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Home/Bills/SB 363California · 2025–2026 Regular Session
Senate BillPassed first houseHealth and Safety

SB 363: Health care coverage: independent medical review.

California · Senate · 2025–2026 Regular Session · last verified August 15, 2026

What SB 363 does, verified August 15, 2026

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.

Bill journey
IntroducedComplete
In CommitteeComplete
First Chamber FloorComplete
4Second ChamberCurrent
5GovernorPending
6ChapteredPending
Last action: August 13 hearing: Held in committee and under submission. (2026-08-13)Alert me
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Coauthors
Josh BeckerPilar SchiavoAkilah Weber PiersonDave Cortese
Recent actions28 total · showing 5
Aug. 13, 2026August 13 hearing: Held in committee and under submission.
Aug. 29, 2025August 29 hearing postponed by committee.
Aug. 20, 2025August 20 set for first hearing. Placed on APPR. suspense file.
Aug. 20, 2025August 20 set for first hearing. Placed on APPR. suspense file.
Jul. 17, 2025Read second time and amended. Re-referred to Com. on APPR.
Full action history, 23 earlier actionsConnect Plus
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