Plain English Breakdown
The official status indicates a veto; it is unclear if lawmakers successfully overrode this decision based on the provided text alone.
Health Care Coverage Reporting
AB-682 proposed requiring health plans and insurers to publish prior authorization data online and submit annual reports to state regulators, but the governor vetoed this bill.
What This Bill Does
- Requires health care service plans that use prior authorization to post specific data from the previous year on their websites by February 1, starting in 2026.
- Requires health insurers that use prior authorization to post specific data from the previous year on their websites by February 1, starting in 2028.
- Mandates annual reports of claims and prior authorization data be sent to state departments by February 1 each year, beginning in 2027 for plans and 2028 for insurers.
- Requires the Department of Managed Health Care and the Department of Insurance to post this information on their websites by April 15 annually, broken down by individual plan or insurer.
- Allows state officials to reject reports that do not meet requirements.
- Authorizes the Insurance Commissioner to charge penalties if an insurer fails to fix errors in a report.
- Gives state directors authority to create rules about what these online posts and submitted reports must include.
Who It Names or Affects
- Health care service plans regulated by the Department of Managed Health Care
- Health insurers regulated by the Department of Insurance
Terms To Know
- Prior authorization
- A process where a licensed physician or health professional must approve, modify, delay, or deny requests for health care services based on medical necessity.
- Utilization review
- Functions used by insurers to decide whether to approve, change, delay, or deny requests for health care based on medical need.
Limits and Unknowns
- The governor vetoed this bill; it did not become law unless lawmakers later overrode the veto.
- Specific details about what data must be reported depend on future rules created by state officials.
- A willful violation of these provisions by a health care service plan would be considered a crime.