California 2025-2026 Regular Session

California Assembly Bill AB574

Introduced
2/12/25  
Refer
3/10/25  
Report Pass
3/10/25  
Refer
3/11/25  
Refer
3/10/25  
Report Pass
3/10/25  
Report Pass
4/23/25  
Refer
3/11/25  
Refer
4/23/25  
Refer
3/11/25  
Report Pass
4/30/25  
Engrossed
5/12/25  
Refer
5/13/25  
Refer
5/21/25  
Report Pass
6/13/25  

Caption

Prior authorization: physical therapy.

Impact

The bill is expected to significantly impact both patients and providers in the state. By eliminating prior authorization for a set number of initial visits, patients will gain quicker access to therapy sessions which are crucial for recovery in various health conditions. The requirement for verification of coverage and disclosure of potential costs not covered by insurance is also aimed at enhancing transparency as patients manage their treatment options. However, the provisions do not extend to Medi-Cal managed care plans, indicating a gap in coverage for those under these plans.

Summary

Assembly Bill 574, introduced by Assembly Member Mark Gonzlez, aims to reform the prior authorization requirements for physical therapy services under health care plans and insurance policies in California. If enacted, this bill would prohibit health care service plans and insurance policies from requiring prior authorization for the first 12 physical therapy treatment visits for new episodes of care starting from January 1, 2027. This would promote easier access to physical therapy for patients who often face barriers due to existing authorization processes that can delay necessary treatments.

Sentiment

The reception of AB 574 has been largely positive among health care advocates who argue that removing administrative barriers will enable better patient outcomes. The sentiment is that reducing unnecessary authorization requirements aligns with the overall goal of health care reform, which emphasizes patient-centered care. Nevertheless, some insurance providers may express concern regarding potential increases in costs and resource allocation as they adjust to the new regulations.

Contention

One notable point of contention revolves around the balance of patient access and the operational capabilities of health care providers. Critics argue that while the intent to streamline access to care is commendable, such changes could lead to over-utilization of services, placing additional demands on the health care system. Opponents also note that without proper safeguards, there could be implications for the quality of care received by patients. Overall, the debates around AB 574 reflect a critical intersection of health policy, patient rights, and provider responsibilities.

Companion Bills

No companion bills found.

Previously Filed As

CA AB931

Prior authorization: physical therapy.

CA SB516

Health care coverage: prior authorization.

CA AB47

Pelvic floor physical therapy coverage.

CA SB598

Health care coverage: prior authorization.

CA AB2194

Physician assistants: supervision: doctors of podiatric medicine.

CA SB90

Health care coverage: insulin affordability.

CA AB1070

Physician assistants: physician supervision: exceptions.

CA AB907

Coverage for PANDAS and PANS.

CA SB621

Health care coverage: biosimilar drugs.

CA AB1341

Public health: oral therapeutics.

Similar Bills

CA AB931

Prior authorization: physical therapy.

CA AB1468

Prior authorization.

CA SB508

Mental health coverage: school-based services.

CA SB402

Health care coverage: autism.

CA AB1316

Emergency services: psychiatric emergency medical conditions.

CA AB1450

California Children’s Services Program: providers.

CA AB1859

Mental health and substance use disorder treatment.

CA AB2242

Mental health services.