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Showing posts with label California. Show all posts
Showing posts with label California. Show all posts

Sunday, July 6, 2014

12 states now have plans for a minimum wage of $9 or more

Map of minimum wage rates in the United States...
Map of minimum wage rates in the United States. See List of U.S. minimum wages. (Photo credit: Wikipedia)
Wages govern rates of workers' compensation. They define the premium cost as well as he benefit structure. Today's post was shared by Steven Greenhouse and comes from m.washingtonpost.com


Rhode Island on Thursday joined 11 other states that plan to raise their minimum wage to at least $9 over the next several years.

At the start of next year, the state minimum wage will rise a buck to $9 an hour, according to a new measure Gov. Lincoln Chafee (D) signed into law on Thursday.

Only three states currently have a minimum wage of at least $9. Washington’s is highest at $9.32, followed by Oregon’s minimum wage at $9.10. California’s rose to $9 earlier this week. When Rhode Island’s new rate goes into effect, it will be joined by three others: the minimum wage in Massachusetts will rise to $9, while that in Vermont and Connecticut will jump to $9.15. In all but three — Minnesota, Michigan and New York — the minimum wages will be above $10.

By 2018, 12 states will have reached or surpassed the $9 level. Ten states and D.C. have enacted increases this year alone, according to a list maintained by the National Conference of State Legislatures. The states are: Connecticut, Delaware, Hawaii, Maryland, Massachusetts, Michigan, Minnesota, Rhode Island, Vermont and West Virginia. Many more — 34 states — have considered doing so, according to the NCSL.
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Wednesday, July 2, 2014

NJ Senate Passes Law To Help Injured Workers

The NJ Senate took an historic step on Monday by passing legislation to assist injured workers navigate the workers' system and to level the playing field after decades of the erosion. By passing passing S374 the NJ Senate encourages attorneys to represent workers who suffered accidents and diseases arising out of their employment.

The legislation passed by the NJ Senate will assist injured workers in gaining legal representation and reverses a tide to eliminate attorneys from the process. For decades employers and their insurance carriers have only made voluntary offers and tenders of disability payments after the appearance of an attorney on behalf of an injured worker in a matter. No legal fees were earned and attorneys barely got paid to handle the claim going forward. 

Currently, legal fees are subject to the discretion of the Compensation Judge and are capped at 20% of the award, excluding voluntary (bona fide) tender and offers.

This legislation benefits injured workers and is an attempt to level the playing field. This legislation should be supported.

"The Senate Judiciary Committee reports favorably and with
committee amendments Senate Bill No. 374.
 This bill, as amended, requires that in cases in which a workers’
compensation petitioner has received compensation from an insurance
company prior to any judgment or award, the reasonable allowance for
attorney fees will be based upon the sum of the amount of
compensation received by the petitioner prior to any judgment, but
after the establishment of an attorney-client relationship pursuant to a
written agreement, and the amount of the judgment or award in excess
of the amount of compensation already received by the petitioner.
Currently, in cases in which a petitioner has received compensation
prior to a judgment or award, a reasonable attorney fee is based upon
only that part of the judgment or award that is in excess of the amount
of compensation already received by the petitioner.
 This bill was pre-filed for introduction in the 2014-2015 session
pending technical review. As reported, the bill includes the changes
required by technical review, which has been performed. "

The century old NJ workers' compensation system was built on the premise of providing speedy and remedial benefits to workers who are injured as a  result of an occupational injury or exposure. The system was theoretically a "promise" made by employers to provide an easier, quicker and faster administrative benefit program without the need to proceed with a claim in the litigious, expensive and complicated civil justice system.

The system was established to be a self-executing administrative system. It was to operate in an informal setting without the need for lawyers and litigation.

Unfortunately, over the decades, things became more complicated and complex. Denial and delay became a prevailing theme.

Exposures not envisioned in the original 1911 Act, ie. silicosis (and later asbestosis) were brought into the program to shield insurance carriers and employers from limitless compensatory and punitive damages from toxic exposure claims. This is revealed historically through New Jersey litigation, ie. "The Summer Simpson Papers," see Austin v Johns-Manville, corporate conspiracy.

Additionally, new and expensive treatment modalities/protocols, pharmaceutical regimens and wage equality, as well as other factors, increased costs to the compensation system.

The need increased over the decades for injured workers to have legal knowledgeable legal representation. The NJ Supreme Court recognized that need and established an attorney certification program.

In an effort to limit costs and exposures employers and their insurance carriers have attempted to make changes in the name of "reform" that calls for the reduction and/or elimination of legal representation by attorneys. Obviously if legal fees are eliminated then an injured worker has difficulty in finding a lawyer. Both the State of Florida and the State of California have utilized this tactic.

Senate Bill No. 374 is step forward to help injured workers and their families. While workers' compensation is a consequence of unsafe working conditions, the enactment of this law will hopefully add an economic incentive for employers to maintain safer working conditions. That will be a positive reform to the end of reducing workers' compensation costs overall.

….

Jon L. Gelman of Wayne NJ is the author of NJ Workers’ Compensation Law (West-Thompson-Reuters) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson-Reuters). For over 4 decades the Law Offices of Jon L Gelman  1.973.696.7900  jon@gelmans.com  have been representing injured workers and their families who have suffered occupational accidents and illnesses.



Monday, June 30, 2014

Medicare Takes Bigger Bite Out California Workers Compensation

Medicare has doubled its reimbursement recover from California  workers' compensation claims in a single year according to a report released today. The 100% increase in California from $3Million (2012) to $6Million (2013) illustrates the determinate of CMS (The Centers for Medicare and Medicaid Services)  to end cost-shifting through strict enforcement of the Medicare Secondary Payer Act (MSP).

Since July 23, 2001(The date the Patel Memo was issued) a dramatic increase in the elimination of the Federal "subsidy" of future medical care for compensable work-related conditions has also been reported. In California a 40% increase has been also reported in the last year from $92Million to $129Millon for Medicare Set Aside Agreements.

Click here to read the entire report.

….

Jon L. Gelman of Wayne NJ is the author NJ Workers’ Compensation Law (West-Thompson) and co-author of the national treatise, Modern Workers’ Compensation Law (West-Thompson). For over 4 decades the Law Offices of Jon L Gelman  1.973.696.7900  jon@gelmans.com  have been representing injured workers and their families who have suffered occupational accidents and illnesses.

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Wednesday, June 25, 2014

New York's Acupuncture Experiment

As a young lawyer I was in Compensation Court once when my father, a seasoned workers' compensation attorney, obtained an Order for his client to receive a course of treatment at the "Turkish Baths." Today's post was shared by WorkCompCentral and comes from daviddepaolo.blogspot.com

My dad was a pioneering dentist in California while I was growing up.

He was the first in the state to have any automation in his dental office, with a computer system that cost thousands of dollars more than the top of the line systems offered today, with about one-one hundredth of the computing power...

I recall when I was a young lawyer practicing work comp law and was confronted with the first of what became a short lived trend of temporomandibular joint disorder cases. I asked my dad about the "disease" because I had to depose a physician about it for the first time, and in typical Dad fashion, when I tried to get some meaningful insight into the theory of the disorder he just replied, "It's bulls*#t."

And that was it - no further explanation given by Dad. (And now those of you who know me can understand where my abbreviated sense of conclusory commentary comes from.)

He always sought to broaden the scope of his practice to make sure he could offer his patients as much service as possible.

Dad's practice was one of the first in the state to offer nitrous oxide for low grade anesthesia and his partner, my then brother-in-law, was the first in the state to be certified to dispense NO2 and taught and certified many dentists over the years.

In his pioneering spirit my dad also tried acupuncture for dental anesthesia. He spent months studying the Eastern medicine discipline, brought home all sorts of dolls with dots and lines signifying the path of chi and...

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Monday, June 16, 2014

It's A Priviledge

Today's post was shared by WorkCompCentral and comes from daviddepaolo.blogspot.com
We get lost in the world of workers' compensation so deeply, it seems, that we sometimes forget what law really governs our actions.
A recent unpublished (which means that the case is not citable in legal proceedings as authority) opinion by the California Fourth District Court of Appeal reminds us that there are times when the Labor Code, the main governing body of statutes in California workers' compensation, takes a back seat.
One of those times is when it comes to evidence.
Shirley Lappi sustained a workplace injury in 2003 while working as an administrative assistant for the University of California at Irvine. Lappi filed a claim for benefits and demanded that her employer and the insurer produce certain documents related to her claim.
The defendants produced most of the documents, along with a privilege log identifying 205 documents that they asserted were not subject to discovery because of the attorney-client privilege and work-product doctrine.
After reviewing the log, Lappi's attorney objected to the defendants' failure to disclose 47 of the listed documents because they were not communications between the defendants and defendants' attorneys.
A workers' compensation administrative law judge ordered the defendants to provide Lappi with copies of some of the documents.
In her order and opinion, the judge stated that she had determined that the documents, which consisted of communications between claims personnel, were not privileged unless they specifically discussed a...
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Saturday, June 14, 2014

Troubled


Historically California with its huge share of the nation's workers' compensaton market defines the future course of regulation and reform. The analysis offered by David DePaolo is indeed troubling. Today's post is shared from http://daviddepaolo.blogspot.com

The message I heard at the California Workers' Compensation Insurance Rating Bureau's Annual Meeting yesterday in San Francisco was a mixed one, but my ultimate conclusion isn't positive.

The bottom line - frictional costs associated with the most recent reform effort seem to have introduced more frictional costs than savings, and the likelihood is that when Oregon does it's rate normalized bi-annual survey, California may just come out on top as the most expensive state with a troublesome delivery history and questionable profitability for carriers.

Ugh...

Here's a sort of good news, bad news synopsis, not necessarily in any particular order:

While there has been a dramatic reduction in claim frequency (fancy insurance-speak for the number of injuries per given period), down some 80% over the past 40 years, California has seen frequency level off and even grow a small percentage where the rest of the nation continues to experience continuing declines. It seems that this frequency deviation is attributable to the Greater Los Angeles area - a geographic bubble driving the state's negative claims picture.

It seems that the frequency trend in indemnity claims in the LA area is attributable to continuous trauma...

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Tuesday, May 6, 2014

New Study: CA Disability Compensation Among Lowest in US Only Alabama & Rhode Island pay Lower Weekly Compensation

The California Applicants’ Attorneys Association (CAAA), whose members represent Californians injured on the job, today responded to a new national study showing that Californians injured at work are compensated at one of the lowest weekly rates in the nation. The report by the Workers Compensation Research Institute and the International Association of Industrial Accident Boards and Commissions found that California’s $290 per week maximum for workers with “permanent partial” disabilities is lower than those of all but two other states, Alabama and Rhode Island.

“Partial permanent disability compensation is the only payment injured workers receive for the loss of arms, legs, or their ability to do simple activities in daily life. The new study shows the inadequacy of compensation for lost earnings due to work injuries. It is time to restore balance to the California workers’ compensation insurance system. Insurance companies are reaping the benefits while working Californians are compensated at the bottom of the nation,” said CAAA President Jim Butler. “Changes over the past decade have been extremely profitable for insurance companies, but not for those injured on the job.”

Monday, February 17, 2014

Toni Atkins prepares for Assembly speakership

Today's post was shared by CAAA and comes from capitolweekly.net

For Toni Atkins, a coal miner’s daughter and the first in her family to graduate from college, the road from Virginia coal country to San Diego to Speaker of the state Assembly has been long and winding.
Atkins, a San Diego Democrat who said she can “really appreciate the depths and the breadth of the people who live in California,” was chosen the next speaker in a closed-door caucus of Democrats, who control the 80-member Assembly with a supermajority. She currently serves as the Assembly’s majority leader.
She will succeed Speaker John Pérez, a former L.A.-area labor activist, who is termed out this year and is running for state controller. Atkins, like Pérez, is openly gay, although her sexual orientation has drawn relatively little notice in the Capitol.
Pérez served as Atkins’ mentor, she said.
“I feel really fortunate the speaker has given me the opportunity to be both the Majority Whip and the Majority Leader,” Atkins said.
She’ll be leading the lower house despite concerns – at least in the north state – that an old tradition over equitable leadership distribution between Northern and Southern California.
“For 40 years there has been an unspoken — and unbroken — rule that Southern California splits leadership of the Legislature with the Bay Area and greater Northern California. This year, Southern California leaders could seize complete control of the...
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Saturday, February 15, 2014

California's Drought Could Be the Worst in 500 Years

California's workers' compensation system is about to be afflicted with yet another issue....drought and its economic consequences upon the workers' compensation system. Today's post was shared by Mother Jones and comes from www.motherjones.com

The remains of Cachuma Lake, the main water source for 200,000 people in southern Santa Barbara County. Ruaridh Stewart/ZUMA
The Golden State is in the midst of a three-year drought—and scientists believe that this year may end up being the driest in the last half millennium, according to University of California-Berkeley professor B. Lynn Ingram. Californians are scared, with good reason: Fire danger in the state is high, and drinking-water supplies are low.
But the drought will have repercussions outside the state's borders, as well. California produces a good chunk of the nation's food: half of all our fruits and vegetables, along with a significant amount of dairy and wine.
So how will this historically dry period affect Californians—and the rest of us? Here are a few important facts to keep in mind:
How bad is it? According to the United States Drought Monitor, most of the state is experiencing "extreme drought," the second highest of six rankings. About 10 percent of the state is experiencing "exceptional drought," the highest possible level. As of this week, 17 communities are in danger of running out of water, forcing some to buy it or run pipes from other districts.
CA drought map
CA drought map
CA drought map key
CA drought map key
What do scientists say about the drought? Scientists can't predict how wet or dry a specific season is going to be, but they can forecast drought trends over time, and they've been warning us for decades that the droughts will become...
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Wednesday, February 12, 2014

Being Professional

Today's guest post is shared from David DePaolo from daviddepaolo.blogspot.com
The practice of workers' compensation law is relatively relaxed, at least in California, but I suspect the same in most of the rest of the country where it is an administrative system.

That's what attracted me to the practice in the first place nearly 30 years ago. Collegiality, informality - the emphasis was on substance over form, and the primary mission of the practice - delivering benefits to those entitled and discriminating against those not so entitled - took the forefront over everything else.

But relaxed doesn't mean sloppy, and does requires a higher level of self-discipline.

Unfortunately, too many people don't have the discipline to be let loose in an informal, relaxed legal system. Too many need more concrete barriers, more defined lines; perhaps because these folks lack the integrity or control to handle the responsibility that comes with such an insouciant practice.

Or perhaps these folks are, themselves, just sloppy and inconsiderate of the rules.

Rules - these are in place to make sure that everyone is playing on the same field, to keep anyone from having an unfair procedural advantage, and also to put checks and balances on the costs associated with litigation from the institutional perspective.

The California Workers' Compensation Appeals Board collected almost $300,000 in sanctions last year − three times the amount collected in 2012.

The WCAB had been warning...
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Wednesday, February 5, 2014

The Rule of Law and The Media's Role

Today's post is authored by David DePaolo and shared from workcompcentral.com
Those not living in California are befuddled by our system. Heck, even those living in California are befuddled...

Yesterday was also the start of the 21st annual California Division of Workers' Compensation Educational Conference in Los Angeles, CA, where the weather is a bit warmer than it is here in CT.

So too has the activity been a bit warmer in California - at the Educational Conference Acting Administrative Director Destie Overpeck gave an overview of what has been going on with the division since the directive of SB 863 to implement numerous changes to the system.

The list of work that the division has been engaged in is impressive, and demonstrates just how vast the changes were in SB 863:
  1. New rules to reduce payments to ambulatory surgery centers from 120% of Medicare’s outpatient rate to 80%;
  2. A new fee schedule for providers based on a Resource Based Relative Value Scale;
  3. A lien fee system (currently partially in abeyance due to legal challenges which also adds to the division's work load);
  4. New statute of limitations for lien filers;
  5. New Independent Medical Review process and procedures;
  6. New Independent Medical Bill review process and procedures;
  7. Revised Medical Provider Network approval and renewal process and rules;
  8. Pending fee schedule for copy services;New penalties for failures in notifications and standards for MPNs.
This is all in addition to the normal work load...
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Thursday, January 16, 2014

NLRB Office of the General Counsel Issues Complaint against Walmart

The National Labor Relations Board (NLRB) Office of the General Counsel has issued a consolidated complaint against Walmart alleging that the company violated the rights of its employees as a result of activities surrounding employee protests in 13 states.

The Office of the General Counsel informed Walmart that complaints were authorized in November of 2013, but withheld issuing the complaints to allow time for settlement discussions. The discussions have not been successful and a consolidated complaint has issued regarding some of the alleged violations of federal law. More than 60 Walmart supervisors and one corporate officer are named in the complaint.

Cases were consolidated to avoid unnecessary costs or delay. Walmart must respond to the complaint by January 28, 2014. No hearing date has been set. The Office of General Counsel has authorized or issued complaints in other Walmart cases and additional charges remain under investigation.

The National Labor Relations Act guarantees the right of private sector employees to act together to try to improve their wages and working conditions with or without a union. The consolidated complaint involves more than 60 employees, 19 of whom were discharged allegedly as a result of their participation in activities protected by the National Labor Relations Act. The Office of the General Counsel alleges that Walmart violated the Act when:

During two national television news broadcasts and in statements to employees at Walmart stores in California and Texas, Walmart unlawfully threatened employees with reprisal if they engaged in strikes and protests.

At stores in California, Colorado, Florida, Illinois, Kentucky, Louisiana, Maryland, Massachusetts, Minnesota, North Carolina, Ohio, Texas and Washington, Walmart unlawfully threatened, disciplined, and/or terminated employees for having engaged in legally protected strikes and protests.

At stores in California, Florida, and Texas, Walmart unlawfully threatened, surveilled, disciplined, and/or terminated employees in anticipation of or in response to employees’ other protected concerted activities


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Sunday, January 12, 2014

New York State is committed to improving outdated workers’ compensation system

Today's post is shared from buffalonews.com and is authored by Jeffrey Fenster, Executive Director of the New York State Workers’ Compensation Board.

Gov. Andrew M. Cuomo inherited a century-old workers’ compensation system in extreme dysfunction, caused by years of neglect and special interest lobbying. Independent research, such as studies by the Workers’ Compensation Research Institute, shows that compared to other states, New York’s system is slow to pay injured workers and produces poor medical outcomes.

It is undisputed that prompt delivery of benefits is good for injured workers and reduces employer costs. Yet those most in need receive least, our workers wait longer for benefits and our costs to employers are the fifth highest in the nation. Things needed to change.

Already, under Cuomo’s administration, the Workers’ Compensation Board has been aggressive in improving the system. We fully implemented and continue improving upon the 2007 reform. That was followed by an increase in the minimum benefit from $100 to $150, protecting New York’s most vulnerable employees.

Simultaneously, the board tackled the high and rising cost of workers’ compensation assessments on employers. In March 2013, Cuomo signed the Business Relief Act, which included $800 million in assessment savings to employers in 2014 – a drop from 18.8 percent to 13.8 percent of premium. Ensuing years will see assessment savings of $300...
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Saturday, January 11, 2014

DWC's IMR Meetings Premature

The noise over the volume of Independent Medical Review requests and Maximus' inability to cope with that volume is at top level and the California Workers' Compensation Institute's latest research paper is certainly going to add to the fury.

The Division of Workers' Compensation has scheduled round table meetings with interested groups for Monday and Tuesday. CWCI's release couldn't be more timely.

CWCI says that basically IMR (and underlying Utilization Review) are working as intended.

The say that only 5.9% of requested medical procedures are delayed, denied or modified through utilization review, and that three out of every four medical treatment requests are approved by claims adjusters without the need for additional oversight.

Moreover, CWCI found 76.6% of the 919,370 treatment requests it evaluated that were sent out for physician review were approved, 6.6% were modified and 16.9% were denied.

One-in-four treatment requests being sent for physician review and one-in-four of those physician-reviewed requests denying or modifying the recommendation means that 94.1% of treatments are approved and 5.9% are denied.

CWCI also reviewed 1,141 independent medical-review decisions that had been issued as of Jan. 2 and found 78.9% of denials are upheld by the administrative review and 21.1% are overturned.

Of the 919,370 medical treatment requests reviewed by CWCi researchers, "pharmacy" garnered fully 43% of all events - this is an astounding number and debunks quite a...
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