California 2009-2010 Regular Session Status: Passed Senate Bipartisan · 1 D · 1 R cosponsors

SB 810 — Singleâ€'payer health care coverage.

Last action — From Assembly without further action.

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  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed Assembly
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2009-2010 Regular Session. It reached “Passed Senate” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.

This bill is no longer active — its legislative session has ended, so there is no live prognosis. It would have to be reintroduced in the current session to move again.

Summary

Existing law does not provide a system of universal health care coverage for California residents. Existing law provides for the creation of various programs to provide health care services to persons who have limited incomes and meet various eligibility requirements. These programs include the Healthy Families Program administered by the Managed Risk Medical Insurance Board, and the Medi‑Cal program administered by the State Department of Health Care Services. Existing law provides for the regulation of health care service plans by the Department of Managed Health Care and health insurers by the Department of Insurance. This bill would establish the California Healthcare System to be administered by the newly created California Healthcare Agency under the control of a Healthcare Commissioner appointed by the Governor and subject to confirmation by the Senate. The bill would make all California residents eligible for specified health care benefits under the California Healthcare System, which would, on a single-payer basis, negotiate for or set fees for health care services provided through the system and pay claims for those services. The bill would provide that a resident of the state with a household income, as specified, at or below 200% of the federal poverty level would be eligible for the type of benefits provided under the Medi-Cal program. The bill would require the commissioner to seek all necessary waivers, exemptions, agreements, or legislation to allow various existing federal, state, and local health care payments to be paid to the California Healthcare System, which would then assume responsibility for all benefits and services previously paid for with those funds. The bill would create the Healthcare Policy Board to establish policy on medical issues and various other matters relating to the system. The bill would create the Office of Patient Advocacy within the agency to represent the interests of health care consumers relative to the system. The bill would create within the agency the Office of Health Planning to plan for the health care needs of the population, and the Office of Health Care Quality, headed by a chief medical officer, to support the delivery of high quality care and promote provider and patient satisfaction. The bill would create the Office of Inspector General for the California Healthcare System within the Attorney General's office, which would have various oversight powers. The bill would prohibit health care service plan contracts or health insurance policies from being issued for services covered by the California Healthcare System. The bill would create the Healthcare Fund and the Payments Board to administer the finances of the California Healthcare System. The bill would create the California Healthcare Premium Commission (Premium Commission) to determine the cost of the California Healthcare System and to develop a premium structure for the system that complies with specified standards. The bill would require the Premium Commission to recommend a premium structure to the Governor and the Legislature on or before January 1, 2013, and to make a draft recommendation to the Governor, the Legislature, and the public 90 days before submitting its final premium structure recommendation. The bill would specify that only its provisions relating to the Premium Commission would become operative on January 1, 2011, with its remaining provisions becoming operative on the date the Secretary of California Health and Human Services notifies the Legislature, as specified, that sufficient funding exists to implement the California Healthcare System. The bill would require that system to be operative within 2 years of that date and would provide for various transition processes for that period. The bill would extend the application of certain insurance fraud laws to providers of services and products under the system, thereby imposing a state-mandated local program by revising the definition of a crime. The bill would enact other related provisions relative to budgeting, regional entities, federal preemption, subrogation, collective bargaining agreements, compensation of health care providers, conflict of interest, patient grievances, independent medical review, and associated matters. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.

Bill Text

Action History

  1. From Assembly without further action.

  2. Assembly Rule 69(d) suspended. (Ayes 49. Noes 27. Page 6491.)

  3. Read second time. To third reading.

  4. (Heard in committee on August 12.)

  5. From committee: Do pass. (Ayes 12. Noes 5.)

  6. Set, first hearing. Referred to APPR. suspense file.

  7. (Heard in committee on June 29.)

  8. From committee: Do pass, but first be re-referred to Com. on APPR. (Ayes 13. Noes 6.) Re-referred to Com. on APPR.

  9. To Com. on HEALTH.

  10. In Assembly. Read first time. Held at Desk.

  11. Read third time. Passed. (Ayes 22. Noes 14. Page 2729.) To Assembly.

  12. Read second time. To third reading.

  13. From committee: Do pass. (Ayes 6. Noes 3. Page 2694.)

  14. (Suspense - for vote only.)

  15. Set for hearing January 21.

  16. From committee with author's amendments. Read second time. Amended. Re-referred to Com. on APPR.

  17. Set, first hearing. Held in committee and under submission.

  18. (Suspense - for vote only.)

  19. Set for hearing May 28.

  20. Placed on APPR suspense file.

  21. Set for hearing May 4.

  22. Read second time. Amended. Re-referred to Com. on APPR.

  23. From committee: Do pass as amended, but first amend, and re-refer to Com. on APPR. (Ayes 7. Noes 4. Page 557.)

  24. Set for hearing April 15.

  25. To Com. on HEALTH.

  26. Read first time.

  27. From print. May be acted upon on or after March 30.

  28. Introduced. To Com. on RLS. for assignment. To print.

Sponsors

  • Alquist · Cosponsor
  • Ammiano · Cosponsor
  • Beall · Cosponsor
  • Bass · Cosponsor
  • Block · Cosponsor
  • Blumenfield · Cosponsor
  • Bradford · Cosponsor
  • Brownley · Cosponsor
  • Cedillo · Cosponsor
  • Chesbro · Cosponsor
  • Salas · Cosponsor
  • Corbett · Cosponsor
  • Coto · Cosponsor
  • Davis · Cosponsor
  • De La Torre · Cosponsor
  • DeSaulnier · Cosponsor
  • Eng · Cosponsor
  • Evans · Cosponsor
  • Feuer · Cosponsor
  • Florez · Cosponsor
  • Hancock · Cosponsor
  • Hayashi · Cosponsor
  • Huffman · Cosponsor
  • Lieu · Cosponsor
  • Leno · Primary
  • Ma · Cosponsor
  • Mendoza · Cosponsor
  • Monning · Cosponsor
  • Nava · Cosponsor
  • Oropeza · Cosponsor
  • Price · Cosponsor
  • Pavley · Cosponsor
  • Romero · Cosponsor
  • Ruskin · Cosponsor
  • Skinner · Cosponsor
  • Solorio · Cosponsor
  • Steinberg · Cosponsor
  • Swanson · Cosponsor
  • Torlakson · Cosponsor
  • Torrico · Cosponsor
  • Wiggins · Cosponsor
  • Yamada · Cosponsor
  • Yee · Cosponsor
  • Stephen C. Padilla · Cosponsor
  • Brian W. Jones · Cosponsor
  • Bonnie Lowenthal · Cosponsor
  • Vince Fong · Cosponsor
  • Bonnie Lowenthal · Cosponsor

Sponsorship breakdown

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1 sponsors · 47 co-sponsors · 74 not signed on · 4 voted No

Sponsors (1)

  • Leno

Co-sponsors (47)

  • Alquist
  • Ammiano
  • Beall
  • Bass
  • Block
  • Blumenfield
  • Bradford
  • Brownley
  • Cedillo
  • Chesbro
  • Salas
  • Corbett
  • Coto
  • Davis
  • De La Torre
  • DeSaulnier
  • Eng
  • Evans
  • Feuer
  • Florez
  • Hancock
  • Hayashi
  • Huffman
  • Lieu
  • Ma
  • Mendoza
  • Monning
  • Nava
  • Oropeza
  • Price
  • Pavley
  • Romero
  • Ruskin
  • Skinner
  • Solorio
  • Steinberg
  • Swanson
  • Torlakson
  • Torrico
  • Wiggins
  • Yamada
  • Yee
  • Padilla, Stephen C. Democratic
  • Jones, Brian W. Republican
  • Bonnie Lowenthal
  • Vince Fong
  • Bonnie Lowenthal

Not signed on (74)

74 members have not signed on to this bill.

Show all 74 →

"Not signed on" means a member has not sponsored or co-sponsored this bill — it does not imply opposition. Members flagged Voted No have a recorded No vote on this bill.

Whip count is in markup. Polling the chamber and every recorded vote this session. Only the first open is slow. It’s instant for you after this. Calling the roll · Tallying · Engrossing

Votes

Passed 52 Yea · 28 Nay · 11 Other
Party YeaNayPresentNot Voting
Unaffiliated 502708
Democratic 1002
Republican 1101
Total 5228011
% of votes cast 57%31%0%12%
How each member voted (91)
Member Party Vote
Carter — Yea
Yamada — Yea
Chesbro — Yea
Conway — Nay
Feuer — Yea
Fuentes — Yea
Fuller — Nay
Charles — Yea
Galgiani — Yea
Garrick — Nay
Gilmore — Nay
Hall — Yea
De — Yea
La — Yea
Torre — Yea
De — Yea
Leon — Yea
Fong — Yea
Bonnie — Yea
Lowenthal — Yea
Portantino — Yea
Salas — Yea
Saldana — Yea
John — Yea
A. — Yea
Perez — Yea
Cook — Nay
Coto — Yea
Bill — Nay
Tom — Nay
Hayashi — Yea
Hernandez — Yea
Huffman — Yea
Lieu — Yea
Fletcher — Nay
Ammiano — Yea
Bass — Yea
Blakeslee — Nay
Davis — Yea
Mendoza — Yea
Nava — Yea
Skinner — Yea
Swanson — Yea
Torlakson — Yea
V. — Not Voting
Manuel — Not Voting
Perez — Not Voting
Audra — Not Voting
Hagman — Nay
Jeffries — Nay
Knight — Nay
Miller — Nay
Nestande — Nay
Norby — Nay
Silva — Nay
Smyth — Not Voting
Tran — Nay
Villines — Not Voting
Adams — Nay
Anderson — Nay
Beall — Yea
Block — Yea
Blumenfield — Yea
Bradford — Yea
Brownley — Yea
Buchanan — Not Voting
Harkey — Nay
Hill — Yea
Huber — Nay
Logue — Nay
Ma — Yea
Monning — Yea
Nielsen — Nay
Ruskin — Yea
Solorio — Yea
Torres — Not Voting
Torrico — Yea
Eng — Yea
Evans — Yea
DeVore — Nay
Furutani — Yea
Gatto — Yea
Beth Gaines — Nay
Bill Berryhill — Nay
Bill Berryhill — Nay
Arambula, Joaquin Democratic Not Voting
Caballero, Anna M. Democratic Not Voting
Calderon, Lisa Democratic Yea
Jones, Brian W. Republican Yea
Niello, Roger W. Republican Nay
Strickland, Tony Republican Not Voting

Official roll call →

Do pass.

Passed 13 Yea · 5 Nay
Party YeaNayPresentNot Voting
Unaffiliated 13500
Total 13500
% of votes cast 72%28%0%0%
How each member voted (18)
Member Party Vote
Fuentes — Yea
De — Yea
Leon — Yea
Gatto — Yea
Hall — Yea
Harkey — Nay
Huffman — Yea
Miller — Nay
Nielsen — Nay
Norby — Nay
Skinner — Yea
Torlakson — Yea
Torrico — Yea
Bradford — Yea
Solorio — Yea
Conway — Nay
Coto — Yea
Davis — Yea

Official roll call →

Passed 19 Yea · 7 Nay
Party YeaNayPresentNot Voting
Unaffiliated 18600
Republican 1100
Total 19700
% of votes cast 73%27%0%0%
How each member voted (26)
Member Party Vote
Carter — Yea
De — Yea
La — Yea
Torre — Yea
De — Yea
Leon — Yea
Bonnie — Yea
Lowenthal — Yea
V. — Yea
Manuel — Yea
Perez — Yea
Salas — Yea
Fletcher — Nay
Audra — Nay
Hernandez — Yea
Nava — Yea
Conway — Nay
Silva — Nay
Smyth — Nay
Ammiano — Yea
Hayashi — Yea
Monning — Yea
Eng — Yea
Beth Gaines — Nay
Jones, Brian W. Republican Yea
Strickland, Tony Republican Nay

Official roll call →

Passed 23 Yea · 14 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 211303
Democratic 2000
Republican 0100
Total 231403
% of votes cast 58%35%0%8%
How each member voted (40)
Member Party Vote
Yee — Yea
Wyland — Nay
Hancock — Yea
Lowenthal — Yea
Negrete — Yea
Cedillo — Yea
Cogdill — Nay
Harman — Nay
Huff — Not Voting
Leno — Yea
Runner — Nay
Corbett — Yea
Correa — Nay
Ducheny — Yea
Dutton — Nay
Liu — Yea
McLeod — Yea
Oropeza — Yea
Alquist — Not Voting
Ashburn — Nay
Price — Yea
Romero — Yea
Steinberg — Yea
Wiggins — Yea
Wright — Not Voting
Aanestad — Nay
Hollingsworth — Nay
Kehoe — Yea
Maldonado — Nay
Pavley — Yea
Simitian — Yea
Walters — Nay
Wolk — Yea
Cox — Nay
DeSaulnier — Yea
Denham — Nay
Florez — Yea
Calderon, Lisa Democratic Yea
Padilla, Stephen C. Democratic Yea
Strickland, Tony Republican Nay

Official roll call →

Do pass.

Passed 6 Yea · 3 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 6302
Total 6302
% of votes cast 55%27%0%18%
How each member voted (11)
Member Party Vote
Yee — Yea
Corbett — Yea
Kehoe — Yea
Leno — Yea
Price — Yea
Alquist — Not Voting
Liu — Yea
Walters — Nay
Wyland — Not Voting
Cox — Nay
Denham — Nay

Official roll call →

Passed 11 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 11002
Total 11002
% of votes cast 85%0%0%15%
How each member voted (13)
Member Party Vote
Wyland — Yea
Yee — Yea
Runner — Yea
Hancock — Yea
Corbett — Yea
Leno — Yea
Oropeza — Not Voting
Walters — Yea
Kehoe — Yea
Wolk — Yea
Cox — Yea
DeSaulnier — Not Voting
Denham — Yea

Official roll call →

Subjects

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Frequently asked questions

What does SB 810 do?
Existing law does not provide a system of universal health care coverage for California residents. Existing law provides for the creation of various programs to provide health care services to persons who have limited incomes and meet various eligibility requirements. These programs include the Healthy Families Program administered by the Managed Risk Medical Insurance Board, and the Medi‑Cal program administered by the State Department of Health Care Services. Existing law provides for the regulation of health care service plans by the Department of Managed Health Care and health insurers by the Department of Insurance. This bill would establish the California Healthcare System to be administered by the newly created California Healthcare Agency under the control of a Healthcare Commissioner appointed by the Governor and subject to confirmation by the Senate. The bill would make all California residents eligible for specified health care benefits under the California Healthcare System, which would, on a single-payer basis, negotiate for or set fees for health care services provided through the system and pay claims for those services. The bill would provide that a resident of the state with a household income, as specified, at or below 200% of the federal poverty level would be eligible for the type of benefits provided under the Medi-Cal program. The bill would require the commissioner to seek all necessary waivers, exemptions, agreements, or legislation to allow various existing federal, state, and local health care payments to be paid to the California Healthcare System, which would then assume responsibility for all benefits and services previously paid for with those funds. The bill would create the Healthcare Policy Board to establish policy on medical issues and various other matters relating to the system. The bill would create the Office of Patient Advocacy within the agency to represent the interests of health care consumers relative to the system. The bill would create within the agency the Office of Health Planning to plan for the health care needs of the population, and the Office of Health Care Quality, headed by a chief medical officer, to support the delivery of high quality care and promote provider and patient satisfaction. The bill would create the Office of Inspector General for the California Healthcare System within the Attorney General's office, which would have various oversight powers. The bill would prohibit health care service plan contracts or health insurance policies from being issued for services covered by the California Healthcare System. The bill would create the Healthcare Fund and the Payments Board to administer the finances of the California Healthcare System. The bill would create the California Healthcare Premium Commission (Premium Commission) to determine the cost of the California Healthcare System and to develop a premium structure for the system that complies with specified standards. The bill would require the Premium Commission to recommend a premium structure to the Governor and the Legislature on or before January 1, 2013, and to make a draft recommendation to the Governor, the Legislature, and the public 90 days before submitting its final premium structure recommendation. The bill would specify that only its provisions relating to the Premium Commission would become operative on January 1, 2011, with its remaining provisions becoming operative on the date the Secretary of California Health and Human Services notifies the Legislature, as specified, that sufficient funding exists to implement the California Healthcare System. The bill would require that system to be operative within 2 years of that date and would provide for various transition processes for that period. The bill would extend the application of certain insurance fraud laws to providers of services and products under the system, thereby imposing a state-mandated local program by revising the definition of a crime. The bill would enact other related provisions relative to budgeting, regional entities, federal preemption, subrogation, collective bargaining agreements, compensation of health care providers, conflict of interest, patient grievances, independent medical review, and associated matters. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.
Who sponsors SB 810?
SB 810 is sponsored by Alquist, Ammiano, Beall, Bass, Block, Blumenfield, Bradford, Brownley, Cedillo, Chesbro, Salas, Corbett, Coto, Davis, De La Torre, DeSaulnier, Eng, Evans, Feuer, Florez, Hancock, Hayashi, Huffman, Lieu, Leno, Ma, Mendoza, Monning, Nava, Oropeza, Price, Pavley, Romero, Ruskin, Skinner, Solorio, Steinberg, Swanson, Torlakson, Torrico, Wiggins, Yamada, Yee, Padilla, Stephen C. (Democratic), Jones, Brian W. (Republican), Bonnie Lowenthal, and Vince Fong.
What is the current status of SB 810?
This bill died with 2009-2010 Regular Session. It reached “Passed Senate” and never advanced before the session ended, so it can no longer move — a new version would have to be reintroduced in the current session.
Where can I track SB 810?
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