The bill aims to improve access to medical care for injured workers under the workers' compensation system by establishing a healthcare provider network and setting minimum standards for providers. It introduces a new section to chapter 51.36 RCW, emphasizing the need for individualized treatment determinations and allowing both network and non-network providers under specific conditions. The bill outlines the responsibilities of the department in managing the provider network, including adherence to evidence-based treatment guidelines and the establishment of an advisory group. It also includes provisions for the removal of providers who fail to meet standards and ensures that injured workers can find new providers if their current ones are terminated.

Additionally, the bill enhances worker rights by requiring employers to inform injured workers of their right to choose their medical provider and prohibiting coercion to seek treatment from specific providers. It introduces alternative criteria for healthcare providers not credentialed by other health plans to address access issues in certain regions and allows workers to seek treatment from non-network providers if they cannot find a willing provider within 25 miles of their home. The bill also mandates the hiring of additional claims managers to improve claims management and requires periodic studies and reports on performance indicators. Furthermore, it amends existing law regarding appropriations, stating that they are not required for certain payments from trust funds, and clarifies that the provisions apply to all claims regardless of the date of injury.

Statutes affected:
Original bill: 51.36.010, 51.32.160
Substitute bill: 51.36.010
Second substitute: 51.36.010
Engrossed second substitute: 51.36.010
Bill as passed Legislature: 51.08.200, 51.36.010, 43.88.180
Session law: 51.08.200, 51.36.010, 43.88.180