The bill aims to improve access to medical care for workers under Washington State's workers' compensation system by introducing a new section to chapter 51.36 RCW. It emphasizes the need for individualized assessments of treatment necessity for workplace injuries and occupational diseases. Key provisions include the establishment of a healthcare provider network with specific standards for participation, the creation of a second tier for providers demonstrating superior occupational health practices, and the formation of an advisory group to assist in implementing these standards. The bill also outlines the credentialing process for providers, criteria for their removal from the network, and mandates collaboration with self-insurers to ensure consistent quality care.
Additionally, the bill enhances the rights of injured workers regarding their choice of healthcare providers, prohibiting employer coercion in provider selection and requiring the department to investigate violations. It establishes timelines for treatment declarations and utilization reviews, ensuring timely access to care. The department is tasked with hiring more claims managers to align workloads with national standards and conducting studies every five years. The bill also includes provisions for ongoing medical treatment for workers with accepted cancer diagnoses and specifies that it applies to all claims, regardless of injury date, with certain provisions set to expire in 2027 and 2028.
Statutes affected: Original bill: 51.36.010, 51.32.160
Substitute bill: 51.36.010