SB 421 is sponsored by Limón, Monique (Democratic) and Rubio, Susan (Democratic).

Where can I track SB 421?

Track SB 421 free on One Click Politics — get push/email alerts when it moves.

California 2023-2024 Regular Session Status: Enacted 2 D cosponsors

SB 421 — Health care coverage: cancer treatment.

Last action October 08, 2023 — Chaptered by Secretary of State. Chapter 607, Statutes of 2023.

✓
Introduced
✓
In Committee
✓
Passed Senate
✓
Passed Assembly
✓
To Executive
6
Enacted

This bill has been enacted into law. Introduced February 13, 2023. Enacted.

Signed by Governor Gavin Newsom (Democratic) on October 08, 2023.

Prognosis

Likely to advance 74% · 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.
2 sponsors

1 primary, 1 co-sponsors signed on.
Single-party support

Sponsorship is currently within one party (2 D).
Cleared a recorded vote

Passed 7 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 provides for the regulation of health insurers by the Department of Insurance. Existing law prohibits, until January 1, 2024, an individual or group health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2015, that provides coverage for prescribed, orally administered anticancer medications used to kill or slow the growth of cancerous cells from requiring an enrollee or insured to pay a total amount of copayments and coinsurance that exceeds $250 for an individual prescription of up to a 30-day supply of a prescribed orally administered anticancer medication, as specified. This bill would extend the duration of that prohibition indefinitely. By indefinitely extending the operation of the prohibition, and thus indefinitely extending the applicability of a crime for a willful violation by a health care service plan, 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

Chaptered 10/08/23 - Chaptered Current pdf October 08, 2023
Enrolled 09/05/23 - Enrolled pdf September 05, 2023
Amended 08/17/23 - Amended Assembly pdf August 17, 2023
Introduced 02/13/23 - Introduced pdf February 13, 2023
SB421 View text html

Action History

October 08, 2023
Chaptered by Secretary of State. Chapter 607, Statutes of 2023.
October 08, 2023
Approved by the Governor.
September 07, 2023
Enrolled and presented to the Governor at 4 p.m.
September 01, 2023
Assembly amendments concurred in. (Ayes 37. Noes 0. Page 2240.) Ordered to engrossing and enrolling.
August 29, 2023
Ordered to special consent calendar.
August 24, 2023
In Senate. Concurrence in Assembly amendments pending.
August 24, 2023
Read third time. Passed. (Ayes 75. Noes 0. Page 2793.) Ordered to the Senate.
August 17, 2023
Ordered to third reading.
August 17, 2023
Read third time and amended. (Ayes 74. Noes 0. Page 2739.)
June 26, 2023
Ordered to third reading.
June 26, 2023
From consent calendar on motion of Assembly Member Reyes.
June 22, 2023
Read second time. Ordered to consent calendar.
June 21, 2023
From committee: Do pass. Ordered to consent calendar. (Ayes 13. Noes 0.) (June 21).
June 13, 2023
From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 15. Noes 0.) (June 13). Re-referred to Com. on APPR.
May 04, 2023
Referred to Com. on HEALTH.
April 17, 2023
In Assembly. Read first time. Held at Desk.
April 13, 2023
Read third time. Passed. (Ayes 36. Noes 0. Page 700.) Ordered to the Assembly.
April 11, 2023
Read second time. Ordered to consent calendar.
April 10, 2023
From committee: Be ordered to second reading pursuant to Senate Rule 28.8 and ordered to consent calendar.
April 03, 2023
Set for hearing April 10.
March 30, 2023
From committee: Do pass and re-refer to Com. on APPR with recommendation: To consent calendar. (Ayes 12. Noes 0. Page 575.) (March 29). Re-referred to Com. on APPR.
March 16, 2023
Set for hearing March 29.
February 22, 2023
Referred to Com. on HEALTH.
February 14, 2023
From printer. May be acted upon on or after March 16.
February 13, 2023
Introduced. Read first time. To Com. on RLS. for assignment. To print.

Sponsorship breakdown

Export CSV (upgrade) →

1 sponsors · 1 co-sponsors · 120 not signed on

Sponsors (1)

Limón, Monique Democratic

Co-sponsors (1)

Rubio, Susan Democratic

Not signed on (120)

120 members have not signed on to this bill.

Show all 120 →

"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

Special Consent SB421 Limón et al.

September 01, 2023

Passed 37 Yea · 0 Nay · 3 Other

Party	Yea	Nay	Present	Not Voting
Unaffiliated	11	0	0	0
Democratic	19	0	0	3
Republican	7	0	0	0
Total	37	0	0	3
% of votes cast	93%	0%	0%	8%

How each member voted (40)

Member	Party	Vote
Roth	—	Yea
Atkins	—	Yea
Portantino	—	Yea
Newman	—	Yea
Min	—	Yea
Wilk	—	Yea
Eggman	—	Yea
Glazer	—	Yea
Dodd	—	Yea
Bradford	—	Yea
Skinner	—	Yea
Allen, Benjamin	Democratic	Yea
Archuleta, Bob	Democratic	Yea
Ashby, Angelique V.	Democratic	Yea
Becker, Josh	Democratic	Yea
Blakespear, Catherine S.	Democratic	Not Voting
Caballero, Anna M.	Democratic	Yea
Cortese, Dave	Democratic	Yea
Durazo, Maria Elena	Democratic	Yea
Gonzalez, Lena A.	Democratic	Yea
Hurtado, Melissa	Democratic	Yea
Laird, John	Democratic	Yea
Limón, Monique	Democratic	Not Voting
McGuire, Mike	Democratic	Yea
Menjivar, Caroline	Democratic	Yea
Nguyen, Stephanie	Democratic	Yea
Padilla, Stephen C.	Democratic	Yea
Rubio, Susan	Democratic	Yea
Smallwood-Cuevas, Lola	Democratic	Yea
Stern, Henry I.	Democratic	Not Voting
Umberg, Thomas J.	Democratic	Yea
Wahab, Aisha	Democratic	Yea
Wiener, Scott D.	Democratic	Yea
Alvarado-Gil, Marie	Republican	Yea
Dahle, Megan	Republican	Yea
Grove, Shannon	Republican	Yea
Jones, Brian W.	Republican	Yea
Niello, Roger W.	Republican	Yea
Ochoa Bogh, Rosilicie	Republican	Yea
Seyarto, Kelly	Republican	Yea

Official roll call →

SB 421 Limón Senate Third Reading By Pellerin

August 24, 2023

Passed 75 Yea · 0 Nay · 5 Other

Party	Yea	Nay	Present	Not Voting
Democratic	46	0	0	1
Republican	11	0	0	2
Unaffiliated	18	0	0	2
Total	75	0	0	5
% of votes cast	94%	0%	0%	6%

How each member voted (80)

Member	Party	Vote
Holden	—	Yea
Mathis	—	Yea
Maienschein	—	Yea
Rodriguez	—	Yea
Villapudua	—	Yea
Ting	—	Yea
McCarty	—	Yea
Rendon	—	Yea
Friedman	—	Yea
Low	—	Yea
Wood	—	Yea
Essayli	—	Yea
Waldron	—	Yea
Santiago	—	Yea
Jones-Sawyer	—	Not Voting
Eduardo Garcia	—	Not Voting
Jim Patterson	—	Yea
Luz Rivas	—	Yea
Vince Fong	—	Yea
Wendy Carrillo	—	Yea
Addis, Dawn	Democratic	Yea
Aguiar-Curry, Cecilia M.	Democratic	Yea
Alvarez, David	Democratic	Yea
Arambula, Joaquin	Democratic	Yea
Bains, Jasmeet	Democratic	Yea
Bauer-Kahan, Rebecca	Democratic	Yea
Bennett, Steve	Democratic	Yea
Berman, Marc	Democratic	Yea
Boerner, Tasha	Democratic	Yea
Bonta, Mia	Democratic	Not Voting
Bryan, Isaac G.	Democratic	Yea
Calderon, Lisa	Democratic	Yea
Carrillo, Juan	Democratic	Yea
Cervantes, Sabrina	Democratic	Yea
Connolly, Damon	Democratic	Yea
Fong, Mike	Democratic	Yea
Gabriel, Jesse	Democratic	Yea
Gipson, Mike A.	Democratic	Yea
Grayson, Timothy S.	Democratic	Yea
Haney, Matt	Democratic	Yea
Hart, Gregg	Democratic	Yea
Irwin, Jacqui	Democratic	Yea
Jackson, Corey A.	Democratic	Yea
Kalra, Ash	Democratic	Yea
Lee, Alex	Democratic	Yea
Lowenthal, Josh	Democratic	Yea
McKinnor, Tina	Democratic	Yea
Muratsuchi, Al	Democratic	Yea
Nguyen, Stephanie	Democratic	Yea
Ortega, Liz	Democratic	Yea
Pacheco, Blanca	Democratic	Yea
Papan, Diane	Democratic	Yea
Pellerin, Gail	Democratic	Yea
Petrie-Norris, Cottie	Democratic	Yea
Quirk-Silva, Sharon	Democratic	Yea
Ramos, James C.	Democratic	Yea
Reyes, Eloise Gómez	Democratic	Yea
Rivas, Robert	Democratic	Yea
Rubio, Blanca E.	Democratic	Yea
Schiavo, Pilar	Democratic	Yea
Soria, Esmeralda	Democratic	Yea
Valencia, Avelino	Democratic	Yea
Ward, Christopher M.	Democratic	Yea
Weber Pierson, M.D., Akilah	Democratic	Yea
Wicks, Buffy	Democratic	Yea
Wilson, Lori D.	Democratic	Yea
Zbur, Rick Chavez	Democratic	Yea
Alanis, Juan	Republican	Yea
Chen, Phillip	Republican	Not Voting
Dahle, Megan	Republican	Yea
Davies, Laurie	Republican	Yea
Dixon, Diane	Republican	Yea
Flora, Heath	Republican	Yea
Gallagher, James	Republican	Not Voting
Hoover, Josh	Republican	Yea
Lackey, Tom	Republican	Yea
Patterson, Joe	Republican	Yea
Sanchez, Kate	Republican	Yea
Ta, Tri	Republican	Yea
Wallis, Greg	Republican	Yea

Official roll call →

SB 421 Limón Senate Third Reading By Pellerin Amendment Set #1

August 17, 2023

Passed 74 Yea · 0 Nay · 6 Other

Party	Yea	Nay	Present	Not Voting
Democratic	43	0	0	4
Republican	13	0	0	0
Unaffiliated	18	0	0	2
Total	74	0	0	6
% of votes cast	93%	0%	0%	8%

How each member voted (80)

Member	Party	Vote
Holden	—	Yea
Mathis	—	Yea
Maienschein	—	Yea
Rodriguez	—	Yea
Villapudua	—	Yea
Wood	—	Yea
Santiago	—	Yea
Essayli	—	Not Voting
Waldron	—	Not Voting
Ting	—	Yea
Jones-Sawyer	—	Yea
McCarty	—	Yea
Rendon	—	Yea
Friedman	—	Yea
Low	—	Yea
Eduardo Garcia	—	Yea
Jim Patterson	—	Yea
Luz Rivas	—	Yea
Vince Fong	—	Yea
Wendy Carrillo	—	Yea
Addis, Dawn	Democratic	Yea
Aguiar-Curry, Cecilia M.	Democratic	Yea
Alvarez, David	Democratic	Yea
Arambula, Joaquin	Democratic	Yea
Bains, Jasmeet	Democratic	Yea
Bauer-Kahan, Rebecca	Democratic	Yea
Bennett, Steve	Democratic	Yea
Berman, Marc	Democratic	Yea
Boerner, Tasha	Democratic	Not Voting
Bonta, Mia	Democratic	Yea
Bryan, Isaac G.	Democratic	Yea
Calderon, Lisa	Democratic	Yea
Carrillo, Juan	Democratic	Not Voting
Cervantes, Sabrina	Democratic	Yea
Connolly, Damon	Democratic	Yea
Fong, Mike	Democratic	Not Voting
Gabriel, Jesse	Democratic	Yea
Gipson, Mike A.	Democratic	Yea
Grayson, Timothy S.	Democratic	Yea
Haney, Matt	Democratic	Yea
Hart, Gregg	Democratic	Yea
Irwin, Jacqui	Democratic	Yea
Jackson, Corey A.	Democratic	Yea
Kalra, Ash	Democratic	Yea
Lee, Alex	Democratic	Yea
Lowenthal, Josh	Democratic	Yea
McKinnor, Tina	Democratic	Yea
Muratsuchi, Al	Democratic	Yea
Nguyen, Stephanie	Democratic	Yea
Ortega, Liz	Democratic	Yea
Pacheco, Blanca	Democratic	Yea
Papan, Diane	Democratic	Yea
Pellerin, Gail	Democratic	Yea
Petrie-Norris, Cottie	Democratic	Yea
Quirk-Silva, Sharon	Democratic	Yea
Ramos, James C.	Democratic	Yea
Reyes, Eloise Gómez	Democratic	Yea
Rivas, Robert	Democratic	Yea
Rubio, Blanca E.	Democratic	Yea
Schiavo, Pilar	Democratic	Yea
Soria, Esmeralda	Democratic	Yea
Valencia, Avelino	Democratic	Yea
Ward, Christopher M.	Democratic	Yea
Weber Pierson, M.D., Akilah	Democratic	Not Voting
Wicks, Buffy	Democratic	Yea
Wilson, Lori D.	Democratic	Yea
Zbur, Rick Chavez	Democratic	Yea
Alanis, Juan	Republican	Yea
Chen, Phillip	Republican	Yea
Dahle, Megan	Republican	Yea
Davies, Laurie	Republican	Yea
Dixon, Diane	Republican	Yea
Flora, Heath	Republican	Yea
Gallagher, James	Republican	Yea
Hoover, Josh	Republican	Yea
Lackey, Tom	Republican	Yea
Patterson, Joe	Republican	Yea
Sanchez, Kate	Republican	Yea
Ta, Tri	Republican	Yea
Wallis, Greg	Republican	Yea

Official roll call →

Do pass. To Consent Calendar.

June 21, 2023

Passed 13 Yea · 0 Nay · 3 Other

Party	Yea	Nay	Present	Not Voting
Democratic	7	0	0	3
Republican	3	0	0	0
Unaffiliated	3	0	0	0
Total	13	0	0	3
% of votes cast	81%	0%	0%	19%

How each member voted (16)

Member	Party	Vote
Holden	—	Yea
Mathis	—	Yea
Wendy Carrillo	—	Yea
Bryan, Isaac G.	Democratic	Not Voting
Calderon, Lisa	Democratic	Yea
Fong, Mike	Democratic	Yea
Hart, Gregg	Democratic	Yea
Lowenthal, Josh	Democratic	Not Voting
Papan, Diane	Democratic	Not Voting
Pellerin, Gail	Democratic	Yea
Rivas, Robert	Democratic	Yea
Weber Pierson, M.D., Akilah	Democratic	Yea
Wilson, Lori D.	Democratic	Yea
Dahle, Megan	Republican	Yea
Dixon, Diane	Republican	Yea
Sanchez, Kate	Republican	Yea

Official roll call →

Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar

June 13, 2023

Passed 15 Yea · 0 Nay

Party	Yea	Nay	Present	Not Voting
Republican	2	0	0	0
Unaffiliated	9	0	0	0
Democratic	4	0	0	0
Total	15	0	0	0
% of votes cast	100%	0%	0%	0%

How each member voted (15)

Member	Party	Vote
McCarty	—	Yea
Wood	—	Yea
Villapudua	—	Yea
Santiago	—	Yea
Maienschein	—	Yea
Rodriguez	—	Yea
Waldron	—	Yea
Vince Fong	—	Yea
Wendy Carrillo	—	Yea
Aguiar-Curry, Cecilia M.	Democratic	Yea
Arambula, Joaquin	Democratic	Yea
Boerner, Tasha	Democratic	Yea
Weber Pierson, M.D., Akilah	Democratic	Yea
Flora, Heath	Republican	Yea
Patterson, Joe	Republican	Yea

Official roll call →

Consent Calendar

April 13, 2023

Passed 36 Yea · 0 Nay · 4 Other

Party	Yea	Nay	Present	Not Voting
Democratic	19	0	0	3
Unaffiliated	10	0	0	1
Republican	7	0	0	0
Total	36	0	0	4
% of votes cast	90%	0%	0%	10%

How each member voted (40)

Member	Party	Vote
Atkins	—	Yea
Portantino	—	Yea
Newman	—	Yea
Min	—	Yea
Wilk	—	Yea
Eggman	—	Yea
Glazer	—	Yea
Dodd	—	Yea
Bradford	—	Yea
Skinner	—	Yea
Roth	—	Not Voting
Allen, Benjamin	Democratic	Yea
Archuleta, Bob	Democratic	Yea
Ashby, Angelique V.	Democratic	Yea
Becker, Josh	Democratic	Yea
Blakespear, Catherine S.	Democratic	Not Voting
Caballero, Anna M.	Democratic	Not Voting
Cortese, Dave	Democratic	Yea
Durazo, Maria Elena	Democratic	Yea
Gonzalez, Lena A.	Democratic	Yea
Hurtado, Melissa	Democratic	Yea
Laird, John	Democratic	Yea
Limón, Monique	Democratic	Yea
McGuire, Mike	Democratic	Yea
Menjivar, Caroline	Democratic	Yea
Nguyen, Stephanie	Democratic	Yea
Padilla, Stephen C.	Democratic	Yea
Rubio, Susan	Democratic	Yea
Smallwood-Cuevas, Lola	Democratic	Yea
Stern, Henry I.	Democratic	Not Voting
Umberg, Thomas J.	Democratic	Yea
Wahab, Aisha	Democratic	Yea
Wiener, Scott D.	Democratic	Yea
Alvarado-Gil, Marie	Republican	Yea
Dahle, Megan	Republican	Yea
Grove, Shannon	Republican	Yea
Jones, Brian W.	Republican	Yea
Niello, Roger W.	Republican	Yea
Ochoa Bogh, Rosilicie	Republican	Yea
Seyarto, Kelly	Republican	Yea

Official roll call →

Do pass, but first be re-referred to the Committee on [Appropriations] with the recommendation: To Consent Calendar

March 29, 2023

Passed 12 Yea · 0 Nay

Party	Yea	Nay	Present	Not Voting
Democratic	8	0	0	0
Unaffiliated	3	0	0	0
Republican	1	0	0	0
Total	12	0	0	0
% of votes cast	100%	0%	0%	0%

How each member voted (12)

Member	Party	Vote
Roth	—	Yea
Eggman	—	Yea
Glazer	—	Yea
Gonzalez, Lena A.	Democratic	Yea
Hurtado, Melissa	Democratic	Yea
Limón, Monique	Democratic	Yea
Menjivar, Caroline	Democratic	Yea
Nguyen, Stephanie	Democratic	Yea
Rubio, Susan	Democratic	Yea
Wahab, Aisha	Democratic	Yea
Wiener, Scott D.	Democratic	Yea
Grove, Shannon	Republican	Yea

Official roll call →

Subjects

healthcare health-insurance

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Frequently asked questions

What does SB 421 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 provides for the regulation of health insurers by the Department of Insurance. Existing law prohibits, until January 1, 2024, an individual or group health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2015, that provides coverage for prescribed, orally administered anticancer medications used to kill or slow the growth of cancerous cells from requiring an enrollee or insured to pay a total amount of copayments and coinsurance that exceeds $250 for an individual prescription of up to a 30-day supply of a prescribed orally administered anticancer medication, as specified. This bill would extend the duration of that prohibition indefinitely. By indefinitely extending the operation of the prohibition, and thus indefinitely extending the applicability of a crime for a willful violation by a health care service plan, 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 421?: SB 421 is sponsored by Limón, Monique (Democratic) and Rubio, Susan (Democratic).
What is the current status of SB 421?: This bill has been enacted into law. Introduced February 13, 2023. Enacted.
Where can I track SB 421?: Track SB 421 free on One Click Politics — get push/email alerts when it moves.

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At a glance

Identifier: SB 421
Jurisdiction: California
Session: 2023-2024 Regular Session
Type: Bill
Introduced: February 13, 2023
Status: Enacted
Prime sponsor: Limón, Monique

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