California 2013-2014 Regular Session Status: Enacted

SB 964 — Health care coverage.

Last action — Chaptered by Secretary of State. Chapter 573, Statutes of 2014.

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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 February 10, 2014. Enacted.

Prognosis

Likely to advance 70% · 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.

  • 1 sponsor

    1 primary, 0 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

Existing law, the Knox-Keene Health Care Service Plan Act of 1975 (Knox-Keene Act) , provides for the licensure and regulation of health care service plans by the Department of Managed Health Care (DMHC) and makes a willful violation of the act a crime. Existing law requires DMHC to adopt standards for timeliness of access to care and requires that contracts between health care service plans and providers ensure compliance with those standards. Existing law requires health care service plans to annually report to DMHC on compliance with those standards in a manner specified by DMHC. Under existing law, every 3 years, DMHC is required to review information regarding compliance with those standards and make recommendations for changes that further protect enrollees. This bill would authorize DMHC to develop standardized methodologies to be used by plans in making the annual reports on compliance with the timeliness standards, as specified, and would make the development and adoption of those methodologies exempt from the Administrative Procedure Act until January 1, 2020. The bill would require DMHC to annually review information regarding compliance with the timeliness standards and to post its findings from the reviews, and any waivers or alternative standards approved by DMHC, on its Internet Web site. The bill would also require a health care service plan, as part of the annual reports, to submit data regarding network adequacy to DMHC, as specified, and would require DMHC to review that data for compliance with the Knox-Keene Act. The bill would require, if DMHC requests additional information to be reported, that the department provide health care service plans with notice of the change by November 1 of the year prior to the change. The bill would also require a health care service plan that provides services to Medi-Cal beneficiaries to provide the report data to the State Department of Health Care Services. Because a violation of the requirements imposed on health care service plans would be a crime, the bill would impose a state-mandated local program. Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services (DHCS) , under which qualified low-income individuals receive health care services. One of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed health care plans. Existing law requires DHCS to conduct annual medical audits of specified managed care plans and requires that these reviews be scheduled and carried out jointly with reviews carried out pursuant to the Knox-Keene Act. The Knox-Keene Act requires DMHC to periodically conduct an onsite medical survey of the health delivery system of each health care service plan and exempts a plan that provides services solely to Medi-Cal beneficiaries from the survey upon submission to DMHC the medical audit conducted by DHCS as part of the Medi-Cal contracting process. This bill would eliminate that exemption and would require DMHC to coordinate the surveys conducted with respect to Medi-Cal managed care plans with DHCS, to the extent possible, provided that the coordination does not result in a delay of the surveys or the failure of DMHC to conduct the surveys. This bill would also require DHCS to publicly report its findings of finalized medical audits as soon as possible, as specified, and to share those findings and other information with respect to Knox-Keene plans with DMHC. The bill would specify that any preliminary audit findings shared with DMHC under this provision would be exempt from disclosure under the California Public Records Act. 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. Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest. This bill would make legislative findings to that effect.

Bill Text

Action History

  1. Chaptered by Secretary of State. Chapter 573, Statutes of 2014.

  2. Approved by the Governor.

  3. Enrolled and presented to the Governor at 11 a.m.

  4. Assembly amendments concurred in. (Ayes 23. Noes 12. Page 4915.) Ordered to engrossing and enrolling.

  5. In Senate. Concurrence in Assembly amendments pending.

  6. Read third time. Passed. (Ayes 54. Noes 22. Page 6494.) Ordered to the Senate.

  7. Ordered to third reading.

  8. Read third time and amended. (Page 6343.)

  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 3.) (August 14).

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

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

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

  15. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 14. Noes 5.) (June 24).

  16. Referred to Com. on HEALTH.

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

  18. Read third time. Passed. (Ayes 22. Noes 10. Page 3597.) Ordered to the Assembly.

  19. Read second time. Ordered to third reading.

  20. From committee: Do pass. (Ayes 5. Noes 2. Page 3706.) (May 23).

  21. Set for hearing May 23.

  22. Placed on APPR. suspense file.

  23. Set for hearing May 19.

  24. From committee: Do pass and re-refer to Com. on APPR. (Ayes 5. Noes 1. Page 3342.) (April 30). Re-referred to Com. on APPR.

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

  26. Set for hearing April 30.

  27. Referred to Com. on HEALTH.

  28. From printer. May be acted upon on or after March 13.

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

Sponsors

  • Hernandez · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 121 not signed on · 6 voted No

Sponsors (1)

  • Hernandez

Co-sponsors (0)

None.

Not signed on (121)

121 members have not signed on to this bill.

Show all 121 →

"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 SB964 Hernandez Concurrence

Passed 23 Yea · 12 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 221203
Democratic 1002
Total 231205
% of votes cast 58%30%0%13%
How each member voted (40)
Member Party Vote
Anderson — Nay
Beall — Yea
Block — Yea
Knight — Nay
Lieu — Yea
Liu — Yea
Monning — Yea
Roth — Yea
Torres — Yea
Wolk — Yea
Corbett — Yea
Correa — Nay
Wright — Not Voting
Wyland — Nay
Fuller — Nay
Huff — Nay
Vidak — Nay
Walters — Nay
Cannella — Yea
Galgiani — Yea
Hernandez — Yea
Mitchell — Yea
De León — Yea
Hill — Yea
Hueso — Yea
Lara — Yea
Leno — Yea
Morrell — Nay
Nielsen — Nay
Pavley — Yea
Steinberg — Yea
Evans — Yea
DeSaulnier — Yea
Yee — Not Voting
Hancock — Not Voting
Beth Gaines — Nay
Bill Berryhill — Nay
Calderon, Lisa Democratic Not Voting
Jackson, Corey A. Democratic Yea
Padilla, Stephen C. Democratic Not Voting

Official roll call →

SB 964 Hernandez Senate Third Reading By BONTA

Passed 54 Yea · 22 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 511902
Democratic 3001
Republican 0300
Total 542203
% of votes cast 68%28%0%4%
How each member voted (79)
Member Party Vote
Achadjian — Nay
Alejo — Yea
Bigelow — Nay
Bradford — Yea
Brown — Yea
Buchanan — Yea
Holden — Yea
Jones-Sawyer — Yea
Linder — Nay
Logue — Nay
Maienschein — Nay
Mansoor — Nay
Mullin — Yea
Rendon — Yea
Rodriguez — Yea
Wagner — Nay
Skinner — Yea
Dababneh — Yea
Nazarian — Yea
Ridley-Thomas — Yea
Waldron — Yea
Lowenthal — Yea
Garcia — Yea
Gray — Yea
Atkins — Yea
Fong — Yea
Campos — Yea
Bonilla — Yea
Frazier — Yea
Gatto — Yea
Hall — Yea
Bloom — Yea
Cooley — Yea
Dickinson — Yea
Eggman — Yea
Levine — Yea
Medina — Yea
Pan — Yea
Perea — Yea
Quirk — Yea
Wieckowski — Yea
Williams — Yea
Bocanegra — Yea
John A. Pérez — Yea
Ammiano — Not Voting
Salas — Yea
Hagman — Nay
Allen — Nay
Chau — Yea
Chesbro — Yea
Chávez — Nay
Conway — Nay
Donnelly — Nay
Harkey — Nay
Melendez — Nay
Nestande — Nay
Olsen — Nay
Ting — Yea
Weber — Yea
Wilk — Nay
Daly — Yea
Fox — Yea
Yamada — Yea
Gomez — Yea
Gordon — Yea
Gorell — Not Voting
Beth Gaines — Nay
Jim Patterson — Nay
Lorena Gonzalez — Yea
Mark Stone — Yea
Roger Hernández — Yea
V. Manuel Pérez — Yea
Bonta, Mia Democratic Yea
Calderon, Lisa Democratic Yea
Muratsuchi, Al Democratic Not Voting
Quirk-Silva, Sharon Democratic Yea
Dahle, Megan Republican Nay
Grove, Shannon Republican Nay
Jones, Brian W. Republican Nay

Official roll call →

Do pass as amended.

Passed 12 Yea · 3 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 11202
Democratic 1000
Republican 0100
Total 12302
% of votes cast 71%18%0%12%
How each member voted (17)
Member Party Vote
Bigelow — Not Voting
Bradford — Yea
Linder — Not Voting
Pan — Yea
Quirk — Yea
Ridley-Thomas — Yea
Wagner — Nay
Weber — Yea
Gomez — Yea
Holden — Yea
Bocanegra — Yea
Campos — Yea
Eggman — Yea
Donnelly — Nay
Gatto — Yea
Calderon, Lisa Democratic Yea
Jones, Brian W. Republican Nay

Official roll call →

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

Passed 14 Yea · 5 Nay
Party YeaNayPresentNot Voting
Unaffiliated 13500
Democratic 1000
Total 14500
% of votes cast 74%26%0%0%
How each member voted (19)
Member Party Vote
Ammiano — Yea
Maienschein — Nay
Mansoor — Nay
Rodriguez — Yea
Bonilla — Yea
Lowenthal — Yea
Nazarian — Yea
Chesbro — Yea
Chávez — Nay
Pan — Yea
Ridley-Thomas — Yea
Wagner — Nay
Waldron — Yea
Wieckowski — Yea
Gomez — Yea
Jim Patterson — Nay
Lorena Gonzalez — Yea
Roger Hernández — Yea
Bonta, Mia Democratic Yea

Official roll call →

3rd Reading

Passed 22 Yea · 10 Nay · 8 Other
Party YeaNayPresentNot Voting
Unaffiliated 201007
Democratic 2001
Total 221008
% of votes cast 55%25%0%20%
How each member voted (40)
Member Party Vote
Anderson — Nay
Block — Yea
Huff — Nay
Lara — Not Voting
Steinberg — Yea
Wyland — Nay
Evans — Yea
Galgiani — Yea
Hernandez — Yea
Leno — Yea
Beall — Yea
DeSaulnier — Yea
Mitchell — Yea
Wright — Not Voting
De León — Yea
Cannella — Not Voting
Fuller — Nay
Hancock — Yea
Hill — Yea
Hueso — Yea
Corbett — Yea
Correa — Not Voting
Knight — Nay
Lieu — Yea
Liu — Not Voting
Monning — Yea
Morrell — Nay
Nielsen — Nay
Pavley — Yea
Roth — Yea
Torres — Yea
Vidak — Nay
Walters — Nay
Wolk — Yea
Yee — Not Voting
Beth Gaines — Nay
Bill Berryhill — Not Voting
Calderon, Lisa Democratic Not Voting
Jackson, Corey A. Democratic Yea
Padilla, Stephen C. Democratic Yea

Official roll call →

Do pass.

Passed 5 Yea · 2 Nay
Party YeaNayPresentNot Voting
Unaffiliated 4200
Democratic 1000
Total 5200
% of votes cast 71%29%0%0%
How each member voted (7)
Member Party Vote
Hill — Yea
Lara — Yea
De León — Yea
Steinberg — Yea
Walters — Nay
Beth Gaines — Nay
Padilla, Stephen C. Democratic Yea

Official roll call →

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

Passed 5 Yea · 1 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 5103
Total 5103
% of votes cast 56%11%0%33%
How each member voted (9)
Member Party Vote
Wolk — Not Voting
Evans — Yea
DeSaulnier — Yea
De León — Yea
Hernandez — Yea
Nielsen — Not Voting
Beall — Not Voting
Monning — Yea
Morrell — Nay

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does SB 964 do?
Existing law, the Knox-Keene Health Care Service Plan Act of 1975 (Knox-Keene Act) , provides for the licensure and regulation of health care service plans by the Department of Managed Health Care (DMHC) and makes a willful violation of the act a crime. Existing law requires DMHC to adopt standards for timeliness of access to care and requires that contracts between health care service plans and providers ensure compliance with those standards. Existing law requires health care service plans to annually report to DMHC on compliance with those standards in a manner specified by DMHC. Under existing law, every 3 years, DMHC is required to review information regarding compliance with those standards and make recommendations for changes that further protect enrollees. This bill would authorize DMHC to develop standardized methodologies to be used by plans in making the annual reports on compliance with the timeliness standards, as specified, and would make the development and adoption of those methodologies exempt from the Administrative Procedure Act until January 1, 2020. The bill would require DMHC to annually review information regarding compliance with the timeliness standards and to post its findings from the reviews, and any waivers or alternative standards approved by DMHC, on its Internet Web site. The bill would also require a health care service plan, as part of the annual reports, to submit data regarding network adequacy to DMHC, as specified, and would require DMHC to review that data for compliance with the Knox-Keene Act. The bill would require, if DMHC requests additional information to be reported, that the department provide health care service plans with notice of the change by November 1 of the year prior to the change. The bill would also require a health care service plan that provides services to Medi-Cal beneficiaries to provide the report data to the State Department of Health Care Services. Because a violation of the requirements imposed on health care service plans would be a crime, the bill would impose a state-mandated local program. Existing law provides for the Medi-Cal program, which is administered by the State Department of Health Care Services (DHCS) , under which qualified low-income individuals receive health care services. One of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed health care plans. Existing law requires DHCS to conduct annual medical audits of specified managed care plans and requires that these reviews be scheduled and carried out jointly with reviews carried out pursuant to the Knox-Keene Act. The Knox-Keene Act requires DMHC to periodically conduct an onsite medical survey of the health delivery system of each health care service plan and exempts a plan that provides services solely to Medi-Cal beneficiaries from the survey upon submission to DMHC the medical audit conducted by DHCS as part of the Medi-Cal contracting process. This bill would eliminate that exemption and would require DMHC to coordinate the surveys conducted with respect to Medi-Cal managed care plans with DHCS, to the extent possible, provided that the coordination does not result in a delay of the surveys or the failure of DMHC to conduct the surveys. This bill would also require DHCS to publicly report its findings of finalized medical audits as soon as possible, as specified, and to share those findings and other information with respect to Knox-Keene plans with DMHC. The bill would specify that any preliminary audit findings shared with DMHC under this provision would be exempt from disclosure under the California Public Records Act. 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. Existing constitutional provisions require that a statute that limits the right of access to the meetings of public bodies or the writings of public officials and agencies be adopted with findings demonstrating the interest protected by the limitation and the need for protecting that interest. This bill would make legislative findings to that effect.
Who sponsors SB 964?
SB 964 is sponsored by Hernandez.
What is the current status of SB 964?
This bill has been enacted into law. Introduced February 10, 2014. Enacted.
Where can I track SB 964?
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