California § 4616.1. 4616.1. (Amended by Stats. 2012, Ch. 363, Sec. 48.)

California Statutes

§ 4616.1. — 4616.1. (Amended by Stats. 2012, Ch. 363, Sec. 48.)

California § 4616.1.

JurisdictionCalifornia

Code LABLabor Code - LAB

Div. 4.DIVISION 4. WORKERS' COMPENSATION AND INSURANCE

Part 2.PART 2. COMPUTATION OF COMPENSATION

Ch. 2.CHAPTER 2. Compensation Schedules

Art. 2.3.ARTICLE 2.3. Medical Provider Networks

This text of California § 4616.1. (4616.1. (Amended by Stats. 2012, Ch. 363, Sec. 48.)) is published on Counsel Stack Legal Research, covering California primary law. Counsel Stack provides free access to over 12 million legal documents including statutes, case law, regulations, and constitutions.

Bluebook

Cal. Labor Code - LAB Code § 4616.1. (2026).

Text

(a)An insurer, employer, or entity that provides physician network services that offers a medical provider network under this division and that uses economic profiling shall file with the administrative director a description of any policies and procedures related to economic profiling utilized. The filing shall describe how these policies and procedures are used in utilization review, peer review, incentive and penalty programs, and in provider retention and termination decisions. The insurer, employer, or entity that provides physician network services shall provide a copy of the filing to an individual physician, provider, medical group, or individual practice association.

(b)The administrative director shall make each approved medical provider network economic profiling policy

Free access — add to your briefcase to read the full text and ask questions with AI

(a)
An insurer, employer, or entity that provides physician network services that offers a medical provider network under this division and that uses economic profiling shall file with the administrative director a description of any policies and procedures related to economic profiling utilized. The filing shall describe how these policies and procedures are used in utilization review, peer review, incentive and penalty programs, and in provider retention and termination decisions. The insurer, employer, or entity that provides physician network services shall provide a copy of the filing to an individual physician, provider, medical group, or individual practice association.
(b)
The administrative director shall make each
approved medical provider network economic profiling policy filing available to the public upon request. The administrative director may not publicly disclose any information submitted pursuant to this section that is determined by the administrative director to be confidential pursuant to state or federal law.
(c)
For the purposes of this article, “economic profiling” shall mean any evaluation of a particular physician, provider, medical group, or individual practice association based in whole or in part on the economic costs or utilization of services associated with medical care provided or authorized by the physician, provider, medical group, or individual practice association.