California DIR Faces Audit Pressure Over SIBTF Delays and Administrative Backlog

November 3, 2025 | SIBTF.org — SIBTF updates reveal that the Subsequent Injuries Benefits Trust Fund (SIBTF) continues to face mounting pressure as California’s Department of Industrial Relations (DIR) struggles with audit demands, claim delays, and administrative backlogs. Lawmakers and injured workers alike are calling for greater accountability and system reform.

Designed to support employees who suffer additional disabilities on top of pre-existing ones, the SIBTF is a cornerstone of California’s workers’ compensation system — yet its backlog now stretches across multiple fiscal years, raising concerns about fairness, solvency, and transparency.

Legislators Push for Audit Amid Ongoing SIBTF Updates

In October 2025, several legislative offices confirmed interest in requesting a performance audit through the Joint Legislative Audit Committee (JLAC) to evaluate whether SIBTF’s operational structure meets statutory timelines and service standards, as highlighted in recent SIBTF updates from state policy discussions.

Workers’ advocates say delays often exceed three years, leaving injured employees waiting for benefits they are legally entitled to. Employers, meanwhile, express frustration over rising assessments linked to administrative inefficiency.

“The Fund’s mission is vital, but its delays are untenable,” said a Sacramento-based workers’ compensation policy consultant. “Audit-level transparency is long overdue.”

The Department of Industrial Relations has acknowledged the ongoing backlog and stated that its Division of Workers’ Compensation (DWC) is working to hire and train additional staff to address claim volume and reduce case aging.

Systemic Delays and Legislative Momentum

The 2024–2025 DIR progress report revealed that SIBTF claim determinations have slowed despite incremental funding increases. Experts point to three recurring challenges:

  • Insufficient specialized claims staff to process complex medical-apportionment files.
  • Outdated case management systems not integrated with DWC’s e-filing platform.
  • A growing volume of legacy cases awaiting eligibility review.

As of late 2025, several policy organizations — including the California Applicants’ Attorneys Association (CAAA) — have proposed statutory amendments to modernize claim-filing and documentation rules under Labor Code §4751, which governs SIBTF eligibility, according to recent SIBTF updates from industry observers.

Fiscal Pressure: The Cost of Inaction

Employer assessments funding the SIBTF surpassed $300 million for FY 2025, drawing attention from industry groups that question whether administrative inefficiencies inflate costs. Recent SIBTF updates indicate that analysts suggest a streamlined review process and clearer documentation standards could reduce liability exposure without diminishing worker protection.

Some proposals under review include:

  • Introducing digital pre-screening protocols for early eligibility assessment.
  • Expanding inter-department data sharing between DIR, DWC, and EDD.
  • Adjusting apportionment calculation criteria for faster medical-legal resolution.

DIR’s Planned Next Steps

According to DIR’s October statement, the department plans to issue updated SIBTF workload metrics by December 2025. Recent SIBTF updates suggest that a formal audit proposal is expected to reach committee discussion in early 2026.

DIR maintains that it is prioritizing modernization while balancing the fund’s long-term solvency and compliance with the Workers’ Compensation Administration Revolving Fund obligations.

For official updates, visit the California DIR’s SIBTF Information Page.


Subscribe to SIBTF.org for ongoing updates about audit proceedings, procedural reforms, and DIR transparency initiatives affecting the Subsequent Injuries Benefits Trust Fund.


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FAQs: About the SIBTF Audit Push

Why is SIBTF under scrutiny in 2025?

According to recent 2025 SIBTF updates, the fund is under scrutiny due to persistent claim delays, mounting administrative backlogs, and growing concerns about transparency within the Department of Industrial Relations (DIR). Lawmakers and injured workers argue that these issues hinder timely access to benefits and demand stronger oversight.

Who is calling for an audit?

Legislators, applicant attorneys, and employer associations are jointly urging the Joint Legislative Audit Committee (JLAC) to evaluate DIR’s handling of SIBTF operations.

What are the proposed reforms?

Proposals include digital case management upgrades, early eligibility pre-screening, and clearer medical-apportionment standards under Labor Code §4751.

When will updates be released?

DIR has indicated that a new performance summary and claim backlog report will be published by December 2025, with audit review discussions anticipated in early 2026, according to the latest SIBTF updates released by the department.

What is SIBTF?

The Subsequent Injuries Benefits Trust Fund (SIBTF) helps California workers who suffer a new workplace injury and already had a prior disability. It offers supplemental compensation when combined impairments severely limit earning capacity.

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