BILLING AND CODING—SETTLEMENT... - VitalLaw.com
The government alleged Aetna knowingly submitted unsupported diagnosis codes, resulting in overpayments by Medicare. Aetna Inc. has agreed to pay a total of $117.7 million to resolve two separate ...
What “Reasonable Steps” Really Mean in 2026: How California Employers Reduce PAGA and Employment Litigation Exposure
As California employers move through 2026, one thing is clear: employment litigation—and PAGA litigation in particular—is not slowing down.
Despite the highly publicized 2024 PAGA reforms, 2025 became the largest year yet for PAGA LWDA filings. That reality has reset expectations. The reform did not reduce enforcement—it changed how employers must defend these cases.
The new dividing line is no longer simply whether a violation occurred.
It is whether the employer can prove it took all reasonable steps to comply.
While no employer can completely prevent lawsuits, California employers can significantly reduce exposure by focusing on what they can control. The following five steps focus on what can actually work in 2026 for employers that want to reduce risk, cap penalties, and maintain leverage when disputes arise.
1. Prove “Reasonable Steps” Before a PAGA Notice Is Filed
The reformed PAGA statute gives employers something they never truly had before: meaningful penalty reduction tied directly to compliance efforts.
• Employers that can prove they took reasonable steps before receiving a PAGA notice may cap penalties at 15%.
• Employers that attempt to fix issues after receiving notice face substantially higher exposure.
In practice, “reasonable steps” now require more than intent or informal reviews. Employers must be able to demonstrate a repeatable,...
The government alleged Aetna knowingly submitted unsupported diagnosis codes, resulting in overpayments by Medicare. Aetna Inc. has agreed to pay a total of $117.7 million to resolve two separate ...