Downcoding medical claims.

Legislative status

1. Introduced
2. In Committee
3. Reported by Committee
4. Floor Vote Scheduled
5. Passed One Chamber
6. Passed Both Chambers
7. Sent to Executive
8. Signed into Law

Summary

The bill bars health‑care service plans and health insurers from automatically lowering claim codes without a clinician’s review. It forces them to give providers a clear explanation, a written dispute process, and protection against discriminatory downcoding. The goal is to ensure fair payment for providers and prevent incentives that could harm patients with complex conditions.

AI-generated summary — may be incomplete or inaccurate. Verify against the official bill text.

Vote

From committee: Amend, and do pass as amended and re-refer to Com. on P. & C.P. (Ayes 16. Noes 0.) (April 7). · Apr 8, 2026

Hearings

• Appropriations Committee Hearing
  Appropriations · May 14, 2026
• Appropriations Committee Hearing
  Appropriations · May 6, 2026
• Health Committee Hearing
  Health · Apr 7, 2026
• Health
  Health · Apr 7, 2026

History

1. May 14, 2026In committee: Held under submission.
2. May 6, 2026In committee: Set, first hearing. Referred to APPR. suspense file.
3. Apr 13, 2026Re-referred to Com. on P. & C.P.
4. Apr 13, 2026Re-referred to Com. on APPR. pursuant to Assembly Rule 96.
5. Apr 9, 2026Read second time and amended.
6. Apr 8, 2026From committee: Amend, and do pass as amended and re-refer to Com. on P. & C.P. (Ayes 16. Noes 0.) (April 7).
7. Mar 9, 2026Referred to Coms. on HEALTH and P. & C.P.
8. Feb 21, 2026From printer. May be heard in committee March 23.
9. Feb 20, 2026Read first time. To print.

Sponsors

• Patel · sponsor
• Aguiar-Curry

Bill text

Opens the legislature’s own copy.

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