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AGENDA FOR CHANGE
 
Preserve the right of injured workers to full medical treatment
Any changes to our workers’ compensation system must preserve the Constitutional right of injured workers to full medical treatment to be cured and relieved from on-the-job injuries.
 
Fund the Division of Workers Compensation
Employers and workers are entitled to a prompt, fair hearing on disputed claims. Budget cuts have devastated the court staff who process these cases. A recent RAND report called for increasing staffing at WCAB offices. Governor Schwarzenegger should adequately fund the Division. We await the governor’s budget proposal.
 
Additional judges and support staff should be hired to assure that disputes are resolved quickly and inexpensively, for the benefit of injured workers and employers.
 
Additional auditors should be hired to make certain claim administrators are paying claims accurately and timely.
 
Regulate workers’ compensation insurers
The current situation is really an "insurance crisis" caused by price hikes following an irresponsible price war. California must regulate workers’ compensation insurers.
 
- Require prior approval of proposed rates to prevent  predatory pricing
- Prohibit excessive rates
- Mandate a rate reduction
 
There will be no definite employer savings unless the industry is regulated.
 
Increase penalties on employers and insurance carriers who refuse or unreasonably delay payment of injured workers’ benefits.
Current penalties are not sufficient to deter late payments. One of every four audited claims has late payments of benefits to injured workers.
 
Meaningful penalties should be adopted for the audit process.
 
Combat fraud
Anti-fraud efforts should be concentrated on areas where fraud has a major impact on employers’ costs. Task forces should be created under the Attorney General’s office to coordinate investigation and prosecution of fraud by employers and providers.
 
Impose penalties for employers who refuse to get workers’ compensation insurance, understate their payroll or otherwise fail to meet their obligations.
 
 
 
 

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