California, Florida, and Texas Top List of 'Problem' Comp States Rising medical and pharmaceutical costs, inadequate pricing during a soft market, plunging investment returns, and increasing litigation expenses are driving workers' compensation woes in three of the nations most populous and economically important states, people who monitor U.S. comp systems say.

Those who provide this description include insurer trade groups, legislators and other organizations.

"The biggest problem in the California workers' comp system is out-of-control medical costs," noted Heather Ryndak, who follows California workers' comp issues for the National Association of Independent Insurers, based in Des Plaines, Ill. "The legislature needs to tackle this problem by addressing medical cost containment and reining in the spike in workers' comp medical costs that is caused by higher pharmaceutical expenses and more expensive treatments."

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