CaliforniaFilers would get at least 90 days after denials or overpayment notices tied to fixable errors
The signed law would give claim filers at least 90 days from a California health plan's or insurer's latest action to submit a corrected claim after a denial or overpayment notice based partly on a fixable error.
What it does
After a California health plan or insurer denies any part of a claim or sends an overpayment notice based partly on a fixable error, filers would have at least 90 calendar days from its latest action to submit a corrected claim.
After a denial or overpayment notice based partly on a fixable error, California health plans and insurers would be barred from rejecting a corrected claim filed within the allowed period solely for missing another filing deadline.
After a California plan or insurer denies any part of a claim or sends an overpayment notice based partly on a fixable error, disputes over timely corrected claims would qualify for its claim dispute process.
Argument forFilers facing denials or overpayment notices based partly on fixable errors could use the extra time to correct claims and contest payment decisions.
Argument againstAfter denials or overpayment notices based partly on fixable errors, plans and insurers might review corrected claims after other filing deadlines pass.
More detail
Claim filers would have at least 90 calendar days to submit a corrected claim. This covers full or partial claim denials and overpayment notices from California health plans and insurers. The denial or overpayment notice must be based at least partly on an error that submitting a corrected claim can fix. The period runs from the plan's or insurer's most recent action.
California health plans and insurers would be barred from denying a timely corrected claim solely because it missed another claim filing deadline. This covers corrected claims after full or partial denials or overpayment notices from California health plans and insurers. The denial or overpayment notice must be based at least partly on an error that a corrected claim can fix. The filer must submit the corrected claim within the correction period. The correction period allows at least 90 calendar days from the plan's or insurer's most recent action.
A dispute over a corrected claim filed under these rules would be eligible for the plan's or insurer's claim dispute process. This covers disputes over corrected claims after full or partial denials or overpayment notices from California health plans and insurers. The denial or overpayment notice must be based at least partly on an error that a corrected claim can fix. The filer must submit the corrected claim within the correction period. The correction period allows at least 90 calendar days from the plan's or insurer's most recent action.
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Where it stands
- Introduced
- Passed Senate
- Passed Assembly
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Sep 30Chaptered by Secretary of State. Chapter 1001, Statutes of 2026.Latest
- Sep 30Approved by the Governor Gavin Newsom.Became Law
- Aug 28Enrolled and presented to the Governor at 11 a.m.To Governor
- Aug 24Assembly amendments concurred in. (Ayes 32. Noes 6. Page 5688.) Ordered to engrossing and enrolling.Major
- Vote recorded Unfinished Business SB1049 Weber Pierson et al. Concurrence. Result: pass.Upper
- Aug 20In Senate. Concurrence in Assembly amendments pending.
- Vote recorded SB 1049 Weber Pierson Senate Third Reading By Arambula. Result: pass.Lower
- Aug 20Read third time. Passed. (Ayes 73. Noes 0. Page 6307.) Ordered to the Senate.Passed Assembly
- Aug 17Read second time. Ordered to third reading.Minor
- Aug 13Read second time and amended. Ordered to second reading.Major
- Vote recorded Do pass as amended. Result: pass.Lower
- Aug 13From committee: Do pass as amended. (Ayes 11. Noes 0.) (August 13).Major
- Aug 13Assembly Rule 63 suspended.
- Aug 5August 5 set for first hearing. Placed on suspense file.
- Jun 24From committee: Do pass and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (June 23). Re-referred to Com. on APPR.Minor
- Jun 24Coauthors revised.
- Jun 23
- Vote recorded Do pass and be re-referred to the Committee on [Appropriations]. Result: pass.Lower
- May 26Referred to Com. on HEALTH.Minor
- May 20In Assembly. Read first time. Held at Desk.Minor
- May 19Read third time. Passed. (Ayes 32. Noes 2. Page 4342.) Ordered to the Assembly.Passed Senate
- Vote recorded 3rd Reading SB1049 Weber Pierson. Result: pass.Upper
- May 14Read second time. Ordered to third reading.Minor
- Vote recorded Do pass. Result: pass.Upper
- May 14From committee: Do pass. (Ayes 5. Noes 2. Page 4262.) (May 14).Minor
- May 8Set for hearing May 14.
- Apr 13April 13 hearing: Placed on APPR. suspense file.
- Vote recorded Placed on suspense file. Result: pass.Upper
- Apr 10Set for hearing April 13.
- Apr 6Read second time and amended. Re-referred to Com. on APPR.Major
- Mar 26From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 1. Page 3690.) (March 25).Major
- Mar 25
- Vote recorded Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations]. Result: pass.Upper
- Mar 9Set for hearing March 25.
- Feb 26Referred to Com. on HEALTH.Minor
- Feb 13From printer. May be acted upon on or after March 15.
- Feb 12Introduced. Read first time. To Com. on RLS. for assignment. To print.Introduced
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