Health care coverage: utilization review: peer-to-peer review.

Summary

AB 510 would let providers request a same‑specialty physician or qualified health professional to review a health plan’s or insurer’s decision to deny, delay, or modify a service. The review must happen within two business days (or within 24 hours for urgent cases), and if the plan or insurer fails to meet the deadline, the service is deemed approved. The bill also adds reporting and dispute‑resolution rules for insurers and clarifies that local agencies won’t receive state reimbursement for any costs.

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 APPR. (Ayes 13. Noes 0.) (April 22). · Apr 24, 2025

Hearings

• Appropriations Committee Hearing
  Appropriations · May 23, 2025
• Appropriations Committee Hearing
  Appropriations · May 7, 2025
• Health Committee Hearing
  Health · Apr 22, 2025

History

1. Feb 2, 2026From committee: Filed with the Chief Clerk pursuant to Joint Rule 56.
2. Jan 31, 2026Died pursuant to Art. IV, Sec. 10(c) of the Constitution.
3. May 23, 2025In committee: Held under submission.
4. May 7, 2025In committee: Set, first hearing. Referred to APPR. suspense file.
5. Apr 29, 2025Re-referred to Com. on APPR.
6. Apr 28, 2025Read second time and amended.
7. Apr 24, 2025From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 13. Noes 0.) (April 22).
8. Apr 21, 2025Re-referred to Com. on HEALTH.
9. Apr 10, 2025From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.
10. Feb 24, 2025Referred to Com. on HEALTH.
11. Feb 11, 2025From printer. May be heard in committee March 13.
12. Feb 10, 2025Read first time. To print.

Sponsors

• Addis · sponsor

Bill text

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