Health care coverage: wellness programs.
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SB 189 — Health care coverage: wellness programs.
Last action — Returned to Secretary of Senate pursuant to Joint Rule 62(a).
No card. One bill, free forever — alerts when it moves.
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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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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 federal Patient Protection and Affordable Care Act (PPACA) , enacts various health care coverage market reforms that take effect January 1, 2014. Among other things, PPACA allows the premium rate charged by a health insurance issuer offering small group or individual coverage to vary only by family composition, rating area, age, and tobacco use, as specified, and prohibits discrimination against individuals based on health status, as specified. PPACA prohibits a health insurance issuer from requiring any individual to pay a premium or contribution that is greater than the premium or contribution paid by a similarly situated individual on the basis of any health status-related factor and prohibits construing this provision to prevent a group health insurance issuer from establishing premium discounts or rebates or modifying copayments or deductibles in return for adherence to wellness programs, as specified. 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 allows small employer health care service plan contracts and health insurance policies for plan years on or after January 1, 2014, to vary rates only based on age, geographic region, and family size, as specified. This bill, until January 1, 2020, would prohibit a health care service plan or health insurer from offering a wellness program in connection with a group health care service plan contract or group health insurance policy, or offering an incentive or reward under a group health care service plan contract or group health insurance policy, based on adherence to a wellness program, unless specified requirements are satisfied. The bill would specify that it does not apply to wellness programs established prior to its enactment provided that those programs comply with all other applicable laws, as specified. Because a willful violation of the bill's requirements relative to health care service plans would be a crime, the bill 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 05/08/13 - Amended Senate Current pdf May 08, 2013
- Amended 04/22/13 - Amended Senate pdf April 22, 2013
- Introduced 02/07/13 - Introduced pdf February 07, 2013
- SB189 View text html
Action History
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Returned to Secretary of Senate pursuant to Joint Rule 62(a).
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Set, first hearing. Failed passage in committee. (Ayes 2. Noes 3. Page 1008.)
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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 20.
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Read second time and amended. Re-referred to Com. on APPR.
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From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 5. Noes 2. Page 791.) (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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Set for hearing May 1.
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Referred to Com. on HEALTH.
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From printer. May be acted upon on or after March 10.
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Introduced. Read first time. To Com. on RLS. for assignment. To print.
Sponsors
- Ammiano · Cosponsor
- De León · Cosponsor
- Monning · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 2 co-sponsors · 119 not signed on · 1 voted No
Sponsors (1)
- Monning
Co-sponsors (2)
- Ammiano
- De León
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 | 2 | 3 | 0 | 1 |
| Democratic | 0 | 0 | 0 | 1 |
| Total | 2 | 3 | 0 | 2 |
| % of votes cast | 29% | 43% | 0% | 29% |
How each member voted (7)
| Member | Party | Vote |
|---|---|---|
| Lara | — | Not Voting |
| Hill | — | Nay |
| De León | — | Yea |
| Steinberg | — | Yea |
| Walters | — | Nay |
| Beth Gaines | — | Nay |
| Padilla, Stephen C. | Democratic | Not Voting |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 5 | 0 | 0 | 1 |
| Democratic | 1 | 0 | 0 | 0 |
| Total | 6 | 0 | 0 | 1 |
| % of votes cast | 86% | 0% | 0% | 14% |
How each member voted (7)
| Member | Party | Vote |
|---|---|---|
| Hill | — | Yea |
| Steinberg | — | Yea |
| Walters | — | Yea |
| De León | — | Yea |
| Lara | — | Not Voting |
| Beth Gaines | — | Yea |
| 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 | — | Yea |
| Nielsen | — | Nay |
| DeSaulnier | — | Not Voting |
| De León | — | Yea |
| Hernandez | — | Yea |
| Beall | — | Yea |
| Pavley | — | Yea |
| Wolk | — | Not Voting |
Subjects
Frequently asked questions
- What does SB 189 do?
- Existing law, the federal Patient Protection and Affordable Care Act (PPACA) , enacts various health care coverage market reforms that take effect January 1, 2014. Among other things, PPACA allows the premium rate charged by a health insurance issuer offering small group or individual coverage to vary only by family composition, rating area, age, and tobacco use, as specified, and prohibits discrimination against individuals based on health status, as specified. PPACA prohibits a health insurance issuer from requiring any individual to pay a premium or contribution that is greater than the premium or contribution paid by a similarly situated individual on the basis of any health status-related factor and prohibits construing this provision to prevent a group health insurance issuer from establishing premium discounts or rebates or modifying copayments or deductibles in return for adherence to wellness programs, as specified. 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 allows small employer health care service plan contracts and health insurance policies for plan years on or after January 1, 2014, to vary rates only based on age, geographic region, and family size, as specified. This bill, until January 1, 2020, would prohibit a health care service plan or health insurer from offering a wellness program in connection with a group health care service plan contract or group health insurance policy, or offering an incentive or reward under a group health care service plan contract or group health insurance policy, based on adherence to a wellness program, unless specified requirements are satisfied. The bill would specify that it does not apply to wellness programs established prior to its enactment provided that those programs comply with all other applicable laws, as specified. Because a willful violation of the bill's requirements relative to health care service plans would be a crime, the bill 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 189?
- SB 189 is sponsored by Ammiano, De León, and Monning.
- What is the current status of SB 189?
- 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 189?
- Track SB 189 free on One Click Politics — get push/email alerts when it moves.
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