The bill amends existing laws concerning access to medical care for injured workers within the workers' compensation system by establishing a health care provider network that adheres to minimum standards set by the Department. It emphasizes the necessity of high-quality medical treatment to prevent disability and reduce costs for both workers and employers. New provisions require network providers to follow evidence-based treatment guidelines when appropriate and introduce a second tier of providers who demonstrate superior adherence to occupational health best practices. Additionally, the bill modifies reporting requirements by removing the obligation for the department to report annually to the workers' compensation advisory committee and the legislature from 2012 to 2016.

The legislation enhances the rights of injured workers by ensuring they are informed of their right to choose their medical provider, prohibiting employer influence over this choice, and allowing treatment from non-network providers under specific conditions. It outlines the process for utilization review, establishes criteria for provider participation, and includes provisions for the removal of providers who do not meet quality standards, with a documented appeal process for affected providers. The bill also expands the definition of "closing order" to include orders awarding permanent total disability compensation and applies to all claims regardless of the date of injury, with certain provisions taking effect on July 1, 2026, and others expiring on June 30, 2027.

Statutes affected:
Original bill: 51.36.010, 51.32.160