As introduced: - Prohibits a health care service plan or health insurer from using an automated system to downcode a medical claim and requires any such decision be made by a qualified licensed health care professional after a review of clinical information. - Establishes a formal process for providers to dispute downcoded claims and requires plans and insurers to provide a detailed written explanation for the decision. - Prohibits the use of downcoding in a targeted or discriminatory manner against providers who treat patients with complex, high-acuity, or chronic conditions.
| Date | Chamber | Action |
|---|---|---|
Mar 9, 2026 | — | Referred to Coms. on HEALTH and P. & C.P. |
Feb 21, 2026 | — | From printer. May be heard in committee March 23. |
Feb 20, 2026 | — | Read first time. To print. |
| Last Action | Mar 9, 2026 |
| Year | 2025 |
| Bill Type | Bill |
| Created | Feb 25, 2026 |
| Updated | Mar 10, 2026 |