Legal Opinion

Stevens v. Workers' Compensation Appeals Board

California Court of Appeal

Decided October 28, 2015No. A143043PublishedCited by 17 opinions

1Opinion of the Court

Opinion

HUMES, P. J.

Introduction

The workers’ compensation system has undergone major reforms in recent years. Legislation that went into effect in 2004 made the system more efficient and less costly by having injured workers’ requests for medical treatment evaluated through a process called utilization review (UR). Under the UR process, a request for treatment cannot be denied by a claims adjustor and must be approved unless a clinician determines that the treatment is medically unnecessary. And under the UR process, workers can challenge decisions denying requested treatment, but employers…

2Cases cited37 opinions

  1. Mathews v. EldridgeSupreme Court of the United States · 1976
  2. Cleveland Board of Education v. LoudermillSupreme Court of the United States · 1985
  3. Griffin v. IllinoisSupreme Court of the United States · 1956
  4. American Manufacturers Mutual Insurance v. SullivanSupreme Court of the United States · 1999
  5. Pennzoil Co. v. Texaco Inc.Supreme Court of the United States · 1987

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3Cited by17 opinions

  1. King v. CompPartners, Inc.California Supreme Court · 2018
  2. Barri v. Workers' Comp. Appeals Bd., California Court of Appeal, 5th District2018
  3. Chorn v. Workers' Compensation Appeals BoardCalifornia Court of Appeal · 2016
  4. Ramirez v. Workers' Compensation Appeals Board, State Department of Health Care ServicesCalifornia Court of Appeal · 2017
  5. State Compensation Insurance Fund v. Workers' Compensation Appeals BoardCalifornia Court of Appeal · 2016

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