California 2011-2012 Regular Session Status: Enacted

AB 1453 — Health care coverage: essential health benefits.

Last action — Chaptered by Secretary of State - Chapter 854, Statutes of 2012.

Track this bill free

No card. One bill, free forever — alerts when it moves.

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

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

Prognosis

Likely to advance 74% · 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.

  • 3 sponsors

    1 primary, 2 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, 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 requires health care service plan contracts to cover various benefits. This bill would require an individual or small group health care service plan contract 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 a plan from making substitutions of the benefits required to be covered. The bill would specify that these provisions apply regardless of whether the contract is offered inside or outside the Exchange but would provide that they do not apply to grandfathered plans, specialized plans, or Medicare supplement plans, as specified. The bill would prohibit a health care service plan from issuing, delivering, renewing, offering, selling, or marketing a plan contract as compliant with the federal essential health benefits requirement satisfies the bill's requirements. The bill would authorize the Department of Managed Health Care to adopt emergency regulations implementing these provisions until March 1, 2016, and would 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 SB 951 is also enacted. Because a willful violation of the bill's provisions with respect to health care service plans would be a crime, the bill would impose a state-mandated local program. 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. Chaptered by Secretary of State - Chapter 854, Statutes of 2012.

  2. Approved by the Governor.

  3. Enrolled and presented to the Governor at 4:40 p.m.

  4. Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 53. Noes 26. Page 6533.).

  5. Assembly Rule 77 suspended. (Page 6488.)

  6. In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 30 pursuant to Assembly Rule 77.

  7. Read third time. Passed. Ordered to the Assembly. (Ayes 23. Noes 12. Page 4892.).

  8. Read second time. Ordered to third reading.

  9. Read third time and amended. Ordered to second reading.

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

  11. From committee: Do pass as amended. (Ayes 5. Noes 2.) (August 16).

  12. In committee: Referred to APPR. suspense file.

  13. From committee: Do pass and re-refer to Com. on APPR. (Ayes 6. Noes 3.) (June 27). Re-referred to Com. on APPR.

  14. Referred to Com. on HEALTH.

  15. In Senate. Read first time. To Com. on RLS. for assignment.

  16. Read third time. Passed. Ordered to the Senate. (Ayes 50. Noes 25. Page 4822.)

  17. Read second time. Ordered to third reading.

  18. From committee: Do pass. (Ayes 12. Noes 5.) (May 9).

  19. In committee: Set, first hearing. Hearing canceled at the request of author.

  20. Re-referred to Com. on APPR.

  21. Read second time and amended.

  22. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 13. Noes 4.) (April 10).

  23. Re-referred to Com. on HEALTH.

  24. From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.

  25. Referred to Com. on HEALTH.

  26. From printer. May be heard in committee February 5.

  27. Read first time. To print.

Sponsors

  • Eng · Cosponsor
  • Hernandez · Cosponsor
  • Monning · Primary

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 2 co-sponsors · 119 not signed on · 6 voted No

Sponsors (1)

  • Monning

Co-sponsors (2)

  • Eng
  • Hernandez

Not signed on (119)

119 members have not signed on to this bill.

Show all 119 →

"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

AB 1453 MONNING Concurrence in Senate Amendments

Passed 53 Yea · 26 Nay · 1 Other
Party YeaNayPresentNot Voting
Republican 0200
Unaffiliated 522401
Democratic 1000
Total 532601
% of votes cast 66%33%0%1%
How each member voted (80)
Member Party Vote
Butler — Yea
Carter — Yea
Fuentes — Yea
Furutani — Yea
Fong — Yea
Allen — Yea
Gordon — Yea
Cedillo — Yea
Portantino — Yea
John A. Pérez — Yea
Mitchell — Yea
Fletcher — Yea
Hall — Yea
Chesbro — Yea
Hayashi — Yea
Bonilla — Yea
Atkins — Yea
Ammiano — Yea
Block — Yea
Davis — Yea
Dickinson — Yea
Hill — Yea
Hueso — Yea
Huffman — Yea
Ma — Yea
Mendoza — Yea
Pan — Yea
Swanson — Yea
Torres — Yea
Wieckowski — Yea
Williams — Yea
Yamada — Yea
Garrick — Nay
Campos — Yea
Gorell — Not Voting
Hagman — Nay
Halderman — Nay
Harkey — Nay
Jeffries — Nay
Conway — Nay
Donnelly — Nay
Knight — Nay
Miller — Nay
Morrell — Nay
Nestande — Nay
Nielsen — Nay
Norby — Nay
Silva — Nay
Solorio — Yea
Valadao — Nay
Wagner — Nay
Achadjian — Nay
Alejo — Yea
Beall — Yea
Blumenfield — Yea
Bradford — Yea
Brownley — Yea
Buchanan — Yea
Huber — Yea
Lara — Yea
Logue — Nay
Mansoor — Nay
Monning — Yea
Olsen — Nay
Perea — Yea
Skinner — Yea
Smyth — Nay
Cook — Nay
Eng — Yea
Feuer — Yea
Galgiani — Yea
Gatto — 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 →

3rd Reading AB1453 Monning By Hernandez

Passed 23 Yea · 12 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 211105
Democratic 2000
Republican 0100
Total 231205
% of votes cast 58%30%0%13%
How each member voted (40)
Member Party Vote
Yee — Yea
Lowenthal — Yea
De León — Yea
Negrete McLeod — Yea
Evans — Yea
Rubio — Yea
Fuller — Nay
Hancock — Yea
Corbett — Yea
Runner — Not Voting
Harman — Not Voting
Hernandez — Yea
Blakeslee — Nay
Dutton — Nay
Huff — Nay
Leno — Yea
Price — Yea
Simitian — Yea
Steinberg — Yea
Vargas — Yea
Walters — Nay
Wright — Yea
Alquist — Yea
Anderson — Nay
Kehoe — Yea
Lieu — Not Voting
Liu — Yea
Pavley — Not Voting
Wolk — Yea
Cannella — Nay
Wyland — Not Voting
Emmerson — Nay
Correa — Yea
DeSaulnier — Yea
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 →

Do pass as amended.

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
Steinberg — Yea
Alquist — Yea
Price — Yea
Walters — Nay

Official roll call →

Placed on Appropriations Suspense file.

Passed 7 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 7000
Total 7000
% of votes cast 100%0%0%0%
How each member voted (7)
Member Party Vote
Alquist — Yea
Dutton — Yea
Kehoe — Yea
Lieu — Yea
Price — Yea
Steinberg — Yea
Walters — Yea

Official roll call →

Do pass, but re-refer to the Committee on Appropriations.

Passed 6 Yea · 3 Nay
Party YeaNayPresentNot Voting
Unaffiliated 6300
Total 6300
% of votes cast 67%33%0%0%
How each member voted (9)
Member Party Vote
Hernandez — Yea
De León — Yea
Rubio — Yea
Alquist — Yea
Anderson — Nay
Blakeslee — Nay
Wolk — Yea
Harman — Nay
DeSaulnier — Yea

Official roll call →

AB 1453 MONNING Assembly Third Reading

Passed 50 Yea · 25 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 492305
Democratic 1000
Republican 0200
Total 502505
% of votes cast 63%31%0%6%
How each member voted (80)
Member Party Vote
Gorell — Nay
Butler — Yea
Eng — Yea
Feuer — Yea
Fuentes — Yea
Furutani — Yea
Carter — Yea
Galgiani — Yea
Gordon — Yea
Hall — Yea
Fong — Yea
Allen — Yea
Hayashi — Yea
Hill — Yea
Huber — Yea
Cedillo — Yea
Portantino — Yea
John A. Pérez — Yea
Mitchell — Yea
Hueso — Yea
Huffman — Yea
Skinner — Yea
Torres — Yea
Williams — Yea
Garrick — Nay
Campos — Yea
Bonilla — Yea
Hagman — Nay
Chesbro — Yea
Halderman — Nay
Harkey — Nay
Fletcher — Not Voting
Atkins — Not Voting
Jeffries — Nay
Conway — Nay
Block — Yea
Donnelly — Nay
Lara — Yea
Mendoza — Yea
Miller — Nay
Monning — Yea
Morrell — Nay
Nielsen — Nay
Norby — Nay
Pan — Yea
Perea — Not Voting
Silva — Nay
Smyth — Nay
Wagner — Nay
Achadjian — Nay
Alejo — Yea
Ammiano — Yea
Beall — Yea
Blumenfield — Yea
Bradford — Yea
Brownley — Yea
Buchanan — Yea
Knight — Nay
Logue — Nay
Ma — Yea
Mansoor — Nay
Nestande — Not Voting
Olsen — Nay
Solorio — Yea
Swanson — Yea
Valadao — Not Voting
Wieckowski — Yea
Cook — Nay
Davis — Yea
Dickinson — Yea
Gatto — Yea
Yamada — 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 →

Do pass.

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
Hall — Yea
Mitchell — Yea
Campos — Yea
Norby — Nay
Davis — Yea
Donnelly — Nay
Wagner — Nay
Blumenfield — Yea
Bradford — Yea
Harkey — Nay
Hill — Yea
Lara — Yea
Nielsen — Nay
Solorio — Yea
Fuentes — Yea
Gatto — Yea
Calderon, Lisa Democratic Yea

Official roll call →

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

Passed 13 Yea · 4 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 13402
Total 13402
% of votes cast 68%21%0%11%
How each member voted (19)
Member Party Vote
Mitchell — Yea
Bonilla — Yea
Atkins — Yea
Eng — Yea
Garrick — Not Voting
Gordon — Yea
Hayashi — Yea
Ammiano — Yea
Monning — Yea
Nestande — Not Voting
Pan — Yea
Silva — Nay
Smyth — Nay
Williams — Yea
Logue — Nay
Mansoor — Nay
Bonnie Lowenthal — Yea
Roger Hernández — Yea
V. Manuel Pérez — Yea

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does AB 1453 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, 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 requires health care service plan contracts to cover various benefits. This bill would require an individual or small group health care service plan contract 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 a plan from making substitutions of the benefits required to be covered. The bill would specify that these provisions apply regardless of whether the contract is offered inside or outside the Exchange but would provide that they do not apply to grandfathered plans, specialized plans, or Medicare supplement plans, as specified. The bill would prohibit a health care service plan from issuing, delivering, renewing, offering, selling, or marketing a plan contract as compliant with the federal essential health benefits requirement satisfies the bill's requirements. The bill would authorize the Department of Managed Health Care to adopt emergency regulations implementing these provisions until March 1, 2016, and would 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 SB 951 is also enacted. Because a willful violation of the bill's provisions with respect to health care service plans would be a crime, the bill would impose a state-mandated local program. 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 AB 1453?
AB 1453 is sponsored by Eng, Hernandez, and Monning.
What is the current status of AB 1453?
This bill has been enacted into law. Introduced January 05, 2012. Enacted.
Where can I track AB 1453?
Track AB 1453 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on AB 1453

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of AB 1453

Last checked for changes 3 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →