California 2013-2014 Regular Session Status: Enacted

SB 494 — Health care providers.

Last action — Chaptered by Secretary of State. Chapter 684, Statutes of 2013.

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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 21, 2013. 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

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 also provides for the regulation of health insurers by the Department of Insurance. This bill would, until January 1, 2019, require a health care service plan to ensure that there is at least one full-time equivalent primary care physician for every 2,000 enrollees. This bill would, until January 1, 2019, authorize the assignment of up to an additional 1,000 enrollees, as specified, to a primary care physician for each full-time equivalent nonphysician medical practitioner, as defined, supervised by that physician. By imposing new requirements on health care service plans, the willful violation of which would be a crime, this 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. Prior to a Medi-Cal managed care plan commencing operations, existing law requires the department to evaluate, among other things, the extent to which the plan has an adequate provider network, including the location, office hours, and language capabilities of the plan's primary care physicians. Existing law defines primary care provider for these purposes as an internist, general practitioner, obstetrician-gynecologist, pediatrician, family practice physician, or, as specified, types of clinics and defines primary care physician as a physician who has the responsibility, among other duties, for providing initial and primary care to patients. This bill would require that the department evaluate the location, office hours, and language capabilities of a plan's primary care physicians and, if applicable, nonphysician medical practitioners. The bill would add nonphysician medical practitioners to the definition of a primary care provider and would define nonphysician medical practitioner, as specified. The bill would make conforming changes. 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 684, Statutes of 2013.

  2. Approved by the Governor.

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

  4. Assembly amendments concurred in. (Ayes 37. Noes 0. Page 2424.) Ordered to engrossing and enrolling.

  5. In Senate. Concurrence in Assembly amendments pending.

  6. Read third time. Passed. (Ayes 78. Noes 0. Page 3193.) Ordered to the Senate.

  7. Ordered to third reading.

  8. Read third time and amended. (Page 2955.)

  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 17. Noes 0.) (August 30).

  12. Set, first hearing. Referred to 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 18. Noes 0.) (August 13).

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

  16. Referred to Com. on HEALTH.

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

  18. Read third time. Passed. (Ayes 38. Noes 0. Page 1167.) Ordered to the Assembly.

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

  20. From committee: Do pass as amended. (Ayes 7. Noes 0. Page 1015.) (May 23).

  21. Set for hearing May 23.

  22. Placed on APPR. suspense file.

  23. Set for hearing May 6.

  24. From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 0. Page 697.) (April 24). Re-referred to Com. on APPR.

  25. Set for hearing April 24.

  26. Re-referred to Com. on HEALTH.

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

  28. Referred to Com. on RLS.

  29. From printer. May be acted upon on or after March 24.

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

Sponsors

  • Hernandez · Cosponsor
  • Monning · Primary

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 1 co-sponsors · 120 not signed on

Sponsors (1)

  • Monning

Co-sponsors (1)

  • Hernandez

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 SB494 Monning Concurrence

Passed 37 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 34002
Democratic 3000
Total 37002
% of votes cast 95%0%0%5%
How each member voted (39)
Member Party Vote
Block — Yea
Hueso — Yea
Knight — Yea
Lara — Yea
Lieu — Yea
Monning — Yea
Pavley — Yea
Roth — Yea
Steinberg — Yea
Emmerson — Yea
Correa — Not Voting
Evans — Yea
Cannella — Yea
Fuller — Yea
Galgiani — Yea
Hancock — Yea
Hernandez — Yea
Huff — Yea
Leno — Yea
Anderson — Yea
Beall — Yea
Liu — Yea
Nielsen — Yea
Torres — Yea
Walters — Yea
Wright — Yea
Wyland — Yea
De León — Not Voting
Hill — Yea
Corbett — Yea
Vidak — Yea
Wolk — Yea
DeSaulnier — Yea
Yee — Yea
Beth Gaines — Yea
Bill Berryhill — Yea
Calderon, Lisa Democratic Yea
Jackson, Corey A. Democratic Yea
Padilla, Stephen C. Democratic Yea

Official roll call →

SB 494 Monning Senate Third Reading By MITCHELL

Passed 78 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 71000
Democratic 4000
Republican 3000
Total 78000
% of votes cast 100%0%0%0%
How each member voted (78)
Member Party Vote
Achadjian — Yea
Alejo — Yea
Bigelow — Yea
Bloom — Yea
Bradford — Yea
Brown — Yea
Buchanan — Yea
Harkey — Yea
Linder — Yea
Maienschein — Yea
Mansoor — Yea
Olsen — Yea
Quirk — Yea
Ting — Yea
Weber — Yea
Wieckowski — Yea
Williams — Yea
Chesbro — Yea
Mullin — Yea
Wagner — Yea
Gorell — Yea
Nazarian — Yea
Daly — Yea
Campos — Yea
Gordon — Yea
Salas — Yea
Hagman — Yea
Hall — Yea
Holden — Yea
Logue — Yea
Medina — Yea
Morrell — Yea
Pan — Yea
Rendon — Yea
Skinner — Yea
Wilk — Yea
Chau — Yea
Allen — Yea
Chávez — Yea
Bonilla — Yea
Gray — Yea
Mitchell — Yea
Bocanegra — Yea
John A. Pérez — Yea
Lowenthal — Yea
Waldron — Yea
Garcia — Yea
Atkins — Yea
Fong — Yea
Melendez — Yea
Ammiano — Yea
Conway — Yea
Cooley — Yea
Donnelly — Yea
Gatto — Yea
Jones-Sawyer — Yea
Levine — Yea
Nestande — Yea
Perea — Yea
Eggman — Yea
Dickinson — Yea
Fox — Yea
Frazier — Yea
Yamada — Yea
Gomez — Yea
Beth Gaines — Yea
Jim Patterson — Yea
Lorena Gonzalez — Yea
Mark Stone — Yea
Roger Hernández — Yea
V. Manuel Pérez — Yea
Bonta, Mia Democratic Yea
Calderon, Lisa Democratic Yea
Muratsuchi, Al Democratic Yea
Quirk-Silva, Sharon Democratic Yea
Dahle, Megan Republican Yea
Grove, Shannon Republican Yea
Jones, Brian W. Republican Yea

Official roll call →

Do pass as amended.

Passed 17 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 16000
Democratic 1000
Total 17000
% of votes cast 100%0%0%0%
How each member voted (17)
Member Party Vote
Bigelow — Yea
Bradford — Yea
Holden — Yea
Pan — Yea
Weber — Yea
Bocanegra — Yea
Hall — Yea
Harkey — Yea
Linder — Yea
Quirk — Yea
Campos — Yea
Eggman — Yea
Wagner — Yea
Donnelly — Yea
Gatto — Yea
Gomez — Yea
Calderon, Lisa Democratic Yea

Official roll call →

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

Passed 18 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 17001
Democratic 1000
Total 18001
% of votes cast 95%0%0%5%
How each member voted (19)
Member Party Vote
Ammiano — Yea
Logue — Not Voting
Maienschein — Yea
Mansoor — Yea
Nazarian — Yea
Wagner — Yea
Wieckowski — Yea
Chesbro — Yea
Bonilla — Yea
Mitchell — Yea
Atkins — Yea
Nestande — Yea
Wilk — Yea
Lowenthal — Yea
Pan — Yea
Gomez — Yea
Roger Hernández — Yea
V. Manuel Pérez — Yea
Bonta, Mia Democratic Yea

Official roll call →

3rd Reading

Passed 38 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 35001
Democratic 3000
Total 38001
% of votes cast 97%0%0%3%
How each member voted (39)
Member Party Vote
Beall — Yea
Block — Yea
Hueso — Yea
Knight — Yea
Monning — Yea
Pavley — Yea
Steinberg — Yea
Wolk — Yea
Emmerson — Yea
Correa — Yea
Hernandez — Yea
Leno — Yea
Liu — Yea
Wright — Yea
De León — Yea
Fuller — Yea
Cannella — Yea
Galgiani — Yea
Hill — Yea
Corbett — Yea
Anderson — Yea
Huff — Yea
Lara — Yea
Lieu — Yea
Nielsen — Yea
Price — Yea
Roth — Yea
Torres — Yea
Walters — Yea
Wyland — Yea
Evans — Yea
DeSaulnier — Yea
Yee — Not Voting
Hancock — Yea
Beth Gaines — Yea
Bill Berryhill — Yea
Calderon, Lisa Democratic Yea
Jackson, Corey A. Democratic Yea
Padilla, Stephen C. Democratic Yea

Official roll call →

Do pass as amended.

Passed 7 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 6000
Democratic 1000
Total 7000
% of votes cast 100%0%0%0%
How each member voted (7)
Member Party Vote
Hill — Yea
Lara — Yea
Walters — Yea
De León — Yea
Steinberg — Yea
Beth Gaines — Yea
Padilla, Stephen C. Democratic Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does SB 494 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 also provides for the regulation of health insurers by the Department of Insurance. This bill would, until January 1, 2019, require a health care service plan to ensure that there is at least one full-time equivalent primary care physician for every 2,000 enrollees. This bill would, until January 1, 2019, authorize the assignment of up to an additional 1,000 enrollees, as specified, to a primary care physician for each full-time equivalent nonphysician medical practitioner, as defined, supervised by that physician. By imposing new requirements on health care service plans, the willful violation of which would be a crime, this 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. Prior to a Medi-Cal managed care plan commencing operations, existing law requires the department to evaluate, among other things, the extent to which the plan has an adequate provider network, including the location, office hours, and language capabilities of the plan's primary care physicians. Existing law defines primary care provider for these purposes as an internist, general practitioner, obstetrician-gynecologist, pediatrician, family practice physician, or, as specified, types of clinics and defines primary care physician as a physician who has the responsibility, among other duties, for providing initial and primary care to patients. This bill would require that the department evaluate the location, office hours, and language capabilities of a plan's primary care physicians and, if applicable, nonphysician medical practitioners. The bill would add nonphysician medical practitioners to the definition of a primary care provider and would define nonphysician medical practitioner, as specified. The bill would make conforming changes. 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 494?
SB 494 is sponsored by Hernandez and Monning.
What is the current status of SB 494?
This bill has been enacted into law. Introduced February 21, 2013. Enacted.
Where can I track SB 494?
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