compensation exclusivity. Background: Injury on the Job The case involved a laborer, employed by a private contractor, who was

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Contract Term Limits Comp as Sole Remedy for Injured Skylight Installer

Contract Term Limits Comp as Sole Remedy for Injured Skylight Installer

• News

California Court Rules Against Personal Injury Lawsuit, Upholds Workers’ Comp Exclusivity April 15, 2025 | MedLegalNews – Contract Term Limits Comp: In a recent ruling, a California appeals court determined that a skylight installer injured on the job cannot pursue a personal injury lawsuit against the general contractor. Instead, the installer must rely solely on

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DWC Reminder: RTWSP Application Requirements Clarified

DWC Reminder: RTWSP Application Requirements Clarified

• Updates

DWC Reminder: Injured workers must follow strict criteria to avoid delays or denialsApril 15, 2025 | MedLegalNews.com The California Division of Workers’ Compensation (DWC) has issued a fresh reminder about the Return-to-Work Supplement Program (RTWSP) application requirements. This notice comes as part of ongoing efforts to ensure injured workers receive timely and accurate benefits. Application

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Heart Presumption Expansion Bill Advances for California State Hospital Workers

Labor Org Owners Sentenced to Prison for Fraud Scheme

• News

April 14, 2025 | MedLegalNews.com – Labor Org Owners Sentenced: Two owners of a California-based labor organization will serve time in federal prison after pleading guilty to a widespread fraud scheme that siphoned more than $500,000 from union coffers. The sentences mark another federal crackdown on white-collar corruption within labor institutions. Defendants Diverted Union Funds

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High Court Denies City's Bid to Reclaim $106K from Firefighter

High Court Denies City’s Bid to Reclaim $106K from Firefighter

• News

April 14, 2025 | MedLegalNews.com – High Court Denies: In a pivotal ruling for public employees, the California Supreme Court rejected a city’s attempt to recover $106,000 in overpaid wages from a firefighter. The decision underscores the state’s commitment to protecting workers who unknowingly receive erroneous payments. Firefighter Acted in Good Faith The case involved

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CMA’s HIT Summit and AI Regulation Discussed on CIO Podcast

CMA’s HIT Summit and AI Regulation Discussed on CIO Podcast

• Tech

April 11, 2025 – MedLegalNews – SAN DIEGO, CA — CMA’s HIT Summit: As California emerges as a leader in regulating artificial intelligence (AI) in health care, the California Medical Association (CMA) is once again leading the national conversation. CMA Vice President of Health Information Technology, David Ford, recently appeared on the Healthcare IT Today

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Prior Authorization Delays: New Legislation Aims to Improve Patient Care

Prior Authorization Delays: Aims to Improve Patient Care

• News

April 11, 2025 – MedLegalNews – SACRAMENTO, CA — Prior Authorization Delays: A group of California lawmakers, backed by the California Medical Association (CMA) and physicians statewide, has introduced a legislative package to overhaul the state’s prior authorization process. The goal: to reduce delays and improve access to timely, medically necessary care. “When people have

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Court Sends Back 1970s Baseball Player’s Cumulative Trauma Claim to Determine Injury Date

Reform of SIBTF May Be on the Horizon—but Not Until After 2025

• SIBTF

April 09, 2025 – MedLegalNews – SACRAMENTO, CA – Speakers at the California Workers’ Compensation Institute (CWCI) annual conference discussed the growing pressure on the Subsequent Injuries Benefits Trust Fund (SIBTF) and the likely delays in reform. While SIBTF reform is under consideration, experts suggest that significant legislative changes may not occur until after 2025.

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