AB 2098: Workers’ compensation: medical treatment.
- Session Year: 2025-2026
- House: Assembly
- Latest Version Date: 2026-03-26
Current Status:
In Progress
(2026-05-14: In committee: Held under submission.)
Introduced
In Committee
Awaiting First Chamber Vote
Passed First Chamber
In Committee
Awaiting Second Chamber Vote
Passed Second Chamber
Enacted
What does this bill do?
The bill requires employees getting workers' compensation medical treatment to try to schedule it outside work and to give advance notice if treatment during work hours is foreseeable, and it requires employers to allow time off for that treatment during work hours unless the employer can show an overriding business need with no feasible alternative. The leave runs concurrently with FMLA/CFRA if the employee would be eligible, and the bill makes wrongful denials or retaliation for requesting or taking this treatment leave a misdemeanor and gives harmed employees rights to reinstatement and reimbursement for lost wages.
The summary is provided by generative AI which can make mistakes. For original language, please view the details in the table below.
Existing law establishes a workers compensation system, administered by the Administrative Director of the Division of Workers Compensation, to compensate an employee, as defined, for injuries that arise out of, and in the course of, employment. Existing law requires employers to provide medical, surgical, chiropractic, acupuncture, licensed clinical social worker, and hospital treatment reasonably required to cure or relieve the injured worker from the effects of the injury.
Existing law makes it a misdemeanor for an employer to discharge, threaten to discharge, or discriminate against, or for an insurer to advise, direct, or threaten an insured to discharge, an employee because they have filed or made known their intention to file a claim for compensation, or an application for adjudication, or because the employee has received a rating, award, or settlement, as specified.
This bill would require an employee, when possible, to make a reasonable effort to schedule treatment outside of work hours. The bill would require the employee employee, if the timing of the treatment is foreseeable, to provide notice if treatment occurs during work hours, as specified, and require the employer to provide this leave during work hours unless business necessity requires the treatment to occur at a different time or on a different day. The bill would require that the leave taken by an employee pursuant to these provisions run concurrently with leave taken pursuant to the federal Family and Medical Leave Act of 1993 and the California Family Rights Act if the employee would have been eligible for that leave. If an employer denies an employees request to attend scheduled treatment during regular work hours, treatment, and the employer knows or should know that a business necessity does not require the treatment to occur at a different time or on a different day, the bill would make that denial a violation of the misdemeanor described above. misdemeanor. The bill would also make it a misdemeanor for an employer to discharge, threaten to discharge, or discriminate against an employee because the employee requested or took leave pursuant to these provisions.
By expanding the scope of a crime, creating new crimes, this bill would impose a state-mandated local program.
The bill would make other conforming changes.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
Existing law establishes a workers compensation system, administered by the Administrative Director of the Division of Workers Compensation, to compensate an employee, as defined, for injuries that arise out of, and in the course of, employment. Existing law requires employers to provide medical, surgical, chiropractic, acupuncture, licensed clinical social worker, and hospital treatment reasonably required to cure or relieve the injured worker from the effects of the injury.
Existing law makes it a misdemeanor for an employer to discharge, threaten to discharge, or discriminate against, or for an insurer to advise, direct, or threaten an insured to discharge, an employee because they have filed or made known their intention to file a claim for compensation, or an application for adjudication, or because the employee has received a rating, award, or settlement, as specified.
This bill would require an employee, when possible, to make a reasonable effort to schedule treatment outside of work hours. The bill would require the employee to provide notice if treatment occurs during work hours, as specified, and require the employer to provide this leave during work hours unless business necessity requires the treatment to occur at a different time or on a different day. The bill would require that the leave taken by an employee pursuant to these provisions run concurrently with leave taken pursuant to the federal Family and Medical Leave Act of 1993 and the California Family Rights Act if the employee would have been eligible for that leave. If an employer denies an employees request to attend scheduled treatment during regular work hours, the bill would make that denial a violation of the misdemeanor described above.
By expanding the scope of a crime, this bill would impose a state-mandated local program.
The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement.
This bill would provide that no reimbursement is required by this act for a specified reason.
The Public Employees Retirement Law (PERL) creates the Public Employees Retirement System (PERS), which provides a defined benefit to its members based on age at retirement, service credit, and final compensation, and prescribes the rate of employer contributions to PERS. PERL requires time during which a member is excused from performance of their duties and for which they receive compensation in an amount less than full compensation to be credited as service, as specified.This bill would make nonsubstantive changes to that provision.The Public Employees Retirement Law (PERL) creates the Public Employees Retirement System (PERS), which provides a defined benefit to its members based on age at retirement, service credit, and final compensation, and prescribes the rate of employer contributions to PERS. PERL requires time during which a member is excused from performance of their duties and for which they receive compensation in an amount less than full compensation to be credited as service, as specified.
This bill would make nonsubstantive changes to that provision.
(a)It is the declared policy of this state that there should not be discrimination against workers who are injured in the course and scope of their employment.
(1)Any employer who discharges, or threatens to discharge, or in any manner discriminates against any employee because he or she the employee has filed or made known his or her their intention to file a claim for compensation with his or her their employer or an application for adjudication, or because the employee has received a rating, award, or settlement, is guilty of a misdemeanor and the employees compensation shall be increased by one-half, but in no event more than ten thousand dollars ($10,000), together with costs and expenses not in excess of two hundred fifty dollars ($250). Any such employee shall also be entitled to reinstatement and reimbursement for lost wages and work benefits caused by the acts of the employer.
(2)Any insurer that advises, directs, or threatens an insured under penalty of cancellation or a raise in premium or for any other reason, to discharge an employee because he or she the employee has filed or made known his or her their intention to file a claim for compensation with his or her their employer or an application for adjudication, or because the employee has received a rating, award, or settlement, is guilty of a misdemeanor and subject to the increased compensation and costs provided in paragraph (1).
(3)Any employer who discharges, or threatens to discharge, or in any manner discriminates against any employee because the employee testified or made known his or her their intentions to testify in another employees case before the appeals board, is guilty of a misdemeanor, and the employee shall be entitled to reinstatement and reimbursement for lost wages and work benefits caused by the acts of the employer.
(4)Any insurer that advises, directs, or threatens an insured employer under penalty of cancellation or a raise in premium or for any other reason, to discharge or in any manner discriminate against an employee because the employee testified or made known his or her their intention to testify in another employees case before the appeals board, is guilty of a misdemeanor.
(5)Any employer who discharges, or threatens to discharge, or in any manner discriminates against any employee because the employee requested or took leave pursuant to Section 4600.03, is guilty of a misdemeanor, and the employee shall be entitled to reinstatement and reimbursement for lost wages and work benefits caused by the acts of the employer.
Proceedings
(b)Proceedings for increased compensation as provided in paragraph (1), (1) of subdivision (a), or for reinstatement and reimbursement for lost wages and work benefits, are to be instituted by filing an appropriate petition with the appeals board, but these proceedings may not be commenced more than one year from the discriminatory act or date of termination of the employee. The appeals board is vested with full power, authority, and jurisdiction to try and determine finally all matters specified in this section subject only to judicial review, except that the appeals board shall have no jurisdiction to try and determine a misdemeanor charge. The appeals board may refer and any worker may complain of suspected violations of the criminal misdemeanor provisions of this section to the Division of Labor Standards Enforcement, or directly to the office of the public prosecutor.
SEC. 2.Section 4600.03 is added to the Labor Code, to read:4600.03.(a)When possible, an employee shall make a reasonable effort to schedule treatment pursuant to Section 4600, outside of regular work hours. A reasonable effort shall not require a worker to consequentially delay treatment.
(b)If treatment pursuant to Section 4600 occurs during working hours and if the timing of the treatment is foreseeable, the employee shall provide reasonable, advance notification to the employer. If the timing of the treatment is unforeseeable, the employee shall provide notice of the treatment as soon as practicable.
(c)(1)If an employee has requested leave during work hours for treatment pursuant to subdivision (b), the employer shall not deny the request unless business necessity would require the treatment to occur at a different time or on a different day.
(2)An employer who denies a request, and who knows or should know that business necessity does not require the treatment to occur at a different time or on a different day, is guilty of a misdemeanor.
(d)Leave taken by an employee pursuant to this section shall run concurrently with leave taken pursuant to the federal Family and Medical Leave Act of 1993 (29 U.S.C. Sec. 2601 et seq.), if the employee would have been eligible for that leave at the time leave was taken, and the Moore-Brown-Roberti Family Rights Act, commonly referred to as the California Family Rights Act (Sections 12945.2 and 19702.3 of the Government Code), if the employee would have been eligible for that leave at the time leave was taken.
(e)For purposes of this section, business necessity means an overriding legitimate business purpose such that denial of the request is necessary to the safe and efficient operation of the business, and for which there is no feasible alternative to denial of the request that would serve the business purpose.
SEC. 2.SEC. 3.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
(a)(1)Medical, surgical, chiropractic, acupuncture, licensed clinical social worker, and hospital treatment, including nursing, medicines, medical and surgical supplies, crutches, and apparatuses, including orthotic and prosthetic devices and services, that is reasonably required to cure or relieve the injured worker from the effects of the workers injury shall be provided by the employer. In the case of the employers neglect or refusal reasonably to do so, the employer is liable for the reasonable expense incurred by or on behalf of the employee in providing treatment.
(2)(A)When possible, an employee shall make a reasonable effort to schedule treatment outside of regular work hours. A reasonable effort shall not require a worker to consequentially delay treatment.
(B)If the treatment occurs during working hours and if the timing of the treatment is foreseeable, the employee shall provide reasonable, advance notification to the employer. If the timing of the treatment is unforeseeable, the employee shall provide notice of the treatment as soon as practicable.
(C)If an employee has requested leave during work hours for treatment pursuant to subparagraph (B), the employer shall allow the employee to take leave unless business necessity would require the treatment to occur at a different time or on a different day. Business necessity refers to the business necessity defense established by Barns v. Workers Comp. Appeals Bd. (1989) 216 Cal.App.3d 524.
(D)Leave taken by an employee pursuant to this section shall run concurrently with leave taken pursuant to the federal Family and Medical Leave Act of 1993 (29 U.S.C. Sec. 2601 et seq.), if the employee would have been eligible for that leave at the time leave was taken, and the Moore-Brown-Roberti Family Rights Act, commonly referred to as the California Family Rights Act (Sections 12945.2 and 19702.3 of the Government Code), if the employee would have been eligible for that leave at the time leave was taken.
(E)If an employer denies an employees request to attend scheduled treatment during regular work hours, except pursuant to subparagraph (C), the employers conduct constitutes a violation under the provisions of Section 132a.
(b)As used in this division and notwithstanding any other law, medical treatment that is reasonably required to cure or relieve the injured worker from the effects of the workers injury means treatment that is based upon the guidelines adopted by the administrative director pursuant to Section 5307.27.
(c)Unless the employer or the employers insurer has established or contracted with a medical provider network as provided for in Section 4616, after 30 days from the date the injury is reported, the employee may be treated by a physician of the employees own choice or at a facility of the employees own choice within a reasonable geographic area. A chiropractor shall not be a treating physician after the employee has received the maximum number of chiropractic visits allowed by subdivision (c) of Section 4604.5.
(d)(1)If an employee has notified the employees employer in writing prior to the date of injury that the employee has a personal physician, the employee shall have the right to be treated by that physician from the date of injury if the employee has health care coverage for nonoccupational injuries or illnesses on the date of injury in a plan, policy, or fund as described in subdivisions (b), (c), and (d) of Section 4616.7.
(2)For purposes of paragraph (1), a personal physician shall meet all of the following conditions:
(A)Be the employees regular physician and surgeon, licensed pursuant to Chapter 5 (commencing with Section 2000) of Division 2 of the Business and Professions Code.
(B)Be the employees primary care physician and has previously directed the medical treatment of the employee, and who retains the employees medical records, including the employees medical history. Personal physician includes a medical group, if the medical group is a single corporation or partnership composed of licensed doctors of medicine or osteopathy, which operates an integrated multispecialty medical group providing comprehensive medical services predominantly for nonoccupational illnesses and injuries.
(C)The physician agrees to be predesignated.
(3)If the employee has health care coverage for nonoccupational injuries or illnesses on the date of injury in a health care service plan licensed pursuant to Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code, and the employer is notified pursuant to paragraph (1), all medical treatment, utilization review of medical treatment, access to medical treatment, and other medical treatment issues shall be governed by Chapter 2.2 (commencing with Section 1340) of Division 2 of the Health and Safety Code. Disputes regarding the provision of medical treatment shall be resolved pursuant to Article 5.55 (commencing with Section 1374.30) of Chapter 2.2 of Division 2 of the Health and Safety Code.
(4)If the employee has health care coverage for nonoccupational injuries or illnesses on the date of injury in a group health insurance policy as described in Section 4616.7, all medical treatment, utilization review of medical treatment, access to medical treatment, and other medical treatment issues shall be governed by the applicable provisions of the Insurance Code.
(5)The insurer may require prior authorization of any nonemergency treatment or diagnostic service and may conduct reasonably necessary utilization review pursuant to Section 4610.
(6)An employee is entitled to all medically appropriate referrals by the personal physician to other physicians or medical providers within the nonoccupational health care plan. An employee is entitled to treatment by physicians or other medical providers outside of the nonoccupational health care plan pursuant to standards established in Article 5 (commencing with Section 1367) of Chapter 2.2 of Division 2 of the Health and Safety Code.
(e)(1)When at the request of the employer, the employers insurer, the administrative director, the appeals board, or a workers compensation administrative law judge, the employee submits to examination by a physician, the employee is entitled to receive, in addition to all other benefits herein provided, all reasonable expenses of transportation, meals, and lodging incident to reporting for the examination, together with one day of temporary disability indemnity for each day of wages lost in submitting to the examination.
(2)Regardless of the date of injury, reasonable expenses of transportation includes mileage fees from the employees home to the place of the examination and back at the rate of twenty-one cents ($0.21) a mile or the mileage rate adopted by the Director of Human Resources pursuant to Section 19820 of the Government Code, whichever is higher, plus any bridge tolls. The mileage and tolls shall be paid to the employee at the time the employee is given notification of the time and place of the examination.
(f)When at the request of the employer, the employers insurer, the administrative director, the appeals board, or a workers compensation administrative law judge, an employee submits to examination by a physician and the employee does not proficiently speak or understand the English language, the employee shall be entitled to the services of a qualified interpreter in accordance with conditions and a fee schedule prescribed by the administrative director. These services shall be provided by the employer. For purposes of this section, qualified interpreter means a language interpreter certified, or deemed certified, pursuant to Article 8 (commencing with Section 11435.05) of Chapter 4.5 of Part 1 of Division 3 of Title 2 of, or Section 68566 of, the Government Code.
(g)If the injured employee cannot effectively communicate with the employees treating physician because the employee cannot proficiently speak or understand the English language, the injured employee is entitled to the services of a qualified interpreter during medical treatment appointments. To be a qualified interpreter for purposes of medical treatment appointments, an interpreter is not required to meet the requirements of subdivision (f), but shall meet any requirements established by rule by the administrative director that are substantially similar to the requirements set forth in Section 1367.04 of the Health and Safety Code. The administrative director shall adopt a fee schedule for qualified interpreter fees in accordance with this section. Upon request of the injured employee, the employer or insurance carrier shall pay for interpreter services. An employer shall not be required to pay for the services of an interpreter who is not certified or is provisionally certified by the person conducting the medical treatment or examination unless either the employer consents in advance to the selection of the individual who provides the interpreting service or the injured worker requires interpreting service in a language other than the languages designated pursuant to Section 11435.40 of the Government Code.
(h)Home health care services shall be provided as medical treatment only if reasonably required to cure or relieve the injured employee from the effects of the employees injury and prescribed by a physician and surgeon licensed pursuant to Chapter 5 (commencing with Section 2000) of Division 2 of the Business and Professions Code, and subject to Section 5307.1 or 5307.8. The employer is not liable for home health care services that are provided more than 14 days prior to the date of the employers receipt of the physicians prescription.
SEC. 2.No reimbursement is required by this act pursuant to Section 6 of Article XIIIB of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIIIB of the California Constitution.
SECTION 1.Section 21008 of the Government Code is amended to read:21008.Time during which a member is excused from performance of their duties, whether or not they are required to perform any portion of those duties during that time, and for which they receive compensation, but in an amount less than the full compensation earnable by them while performing their duties when not so excused, such as sabbatical leave, shall be credited as service in the proportion that the compensation paid to the member bears to the full compensation that would be earnable by them while performing their duties on a full-time basis. However, the member shall receive full-time credit for the time if after returning to the employment from which they were excused and at any time prior to retirement they elect to, and does, make the contributions as specified in Sections 21050 and 21052. However, any eligible member who requests costing of service credit between January 1, 2001, and December 31, 2003, may, instead of making those contributions, make the payment calculated under this article as it read on December 31, 2000, which payment shall be made in the manner described in Section 21050.Time during which a member is excused from performance of his or her their duties, whether or not he or she is they are required to perform any portion of those duties during that time, and for which he or she receives they receive compensation, but in an amount less than the full compensation earnable by him or her them while performing his or her their duties when not so excused, such as sabbatical leave, shall be credited as service in the proportion that the compensation paid to the member bears to the full compensation that would be earnable by him or her them while performing his or her their duties on a full-time basis. However, the member shall receive full-time credit for the time if after returning to the employment from which he or she was they were excused and at any time prior to retirement he or she elects they elect to, and does, make the contributions as specified in Sections 21050 and 21052. However, any eligible member who requests costing of service credit between January 1, 2001, and December 31, 2003, may, instead of making those contributions, make the payment calculated under this article as it read on December 31, 2000, which payment shall be made in the manner described in Section 21050.
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Date
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Status
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| May 14, 2026 | In committee: Held under submission. |
| May 6, 2026 | In committee: Set, first hearing. Referred to APPR. suspense file. |
| Apr 22, 2026 | From committee: Do pass and re-refer to Com. on APPR. (Ayes 12. Noes 2.) (April 22). Re-referred to Com. on APPR. |
| Apr 6, 2026 | Re-referred to Com. on INS. |
| Mar 26, 2026 | From committee chair, with author's amendments: Amend, and re-refer to Com. on INS. Read second time and amended. |
| Mar 10, 2026 | Re-referred to Com. on INS. |
| Mar 9, 2026 | From committee chair, with author's amendments: Amend, and re-refer to Com. on INS. Read second time and amended. |
| Mar 9, 2026 | Referred to Com. on INS. |
| Feb 19, 2026 | From printer. May be heard in committee March 21. |
| Feb 18, 2026 | Read first time. To print. |
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Date
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Description
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Location
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Votes
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| Apr 22, 2026 | Do pass and be re-referred to the Committee on [Appropriations] | Assembly Standing Committee on Insurance |
Passed |
This list shows positions taken on this bill by organizations on the date displayed, which is linked to the original source.
Positions by individuals are not included.
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Organization
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Position
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Date
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| American Property Casualty Insurance Association | ** Against | |
| California Association of Joint Powers Authorities (CAJPA) | ** Against | |
| California Chamber Of Commerce | ** Against | |
| California Coalition On Workers Compensation | ** Against | |
| California Coalition on Workers’ Compensation | ** Against | |
| California Federation of Labor Unions, Afl-cio | ** Support | |
| California Federation Of Teachers | ** Support | |
| California Hospital Association | ** Against | |
| California Professional Firefighters | ** Support | |
| California School Employees Association | ** Support | |
| California State Association of Counties (CSAC) | ** Against | |
| California Teachers Association | ** Support | |
| Peace Officers Research Association of California (PORAC) | ** Support | |
| PUBLIC RISK INNOVATION, SOLUTIONS, AND MANAGEMENT (PRISM) | ** Against | |
| Rural County Representatives of California (RCRC) | ** Against |
Date of Hearing: May 6, 2026
ASSEMBLY COMMITTEE ON APPROPRIATIONS
Buffy Wicks, Chair
ABPCA Bill Id:AB 2098
Author:(Kalra) – As Amended Ver:March 26, 2026
Policy Committee: | Insurance | Vote: | 12 - 2 |
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Urgency: No State Mandated Local Program: Yes Reimbursable: No
SUMMARY:
This bill requires an employer to provide leave to an employee who makes a reasonable effort to schedule treatment related to a workers’ compensation injury outside work hours, unless business necessity requires the treatment occur at a different time.
Specifically, this bill:
- Requires an employee, when possible, to make a reasonable effort to schedule treatment received under the workers’ compensation system outside of regular work hours, and provides that a reasonable effort must not require a worker to consequentially delay treatment.
- Requires an employee to provide reasonable, advance notice to the employer if treatment occurs during work hours and the timing of treatment is foreseeable, and provide notice as soon as practicable if timing of the treatment is unforeseeable.
- Prohibits an employer from denying a request to take leave during work hours for which the employee provided the required notice unless business necessity requires the treatment to occur at a different time, and provides that an employer that denies the request and knows, or should know, that business necessity does not require treatment to occur at a different time is guilty of a misdemeanor.
- Defines “business necessity” to mean an overriding legitimate business purpose such that denial of the request is necessary to the safe and efficient operation of the business, for which there is no feasible alternative to the denial of the request that would serve the business purpose.
- Requires treatment-related leave taken by an employee to run concurrently with leave taken pursuant to the federal Family and Medical Leave Act of 1993 (FMLA) and California Family Rights Act (CFRA) if the employee is eligible for such leave.
- Provides that an employer that discharges or discriminates against an employee because the employee requested or took leave pursuant to these provisions is guilty of a misdemeanor and entitles the employee to reinstatement and reimbursement for lost wages and benefits.
FISCAL EFFECT:
- Likely ongoing costs in the low millions of dollars shared between the Division of Workers’ Compensation to manage a significant increase in inquiries from employees, employers, labor unions, insurance carriers, attorneys, and other interested parties regarding the new requirements, and the Workers’ Compensation Appeals Board to process and hear petitions for increased compensation resulting from discrimination violations (Workers’ Compensation Administration Revolving Fund).
- Ongoing costs of an unknown, but potentially significant, amount to the state as an employer. To the extent a state agency denies an employee’s request to attend treatment, this bill may result in increased discrimination claims against the state, with costs related to litigation and entitled compensation (General Fund (GF) and special funds).
- Potential cost pressures (GF or Trial Court Trust Fund) of an unknown, but likely minor, amount to the trial courts in increased workload by specifying it is a misdemeanor for an employer to deny an employee’s request to attend treatment. A defendant charged with a misdemeanor is entitled to no-cost legal representation and a jury trial.
The Legislative Analyst’s Office recently warned of GF structural deficits of around $35 billion per year in the 2027-28 fiscal year and ongoing.
COMMENTS:
- Purpose. According to the author:
Although many of these injuries were serious, requiring prompt medical treatment to reduce their duration and severity, numerous workers found themselves unable to access the care they needed. AB 2098 removes one of the barriers to this care by prohibiting employers from denying workers’ requests to receive treatment for occupational injuries during work hours. This will ensure that injured Californian workers are not precluded from necessary care simply because they are unable to schedule medical appointments outside of work hours.
- Workers’ Compensation Compromise. The workers’ compensation system is based on a compromise that allows an employee injured at work to receive employer-funded medical care, temporary disability to replace lost wages, and permanent disability to provide compensation for lasting impairment. In exchange, the injured worker cannot sue their employer for their injury. This bill prohibits an employer from denying an employee’s request to take leave during work hours unless business necessity requires the treatment to occur at a different time, and provides that an employer that denies the request and knows that business necessity does not require treatment to occur at a different time is guilty of a misdemeanor. This bill also provides that an employer that discharges or discriminates against an employee for requesting or taking such leave is guilty of a misdemeanor and liable for the employee’s reinstatement and reimbursement for lost wages and benefits. However, an employee must make a reasonable effort to schedule treatment outside of regular work hours and provide advance notice to the employer if treatment occurs during work hours.
As noted in the Assembly Insurance Committee’s analysis of this bill, an employer that has a reasonable belief to claim a business necessity may deny an employee’s request. However:
the bill in print does not contemplate circumstances in which the employee fails to comply with their obligations under the bill, and the request is denied as a result. For instance, if the employee does not make a reasonable effort to schedule treatment outside of regular work hours, and this is known to the employer, the bill does not provide the employer with the ability to deny that request or suggest that such an effort to reschedule be made. Clarification that an employer can lawfully deny a request for leave if they have actual knowledge that the employee did not fulfill obligations under the bill may thus be warranted.
The analysis also distinguishes between what constitutes a business necessity, compared to an undue hardship for an employer:
In practice, business necessity is generally applied as the standard for workplace policies or actions that would otherwise be considered discriminatory, whereas undue hardship is generally applied as the standard for declining a request for what would otherwise be considered a reasonable accommodation…Because “business necessity” in the context of this bill is linked to a denial of a request for leave, and not to discrimination based on exercising the right to leave, “undue hardship,” as defined in Gov. Code Sec. 12926(u), may be a more fitting standard.
- Support and Opposition. This bill is sponsored by the California Federation of Teachers, which argues “this reform will significantly improve injury and illness outcomes for workers in need of its protections, and as a result, employers and insurers should see reduced exposure to unnecessary workers’ compensation costs.” This bill is also supported by other labor organizations.
This bill is opposed by a coalition of employer organizations, led by the California Coalition on Workers’ Compensation, unless amended with “language more akin to the undue hardship standard for accommodation requests under FEHA” and “stating that an unreasonable denial of time off may constitute a violation of 132a.”
- Prior Legislation. SB 1205 (Laird), of the 2023-24 Legislative Session, was substantially similar to this bill. SB 1205 was ordered to the Assembly Inactive File.
Analysis Prepared by: Irene Ho / APPR. / (916) 319-2081
Date of Hearing: April 22, 2026
ASSEMBLY COMMITTEE ON INSURANCE
Lisa Calderon, Chair
ABPCA Bill Id:AB 2098 (
Author:Kalra) – As Amended Ver:March 26, 2026
SUBJECT: Workers’ compensation: medical treatment
SUMMARY: Provides job-protected leave for an injured worker to obtain medical treatment for an occupational injury during work hours, when necessary and in accordance with specified conditions. Specifically, this bill:
- Requires that an employee make a reasonable effort to schedule treatment for their occupational injury outside of regular work hours, and clarifies that a reasonable effort shall not require a worker to consequentially delay treatment.
- If treatment for an occupational injury occurs during work hours and the treatment is foreseeable, requires the employee to provide reasonable, advance notification to the employer, and if timing of the treatment is unforeseeable, requires the employee to provide notice of the treatment as soon as practicable.
- Prohibits an employer from denying an injured employee’s request for treatment pursuant to 2), unless business necessity would require treatment to occur at a different time or on a different day.
- Defines business necessity, for purposes of 3), to mean an overriding legitimate business purpose such that denial of the request is necessary to the safe and efficient operation of the business, and for which there is no feasible alternative to denial of the request that would serve the business purpose.
- Provides that an employer who denies a request in violation of 3), and who knows or should know that business necessity does not require the treatment to occur at a different time or on a different day, is guilty of a misdemeanor.
- Specifies that leave taken pursuant to the bill shall run concurrently with leave taken pursuant to the federal Family and Medical Leave Act (FMLA) and/or the California Family Rights Act (CFRA), if the employee would have been eligible for that leave at the time the leave was taken.
- Provides that any employer who discharges, or threatens to discharge, or in any manner discriminates against any employee because the employee requested or took protected leave pursuant to the bill, is guilty of a misdemeanor, and the employee shall be entitled to reinstatement and reimbursement for lost wages and work benefits caused by the acts of the employer.
EXISTING LAW:
- Establishes a workers’ compensation system that provides benefits to an employee who suffers from an injury or illness that arises out of, and in the course of, employment, irrespective of fault. This system requires all employers to secure payment of benefits by either securing the consent of the Department of Industrial Relations (DIR) to self-insure or by securing insurance against liability from an insurance company duly authorized by the state. (California Constitution Article XIV, Section 4)
- Provides that medical care and services that are reasonably required to cure or relieve the injured worker from the effects of an occupational injury shall be provided by the employer; and that in the case of neglect or refusal to do so, the employer is liable for the reasonable expense incurred by or on behalf of the employee in providing treatment. (Labor (Lab.) Code Section 4600(a))
- Specifies that when at the request of the employer, the employer’s insurer, the administrative director, the appeals board, or a workers’ compensation administrative law judge, the employee submits to examination by a qualified medical evaluator (physician), the employee is entitled to receive, in addition to all other benefits herein provided, all reasonable expenses of transportation, meals, and lodging incident to reporting for the examination, together with one day of temporary disability indemnity (TD) for each day of wages lost in submitting to the examination. (Lab. Code Sec. 4600(e))
- Requires a workers’ compensation insurer, third-party administrator, or other entity that requires a treating physician to obtain either utilization review or prior authorization in order to diagnose or treat occupational injuries shall ensure the availability of those services from 9 a.m. to 5:30 p.m. Pacific standard time of each normal business day. (Lab. Code Sec. 4600.4(a))
- Establishes within the workers’ compensation system temporary and permanent benefits, referred to as disability indemnity, which offer wage replacement equal to two-thirds of a specified injured employee’s average weekly earnings for up to 240 weeks while an employee is unable to work due to a workplace illness or injury. (Lab. Code Secs. 4653-4656)
- Declares that it is the policy of this state that there should not be discrimination against workers who are injured in the course and scope of their employment. (Lab. Code Sec. 132a)
- Provides that any employer who discharges, or threatens to discharge, or in any manner discriminates against an employee for filing or making known their intention to file a claim for compensation, or because the employee has received a rating, award, or settlement, is guilty of a misdemeanor and the employee’s compensation shall be increased by one-half, but no more than $10,000, together with costs and expenses up to $250; and further provides that the employee shall also be entitled to reinstatement and reimbursement for lost wages and work benefits caused by the acts of the employer. (Lab. Code Sec. 132a(1))
- Provides that any employer who discharges, or threatens to discharge, or in any manner discriminates against any employee because the employee testified or made known their intentions to testify in another employee’s case before the Workers’ Compensation Appeals Board (WCAB), is guilty of a misdemeanor, and the employee shall be entitled to reinstatement and reimbursement for lost wages and work benefits caused by the acts of the employer. (Lab. Code Sec. 132a(3))
- Prohibits an insurer from advising, directing, or threatening an insured employer to discharge or in any manner discriminate against an employee for either filing a workers’ compensation claim or testifying before the WCAB in another employee’s case, or making known their intention to do either. (Lab. Code Sec. 132a(2) & (3))
- Subject to specific conditions, provides employees with up to 12 weeks of job-protected leave to recover from a serious medical condition, care for a loved one with a serious medical condition, or bond with a new child, pursuant to CFRA and the federal FMLA. (Government Code Secs. 12945.2 & 19702.3; 29 U.S.C. Sec. 2601, et seq.)
FISCAL EFFECT: Unknown.
COMMENTS:
- Purpose. According to the author:
In 2024, over 450,000 Californian workers suffered nonfatal occupational injuries and illnesses, including slips, falls, and exposures to harmful substances. Although many of these injuries were serious, requiring prompt medical treatment to reduce their duration and severity, numerous workers found themselves unable to access the care they needed. AB 2098 removes one of the barriers to this care by prohibiting employers from denying workers’ requests to receive treatment for occupational injuries during work hours. This will ensure that injured Californian workers are not precluded from necessary care simply because they are unable to schedule medical appointments outside of work hours.
This bill is sponsored by the California Federation of Teachers (CFT).
- Workers’ compensation and protected leave. At its core, the workers’ compensation system relies on a so-called “grand bargain.” If a worker is injured on the job, the employer must pay for the worker’s medical treatment, including monetary benefits if the injury is permanent. In exchange for receiving the guarantee of such treatment, the worker surrenders the right to sue the employer for monetary damages in civil court. All employers are required to secure the payment of workers’ compensation either by receiving approval from DIR to self-insure in accordance with substantial requirements, or by obtaining workers’ compensation insurance coverage from an authorized insurer. The Labor Code explicitly asserts that it is the policy of the state to “vigorously enforce” this law.
Existing law requires an employer of an injured worker to provide any medical, surgical, chiropractic, acupuncture, licensed clinical social worker, and hospital treatment that is reasonably required to cure or relieve the injured worker from the effects of their occupational injury, as prescribed by specified guidelines. Once a treatment plan is prescribed by the evaluating physician, that plan goes through a utilization review process wherein the employer or their insurer can modify or deny the treatment plan if they dispute that the treatment is medically necessary. If the injured worker disagrees with a utilization review decision denying or modifying the treatment plan based on medical necessity, the independent medical review (IMR) process tasks a neutral organization to evaluate the medical necessity of the treatment plan and make a final determination.
In many circumstances, an injured worker will not be able to carry out their occupational duties as a result of their injury, and must thus take leave during treatment until the condition resolves. California law provides certain protected medical leave options for circumstances in which a worker must recover from a serious health condition, including 12 weeks of unpaid, job-protected leave each year pursuant to the California Family Rights Act, and a minimum of 40 hours, or five days, of paid sick leave offered by the employer. Federal law, pursuant to the Family and Medical Leave Act (FMLA), also provides up to 12 weeks of unpaid, job-protected leave each year for those who work for employers with over 50 employees. FMLA leave and CFRA leave run concurrently, and thus cannot be taken in succession.
In some cases, however, the worker may be healthy enough to return to work before all necessary treatment has been completed. Because most physicians and other medical practitioners operate primarily during normal business hours, this can make scheduling an appointment for essential, non-emergency medical care challenging for workers who also work during these hours.
This bill seeks to secure protected leave for injured workers who must schedule treatment for their occupational injury during work hours. CFT, who sponsor the bill, argue:
Current law […] fails to clearly protect workers from retaliation or termination when occupational injury or illness requires non-emergency medical care that must be received during regular shift hours, no matter how much a worker tries to secure care after hours. This has led to CFT members being explicitly ordered to schedule their medical care outside of regular work hours, regardless of whether this is even an option.
The end result is workers being forced to forego essential medical care, which can worsen their condition and potentially turn a temporary injury into a permanent one, or face losing wages, benefits, or employment simply for seeing a doctor during work hours. The fundamental inequity of the situation is further heightened by the fact that occupational injuries are at issue. Employees are injured at work and can then be punished by their employer with retaliation as a result of the injury, compounding the physical harm with a financial one. Injured workers deserve care and compassion, not retaliation and job insecurity.
- SB 1205 (Laird, 2024). In 2024, CFT sponsored SB 1205, which would have entitled an injured worker to temporary disability (TD) benefits for leave taken to attend a medical appointment for treatment of their occupational injury. That bill also would have also prohibited an employer from discharging or in any way discriminating against an employee for receiving treatment for an occupational injury during normal business hours or during the hours of the day when the employee is customarily at work.
This committee’s analysis of SB 1205 raised several legal and logistical concerns with providing TD benefits for leave taken for medical treatment of an occupational injury after the worker is able to return to work. Among other concerns, that analysis stated:
The purpose of TD is to temporarily provide wage replacement to injured employees who are unable to work due to an occupational injury. TD, as the name implies, is meant to be temporary and not ongoing. Once an employee is able to return to work, TD is no longer necessary, because they are back at work. Following a diagnosis from the injured worker’s medical provider that the condition is not improving but not worsening, the condition is considered permanent and stationary and the employee would instead become eligible for permanent disability benefits. […]
It is unclear from the provisions of this bill how TD benefits would actually be claimed and what would happen in the event an employee has exhausted their available TD benefits. Additionally, under the provisions of this bill it is possible that employees will consistently be starting and stopping the receipt of TD benefits. For claims administrators this could present a significant administrative hurdle, for among other reasons, the fact that a notice has to be provided to an employee each time TD is started and stopped.
To rectify the various concerns, this committee recommended amendments to SB 1205 that eliminated the provision of TD for such leave, but maintained and clarified protections and conditions for leave taken for medical treatment for an occupational injury. The recommended amendments were substantially similar to the version of AB 2098 currently in print. The author accepted those amendments in committee, and the bill passed out of this committee 5-2. The bill later died on the Assembly Floor’s inactive file.
AB 2098 differs from the version of SB 1205 that passed out of this committee in three main ways. First, AB 2098 allows an employer to deny a request for leave if business necessity requires that the treatment occur at a different time or on a different day. This was taken as an amendment to SB 1205 in the Assembly Appropriations Committee following passage out of this committee. Second, AB 2098 clarifies the definition of “business necessity,” drawing from discrimination case law and existing statute. Finally, AB 2098 does not consider unlawful denial of a request for leave to be discrimination subject to Labor Code Sec. 132a, but instead separately penalizes the violation as a misdemeanor (i.e. the same penalty as for discrimination under Sec. 132a), and includes a separate violation, added to Sec. 132a, for discriminating on the basis of taking the protected leave provided by the bill.
- Violations, Labor Code 132a, and discrimination. This bill establishes two separate types of violations: denial of a valid request for the specified leave when there is no legitimate business necessity to do so, and taking adverse action or otherwise discriminating against a worker because the worker has requested or taken leave to receive treatment for an industrial injury. The bill provides that both violations are punishable as a misdemeanor, with the latter violation also entitling the employee to reinstatement and to reimbursement for lost wages and work benefits caused by the acts of the employer.
The latter violation falls under Lab. Code Sec. 132a, which articulates penalties for forms of “discrimination against workers who are injured in the course and scope of their employment.” Under existing law, Section 132a describes penalties for specific types of discrimination on this basis, including if an employer discharges, threatens to discharge, or in any manner discriminates against an employee because the employee has filed, intends to file, or has received a rating, award, or settlement for a workers’ compensation claim. Section 132a similarly prohibits discrimination against an employee because they testified or intend to testify in another employee’s case before the Workers’ Compensation Appeals Board (WCAB), and prohibits an insurer from advising, directing, or threatening the insured employee to take any of these actions. This bill would add discriminating against an employee for requesting or taking leave for medical treatment for an occupational injury to that list.
A coalition of organizations representing public and private employers, including the California Chamber of Commerce (CalChamber), the California Coalition on Workers’ Compensation (CCWC), the California Hospital Association (CHA), and the California State Association of Counties (CSAC), who oppose the bill unless amended, argues:
An employer that discriminates or retaliates against an employee for filing a workers’ compensation claim is subject to penalties under a Section 132a claim. AB 2098 amends Section 132a directly to say that any employer who discharges, threatens to discharge, or discriminates against an employee for taking leave to attend a medical appointment under the newly created Labor Code section shall be guilty of a misdemeanor and shall owe damages. While we agree there needs to be enforcement of obligations related to time off for appointments, we read this language as stating that any failure to provide time off is discrimination and a violation of Section 132a, which we believe is inappropriate. There is similar language in the proposed Section 4600.03(c)(2).
Staff notes that the bill does not seem to consider failure to provide time off discrimination, nor a violation of Section 132a. Rather, failure to provide time off would constitute a violation of Section 4600.03(c)(2), which specifically addresses denial of requests for leave. Such a violation can also be a misdemeanor if business necessity does not require the denial, but does not provide for damages, since the employee would not be losing wages or work benefits. The new provision added to Section 132a under this bill (Section 132a(a)(5)) deals specifically with adverse actions taken against the employee because they requested or took leave, such as firing, limiting opportunities for advancement, intentionally assigning less desirable work, etc. If leave is inappropriately denied but no adverse action that disadvantages the worker relative to their colleagues is taken against the worker, it would not seem to qualify as discrimination under the bill.
While case law supports a liberal construction of the term “discrimination” under Section 132a, it also clarifies that an action is only considered discrimination in violation of Section 132a if it disadvantages the employee because of the industrial nature of the injury. (Department of Rehabilitation v. Workers’ Comp. Appeals Bd. (2003) [68 Cal. Comp. Cases 831; 30 Cal. 4th 1281]) Except in the unlikely circumstance where an employer denies a request for leave specifically because the treatment was for an occupational injury and not one that occurred outside the workplace, denial of a request for leave arguably does not fit this criterion. Rather, when an employer denies a request for leave to receive treatment during work hours, it is most likely that the employer would have denied the request regardless of whether the injury itself occurred in the workplace. Possibly for this reason, the bill does not consider denial of a request for leave to be discrimination or a violation of Section 132a, and instead provides a separate offense under Section 4600.03(c)(2).
The same opposing coalition also raises the concern that:
Any error by a small business, belief that the employer could legitimately claim a business necessity for denying a request, or effort to ask the employee to reschedule an appointment subjects the employer to a misdemeanor and damages.
Under Section 4600.03(c)(2), the bill in print specifies that an employer who denies a request is only guilty of a misdemeanor if the employer “knows or should know that business necessity does not require the treatment to occur at a different time or on a different day.” This means a reasonable belief that the employer could legitimately claim a business necessity should not result in a violation. That said, the bill in print does not contemplate circumstances in which the employee fails to comply with their obligations under the bill, and the request is denied as a result. For instance, if the employee does not make a reasonable effort to schedule treatment outside of regular work hours, and this is known to the employer, the bill does not provide the employer with the ability to deny that request or suggest that such an effort to reschedule be made. Clarification that an employer can lawfully deny a request for leave if they have actual knowledge that the employee did not fulfill obligations under the bill may thus be warranted.
- Business necessity vs. undue hardship. This bill prohibits an employer from denying a request for leave to receive treatment for an industrial injury, “unless business necessity would require the treatment to occur at a different time or on a different day.” [Emphasis added.] The bill defines “business necessity” to mean “an overriding legitimate business purpose such that denial of the request is necessary to the safe and efficient operation of the business, and for which there is no feasible alternative to denial of the request that would serve the business purpose.”
This definition appears to draw from employment discrimination case law, which lays out a “business necessity defense” such that discrimination on the basis of a protected characteristic can be permissible if it is necessary for the safe and efficient operation of the business. The case of Johnson Controls v. Fair Employment & Hous. Com (1990) [218 Cal. App. 3d 517] laws out the test for the business necessity defense as follows:
To constitute a [business necessity defense], an employment practice with disproportionately adverse impact “must be shown to be necessary to safe and efficient job performance….” [Citation.] The test is whether there exists an overriding legitimate business purpose such that the practice is necessary to the safe and efficient operation of the business. [Id. at p. 541]
The definition of “business necessity” used in this bill is consistent with this test, as well as the definition for “business necessity” used in the Fair Employment and Housing Act (FEHA), which protects against workplace discrimination, among other things. (Gov. Code Sec. 12900, et seq.; definition at Sec. 12951(b))
The aforementioned coalition of employer groups who oppose the bill unless amended argues:
AB 2098 provides that all employers (regardless of size) must provide time off work for employees who are attending workers’ compensation appointments. There is no time limit on the amount or frequency of leave. While there is an exception for a “business necessity,” that exception is quite narrow.
We believe the most comparable scenario to time off for medical appointments is reasonable accommodations under FEHA. There, because there is no set statutory time limitation on the amount of time off an employee may seek, FEHA provides employers with an ability to decline or modify a request where the time off would be an “undue hardship”. A small employer, for example, would be able to make that showing more easily than a larger employer. […] We would prefer to see language more akin to the undue hardship standard for accommodation requests under FEHA.
Various provisions of FEHA require that an employer make “reasonable accommodation” in the workplace for characteristics such as physical or mental disabilities, religious beliefs or observance, and status as a victim of a qualifying act of violence. In these cases, FEHA generally does not require an employer to make an accommodation that would produce undue hardship to its operation.
FEHA defines “undue hardship” to mean:
[A]n action requiring significant difficulty or expense, when considered in light of the following factors:
- The nature and cost of the accommodation needed.
- The overall financial resources of the facilities involved in the provision of the reasonable accommodations, the number of persons employed at the facility, and the effect on expenses and resources or the impact otherwise of these accommodations upon the operation of the facility.
- The overall financial resources of the covered entity, the overall size of the business of a covered entity with respect to the number of employees, and the number, type, and location of its facilities.
- The type of operations, including the composition, structure, and functions of the workforce of the entity.
- The geographic separateness or administrative or fiscal relationship of the facility or facilities. (Gov. Code Sec. 12926(u))
This definition is similar, but not identical, to the definition of “undue hardship” in federal law, which provides an exemption from accommodation requirements for disability under the Americans with Disabilities Act (ADA). (42 U.S.C. 12101, et seq.; definition in Sec. 12111(10)) In addition, Title VII of the Civil Rights Act of 1964 (42 U.S.C. 2000e, et seq.) allows denial of reasonable accommodation requests for religious belief or observance based on undue hardship, but does not provide a definition.
Fundamentally, the distinction between “business necessity” and “undue hardship” is one of direct cost consideration. Undue hardship allows for greater consideration of cost to the business (along with impact on the overall operation of the business) in its analysis, whereas business necessity considers only the safe and efficient operation of the business. Undue hardship also gives greater weight to the specific circumstances of the business, such as its size and overall financial status. This makes business necessity a comparatively higher bar to meet than undue hardship.
This does not, however, mean that any cost to the business can constitute an undue hardship. In Groff v. Dejoy (2023) [600 U.S. 447], with respect to undue hardship under Title VII, the United States Supreme Court opined:
[U]nder any definition, a hardship is more severe than a mere burden. So even if Title VII said only that an employer need not be made to suffer a “hardship,” an employer could not escape liability simply by showing that an accommodation would impose some sort of additional costs. Those costs would have to rise to the level of hardship, and adding the modifier “undue” means that the requisite burden, privation, or adversity must rise to an “excessive” or “unjustifiable” level. [Id. at p. 468]
In practice, business necessity is generally applied as the standard for workplace policies or actions that would otherwise be considered discriminatory, whereas undue hardship is generally applied as the standard for declining a request for what would otherwise be considered a reasonable accommodation.
This bill raises issues of both accommodation and discrimination. A request for leave to receive treatment during work hours when treatment cannot be received outside of work hours is, in a sense, a request for a reasonable accommodation for the disability resulting from the occupational injury. As such, denial of the request could be considered akin to denial of a reasonable accommodation, and the applicable case law would arguably be more instructive.
On the other hand, Section 132a specifically deals with discrimination related to a workers’ compensation claim, in this case in the event adverse action is taken against the worker for exercising this right to leave for receiving treatment. Accordingly, a business necessity defense would likely already be available for a discrimination claim under the new provision added to Section 132a by this bill.
Because “business necessity” in the context of this bill is linked to denial of a request for leave, and not to discrimination based on exercising the right to leave, “undue hardship,” as defined in Gov. Code Sec. 12926(u), may be a more fitting standard. Should the bill pass out of this committee, as the bill moves through the legislative process, the author may wish to consider amending the bill to allow an employer to deny a request for leave only if it would cause undue hardship, rather than if business necessity requires moving treatment to a different time or day.
REGISTERED SUPPORT / OPPOSITION:
Support
California Federation of Labor Unions, Afl-cio
California Professional Firefighters
California School Employees Association
California Teachers Association
Cft – a Union of Educators & Classified Professionals, Aft, Afl-cio
Peace Officers Research Association of California (PORAC)
Oppose Unless Amended
American Property Casualty Insurance Association
California Association of Joint Powers Authorities (CAJPA)
California Chamber of Commerce
California Coalition on Workers Compensation
California Hospital Association
California State Association of Counties (CSAC)
Public Risk Innovation, Solutions, and Management (PRISM)
Rural County Representatives of California (RCRC)
Analysis Prepared by: Landon Klein / INS. / (916) 319-2086
Bill Author
Bill Co-Author(s):