Limitations on cost sharing: family coverage.
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AB 1216 — Limitations on cost sharing: family coverage.
Last action — Ordered to inactive file at the request of Senator Hernandez.
No card. One bill, free forever — alerts when it moves.
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✓Introduced
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✓In Committee
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3Passed Assembly
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4Passed Senate
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5To Executive
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6Enacted
This bill died with 2015-2016 Regular Session. It reached “Passed Assembly” 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This bill is no longer active — its legislative session has ended, so there is no live prognosis.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 federal law, the Patient Protection and Affordable Care Act (PPACA) , enacts various health care coverage market reforms that take effect January 1, 2014. Among other things, PPACA establishes annual limits on specified forms of cost sharing, including deductibles, on all essential health benefits for nongrandfathered individual and group health insurance coverage. 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 plan contract or policy and, commencing January 1, 2017, for a large group market health plan contract or policy, for family coverage that includes a deductible and is a high deductible health plan, as defined in federal law, to include a deductible for each individual covered by the plan contract or policy that is equal to either the amount set forth in a specified provision of federal law or the deductible for individual coverage under the plan contract or policy, whichever is greater. This bill would instead prohibit a large group market health plan contract or policy for family coverage that is a high deductible health plan, as defined in federal law, and that includes a deductible for individual coverage from subjecting an individual covered by the plan contract or policy to a deductible that is greater than the deductible for individual coverage under the plan contract or policy if the deductible for individual coverage is greater than or equal to the amount set forth in the provision of federal law described above. Because a willful violation of this prohibition by a health care service plan would 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
- Amended 05/31/16 - Amended Senate Current pdf May 31, 2016
- Amended 05/14/15 - Amended Assembly pdf May 14, 2015
- Introduced 02/27/15 - Introduced pdf February 27, 2015
- AB1216 View text html
Action History
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Ordered to inactive file at the request of Senator Hernandez.
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Read second time. Ordered to third reading.
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From committee: Be placed on second reading file pursuant to Senate Rule 28.8.
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From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (June 15). Re-referred to Com. on APPR.
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From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.
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Referred to Com. on HEALTH.
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In Senate. Read first time. To Com. on RLS. for assignment.
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Read third time. Passed. Ordered to the Senate. (Ayes 76. Noes 0. Page 1595.)
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Read second time. Ordered to Consent Calendar.
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From committee: Do pass. To Consent Calendar. (Ayes 15. Noes 0.) (May 20).
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Re-referred to Com. on APPR.
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From committee chair, with author's amendments: Amend, and re-refer to Com. on APPR. Read second time and amended.
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From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 18. Noes 0.) (April 21). Re-referred to Com. on APPR.
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Referred to Com. on HEALTH.
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Read first time.
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From printer. May be heard in committee March 31.
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Introduced. To print.
Sponsors
- Mia Bonta · Primary
Sponsorship breakdown
Export CSV (upgrade) →1 sponsors · 0 co-sponsors · 121 not signed on
Sponsors (1)
- Bonta, Mia Democratic
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.
Votes
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 8 | 0 | 0 | 0 |
| Democratic | 1 | 0 | 0 | 0 |
| Total | 9 | 0 | 0 | 0 |
| % of votes cast | 100% | 0% | 0% | 0% |
How each member voted (9)
| Member | Party | Vote |
|---|---|---|
| Mitchell | — | Yea |
| Hall | — | Yea |
| Hernandez | — | Yea |
| Monning | — | Yea |
| Nielsen | — | Yea |
| Pan | — | Yea |
| Roth | — | Yea |
| Wolk | — | Yea |
| Nguyen, Stephanie | Democratic | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 66 | 0 | 0 | 4 |
| Democratic | 4 | 0 | 0 | 0 |
| Republican | 6 | 0 | 0 | 0 |
| Total | 76 | 0 | 0 | 4 |
| % of votes cast | 95% | 0% | 0% | 5% |
How each member voted (80)
| Member | Party | Vote |
|---|---|---|
| Achadjian | — | Yea |
| Alejo | — | Yea |
| Baker | — | Yea |
| Bloom | — | Not Voting |
| Brough | — | Yea |
| Brown | — | Yea |
| Harper | — | Not Voting |
| Holden | — | Yea |
| Kim | — | Yea |
| Linder | — | Yea |
| Maienschein | — | Yea |
| Mathis | — | Not Voting |
| Mullin | — | Yea |
| Obernolte | — | Yea |
| Quirk | — | Yea |
| Ridley-Thomas | — | Yea |
| Thurmond | — | Yea |
| Waldron | — | Yea |
| Williams | — | Yea |
| Eggman | — | Yea |
| Cooper | — | Yea |
| Daly | — | Yea |
| Gatto | — | Yea |
| Olsen | — | Yea |
| Salas | — | Yea |
| Burke | — | Yea |
| Bonilla | — | Yea |
| Frazier | — | Yea |
| Gomez | — | Yea |
| Gray | — | Yea |
| Gordon | — | Yea |
| Hadley | — | Yea |
| Lopez | — | Yea |
| Jones-Sawyer | — | Yea |
| Levine | — | Yea |
| Low | — | Yea |
| Mayes | — | Yea |
| Campos | — | Yea |
| Atkins | — | Yea |
| McCarty | — | Yea |
| Medina | — | Yea |
| Bigelow | — | Yea |
| Chang | — | Yea |
| Chau | — | Yea |
| Chiu | — | Yea |
| Chu | — | Yea |
| Cooley | — | Yea |
| Dababneh | — | Yea |
| Dodd | — | Yea |
| Melendez | — | Yea |
| Nazarian | — | Yea |
| O'Donnell | — | Yea |
| Perea | — | Yea |
| Rendon | — | Yea |
| Rodriguez | — | Yea |
| Santiago | — | Yea |
| Steinorth | — | Yea |
| Ting | — | Yea |
| Wagner | — | Yea |
| Weber | — | Yea |
| Wilk | — | Yea |
| Wood | — | Yea |
| Chávez | — | Not Voting |
| Gonzalez | — | Yea |
| Beth Gaines | — | Yea |
| Cristina Garcia | — | Yea |
| Eduardo Garcia | — | Yea |
| Mark Stone | — | Yea |
| Roger Hernández | — | Yea |
| Travis Allen | — | 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 |
| Patterson, Joe | Republican | Yea |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Unaffiliated | 12 | 0 | 0 | 1 |
| Democratic | 2 | 0 | 0 | 0 |
| Republican | 1 | 0 | 0 | 1 |
| Total | 15 | 0 | 0 | 2 |
| % of votes cast | 88% | 0% | 0% | 12% |
How each member voted (17)
| Member | Party | Vote |
|---|---|---|
| Bloom | — | Yea |
| Quirk | — | Yea |
| Weber | — | Yea |
| Eggman | — | Yea |
| Chang | — | Yea |
| Gomez | — | Yea |
| Holden | — | Yea |
| Daly | — | Not Voting |
| Bigelow | — | Yea |
| Rendon | — | Yea |
| Wagner | — | Yea |
| Wood | — | Yea |
| Eduardo Garcia | — | Yea |
| Bonta, Mia | Democratic | Yea |
| Calderon, Lisa | Democratic | Yea |
| Gallagher, James | Republican | Yea |
| Jones, Brian W. | Republican | Not Voting |
| Party | Yea | Nay | Present | Not Voting |
|---|---|---|---|---|
| Democratic | 1 | 0 | 0 | 0 |
| Republican | 2 | 0 | 0 | 0 |
| Unaffiliated | 15 | 0 | 0 | 1 |
| Total | 18 | 0 | 0 | 1 |
| % of votes cast | 95% | 0% | 0% | 5% |
How each member voted (19)
| Member | Party | Vote |
|---|---|---|
| Maienschein | — | Yea |
| Steinorth | — | Yea |
| Waldron | — | Yea |
| Wood | — | Yea |
| Bonilla | — | Yea |
| Gomez | — | Yea |
| Burke | — | Yea |
| Chiu | — | Yea |
| Chávez | — | Yea |
| Nazarian | — | Yea |
| Ridley-Thomas | — | Not Voting |
| Rodriguez | — | Yea |
| Santiago | — | Yea |
| Thurmond | — | Yea |
| Gonzalez | — | Yea |
| Roger Hernández | — | Yea |
| Bonta, Mia | Democratic | Yea |
| Lackey, Tom | Republican | Yea |
| Patterson, Joe | Republican | Yea |
Subjects
Frequently asked questions
- What does AB 1216 do?
- Existing federal law, the Patient Protection and Affordable Care Act (PPACA) , enacts various health care coverage market reforms that take effect January 1, 2014. Among other things, PPACA establishes annual limits on specified forms of cost sharing, including deductibles, on all essential health benefits for nongrandfathered individual and group health insurance coverage. 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 plan contract or policy and, commencing January 1, 2017, for a large group market health plan contract or policy, for family coverage that includes a deductible and is a high deductible health plan, as defined in federal law, to include a deductible for each individual covered by the plan contract or policy that is equal to either the amount set forth in a specified provision of federal law or the deductible for individual coverage under the plan contract or policy, whichever is greater. This bill would instead prohibit a large group market health plan contract or policy for family coverage that is a high deductible health plan, as defined in federal law, and that includes a deductible for individual coverage from subjecting an individual covered by the plan contract or policy to a deductible that is greater than the deductible for individual coverage under the plan contract or policy if the deductible for individual coverage is greater than or equal to the amount set forth in the provision of federal law described above. Because a willful violation of this prohibition by a health care service plan would 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 AB 1216?
- AB 1216 is sponsored by Bonta, Mia (Democratic).
- What is the current status of AB 1216?
- This bill died with 2015-2016 Regular Session. It reached “Passed Assembly” 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 AB 1216?
- Track AB 1216 free on One Click Politics — get push/email alerts when it moves.
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