California 2011-2012 Regular Session Status: Enacted

SB 951 — Health care coverage: essential health benefits.

Last action — Chaptered by Secretary of State. Chapter 866, Statutes of 2012.

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

This bill has been enacted into law. Introduced January 05, 2012. Enacted.

Prognosis

Likely to advance 72% · moderate confidence

Where this bill stands today.

Odds of enactment

High

How often bills like it became law.

  • Enacted

    Current position in the legislative process.

  • 2 sponsors

    1 primary, 1 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 8 recorded votes so far.

Prognosis reads this bill's own signals — stage, sponsorship breadth, committee status, recorded votes and cross-state momentum. Odds come from a model trained on which bills have become law.

Summary

Commencing January 1, 2014, existing law, the federal Patient Protection and Affordable Care Act (PPACA) , requires a health insurance issuer that offers coverage in the small group or individual market to ensure that such coverage includes the essential health benefits package, as defined. PPACA requires each state to, by January 1, 2014, establish an American Health Benefit Exchange that facilitates the purchase of qualified health plans by qualified individuals and qualified small employers. PPACA defines a qualified health plan as a plan that, among other requirements, provides an essential health benefits package. Existing state law creates the California Health Benefit Exchange (the Exchange) to facilitate the purchase of qualified health plans by qualified individuals and qualified small employers by January 1, 2014. Existing law provides for the regulation of health insurers by the Department of Insurance and requires health insurance policies to cover various benefits. This bill would require an individual or small group health insurance policy issued, amended, or renewed on or after January 1, 2014, to cover essential health benefits, which would be defined to include the health benefits covered by particular benchmark plans. The bill would prohibit treatment limits imposed on these benefits from exceeding the corresponding limits imposed by the benchmark plans and would generally prohibit an insurer from making substitutions of the benefits required to be covered. The bill would specify that these provisions apply regardless of whether the policy is offered inside or outside the Exchange but would provide that they do not apply to grandfathered plans or plans that cover excepted benefits, as specified. The bill would prohibit a health insurer, when issuing, delivering, renewing, offering, selling, or marketing a policy, from indicating or implying that the policy covers essential health benefits unless the policy covers essential health benefits as provided in the bill. The bill would authorize the Department of Insurance to adopt emergency regulations implementing these provisions until March 1, 2016, and enact other related provisions. These provisions would only be implemented to the extent essential health benefits are required pursuant to PPACA. The bill would provide that it shall become operative only if AB 1453 is also enacted.

Bill Text

Action History

  1. Chaptered by Secretary of State. Chapter 866, Statutes of 2012.

  2. Approved by the Governor.

  3. Enrolled and presented to the Governor at 2:30 p.m.

  4. Assembly amendments concurred in. (Ayes 22. Noes 13. Page 4979.) Ordered to engrossing and enrolling.

  5. In Senate. Concurrence in Assembly amendments pending.

  6. Read third time. Passed. (Ayes 52. Noes 27. Page 6451.) Ordered to the Senate.

  7. Ordered to third reading.

  8. Read third time and amended. (Ayes 51. Noes 25. Page 6259.)

  9. Read second time. Ordered to third reading.

  10. Read second time and amended. Ordered to second reading.

  11. From committee: Do pass as amended. (Ayes 12. Noes 5.) (August 16).

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

  13. From committee: Do pass and re-refer to Com. on APPR. (Ayes 11. Noes 5.) (July 3). Re-referred to Com. on APPR.

  14. Referred to Com. on HEALTH.

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

  16. Read third time. Passed. (Ayes 25. Noes 13. Page 3427.) Ordered to the Assembly.

  17. Read second time. Ordered to third reading.

  18. From committee: Do pass. (Ayes 5. Noes 2. Page 3387.) (April 30).

  19. Set for hearing April 30.

  20. Read second time and amended. Re-referred to Com. on APPR.

  21. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 6. Noes 3. Page 3142.) (April 11).

  22. Set for hearing April 11.

  23. Re-referred to Com. on HEALTH.

  24. From committee with author's amendments. Read second time and amended. Re-referred to Com. on RLS.

  25. Referred to Com. on RLS.

  26. From printer. May be acted upon on or after February 5.

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

Sponsors

  • Hernandez · Primary
  • Monning · Cosponsor

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 1 co-sponsors · 120 not signed on · 6 voted No

Sponsors (1)

  • Hernandez

Co-sponsors (1)

  • Monning

Not signed on (120)

120 members have not signed on to this bill.

Show all 120 →

"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

Unfinished Business SB951 Hernandez Concurrence

Passed 22 Yea · 13 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 201205
Democratic 2000
Republican 0100
Total 221305
% of votes cast 55%33%0%13%
How each member voted (40)
Member Party Vote
Yee — Yea
Hancock — Not Voting
Evans — Yea
Hernandez — Yea
Lowenthal — Yea
De León — Yea
Huff — Nay
Negrete McLeod — Yea
Rubio — Yea
Leno — Yea
Cannella — Nay
Corbett — Yea
Dutton — Nay
Liu — Yea
Price — Yea
Simitian — Yea
Steinberg — Yea
Vargas — Yea
Wolk — Yea
Runner — Not Voting
Lieu — Not Voting
Alquist — Yea
Anderson — Nay
Blakeslee — Nay
Harman — Nay
Kehoe — Yea
Pavley — Not Voting
Walters — Nay
Wright — Yea
Wyland — Not Voting
Emmerson — Nay
Correa — Yea
DeSaulnier — Yea
Fuller — Nay
Beth Gaines — Nay
Bill Berryhill — Nay
La Malfa — Nay
Calderon, Lisa Democratic Yea
Padilla, Stephen C. Democratic Yea
Strickland, Tony Republican Nay

Official roll call →

SB 951 Hernandez Senate Third Reading By MONNING

Passed 52 Yea · 27 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 0200
Unaffiliated 512501
Democratic 1000
Total 522701
% of votes cast 65%34%0%1%
How each member voted (80)
Member Party Vote
Hall — Yea
Eng — Yea
Butler — Yea
Fuentes — Yea
Furutani — Yea
Gatto — Yea
Carter — Yea
Hill — Yea
Huber — Yea
Huffman — Yea
Fong — Yea
Allen — Yea
Ma — Yea
Cedillo — Yea
Portantino — Yea
John A. Pérez — Yea
Mitchell — Yea
Ammiano — Yea
Blumenfield — Yea
Perea — Yea
Skinner — Yea
Swanson — Yea
Williams — Yea
Yamada — Yea
Fletcher — Yea
Galgiani — Yea
Garrick — Nay
Bonilla — Yea
Atkins — Yea
Gordon — Yea
Gorell — Nay
Hagman — Nay
Halderman — Nay
Harkey — Nay
Hayashi — Yea
Jeffries — Nay
Knight — Nay
Campos — Yea
Logue — Nay
Block — Yea
Chesbro — Yea
Conway — Nay
Cook — Nay
Donnelly — Nay
Mendoza — Yea
Miller — Nay
Morrell — Nay
Nestande — Nay
Norby — Nay
Olsen — Nay
Pan — Yea
Silva — Nay
Torres — Yea
Valadao — Nay
Wieckowski — Yea
Achadjian — Nay
Alejo — Yea
Beall — Yea
Bradford — Not Voting
Brownley — Yea
Buchanan — Yea
Hueso — Yea
Lara — Yea
Mansoor — Nay
Monning — Yea
Nielsen — Nay
Smyth — Nay
Solorio — Yea
Wagner — Nay
Feuer — Yea
Davis — Yea
Dickinson — Yea
Beth Gaines — Nay
Bill Berryhill — Nay
Bonnie Lowenthal — Yea
Roger Hernández — Yea
V. Manuel Pérez — Yea
Calderon, Lisa Democratic Yea
Grove, Shannon Republican Nay
Jones, Brian W. Republican Nay

Official roll call →

SB 951 Hernandez Senate Third Reading By MONNING Amend By MONNING Set #1

Passed 51 Yea · 25 Nay · 4 Other
Party YeaNayPresentNot Voting
Unaffiliated 502304
Democratic 1000
Republican 0200
Total 512504
% of votes cast 64%31%0%5%
How each member voted (80)
Member Party Vote
Hagman — Nay
Hall — Yea
Butler — Yea
Carter — Yea
Feuer — Yea
Furutani — Yea
Galgiani — Yea
Gatto — Yea
Cedillo — Yea
Gordon — Yea
Fong — Yea
Hayashi — Yea
Allen — Yea
Hill — Yea
Huber — Yea
Hueso — Yea
Portantino — Yea
John A. Pérez — Yea
Mitchell — Yea
Huffman — Yea
Fletcher — Yea
Mendoza — Yea
Monning — Yea
Bonilla — Yea
Ammiano — Yea
Beall — Yea
Chesbro — Yea
Davis — Yea
Dickinson — Yea
Pan — Yea
Skinner — Yea
Swanson — Yea
Yamada — Yea
Atkins — Yea
Gorell — Nay
Halderman — Not Voting
Harkey — Nay
Jeffries — Nay
Campos — Yea
Lara — Yea
Logue — Nay
Conway — Nay
Miller — Nay
Morrell — Nay
Nestande — Nay
Nielsen — Nay
Norby — Nay
Smyth — Nay
Solorio — Yea
Wagner — Nay
Wieckowski — Yea
Achadjian — Nay
Alejo — Yea
Block — Yea
Blumenfield — Yea
Bradford — Yea
Brownley — Yea
Buchanan — Yea
Knight — Nay
Ma — Yea
Mansoor — Nay
Olsen — Nay
Perea — Yea
Silva — Nay
Torres — Yea
Valadao — Nay
Williams — Not Voting
Cook — Not Voting
Eng — Yea
Donnelly — Nay
Fuentes — Yea
Garrick — Nay
Beth Gaines — Nay
Bill Berryhill — Nay
Bonnie Lowenthal — Yea
Roger Hernández — Not Voting
V. Manuel Pérez — Yea
Calderon, Lisa Democratic Yea
Grove, Shannon Republican Nay
Jones, Brian W. Republican Nay

Official roll call →

Do pass as amended.

Passed 12 Yea · 5 Nay
Party YeaNayPresentNot Voting
Unaffiliated 11500
Democratic 1000
Total 12500
% of votes cast 71%29%0%0%
How each member voted (17)
Member Party Vote
Gatto — Yea
Hall — Yea
Mitchell — Yea
Harkey — Nay
Hill — Yea
Nielsen — Nay
Norby — Nay
Blumenfield — Yea
Campos — Yea
Cedillo — Yea
Donnelly — Nay
Solorio — Yea
Wagner — Nay
Bradford — Yea
Davis — Yea
Fuentes — Yea
Calderon, Lisa Democratic Yea

Official roll call →

Do pass and be re-referred to the Committee on Appropriations.

Passed 11 Yea · 5 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 11503
Total 11503
% of votes cast 58%26%0%16%
How each member voted (19)
Member Party Vote
Garrick — Nay
Mitchell — Yea
Bonilla — Yea
Atkins — Yea
Gordon — Yea
Hayashi — Yea
Logue — Nay
Monning — Yea
Silva — Nay
Ammiano — Not Voting
Mansoor — Nay
Nestande — Not Voting
Pan — Yea
Smyth — Nay
Williams — Yea
Eng — Yea
Bonnie Lowenthal — Yea
Roger Hernández — Yea
V. Manuel Pérez — Not Voting

Official roll call →

3rd Reading

Passed 25 Yea · 13 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 231301
Democratic 2000
Republican 0001
Total 251302
% of votes cast 63%33%0%5%
How each member voted (40)
Member Party Vote
Yee — Yea
Hancock — Yea
Hernandez — Yea
Lowenthal — Yea
De León — Yea
Negrete McLeod — Yea
Lieu — Yea
Liu — Yea
Price — Yea
Simitian — Yea
Wolk — Yea
Rubio — Yea
Wyland — Nay
Evans — Yea
Cannella — Nay
Runner — Not Voting
Fuller — Nay
Harman — Nay
Huff — Nay
Leno — Yea
Alquist — Yea
Anderson — Nay
Corbett — Yea
Correa — Yea
Dutton — Nay
Walters — Nay
Blakeslee — Nay
Kehoe — Yea
Pavley — Yea
Steinberg — Yea
Vargas — Yea
Wright — Yea
Emmerson — Nay
DeSaulnier — Yea
Beth Gaines — Nay
Bill Berryhill — Nay
La Malfa — Nay
Calderon, Lisa Democratic Yea
Padilla, Stephen C. Democratic Yea
Strickland, Tony Republican Not Voting

Official roll call →

Do pass.

Passed 5 Yea · 2 Nay
Party YeaNayPresentNot Voting
Unaffiliated 5200
Total 5200
% of votes cast 71%29%0%0%
How each member voted (7)
Member Party Vote
Kehoe — Yea
Dutton — Nay
Lieu — Yea
Alquist — Yea
Price — Yea
Steinberg — Yea
Walters — Nay

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does SB 951 do?
Commencing January 1, 2014, existing law, the federal Patient Protection and Affordable Care Act (PPACA) , requires a health insurance issuer that offers coverage in the small group or individual market to ensure that such coverage includes the essential health benefits package, as defined. PPACA requires each state to, by January 1, 2014, establish an American Health Benefit Exchange that facilitates the purchase of qualified health plans by qualified individuals and qualified small employers. PPACA defines a qualified health plan as a plan that, among other requirements, provides an essential health benefits package. Existing state law creates the California Health Benefit Exchange (the Exchange) to facilitate the purchase of qualified health plans by qualified individuals and qualified small employers by January 1, 2014. Existing law provides for the regulation of health insurers by the Department of Insurance and requires health insurance policies to cover various benefits. This bill would require an individual or small group health insurance policy issued, amended, or renewed on or after January 1, 2014, to cover essential health benefits, which would be defined to include the health benefits covered by particular benchmark plans. The bill would prohibit treatment limits imposed on these benefits from exceeding the corresponding limits imposed by the benchmark plans and would generally prohibit an insurer from making substitutions of the benefits required to be covered. The bill would specify that these provisions apply regardless of whether the policy is offered inside or outside the Exchange but would provide that they do not apply to grandfathered plans or plans that cover excepted benefits, as specified. The bill would prohibit a health insurer, when issuing, delivering, renewing, offering, selling, or marketing a policy, from indicating or implying that the policy covers essential health benefits unless the policy covers essential health benefits as provided in the bill. The bill would authorize the Department of Insurance to adopt emergency regulations implementing these provisions until March 1, 2016, and enact other related provisions. These provisions would only be implemented to the extent essential health benefits are required pursuant to PPACA. The bill would provide that it shall become operative only if AB 1453 is also enacted.
Who sponsors SB 951?
SB 951 is sponsored by Hernandez and Monning.
What is the current status of SB 951?
This bill has been enacted into law. Introduced January 05, 2012. Enacted.
Where can I track SB 951?
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