Health care coverage: independent dispute resolution process.
Existing law provides for the licensure and regulation of health care service plans by the Department of Managed Health Care, and provides for the regulation of health insurers by the Department of Insurance. Existing law requires each department to establish an independent dispute resolution process to resolve a claim dispute between a health care service plan or health insurer, as appropriate, and a noncontracting individual health professional, and sets forth requirements and guidelines for that process, including contracting with an independent organization for the purpose of conducting the review process. Existing law requires each department to establish uniform written procedures for the submission, receipt, processing, and resolution of these disputes, as specified. Existing law requires the independent organization, in deciding the dispute, to base its decision regarding the appropriate reimbursement on all relevant information.
us/states/ca
California Legislature
20192020
AB 2157
California AB 2157 (20192020)
bill
Health care coverage: independent dispute resolution process.
California AB 2157 (20192020) — Health care coverage: independent dispute resolution process.
Existing law provides for the licensure and regulation of health care service plans by the Department of Managed Health Care, and provides for the regulation of health insurers by the Department of Insurance. Existing law requires each department to establish an independent dispute resolution process to resolve a claim dispute between a health care service plan or health insurer, as appropriate, and a noncontracting individual health professional, and sets forth requirements and guidelines for that process, including contracting with an independent organization for the purpose of conducting the review process. Existing law requires each department to establish uniform written procedures for the submission, receipt, processing, and resolution of these disputes, as specified. Existing law requires the independent organization, in deciding the dispute, to base its decision regarding the appropriate reimbursement on all relevant information.
Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
Do pass, but first be re-referred to the Committee on [Appropriations] with the recommendation: To Consent Calendar — 8–0 (pass) · upper
Do pass — 7–0 (pass) · upper
Do pass. To Consent Calendar. — 18–0 (pass) · lower
3rd Reading AB2157 Wood By Hill — 40–0 (pass) · upper
Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar — 15–0 (pass) · lower
AB 2157 Wood Consent Calendar Second Day — 76–0 (pass) · lower
Sponsors
Wood — primary (person)
Timeline
The legislative action history — every referral, reading, and vote.
2020-02-10 Read first time. To print. reading-1
2020-02-11 From printer. May be heard in committee March 12.
2020-02-20 Referred to Com. on HEALTH. referral-committee
2020-03-17 In committee: Hearing postponed by committee.
2020-05-19 From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 15. Noes 0.) (May 18). Re-referred to Com. on APPR. committee-passage-favorable, committee-passage, referral-committee
2020-06-02 From committee: Do pass. To Consent Calendar. (Ayes 18. Noes 0.) (June 2). committee-passage-favorable, committee-passage
2020-06-03 Read second time. Ordered to Consent Calendar. reading-1, reading-2
2020-06-08 Read third time. Passed. Ordered to the Senate. (Ayes 76. Noes 0. Page 4726.) passage, reading-3, reading-1
2020-06-09 In Senate. Read first time. To Com. on RLS. for assignment. reading-1
2020-06-23 Referred to Com. on HEALTH. referral-committee
2020-08-01 From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 8. Noes 0.) (August 1). Re-referred to Com. on APPR. committee-passage-favorable, committee-passage, referral-committee
2020-08-14 From committee: Do pass. (Ayes 7. Noes 0.) (August 13). committee-passage-favorable, committee-passage
2020-08-17 Read second time. Ordered to third reading. reading-1, reading-2
2020-08-24 Read third time. Passed. Ordered to the Assembly. (Ayes 40. Noes 0. Page 4294.). passage, reading-3, reading-1
2020-08-24 In Assembly. Ordered to Engrossing and Enrolling. committee-passage
2020-08-27 Enrolled and presented to the Governor at 3:30 p.m.
2020-09-29 Approved by the Governor. executive-signature
2020-09-29 Chaptered by Secretary of State - Chapter 278, Statutes of 2020.
Source
OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/b6252eb3-5e58-4919-bfd0-f157c351ce37. Confidence: reported (aggregated from official California legislature records).