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SB 863: Innovations and Realities

SB 863: Innovations and Realities. Jody Gray, President, York Public Entity Dana Miller, Esq., Mullen & Filippi Jen Hamelin, Supervising Senior Specialist, CSAC EIA. SB 863 Review. PD Increases – 2013-2014 Rating formula changes Body Parts – Psych, Sleep, Sex Dysfunction

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SB 863: Innovations and Realities

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  1. SB 863: Innovations and Realities Jody Gray, President, York Public Entity Dana Miller, Esq., Mullen & Filippi Jen Hamelin, Supervising Senior Specialist, CSAC EIA

  2. SB 863 Review • PD Increases – 2013-2014 • Rating formula changes • Body Parts – Psych, Sleep, Sex Dysfunction • 15% PD adjustment (up & down) • No PDAs after TD ends • Effective immediately (1/1/13) • Part time workers/Substitute teachers • IMR • Fully effective 7/1/13 (all dates of injury)

  3. SB 863 Review (cont.) • Limitations on home care services • IBR • Liens • MPNs • Vouchers • Fee schedules • Copy service • RTW Fund (1/1/13 DOIs) • Miscellaneous

  4. SB 863 “In the Trenches” • Employer Perspective • Claims Perspective • Legal Perspective

  5. Legislative Challenges • SB 626 (Beall) • Two-Year Bill

  6. Legislative Amendments • Budget Trailer Bill • Clarifies Language of SB 863

  7. Innovative Ways of Using 863 • Delays of PD Advances • Encourages Settlement • IMR instead of AME? • Lien pressures • Supporting cases • All Medical Opinions Usable at IMR? • Ability to file application to depose unrepresented injured workers

  8. Anticipated Challenges • CAAA • Legislature • Governor change? • WCAB rulings (and challenges)

  9. Questions???

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