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Read. Follow. Verify.California SB 363 requires health insurers to report denial rates and imposes penalties for high overturn rates
Record date · August 13, 2026
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What This Bill Would Do
SB 363 requires health care service plans and insurers to annually report their treatment denial and modification data to state regulators starting June 1, 2026. Plans and insurers will face administrative penalties if more than 50% of s in specific care categories are overturned or reversed.
This bill creates a new financial accountability mechanism for health plans that frequently deny care, potentially reducing the number of improper treatment denials for California patients.
Who It Would Affect
Groups the bill's text would affect if enacted, as described in the record. Being affected is not a position for or against it.
Health care service plans
They must report denial data and are subject to administrative penalties and potential criminal liability for willful violations.
Health insurers
They must report denial data and are subject to administrative penalties if their denial overturn rates exceed the specified threshold.
Enrollees and insured individuals
They may experience changes in how their health plans handle treatment denials and grievances due to the new oversight and penalty structure.
Key Facts
You don't have to trust us. Each fact below is taken straight from the official document - click any one to see the exact passage, highlighted in the original.
Frequently Asked Questions
What happens if my health plan denies my treatment?
When do these new reporting requirements start?
Will my health plan be penalized for every denial?
What else do you want to know?
News Coverage
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Votes, people, money & the original sourceWhere This Stands
Currently filed. The next step in the legislative lifecycle is Committee.
Version history
Only one version on file - nothing to compare yet. As later stages (committee substitute, engrossed, enrolled) are captured, the redline appears here.
View official text →Lobbying Activity
No state lobbying filings in our records match this bill. Federal lobbying reports (LDA) cover Congress, so they are not listed on state bills.
Full breakdown
Who this bill affects and the strongest case for and against it, written only from the bill’s own text.
Connected Entities
Sources
openstates.org
Analysis Score
0–100- Significance85How much this matters to a regular citizen
- Controversy60Intensity of disagreement among stakeholders
- Entertainment10Compellingness for a non-policy-wonk reader
- Buzz30Current news / social attention level
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