In national news:

The California Division of Workers’ Compensation (DWC) has posted a first 15 day notice of modification to the proposed “Chronic Pain Medical Treatment Guidelines and the Opioids Treatment Guidelines of the Medical Treatment Utilization Schedule (MTUS)” regulations. The changes include: standardizing the definition of “chronic pain” throughout between the chronic pain and opioid treatment documents, removing certain recommendations against prescribing naloxone, the addition of pregnancy as a factor in opioid tapering programs, and the removal of a phrase indicating that “alternative therapies do not provide adequate pain relief.” Importantly, the new regulations also replaced the words “must” and “required” with “should” and “recommend” in the Opioids Treatment Section, to clarify that the guidelines as a whole are “designed to assist providers with an analytical framework” rather than unilaterally dictate medical decisions.

Read the release from the California DWC here. Access the proposed changes here.

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