Section 5307.2 Of Chapter 1. Jurisdiction From California Labor Code >> Division 4. >> Part 4. >> Chapter 1.
5307.2
. The administrative director shall contract with an
independent consulting firm, to the extent permitted by state law, to
perform an annual study of access to medical treatment for injured
workers. The study shall analyze whether there is adequate access to
quality health care and products, including prescription drugs and
pharmacy services, for injured workers and make recommendations to
ensure continued access. If the administrative director determines,
based on this study, that there is insufficient access to quality
health care or products for injured workers, including access to
prescription drugs and pharmacy services, the administrative director
may make appropriate adjustments to medical, prescription drugs and
pharmacy services, and facilities' fees. When there has been a
determination that substantial access problems exist, the
administrative director may, in accordance with the notification and
hearing requirements of Section 5307.1, adopt fees in excess of 120
percent of the applicable Medicare payment system fee, or in excess
of 100 percent of the fees prescribed in the relevant Medi-Cal
payment system, for the applicable services or products.