Existing law provides for licensing and regulation of health care service plans by the Department of Managed Health Care. Existing law provides for licensing and regulation of health insurers by the Insurance Commissioner. Existing law requires the department and the commissioner to establish an independent medical review system under which a patient may seek an independent medical review whenever health care services have been denied, modified, or delayed by a health care service plan or health insurer and the patient has previously filed a grievance that remains unresolved after 30 days. Existing law requires medical professionals selected by an independent medical review organization to review medical treatment decisions to meet certain minimum requirements, including that the medical professional be a clinician knowledgeable in the treatment of the patient's medical condition, knowledgeable about the proposed treatment, and familiar with guidelines and protocols in the area of treatment under review. Existing law requires a plan or insurer to provide a one-page application form to an enrollee or insured to be used to initiate a review pursuant to these provisions.
California SB 1410 (20112012) — Independent medical review.
Existing law provides for licensing and regulation of health care service plans by the Department of Managed Health Care. Existing law provides for licensing and regulation of health insurers by the Insurance Commissioner. Existing law requires the department and the commissioner to establish an independent medical review system under which a patient may seek an independent medical review whenever health care services have been denied, modified, or delayed by a health care service plan or health insurer and the patient has previously filed a grievance that remains unresolved after 30 days. Existing law requires medical professionals selected by an independent medical review organization to review medical treatment decisions to meet certain minimum requirements, including that the medical professional be a clinician knowledgeable in the treatment of the patient's medical condition, knowledgeable about the proposed treatment, and familiar with guidelines and protocols in the area of treatment under review. Existing law requires a plan or insurer to provide a one-page application form to an enrollee or insured to be used to initiate a review pursuant to these provisions.
Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
Placed on Appropriations Suspense file. — 7–0 (pass) · upper
Do pass, but re-refer to the Committee on Appropriations. — 6–3 (pass) · upper
Unfinished Business SB1410 Hernandez Concurrence — 30–0 (pass) · upper
Do pass as amended. — 5–2 (pass) · upper
Do pass and be re-referred to the Committee on Appropriations. — 19–0 (pass) · lower
Do pass as amended. — 17–0 (pass) · lower
3rd Reading — 25–13 (pass) · upper
SB 1410 Hernandez Senate Third Reading By WILLIAMS — 77–2 (pass) · lower
Sponsors
Hernandez — primary (person)
Timeline
The legislative action history — every referral, reading, and vote.
2012-02-24 Introduced. To Com. on RLS. for assignment. To print. introduction
2012-02-25 From printer. May be acted upon on or after March 26.
2012-02-27 Read first time. reading-1
2012-03-22 Referred to Com. on HEALTH. referral-committee
2012-03-23 Set for hearing April 11.
2012-03-29 From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. reading-2, reading-1, committee-passage, amendment-passage, referral-committee
2012-04-12 From committee: Do pass and re-refer to Com. on APPR. (Ayes 6. Noes 3. Page 3143.) (April 11). Re-referred to Com. on APPR. referral-committee, committee-passage, committee-passage-favorable
2012-04-26 From committee with author's amendments. Read second time and amended. Re-referred to Com. on APPR. reading-2, reading-1, committee-passage, amendment-passage, referral-committee
2012-04-27 Set for hearing May 7.
2012-05-07 Placed on APPR. suspense file.
2012-05-18 Set for hearing May 24.
2012-05-24 From committee: Do pass as amended. (Ayes 5. Noes 2. Page 3596.) (May 24). amendment-passage, committee-passage, committee-passage-favorable
2012-05-25 Read second time and amended. Ordered to third reading. reading-2, reading-1, amendment-passage
2012-05-30 Read third time. Passed. (Ayes 23. Noes 13. Page 3696.) Ordered to the Assembly. reading-3, reading-1, passage
2012-05-30 In Assembly. Read first time. Held at Desk. reading-1
2012-06-07 Referred to Com. on HEALTH. referral-committee
2012-06-27 From committee: Do pass and re-refer to Com. on APPR. (Ayes 19. Noes 0.) (June 26). Re-referred to Com. on APPR. referral-committee, committee-passage, committee-passage-favorable
2012-08-08 Set, first hearing. Referred to APPR. suspense file. referral-committee
2012-08-16 From committee: Do pass as amended. (Ayes 17. Noes 0.) (August 16). amendment-passage, committee-passage, committee-passage-favorable
2012-08-20 Read second time and amended. Ordered to second reading. reading-2, reading-1, amendment-passage
2012-08-21 Read second time. Ordered to third reading. reading-2, reading-1
2012-08-27 Read third time. Passed. (Ayes 77. Noes 2. Page 6351.) Ordered to the Senate. reading-3, reading-1, passage
2012-08-28 In Senate. Concurrence in Assembly amendments pending.
2012-08-29 Assembly amendments concurred in. (Ayes 30. Noes 0. Page 4965.) Ordered to engrossing and enrolling. committee-passage-favorable, amendment-passage
2012-09-06 Enrolled and presented to the Governor at 4 p.m.
2012-09-30 Approved by the Governor. executive-signature
2012-09-30 Chaptered by Secretary of State. Chapter 872, Statutes of 2012.
Source
OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/1074d5aa-e118-4d50-85a9-e84a349f89cd. Confidence: reported (aggregated from official California legislature records).
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