California Health and Safety Code

§ 1374.32

HSC § 1374.32 Effective Jan 1, 2013Div. 2 · Ch. 2.2 · Art. 5.55

Statute text

(a)The department shall contract with one or more independent medical review organizations in the state to conduct reviews for purposes of this article. The independent medical review organizations shall be independent of any health care service plan doing business in this state. The director may establish additional requirements, including conflict-of-interest standards, consistent with the purposes of this article, that an organization shall be required to meet in order to qualify for participation in the Independent Medical Review System and to assist the department in carrying out its responsibilities.

(b)The independent medical review organizations and the medical professionals retained to conduct reviews shall be deemed to be medical consultants for purposes of Section 43.98 of the Civil Code.

(c)The independent medical review organization, any experts it designates to conduct a review, or any officer, director, or employee of the independent medical review organization shall not have any material professional, familial, or financial affiliation, as determined by the director, with any of the following:

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Legislative history

Repealed (in Sec. 3) and added by Stats. 2012, Ch. 872, Sec. 4. (SB 1410) Effective January 1, 2013. Section operative July 1, 2015, by its own provisions.