California 2017-2018 Regular Session Status: Enacted

SB 133 — Health care coverage: continuity of care.

Last action — Chaptered by Secretary of State. Chapter 481, Statutes of 2017.

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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 January 11, 2017. 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 9 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. Existing law requires a health care service plan and a health insurer that provides services at alternative rates of payment, at the request of an enrollee or insured, to provide the completion of services by a terminated provider if the enrollee or insured is undergoing a course of treatment for one of any specified conditions, including a serious chronic condition, as defined, at the time of the contract or policy termination. Existing law also requires a health care service plan to provide for the completion of covered services by a nonparticipating provider to a newly covered enrollee who, at the time his or her coverage became effective, was receiving services from that provider for one of any specified conditions. Existing law requires a health care service plan to provide a disclosure form regarding the benefits, services, and terms of a plan contract and requires the disclosure form to include a description of how an enrollee can request continuity of care under the provisions described above. This bill would require a health care service plan to include notice of the process to obtain continuity of care in its disclosure form and in any evidence of coverage issued after January 1, 2018. The bill would also require a plan to provide a written copy of this information to its contracting providers and provider groups, and a copy to its enrollees upon request. The bill would require a plan and health insurer to include notice of the availability of the right to request completion of covered services as part of, to accompany, or to be sent simultaneously with any termination of coverage notice sent under specified circumstances. Existing law requires a health care service plan and a health insurer to arrange for the completion of covered services by a nonparticipating provider for one of any specified conditions for a newly covered enrollee or a newly covered insured under an individual health care service plan contract or an individual health insurance policy if, at the time his or her coverage became effective, the newly covered enrollee or newly covered insured was receiving services from that nonparticipating provider for a specified condition and whose prior coverage was withdrawn from the market between December 1, 2013, and March 31, 2014, inclusive, as specified. This bill would delete the requirement that coverage was withdrawn from the market between December 1, 2013, and March 31, 2014, inclusive, thereby extending the requirement described above to any prior coverage that was withdrawn from the market, and would specify that, for purposes of these provisions, withdrawn from the market includes circumstances when a health benefit plan is withdrawn from any portion of a market. Because a willful violation of these requirements by a health care service plan would, in part, be a crime, this 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

Action History

  1. Chaptered by Secretary of State. Chapter 481, Statutes of 2017.

  2. Approved by the Governor.

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

  4. Assembly amendments concurred in. (Ayes 38. Noes 0. Page 3004.) Ordered to engrossing and enrolling.

  5. From committee: That the Assembly amendments be concurred in. (Ayes 9. Noes 0. Page 3026.)

  6. From committee: Be re-referred to Com. on HEALTH pursuant to Senate Rule 29.10(d). (Ayes 4. Noes 0. Page 2982.) Re-referred to Com. on HEALTH.

  7. Re-referred to Com. on RLS. pursuant to Senate Rule 29.10(d).

  8. In Senate. Concurrence in Assembly amendments pending.

  9. Read third time. Passed. (Ayes 61. Noes 8. Page 3488.) Ordered to the Senate.

  10. Read second time. Ordered to third reading.

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

  12. From committee: Do pass as amended. (Ayes 12. Noes 3.) (September 11).

  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 10. Noes 0.) (August 29).

  15. Re-referred to Coms. on HEALTH and APPR. pursuant to Assembly Rule 77.2.

  16. Ordered to third reading.

  17. Read third time and amended. (Ayes 53. Noes 18. Page 2689.)

  18. Ordered to third reading.

  19. From inactive file.

  20. Notice of intention to remove from inactive file given by Assembly Member Calderon.

  21. Ordered to inactive file on request of Assembly Member Bonta.

  22. From consent calendar on motion of Assembly Member Bonta.

  23. Read second time. Ordered to consent calendar.

  24. From committee: Do pass. Ordered to consent calendar. (Ayes 15. Noes 0.) (July 11).

  25. Referred to Com. on HEALTH.

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

  27. Read third time. Passed. (Ayes 39. Noes 0. Page 1072.) Ordered to the Assembly.

  28. Read second time. Ordered to consent calendar.

  29. From committee: Do pass. Ordered to consent calendar. (Ayes 8. Noes 0. Page 974.) (May 3).

  30. Set for hearing May 3.

  31. April 26 set for first hearing canceled at the request of author.

  32. Set for hearing April 26.

  33. Referred to Com. on HEALTH.

  34. From printer. May be acted upon on or after February 11.

  35. 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 · 7 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 SB133 Hernandez et al. Concurrence

Passed 38 Yea · 0 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 33002
Democratic 5000
Total 38002
% of votes cast 95%0%0%5%
How each member voted (40)
Member Party Vote
Hill — Yea
Hueso — Yea
Leyva — Yea
Morrell — Yea
Nielsen — Yea
Roth — Yea
Vidak — Yea
Wieckowski — Yea
Portantino — Yea
Allen — Yea
Atkins — Yea
Cannella — Yea
Galgiani — Yea
Hernandez — Yea
Hertzberg — Yea
Lara — Yea
Mendoza — Yea
Monning — Yea
Pan — Yea
Skinner — Yea
Wilk — Yea
Anderson — Yea
Bates — Yea
Beall — Yea
Bradford — Yea
Mitchell — Yea
De León — Yea
Dodd — Yea
Moorlach — Yea
Newman — Yea
Fuller — Yea
Glazer — Yea
Beth Gaines — Not Voting
Bill Berryhill — Not Voting
Mark Stone — Yea
Jackson, Corey A. Democratic Yea
McGuire, Mike Democratic Yea
Nguyen, Stephanie Democratic Yea
Stern, Henry I. Democratic Yea
Wiener, Scott D. Democratic Yea

Official roll call →

SB 133 Hernandez Senate Third Reading By WOOD

Passed 61 Yea · 8 Nay · 10 Other
Party YeaNayPresentNot Voting
Unaffiliated 44707
Democratic 15000
Republican 2103
Total 618010
% of votes cast 77%10%0%13%
How each member voted (79)
Member Party Vote
Acosta — Yea
Baker — Yea
Bigelow — Not Voting
Bloom — Yea
Brough — Not Voting
Harper — Nay
Levine — Yea
Mathis — Nay
Medina — Yea
Melendez — Not Voting
Nazarian — Yea
Rendon — Yea
Thurmond — Yea
Voepel — Yea
Wood — Yea
Eggman — Yea
Cooley — Yea
Chau — Yea
Chu — Yea
Low — Yea
Rodriguez — Yea
Santiago — Yea
Ting — Yea
Gonzalez Fletcher — Yea
Salas — Yea
Burke — Yea
Gray — Yea
Bocanegra — Yea
Friedman — Yea
Rubio — Yea
Holden — Yea
Jones-Sawyer — Yea
Fong — Not Voting
Kiley — Nay
Maienschein — Yea
Mayes — Not Voting
Chiu — Yea
Chávez — Not Voting
Cooper — Nay
McCarty — Yea
Mullin — Yea
O'Donnell — Yea
Obernolte — Nay
Quirk — Yea
Ridley-Thomas — Yea
Steinorth — Not Voting
Waldron — Yea
Weber — Yea
Cunningham — Yea
Dababneh — Yea
Daly — Yea
Frazier — Yea
Gloria — Yea
Cristina Garcia — Yea
Eduardo Garcia — Yea
Jim Patterson — Nay
Mark Stone — Yea
Travis Allen — Nay
Aguiar-Curry, Cecilia M. Democratic Yea
Arambula, Joaquin Democratic Yea
Berman, Marc Democratic Yea
Bonta, Mia Democratic Yea
Caballero, Anna M. Democratic Yea
Calderon, Lisa Democratic Yea
Cervantes, Sabrina Democratic Yea
Gipson, Mike A. Democratic Yea
Grayson, Timothy S. Democratic Yea
Irwin, Jacqui Democratic Yea
Kalra, Ash Democratic Yea
Limón, Monique Democratic Yea
Muratsuchi, Al Democratic Yea
Quirk-Silva, Sharon Democratic Yea
Reyes, Eloise Gómez Democratic Yea
Chen, Phillip Republican Not Voting
Choi, Steven S. Republican Nay
Dahle, Megan Republican Not Voting
Flora, Heath Republican Not Voting
Gallagher, James Republican Yea
Lackey, Tom Republican Yea

Official roll call →

Do pass as amended.

Passed 12 Yea · 3 Nay · 2 Other
Party YeaNayPresentNot Voting
Unaffiliated 9301
Democratic 3000
Republican 0001
Total 12302
% of votes cast 71%18%0%12%
How each member voted (17)
Member Party Vote
Bigelow — Nay
Bloom — Yea
Brough — Not Voting
Obernolte — Nay
Eggman — Yea
Gonzalez Fletcher — Yea
Gray — Yea
Jones-Sawyer — Yea
Bocanegra — Yea
Fong — Nay
Chau — Yea
Friedman — Yea
Eduardo Garcia — Yea
Bonta, Mia Democratic Yea
Calderon, Lisa Democratic Yea
Reyes, Eloise Gómez Democratic Yea
Gallagher, James Republican Not Voting

Official roll call →

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

Passed 10 Yea · 0 Nay · 5 Other
Party YeaNayPresentNot Voting
Democratic 2000
Unaffiliated 8004
Republican 0001
Total 10005
% of votes cast 67%0%0%33%
How each member voted (15)
Member Party Vote
Nazarian — Yea
Rodriguez — Not Voting
Waldron — Not Voting
Gloria — Yea
Burke — Yea
Maienschein — Yea
McCarty — Not Voting
Ridley-Thomas — Yea
Santiago — Yea
Thurmond — Yea
Wood — Yea
Jim Patterson — Not Voting
Kalra, Ash Democratic Yea
Limón, Monique Democratic Yea
Gallagher, James Republican Not Voting

Official roll call →

SB 133 Hernandez Senate Third Reading By WOOD Amend By WOOD Set #1

Passed 53 Yea · 18 Nay · 8 Other
Party YeaNayPresentNot Voting
Unaffiliated 391405
Democratic 13002
Republican 1401
Total 531808
% of votes cast 67%23%0%10%
How each member voted (79)
Member Party Vote
Acosta — Not Voting
Bigelow — Nay
Bloom — Yea
Brough — Nay
Jones-Sawyer — Yea
Low — Yea
Maienschein — Yea
Mathis — Nay
Melendez — Nay
Mullin — Yea
Obernolte — Nay
Quirk — Yea
Rodriguez — Yea
Ting — Yea
Burke — Yea
Chau — Yea
Chu — Yea
Daly — Yea
Frazier — Yea
Levine — Yea
Medina — Yea
Nazarian — Yea
Salas — Yea
Rendon — Yea
Gray — Yea
Santiago — Yea
Bocanegra — Yea
Thurmond — Yea
Weber — Yea
Wood — Yea
Rubio — Yea
Fong — Nay
Harper — Nay
Holden — Yea
Kiley — Nay
Gonzalez Fletcher — Not Voting
Mayes — Not Voting
McCarty — Yea
Chiu — Yea
Baker — Not Voting
Chávez — Nay
Cooley — Yea
Cooper — Yea
O'Donnell — Yea
Ridley-Thomas — Yea
Steinorth — Nay
Voepel — Nay
Waldron — Nay
Eggman — Yea
Cunningham — Not Voting
Dababneh — Yea
Friedman — Yea
Gloria — Yea
Cristina Garcia — Yea
Eduardo Garcia — Yea
Jim Patterson — Nay
Mark Stone — Yea
Travis Allen — Nay
Aguiar-Curry, Cecilia M. Democratic Yea
Arambula, Joaquin Democratic Not Voting
Berman, Marc Democratic Yea
Bonta, Mia Democratic Yea
Caballero, Anna M. Democratic Yea
Calderon, Lisa Democratic Yea
Cervantes, Sabrina Democratic Yea
Gipson, Mike A. Democratic Yea
Grayson, Timothy S. Democratic Yea
Irwin, Jacqui Democratic Yea
Kalra, Ash Democratic Yea
Limón, Monique Democratic Yea
Muratsuchi, Al Democratic Yea
Quirk-Silva, Sharon Democratic Not Voting
Reyes, Eloise Gómez Democratic Yea
Chen, Phillip Republican Nay
Choi, Steven S. Republican Not Voting
Dahle, Megan Republican Nay
Flora, Heath Republican Nay
Gallagher, James Republican Nay
Lackey, Tom Republican Yea

Official roll call →

Do pass. To Consent Calendar.

Passed 15 Yea · 0 Nay
Party YeaNayPresentNot Voting
Democratic 2000
Unaffiliated 12000
Republican 1000
Total 15000
% of votes cast 100%0%0%0%
How each member voted (15)
Member Party Vote
Nazarian — Yea
Ridley-Thomas — Yea
Santiago — Yea
Burke — Yea
Maienschein — Yea
McCarty — Yea
Rodriguez — Yea
Thurmond — Yea
Waldron — Yea
Wood — Yea
Gloria — Yea
Jim Patterson — Yea
Bonta, Mia Democratic Yea
Limón, Monique Democratic Yea
Gallagher, James Republican Yea

Official roll call →

Consent Calendar 2nd SB133

Passed 39 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 34001
Democratic 5000
Total 39001
% of votes cast 98%0%0%3%
How each member voted (40)
Member Party Vote
Anderson — Yea
Bates — Yea
Hernandez — Yea
Hill — Yea
Lara — Yea
Leyva — Yea
Monning — Yea
Newman — Yea
Nielsen — Yea
Vidak — Not Voting
Wieckowski — Yea
Cannella — Yea
Hertzberg — Yea
Atkins — Yea
Dodd — Yea
Mitchell — Yea
Hueso — Yea
Allen — Yea
Bradford — Yea
Mendoza — Yea
Moorlach — Yea
Morrell — Yea
Roth — Yea
Skinner — Yea
Wilk — Yea
De León — Yea
Portantino — Yea
Beall — Yea
Pan — Yea
Fuller — Yea
Galgiani — Yea
Glazer — Yea
Beth Gaines — Yea
Bill Berryhill — Yea
Mark Stone — Yea
Jackson, Corey A. Democratic Yea
McGuire, Mike Democratic Yea
Nguyen, Stephanie Democratic Yea
Stern, Henry I. Democratic Yea
Wiener, Scott D. Democratic Yea

Official roll call →

Do pass and be ordered to the Consent Calendar

Passed 8 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 7001
Democratic 1000
Total 8001
% of votes cast 89%0%0%11%
How each member voted (9)
Member Party Vote
Hernandez — Yea
Newman — Yea
Leyva — Yea
Monning — Yea
Nielsen — Yea
Mitchell — Yea
Atkins — Yea
Roth — Not Voting
Nguyen, Stephanie Democratic Yea

Official roll call →

Subjects

healthcare health-insurance
Cross-referencing the record. Reading this bill against every other bill in the corpus by meaning, not keywords. Only the first open is slow. It’s instant for you after this. Matching · Ranking · Engrossing

Frequently asked questions

What does SB 133 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 a health care service plan and a health insurer that provides services at alternative rates of payment, at the request of an enrollee or insured, to provide the completion of services by a terminated provider if the enrollee or insured is undergoing a course of treatment for one of any specified conditions, including a serious chronic condition, as defined, at the time of the contract or policy termination. Existing law also requires a health care service plan to provide for the completion of covered services by a nonparticipating provider to a newly covered enrollee who, at the time his or her coverage became effective, was receiving services from that provider for one of any specified conditions. Existing law requires a health care service plan to provide a disclosure form regarding the benefits, services, and terms of a plan contract and requires the disclosure form to include a description of how an enrollee can request continuity of care under the provisions described above. This bill would require a health care service plan to include notice of the process to obtain continuity of care in its disclosure form and in any evidence of coverage issued after January 1, 2018. The bill would also require a plan to provide a written copy of this information to its contracting providers and provider groups, and a copy to its enrollees upon request. The bill would require a plan and health insurer to include notice of the availability of the right to request completion of covered services as part of, to accompany, or to be sent simultaneously with any termination of coverage notice sent under specified circumstances. Existing law requires a health care service plan and a health insurer to arrange for the completion of covered services by a nonparticipating provider for one of any specified conditions for a newly covered enrollee or a newly covered insured under an individual health care service plan contract or an individual health insurance policy if, at the time his or her coverage became effective, the newly covered enrollee or newly covered insured was receiving services from that nonparticipating provider for a specified condition and whose prior coverage was withdrawn from the market between December 1, 2013, and March 31, 2014, inclusive, as specified. This bill would delete the requirement that coverage was withdrawn from the market between December 1, 2013, and March 31, 2014, inclusive, thereby extending the requirement described above to any prior coverage that was withdrawn from the market, and would specify that, for purposes of these provisions, withdrawn from the market includes circumstances when a health benefit plan is withdrawn from any portion of a market. Because a willful violation of these requirements by a health care service plan would, in part, be a crime, this 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 133?
SB 133 is sponsored by Hernandez.
What is the current status of SB 133?
This bill has been enacted into law. Introduced January 11, 2017. Enacted.
Where can I track SB 133?
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