California 2015-2016 Regular Session Status: Enacted

SB 1091 — Long-term care insurance.

Last action — Chaptered by Secretary of State. Chapter 589, Statutes of 2016.

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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 17, 2016. 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 5 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

Under existing law, the Department of Insurance, headed by the Insurance Commissioner, licenses and regulates insurers. Existing law divides insurance into various classes, including long-term care insurance, which includes an insurance policy, certificate, or rider advertised, marketed, offered, solicited, or designed to provide coverage for diagnostic, preventive, therapeutic, rehabilitative, maintenance, or personal care services that are provided in a setting other than an acute care unit of a hospital. Existing law defines "policy" for these purposes. This bill would, among other things, define "alternate plan of care" as a plan of care developed by a licensed health care practitioner that includes a specification of long-term care services required by an insured that are not specifically defined as a covered service under the policy. The bill would also define "alternate-plan-of-care provision" to mean a provision in a policy, rider, endorsement, or amendment that allows benefits for services specified in an alternate plan of care. The bill would authorize, for policies issued on or after January 1, 2017, the insured or an insurer to propose an alternate plan of care. The bill would also prohibit the maximum benefit available under the contract from being changed based on an insured utilizing an alternate plan of care but would authorize the maximum benefit to be reduced by the amount of any benefits paid under an alternate plan of care. The bill would also require coverage for services under an alternate plan of care to be in addition to, not in lieu of, coverage for services specifically defined as covered services under the policy. The bill would also require an insurer, within 60 days, to provide a written explanation to the policyholder or certificate holder as to the specific reason an agreement cannot be reached for policies or certificates that contain an alternate plan of care provision, as specified.

Bill Text

Action History

  1. Chaptered by Secretary of State. Chapter 589, Statutes of 2016.

  2. Approved by the Governor.

  3. Enrolled and presented to the Governor at 5 p.m.

  4. Assembly amendments concurred in. (Ayes 39. Noes 0. Page 5448.) Ordered to engrossing and enrolling.

  5. In Senate. Concurrence in Assembly amendments pending.

  6. Read third time. Passed. (Ayes 80. Noes 0. Page 6227.) Ordered to the Senate.

  7. Ordered to third reading.

  8. Read third time and amended.

  9. Ordered to third reading.

  10. From consent calendar on motion of Assembly Member Calderon.

  11. Read second time. Ordered to consent calendar.

  12. From committee: Do pass. Ordered to consent calendar. (Ayes 13. Noes 0.) (June 22).

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

  14. Referred to Com. on INS.

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

  16. Read third time. Passed. (Ayes 37. Noes 0. Page 3873.) Ordered to the Assembly.

  17. Read second time. Ordered to third reading.

  18. From committee: Be ordered to second reading pursuant to Senate Rule 28.8.

  19. Set for hearing May 9.

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

  21. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 0. Page 3560.) (April 13).

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

  23. Set for hearing April 13.

  24. Referred to Com. on INS.

  25. From printer. May be acted upon on or after March 19.

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

Sponsors

  • Liu · Primary

Sponsorship breakdown

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1 sponsors · 0 co-sponsors · 121 not signed on

Sponsors (1)

  • Liu

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 SB1091 Liu Concurrence

Passed 39 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 36000
Democratic 3000
Total 39000
% of votes cast 100%0%0%0%
How each member voted (39)
Member Party Vote
Anderson — Yea
Bates — Yea
Hernandez — Yea
Hill — Yea
Hueso — Yea
Leno — Yea
Monning — Yea
Nielsen — Yea
Pavley — Yea
Vidak — Yea
Cannella — Yea
Fuller — Yea
Galgiani — Yea
Allen — Yea
Mitchell — Yea
De León — Yea
Lara — Yea
Pan — Yea
Hancock — Yea
Hertzberg — Yea
Beall — Yea
Block — Yea
Huff — Yea
Leyva — Yea
Liu — Yea
Mendoza — Yea
Moorlach — Yea
Morrell — Yea
Roth — Yea
Wieckowski — Yea
Wolk — Yea
Glazer — Yea
Hall — Yea
Beth Gaines — Yea
Bill Berryhill — Yea
Mark Stone — Yea
Jackson, Corey A. Democratic Yea
McGuire, Mike Democratic Yea
Nguyen, Stephanie Democratic Yea

Official roll call →

SB 1091 Liu Senate Third Reading By BROWN

Passed 80 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 70000
Democratic 5000
Republican 5000
Total 80000
% of votes cast 100%0%0%0%
How each member voted (80)
Member Party Vote
Harper — Yea
Holden — Yea
Low — Yea
Mathis — Yea
Medina — Yea
O'Donnell — Yea
Olsen — Yea
Quirk — Yea
Santiago — Yea
Wagner — Yea
Eggman — Yea
Chau — Yea
Chu — Yea
Cooper — Yea
Salas — Yea
Linder — Yea
Mayes — Yea
Rodriguez — Yea
Brown — Yea
Weber — Yea
Williams — Yea
Obernolte — Yea
Rendon — Yea
Achadjian — Yea
Burke — Yea
Chang — Yea
Chiu — Yea
Chávez — Yea
Cooley — Yea
Dababneh — Yea
Daly — Yea
Dodd — Yea
Gatto — Yea
Gomez — Yea
Gordon — Yea
Jones-Sawyer — Yea
Gray — Yea
Kim — Yea
Levine — Yea
McCarty — Yea
Melendez — Yea
Nazarian — Yea
Ridley-Thomas — Yea
Steinorth — Yea
Thurmond — Yea
Waldron — Yea
Wilk — Yea
Atkins — Yea
Alejo — Yea
Baker — Yea
Bigelow — Yea
Bloom — Yea
Brough — Yea
Campos — Yea
Maienschein — Yea
Mullin — Yea
Bonilla — Yea
Lopez — Yea
Hadley — Yea
Ting — Yea
Wood — Yea
Frazier — Yea
Beth Gaines — Yea
Cristina Garcia — Yea
Eduardo Garcia — Yea
Jim Patterson — Yea
Lorena Gonzalez — Yea
Mark Stone — Yea
Roger Hernández — Yea
Travis Allen — Yea
Arambula, Joaquin Democratic Yea
Bonta, Mia Democratic Yea
Calderon, Lisa Democratic Yea
Gipson, Mike A. Democratic Yea
Irwin, Jacqui Democratic Yea
Dahle, Megan Republican Yea
Gallagher, James Republican Yea
Grove, Shannon Republican Yea
Jones, Brian W. Republican Yea
Lackey, Tom Republican Yea

Official roll call →

Do pass. To Consent Calendar.

Passed 13 Yea · 0 Nay
Party YeaNayPresentNot Voting
Unaffiliated 11000
Democratic 1000
Republican 1000
Total 13000
% of votes cast 100%0%0%0%
How each member voted (13)
Member Party Vote
Cooley — Yea
Cooper — Yea
Chu — Yea
Gatto — Yea
Dababneh — Yea
Bigelow — Yea
Daly — Yea
Melendez — Yea
Rodriguez — Yea
Frazier — Yea
Travis Allen — Yea
Calderon, Lisa Democratic Yea
Dahle, Megan Republican Yea

Official roll call →

3rd Reading

Passed 37 Yea · 0 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 34003
Democratic 3000
Total 37003
% of votes cast 93%0%0%8%
How each member voted (40)
Member Party Vote
Anderson — Yea
Hernandez — Yea
Lara — Yea
Leyva — Yea
Liu — Yea
Roth — Yea
Wolk — Yea
Fuller — Yea
Allen — Yea
Hill — Yea
Runner — Not Voting
Hall — Not Voting
Hancock — Yea
Hueso — Yea
Huff — Yea
Bates — Yea
Beall — Yea
Monning — Yea
Pan — Not Voting
Vidak — Yea
Wieckowski — Yea
Cannella — Yea
Galgiani — Yea
Mitchell — Yea
De León — Yea
Glazer — Yea
Block — Yea
Hertzberg — Yea
Leno — Yea
Mendoza — Yea
Moorlach — Yea
Morrell — Yea
Nielsen — Yea
Pavley — Yea
Beth Gaines — Yea
Bill Berryhill — Yea
Mark Stone — Yea
Jackson, Corey A. Democratic Yea
McGuire, Mike Democratic Yea
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 1091 do?
Under existing law, the Department of Insurance, headed by the Insurance Commissioner, licenses and regulates insurers. Existing law divides insurance into various classes, including long-term care insurance, which includes an insurance policy, certificate, or rider advertised, marketed, offered, solicited, or designed to provide coverage for diagnostic, preventive, therapeutic, rehabilitative, maintenance, or personal care services that are provided in a setting other than an acute care unit of a hospital. Existing law defines "policy" for these purposes. This bill would, among other things, define "alternate plan of care" as a plan of care developed by a licensed health care practitioner that includes a specification of long-term care services required by an insured that are not specifically defined as a covered service under the policy. The bill would also define "alternate-plan-of-care provision" to mean a provision in a policy, rider, endorsement, or amendment that allows benefits for services specified in an alternate plan of care. The bill would authorize, for policies issued on or after January 1, 2017, the insured or an insurer to propose an alternate plan of care. The bill would also prohibit the maximum benefit available under the contract from being changed based on an insured utilizing an alternate plan of care but would authorize the maximum benefit to be reduced by the amount of any benefits paid under an alternate plan of care. The bill would also require coverage for services under an alternate plan of care to be in addition to, not in lieu of, coverage for services specifically defined as covered services under the policy. The bill would also require an insurer, within 60 days, to provide a written explanation to the policyholder or certificate holder as to the specific reason an agreement cannot be reached for policies or certificates that contain an alternate plan of care provision, as specified.
Who sponsors SB 1091?
SB 1091 is sponsored by Liu.
What is the current status of SB 1091?
This bill has been enacted into law. Introduced February 17, 2016. Enacted.
Where can I track SB 1091?
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