# PA IRE Program Guide > Pennsylvania IRE guide: Act 142, AMA Guides 6th edition, 34 Pa. Code 123.105, Protz impact. Verified 2026-08-15. Canonical page: https://medrecords.ai/content-hub/states/pa/ --- [Content Hub](https://medrecords.ai/content-hub/) › States ## PA IRE Program Guide Pennsylvania's impairment rating evaluation (IRE) assigns an impairment rating under the AMA Guides 6th Edition (2nd printing 2009) after Act 142 restored the IRE remedy. 2 sections·2 sources·Verified 2026-08-15 ✓ 01 ### Program overview An IRE is conducted and an impairment rating determination must result under the most recent edition of the AMA Guides; the physician attaches the Report of Medical Evaluation to the Face Sheet. 02 ### History The Pennsylvania Supreme Court's Protz decision (2017) struck down the prior IRE framework; Act 142 (2018) restored it with the 6th Edition (2nd printing April 2009) as the standard. Rating basis by jurisdiction — 10 states profiled [California — QME — Labor Code § 4660(b)(1) — **AMA Guides 5th** ](https://medrecords.ai/content-hub/states/ca/) Pennsylvania — IRE — 34 Pa. Code § 123.105; Act 142 — **AMA Guides 6th** [Tennessee — IR training — State-approved training list — **AMA Guides 6th** ](https://medrecords.ai/content-hub/states/tn/) [Colorado — DIME — Rule 11 — **Edition set by agency** ](https://medrecords.ai/content-hub/states/co/) [Ohio — IME / DME — BWC policy — **Edition set by agency** ](https://medrecords.ai/content-hub/states/oh/) [Texas — Designated Doctor — 28 TAC 130.1 — **Edition set by agency** ](https://medrecords.ai/content-hub/states/tx/) [Washington — IME — L&I Medical Examiners' Handbook — **Edition set by agency** ](https://medrecords.ai/content-hub/states/wa/) [Florida — IRE / Schedule — 1996 Florida Impairment Rating Schedule — **State schedule, not AMA** ](https://medrecords.ai/content-hub/states/fl/) [New York — IME / SLU — 2018 SLU guidelines — **State schedule, not AMA** ](https://medrecords.ai/content-hub/states/ny/) [Arizona — DME — No canonical state source verified — **Not confirmed** ](https://medrecords.ai/content-hub/states/az/) Pennsylvania runs a **IRE** programme and rates on **ama guides 6th** (34 Pa. Code § 123.105; Act 142). The rating standard is set by the jurisdiction, not by the examiner, so the same clinical findings can produce different numbers across the 10 states profiled here. ### Key facts | Program | IRE | | --- | --- | | Agency | Pennsylvania Bureau of Workers' Compensation | | Statute / rules | 34 Pa. Code § 123.105; Act 142 (2018) | | AMA Guides edition | 6th Edition (2nd printing, April 2009) | | Edition basis | 34 Pa. Code § 123.105; Act 142 | | MMI rules | IRE assigns an impairment rating that can cap or terminate wage-loss benefits depending on the percentage | | Key forms | Report of Medical Evaluation as specified in the AMA Guides | | Fee schedule | IRE fee schedule (verify current) | | Telehealth | Not confirmed | ### Sources - [34 Pa. Code § 123.105](https://regulations.justia.com/states/pennsylvania/title-34/part-viii/chapter-123/subchapter-b/section-123-105/) - [PA Bulletin 53-16 (IRE rule changes)](https://www.pacodeandbulletin.gov/secure/pabulletin/data/vol53/53-16/53-16.pdf) Medrecords AI Every line cited back to its page. Send one real record set. We return a cited chronology you can check line by line, and a human decides what it means. [Test on a file](https://medrecords.ai/test-a-file/?src=content-hub-pa) [Book a demo](https://medrecords.ai/demo/?src=content-hub-pa) ### Meeting these requirements with Medrecords AI Medrecords AI assembles the record against the standard this jurisdiction applies — sorted, deduplicated and cited, so the reviewer checks the read instead of rebuilding it. [Solution — **Workers' compensation** — QME, SOAF, impairment rating and federal program record work. Read more →](https://medrecords.ai/solutions/workers-comp/?src=content-hub-pa) [Solution — **Utilization review packets** — The clinical record assembled against the criteria the reviewer applies. Read more →](https://medrecords.ai/solutions/utilization-review-record-packet/?src=content-hub-pa) [Product — **Medical chronology** — A dated, deduplicated timeline with a citation on every entry. Read more →](https://medrecords.ai/product/chronology/?src=content-hub-pa) Test it on a file you already have. Send one real record set. You get back a cited chronology and decide for yourself whether the read holds up — no obligation either way. [Test a file](https://medrecords.ai/test-a-file/?src=content-hub-pa) [Book a demo](https://medrecords.ai/demo/?src=content-hub-pa) ### Explore the Content Hub [ #### Software & platforms AI and case-management platforms across medical-record review. ](https://medrecords.ai/content-hub/software/) [ #### Service providers & BPOs IME, peer review, retrieval, and BPO providers. ](https://medrecords.ai/content-hub/services/) [ #### State programs Rules, AMA Guides edition, and MMI standards by state. ](https://medrecords.ai/content-hub/states/) [ #### Comparisons Head-to-head vendor and program comparisons. ](https://medrecords.ai/content-hub/compare/) [ #### Guides Editorial reference on report writing, MMI, and validity testing. ](https://medrecords.ai/content-hub/guides/) [ #### Conferences & events Workers' comp, claims, and IME conferences with editorial takes. ](https://medrecords.ai/content-hub/events/) [ #### Directories Link-out rosters of examiners, LNCs, and expert witnesses. ](https://medrecords.ai/content-hub/directory/) [ #### State matrix report All 10 verified state programs, side by side. ](https://medrecords.ai/content-hub/reports/ime-state-matrix-2026/) [ #### Content Hub home The full index of everything in the hub. ](https://medrecords.ai/content-hub/) Medrecords AI ### Minutes per file. Every line cited. 10¢ a page. Bring the hardest file from this page. Get a cited chronology and a report draft in minutes — every line traced to its source page, ready for your review and signature. - Minutes per file, not days - Every line cited to its source page - Flat 10¢/page, duplicates free — no license, no minimums - HIPAA-eligible · SOC 2 audit-ready [Test on a file](https://medrecords.ai/test-a-file/?src=content-hub-pa) [Book a demo](https://medrecords.ai/demo/) See how Medrecords AI compares with anything on this page — over a 30-minute call, side by side. Last verified: 2026-08-15