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 amendments include establishing minimum standards for healthcare providers, creating a network of approved providers, and ensuring adherence to evidence-based treatment guidelines. The bill also mandates the formation of an advisory group to assist in implementing these standards and developing best practices, as well as outlining the credentialing process and criteria for provider oversight.
Additionally, the bill introduces a second tier within the provider network for those demonstrating superior occupational health practices and emphasizes the importance of quality care management. It requires timely communication from the department or self-insured employers regarding treatment needs and outlines responsibilities for utilization reviews and payment for initial prescription drugs. The legislation also promotes the establishment of centers for occupational health and education, allows for hiring additional claims managers, and includes provisions for the removal of underperforming providers from the network. Overall, the bill seeks to create a comprehensive framework for the treatment of injured workers while ensuring their rights to choose healthcare providers are upheld.
Statutes affected: Original bill: 51.36.010, 51.32.160
Substitute bill: 51.36.010