Section 127426.
Cal. Health and Safety Code - HSC § 127426.
in effect(a)
The period described in Section 127425 shall be extended if the patient has a pending appeal for coverage of the services, until a final determination of that appeal is made, if the patient makes a reasonable effort to communicate with the hospital about the progress of any pending appeals.
(b)
For purposes of this section, “pending appeal” includes any of the following:
(1)
A grievance against a contracting health care service plan, as described in Chapter 2.2 (commencing with Section 1340) of Division 2, or against an insurer, as described in Chapter 1 (commencing with
Section 10110) of Part 2 of Division 2 of the Insurance Code.
(2)
An independent medical review, as described in Section 10145.3 or 10169 of the Insurance Code.
(3)
A fair hearing for a review of a Medi-Cal claim pursuant to Section 10950 of the Welfare and Institutions Code.
(4)
An appeal regarding Medicare coverage consistent with federal law and regulations.
References
referencesCal. Insurance Code - INS § 10110.
referencesCal. Welfare and Institutions Code - WIC § 10950.
referencesCal. Health and Safety Code - HSC § 127425.
referencesCal. Health and Safety Code - HSC § 1340.
referencesCal. Health and Safety Code - HSC § 10145.3.
Source: CA Legislative Counsel Bulk DataURL: https://downloads.leginfo.legislature.ca.gov/pubinfo_2025.zipFetched: 6/27/2026