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Division of Workers' Compensation (DWC)

Senate Bill 863 rulemaking timeline

Regulations covered in this section:
Division of Workers' Compensation (DWC)
Office of Self-Insurance Plans (OSIP)
Department of Industrial Relations (DIR)
Workers' Compensation Appeals Board (WCAB)

Division of Workers' Compensation (DWC)

SB 863 Implementation Status Next Steps Effective Date Per
Labor Code
Ambulatory Surgery Center (ASC) Fee Schedule
(Non APA rulemaking, already in progress)
Labor Code § 5307.1
Jan. 25, 2011 - public hearing
Oct. 23 - Nov. 7, 2012 - Notice of modification to text of proposed regulations
Dec. 27, 2012 - Filed with secretary of state
Completed Jan. 1, 2013
Copy Services Fee Schedule
Regular rulemaking
Labor Code § 5307.9
Reviewing public input from survey and conducting study Working group meeting Dec. 31, 2013
Electronic document filing and lien filing fees
Proposed rulemaking
Labor Code §§ 4903, 4903.05, 4903.06, 4903.07
Dec. 12, 2012 – Notice of Proposed Emergency Action Issued
Dec. 19, 2012 - Filed with Office of Administrative Law
Dec. 31, 2012 - Filed with secretary of state
March 26, 2013 - Public hearing
Proceed with certificate of compliance Jan. 1, 2013
Home Health Care Fee Schedule
Regular rulemaking
Labor Code §§ 4600, 5307.8
Oct. 2, 2012 - working group meeting Post draft regulations on DWC forum July, 1, 2013
Independent Bill Review; Standardized Paper Billing and Payment; Electronic Billing and Payment
Proposed rulemaking
Labor Code §§ 139.5, 4603.2, 4603.3, 4603.4, 4603.6, 4622
Dec. 12, 2012 – Notice of Proposed Emergency Action Issued
Dec. 19, 2012 - Filed with Office of Administrative Law
Dec. 31, 2012 - Filed with secretary of state
Apr. 9, 2013 - Public hearing
Proceed with certificate of compliance For dates of service on or after Jan. 1, 2013
Independent Medical Review (IMR)
Utilization Review (UR) (including Request for Authorization form) and
Proposed rulemaking
Labor Code §§ 139.5, 4610, 4610.5, 4610.6
Dec. 12, 2012 – Notice of Proposed Emergency Action Issued
Dec. 19, 2012 - Filed with Office of Administrative Law
Dec. 31, 2012 - Filed with secretary of state
Apr. 4, 2013 - Public hearing
Proceed with certificate of compliance For injuries on or after Jan. 1, 2013;
For decisions communicated on or after July 1, 2013
Interpreter Certification
Proposed rulemaking
Gov’t Code §§ 9795.1, 9795.3
Labor Code §§ 4600, 5811
Dec. 12, 2012 – Notice of Proposed Emergency Action Issued
Dec. 19, 2012 – Filed with Office of Administrative Law
Dec. 31, 2012 - Filed with secretary of state
March 19, 2013 - Public hearing
Proceed with certificate of compliance

Jan. 1, 2013
Medical Provider Network (MPN)
Regular rulemaking
Labor Code §§ 4616 et seq.
DWC drafting proposed revised regulations Working group meeting Jan. 1, 2014
Physician Fee Schedule (RBRVS)
(Non APA rulemaking)
Labor Code § 5307.1
Nov. 14, 2012 - Working group meeting Post draft regulations on DWC forum The fee schedule provided by Senate Bill 863 will commence on Jan. 1, 2014 and continue until a physician fee schedule is adopted
Predesignation/Chiropractor Primary Treating Physician
Regular Rulemaking
Labor Code § 4600
Nov. 6 - Nov. 16, 2012 - Forum comments

Oct. 2, 2012 - working group meeting

Review forum comments Jan. 1, 2013
Qualified Medical Evaluator Regulations and Permanent Disability Rating Determination (QME)
Proposed rulemaking
Labor Code §§ 139.5, 4610, 4610.5, 4610.6
Dec. 12, 2012 – Notice of Proposed Emergency Action Issued
Dec. 19, 2012 - Filed with Office of Administrative Law
Dec. 31, 2012 - Filed with secretary of state
Apr. 4, 2013 - Public hearing
Proceed with certificate of compliance For injuries on or after Jan. 1, 2013;
For decisions communicated on or after July 1, 2013
Spinal Implant (Inpatient Fee Schedule)
(Non APA rulemaking, already in progress)
Labor Code § 5307.1
Jan. 25, 2011 - Public hearing
Nov. 13 - Nov. 28, 2012 - Notice of modification to text of proposed regulations
Oct. 18 - Nov. 2, 2012 - Notice of modification to text of proposed regulations
Dec. 27, 2012 - Filed with Secretary of State
Completed Jan. 1, 2013
Supplemental Job Displacement Benefit (SJDB)
Proposed rulemaking
Labor Code §§ 4658.5, 4658.6, 4658.7
Dec. 7, 2012 - Notice of proposed emergency action issued
Dec. 14, 2012 - Filed with the Office of Administrative Law
Dec. 20, 2012 – Filed with secretary of state
March 19, 2013 - Public hearing
Proceed with certificate of compliance Jan. 1, 2013
Vocational Expert Fee Schedule
Regular rulemaking
Labor Code § 5307.7
June 28, 2012 - working group meeting Post draft regulations on DWC forum Jan. 1, 2013

Office of Self-Insurance Plans (OSIP)

SB 863 Implementation Status Next Steps Effective Date Per
Labor Code
Actuarial Reporting and Actuarial Based Security Deposit
Dec. 5, 2012 – Notice of Proposed Emergency Action Issued
Dec. 19, 2012 – Filed with Office of Administrative Law
Dec. 31, 2012 – Filed with Secretary of State
Proceed with certificate of compliance Jan. 1, 2013
Cost of administrating public sector workers’ comp paid from WCARF
Labor Code §§3700.1 et seq.
OSIP drafting regulations Begin rulemaking Jan. 1, 2013
Self-insured public agencies must submit data to DIR OSIP drafting regulations Begin rulemaking Jan. 1, 2013

Department of Industrial Relations (DIR)

SB 863 Implementation Status Next Steps Effective Date Per
Labor Code
Return to Work Fund
Labor Code §§ 139.48
DIR drafting regulations Begin rulemaking Jan. 1, 2013

Workers' Compensation Appeals Board (WCAB)

SB 863 Implementation Status Next Steps Effective Date Per
Labor Code
Independent Bill Review (IBR)
Review procedure
Labor Code § 4603.6(f)
WCAB drafting regulations Non APA rulemaking Jan. 1, 2013
Independent Medical Review (IMR)
Review procedure
Labor Code § 4610.6(h)
WCAB drafting regulations Non APA rulemaking Jan. 1, 2013
Labor Code §§ 4903 et seq. WCAB drafting regulations Non APA rulemaking Jan. 1, 2013
Medical Provider Network (MPN)
Review procedure
Labor Code § 4616(h)
WCAB drafting regulations Non APA rulemaking Jan. 1, 2013
Return to Work Fund
(Non APA rulemaking)
Review procedure
Labor Code § 139.48
WCAB drafting regulations Non APA rulemaking Jan. 1, 2013

February 2013