California 2015-2016 Regular Session Status: Passed Senate

SB 1034 — Health care coverage: autism.

Last action — August 11 hearing. Held in committee and under submission.

Track this bill free

No card. One bill, free forever — alerts when it moves.

  1. ✓
    Introduced
  2. ✓
    In Committee
  3. 3
    Passed Senate
  4. 4
    Passed Assembly
  5. 5
    To Executive
  6. 6
    Enacted

This bill died with 2015-2016 Regular Session. It reached “Passed Senate” 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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 provides for the licensure and regulation of health care service plans by the Department of Managed Health Care. A violation of those provisions is a crime. Existing law provides for the licensure and regulation of health insurers by the Department of Insurance. Existing law requires every health care service plan contract and health insurance policy to provide coverage for behavioral health treatment for pervasive developmental disorder or autism until January 1, 2017, and defines "behavioral health treatment" to mean specified services provided by, among others, a qualified autism service professional supervised and employed by a qualified autism service provider. Existing law defines a "qualified autism service professional" to mean a person who, among other requirements, is a behavior service provider approved as a vendor by a California regional center to provide services as an associate behavior analyst, behavior analyst, behavior management assistant, behavior management consultant, or behavior management program pursuant to specified regulations adopted under the Lanterman Developmental Disabilities Services Act. Existing law requires a treatment plan to be reviewed no less than once every 6 months. Under existing law, the above provisions do not apply to certain types of health care coverage, including health care service plans and health insurance policies in the Medi-Cal program. This bill would, among other things, modify requirements to be a qualified autism service professional to include providing behavioral health treatment, which may include clinical management and case supervision under the direction and supervision of a qualified autism service provider. The bill would require that, unless a treatment plan is modified by a qualified autism service provider, utilization review be conducted no more than once every 6 months. The bill would also provide that coverage for behavioral health treatment for pervasive developmental disorder or autism would be dependent on medical necessity, subject to utilization review, and required to be in compliance with federal mental health parity requirements. The bill would extend the operation of these provisions to January 1, 2022. The bill would require behavioral health treatment for purposes of the Medi-Cal program to expressly comply with the approved Medicaid state plan. The bill also would make clarifying and conforming changes. By extending the operation of these provisions, the violation of which by a health care service plan 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

Action History

  1. August 11 hearing. Held in committee and under submission.

  2. August 3 set for first hearing. Placed on APPR. suspense file.

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

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

  5. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 13. Noes 1.) (June 28).

  6. Referred to Com. on HEALTH.

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

  8. Read third time. Passed. (Ayes 25. Noes 12. Page 4102.) Ordered to the Assembly.

  9. Read second time and amended. Ordered to third reading.

  10. From committee: Do pass as amended. (Ayes 5. Noes 2. Page 4002.) (May 27).

  11. Set for hearing May 27.

  12. May 9 hearing: Placed on APPR. suspense file.

  13. Set for hearing May 9.

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

  15. From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 6. Noes 0. Page 3645.) (April 20).

  16. Set for hearing April 20.

  17. Referred to Com. on HEALTH.

  18. From printer. May be acted upon on or after March 17.

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

Sponsors

  • Mitchell · Primary

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 0 co-sponsors · 121 not signed on · 5 voted No

Sponsors (1)

  • Mitchell

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

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

Passed 13 Yea · 1 Nay · 4 Other
Party YeaNayPresentNot Voting
Unaffiliated 13103
Republican 0001
Total 13104
% of votes cast 72%6%0%22%
How each member voted (18)
Member Party Vote
Maienschein — Yea
McCarty — Yea
Olsen — Not Voting
Ridley-Thomas — Yea
Waldron — Not Voting
Wood — Yea
Burke — Yea
Campos — Yea
Gomez — Yea
Bonilla — Yea
Chiu — Yea
Nazarian — Yea
Rodriguez — Yea
Santiago — Yea
Steinorth — Not Voting
Jim Patterson — Nay
Roger Hernández — Yea
Lackey, Tom Republican Not Voting

Official roll call →

3rd Reading

Passed 25 Yea · 12 Nay · 3 Other
Party YeaNayPresentNot Voting
Unaffiliated 231103
Democratic 2100
Total 251203
% of votes cast 63%30%0%8%
How each member voted (40)
Member Party Vote
Anderson — Nay
Bates — Nay
Block — Yea
Hertzberg — Not Voting
Leno — Yea
Leyva — Yea
Cannella — Not Voting
Fuller — Nay
Galgiani — Yea
Glazer — Yea
Allen — Yea
Mitchell — Yea
Hill — Yea
Lara — Yea
Pan — Yea
De León — Yea
Hernandez — Yea
Liu — Yea
Mendoza — Yea
Pavley — Yea
Wieckowski — Yea
Wolk — Yea
Hancock — Yea
Runner — Not Voting
Hueso — Yea
Beall — Yea
Huff — Nay
Monning — Yea
Moorlach — Nay
Morrell — Nay
Nielsen — Nay
Roth — Yea
Vidak — Nay
Hall — Yea
Beth Gaines — Nay
Bill Berryhill — Nay
Mark Stone — Nay
Jackson, Corey A. Democratic Yea
McGuire, Mike Democratic Yea
Nguyen, Stephanie Democratic Nay

Official roll call →

Do pass as amended

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
Bates — Nay
Beall — Yea
Hill — Yea
Mendoza — Yea
Nielsen — Nay
Lara — Yea
McGuire, Mike Democratic Yea

Official roll call →

Placed on suspense file

Passed 6 Yea · 0 Nay · 1 Other
Party YeaNayPresentNot Voting
Unaffiliated 5001
Democratic 1000
Total 6001
% of votes cast 86%0%0%14%
How each member voted (7)
Member Party Vote
Bates — Not Voting
Mendoza — Yea
Nielsen — Yea
Hill — Yea
Lara — Yea
Beall — Yea
McGuire, Mike 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 1034 do?
Existing law provides for the licensure and regulation of health care service plans by the Department of Managed Health Care. A violation of those provisions is a crime. Existing law provides for the licensure and regulation of health insurers by the Department of Insurance. Existing law requires every health care service plan contract and health insurance policy to provide coverage for behavioral health treatment for pervasive developmental disorder or autism until January 1, 2017, and defines "behavioral health treatment" to mean specified services provided by, among others, a qualified autism service professional supervised and employed by a qualified autism service provider. Existing law defines a "qualified autism service professional" to mean a person who, among other requirements, is a behavior service provider approved as a vendor by a California regional center to provide services as an associate behavior analyst, behavior analyst, behavior management assistant, behavior management consultant, or behavior management program pursuant to specified regulations adopted under the Lanterman Developmental Disabilities Services Act. Existing law requires a treatment plan to be reviewed no less than once every 6 months. Under existing law, the above provisions do not apply to certain types of health care coverage, including health care service plans and health insurance policies in the Medi-Cal program. This bill would, among other things, modify requirements to be a qualified autism service professional to include providing behavioral health treatment, which may include clinical management and case supervision under the direction and supervision of a qualified autism service provider. The bill would require that, unless a treatment plan is modified by a qualified autism service provider, utilization review be conducted no more than once every 6 months. The bill would also provide that coverage for behavioral health treatment for pervasive developmental disorder or autism would be dependent on medical necessity, subject to utilization review, and required to be in compliance with federal mental health parity requirements. The bill would extend the operation of these provisions to January 1, 2022. The bill would require behavioral health treatment for purposes of the Medi-Cal program to expressly comply with the approved Medicaid state plan. The bill also would make clarifying and conforming changes. By extending the operation of these provisions, the violation of which by a health care service plan 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 1034?
SB 1034 is sponsored by Mitchell.
What is the current status of SB 1034?
This bill died with 2015-2016 Regular Session. It reached “Passed Senate” 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 1034?
Track SB 1034 free on One Click Politics — get push/email alerts when it moves.

Make your voice heard on SB 1034

Find the representatives who decide this bill and tell them where you stand — for yourself, or mobilize your whole list in one click with One Click Politics advocacy software.

Find my representatives → Run a campaign

Stay ahead of SB 1034

Last checked for changes 3 months ago · updated continuously

One Click Politics tracks every bill in Congress and all 50 states.

Track this bill →