- California SB 899 in 2004 that changed the “presumption of correctness” from the treating physician to American College of Occupational and Environmental Medicine (ACOEM) as the standard of care (and since then the custom-written MTUS guidelines were added)
- Texas HB 7 in 2005 that set the stage for establishing Official Disability Guidelines (ODG) in 2007 as the standard of care
Currently there are:
- 14 states that use ODG, ACOEM, or a combination of both (9 use ODG exclusively)
- 21 states currently have no guidelines (although 10 are considering them)
- 16 states who crafted guidelines locally (6 use excerpts from ODG while Louisiana still seems to be fighting over the Supreme Court decision on the final composition)
When special interests (with revenue at stake) and politicians (with votes at stake) allow decisions to be made about healthcare without the clinical objectivity of scientific evidence, patients lose. And especially in the vacuum where no objective standard of care exists, all bets are off.
In this together – Mark