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California 20252026

AB 2499

Health care coverage: claims payments.

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Source: Open States / PluralUpdated 2026-09-12 13:12:55 UTC.

Official record

Measure details

Jurisdiction
California
Session
20252026
Chamber
lower
Classification
bill
Subjects
Healthcarecoverage, claimspayments
Introduced / first action
2026-02-20 00:00:00

Alternate titles

  • Corrections: prison conditions.

Source-supplied abstracts

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 a complete claim or the criteria for coverage under the plan or insurance contract, to notify the claimant in writing that the claim or portion thereof is contested or denied as soon as practicable, but no later than 30 calendar days after receipt of the claim by the plan or insurer. This bill would, commencing May 26, 2028, require a plan or insurer to accept electronic medical records and supporting documentation necessary to process a claim through a standard electronic submission method, as specified, and would prohibit a plan or insurer from denying, pending, or delaying a claim solely because the plan's or insurer's systems are unable to accept documentation that otherwise meets the plan's or insurer's requirements. The bill would specify that if a state or federal standard is adopted that is specific to file size, number, or other capacity requirements for claims-related supporting documentation submissions, that standard would apply. 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.

Sponsors

Source-supplied history

Actions

  1. Enrolled and presented to the Governor at 4 p.m.

    executive-receipt

  2. Senate amendments concurred in. To Engrossing and Enrolling.

    amendment-passage, committee-passage, committee-passage-favorable

  3. From committee: That the Senate amendments be concurred in. (Ayes 75. Noes 0.) (August 27).

    committee-passage

  4. Joint Rule 62(a), file notice suspended.

  5. Re-referred to Com. on HEALTH. pursuant to Assembly Rule 77.2.

    referral-committee

  6. In Assembly. Concurrence in Senate amendments pending.

  7. Read third time. Passed. Ordered to the Assembly. (Ayes 38. Noes 0.).

    passage, reading-1, reading-3

  8. Read second time. Ordered to third reading.

    reading-1, reading-2, reading-3

  9. Read third time and amended. Ordered to second reading.

    amendment-passage, reading-1, reading-2, reading-3

  10. Read second time. Ordered to third reading.

    reading-1, reading-2, reading-3

  11. From committee: Be ordered to second reading pursuant to Senate Rule 28.8.

    committee-passage, reading-1, reading-2

  12. Read second time and amended. Re-referred to Com. on APPR.

    amendment-passage, reading-1, reading-2, referral-committee

  13. From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 10. Noes 0.) (July 1).

    amendment-introduction, amendment-passage, committee-passage, referral-committee

  14. From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.

    amendment-introduction, amendment-passage, committee-passage, reading-1, reading-2, referral-committee

  15. Re-referred to Com. on HEALTH.

    referral-committee

  16. Re-referred to Com. on RLS.

    referral-committee

  17. Withdrawn from committee.

    withdrawal

  18. From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on L., P.E. & R.

    amendment-introduction, amendment-passage, committee-passage, reading-1, reading-2, referral-committee

  19. Referred to Coms. on L., P.E. & R. and PUB. S.

    referral-committee

  20. In Senate. Read first time. To Com. on RLS. for assignment.

    reading-1, referral-committee

  21. Read third time. Passed. Ordered to the Senate. (Ayes 59. Noes 13. Page 5538.)

    passage, reading-1, reading-3

  22. Read second time. Ordered to third reading.

    reading-1, reading-2, reading-3

  23. Read second time and amended. Ordered returned to second reading.

    amendment-passage, reading-1, reading-2

  24. From committee: Amend, and do pass as amended. (Ayes 11. Noes 3.) (May 14).

    amendment-introduction, amendment-passage, committee-passage

  25. In committee: Set, first hearing. Referred to APPR. suspense file.

    referral-committee

  26. From committee: Do pass and re-refer to Com. on APPR. (Ayes 7. Noes 0.) (April 22). Re-referred to Com. on APPR.

    committee-passage, committee-passage-favorable, referral-committee

  27. Re-referred to Com. on L. & E.

    referral-committee

  28. From committee chair, with author's amendments: Amend, and re-refer to Com. on L. & E. Read second time and amended.

    amendment-introduction, amendment-passage, committee-passage, reading-1, reading-2, referral-committee

  29. From committee: Do pass and re-refer to Com. on L. & E. (Ayes 7. Noes 0.) (March 24). Re-referred to Com. on L. & E.

    committee-passage, committee-passage-favorable, referral-committee

  30. Coauthors revised.

  31. Referred to Coms. on PUB. S. and L. & E.

    referral-committee

  32. From printer. May be heard in committee March 23.

  33. Read first time. To print.

    reading-1

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