(a) (1) The administrative director shall promptly suspend, pursuant to subdivision (b), any physician, practitioner, or provider from participating in the workersâ compensation system as a physician, practitioner, or provider if the individual or entity meets any of the following criteria: (A) The individual or entity has been convicted of any felony or misdemeanor and that crime comes within any of the following descriptions: (i) It involves fraud or abuse of the federal Medicare or Medicaid programs, the Medi-Cal program, or the workersâ compensation system, or fraud or abuse of any patient. (ii) It relates to the conduct of the individualâs medical practice as it pertains to patient care. (iii) It is a financial crime that relates to the federal Medicare or Medicaid programs, the Medi-Cal program, or the workersâ compensation system. (iv) It is otherwise substantially related to the qualifications, functions, or duties of a provider of services. (B) The individual or entity has been suspended, due to fraud or abuse, from the federal Medicare or Medicaid programs or the Medi-Cal program. (C) The individualâs license, certificate, or approval to provide health care has been surrendered or revoked. (D) The entity is controlled by an individual who has been convicted of a felony or misdemeanor described in subparagraph (A). (E) The changes made to clauses (i) and (iii) of subparagraph (A) and subparagraph (B) during the 2017â18 Regular Session of the Legislature do not constitute a change in, but are declaratory of, the existing law. (2) The administrative director shall exercise due diligence to identify physicians, practitioners, or providers who have been suspended pursuant to subparagraph (B) of paragraph (1) by accessing the quarterly updates to the list of suspended and ineligible providers maintained by the State Department of Health Care Services for the Medi-Cal program at https://files.medi-cal.ca.gov/pubsdoco/SandILanding.asp. (3) For purposes of this section and Section 4615, an entity is controlled by an individual if the individual is an officer or a director of the entity, or a shareholder with a 10 percent or greater interest in the entity. (4) For purposes of this section and Section 4615, an individual or entity is considered to have been convicted of a crime if any of the following applies: (A) A judgment of conviction has been entered by a federal, state, or local court, regardless of whether there is an appeal pending or whether the judgment of conviction or other record relating to criminal conduct has been expunged. (B) There has been a verdict or finding of guilt by a federal, state, or local court. (C) A plea of guilty has been accepted by a federal, state, or local court. (5) Notwithstanding the initiation or completion of a prior suspension pursuant to this section, the administrative director may amend an existing notice of suspension or commence a subsequent suspension proceeding based upon new or additional grounds for suspending the physician, practitioner, or provider pursuant to paragraph (1). (6) The administrative director may adopt regulations specifying any exemptions that shall not serve as the basis for exclusion under paragraph (1). (b) (1) The administrative director shall adopt regulations for suspending a physician, practitioner, or provider from participating in the workersâ compensation system, subject to the notice and hearing requirements in paragraph (2). (2) The administrative director shall furnish to the physician, practitioner, or provider written notice of the right to a hearing regarding the suspension and the procedure to follow to request a hearing. The notice shall state that the administrative director is required to suspend the physician, practitioner, or provider pursuant to subdivision (a) after 30 days from the date the notice is mailed unless the physician, practitioner, or provider requests a hearing and, in that hearing, the physician, practitioner,
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