AB 510
Health care coverage: utilization review: peer-to-peer review.
Vote required
Majority
Fiscal committee
No
Appropriation
No
Current location
Appropriations
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Sign in to take action- Introduced
- Passed Assembly
- Passed Senate
- To Governor
- Became Law
Bill overview
```json { "summary": "This bill aims to improve the process for appealing and challenging healthcare coverage decisions made by health plans and insurers in California. It requires that appeals regarding denials or delays of healthcare services based on medical necessity be reviewed by a qualified physician or healthcare professional, similar to the requesting provider’s specialty. The bill also mandates a faster review process, aiming for decisions within two business days, with an exception for urgent cases involving a serious health threat. Furthermore, it establishes a dispute resolution mechanism for providers to challenge billing and claims issues with insurers, ensuring timely responses and fair resolutions.", "keyProvisions": [ "Requires peer-to-peer review of healthcare c
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