WHEREAS:
It is understood that utilization review companies may delay or deny medical care prescribed by treating physicians and surgeons; and
WHEREAS:
It is understood that treating physicians and surgeons are licensed by the states in which they practice; and
WHEREAS:
It is understood that insurance companies may retain utilization review companies to approve, delay, or deny care prescribed by treating physicians; and
WHEREAS:
It is understood that utilization review companies may hire doctors without licenses in the states where they may delay or deny care; and
WHEREAS:
It is understood injured workers' and patients' rights are violated by the wrongful practices of utilization review companies.
THEREFORE BE IT RESOLVED:
That this convention declare that physicians working for utilization review companies reviewing the claims of injured workers be licensed in the states in which their decisions are used and where their decisions may influence the provision or denial of medical care to injured workers.
SUBMITTED BY: Robert L. Weinmann, M.D., President and Delegate
Stuart A. Bussey, M.D., J.D., Vice President and Delegate
UAPD/AFSCME Local 206
California