reglab/housing_qa huggingface dataset:
CA Labor Code § 4553.1 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 1 - General Provisions|Section 4553.1.

4553.1.  In order to support a holding of serious and willful misconduct by an employer based upon violation of a safety order, the appeals board must specifically find all of the following:(1) The specific manner in which the order was violated.(2) That the violation of the safety order did proximately cause the injury or death, and the specific manner in which the violation constituted the proximate cause.(3) That the safety order, and the conditions making the safety order applicable, were known to, and violated by, a particular named person, either the employer, or a representative designated by Section 4553, or that the condition making the safety order applicable was obvious, created a probability of serious injury, and that the failure of the employer, or a representative designated by Section 4553, to correct the condition constituted a reckless disregard for the probable consequences.(Amended by Stats. 1982, Ch. 922, Sec. 11.)
CA Labor Code § 4554 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 1 - General Provisions|Section 4554.

4554.  In case of the willful failure by an employer to secure the payment of compensation, the amount of compensation otherwise recoverable for injury or death as provided in this division shall be increased 10 percent. Failure of the employer to secure the payment of compensation as provided in Article 1 (commencing at Section 3700) of Chapter 4 of Part 1 of this division is prima facie evidence of willfulness on his part.(Amended by Stats. 1959, Ch. 1189.)
CA Labor Code § 4555 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 1 - General Provisions|Section 4555.

4555.  In case of failure by an employer to secure the payment of compensation, the appeals board may award a reasonable attorney’s fee in addition to the amount of compensation recoverable. When a fee is awarded under this section no further fee shall be allowed under Section 4903 but the provisions of Section 4903 shall be applicable to secure the payment of any fee awarded under this section.(Amended by Stats. 1965, Ch. 1513.)
CA Labor Code § 4555.5 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 1 - General Provisions|Section 4555.5.

4555.5.  Whenever a petition to reduce an award, based upon a permanent disability rating which has become final, is denied, the appeals board may order the petitioner to pay to the injured employee all costs incident to the furnishing of X-rays, laboratory services, medical reports, and medical testimony incurred by such employee in connection with the proceeding on such petition.(Amended by Stats. 1965, Ch. 1513.)
CA Labor Code § 4556 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 1 - General Provisions|Section 4556.

4556.  The increases provided for by this article shall not be limited by the provisions of Chapter 1 of this part relating to maximum amounts in the computation of average earnings.(Added by Stats. 1945, Ch. 520.)
CA Labor Code § 4557 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 1 - General Provisions|Section 4557.

4557.  Where the injury is to an employee under 16 years of age and illegally employed at the time of injury, the entire compensation otherwise recoverable shall be increased fifty percent (50%), and such additional sum shall be paid by the employer at the same time and in the same manner as the normal compensation benefits.An employer shall not be held liable for the additional compensation provided by this section if such an employee is hired pursuant to a birth certificate, automobile driver’s license, or other reasonable evidence of the fact the employee is over the age of 15 years, even though such evidence of age were falsely obtained by the employee. The additional compensation provided by this section shall not exceed the maximum sum specified by Section 4553 for additional compensation payable for serious and willful misconduct on the part of an employer. This section shall not apply to the State or any of its political subdivisions or districts.(Amended by Stats. 1961, Ch. 1621.)
CA Labor Code § 4558 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 1 - General Provisions|Section 4558.

4558.  (a) As used in this section:(1) “Employer” means a named identifiable person who is, prior to the time of the employee’s injury or death, an owner or supervisor having managerial authority to direct and control the acts of employees.(2) “Failure to install” means omitting to attach a point of operation guard either provided or required by the manufacturer, when the attachment is required by the manufacturer and made known by him or her to the employer at the time of acquisition, installation, or manufacturer-required modification of the power press.(3) “Manufacturer” means the designer, fabricator, or assembler of a power press.(4) “Power press” means any material-forming machine that utilizes a die which is designed for use in the manufacture of other products.(5) “Removal” means physical removal of a point of operation guard which is either installed by the manufacturer or installed by the employer pursuant to the requirements or instructions of the manufacturer.(6) “Specifically authorized” means an affirmative instruction issued by the employer prior to the time of the employee’s physical injury or death, but shall not mean any subsequent acquiescence in, or ratification of, removal of a point of operation safety guard.(b) An employee, or his or her dependents in the event of the employee’s death, may bring an action at law for damages against the employer where the employee’s injury or death is proximately caused by the employer’s knowing removal of, or knowing failure to install, a point of operation guard on a power press, and this removal or failure to install is specifically authorized by the employer under conditions known by the employer to create a probability of serious injury or death.(c) No liability shall arise under this section absent proof that the manufacturer designed, installed, required, or otherwise provided by specification for the attachment of the guards and conveyed knowledge of the same to the employer. Proof of conveyance of this information to the employer by the manufacturer may come from any source.(d) No right of action for contribution or indemnity by any defendant shall exist against the employer; however, a defendant may seek contribution after the employee secures a judgment against the employer pursuant to the provisions of this section if the employer fails to discharge his or her comparative share of the judgment.(Added by Stats. 1982, Ch. 922, Sec. 12.)
CA Labor Code § 4600.05 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 2 - Medical and Hospital Treatment|Section 4600.05.

4600.05.  (a) An employer, as defined in Section 3300, shall provide immediate support from a nurse case manager for employees injured by an act of domestic terrorism, as defined in Section 2331 of Title 18 of the United States Code, whose injuries arise out of and in the course of employment, to assist injured employees in obtaining medically necessary medical treatment, as defined by the medical treatment utilization schedule adopted pursuant to Section 5307.27, and to assist providers of medical services in seeking authorization of medical treatment.(b) (1) This section shall apply only if the Governor has declared a state of emergency pursuant to subdivision (b) of Section 8558 of the Government Code in connection with the act of domestic terrorism.(2) Upon the issuance of a declaration pursuant to paragraph (1), an employer that has been notified of a claim for compensation arising out of the acts that resulted in the declaration shall provide a notice within three days to the claimant advising the claimant of medically necessary services provided pursuant to subdivision (a). In the case of a claim for compensation subject to this section that is filed after the declaration, the employer shall provide the notice to the claimant within three days. The notice shall be in the form adopted by the administrative director pursuant to subdivision (d).(c) This section shall not alter the conditions for compensability of an injury, as described in Sections 3208.3 and 3600.(d) The administrative director shall adopt regulations to implement this section, including, but not limited to, the definition of a nurse case manager’s qualifications, the scope and timing of immediate support from a nurse case manager, and the contents of the notice that employers shall provide to claimants.(Added by Stats. 2017, Ch. 736, Sec. 2. (AB 44) Effective January 1, 2018.)
CA Labor Code § 4600.1 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 2 - Medical and Hospital Treatment|Section 4600.1.

4600.1.  (a) Subject to subdivision (b), any person or entity that dispenses medicines and medical supplies, as required by Section 4600, shall dispense the generic drug equivalent.(b) A person or entity is not required to dispense a generic drug equivalent under either of the following circumstances:(1) When a generic drug equivalent is unavailable.(2) When the prescribing physician specifically provides in writing that a nongeneric drug must be dispensed.(c) For purposes of this section, “dispense” has the same meaning as the definition contained in Section 4024 of the Business and Professions Code.(d) Nothing in this section shall be construed to preclude a prescribing physician, who is also the dispensing physician, from dispensing a generic drug equivalent.(e) This section shall only apply to medicines dispensed prior to the operative date of the drug formulary adopted pursuant to Section 5307.27.(Amended by Stats. 2015, Ch. 525, Sec. 2. (AB 1124) Effective January 1, 2016.)
CA Labor Code § 4600.2 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 2 - Medical and Hospital Treatment|Section 4600.2.

4600.2.  (a) Notwithstanding Section 4600, if a self-insured employer, group of self-insured employers, insurer of an employer, or group of insurers contracts with a pharmacy, group of pharmacies, or pharmacy benefit network to provide medicines and medical supplies required by this article to be provided to injured employees, those injured employees that are subject to the contract shall be provided medicines and medical supplies in the manner prescribed in the contract for as long as medicines or medical supplies are reasonably required to cure or relieve the injured employee from the effects of the injury. Medicines provided pursuant to the contract shall be subject to the drug formulary adopted by the administrative director pursuant to Section 5307.27, and such contracts may not limit the availability of medications otherwise prescribed pursuant to the formulary based on whether the pharmacy services are provided within or outside a medical provider network.(b) Nothing in this section shall affect the ability of employee-selected physicians to continue to prescribe and have the employer provide medicines subject to the drug formulary and medical supplies that the physicians deem reasonably required to cure or relieve the injured employee from the effects of the injury.(c) Each contract described in subdivision (a) shall comply with standards adopted by the administrative director. In adopting those standards, the administrative director shall seek to reduce pharmaceutical costs and may consult any relevant studies or practices in other states. The standards shall provide for access to a pharmacy within a reasonable geographic distance from an injured employee’s residence.(Amended by Stats. 2015, Ch. 525, Sec. 3. (AB 1124) Effective January 1, 2016.)
CA Labor Code § 4600.35 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 2 - Medical and Hospital Treatment|Section 4600.35.

4600.35.  Any entity seeking to reimburse health care providers for health care services rendered to injured workers on a capitated, or per person per month basis, shall be licensed pursuant to the Knox-Keene Health Care Service Plan Act of 1975 (Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code).(Added by Stats. 2002, Ch. 6, Sec. 61.5. Effective January 1, 2003.)
CA Labor Code § 4600.4 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 2 - Medical and Hospital Treatment|Section 4600.4.

4600.4.  (a) A workers’ compensation insurer, third-party administrator, or other entity that requires, or pursuant to regulation requires, a treating physician to obtain either utilization review or prior authorization in order to diagnose or treat injuries or diseases compensable under this article, shall ensure the availability of those services from 9 a.m. to 5:30 p.m. Pacific standard time of each normal business day.(b) For purposes of this article, “normal business day” does not include Saturday, Sunday, or any day that is declared by the Governor to be an official state holiday or a holiday listed on the Department of Human Resources internet website.(Amended by Stats. 2019, Ch. 647, Sec. 4. (SB 537) Effective January 1, 2020.)
CA Labor Code § 4600.7 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 2 - Medical and Hospital Treatment|Section 4600.7.

4600.7.  (a) The Workers’ Compensation Managed Care Fund is hereby created in the State Treasury for the administration of Sections 4600.3 and 4600.5 by the Division of Workers’ Compensation. The administrative director shall establish a schedule of fees and revenues to be charged to certified health care organizations and applicants for certification to fully fund the administration of these provisions and to repay amounts received as a loan from the General Fund. All fees and revenues shall be deposited in the Workers’ Compensation Managed Care Fund and shall be used when appropriated by the Legislature solely for the purpose of carrying out the responsibilities of the Division of Workers’ Compensation under Section 4600.3 or 4600.5. (b) On and after July 1, 1998, no funds received as a loan from the General Fund shall be used to support the administration of Sections 4600.3 and 4600.5. The loan amount shall be repaid to the General Fund by assessing a surcharge on the enrollment fee for each of the next five fiscal years. In the event the surcharge does not produce sufficient revenue over this period, the surcharge shall be adjusted to fully repay the loan over the following three fiscal years, with the final assessment calculated by dividing the balance of the loan by the enrollees at the end of the final fiscal year.(Amended by Stats. 1998, Ch. 282, Sec. 1. Effective January 1, 1999.)
CA Labor Code § 4601 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 2 - Medical and Hospital Treatment|Section 4601.

4601.  (a) If the employee so requests, the employer shall tender the employee one change of physician. The employee at any time may request that the employer tender this one-time change of physician. Upon request of the employee for a change of physician, the maximum amount of time permitted by law for the employer or insurance carrier to provide the employee an alternative physician or, if requested by the employee, a chiropractor, or an acupuncturist shall be five working days from the date of the request. Notwithstanding the 30-day time period specified in Section 4600, a request for a change of physician pursuant to this section may be made at any time. The employee is entitled, in any serious case, upon request, to the services of a consulting physician, chiropractor, or acupuncturist of his or her choice at the expense of the employer. The treatment shall be at the expense of the employer.(b) If an employee requesting a change of physician pursuant to subdivision (a) has notified his or her employer in writing prior to the date of injury that he or she has a personal chiropractor, the alternative physician tendered by the employer to the employee, if the employee so requests, shall be the employee’s personal chiropractor. For the purpose of this article, “personal chiropractor” means the employee’s regular chiropractor licensed pursuant to Chapter 2 (commencing with Section 1000) of Division 2 of the Business and Professions Code, who has previously directed treatment of the employee, and who retains the employee’s chiropractic treatment records, including his or her chiropractic history.(c) If an employee requesting a change of physician pursuant to subdivision (a) has notified his or her employer in writing prior to the date of injury that he or she has a personal acupuncturist, the alternative physician tendered by the employer to the employee, if the employee so requests, shall be the employee’s personal acupuncturist. For the purpose of this article, “personal acupuncturist” means the employee’s regular acupuncturist licensed pursuant to Chapter 12 (commencing with Section 4935) of Division 2 of the Business and Professions Code, who has previously directed treatment of the employee, and who retains the employee’s acupuncture treatment records, including his or her acupuncture history.(Amended by Stats. 1998, Ch. 440, Sec. 5. Effective January 1, 1999.)
CA Labor Code § 4602 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 2 - Medical and Hospital Treatment|Section 4602.

4602.  If the employee so requests, the employer shall procure certification by either the administrative director or the appeals board as the case may be of the competency, for the particular case, of the consulting or additional physicians.(Amended by Stats. 1965, Ch. 1513.)
CA Labor Code § 4603 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 2 - Medical and Hospital Treatment|Section 4603.

4603.  If the employer desires a change of physicians or chiropractor, he may petition the administrative director who, upon a showing of good cause by the employer, may order the employer to provide a panel of five physicians, or if requested by the employee, four physicians and one chiropractor competent to treat the particular case, from which the employee must select one.(Repealed and added by Stats. 1975, Ch. 1259.)
CA Labor Code § 4603.3 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 2 - Medical and Hospital Treatment|Section 4603.3.

4603.3.  (a) Upon payment, adjustment, or denial of a complete or incomplete itemization of medical services, an employer shall provide an explanation of review in the manner prescribed by the administrative director that shall include all of the following:(1) A statement of the items or procedures billed and the amounts requested by the provider to be paid.(2) The amount paid.(3) The basis for any adjustment, change, or denial of the item or procedure billed.(4) The additional information required to make a decision for an incomplete itemization.(5) If a denial of payment is for some reason other than a fee dispute, the reason for the denial.(6) Information on whom to contact on behalf of the employer if a dispute arises over the payment of the billing. The explanation of review shall inform the medical provider of the time limit to raise any objection regarding the items or procedures paid or disputed and how to obtain an independent review of the medical bill pursuant to Section 4603.6.(b) The administrative director may adopt regulations requiring the use of electronic explanations of review.(Added by Stats. 2012, Ch. 363, Sec. 37. (SB 863) Effective January 1, 2013.)
CA Labor Code § 4603.4 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 2 - Medical and Hospital Treatment|Section 4603.4.

4603.4.  (a) The administrative director shall adopt rules and regulations to do all of the following:(1) Ensure that all health care providers and facilities submit medical bills for payment on standardized forms.(2) Require acceptance by employers of electronic claims for payment of medical services.(3) Ensure confidentiality of medical information submitted on electronic claims for payment of medical services.(4) Require the timely submission of paper or electronic bills in conformity with subparagraph (B) of paragraph (1) of subdivision (b) of Section 4603.2.(b) To the extent feasible, standards adopted pursuant to subdivision (a) shall be consistent with existing standards under the federal Health Insurance Portability and Accountability Act of 1996.(c) Require all employers to accept electronic claims for payment of medical services.(d) Payment for medical treatment provided or prescribed by the treating physician selected by the employee or designated by the employer shall be made with an explanation of review by the employer within 15 working days after electronic receipt of an itemized electronic billing for services at or below the maximum fees provided in the official medical fee schedule adopted pursuant to Section 5307.1. If the billing is contested, denied, or incomplete, payment shall be made with an explanation of review of any uncontested amounts within 15 working days after electronic receipt of the billing, and payment of the balance shall be made in accordance with Section 4603.2.(Amended by Stats. 2016, Ch. 214, Sec. 2. (SB 1175) Effective January 1, 2017.)
CA Labor Code § 4603.5 (2021)
2021 California Code|Labor Code - LAB|DIVISION 4 - WORKERS' COMPENSATION AND INSURANCE|PART 2 - COMPUTATION OF COMPENSATION|CHAPTER 2 - Compensation Schedules|ARTICLE 2 - Medical and Hospital Treatment|Section 4603.5.

4603.5.  The administrative director shall adopt rules pertaining to the format and content of notices required by this article; define reasonable geographic areas for the purposes of Section 4600; specify time limits for all such notices, and responses thereto; and adopt any other rules necessary to make effective the requirements of this article.Employers shall notify all employees of their rights under this section.(Added by Stats. 1975, Ch. 1259.)