- THE MANAGED CARE REFORM COUNCIL
is recognized by the State of California and the Internal Revenue
Service of the United States of America
as a Public Benefit - Not for
for Implementation of CA Uniform Standards Regarding Substance-Abusing
Healing Arts Licensees
Requirement 1 - Specific requirements for a clinical diagnostic
evaluation of the licensee, including, but not limited to,
required qualifications for the providers evaluating the licensee.
Requirement 2 -Specific requirements for the temporary removal of the
licensee from practice, in order to enable the
licensee to undergo the clinical diagnostic evaluation described in
subdivision (a) and any treatment recommended by
the evaluator described in subdivision (a) and approved by the board,
and specific criteria that the licensee must meet
before being permitted to return to practice on a full-time or
Requirement 3 - Specific requirements that govern the ability of the
licensing board to communicate with the licensee’s
employer about the licensee’s status or condition.
Requirement 4 - Standards governing all aspects of required testing,
including, but not limited to, frequency of testing,
randomnicity, method of notice to the licensee, number of hours between
the provision of notice and the test, standards
for specimen collectors, procedures used by specimen collectors, the
permissible locations of testing, whether the collection
process must be observed by the collector, backup testing requirements
when the licensee is on vacation or otherwise
unavailable for local testing, requirements for the laboratory that
analyzes the specimens, and the required maximum
timeframe from the test to the receipt of the result of the test.
Requirement 5 - Standards governing all aspects of group meeting
attendance requirements, including, but not limited to,
required qualifications for group meeting facilitators, frequency of
required meeting attendance, and methods of documenting
and reporting attendance or nonattendance by licensees.
Requirement 6 - Standards used in determining whether inpatient,
outpatient, or other type of treatment is necessary.
Requirement 7 - Worksite monitoring requirements and standards,
including, but not limited to, required qualifications
of worksite monitors, required methods of monitoring by worksite
monitors, and required reporting by worksite monitors.
Requirement 8 - Procedures to be followed when a licensee tests
positive for a banned substance.
Requirement 9 - Procedures to be followed when a licensee is confirmed
to have ingested a banned substance.
Requirement 10 - Specific consequences for major and minor violations.
In particular, the committee shall consider the use
of a “deferred prosecution” stipulation described in Section 1000 of
the Penal Code, in which the licensee admits to self-abuse
drugs or alcohol and surrenders his or her license. That agreement is
deferred by the agency until or unless licensee commits
a major violation, in which case it is revived and license is
Requirement 11 - Criteria that a licensee must meet in order to
petition for return to practice on a full time basis.
Requirement 12 - Criteria that a licensee must meet in order to
petition for reinstatement of a full and unrestricted license.
Requirement 13 - If a board uses a private-sector vendor that provides
diversion services, (1) standards for immediate
by the vendor to the board of any and all noncompliance with process
for providers or contractors that provide diversion
services, including, but not limited to, specimen collectors, group
meeting facilitators, and worksite monitors; (3) standards
requiring the vendor to disapprove and discontinue the use of providers
or contractors that fail to provide effective or timely
diversion services; and (4) standards for a licensee's termination from
the program and referral to enforcement.
Requirement 14 - If a board uses a private-sector vendor that provides
diversion services, the extent to which licensee
participation in that program shall be kept confidential from the
Requirement 15 - If a board uses a private-sector vendor that provides
diversion services, a schedule for external independent
audits of the vendor’s performance in adhering to the standards adopted
by the committee
Requirement 16 - Measurable criteria and standards to determine whether
each board’s method of dealing with substance-
abusing licensees protects patients from harm and is effective in
assisting its licensees in recovering from substance abuse
in the long term.