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Regulatory Tag: Treatment Guidelines

April 14, 2025
Nevada Now Considering Evidence-Based Formulary After Bill Hearing

Senate Bill 317 originally focused on provider panels, but a recent hearing amended the bill to include a workers’ comp formulary.

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April 14, 2025
California P&T Committee to Meet on April 16th

The hybrid meeting will cover the pharmacy fee schedule, biosimilars, cannabis coverage, and payments for topical drugs.

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March 24, 2025
Colorado Considers Changes to Provider Choice, Disputes, and More

Among many changes, the bill would shift the burden of proof to insurers in medical treatment disputes.

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March 24, 2025
California Considers Adopting ACOEM Recommendations Against Medical Marijuana

The ACOEM cannabis guideline from late January 2025 recommend against medical marijuana for the treatment of pain.

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March 14, 2025
Texas Proposes Expansions to Physician Dispensing

Two bills would allow physicians to dispense “dangerous drugs” directly to injured workers in rural areas.

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February 17, 2025
California Proposes Updates to Medical Treatment Utilization Schedule

The updates would incorporate evidence-based revisions to Chronic Pain Guidelines and Cannabis Guidelines from ACOEM.

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December 9, 2024
New York Governor Vetoes Increase to Prior Authorization Thresholds

The proposed bill would have required prior authorization on treatments above $1,500, instead of $1,000.

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October 28, 2024
Nevada Revises Rules on Provider Lists and Forms

Starting October 1, 2025, provider lists must be submitted through the Division’s CARDS system, set to launch next spring.

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October 14, 2024
Texas Adopts 2025 Fiscal Year Research Agenda

Three topics were selected, but the state may expand the scope of research to accommodate stakeholder suggestions.

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October 14, 2024
Colorado Bans the Physician Dispensing of Gabapentin

As part of new changes to the medical fee schedule, this rule will take effect January 1, 2025.

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October 7, 2024
New York PT & OT Assistants Can Soon Treat Injured Workers

Effective October 27th, these professionals can treat injured workers under the supervision of a Board-authorized provider.

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September 30, 2024
California Vetoes UR Doctor Licensing Bill

Doctors performing utilization review for private employers will not have to be board certified.

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September 26, 2024
Federal Telehealth Rules Face Impending Deadline

Pandemic-era telehealth rules will expire at the end of the year, with advocates pushing for a two year extension.

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September 13, 2024
California UR Doctors May Require Board Licensing

Senate Bill 636 awaits the Governor's signature.

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September 12, 2024
Texas Invites Stakeholder Comments on Agenda, Rules, Quarterly Meetings

Stakeholders can submit written comments through September 16th.

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