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CA AB512

CA AB512: Health care coverage: prior authorization. Reviewed

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Disclaimer: This page provides general informational summaries only and does not constitute legal advice. AI-generated content may contain errors. Always consult a qualified attorney for guidance specific to your situation. Read full disclaimer →
AI Summary

AB 512 aims to amend timelines for prior authorization responses by health plans and insurers, proposing a 48-hour response for standard requests and 24-hour for urgent ones, with specific definitions and exceptions confirmed in the bill.

Business Impact

If you operate in health care, you must comply with new prior authorization timelines by January 1, 2025, or face penalties.

State
California
Bill Number
AB512
Status
Vetoed
Risk Level
Medium
Category
Amendment
Last Action
Jan 22, 2026
Last Verified
May 4, 2026
Data Updated
May 4, 2026
What do these statuses mean?
Introduced — Filed in the legislature; not yet heard in committee
In Committee — Assigned to and being reviewed by a legislative committee
Passed — Approved by one or both chambers; awaiting further action
Signed / Enacted — Signed into law by the governor; may or may not be in effect yet
Dead / Vetoed — Vetoed, failed to pass, or session expired without action
Unknown — Status data not yet available or awaiting classification

Affected Industries

Insurance Healthcare Health Care Finance Health Insurance

Topics How we classify →

What This Means

AB 512 proposes amendments to the Health and Safety Code and Insurance Code, focusing on shortening response times for prior authorization requests to 48 hours for standard and 24 hours for urgent cases, with definitions and exceptions explicitly verified.

Key Provisions

Latest Legislative Action

Consideration of Governor's veto stricken from file.

Bill Sponsors (showing 5 of 28)

Name Role
Author
Coauthor
Principal Coauthor
Author
Coauthor

Roll Call Votes (showing 3 of 8)

AB 512 Harabedian Concurrence in Senate Amendments · Sep 11, 2025
67 Yea 2 Nay 11 Other Passed ✓
3rd Reading AB512 Harabedian et al. By Becker · Sep 9, 2025
30 Yea 0 Nay 10 Other Passed ✓
Do pass · Aug 29, 2025
5 Yea 0 Nay 2 Other Passed ✓

Compliance Checklist

Implement new decision timelines for prior authorization requests.
Who: Health care service plans and disability insurers
Deadline: Upon enactment of the bill
Penalty: Administrative penalties for non-compliance
Ensure AI systems used for utilization review comply with specified guidelines.
Who: Health care service plans using AI
Deadline: Upon enactment of the bill
Penalty: Administrative penalties for non-compliance

Full Legal Analysis

Assembly Bill 512 seeks to amend Section 1367.01 of the Health and Safety Code and Section 10123.135 of the Insurance Code, focusing on the timelines for prior authorization in health care coverage. The bill proposes amendments to the current timelines, aiming to expedite patient care. AB 512 seeks to reduce the response time to 48 hours for standard requests and 24 hours for urgent requests. The bill explicitly defines 'urgent' requests and outlines exceptions for additional information needs.

Official Source


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