California 2011-2012 Regular Session Status: Passed Senate 1 D cosponsors

SB 810 — Singleâ€'payer health care coverage.

Last action — Died on third reading.

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

This bill died with 2011-2012 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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 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. Commencing January 1, 2014, the federal Patient Protection and Affordable Care Act requires every individual to be covered under minimum essential coverage, as specified, and requires every health insurance issuer issuing individual or group health insurance coverage to accept every employer and individual who applies for coverage. Existing law establishes the California Health Benefit Exchange to facilitate the purchase of qualified health plans through the Exchange by qualified individuals and small employers by January 1, 2014. 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 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, subject to appropriation by the Legislature, and would authorize the collection of penalty moneys for deposit into the Healthcare Fund, which the bill would create. The bill would create 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, 2014, 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, 2013, with its remaining provisions becoming operative on the earlier of 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 and the date the secretary receives the necessary federal waiver under the federal Patient Protection and Affordable Care Act. 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, and independent medical review. 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. Died on third reading.

  2. Reconsideration granted. (Ayes 37. Noes 0. Page 2724.)

  3. Motion to reconsider made by Senator Leno.

  4. Read third time. Refused passage. (Ayes 19. Noes 15. Page 2724.)

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

  6. From committee: Do pass as amended. (Ayes 6. Noes 2. Page 2686.) (January 19).

  7. Set for hearing January 19.

  8. Placed on APPR. suspense file.

  9. Set for hearing January 17.

  10. Set, first hearing. Hearing canceled at the request of author.

  11. Set for hearing May 23.

  12. Re-referred to Com. on APPR.

  13. Re-referred to Com. on RLS.

  14. Withdrawn from committee.

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

  16. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 5. Noes 3. Page 886.) (May 4).

  17. Set for hearing May 4.

  18. Set, first hearing. Hearing canceled at the request of author.

  19. Set for hearing April 27.

  20. Referred to Coms. on HEALTH and RLS.

  21. From printer. May be acted upon on or after March 22.

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

Sponsors

  • De León · Cosponsor
  • Alquist · Cosponsor
  • Ammiano · Cosponsor
  • Beall · Cosponsor
  • Block · Cosponsor
  • Blumenfield · Cosponsor
  • Bonilla · Cosponsor
  • Brownley · Cosponsor
  • Campos · Cosponsor
  • Cedillo · Cosponsor
  • Chesbro · Cosponsor
  • Corbett · Cosponsor
  • DeSaulnier · Cosponsor
  • Eng · Cosponsor
  • Evans · Cosponsor
  • Feuer · Cosponsor
  • Furutani · Cosponsor
  • Gordon · Cosponsor
  • Hancock · Cosponsor
  • Huffman · Cosponsor
  • Leno · Primary
  • Lieu · Cosponsor
  • Liu · Cosponsor
  • Ma · Cosponsor
  • Monning · Cosponsor
  • Pavley · Cosponsor
  • Price · Cosponsor
  • Skinner · Cosponsor
  • Swanson · Cosponsor
  • Williams · Cosponsor
  • Yamada · Cosponsor
  • Yee · Cosponsor
  • Benjamin Allen · Cosponsor
  • Bonnie Lowenthal · Cosponsor
  • Vince Fong · Cosponsor
  • Bonnie Lowenthal · Cosponsor

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 35 co-sponsors · 86 not signed on · 5 voted No

Sponsors (1)

  • Leno

Co-sponsors (35)

  • De León
  • Alquist
  • Ammiano
  • Beall
  • Block
  • Blumenfield
  • Bonilla
  • Brownley
  • Campos
  • Cedillo
  • Chesbro
  • Corbett
  • DeSaulnier
  • Eng
  • Evans
  • Feuer
  • Furutani
  • Gordon
  • Hancock
  • Huffman
  • Lieu
  • Liu
  • Ma
  • Monning
  • Pavley
  • Price
  • Skinner
  • Swanson
  • Williams
  • Yamada
  • Yee
  • Allen, Benjamin Democratic
  • Bonnie Lowenthal
  • Vince Fong
  • Bonnie Lowenthal

Not signed on (86)

86 members have not signed on to this bill.

Show all 86 →

"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

3rd Reading SB810 Leno Reconsider

Passed 37 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 34003
Republican 1000
Democratic 2000
Total 37003
% of votes cast 93%0%0%8%
How each member voted (40)
Member Party Vote
Yee — Yea
Hancock — Yea
Harman — Yea
Hernandez — Yea
Huff — Yea
Lieu — Yea
Liu — Yea
Simitian — Yea
Cannella — Yea
Evans — Yea
Fuller — Yea
Lowenthal — Yea
De León — Yea
Rubio — Yea
Runner — Not Voting
Negrete McLeod — Not Voting
Dutton — Yea
Leno — Yea
Anderson — Yea
Price — Yea
Vargas — Yea
Wright — Yea
Alquist — Yea
Blakeslee — Yea
Kehoe — Yea
Pavley — Yea
Steinberg — Yea
Walters — Yea
Wolk — Yea
Wyland — Not Voting
Corbett — Yea
Emmerson — Yea
Correa — Yea
DeSaulnier — Yea
Beth Gaines — Yea
Bill Berryhill — Yea
La Malfa — Yea
Calderon, Lisa Democratic Yea
Padilla, Stephen C. Democratic Yea
Strickland, Tony Republican Yea

Official roll call →

3rd Reading

Failed 19 Yea · 15 Nay · 6 Other
Party YeaNayPresentNot Voting
Unaffiliated 191305
Republican 0100
Democratic 0101
Total 191506
% of votes cast 48%38%0%15%
How each member voted (40)
Member Party Vote
Yee — Yea
Wyland — Not Voting
Evans — Yea
Cannella — Nay
Lowenthal — Yea
De León — Yea
Hancock — Yea
Negrete McLeod — Yea
Harman — Nay
Hernandez — Yea
Huff — Nay
Kehoe — Yea
Runner — Not Voting
Rubio — Not Voting
Corbett — Yea
Leno — Yea
Liu — Yea
Alquist — Yea
Anderson — Nay
Correa — Nay
Dutton — Nay
Price — Yea
Simitian — Yea
Steinberg — Yea
Walters — Nay
Wright — Not Voting
Blakeslee — Nay
Lieu — Yea
Pavley — Yea
Vargas — Not Voting
Wolk — Yea
Emmerson — Nay
DeSaulnier — Yea
Fuller — Nay
Beth Gaines — Nay
Bill Berryhill — Nay
La Malfa — Nay
Calderon, Lisa Democratic Nay
Padilla, Stephen C. Democratic Not Voting
Strickland, Tony Republican Nay

Official roll call →

Do pass as amended.

Passed 6 Yea · 2 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 6201
Total 6201
% of votes cast 67%22%0%11%
How each member voted (9)
Member Party Vote
Runner — Not Voting
Kehoe — Yea
Lieu — Yea
Pavley — Yea
Steinberg — Yea
Alquist — Yea
Price — Yea
Walters — Nay
Emmerson — Nay

Official roll call →

Placed on Appropriations Suspense file.

Passed 8 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 8001
Total 8001
% of votes cast 89%0%0%11%
How each member voted (9)
Member Party Vote
Runner — Not Voting
Lieu — Yea
Pavley — Yea
Price — Yea
Steinberg — Yea
Walters — Yea
Alquist — Yea
Kehoe — Yea
Emmerson — Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does SB 810 do?
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. Commencing January 1, 2014, the federal Patient Protection and Affordable Care Act requires every individual to be covered under minimum essential coverage, as specified, and requires every health insurance issuer issuing individual or group health insurance coverage to accept every employer and individual who applies for coverage. Existing law establishes the California Health Benefit Exchange to facilitate the purchase of qualified health plans through the Exchange by qualified individuals and small employers by January 1, 2014. 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 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, subject to appropriation by the Legislature, and would authorize the collection of penalty moneys for deposit into the Healthcare Fund, which the bill would create. The bill would create 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, 2014, 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, 2013, with its remaining provisions becoming operative on the earlier of 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 and the date the secretary receives the necessary federal waiver under the federal Patient Protection and Affordable Care Act. 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, and independent medical review. 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 De León, Alquist, Ammiano, Beall, Block, Blumenfield, Bonilla, Brownley, Campos, Cedillo, Chesbro, Corbett, DeSaulnier, Eng, Evans, Feuer, Furutani, Gordon, Hancock, Huffman, Leno, Lieu, Liu, Ma, Monning, Pavley, Price, Skinner, Swanson, Williams, Yamada, Yee, Allen, Benjamin (Democratic), Bonnie Lowenthal, and Vince Fong.
What is the current status of SB 810?
This bill died with 2011-2012 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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