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California bills · 2025-2026 Regular Session

California SB 1049

Health care claims reimbursement.

  1. Introduced
  2. In committee
  3. Passed Senate
  4. Passed House
  5. To Governor
  6. Became law

Sponsors

Cosponsors (1)

Summary

Official abstract published by the California legislature· summary

Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care, and makes a willful violation of the act a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan or health insurer to reimburse a complete claim or a portion thereof within 30 calendar days after receipt of the claim, or, if a claim or portion thereof does not meet the criteria for completeness, to notify the claimant no later than 30 calendar days after receipt that the claim or portion thereof is contested or denied. This bill would grant a claimant no less than 90 calendar days to submit a corrected claim after a health care service plan or health insurer denies a claim or portion thereof or sends a notice of overpayment for a claim based on a defect that may be remedied by submitting a corrected claim. The bill would prohibit a plan or insurer from denying a corrected claim on the grounds that the claim was not submitted within another applicable claim filing deadline. Under the bill, a dispute related to a corrected claim would be required to be eligible for submission to the plan's or insurer's fast, fair, and cost-effective dispute resolution mechanism. Because a willful violation of these provisions by a health care service plan would be a crime, the bill would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.

Text versions

Roll-call votes

State vote data last updated Oct 14, 2026, 4:02 AM.

DateVoteResultYour legislators
Aug 24, 2026
Senate		Unfinished Business SB1049 Weber Pierson et al. ConcurrencepassSet your home in California to see
Aug 20, 2026
House		SB 1049 Weber Pierson Senate Third Reading By ArambulapassSet your home in California to see
Aug 13, 2026
House		Do pass as amended.passSet your home in California to see
Jun 23, 2026
House		Do pass and be re-referred to the Committee on [Appropriations]passSet your home in California to see
May 19, 2026
Senate		3rd Reading SB1049 Weber PiersonpassSet your home in California to see
May 14, 2026
Senate		Do passpassSet your home in California to see
Apr 13, 2026
Senate		Placed on suspense filepassSet your home in California to see
Mar 25, 2026
Senate		Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations]passSet your home in California to see

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