Jurisdiction
|
Treatment Guidelines
|
National Guideline
|
Local Guideline
|
Legislation or Rule
|
Explanation
|
Outcomes
|
|
Alabama
|
none
|
|
|
|
|
|
|
Alaska (withdrawn)*
|
Considering
|
|
|
SB130
2005
|
“make
recommendations for medical procedure guidelines to the task force”
|
|
|
Alberta
|
Own (15)
|
|
X
|
|
The Workers' Compensation Board (WCB) - Alberta, 9912 - 107 Street, Edmonton, AB T5J 2S5
|
|
|
Arizona
|
Considering
|
|
|
HB2405
2007
|
Required
the Industrial Commission to adopt evidence-based treatment guidelines
by 2009
|
|
|
Arkansas
|
Own (1)
|
|
X
|
|
Arkansas Workers' Compensation Commission, 324 Spring Street, Little Rock, AR 72203
|
|
| Bahamas |
ODG
|
X
|
|
|
National Insurance Board of the Bahamas, PO Box N-7508, Nassau, Bahamas, adopted ODG in 2003 |
|
|
British Columbia
|
ODG
|
X
|
|
|
Workers' Compensation Board of British Columbia,
Vancouver, BC V6B 5L5, adopted ODG in 2004
|
|
|
California
(withdrawn)*
|
ACOEM
+ ODG
|
X
|
|
SB228
2003
|
ACOEM
2nd ed mandatory “interim” guidelines and new rules allow others (like
ODG) as a supplement. DWC
Embraces New ODG Chronic Pain Guideline (08/07) DWC
Chooses ODG for Post-surgical Guidelines (11/07).
|
Insurers
have realized a 70%
reduction in costs since 2003. – Insurance Commissioner
Poizner 1/1/08
|
|
Colorado
|
Own (10) + ODG (state fund)
|
X
|
X
|
|
CO Division of Workers’ Compensation, 1515 Arapahoe, Denver CO 80202;
State
fund uses ODG since 2003: Pinnacol Assurance, 7501 E. Lowry Blvd., Denver,
CO 80220
|
|
|
Connecticut
|
Own (4) + ODG (state fund)
|
X
|
X
|
|
CT Workers' Compensation Commission, Capitol Place, 21 Oak Street, Hartford, CT 06106;
State
fund adopted ODG in 2003: CT Healthcare Workers Compensation Trust, 866
North Main St., Wallingford, CT 06492
|
|
|
Delaware
|
Considering
|
|
|
SB362
2006; SB1 2007
|
Calls
for creation of a 17-member Health Care Advisory Council that would
develop treatment protocols
|
|
|
Florida
(withdrawn)*
|
AHRQ (ODG
+ others)
|
X
|
|
SB50A
2003
|
According
to a 2007 newsletter from Florida's largest WC insurer, "Florida
has mandated the use of evidence-based medicine in managed care
arrangements. Summit quickly began using ODG because it provides the
widely accepted, evidence-based criteria that Florida statutes
require."
|
Loss
costs have dropped 50.4% since the Florida Legislature passed
SB 50A (NCCI, 09/18/07) Since Florida's sweeping reforms in 2003
overall reductions in rates will reach 58.3%.
(NCCI, 09/08/08)
|
|
Georgia
|
Considering
|
|
|
|
Legislature
proposed WC study for 2007
|
|
|
Hawaii
|
ODG
|
X
|
|
|
Originally
ODG and ACOEM were adopted by rules, but rescinded by legislature.
Now major insurers have adopted ODG (2005) and agreement
to use ODG was signed by Governor (9/1/06).
|
Hawaii
Cuts Loss Costs 38%
(Insurance Comm J.P. Schmidt 09/18/07) HI WC Rates
Down 61% Over Four Years. (Hawaii Reporter, 9/17/08)
|
|
Idaho
|
none
|
|
|
|
|
|
|
Illinois
|
Considering
|
|
|
HB2137
2005
|
“requires
utilization review, consistent with URAC.”
|
|
|
Indiana
|
none
|
|
|
|
|
|
|
Iowa
|
none
|
|
|
|
|
|
|
Kansas
|
ODG
|
X
|
|
Guidelines
01/01/08
|
Kansas
Adopts ODG - December 2007; Kansas Department of Labor Div of
WC, 800 SW Jackson, Topeka, KS 66612
|
|
|
Kentucky
|
Considering
ODG
|
X
|
|
|
ODG
recommended as Kentucky medical guideline by Committee. Public
hearing was 9/6/07. Plan is to hire new medical director before
official adoption.
|
|
|
Louisiana
|
Considering
ODG
|
|
|
|
Louisianans
For Workers' Compensation Reform created to draft legislation to
adopt ODG.
|
|
|
Maine
|
Own (1)
|
|
X
|
|
ME Workers' Compensation Board, 27 State House Station, Augusta, ME 04333
|
|
|
Manitoba
|
ODG
|
X
|
|
|
Workers Comp. Board Of Manitoba, 333 Broadway, Winnipeg, MB
R3C 4W3, adopted ODG in 2004
|
|
|
Maryland
|
Considering
|
|
|
HB1423
2005
|
HB1423
was proposed in 2005 to implement guidelines
|
|
|
Massachusetts
|
Own (28)
|
|
X
|
|
MA Workers' Compensation Advisory Council, 600 Washington Street, Boston, MA 02111
|
|
|
Michigan
|
Considering
|
|
|
|
In
2002 Accident Fund required use of ODG by nurse case
management/vocational rehab vendors. Public hearing/presentation on
treatment guidelines 9/11/07,
covering ODG and ACOEM.
|
|
|
Minnesota
|
Own (9)
|
|
X
|
|
Minnesota
Workers’ Compensation Insurers Association, asked ODG to present to
stakeholder groups
|
|
|
Mississippi
|
none
|
|
|
|
|
|
|
Missouri
|
ODG
(state fund)
|
X
|
|
|
State
fund adopted ODG (2005): Missouri Employers Mutual Insurance, 1000
West Nifong, Columbia, MO 65203
|
|
|
Montana (withdrawn)*
|
ODG
(state fund)
|
X
|
|
SB
108 2007
|
“The
department may establish by rule evidence-based utilization and
treatment guidelines ... An insurer is not responsible for treatment
or services that do not fall within”
|
|
|
Nebraska
|
Considering
|
|
|
LB1237
2006
|
Creates
a 10-member advisory council to study issues such as utilization
review and treatment guidelines.
|
|
|
Nevada
|
ACOEM
+ ODG
|
X
|
|
|
Adopted
ACOEM 1st ed in 1998, but not 2nd ed; state fund uses ODG (2005)
|
|
|
New
Brunswick
|
ODG
|
X
|
|
|
Workplace Health, Safety and Compensation Commission,
1 Portland Street, Saint John, NB E2L 3X9
|
|
|
New Hampshire
|
none
|
|
|
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