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Senate adopts compromise on rideshare safety and lien‑based billing reforms (SB 623)

California State Senate · June 25, 2026

Summary

The Senate passed SB 6 23, a stakeholder compromise adding limits on lien‑based medical billing tied to the Fair Health 70th percentile, standardization of itemized bills, anti‑kickback rules for referrals, and strengthened rideshare driver background checks; vote was unanimous.

Senator Umberg presented SB 6 23 as a negotiated compromise between transportation network companies and other stakeholders, describing reforms to medical lien practices in rideshare accident cases and new safety and accountability measures for rideshare drivers.

Key elements included a limit — for accidents on or after Jan. 1, 2027 — that a plaintiff who receives treatment from a lien‑based medical provider generally cannot be required to pay more than the 70th percentile shown in the Fair Health database for that service in that area. The bill also requires standardized itemization of lien bills, restricts what third‑party assignees can recover, prohibits fee splitting and kickbacks between attorneys and lien providers, and requires initial and annual background checks for rideshare drivers with an expanded list of disqualifying offenses.

"It creates a system that's safe, fair, accountable by protecting patients from unnecessary treatment and overcharging," Umberg said in presenting the measure. The Senate approved SB 6 23 by roll call: Ayes 36, No 0.

Quote attribution: direct quotes are from Senate floor remarks in the public transcript.

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