AB 512
Health care coverage: prior authorization.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Vetoed
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- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Bill overview
This bill aims to speed up the process for health plans to approve or deny requests for medical services, known as ‘prior authorization.’ It reduces the time health plans have to make these decisions from 5 to 3 business days for electronic submissions and 5 to 3 business days for non-electronic submissions. The bill also requires quicker decisions – 24 hours for electronic submissions and 48 hours for non-electronic submissions – if an enrollee faces an immediate health threat. Importantly, the bill excludes Medi-Cal managed care plans from these expedited timelines. It also includes provisions to ensure transparency and accountability in the authorization process.
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