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AB-931 Prior authorization: physical therapy. (2023-2024)

Senate
Assembly
1st
Cmt
2nd
3rd
Pass
1st
Cmt
2nd
Cmt
2nd
3rd
Pass
Pass
Veto
Senate
Assembly
1st
Cmt
2nd
3rd
Pass
1st
Cmt
2nd
Cmt
2nd
3rd
Pass
Pass
Veto

Bill Status
AB-931
Irwin (A)
-
-
Prior authorization: physical therapy.
03/17/23
An act to add Section 1367.26 to the Health and Safety Code, and to add Section 10123.75 to the Insurance Code, relating to health care coverage.
Assembly
09/12/23
09/01/23

Type of Measure
Inactive Bill - Vetoed
Majority Vote Required
Non-Appropriation
Fiscal Committee
State-Mandated Local Program
Non-Urgency
Non-Tax levy
Last 5 History Actions
Date Action
01/25/24 Consideration of Governor's veto stricken from file.
01/03/24 Consideration of Governor's veto pending.
10/07/23 Vetoed by Governor.
09/15/23 Enrolled and presented to the Governor at 4 p.m.
09/11/23 Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 74. Noes 0. Page 3192.).
Governor's Message
To the Members of the California State Assembly: 

I am returning Assembly Bill 931 without my signature. 

Beginning January 1, 2025, this bill would prohibit a health plan or insurer from requiring prior authorization for the initial 12 physical therapy treatment visits for a new episode of care. The bill would also require that, prior to treatment, the provider verify an enrollee's coverage and disclose the enrollee's cost sharing, maximum out-of-pocket expense per visit, and whether the provider is in-network for the enrollee.

I appreciate the author's intent to increase access to physical therapy treatment. However, prior authorization, when applied appropriately, can be an important tool to contain health care costs, protect patients from unanticipated billing, and ensure medically necessary care. Further, existing law requires health plans to provide appointments within a timely access minimum standard, even when prior authorization is required.

For these reasons, I cannot sign this bill.

Sincerely, 


Gavin Newsom