SB 320 — Health care coverage: acquired brain injury.
Last action — Returned to Secretary of Senate pursuant to Joint Rule 56.
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✓Introduced
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2In Committee
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3Passed Senate
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4Passed Assembly
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5To Executive
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6Enacted
This bill died with 2013-2014 Regular Session. It reached “In Committee” 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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 also provides for the regulation of health insurers by the Department of Insurance. Existing law requires health care service plan contracts and health insurance policies to provide coverage for specified benefits. This bill would prohibit a health care service plan contract or a health insurance policy issued, amended, renewed, or delivered on or after January 1, 2014, from denying coverage for medically necessary medical or rehabilitation treatment for an acquired brain injury at a facility within the plan's or insurer's network that is properly licensed and accredited at which appropriate services may be provided, including specified facilities such as a hospital or a long-term acute care hospital, except as provided. The bill would additionally prohibit the contract or policy from denying the applicable coverage because the treating facility within the plan's or insurer's network is not near the enrollee's or insured's home. Because a willful violation of the bill's provisions by a health care service plan would be a crime, it would impose a state-mandated local program. 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
- Amended 04/03/13 - Amended Senate Current pdf April 03, 2013
- Introduced 02/19/13 - Introduced pdf February 19, 2013
- SB320 View text html
Action History
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Returned to Secretary of Senate pursuant to Joint Rule 56.
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Held in committee and under submission.
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Set for hearing May 23.
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Placed on APPR. suspense file.
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Set for hearing May 13.
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From committee: Do pass and re-refer to Com. on APPR. (Ayes 5. Noes 2. Page 791.) (May 1). Re-referred to Com. on APPR.
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Set for hearing May 1.
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From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
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Referred to Com. on HEALTH.
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From printer. May be acted upon on or after March 22.
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Introduced. Read first time. To Com. on RLS. for assignment. To print.
Sponsors
- Beall · Primary
- DeSaulnier · Cosponsor
- Susan Rubio · Cosponsor
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 2 co-sponsors · 119 not signed on
Sponsors (1)
- Beall
Co-sponsors (2)
- DeSaulnier
- Rubio, Susan Democratic
Not signed on (119)
119 members have not signed on to this bill.
Show all 119 →"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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 4 | 0 | 0 | 2 |
| Democratic | 1 | 0 | 0 | 0 |
| Total | 5 | 0 | 0 | 2 |
| % of votes cast | 71% | 0% | 0% | 29% |
How each member voted (7)
| Member | Party | Vote |
|---|---|---|
| Hill | — | Yea |
| De León | — | Yea |
| Lara | — | Yea |
| Steinberg | — | Yea |
| Walters | — | Not Voting |
| Beth Gaines | — | Not Voting |
| Padilla, Stephen C. | Democratic | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 5 | 2 | 0 | 2 |
| Total | 5 | 2 | 0 | 2 |
| % of votes cast | 56% | 22% | 0% | 22% |
How each member voted (9)
| Member | Party | Vote |
|---|---|---|
| Anderson | — | Nay |
| Monning | — | Not Voting |
| Nielsen | — | Nay |
| Wolk | — | Yea |
| De León | — | Yea |
| Hernandez | — | Not Voting |
| Beall | — | Yea |
| Pavley | — | Yea |
| DeSaulnier | — | Yea |
Subjects
Frequently asked questions
- What does SB 320 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. Existing law requires health care service plan contracts and health insurance policies to provide coverage for specified benefits. This bill would prohibit a health care service plan contract or a health insurance policy issued, amended, renewed, or delivered on or after January 1, 2014, from denying coverage for medically necessary medical or rehabilitation treatment for an acquired brain injury at a facility within the plan's or insurer's network that is properly licensed and accredited at which appropriate services may be provided, including specified facilities such as a hospital or a long-term acute care hospital, except as provided. The bill would additionally prohibit the contract or policy from denying the applicable coverage because the treating facility within the plan's or insurer's network is not near the enrollee's or insured's home. Because a willful violation of the bill's provisions by a health care service plan would be a crime, it would impose a state-mandated local program. 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 320?
- SB 320 is sponsored by Beall, DeSaulnier, and Rubio, Susan (Democratic).
- What is the current status of SB 320?
- This bill died with 2013-2014 Regular Session. It reached “In Committee” 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 320?
- Track SB 320 free on One Click Politics — get push/email alerts when it moves.
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