California Supreme Court Ends WCAB Self-Tolling of 60-Day Deadline
Labor Code § 5909 governs the time within which the WCAB must act on a petition for reconsideration. Under the former version of the statute, a petition for reconsideration “is deemed to have been denied by the appeals board unless it is acted upon within 60 days from the date of filing.” Under this provision, […]
WCAB Defines Boundaries of Special Risk Exception to Going and Coming Rule
Injuries sustained during an employee’s commute to or from work generally are not compensable under the “going and coming” rule, which deems that such injuries do not arise out of and in the course of employment. The rule, however, has been described as having a “tortuous history,” and has numerous exceptions, which make it difficult […]
WCAB En Banc Clarifies Limits on WCJ Settlement Review Authority
A workers’ compensation compromise and release (C&R) agreement is not enforceable until approved by the Workers’ Compensation Appeals Board[1]Â (LC 5001). Under CCR 10700, the WCAB is affirmatively required to inquire into the adequacy of all C&R agreements and may set a hearing to take evidence when necessary to determine whether a settlement should be approved […]
WCAB Clarifies Limits of Collateral Estoppel in Body Part Claims
The doctrines of res judicata and collateral estoppel can bar parties from re-litigating claims and issues that were decided previously in workers’ compensation proceedings. Res judicata, or claim preclusion, acts to bar claims that were, or should have been, advanced in a previous suit involving the same parties. It arises if a second suit: (1) involves the same cause […]
DWC Issues Guidance on Mandatory RFA Form Requirements
The utilization review (UR) process begins when a claims administrator receives a completed request for authorization from a treating physician. Under the updated UR regulations that became effective April 1, 2026, California Code of Regulations (CCR), Title 8, § 9792.6.1(u) defines what constitutes a valid “request for authorization,” and specifies the conditions under which a request is […]
WCAB Clarifies Analysis for QME Replacement After Relocation
Once a qualified medical evaluator (QME) has been selected in a represented case, California Code of Regulation (CCR) 34(b) explains that any subsequent evaluation may be performed at a different medical office of the selected QME if that office is listed with the medical director and is “within a reasonable geographic distance from the injured […]
DWC Overhauls Utilization Review Regulations
Effective April 1, 2026, the Division of Workers’ Compensation (DWC) adopts a comprehensive and extensive set of new regulations governing utilization review (UR), independent medical review (IMR) and physician reporting. The regulations are available on the DWC’s rulemaking page. The changes are primarily driven by the legislative mandates of Assembly Bill (AB) 1124 and Senate Bill […]
WCAB Clarifies Attorney Fee Commutation in Lifetime Awards
Labor Code § 4062.2 establishes the rules for requesting a panel of qualified medical evaluators (QMEs) when an employee is represented by an attorney. After a panel is obtained, LC 4062.2(c) states, “Within 10 days of assignment of the panel by the administrative director, each party may strike one name from the panel.” The statute […]
WCAB Panel Holds That Email Notification Is Sufficient for QME Strike
Labor Code § 4062.2 establishes the rules for requesting a panel of qualified medical evaluators (QMEs) when an employee is represented by an attorney. After a panel is obtained, LC 4062.2(c) states, “Within 10 days of assignment of the panel by the administrative director, each party may strike one name from the panel.” The statute […]
4th DCA Clarifies Jurisdiction over Professional Athlete Claims
Nov 19, 2025 The scope of California’s jurisdiction over cumulative trauma claims filed by professional athletes has long been a contentious issue. California workers’ compensation laws are generally more liberal than laws in other states. So professional athletes commonly file workers’ compensation claims in California, even when they have a limited connection to the state […]