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    AB-1398
    Labor & Employment

    Workers’ compensation.

    Introduced
    CA
    ∙
    2025-2026 Regular Session
    0
    0
    Track
    Track

    Key Takeaways

    • Requires written disclosure of financial interests when submitting workers' compensation payment claims.
    • Prohibits medical referrals to entities where the referring party has a financial stake.
    • Imposes penalties up to $15,000 per violation and criminal misdemeanor charges for violations.
    • Voids any compensation claims that violate the new referral and disclosure requirements.

    Summary

    Assembly Member Valencia's workers' compensation reform measure mandates written disclosure of financial interests when interested parties submit payment claims for referred services. The bill expands existing requirements by specifying that physicians, attorneys, claims administrators, and other stakeholders must document any financial relationships with service providers at the time of claim submission.

    The legislation defines financial interests broadly to include ownership stakes, compensation arrangements, debt instruments, and indirect payments between referring parties and service entities. It maintains current prohibitions on referrals to entities where the referring party holds a financial interest, while carving out exceptions for standard commercial arrangements like market-rate loans and equipment leases. The measure preserves existing exemptions for employee services, legal referrals compliant with State Bar rules, and certain physician referrals.

    Violations constitute misdemeanors subject to civil penalties up to $15,000 per offense, enforceable by the Insurance Commissioner, Attorney General, or district attorneys. The bill authorizes licensing boards to pursue disciplinary action against violators independent of criminal proceedings. For attorneys, violations trigger automatic referral to the State Bar for potential sanctions. Claims stemming from prohibited referrals become void, preventing payment for associated services.

    Key Dates

    Next Step
    Referred to the Assembly Standing Committee on Appropriations
    Next Step
    Assembly Committee
    Referred to the Assembly Standing Committee on Appropriations
    Hearing has not been scheduled yet
    Assembly Insurance Hearing
    Assembly Committee
    Assembly Insurance Hearing
    Assembly Insurance Hearing
    Introduced. To print.
    Assembly Floor
    Introduced. To print.
    Introduced. To print.

    Contacts

    Profile
    Joaquin ArambulaD
    Assemblymember
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Buffy WicksD
    Assemblymember
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Lisa CalderonD
    Assemblymember
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Mike FongD
    Assemblymember
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Diane DixonR
    Assemblymember
    Committee Member
    Not Contacted
    Not Contacted
    0 of 16 row(s) selected.
    Page 1 of 4
    Select All Legislators
    Profile
    Joaquin ArambulaD
    Assemblymember
    Committee Member
    Profile
    Buffy WicksD
    Assemblymember
    Committee Member
    Profile
    Lisa CalderonD
    Assemblymember
    Committee Member
    Profile
    Mike FongD
    Assemblymember
    Committee Member
    Profile
    Diane DixonR
    Assemblymember
    Committee Member
    Profile
    Gregg HartD
    Assemblymember
    Committee Member
    Profile
    Blanca PachecoD
    Assemblymember
    Committee Member
    Profile
    Gail PellerinD
    Assemblymember
    Committee Member
    Profile
    Kate SanchezR
    Assemblymember
    Committee Member
    Profile
    Tri TaR
    Assemblymember
    Committee Member
    Profile
    Avelino ValenciaD
    Assemblymember
    Bill Author
    Profile
    Jessica CalozaD
    Assemblymember
    Committee Member
    Profile
    Mark GonzalezD
    Assemblymember
    Committee Member
    Profile
    Heather HadwickR
    Assemblymember
    Committee Member
    Profile
    Jose SolacheD
    Assemblymember
    Committee Member
    Profile
    Sade ElhawaryD
    Assemblymember
    Committee Member

    Get Involved

    Act Now!

    Email the authors or create an email template to send to all relevant legislators.

    Introduced By

    Avelino Valencia
    Avelino ValenciaD
    California State Assembly Member
    10% progression
    Bill has been formally introduced and read for the first time in its house of origin (2/21/2025)

    Latest Voting History

    View History
    April 23, 2025
    PASS
    Assembly Committee
    Assembly Insurance Hearing
    AyesNoesNVRTotalResult
    170017PASS

    Key Takeaways

    • Requires written disclosure of financial interests when submitting workers' compensation payment claims.
    • Prohibits medical referrals to entities where the referring party has a financial stake.
    • Imposes penalties up to $15,000 per violation and criminal misdemeanor charges for violations.
    • Voids any compensation claims that violate the new referral and disclosure requirements.

    Get Involved

    Act Now!

    Email the authors or create an email template to send to all relevant legislators.

    Introduced By

    Avelino Valencia
    Avelino ValenciaD
    California State Assembly Member

    Summary

    Assembly Member Valencia's workers' compensation reform measure mandates written disclosure of financial interests when interested parties submit payment claims for referred services. The bill expands existing requirements by specifying that physicians, attorneys, claims administrators, and other stakeholders must document any financial relationships with service providers at the time of claim submission.

    The legislation defines financial interests broadly to include ownership stakes, compensation arrangements, debt instruments, and indirect payments between referring parties and service entities. It maintains current prohibitions on referrals to entities where the referring party holds a financial interest, while carving out exceptions for standard commercial arrangements like market-rate loans and equipment leases. The measure preserves existing exemptions for employee services, legal referrals compliant with State Bar rules, and certain physician referrals.

    Violations constitute misdemeanors subject to civil penalties up to $15,000 per offense, enforceable by the Insurance Commissioner, Attorney General, or district attorneys. The bill authorizes licensing boards to pursue disciplinary action against violators independent of criminal proceedings. For attorneys, violations trigger automatic referral to the State Bar for potential sanctions. Claims stemming from prohibited referrals become void, preventing payment for associated services.

    10% progression
    Bill has been formally introduced and read for the first time in its house of origin (2/21/2025)

    Key Dates

    Next Step
    Referred to the Assembly Standing Committee on Appropriations
    Next Step
    Assembly Committee
    Referred to the Assembly Standing Committee on Appropriations
    Hearing has not been scheduled yet
    Assembly Insurance Hearing
    Assembly Committee
    Assembly Insurance Hearing
    Assembly Insurance Hearing
    Introduced. To print.
    Assembly Floor
    Introduced. To print.
    Introduced. To print.

    Latest Voting History

    View History
    April 23, 2025
    PASS
    Assembly Committee
    Assembly Insurance Hearing
    AyesNoesNVRTotalResult
    170017PASS

    Contacts

    Profile
    Joaquin ArambulaD
    Assemblymember
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Buffy WicksD
    Assemblymember
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Lisa CalderonD
    Assemblymember
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Mike FongD
    Assemblymember
    Committee Member
    Not Contacted
    Not Contacted
    Profile
    Diane DixonR
    Assemblymember
    Committee Member
    Not Contacted
    Not Contacted
    0 of 16 row(s) selected.
    Page 1 of 4
    Select All Legislators
    Profile
    Joaquin ArambulaD
    Assemblymember
    Committee Member
    Profile
    Buffy WicksD
    Assemblymember
    Committee Member
    Profile
    Lisa CalderonD
    Assemblymember
    Committee Member
    Profile
    Mike FongD
    Assemblymember
    Committee Member
    Profile
    Diane DixonR
    Assemblymember
    Committee Member
    Profile
    Gregg HartD
    Assemblymember
    Committee Member
    Profile
    Blanca PachecoD
    Assemblymember
    Committee Member
    Profile
    Gail PellerinD
    Assemblymember
    Committee Member
    Profile
    Kate SanchezR
    Assemblymember
    Committee Member
    Profile
    Tri TaR
    Assemblymember
    Committee Member
    Profile
    Avelino ValenciaD
    Assemblymember
    Bill Author
    Profile
    Jessica CalozaD
    Assemblymember
    Committee Member
    Profile
    Mark GonzalezD
    Assemblymember
    Committee Member
    Profile
    Heather HadwickR
    Assemblymember
    Committee Member
    Profile
    Jose SolacheD
    Assemblymember
    Committee Member
    Profile
    Sade ElhawaryD
    Assemblymember
    Committee Member