California 2011-2012 Regular Session Status: To Executive

AB 2152 — Health care coverage.

Last action — Consideration of Governor's veto pending.

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

This bill died with 2011-2012 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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 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 a health care service plan to submit a block transfer filing to the department at least 75 days prior to the termination of its contract with a provider group or a general acute care hospital and to provide 60 days' notice of the contract's termination to enrollees assigned to the terminated provider. Existing law specifies that a health care service plan is not required to send this notice to enrollees of a preferred provider organization unless the terminated provider is a general acute care hospital. This bill would, commencing July 1, 2013, make these provisions inapplicable with respect to a contract between a plan and a provider that provides benefits to enrollees and subscribers through a preferred provider arrangement. The bill would instead require the plan under those contracts to notify the department at least 30 days prior to terminating a contract with a provider group or general acute care hospital where the termination would affect 800 or more covered lives who have obtained services from the provider group or hospital within the preceding 6 months. Where the termination would affect 2,000 or more covered lives who have obtained services from the provider group or hospital within the preceding 6 months, the bill would require the plan to send a written notice at least 10 days prior to the termination date to all of those covered lives, as specified. Because a willful violation of these requirements would be a crime, the bill would impose a state-mandated local program. Existing law provides for the regulation of health insurers by the Department of Insurance. Under existing law, a health insurer may contract with providers for alternative rates of payment. Existing law requires those insurers to file a policy with the department describing how the insurer facilitates the continuity of care for new insureds under group policies receiving services for an acute condition from a noncontracting provider. Existing law also requires those health insurers to, at the request of an insured, arrange for the completion of covered services by a terminated provider if the insured is undergoing treatment for certain conditions, as specified. This bill would, commencing July 1, 2013, require a health insurer to notify the department at least 30 days prior to terminating a contract with a provider group or general acute care hospital to provide services at alternative rates of payment if the termination would affect 800 or more covered lives who have obtained services from the provider group or hospital within the preceding 6 months. Where that termination would affect 2,000 or more covered lives who have obtained services from the provider group or hospital within the preceding 6 months, the bill would, commencing July 1, 2013, require the insurer to send a written notice to all of those covered lives at least 10 days prior to the termination date, as specified. Existing law requires disability insurance policies to include a disclosure form that contains specified information, including the principal benefits and coverage of the policy, the exceptions, reductions, and limitations that apply to the policy, and a statement, with respect to health insurance policies, describing how participation in the policy may affect the choice of physician, hospital, or health care providers, and describing the extent of financial liability that may be incurred if care is furnished by a nonparticipating provider. With respect to health insurance policies, this bill would require the disclosure form to include additional information, including conditions and procedures for cancellation, rescission, or nonrenewal, a description of the limitations on the insured's choice of provider, and, with respect to insurers that contract for alternate rates of payment, a statement describing the basic method of reimbursement made to its participating providers, as specified. The bill would also require the first page of the disclosure form for health insurance policies to include other specified information. The bill would require a health insurer, medical group, or participating provider that uses or receives financial bonuses or other incentives to provide a written summary of specified information to any requesting person. The bill would make these provisions operative on July 1, 2013. 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. Consideration of Governor's veto pending.

  2. Vetoed by Governor.

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

  4. Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 41. Noes 33. Page 6708.).

  5. Assembly Rule 77 suspended. (Page 6605.)

  6. In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 31 pursuant to Assembly Rule 77.

  7. Read third time. Passed. Ordered to the Assembly. (Ayes 21. Noes 14. Page 4927.).

  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: Placed on APPR. suspense file.

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

  14. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 5. Noes 2.) (June 13).

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

  16. Referred to Com. on HEALTH.

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

  18. Read third time. Passed. Ordered to the Senate. (Ayes 46. Noes 25. Page 4668.)

  19. Read second time. Ordered to third reading.

  20. From committee: Do pass. (Ayes 12. Noes 4.) (April 25).

  21. Re-referred to Com. on APPR.

  22. Read second time and amended.

  23. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 13. Noes 5.) (April 10).

  24. Referred to Com. on HEALTH.

  25. From printer. May be heard in committee March 25.

  26. Read first time. To print.

Sponsors

  • Eng · Primary
  • Huffman · Cosponsor

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 1 co-sponsors · 120 not signed on · 7 voted No

Sponsors (1)

  • Eng

Co-sponsors (1)

  • Huffman

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

AB 2152 ENG Concurrence in Senate Amendments

Passed 41 Yea · 33 Nay · 6 Other
Party YeaNayPresentNot Voting
Unaffiliated 403106
Democratic 1000
Republican 0200
Total 413306
% of votes cast 51%41%0%8%
How each member voted (80)
Member Party Vote
Halderman — Nay
Butler — Yea
Eng — Yea
Carter — Yea
Fong — Yea
Allen — Yea
John A. Pérez — Yea
Mitchell — Yea
Ammiano — Yea
Davis — Yea
Hill — Yea
Huffman — Yea
Williams — Yea
Yamada — Yea
Galgiani — Yea
Campos — Yea
Bonilla — Yea
Atkins — Yea
Gordon — Yea
Cedillo — Nay
Gorell — Nay
Portantino — Nay
Fletcher — Nay
Hagman — Nay
Hall — Not Voting
Harkey — Nay
Hayashi — Not Voting
Block — Yea
Chesbro — Yea
Conway — Nay
Cook — Nay
Dickinson — Yea
Donnelly — Nay
Huber — Nay
Knight — Nay
Logue — Nay
Mendoza — Not Voting
Miller — Nay
Monning — Yea
Morrell — Nay
Nestande — Nay
Nielsen — Nay
Norby — Nay
Pan — Yea
Silva — Nay
Smyth — Nay
Solorio — Not Voting
Valadao — Nay
Wieckowski — Yea
Achadjian — Nay
Alejo — Yea
Beall — Yea
Blumenfield — Yea
Bradford — Yea
Brownley — Yea
Buchanan — Yea
Hueso — Yea
Jeffries — Nay
Lara — Not Voting
Ma — Yea
Mansoor — Nay
Olsen — Nay
Perea — Not Voting
Skinner — Yea
Swanson — Yea
Torres — Yea
Wagner — Nay
Feuer — Yea
Fuentes — Nay
Furutani — Yea
Garrick — Nay
Gatto — Nay
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 AB2152 Eng By Alquist

Passed 21 Yea · 14 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 201205
Republican 0100
Democratic 1100
Total 211405
% of votes cast 53%35%0%13%
How each member voted (40)
Member Party Vote
Yee — Yea
Wyland — Not Voting
Evans — Yea
Fuller — Nay
Hancock — Yea
Harman — Not Voting
Lowenthal — Yea
De León — Yea
Hernandez — Yea
Negrete McLeod — Yea
Rubio — Yea
Cannella — Nay
Kehoe — Yea
Lieu — Not Voting
Runner — Not Voting
Blakeslee — Nay
Corbett — Yea
Dutton — Nay
Liu — Yea
Pavley — Not Voting
Simitian — Yea
Steinberg — Yea
Walters — Nay
Wolk — Yea
Wright — Yea
Alquist — Yea
Anderson — Nay
Huff — Nay
Leno — Yea
Price — Yea
Vargas — Yea
Emmerson — Nay
Correa — Nay
DeSaulnier — Yea
Beth Gaines — Nay
Bill Berryhill — Nay
La Malfa — Nay
Calderon, Lisa Democratic Nay
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
Alquist — Yea
Dutton — Nay
Kehoe — Yea
Lieu — Yea
Price — Yea
Steinberg — 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
Dutton — Yea
Kehoe — Yea
Price — Yea
Alquist — Yea
Lieu — Yea
Steinberg — Yea
Walters — Yea

Official roll call →

AB 2152 ENG Assembly Third Reading

Passed 46 Yea · 25 Nay · 9 Other
Party YeaNayPresentNot Voting
Unaffiliated 452309
Republican 0200
Democratic 1000
Total 462509
% of votes cast 58%31%0%11%
How each member voted (80)
Member Party Vote
Hagman — Nay
Butler — Yea
Feuer — Yea
Galgiani — Yea
Yamada — Yea
Garrick — Nay
Fong — Yea
Gordon — Yea
Allen — Yea
Halderman — Nay
Harkey — Nay
Campos — Yea
Portantino — Yea
John A. Pérez — Yea
Mitchell — Yea
Hill — Yea
Huber — Yea
Huffman — Yea
Carter — Yea
Jeffries — Nay
Atkins — Yea
Lara — Yea
Cedillo — Yea
Mendoza — Yea
Miller — Nay
Ammiano — Yea
Beall — Yea
Chesbro — Yea
Conway — Nay
Cook — Nay
Davis — Yea
Donnelly — Nay
Monning — Yea
Morrell — Nay
Nestande — Nay
Nielsen — Nay
Norby — Nay
Pan — Yea
Skinner — Yea
Solorio — Yea
Torres — Yea
Valadao — Nay
Wieckowski — Yea
Fletcher — Not Voting
Bonilla — Not Voting
Furutani — Not Voting
Gorell — Not Voting
Hall — Not Voting
Silva — Not Voting
Achadjian — Nay
Alejo — Yea
Block — Yea
Blumenfield — Yea
Bradford — Yea
Brownley — Yea
Buchanan — Yea
Hayashi — Yea
Hueso — Yea
Knight — Nay
Logue — Nay
Ma — Yea
Mansoor — Nay
Olsen — Nay
Perea — Yea
Smyth — Not Voting
Swanson — Yea
Wagner — Nay
Williams — Not Voting
Eng — Yea
Dickinson — Yea
Fuentes — Yea
Gatto — 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.

Passed 12 Yea · 4 Nay · 1 Other
Party YeaNayPresentNot Voting
Democratic 1000
Unaffiliated 11401
Total 12401
% of votes cast 71%24%0%6%
How each member voted (17)
Member Party Vote
Mitchell — Yea
Fuentes — Yea
Hall — Yea
Campos — Yea
Donnelly — Nay
Nielsen — Nay
Blumenfield — Yea
Bradford — Yea
Harkey — Not Voting
Hill — Yea
Lara — Yea
Norby — Nay
Solorio — Yea
Wagner — Nay
Davis — 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 · 5 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 13501
Total 13501
% of votes cast 68%26%0%5%
How each member voted (19)
Member Party Vote
Mitchell — Yea
Bonilla — Yea
Hayashi — Yea
Monning — Yea
Pan — Yea
Eng — Yea
Gordon — Yea
Logue — Nay
Atkins — Yea
Silva — Nay
Smyth — Nay
Williams — Yea
Ammiano — Yea
Mansoor — Nay
Nestande — Nay
Garrick — Not Voting
Bonnie Lowenthal — Yea
Roger Hernández — Yea
V. Manuel Pérez — Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does AB 2152 do?
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 a health care service plan to submit a block transfer filing to the department at least 75 days prior to the termination of its contract with a provider group or a general acute care hospital and to provide 60 days' notice of the contract's termination to enrollees assigned to the terminated provider. Existing law specifies that a health care service plan is not required to send this notice to enrollees of a preferred provider organization unless the terminated provider is a general acute care hospital. This bill would, commencing July 1, 2013, make these provisions inapplicable with respect to a contract between a plan and a provider that provides benefits to enrollees and subscribers through a preferred provider arrangement. The bill would instead require the plan under those contracts to notify the department at least 30 days prior to terminating a contract with a provider group or general acute care hospital where the termination would affect 800 or more covered lives who have obtained services from the provider group or hospital within the preceding 6 months. Where the termination would affect 2,000 or more covered lives who have obtained services from the provider group or hospital within the preceding 6 months, the bill would require the plan to send a written notice at least 10 days prior to the termination date to all of those covered lives, as specified. Because a willful violation of these requirements would be a crime, the bill would impose a state-mandated local program. Existing law provides for the regulation of health insurers by the Department of Insurance. Under existing law, a health insurer may contract with providers for alternative rates of payment. Existing law requires those insurers to file a policy with the department describing how the insurer facilitates the continuity of care for new insureds under group policies receiving services for an acute condition from a noncontracting provider. Existing law also requires those health insurers to, at the request of an insured, arrange for the completion of covered services by a terminated provider if the insured is undergoing treatment for certain conditions, as specified. This bill would, commencing July 1, 2013, require a health insurer to notify the department at least 30 days prior to terminating a contract with a provider group or general acute care hospital to provide services at alternative rates of payment if the termination would affect 800 or more covered lives who have obtained services from the provider group or hospital within the preceding 6 months. Where that termination would affect 2,000 or more covered lives who have obtained services from the provider group or hospital within the preceding 6 months, the bill would, commencing July 1, 2013, require the insurer to send a written notice to all of those covered lives at least 10 days prior to the termination date, as specified. Existing law requires disability insurance policies to include a disclosure form that contains specified information, including the principal benefits and coverage of the policy, the exceptions, reductions, and limitations that apply to the policy, and a statement, with respect to health insurance policies, describing how participation in the policy may affect the choice of physician, hospital, or health care providers, and describing the extent of financial liability that may be incurred if care is furnished by a nonparticipating provider. With respect to health insurance policies, this bill would require the disclosure form to include additional information, including conditions and procedures for cancellation, rescission, or nonrenewal, a description of the limitations on the insured's choice of provider, and, with respect to insurers that contract for alternate rates of payment, a statement describing the basic method of reimbursement made to its participating providers, as specified. The bill would also require the first page of the disclosure form for health insurance policies to include other specified information. The bill would require a health insurer, medical group, or participating provider that uses or receives financial bonuses or other incentives to provide a written summary of specified information to any requesting person. The bill would make these provisions operative on July 1, 2013. 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 2152?
AB 2152 is sponsored by Eng and Huffman.
What is the current status of AB 2152?
This bill died with 2011-2012 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 AB 2152?
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