California 2009-2010 Regular Session Status: To Executive 1 R cosponsors

SB 227 — Health care coverage: temporary high risk pool.

Last action — Chaptered by Secretary of State. Chapter 31, Statutes of 2010.

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

This bill died with 2009-2010 Regular Session. It reached “To Executive” 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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, the federal Patient Protection and Affordable Care Act, requires the United States Secretary of Health and Human Services to establish a temporary high risk health insurance pool program to provide health insurance coverage for eligible individuals until January 1, 2014. Existing law authorizes the secretary to implement this program directly or through contracts with eligible entities, including the states, and requires that federal money made available pursuant to these provisions be used to establish a qualified high risk pool that meets certain requirements. Existing law establishes the California Major Risk Medical Insurance Program, which is administered by the Managed Risk Medical Insurance Board (MRMIB) , to provide major risk medical coverage to persons who, among other things, have been rejected for coverage by at least one private health plan. This bill would require MRMIB to enter into an agreement with the federal Department of Health and Human Services to administer a temporary high risk pool to provide health coverage, until January 1, 2014, to specified individuals who have preexisting conditions, consistent with the federal Patient Protection and Affordable Care Act. The bill would repeal these provisions on January 1, 2020. The bill would also appropriate $761,000,000 from the Federal Trust Fund to MRMIB for the purposes of these provisions. Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of the act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan or a health insurer that rejects an applicant for individual coverage or offers individual coverage at a rate higher than the standard rate to inform the applicant about the California Major Risk Medical Insurance Program. This bill would also require the plan or insurer to inform the applicant about the temporary high risk pool established pursuant to the bill and would require that information to be provided in accordance with standards developed by the Department of Managed Health Care or the Department of Insurance, as specified. Because a willful violation of this requirement by a health care service plan would be a crime, the bill would impose a state-mandated local program. The bill would also require the Department of Managed Health Care and the Department of Insurance to post information on their Internet Web sites about the temporary high risk pool established pursuant to the bill. 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. This bill would provide that it shall become operative only if AB 1887 of the 2009–10 Regular Session is also enacted and becomes operative. This bill would declare that it is to take effect immediately as an urgency statute.

Bill Text

Action History

  1. Chaptered by Secretary of State. Chapter 31, Statutes of 2010.

  2. Approved by Governor.

  3. Enrolled. To Governor at 3 p.m.

  4. Senate concurs in Assembly amendments. (Ayes 28. Noes 8. Page 4094.) To enrollment.

  5. Urgency clause adopted.

  6. From committee: That the Assembly amendments be concurred in. (Ayes 6. Noes 0. Page 4070.)

  7. From committee: Be re-referred to Com. on HEALTH pursuant to Senate Rule 29.10. (Ayes 4. Noes 0. Page 4037.) Re-referred to Com. on HEALTH.

  8. Re-referred to Com. on RULES pursuant to Senate Rule 29.10.

  9. In Senate. To unfinished business.

  10. Read third time. Urgency clause adopted. Passed. (Ayes 76. Noes 0. Page 5743.) To Senate.

  11. Amended.

  12. Read second time.

  13. (Heard in Committee on June 17.)

  14. From committee: Do pass as amended. (Ayes 14. Noes 0.)

  15. Joint Rule 62(a) file notice suspended. (Page 5695.)

  16. (Heard in committee on June 15.)

  17. From committee: Do pass, but first be re-referred to Com. on APPR. (Ayes 18. Noes 0.) Re-referred to Com. on APPR.

  18. Re-referred to Com. on HEALTH.

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

  20. Hearing postponed by committee.

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

  22. (Heard in committee on June 30.)

  23. From committee: Do pass as amended, but first amend, and re-refer to Com. on APPR. (Ayes 13. Noes 6.)

  24. To Com. on HEALTH.

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

  26. Read third time. Passed. (Ayes 23. Noes 15. Page 1190.) To Assembly.

  27. Read second time. Amended. To third reading.

  28. From committee: Do pass as amended. (Ayes 8. Noes 3. Page 1069.)

  29. (Suspense - for vote only.)

  30. Set for hearing May 28.

  31. Placed on APPR suspense file.

  32. Set for hearing May 4.

  33. From committee: Do pass, but first be re-referred to Com. on APPR. (Ayes 10. Noes 1. Page 637.) Re-referred to Com. on APPR.

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

  35. Set for hearing April 22.

  36. To Com. on HEALTH.

  37. From print. May be acted upon on or after March 26.

  38. Introduced. Read first time. To Com. on RLS. for assignment. To print.

Sponsors

  • Alquist · Primary
  • Monning · Cosponsor
  • Villines · Cosponsor
  • Brian W. Jones · Cosponsor

Sponsorship breakdown

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1 sponsors · 3 co-sponsors · 118 not signed on · 2 voted No

Sponsors (1)

  • Alquist

Co-sponsors (3)

Not signed on (118)

118 members have not signed on to this bill.

Show all 118 →

"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 29 Yea · 8 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 26803
Democratic 2000
Republican 1000
Total 29803
% of votes cast 73%20%0%8%
How each member voted (40)
Member Party Vote
Yee — Yea
Corbett — Yea
Ducheny — Yea
Hancock — Yea
Leno — Yea
Liu — Yea
Lowenthal — Yea
Negrete — Yea
Ashburn — Yea
Runner — Yea
Wyland — Not Voting
Cogdill — Nay
Harman — Nay
Hollingsworth — Nay
Oropeza — Not Voting
Cox — Nay
Pavley — Yea
Price — Yea
Romero — Yea
Simitian — Yea
Dutton — Nay
Wiggins — Not Voting
Wolk — Yea
Aanestad — Nay
Alquist — Yea
Huff — Yea
Kehoe — Yea
McLeod — Yea
Steinberg — Yea
Walters — Nay
Wright — Yea
Cedillo — Yea
Emmerson — Yea
Correa — Yea
DeSaulnier — Yea
Denham — Nay
Florez — Yea
Calderon, Lisa Democratic Yea
Padilla, Stephen C. Democratic Yea
Strickland, Tony Republican Yea

Official roll call →

Passed 88 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 83002
Democratic 3000
Republican 2001
Total 88003
% of votes cast 97%0%0%3%
How each member voted (91)
Member Party Vote
Hall — Yea
Ammiano — Yea
Anderson — Yea
John — Yea
A. — Yea
Perez — Yea
Blakeslee — Not Voting
Skinner — Not Voting
Tran — Yea
Villines — Yea
Carter — Yea
Bill — Yea
Tom — Yea
Feuer — Yea
Fuentes — Yea
Furutani — Yea
Charles — Yea
Galgiani — Yea
Garrick — Yea
Gilmore — Yea
Hagman — Yea
Harkey — Yea
Hayashi — Yea
De — Yea
La — Yea
Torre — Yea
De — Yea
Leon — Yea
Hill — Yea
Fletcher — Yea
Fong — Yea
Bonnie — Yea
Lowenthal — Yea
V. — Yea
Manuel — Yea
Perez — Yea
Portantino — Yea
Salas — Yea
Saldana — Yea
Audra — Yea
Block — Yea
Chesbro — Yea
Conway — Yea
Cook — Yea
Coto — Yea
Davis — Yea
Huber — Yea
Jeffries — Yea
Knight — Yea
Logue — Yea
Mendoza — Yea
Miller — Yea
Monning — Yea
Nestande — Yea
Norby — Yea
Ruskin — Yea
Silva — Yea
Smyth — Yea
Swanson — Yea
Torlakson — Yea
Adams — Yea
Beall — Yea
Blumenfield — Yea
Bradford — Yea
Brownley — Yea
Buchanan — Yea
Hernandez — Yea
Huffman — Yea
Lieu — Yea
Ma — Yea
Nava — Yea
Nielsen — Yea
Solorio — Yea
Torres — Yea
Torrico — Yea
Bass — Yea
Eng — Yea
Evans — Yea
DeVore — Yea
Yamada — Yea
Fuller — Yea
Gatto — Yea
Beth Gaines — Yea
Bill Berryhill — Yea
Bill Berryhill — Yea
Arambula, Joaquin Democratic Yea
Caballero, Anna M. Democratic Yea
Calderon, Lisa Democratic Yea
Jones, Brian W. Republican Not Voting
Niello, Roger W. Republican Yea
Strickland, Tony Republican Yea

Official roll call →

Do pass as amended.

Passed 16 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 15003
Democratic 1000
Total 16003
% of votes cast 84%0%0%16%
How each member voted (19)
Member Party Vote
Charles — Yea
Hall — Yea
De — Yea
Leon — Yea
Conway — Yea
Ammiano — Yea
Norby — Not Voting
Bradford — Yea
Harkey — Yea
Miller — Yea
Nielsen — Yea
Skinner — Yea
Solorio — Yea
Torlakson — Yea
Torrico — Not Voting
Coto — Yea
Davis — Not Voting
Fuentes — Yea
Calderon, Lisa Democratic Yea

Official roll call →

Passed 25 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 23001
Republican 2000
Total 25001
% of votes cast 96%0%0%4%
How each member voted (26)
Member Party Vote
Carter — Yea
Conway — Yea
Hayashi — Yea
Hernandez — Yea
De — Yea
La — Yea
Torre — Yea
De — Yea
Leon — Yea
Fletcher — Yea
Bonnie — Yea
Lowenthal — Yea
V. — Yea
Manuel — Yea
Perez — Yea
Salas — Yea
Audra — Yea
Smyth — Yea
Ammiano — Yea
Monning — Yea
Nava — Not Voting
Nestande — Yea
Eng — Yea
Beth Gaines — Yea
Jones, Brian W. Republican Yea
Strickland, Tony Republican 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
Hall — Yea
De — Yea
La — Yea
Torre — Yea
De — Yea
Leon — Yea
Bonnie — Yea
Lowenthal — Yea
V. — Yea
Manuel — Yea
Perez — Yea
Salas — Yea
Carter — Yea
Fletcher — Nay
Audra — Nay
Conway — Nay
Hayashi — Yea
Nava — Yea
Adams — Nay
Block — Yea
Blumenfield — Yea
Hernandez — Yea
Emmerson — Nay
Beth Gaines — Nay
Jones, Brian W. Republican Yea
Strickland, Tony Republican Nay

Official roll call →

Passed 24 Yea · 15 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 221401
Democratic 2000
Republican 0100
Total 241501
% of votes cast 60%38%0%3%
How each member voted (40)
Member Party Vote
Yee — Yea
Hancock — Yea
Wyland — Nay
Cedillo — Yea
Lowenthal — Yea
Negrete — Yea
Cogdill — Nay
Florez — Yea
Harman — Nay
Runner — Not Voting
Hollingsworth — Nay
Huff — Nay
Corbett — Yea
Ducheny — Yea
Kehoe — Yea
Leno — Yea
Liu — Yea
Maldonado — Nay
McLeod — Yea
Alquist — Yea
Ashburn — Nay
Benoit — Nay
Dutton — Nay
Pavley — Yea
Romero — Yea
Steinberg — Yea
Wiggins — Yea
Wright — Yea
Aanestad — Nay
Oropeza — Yea
Simitian — Yea
Walters — Nay
Wolk — Yea
Correa — Nay
Cox — Nay
DeSaulnier — Yea
Denham — Nay
Calderon, Lisa Democratic Yea
Padilla, Stephen C. Democratic Yea
Strickland, Tony Republican Nay

Official roll call →

Do pass as amended.

Passed 8 Yea · 3 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 8302
Total 8302
% of votes cast 62%23%0%15%
How each member voted (13)
Member Party Vote
Yee — Yea
Hancock — Yea
Runner — Nay
Corbett — Yea
Kehoe — Yea
Leno — Yea
Oropeza — Yea
Walters — Nay
Wolk — Not Voting
Wyland — Not Voting
Cox — Yea
DeSaulnier — Yea
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
Yee — Yea
Runner — Yea
Hancock — Yea
Kehoe — Yea
Leno — Yea
Corbett — Yea
Cox — Yea
DeSaulnier — Not Voting
Oropeza — Not Voting
Walters — Yea
Wolk — Yea
Wyland — Yea
Denham — Yea

Official roll call →

Subjects

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Frequently asked questions

What does SB 227 do?
Existing law, the federal Patient Protection and Affordable Care Act, requires the United States Secretary of Health and Human Services to establish a temporary high risk health insurance pool program to provide health insurance coverage for eligible individuals until January 1, 2014. Existing law authorizes the secretary to implement this program directly or through contracts with eligible entities, including the states, and requires that federal money made available pursuant to these provisions be used to establish a qualified high risk pool that meets certain requirements. Existing law establishes the California Major Risk Medical Insurance Program, which is administered by the Managed Risk Medical Insurance Board (MRMIB) , to provide major risk medical coverage to persons who, among other things, have been rejected for coverage by at least one private health plan. This bill would require MRMIB to enter into an agreement with the federal Department of Health and Human Services to administer a temporary high risk pool to provide health coverage, until January 1, 2014, to specified individuals who have preexisting conditions, consistent with the federal Patient Protection and Affordable Care Act. The bill would repeal these provisions on January 1, 2020. The bill would also appropriate $761,000,000 from the Federal Trust Fund to MRMIB for the purposes of these provisions. Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans by the Department of Managed Health Care and makes a willful violation of the act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan or a health insurer that rejects an applicant for individual coverage or offers individual coverage at a rate higher than the standard rate to inform the applicant about the California Major Risk Medical Insurance Program. This bill would also require the plan or insurer to inform the applicant about the temporary high risk pool established pursuant to the bill and would require that information to be provided in accordance with standards developed by the Department of Managed Health Care or the Department of Insurance, as specified. Because a willful violation of this requirement by a health care service plan would be a crime, the bill would impose a state-mandated local program. The bill would also require the Department of Managed Health Care and the Department of Insurance to post information on their Internet Web sites about the temporary high risk pool established pursuant to the bill. 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. This bill would provide that it shall become operative only if AB 1887 of the 2009–10 Regular Session is also enacted and becomes operative. This bill would declare that it is to take effect immediately as an urgency statute.
Who sponsors SB 227?
SB 227 is sponsored by Alquist, Monning, Villines, and Jones, Brian W. (Republican).
What is the current status of SB 227?
This bill died with 2009-2010 Regular Session. It reached “To Executive” 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 227?
Track SB 227 free on One Click Politics — get push/email alerts when it moves.

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