State Legislation: Bill Amendments · September 30, 2026 · Primary source
CA SB 1049: new version, SB1049
Summary
California SB 1049, chaptered as Chapter 1001, Statutes of 2026, amends the Knox-Keene Health Care Service Plan Act to mandate that California health plans and health insurers allow claimants at least 90 calendar days to submit corrected claims following a denial or overpayment notice based on a remediable defect. Plans and insurers are prohibited from invoking other applicable claim-filing deadlines to reject corrected submissions. Corrected-claim disputes must be eligible for the plan's or insurer's fast, fair, and cost-effective dispute resolution mechanism.
What this may mean
California health care service plans and health insurers are now required to honor corrected claim submissions for at least 90 days after a denial or overpayment notice, with no timely-filing defense available to block those submissions. Willful violation by a health care service plan constitutes a crime under Knox-Keene. Providers and facilities submitting corrected claims to California-regulated payors gain a statutory right to dispute resolution if the corrected claim is contested.
Informational only. Not legal, medical, financial, or other professional advice. Always consult a qualified professional familiar with your specific facts before relying on any item.
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