CA AB 2499
enactedHealth care coverage: claims payments.
California · 2025-2026 Regular Session · lower
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Quick answers
Did CA AB 2499 pass?
Yes. CA AB 2499 has been enacted into law. Latest recorded action (2026-09-30): Chaptered by Secretary of State - Chapter 945, Statutes of 2026.
What is CA AB 2499 about?
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.
Who sponsors CA AB 2499?
Gipson is the primary sponsor of CA AB 2499.
Description
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.
- Introduced
- 2026-04-13
- Latest action
- 2026-09-30 — Chaptered by Secretary of State - Chapter 945, Statutes of 2026.
- Bill type
- bill
- Last updated
- —
Subjects
Sponsors
- Gipsonauthor
Committees
Not provided by source.
Action timeline
Newest first
2026-09-30
Chaptered by Secretary of State - Chapter 945, Statutes of 2026.
became-law
2026-09-30
Approved by the Governor.
executive-signature
2026-09-04
Enrolled and presented to the Governor at 4 p.m.
executive-receipt
2026-08-27
From committee: That the Senate amendments be concurred in. (Ayes 75. Noes 0.) (August 27).
committee-passage
2026-08-27
Senate amendments concurred in. To Engrossing and Enrolling.
amendment-passage,committee-passage,committee-passage-favorable
2026-08-27
Senate amendments concurred in. To Engrossing and Enrolling. (Page 6733.).
amendment-passage,committee-passage,committee-passage-favorable
2026-08-26
In Assembly. Concurrence in Senate amendments pending.
2026-08-26
Re-referred to Com. on HEALTH. pursuant to Assembly Rule 77.2.
referral-committee
2026-08-26
Joint Rule 62(a), file notice suspended.
2026-08-26
Joint Rule 62(a), file notice suspended. (Page 6563.)
2026-08-25
Read third time. Passed. Ordered to the Assembly. (Ayes 38. Noes 0.).
passage,reading-1,reading-3
2026-08-24
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2026-08-20
Read third time and amended. Ordered to second reading.
amendment-passage,reading-1,reading-2,reading-3
2026-08-04
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2026-08-03
From committee: Be ordered to second reading pursuant to Senate Rule 28.8.
committee-passage,reading-1,reading-2
2026-07-02
Read second time and amended. Re-referred to Com. on APPR.
amendment-passage,reading-1,reading-2,referral-committee
2026-07-02
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
2026-06-22
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
2026-06-15
Re-referred to Com. on HEALTH.
referral-committee
2026-06-12
Re-referred to Com. on RLS.
referral-committee
2026-06-12
Withdrawn from committee.
withdrawal
2026-06-11
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
2026-06-10
Referred to Coms. on L., P.E. & R. and PUB. S.
referral-committee
2026-06-01
In Senate. Read first time. To Com. on RLS. for assignment.
reading-1,referral-committee
2026-05-28
Read third time. Passed. Ordered to the Senate. (Ayes 59. Noes 13. Page 5538.)
passage,reading-1,reading-3
2026-05-19
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2026-05-18
Read second time and amended. Ordered returned to second reading.
amendment-passage,reading-1,reading-2
2026-05-14
From committee: Amend, and do pass as amended. (Ayes 11. Noes 3.) (May 14).
amendment-introduction,amendment-passage,committee-passage
2026-05-06
In committee: Set, first hearing. Referred to APPR. suspense file.
referral-committee
2026-04-23
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
2026-04-14
Re-referred to Com. on L. & E.
referral-committee
2026-04-13
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
2026-03-25
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
2026-03-25
Coauthors revised.
2026-03-09
Referred to Coms. on PUB. S. and L. & E.
referral-committee
2026-02-21
From printer. May be heard in committee March 23.
2026-02-20
Read first time. To print.
reading-1
Versions
- 02/20/26 - Introduced — 2026-02-20Compare
- 04/13/26 - Amended Assembly — 2026-04-13Compare
- 05/18/26 - Amended Assembly — 2026-05-18Compare
- 06/11/26 - Amended Senate — 2026-06-11Compare
- 06/22/26 - Amended Senate — 2026-06-22Compare
- 07/02/26 - Amended Senate — 2026-07-02Compare
- 08/20/26 - Amended Senate — 2026-08-20Compare
- 09/01/26 - Enrolled — 2026-09-01Compare
- 09/30/26 - Chaptered — 2026-09-30Compare
- AB2499Compare
- (document, no version)Compare
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Votes
Do pass and be re-referred to the Committee on [Labor and Employment]
2026-03-24 · pass · 7-0
Member-level votes (9)
- Harabedian: yes
- Mark González: yes
- Alanis: yes
- Nguyen: yes
- Ramos: yes
- Schultz: yes
- Sharp-Collins: yes
- Haney: other
- Lackey: other
Do pass and be re-referred to the Committee on [Appropriations]
2026-04-22 · pass · 7-0
Member-level votes (7)
- Kalra: yes
- Lee: yes
- Elhawary: yes
- Chen: yes
- Alanis: yes
- Ortega: yes
- Ward: yes
Do pass as amended.
2026-05-14 · pass · 11-3
Member-level votes (15)
- Krell: yes
- Sharp-Collins: yes
- Wicks: yes
- Pacheco: yes
- Caloza: yes
- Fong: yes
- Calderon: yes
- Solache: yes
- Pellerin: yes
- Aguiar-Curry: yes
- Mark González: yes
- Tangipa: no
- Dixon: no
- Hoover: no
- Ta: other
AB 2499 Gipson Assembly Third Reading
2026-05-28 · pass · 59-13
Member-level votes (80)
- Bryan: yes
- Muratsuchi: yes
- Soria: yes
- Wicks: yes
- Bauer-Kahan: yes
- Schiavo: yes
- Stefani: yes
- McKinnor: yes
- Alvarez: yes
- Zbur: yes
- Bonta: yes
- Petrie-Norris: yes
- Gabriel: yes
- Berman: yes
- Valencia: yes
- Alanis: yes
- Caloza: yes
- Kalra: yes
- Calderon: yes
- Krell: yes
- Nguyen: yes
- Ávila Farías: yes
- Solache: yes
- Pellerin: yes
- Ramos: yes
- Lowenthal: yes
- Connolly: yes
- Haney: yes
- Jackson: yes
- Bains: yes
- Rivas: yes
- Rogers: yes
- Schultz: yes
- Wilson: yes
- Davies: yes
- Mark González: yes
- Gipson: yes
- Ward: yes
- Addis: yes
- Hart: yes
- Ortega: yes
- Ahrens: yes
- Harabedian: yes
- Michelle Rodriguez: yes
- Arambula: yes
- Irwin: yes
- Patel: yes
- Fong: yes
- Aguiar-Curry: yes
- Garcia: yes
- Lee: yes
- Papan: yes
- Ransom: yes
- Blanca Rubio: yes
- Boerner: yes
- Sharp-Collins: yes
- Carrillo: yes
- Bennett: yes
- Pacheco: yes
- Tangipa: no
- Hoover: no
- Wallis: no
- Jeff Gonzalez: no
- Sanchez: no
- Ellis: no
- Johnson: no
- Dixon: no
- DeMaio: no
- Patterson: no
- Hadwick: no
- Macedo: no
- Gallagher: no
- Flora: other
- Elhawary: other
- Chen: other
- Ta: other
- Celeste Rodriguez: other
- Lackey: other
- Quirk-Silva: other
- Castillo: other
Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations]
2026-07-01 · pass · 10-0
Member-level votes (11)
- Durazo: yes
- Smallwood-Cuevas: yes
- Padilla: yes
- Gonzalez: yes
- Pérez: yes
- Grove: yes
- Menjivar: yes
- Valladares: yes
- Caballero: yes
- Weber Pierson: yes
- Rubio: other
Related bills
No related bills recorded for this bill.
Official source
Attribution
Data from openstates_api_sync, retrieved 2026-10-01T18:16:37.777218Z
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