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California QME vs Texas Designated Doctor — State Program Comparison

California QMEs are chosen through a three-doctor panel with strikes; Texas designated doctors are appointed and trained by the Division — and Texas DD findings carry presumptive weight unless clearly rebutted.

1 section·3 sources·Verified 2026-08-15 ✓

What to compare

Selection mechanics: panel strikes (CA) vs state appointment (TX).
Rating framework: PDRS+AMA5 vs Texas RME rules.
Report standard: substantial medical evidence (CA) vs presumptive-weight DD report (TX).
Telehealth: Texas now allows MMI-by-telemedicine for minor injuries; California status unverified in this pass.

Key facts

Selection	CA: 3-QME panel + strike process. TX: state-appointed designated doctor
Rating standard	CA: AMA 5th + 2005 PDRS. TX: commissioner-adopted edition
Evidentiary weight	TX DD: presumptive weight. CA QME: substantial medical evidence standard
Forms	CA: QME-100/105. TX: DWC-32, Report of Medical Evaluation

Sources

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Last verified: 2026-08-15