The _____, after public hearings, shall adopt and revise periodically an official medical fee schedule.

• A. Director of Industrial Relations.
• B. WCAB.
• C. Medical Director.
• D. Administrative Director.

Answer: (D)

Authority to adopt and periodically revise the Official Medical Fee Schedule rests with the Administrative Director. In California workers’ compensation, the Official Medical Fee Schedule sets the standard fees for medical treatment, and updating it requires public hearings to gather input from stakeholders. The Administrative Director, who oversees the Division of Workers’ Compensation, has the statutory authority to adopt the schedule after these hearings and to revise it over time as costs and medical practices change. The other roles don’t carry this rulemaking power: the Director of Industrial Relations handles broader labor relations issues, the WCAB serves as the adjudicatory body for workers’ comp disputes, and a Medical Director is a clinical leadership role rather than the fee schedule’s adopting authority.