CA AB 574
vetoedPrior authorization: physical therapy.
California · 2025-2026 Regular Session · lower
Quick answers
Did CA AB 574 pass?
No. CA AB 574 passed the legislature but was vetoed on 2026-01-22. Latest recorded action (2026-01-22): Consideration of Governor's veto stricken from file.
What is CA AB 574 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 sets forth specified prior authorization limitations for health care service plans and health insurers. This bill would prohibit a health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2027, that provides coverage for physical therapy from imposing prior authorization for the initial 12 physical therapy treatment visits for a new condition. The bill would authorize prior authorization for physical therapy for a recurring condition, as specified. The bill would require a physical therapy provider to verify an enrollee's or an insured's coverage and disclose their share of the cost of care, as specified. The bill would require a physical therapy provider to obtain separate written consent for costs that may not be covered by the enrollee's or insured's plan contract or policy, that includes a written estimate of the cost of care for which the enrollee or insured is responsible if coverage is denied or otherwise not applicable. With respect to health care service plans, the bill would specify that its provisions do not apply to Medi-Cal managed care plan contracts. Because a willful violation of this provision 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 574?
Mark González is the primary sponsor of CA AB 574, joined by 2 cosponsors.
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 sets forth specified prior authorization limitations for health care service plans and health insurers. This bill would prohibit a health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2027, that provides coverage for physical therapy from imposing prior authorization for the initial 12 physical therapy treatment visits for a new condition. The bill would authorize prior authorization for physical therapy for a recurring condition, as specified. The bill would require a physical therapy provider to verify an enrollee's or an insured's coverage and disclose their share of the cost of care, as specified. The bill would require a physical therapy provider to obtain separate written consent for costs that may not be covered by the enrollee's or insured's plan contract or policy, that includes a written estimate of the cost of care for which the enrollee or insured is responsible if coverage is denied or otherwise not applicable. With respect to health care service plans, the bill would specify that its provisions do not apply to Medi-Cal managed care plan contracts. Because a willful violation of this provision 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
- 2025-03-10
- Latest action
- 2026-01-22 — Consideration of Governor's veto stricken from file.
- Bill type
- bill
- Last updated
- —
Subjects
Sponsors
- Mark Gonzálezauthor
- Irwincoauthor
- Wienercoauthor
Committees
Not provided by source.
Action timeline
2025-02-12
Read first time. To print.
reading-1
2025-02-13
From printer. May be heard in committee March 15.
2025-03-10
From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.
amendment-introduction,amendment-passage,committee-passage,reading-1,reading-2,referral-committee
2025-03-10
Referred to Com. on HEALTH.
referral-committee
2025-03-11
Re-referred to Com. on HEALTH.
referral-committee
2025-04-23
From committee: Do pass and re-refer to Com. on APPR. (Ayes 16. Noes 0.) (April 22). Re-referred to Com. on APPR.
committee-passage,committee-passage-favorable,referral-committee
2025-04-30
From committee: Do pass. (Ayes 14. Noes 0.) (April 30).
committee-passage,committee-passage-favorable
2025-05-01
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2025-05-12
Read third time. Passed. Ordered to the Senate. (Ayes 73. Noes 1. Page 1511.)
passage,reading-1,reading-3
2025-05-13
In Senate. Read first time. To Com. on RLS. for assignment.
reading-1,referral-committee
2025-05-21
Referred to Com. on HEALTH.
referral-committee
2025-06-13
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 7. Noes 0.) (June 11).
amendment-introduction,amendment-passage,committee-passage,referral-committee
2025-06-16
Read second time and amended. Re-referred to Com. on APPR.
amendment-passage,reading-1,reading-2,referral-committee
2025-06-30
From committee: Be ordered to second reading pursuant to Senate Rule 28.8.
committee-passage,reading-1,reading-2
2025-07-01
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2025-09-02
Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0. Page 2388.).
passage,reading-1,reading-3
2025-09-02
In Assembly. Concurrence in Senate amendments pending.
2025-09-03
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 76. Noes 1. Page 2859.).
amendment-passage,committee-passage,committee-passage-favorable
2025-09-09
Enrolled and presented to the Governor at 3 p.m.
executive-receipt
2025-10-06
Vetoed by Governor.
executive-veto
2025-10-06
Consideration of Governor's veto pending.
2026-01-22
Consideration of Governor's veto stricken from file.
veto-override-failure
Versions
Documents
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Votes
Do pass and be re-referred to the Committee on [Appropriations]
2025-04-22 · pass · 16-0
Member-level votes (16)
- Chen: yes
- Patel: yes
- Rogers: yes
- Sharp-Collins: yes
- Krell: yes
- Carrillo: yes
- Celeste Rodriguez: yes
- Bonta: yes
- Flora: yes
- Mark González: yes
- Sanchez: yes
- Aguiar-Curry: yes
- Schiavo: yes
- Stefani: yes
- Patterson: yes
- Addis: yes
Do pass.
2025-04-30 · pass · 14-0
Member-level votes (15)
- Dixon: yes
- Hart: yes
- Mark González: yes
- Pacheco: yes
- Elhawary: yes
- Caloza: yes
- Ta: yes
- Wicks: yes
- Solache: yes
- Fong: yes
- Sanchez: yes
- Arambula: yes
- Alanis: yes
- Calderon: yes
- Pellerin: other
AB 574 Mark González Assembly Third Reading
2025-05-12 · pass · 73-1
Member-level votes (79)
- Carrillo: yes
- Alanis: yes
- Hart: yes
- Michelle Rodriguez: yes
- Ellis: yes
- Addis: yes
- Sharp-Collins: yes
- Ward: yes
- Garcia: yes
- Arambula: yes
- Lowenthal: yes
- Pacheco: yes
- Wallis: yes
- Macedo: yes
- Jeff Gonzalez: yes
- Bonta: yes
- Soria: yes
- Chen: yes
- Alvarez: yes
- Dixon: yes
- Solache: yes
- Harabedian: yes
- Ahrens: yes
- Aguiar-Curry: yes
- Muratsuchi: yes
- Papan: yes
- Caloza: yes
- Pellerin: yes
- Calderon: yes
- Mark González: yes
- Valencia: yes
- Lee: yes
- Ramos: yes
- Irwin: yes
- Quirk-Silva: yes
- Rivas: yes
- Wilson: yes
- Fong: yes
- Flora: yes
- Gallagher: yes
- Rogers: yes
- Schiavo: yes
- Blanca Rubio: yes
- McKinnor: yes
- Haney: yes
- Ávila Farías: yes
- Bennett: yes
- Ta: yes
- Hadwick: yes
- Connolly: yes
- Berman: yes
- Ortega: yes
- Ransom: yes
- Bauer-Kahan: yes
- Krell: yes
- Bryan: yes
- Celeste Rodriguez: yes
- Hoover: yes
- Davies: yes
- Elhawary: yes
- Nguyen: yes
- Patel: yes
- Sanchez: yes
- Schultz: yes
- Zbur: yes
- Castillo: yes
- Wicks: yes
- Boerner: yes
- Bains: yes
- Gipson: yes
- Jackson: yes
- Kalra: yes
- Lackey: yes
- DeMaio: no
- Tangipa: other
- Patterson: other
- Gabriel: other
- Stefani: other
- Petrie-Norris: other
Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations]
2025-06-11 · pass · 7-0
Member-level votes (11)
- Limón: yes
- Richardson: yes
- Grove: yes
- Wiener: yes
- Menjivar: yes
- Padilla: yes
- Durazo: yes
- Weber Pierson: other
- Gonzalez: other
- Valladares: other
- Rubio: other
3rd Reading AB574 Mark González et al. By Wiener
2025-09-02 · pass · 39-0
Member-level votes (40)
- Alvarado-Gil: yes
- Cortese: yes
- Pérez: yes
- Strickland: yes
- Wiener: yes
- Caballero: yes
- Smallwood-Cuevas: yes
- Ochoa Bogh: yes
- Hurtado: yes
- Reyes: yes
- Rubio: yes
- Seyarto: yes
- Arreguín: yes
- Wahab: yes
- Durazo: yes
- Padilla: yes
- Laird: yes
- McGuire: yes
- Menjivar: yes
- Jones: yes
- Umberg: yes
- Archuleta: yes
- Choi: yes
- Gonzalez: yes
- Cervantes: yes
- Blakespear: yes
- Becker: yes
- Ashby: yes
- Dahle: yes
- Niello: yes
- Richardson: yes
- Grove: yes
- Allen: yes
- McNerney: yes
- Stern: yes
- Grayson: yes
- Valladares: yes
- Limón: yes
- Cabaldon: yes
- Weber Pierson: other
AB 574 Mark González Concurrence in Senate Amendments
2025-09-03 · pass · 76-1
Member-level votes (79)
- Hadwick: yes
- Zbur: yes
- Rogers: yes
- Pacheco: yes
- Stefani: yes
- Ahrens: yes
- Dixon: yes
- Flora: yes
- Schiavo: yes
- Blanca Rubio: yes
- Wicks: yes
- Wilson: yes
- Bryan: yes
- Gallagher: yes
- Jackson: yes
- Jeff Gonzalez: yes
- Ramos: yes
- Wallis: yes
- Alvarez: yes
- Sanchez: yes
- Addis: yes
- Calderon: yes
- Michelle Rodriguez: yes
- Ransom: yes
- Sharp-Collins: yes
- Macedo: yes
- Schultz: yes
- Kalra: yes
- Patterson: yes
- Rivas: yes
- Lowenthal: yes
- Ortega: yes
- Ellis: yes
- Haney: yes
- Berman: yes
- Harabedian: yes
- Irwin: yes
- Davies: yes
- Connolly: yes
- Solache: yes
- Ward: yes
- Ávila Farías: yes
- Soria: yes
- McKinnor: yes
- Valencia: yes
- Bains: yes
- Petrie-Norris: yes
- Patel: yes
- Caloza: yes
- Nguyen: yes
- Boerner: yes
- Pellerin: yes
- Quirk-Silva: yes
- Gipson: yes
- Aguiar-Curry: yes
- Hoover: yes
- Ta: yes
- Arambula: yes
- Bennett: yes
- Bauer-Kahan: yes
- Hart: yes
- Papan: yes
- Garcia: yes
- Krell: yes
- Celeste Rodriguez: yes
- Lee: yes
- Muratsuchi: yes
- Castillo: yes
- Lackey: yes
- Bonta: yes
- Alanis: yes
- Chen: yes
- Fong: yes
- Mark González: yes
- Carrillo: yes
- Elhawary: yes
- DeMaio: no
- Gabriel: other
- Tangipa: other
Related bills
No related bills recorded for this bill.
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Attribution
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