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Tag: 2019 News

Cannabis Shops – Illegally Uninsured and Tax Evasion

County and sheriff’s office authorities nabbed 540 pounds of processed pot and $140,095 overall from five sites in Santa Cruz and Monterey counties while investigating allegations of unlawful distribution and cultivation of cannabis. The businesses also are suspected of tax evasion, money laundering and operating without workers’ compensation insurance.  Five sites were searched April 3 by deputies assigned to the Santa Cruz County Licensing Office:

— Redwood Skyline at the 2700 block South Rodeo Gulch in Santa Cruz.
— Rooted Republic at the 100 block of Manfre Road in Watsonville.
— Newton Enterprises at the 7000 block of Highway 1 in Moss Landing.
— Monterey Botanicals at the 22000 block of Fuji Lane in Salinas.
— Boutique Unlimited at the 100 block of Airport Road in King City.

The business owners are accused of not complying with state and local regulations regarding cannabis cultivation, according to the press release.

In one suspected scheme, authorities claim there is evidence of at least one business using money orders “in a sophisticated effort to launder large amounts of currency” to avoid paying the Santa Cruz County cannabis business tax, according to the release.

All of the searched businesses were controlled by the same corporate group of people, “who are suspected of directing specific financial transactions to avoid financial reporting and tax obligations,” according to the release.

Recent regulations have spurred an uptick in investigations of a once-illicit market.

Multiple residential properties in Santa Cruz County are linked with the corporate officials being investigated. Those properties also have been the focus of recent investigations linked with unregulated, unlawful commercial cannabis. “Investigators are determining whether unregulated cannabis from those properties was introduced into the lawful, regulated market through the five businesses searched,” according to the release.

No one was arrested during the investigation Officials will consult with the District Attorney’s Office to determine whether criminal charges are suitable. Civil assessments also will be considered. “The total amount of unpaid cannabis tax to the County of Santa Cruz will be determined once business records and banking records have been examined,” according to the release.

Employer Has Burden to Obtain Physicians RTW Form

Robert Fndkyan injured his cervical spine, thoracic spine, lumbar spine, bilateral shoulders and bilateral wrists. His case resolved in 2016 by a Compromise and Release and his entitlement to a SJDV was not resolved in the Order.

In 2015, before the case was settled, a QME report specified permanent disability impairment ratings for various body parts. He further opined that applicant should have prophylactic work preclusions:… for the cervical, thoracic, and lumbar spines: No very heavy lifting; or repeated bending or stooping. For the bilateral shoulders … : No repetitive at or above shoulder reaching or work. For the bilateral wrists … : No repetitive forceful gripping or grasping.

After the case was settled, he demanded a Supplemental Job Displacement Voucher (SJDV), which was denied by the defendant.

The WCJ found that applicant was not entitled to a SJDV because there was no evidence that a Physician’s Return-to-Work and Voucher (Physician’s RTW) form was sent to or received by defendant.

A petition for reconsideration was granted, and the WCAB reversed finding that Fndkkyan was entitled to the SJDV in the case of Fndkyan v Opus One Labs.

The sole issue at trial was whether applicant is entitled to a SJDV when a Physician’s RTW form was not sent to or received by defendant.

The WCJ correctly points out that Labor Code section 4658.7(b)(l) specifically provides that an employer’s obligation to offer regular, modified, or alternative work in lieu of a SJDV is to be made no later than 60 days after receipt of a medical report “in the form created by the administrative director” finding that the disability from all conditions has become permanent and stationary and has caused permanent partial disability. (Lab. Code, § 4658.7(b)(l). This form is described as a “mandatory attachment” to a medical report and that informs the employer of work capacities and restrictions relevant to regular, modified, or alternative work.

The WCJ also correctly points out that AD Rule 10133.31(b) specifies that this form is identified as the Physician’s Return-to-Work & Voucher Report.

In this instance, defendant had the burden to obtain a Physician’s RTW form when defendant was apprised of applicant’s permanent disability status and work preclusions in the QME report. “To conclude otherwise would place form over substance.”

WCIRB Sees No Need for Mid-year Filing

The WCIRB Governing Committee met this month to review the WCIRB Actuarial Committee’s analysis of December 31, 2018, California workers’ compensation loss and loss adjustment expense experience.

Following review and discussion of the latest data and analysis, the Committee conferred on whether to direct the WCIRB to submit a mid-year 2019 advisory pure premium rate filing to the California Department of Insurance (CDI).

Pure premium rates by definition reflect indemnity and medical losses and loss adjustment expenses only, are advisory and are not required to be adopted by insurance companies. In California’s open rated workers’ compensation insurance market, insurers are largely free to file their own rates and rating plans directly with the CDI.

Recognizing that mid-year filings and adjustments to advisory pure premium rates can be disruptive to employers, agents and brokers as well as insurers, the Committee established a guideline in 2011 stating that mid-year filings would generally not be made by the WCIRB unless there was highly unusual volatility in experience or major legislative, regulatory or judicial action.

Based on the December 31, 2018, experience and analysis, the Committee determined that the overall improvement in experience since the January 1, 2019, approved pure premium rates was more moderate, approximately $0.06 per $100 of payroll or less than 4 percent, than in recent prior years and did not warrant a mid-year 2019 pure premium rate filing.

The Committee also noted in its determination that there are concerns relating to indicated increases in average 2018 claim severities as well as potential distortions in loss development arising from the recent dramatic reductions in pharmaceutical costs.

The Committee instructed the WCIRB to further analyze these areas in preparation for the January 1, 2020, annual pure premium rate filing to be presented to the Committee in August for submission to the CDI.

The Actuarial Committee’s analysis of December 31, 2018, experience is publicly available to all stakeholders as are the documents from today’s Committee meeting, including the agenda and materials presented at the meeting, on the Committee Documents page of the WCIRB website.

Nurse Indicted for “Darknet” Sales of Opioids

A Rancho Cordova registered nurse was indicted and charged with distribution of fentanyl and oxycodone and other opioids as a result of a coordinated operation by the U.S. Attorney’s Office, the Federal Bureau of Investigation, Homeland Security Investigations, the Drug Enforcement Administration, and the U.S. Postal Inspection Service that has identified, disrupted, and prosecuted illegal operators on the darknet.

42 year old Carrie Alaine Markis was a registered California nurse who sold more than 20,000 prescription opioid pills and products on various darknet sites, including Silk Road 2.0, Pandora, and AlphaBay.

Between 2013 and 2016, she purchased legitimate prescriptions from willing sellers. Then, she resold these pills and patches through her darknet business, “Farmacy41,” which she ran from her Rancho Cordova home.

Markis’s business operated on Silk Road 2.0 from November 2013 through May 2014. During this time, Markis sent private messages to her customers revealing that she was a licensed California medical professional. She sold more than 8,500 hydrocodone pills and more than 2,500 oxycodone pills. In combination with other sales of morphine, hydromorphone, fentanyl, and methadone, Markis earned about $230,000 in Bitcoin at the time.

Markis’s Farmacy41 business operated on Pandora from December 2013 through August 2014. During this time, she again sold more than 2,500 hydrocodone and more than 2,000 oxycodone pills. In combination with other sales of morphine, hydromorphone, methadone, and fentanyl, she completed about 393 transactions and earned about $122,000 in Bitcoin at the time.

On AlphaBay, Markis operated her Farmacy41 business from November 2015 through April 2016. There, she completed about 262 transactions for hydrocodone, oxycodone, morphine, methadone, and fentanyl. At the time, her Bitcoin earnings were worth about $74,000.

Federal agents searched Markis’s residence on January 24, 2019, and found about $1.8 million in Bitcoin held on a cold storage cryptocurrency wallet. Agents also found about $234,000 in cash. Markis was arrested on a federal complaint and made her initial appearance in court on January 25, 2019.

The darknet supports an illegitimate commerce system where criminals think they can anonymously traffic dangerous substances and goods into the Unites States,” said Ryan L. Spradlin, Homeland Security Investigations Special Agent in Charge for northern California.

Spradlin also claims that since our country is in the midst of a serious opioid addiction crisis; some users will do anything to get their hands on drugs like fentanyl.

“The darknet has become a one-stop shop for individuals peddling powerful opioids, like fentanyl, because of the anonymity it seemingly offers to those who seek to evade detection said DEA Special Agent in Charge Chris Nielsen.

Issues Narrow in First Opioid Trial

Oklahoma’s attorney general dropped all but a single claim against Johnson & Johnson and Teva Pharmaceutical Industries Ltd in a closely watched lawsuit alleging the drugmakers helped fuel the U.S. opioid epidemic.

The move by Oklahoma Attorney General Mike Hunter came ahead of an upcoming May 28 trial, the first in the United States to result from roughly 2,000 lawsuits seeking to hold manufacturers of painkillers responsible for contributing to the epidemic.

Hunter dropped the claims after announcing last week that OxyContin maker Purdue Pharma LP had along with the wealthy Sackler family who own it reached a $270 million settlement.

The 2017 lawsuit accused the three companies of engaging in deceptive marketing that downplayed the addiction risk from opioids while overstating their benefits. The Sacklers were not defendants in the case. The companies deny wrongdoing.

Hunter said he would continue to bring a public nuisance claim against J&J and Teva but was dropping five other claims, including that they violated the Oklahoma Medicaid False Claims Act. Hunter said dropping those claims would not impact the amount of damages the state is seeking. Hunter had been asking for more than $20 billion before Purdue’s settlement.

J&J in a statement said the state’s decision to drop most of its claims “underscores their lack of merit.”  It said the evidence at trial will show that the company appropriately marketed its pain medications.

Teva did not respond to a request for comment.

Hunter said the decision to refocus the case around the single claim that the companies caused a public nuisance that needs remediated will obviate efforts by the companies to delay the upcoming trial.

It will also transform what was to be a televised jury trial into a non-jury one in which a state court judge will decide the case, Hunter said.

More than 1,600 other opioid-related lawsuits are consolidated before a federal judge in Ohio, who has pushed for a settlement ahead of the trial before him in October. Other cases, including Oklahoma’s, are pending in state courts.

DWC Proposes More Changes to MTUS

The Division of Workers’ Compensation (DWC) has issued a notice of public hearing for proposed evidence-based updates to the Medical Treatment Utilization Schedule (MTUS), which can be found at California Code of Regulations, title 8, section 9792.23.

The public hearing is scheduled for Monday, May 6 at 10 a.m. in the auditorium of the Elihu Harris Building, 1515 Clay Street, Oakland. Members of the public may review and comment on the proposed updates no later than Monday, May 6, 2019.

The proposed evidence-based updates to the MTUS incorporate by reference the latest published guidelines from American College of Occupational and Environmental Medicine (ACOEM) for the following:

— Low Back Disorders Guideline (ACOEM March 7, 2019)
— Introduction to the Workplace Mental Health Guideline (ACOEM March 13, 2019)

The proposed evidence-based updates to the MTUS regulations are exempt from Labor Code sections 5307.3 and 5307.4 and the rulemaking provisions of the Administrative Procedure Act. However, DWC is required under Labor Code section 5307.27 to have a 30-day public comment period, hold a public hearing, respond to all the comments received during the public comment period and publish the order adopting the updates online.

Employer Coalition Speaks Out on Dynamax Case

A coalition of influential California business groups says it will support a bill that would codify a California Supreme Court decision that placed strict limits on classifying workers as independent contractors – if the legislation includes additional exemptions for certain professions.

“We respectfully SUPPORT if AB 5 is further AMENDED to provide a more progressive and holistic approach that fit today’s modern workforce,” the coalition stated in letters to the bill’s author and the Assembly Labor committee submitted Monday afternoon.

The letters – signed by California Chamber of Commerce, California Retailers Association and California Building Industry Association, among othersask for broader exemptions for professionals beyond those already agreed to for doctors and insurance agents.

The coalition also seeks a broader exemption for workers “who prefer to control their own schedule,” including consultants, travel agents, and truck, taxi and “gig economy’ drivers; and exempting short-term projects and business-to-business contracts.

The groups’ new position drew cautious praise from the bill’s author and supporters. “It’s a step forward,” said the bill’s author, Asm. Lorena Gonzalez (D-San Diego). “I’m glad they’re not opposing it.” But Gonzalez called the proposed amendments “too broad.”

“They can’t actually think I would agree to those things,” she said, adding that she will continue “to work industry-by-industry to find appropriate situations” for additional amendments and exemptions.

Gonzalez named hairdressers and real estate agents as industries she’s open to including and added that she is “interested but not sold on short-term projects.”

The California Supreme Court issued the ruling – commonly referred to as the “Dynamex decision” – a year ago. It stemmed from a case brought by delivery drivers who believed the company Dynamex misclassified them as independent contractors instead of employees.

Labor groups hailed the decision as a victory that would extend benefits and protections to more workers. Classifying workers as employees requires employers to pay for unemployment insurance, family leave and workers’ compensation, among other benefits and protections.

The “support-if-amended” position demonstrates the tightrope the Chamber and business groups must walk in the Dynamex debate. Employers argue the current version of the bill would “not only (hurt) the business model of a broad swath of industries and billions of venture capital dollars that are increasingly invested in businesses, but also (hinder) California as a national leader in the innovation economy.”

Travelers Reduces Opioid Use by 40%

The Travelers Companies, Inc. reported an almost 40 percent reduction in the use of opioids among the injured construction workers it has helped, thanks to a combination of its Early Severity Predictor® model and its comprehensive pharmacy management program.

The Early Severity Predictor is the company’s proprietary predictive model that helps forecast which injured employees are at higher risk of developing chronic pain, while the pharmacy management program monitors drug interactions, excessive dosing and abuse patterns to reduce the risk of opioid dependency.

Construction sites contain many health and safety risks for workers, with strains, sprains, broken bones and head traumas among the most common employee injuries. All of these can lead to chronic pain, a condition that is often treated with highly addictive opioids. In fact, roughly half of all workers compensation claims related to the construction industry that are submitted to Travelers involve opioid prescriptions.

“The opioid epidemic is having a profound effect on our society, and the crisis is especially concerning for the construction industry, where the work can be physically demanding,” said Rick Keegan, President of Construction at Travelers. “Identifying safe and effective alternatives to treat injuries and prevent chronic pain will help injured employees avoid the risks associated with opioids while helping our customers better manage the related medical costs.”

Travelers’ nurses and Claim professionals work closely with at-risk injured employees identified by the Early Severity Predictor model, and their physicians, to develop an aggressive, sports-medicine-like treatment regimen, which often includes physical therapy and other interventions to prevent acute pain from becoming chronic. This approach is particularly significant for the construction industry, where Travelers claim data show that injured workers who suffer from chronic pain can be out of work for as much as 50 percent longer than those in other industries.

“We are committed to using our deep domain expertise, and our industry-leading data and analytics, to help address the causes of chronic pain,” said Rich Ives, Vice President of Workers Compensation Claim at Travelers. “We’re finding new ways to curb prescription opioid abuse while getting injured workers the care they need to return to work as soon as is medically appropriate.”

First Lawsuit Pursues Owners for Purdue Pharma Damages

Purdue Pharma L.P. is a privately held pharmaceutical company owned principally by descendants of Mortimer and Raymond Sackler. The company is the target of the Opioid litigation stampede.

In 2007 it paid out one of the largest fines ever levied against a pharmaceutical firm for mislabeling its product OxyContin, and three executives were found guilty of criminal charges. Purdue continues to market and sell opioids

Purdue Pharma was founded in 1892. In 1952, the company was sold to two other medical doctors, Raymond and Mortimer Sackler. OxyContin, was introduced by the company in 1995. Under a marketing strategy that Arthur Sackler had pioneered decades earlier, the company aggressively pressed doctors to prescribe the drug, wooing them with free trips to pain-management seminars and paid speaking engagements. Sales soared.

OxyContin became a blockbuster drug. Purdue had increased its earnings from a few billion in 2007 to US$31 billion by 2016. That had increased to US$35 billion by 2017. According to a 2017 article in The New Yorker, Purdue Pharma is “owned by one of America’s richest families, with a collective net worth of thirteen billion dollars”.

Perhaps in response to rumors that Purdue is considering filing for bankruptcy protection as a strategy to limit its damages, the Massachusetts Attorney General Maura Healey’s lawsuit filed against the company in June in Suffolk County Superior Court, was revised earlier this year to include new allegations. The suit is now the first by a state to try to attempt to hold Sackler family members personally responsible for contributing to the opioid epidemic.

Healey’s complaint cites records to argue that family members, including Purdue’s former President Richard Sackler, personally directed deceptive opioid marketing while making $4.2 billion from Purdue from 2008 to 2016.

They did so even after Purdue and three executives in 2007 pleaded guilty to federal charges related to the misbranding of OxyContin and agreed to pay a total of $634.5 million in penalties, the lawsuit said.

But in their motion, the Sacklers said nothing in the complaint supports allegations they personally took part in efforts to mislead doctors and the public about the benefits and addictive risks of opioids.

They said their role was limited to that of typical corporate board members who participated in “routine” votes to ratify the management’s staffing and budget proposals.

“Not a single document shows an individual director engaging in any unlawful conduct regarding the sale of prescription opioids or ordering anyone else to do so,” the Sacklers’ lawyers wrote.

Healey, in a statement, called the motion “an attempt to avoid accountability.”

Employers Must Post New Notices on April 1

Several weeks ago, the Office of Administrative Law (OAL) approved the Fair Employment and Housing Council’s (FEHC) changes to the Family Care and Medical Leave (CFRA Leave) and Pregnancy Disability notice (now called Family Care and Medical Leave and Pregnancy Disability Leave), adding information about the New Parent Leave Act (NPLA).

The changes are now specified in Title 2, California Code of Regulations starting at section 11087.

California employers covered by the California Family Rights Act (CFRA) and the NPLA are required to post this new revised notice starting April 1, 2019.

The California Chamber of Commerce summary says that the NPLA is a narrowly tailored California leave law that took effect last year. Both the CFRA and NPLA provide 12 weeks of unpaid, job-protected leave to bond with a newborn or a child placed with the employee for adoption or foster care.

The CFRA applies to employers who have 50 or more employees and the NPLA applies to employers who have less than 50 employees but have at least 20 employees.

While the CFRA provides additional medical leave, the NPLA does not and is limited to baby bonding leave.

Effective April 1, 2019, employers with 20 to 49 employees will need to post the Family Care and Medical Leave and Pregnancy Disability Leave notice in their workplace, and employers with 50 or more employees will need to replace their existing notice with the new version.

The CalChamber all-in-one California and Federal Labor Law poster (available at calchamberstore.com) includes the 18 state and federal employment notices every California employer must post, including the Family Care and Medical Leave and Pregnancy Disability Leave notice.