California 2013-2014 Regular Session Status: Enacted

SB 1182 — Health care coverage: claims data.

Last action — Chaptered by Secretary of State. Chapter 577, Statutes of 2014.

  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 20, 2014. Enacted.

Odds of enactment

High chance

Based on the sponsor, cosponsors, and committee posture, this bill has a high chance of becoming law.

Upgrade to see the exact probability and what's driving it.

A statistical estimate from our own model of past outcomes — an insight, not a guarantee. Policymaking is volatile.

Prognosis

Likely to advance 70% · moderate confidence

  • Enacted

    Current position in the legislative process.

  • 1 sponsor

    1 primary, 0 co-sponsors signed on.

  • Cleared a recorded vote

    Passed 9 recorded votes so far.

Based on stage, sponsorship breadth, committee status, recorded votes, and cross-state momentum — a description of the observable signals, not a prediction.

Summary

Existing law, the federal Patient Protection and Affordable Care Act (PPACA) , requires the United States Secretary of Health and Human Services to establish a process for the annual review of unreasonable increases in premiums for health insurance coverage in which health insurance issuers submit to the secretary and the relevant state, a justification for an unreasonable premium increase prior to implementation of the increase. 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. For large group plan contracts and policies, existing law requires a plan or insurer to file rate information with the appropriate department at least 60 days prior to implementing an unreasonable rate increase, as defined in PPACA. Existing law requires the plan or insurer to also disclose specified aggregate data with that rate filing. This bill would require a health care service plan or health insurer to annually provide deidentified claims data at no charge to a large group purchaser that requests the information and meets specified conditions. The bill would specify that all disclosures of data to the large group purchaser made pursuant to these provisions is required to comply with the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) , the federal Health Information Technology for Economic and Clinical Health Act, and the Confidentiality of Medical Information Act or the Insurance Information and Privacy Protection Act, as specified. The bill would prohibit a health care service plan or a health insurer from disclosing the contracted rates between the health care service plan or health insurer and a provider to a large group purchaser. This bill would specify that additional aggregate claims data disclosed to a large group purchaser by a health care service plan or health insurer is confidential and is prohibited from being made public by the department and exempt from disclosure under the California Public Records Act. Existing law prohibits, with exceptions, a health care service plan or health insurer from releasing any information to an employer that would directly or indirectly indicate to the employer that an employee is receiving or has received services from a health care provider covered by the plan unless authorized to do so by the employee. This bill would exempt from the prohibition the release of relevant information for the purposes set forth in these provisions regarding a plan's or insurer's annual disclosure of deidentified claims data to a large group purchaser. Because a willful violation of the bill's requirements by a health care services plan would be a crime, the bill would impose a state-mandated local program. 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. 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 577, Statutes of 2014.

  2. Approved by the Governor.

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

  4. Assembly amendments concurred in. (Ayes 24. Noes 11. Page 4991.) Ordered to engrossing and enrolling.

  5. In Senate. Concurrence in Assembly amendments pending.

  6. Read third time. Passed. (Ayes 67. Noes 16. Page 6708.) Ordered to the Senate.

  7. Read second time. Ordered to third reading.

  8. Read second time and amended. Ordered to second reading.

  9. From committee: Do pass as amended. (Ayes 14. Noes 2.) (August 26).

  10. Joint Rule 62(a) file notice suspended. (Page 6380.)

  11. Re-referred to Com. on HEALTH pursuant to Assembly Rule 77.2.

  12. Ordered to third reading.

  13. Read third time and amended. (Page 6344.)

  14. Read second time. Ordered to third reading.

  15. Read second time and amended. Ordered to second reading.

  16. From committee: Do pass as amended. (Ayes 12. Noes 5.) (August 14).

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

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

  19. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 13. Noes 6.) (June 24).

  20. Referred to Com. on HEALTH.

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

  22. Read third time. Passed. (Ayes 21. Noes 12. Page 3643.) Ordered to the Assembly.

  23. Read second time. Ordered to third reading.

  24. From committee: Do pass. (Ayes 5. Noes 2. Page 3711.) (May 23).

  25. Set for hearing May 23.

  26. Placed on APPR. suspense file.

  27. Set for hearing May 5.

  28. From committee: Do pass and re-refer to Com. on APPR. (Ayes 7. Noes 1. Page 3280.) (April 24). Re-referred to Com. on APPR.

  29. April 23 hearing rescheduled for April 24.

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

  31. Set for hearing April 23.

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

  33. Set for hearing April 9.

  34. Referred to Com. on HEALTH.

  35. From printer. May be acted upon on or after March 23.

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

Sponsors

  • Leno · Primary

Sponsorship breakdown

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

Sponsors (1)

  • Leno

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 Supp 3 SB1182 Leno Concurrence

Passed 24 Yea · 11 Nay · 5 Other
Party YeaNayPresentNot Voting
Unaffiliated 221104
Democratic 2001
Total 241105
% of votes cast 60%28%0%13%
How each member voted (40)
Member Party Vote
Anderson — Nay
Beall — Yea
Hueso — Yea
Lara — Not Voting
Lieu — Yea
Pavley — Yea
Roth — Yea
Evans — Yea
DeSaulnier — Yea
Cannella — Yea
Galgiani — Yea
Corbett — Yea
Mitchell — Yea
De León — Yea
Hancock — Yea
Hernandez — Yea
Block — Yea
Leno — Yea
Liu — Yea
Monning — Yea
Steinberg — Yea
Torres — Yea
Wright — Not Voting
Wyland — Nay
Hill — Yea
Correa — Not Voting
Huff — Nay
Knight — Nay
Morrell — Nay
Nielsen — Nay
Vidak — Nay
Walters — Nay
Wolk — Yea
Fuller — Nay
Yee — Not Voting
Beth Gaines — Nay
Bill Berryhill — Nay
Calderon, Lisa Democratic Not Voting
Jackson, Corey A. Democratic Yea
Padilla, Stephen C. Democratic Yea

Official roll call →

SB 1182 Leno Senate Third Reading By BONTA

Passed 61 Yea · 16 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 571302
Democratic 4000
Republican 0300
Total 611602
% of votes cast 77%20%0%3%
How each member voted (79)
Member Party Vote
Achadjian — Yea
Alejo — Yea
Bloom — Yea
Bradford — Yea
Brown — Yea
Buchanan — Yea
Jones-Sawyer — Yea
Maienschein — Yea
Mansoor — Nay
Olsen — Yea
Weber — Yea
Williams — Yea
Dababneh — Yea
Daly — Yea
Gorell — Yea
Lowenthal — Yea
Garcia — Yea
Gray — Yea
Atkins — Yea
Ridley-Thomas — Yea
Skinner — Yea
Waldron — Yea
Frazier — Yea
Fong — Yea
Campos — Yea
Chau — Yea
Bonilla — Yea
Gatto — Yea
Gomez — Yea
Hagman — Nay
Bocanegra — Yea
Harkey — Nay
John A. Pérez — Yea
Holden — Yea
Salas — Yea
Levine — Yea
Chesbro — Yea
Linder — Yea
Logue — Nay
Allen — Nay
Medina — Yea
Melendez — Nay
Mullin — Yea
Nazarian — Yea
Ammiano — Yea
Bigelow — Nay
Chávez — Yea
Conway — Nay
Cooley — Yea
Dickinson — Yea
Donnelly — Nay
Eggman — Not Voting
Nestande — Yea
Pan — Yea
Perea — Yea
Quirk — Yea
Rendon — Yea
Rodriguez — Yea
Ting — Yea
Wagner — Nay
Wieckowski — Yea
Wilk — Nay
Fox — Nay
Yamada — Yea
Gordon — Yea
Hall — Yea
Beth Gaines — Nay
Jim Patterson — Not Voting
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 Nay
Grove, Shannon Republican Nay
Jones, Brian W. Republican Nay

Official roll call →

Do pass as amended.

Passed 14 Yea · 2 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 13203
Democratic 1000
Total 14203
% of votes cast 74%11%0%16%
How each member voted (19)
Member Party Vote
Ammiano — Yea
Mansoor — Nay
Pan — Yea
Wagner — Not Voting
Lowenthal — Yea
Bonilla — Not Voting
Maienschein — Yea
Chesbro — Yea
Chávez — Yea
Nazarian — Yea
Nestande — Yea
Ridley-Thomas — Not Voting
Rodriguez — Yea
Wieckowski — Yea
Gomez — Yea
Jim Patterson — Nay
Lorena Gonzalez — Yea
Roger Hernández — Yea
Bonta, Mia Democratic Yea

Official roll call →

Do pass as amended.

Passed 12 Yea · 5 Nay
Party YeaNayPresentNot Voting
Unaffiliated 11400
Democratic 1000
Republican 0100
Total 12500
% of votes cast 71%29%0%0%
How each member voted (17)
Member Party Vote
Bradford — Yea
Linder — Nay
Ridley-Thomas — Yea
Campos — Yea
Gomez — Yea
Holden — Yea
Bocanegra — Yea
Pan — Yea
Eggman — Yea
Quirk — Yea
Wagner — Nay
Weber — Yea
Bigelow — Nay
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 13 Yea · 6 Nay
Party YeaNayPresentNot Voting
Unaffiliated 12600
Democratic 1000
Total 13600
% of votes cast 68%32%0%0%
How each member voted (19)
Member Party Vote
Ammiano — Yea
Maienschein — Nay
Mansoor — Nay
Ridley-Thomas — Yea
Waldron — Nay
Chesbro — Yea
Chávez — Nay
Bonilla — Yea
Lowenthal — Yea
Nazarian — Yea
Pan — Yea
Rodriguez — Yea
Wagner — Nay
Wieckowski — Yea
Gomez — Yea
Jim Patterson — Nay
Lorena Gonzalez — Yea
Roger Hernández — Yea
Bonta, Mia Democratic Yea

Official roll call →

3rd Reading

Passed 21 Yea · 12 Nay · 7 Other
Party YeaNayPresentNot Voting
Unaffiliated 191206
Democratic 2001
Total 211207
% of votes cast 53%30%0%18%
How each member voted (40)
Member Party Vote
Anderson — Nay
Hueso — Yea
Leno — Yea
Liu — Yea
Monning — Yea
Roth — Not Voting
Torres — Not Voting
Wolk — Yea
Corbett — Yea
Correa — Nay
Evans — Yea
DeSaulnier — Yea
Wright — Not Voting
Wyland — Nay
Cannella — Not Voting
Mitchell — Yea
De León — Yea
Fuller — Nay
Galgiani — Yea
Hancock — Yea
Hernandez — Yea
Hill — Yea
Beall — Yea
Block — Yea
Huff — Nay
Knight — Nay
Lara — Not Voting
Lieu — Yea
Morrell — Nay
Nielsen — Nay
Pavley — Yea
Steinberg — Yea
Vidak — Nay
Walters — Nay
Yee — Not Voting
Beth Gaines — Nay
Bill Berryhill — Nay
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
Lara — Yea
Steinberg — Yea
Walters — Nay
De León — Yea
Hill — Yea
Beth Gaines — Nay
Padilla, Stephen C. Democratic Yea

Official roll call →

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

Passed 7 Yea · 1 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 7101
Total 7101
% of votes cast 78%11%0%11%
How each member voted (9)
Member Party Vote
Beall — Yea
Hernandez — Yea
Nielsen — Not Voting
Evans — Yea
De León — Yea
Monning — Yea
Morrell — Nay
Wolk — Yea
DeSaulnier — Yea

Official roll call →

Subjects

healthcare health-insurance
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Frequently asked questions

What does SB 1182 do?
Existing law, the federal Patient Protection and Affordable Care Act (PPACA) , requires the United States Secretary of Health and Human Services to establish a process for the annual review of unreasonable increases in premiums for health insurance coverage in which health insurance issuers submit to the secretary and the relevant state, a justification for an unreasonable premium increase prior to implementation of the increase. 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. For large group plan contracts and policies, existing law requires a plan or insurer to file rate information with the appropriate department at least 60 days prior to implementing an unreasonable rate increase, as defined in PPACA. Existing law requires the plan or insurer to also disclose specified aggregate data with that rate filing. This bill would require a health care service plan or health insurer to annually provide deidentified claims data at no charge to a large group purchaser that requests the information and meets specified conditions. The bill would specify that all disclosures of data to the large group purchaser made pursuant to these provisions is required to comply with the federal Health Insurance Portability and Accountability Act of 1996 (HIPAA) , the federal Health Information Technology for Economic and Clinical Health Act, and the Confidentiality of Medical Information Act or the Insurance Information and Privacy Protection Act, as specified. The bill would prohibit a health care service plan or a health insurer from disclosing the contracted rates between the health care service plan or health insurer and a provider to a large group purchaser. This bill would specify that additional aggregate claims data disclosed to a large group purchaser by a health care service plan or health insurer is confidential and is prohibited from being made public by the department and exempt from disclosure under the California Public Records Act. Existing law prohibits, with exceptions, a health care service plan or health insurer from releasing any information to an employer that would directly or indirectly indicate to the employer that an employee is receiving or has received services from a health care provider covered by the plan unless authorized to do so by the employee. This bill would exempt from the prohibition the release of relevant information for the purposes set forth in these provisions regarding a plan's or insurer's annual disclosure of deidentified claims data to a large group purchaser. Because a willful violation of the bill's requirements by a health care services plan would be a crime, the bill would impose a state-mandated local program. 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. 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 1182?
SB 1182 is sponsored by Leno.
What is the current status of SB 1182?
This bill has been enacted into law. Introduced February 20, 2014. Enacted.
Where can I track SB 1182?
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