summary
Introduced
02/12/2026
02/12/2026
In Committee
Crossed Over
Passed
Dead
Introduced Session
2025-2026 Regular Session
Bill Summary
An act to add Section 1371.21 to the Health and Safety Code, and to add Section 10123.134 to the Insurance Code, relating to health care coverage.
AI Summary
This bill, aimed at improving health care claims reimbursement, grants healthcare providers an extended period of 90 days to resubmit a corrected claim after a health care service plan or health insurer denies the original claim or issues a notice of overpayment due to a correctable defect. This provision applies to both health care service plans, regulated by the Department of Managed Health Care under the Knox-Keene Health Care Service Plan Act of 1975, and health insurers, regulated by the Department of Insurance. Crucially, the bill prohibits these plans and insurers from rejecting a corrected claim solely because it was submitted beyond the original claim filing deadline, thereby providing a more flexible process for resolving claim discrepancies.
Sponsors (1)
Last Action
From printer. May be acted upon on or after March 15. (on 02/13/2026)
bill text
bill summary
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bill summary
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bill summary
| Document Type | Source Location |
|---|---|
| State Bill Page | https://leginfo.legislature.ca.gov/faces/billStatusClient.xhtml?bill_id=202520260SB1049 |
| BillText | https://leginfo.legislature.ca.gov/faces/billTextClient.xhtml?bill_id=202520260SB1049#99INT |
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