May 10, 2004

Christine Baker

CHSWC report on assessment of 24-hour care options for California

SAN FRANCISCO -- The Commission on Health and Safety and Workers' Compensation (CHSWC) has voted to release a report for public comment on the “Assessment of 24-Hour Care Options for California.”

In October 2003, Senator Richard Alarcón, Chair of the Senate Committee on Labor and Industrial Relations, formally requested that CHSWC conduct an in-depth study of 24-hour care, a model that would integrate work-related health care benefits and regular group health benefits.

CHSWC contracted with RAND to conduct this independent study. The report is intended to aid California policymakers in decisions about whether to adopt 24-hour care.

The CHSWC draft report by RAND found that the 24-hour care options that would be feasible are the models that integrate only medical care services or the voluntary implementation by employers of the model that integrates both medical care services and health insurance. The draft report indicates that some challenges would be faced in designing and implementing an effective 24-hour care program on a statewide basis. The study recommends that California policymakers use small-scale pilots to test 24-hour care models placing an emphasis on effective design, implementation and evaluation of the models being tested.

CHSWC is charged with overseeing the health and safety and workers' compensation systems in California and recommending administrative or legislative modifications to improve their operation. CHSWC was established to conduct a continuing examination of the workers' compensation system and of the state's activities to prevent industrial injuries and occupational diseases and to examine those programs in other states.

The report and further information are available at CHSWC’s home page at, or by writing to CHSWC, 455 Golden Gate Avenue, 10th Floor, San Francisco, California 94102, by calling (415) 703-4220, by faxing a request to (415) 703-4234, or by emailing