CA SB 1049
enactedHealth care claims reimbursement.
California · 2025-2026 Regular Session · upper
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Quick answers
Did CA SB 1049 pass?
Yes. CA SB 1049 has been enacted into law. Latest recorded action (2026-09-30): Chaptered by Secretary of State. Chapter 1001, Statutes of 2026.
What is CA SB 1049 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 completeness, to notify the claimant no later than 30 calendar days after receipt that the claim or portion thereof is contested or denied. This bill would grant a claimant no less than 90 calendar days to submit a corrected claim after a health care service plan or health insurer denies a claim or portion thereof or sends a notice of overpayment for a claim based on a defect that may be remedied by submitting a corrected claim. The bill would prohibit a plan or insurer from denying a corrected claim on the grounds that the claim was not submitted within another applicable claim filing deadline. Under the bill, a dispute related to a corrected claim would be required to be eligible for submission to the plan's or insurer's fast, fair, and cost-effective dispute resolution mechanism. 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 SB 1049?
Weber Pierson is the primary sponsor of CA SB 1049, joined by 1 cosponsor.
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 completeness, to notify the claimant no later than 30 calendar days after receipt that the claim or portion thereof is contested or denied. This bill would grant a claimant no less than 90 calendar days to submit a corrected claim after a health care service plan or health insurer denies a claim or portion thereof or sends a notice of overpayment for a claim based on a defect that may be remedied by submitting a corrected claim. The bill would prohibit a plan or insurer from denying a corrected claim on the grounds that the claim was not submitted within another applicable claim filing deadline. Under the bill, a dispute related to a corrected claim would be required to be eligible for submission to the plan's or insurer's fast, fair, and cost-effective dispute resolution mechanism. 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
- 2026-02-12
- Latest action
- 2026-09-30 — Chaptered by Secretary of State. Chapter 1001, Statutes of 2026.
- Bill type
- bill
- Last updated
- —
Subjects
Sponsors
- Weber Piersonauthor
- Patelcoauthor
Committees
Not provided by source.
Action timeline
Newest first
2026-09-30
Chaptered by Secretary of State. Chapter 1001, Statutes of 2026.
became-law
2026-09-30
Approved by the Governor.
executive-signature
2026-08-28
Enrolled and presented to the Governor at 11 a.m.
2026-08-24
Assembly amendments concurred in. (Ayes 31. Noes 6.) Ordered to engrossing and enrolling.
amendment-passage,committee-passage,committee-passage-favorable
2026-08-24
Assembly amendments concurred in. (Ayes 32. Noes 6. Page 5688.) Ordered to engrossing and enrolling.
2026-08-24
Assembly amendments concurred in. (Ayes 32. Noes 6.) Ordered to engrossing and enrolling.
amendment-passage,committee-passage,committee-passage-favorable
2026-08-20
Read third time. Passed. Ordered to the Senate.
passage,reading-1,reading-3
2026-08-20
In Senate. Concurrence in Assembly amendments pending.
2026-08-20
Read third time. Passed. (Ayes 73. Noes 0. Page 6307.) Ordered to the Senate.
passage,reading-1,reading-3
2026-08-17
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2026-08-13
Read second time and amended. Ordered to second reading.
amendment-passage,reading-1,reading-2
2026-08-13
Assembly Rule 63 suspended.
2026-08-13
From committee: Do pass as amended. (Ayes 11. Noes 0.) (August 13).
amendment-passage,committee-passage,committee-passage-favorable
2026-08-05
August 5 set for first hearing. Placed on suspense file.
2026-06-24
Coauthors revised.
2026-06-24
From committee: Do pass and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (June 23). Re-referred to Com. on APPR.
committee-passage,committee-passage-favorable,referral-committee
2026-05-26
Referred to Com. on HEALTH.
referral-committee
2026-05-20
In Assembly. Read first time. Held at Desk.
reading-1
2026-05-19
Read third time. Passed. (Ayes 32. Noes 2. Page 4342.) Ordered to the Assembly.
passage,reading-1,reading-3
2026-05-14
From committee: Do pass. (Ayes 5. Noes 2. Page 4262.) (May 14).
committee-passage,committee-passage-favorable
2026-05-14
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2026-05-08
Set for hearing May 14.
2026-04-13
April 13 hearing: Placed on APPR. suspense file.
2026-04-10
Set for hearing April 13.
2026-04-06
Read second time and amended. Re-referred to Com. on APPR.
amendment-passage,reading-1,reading-2,referral-committee
2026-03-26
From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 1. Page 3690.) (March 25).
amendment-passage,committee-passage,committee-passage-favorable,referral-committee
2026-03-09
Set for hearing March 25.
2026-02-26
Referred to Com. on HEALTH.
referral-committee
2026-02-13
From printer. May be acted upon on or after March 15.
2026-02-12
Introduced. Read first time. To Com. on RLS. for assignment. To print.
introduction,reading-1,referral-committee
Versions
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Votes
Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations]
2026-03-25 · pass · 8-1
Member-level votes (11)
- Menjivar: yes
- Gonzalez: yes
- Smallwood-Cuevas: yes
- Rubio: yes
- Weber Pierson: yes
- Padilla: yes
- Durazo: yes
- Caballero: yes
- Grove: no
- Pérez: other
- Valladares: other
Placed on suspense file
2026-04-13 · pass · 7-0
Member-level votes (7)
- Dahle: yes
- Richardson: yes
- Cervantes: yes
- Cabaldon: yes
- Seyarto: yes
- Wahab: yes
- Grayson: yes
Do pass
2026-05-14 · pass · 5-2
Member-level votes (7)
- Wahab: yes
- Cervantes: yes
- Cabaldon: yes
- Richardson: yes
- Grayson: yes
- Dahle: no
- Seyarto: no
3rd Reading SB1049 Weber Pierson
2026-05-19 · pass · 32-2
Member-level votes (40)
- Weber Pierson: yes
- Allen: yes
- Cortese: yes
- Hurtado: yes
- Ochoa Bogh: yes
- Wiener: yes
- Limón: yes
- Grayson: yes
- Becker: yes
- Cervantes: yes
- Rubio: yes
- McGuire: yes
- Stern: yes
- Smallwood-Cuevas: yes
- Gonzalez: yes
- Padilla: yes
- Durazo: yes
- Cabaldon: yes
- Arreguín: yes
- Strickland: yes
- Umberg: yes
- Ashby: yes
- Menjivar: yes
- Laird: yes
- Blakespear: yes
- Archuleta: yes
- Richardson: yes
- McNerney: yes
- Pérez: yes
- Caballero: yes
- Reyes: yes
- Wahab: yes
- Choi: no
- Seyarto: no
- Alvarado-Gil: other
- Dahle: other
- Jones: other
- Grove: other
- Valladares: other
- Niello: other
Do pass and be re-referred to the Committee on [Appropriations]
2026-06-23 · pass · 15-0
Member-level votes (16)
- Sharp-Collins: yes
- Stefani: yes
- Mark González: yes
- Schiavo: yes
- Caloza: yes
- Carrillo: yes
- Patel: yes
- Patterson: yes
- Addis: yes
- Celeste Rodriguez: yes
- Ahrens: yes
- Sanchez: yes
- Jeff Gonzalez: yes
- Bonta: yes
- Aguiar-Curry: yes
- Johnson: other
Related bills
No related bills recorded for this bill.
Official source
Attribution
Data from openstates_api_sync, retrieved 2026-10-01T20:25:01.457668Z
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