SB 363: Health care coverage: independent medical review.
This bill requires health care service plans and health insurers to annually report the total number of claims processed and treatment denials or modifications, separated and disaggregated. The departments must compare this data to the number of successful independent medical review overturns and reversals. For health care service plans or insurers with 10 or more independent medical reviews, liability for an administrative penalty is imposed if more than 50% of reviews result in an overturning or reversal of a treatment denial or modification. The departments must include data and analysis in reports and create funds to receive and deposit penalties generated from these penalties.
| Aug. 13, 2026 | August 13 hearing: Held in committee and under submission. |
| Aug. 29, 2025 | August 29 hearing postponed by committee. |
| Aug. 20, 2025 | August 20 set for first hearing. Placed on APPR. suspense file. |
| Aug. 20, 2025 | August 20 set for first hearing. Placed on APPR. suspense file. |
| Jul. 17, 2025 | Read second time and amended. Re-referred to Com. on APPR. |