California 2025-2026 Regular Session

California Assembly Bill AB512

Introduced
2/10/25  
Refer
2/24/25  

Caption

Health care coverage: prior authorization.

Impact

If enacted, AB 512 will significantly alter the operational landscape for health care service plans and disability insurers in California. By enforcing stricter timelines for prior authorization, the bill is likely to enhance access to timely medical services for patients. However, it may also impose greater administrative burdens on health care plans as they scramble to comply with reduced timelines. Moreover, the bill includes provisions that declare willful violations as crimes, reinforcing the seriousness of adherence to these regulations.

Summary

Assembly Bill 512, introduced by Assembly Member Harabedian, aims to amend the Health and Safety Code and the Insurance Code to address changes in the timelines for prior authorization requests in health care coverage. The existing law allows for a five-business-day decision period for standard requests, or 72 hours if there is an imminent threat to health. AB 512 proposes to reduce these timeframes to 48 hours for standard requests and 24 hours for urgent requests. This amendment is intended to streamline health care service approvals and reduce delays that can impact patient care.

Sentiment

The sentiment surrounding AB 512 appears generally supportive among advocates for quicker health care access, including patient rights groups and some health care professionals who see it as a necessary step towards improving patient care. On the other hand, there may be concerns expressed by insurance companies and some health care administrators about the feasibility of meeting the new timelines without increased costs or resources. Thus, the bill has the potential to generate mixed reactions from stakeholders across the health care spectrum.

Contention

Notable points of contention might arise from the proposed enforcement of criminal penalties for violations of the new timelines. Critics may argue that this punitive approach could lead to a chilling effect on health plan operations, as plans may become overly cautious in their approvals, potentially negating the intended benefits of quicker access to services. Additionally, debates may emerge regarding the adequacy of the proposed timelines in balancing patient needs with operational realities faced by insurers and health service providers.

Companion Bills

No companion bills found.

Similar Bills

MA S46

Relative to the use of artificial intelligence and other software tools in healthcare decision-making

TN SB1261

AN ACT to amend Tennessee Code Annotated, Title 8, Chapter 27; Title 56 and Title 71, relative to health insurance.

TN HB1382

AN ACT to amend Tennessee Code Annotated, Title 8, Chapter 27; Title 56 and Title 71, relative to health insurance.

MA S1403

Relative to reducing administrative burden

MA H1136

Improving the health insurance prior authorization process

MT HB556

Generally revise usage of artificial intelligence in certain health insurance

CA SB420

Automated decision systems.

VA HB2046

High-risk artificial intelligence; development, deployment, and use by public bodies, report.