Author seeks 30‑day prior‑authorization deadline for rare‑disease treatments

Jul 1, 2026

Assemblymember Ziburr told the Senate Health Committee AB 18 87 would require insurers to decide prior‑authorization requests for FDA‑approved rare‑disease drugs within 30 days, a change proponents say will prevent irreversible harm from treatment delays; health plans said automatic approval risks program integrity.

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Assemblymember Ziburr introduced AB 18 87, saying the bill would "help reduce unnecessary barriers that delay or interrupt access to life‑saving and life‑altering treatments for Californians living with rare diseases." The measure would require insurers to complete prior‑authorization reviews for prescribed rare‑disease treatments within 30 days and deem requests approved if the deadline is missed. Ziburr told the committee the change targets situations where there is only one FDA‑approved therapy and that the 30‑day window balances insurer review capacity with urgent patient needs.

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