Health care coverage: independent medical review.

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

SB 363 adds reporting duties for California health‑care service plans and health insurers, forcing them to disclose every treatment denial or modification by type, diagnosis, age and other demographics. The Department of Managed Health Care and the Department of Insurance must compare those numbers to successful independent medical reviews and can levy fines when more than half of reviews overturn a denial in any category. The law creates penalty funds to cover enforcement costs.

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

Vote

Read third time. Passed. (Ayes 29. Noes 8. Page 1291.) Ordered to the Assembly. · May 28, 2025

Hearings

• Appropriations Committee Hearing
  Appropriations · Aug 13, 2026
• Appropriations Committee Hearing
  Appropriations · Aug 29, 2025
• Appropriations Committee Hearing
  Appropriations · Aug 20, 2025
• Health Committee Hearing
  Health · Jul 15, 2025
• Appropriations Committee Hearing
  Appropriations · May 23, 2025

History

1. Aug 29, 2025August 29 hearing postponed by committee.
2. Aug 20, 2025August 20 set for first hearing. Placed on APPR. suspense file.
3. Jul 17, 2025Read second time and amended. Re-referred to Com. on APPR.
4. Jul 16, 2025From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 13. Noes 0.) (July 15).
5. Jun 24, 2025From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
6. Jun 5, 2025Referred to Com. on HEALTH.
7. May 28, 2025Read third time. Passed. (Ayes 29. Noes 8. Page 1291.) Ordered to the Assembly.
8. May 28, 2025In Assembly. Read first time. Held at Desk.
9. May 27, 2025Read second time. Ordered to third reading.
10. May 23, 2025Read second time and amended. Ordered to second reading.
11. May 23, 2025From committee: Do pass as amended. (Ayes 5. Noes 1. Page 1198.) (May 23).
12. May 16, 2025Set for hearing May 23.

The 12 most recent of 23 recorded actions.

Sponsors

• Scott Wiener (D) · sponsor
• Becker
• Cortese
• Schiavo
• Weber Pierson
• Wiener

Bill text

Opens the legislature’s own copy.

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