CA AB682

Health care service plans and health insurers that use prior authorization must publicly report annual prior authorization data on their websites, including approval/denial rates, appeal outcomes, and average response times for standard and expedited requests

Plans and insurers must submit detailed annual claims data to the Department of Managed Health Care or Department of Insurance, including number of claims processed, denied, adjusted, or contested, broken down by denial reason (e.g., out-of-network, medical necessity, lack of prior authorization, clerical error)

Starting January 1, 2029, claims denial data must also be disaggregated by demographic categories including age, gender identity, sex, ethnicity, disability, and sexual orientation

Reports must disclose the number of claims denied that were processed using artificial intelligence or other predictive algorithms

Health care service plans must begin website reporting by February 1, 2026 and department reporting by February 1, 2027; health insurers must comply with website reporting by February 1, 2028 and department reporting by February 1, 2028, with departments publishing the data by April 15 of each respective year