CaliforniaHealth care coverage: antiretroviral drugs, drug devices, and drug products.
What it does
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 generally prohibits a health care service plan, excluding a Medi-Cal managed care plan, or health insurer from subjecting antiretroviral drugs that are medically necessary for the prevention of HIV/AIDS, including preexposure prophylaxis or postexposure prophylaxis, to prior authorization or step therapy.
More detail
Under existing law, a health care service plan or health insurer is not required to cover all of the therapeutically equivalent versions of those drugs without prior authorization or step therapy if at least one is covered without prior authorization or step therapy.
This bill would instead prohibit a health care service plan, excluding a Medi-Cal managed care plan, or health insurer from subjecting antiretroviral drugs, drug devices, or drug products that are medically necessary for the prevention of HIV/AIDS to prior authorization or step therapy. The bill would require, for a health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2027, a non-self-administered antiretroviral drug, drug device, or drug product that is approved by the United States Food and Drug Administration for the prevention of HIV/AIDS to be covered under both the plan or policy's medical benefit and prescription drug benefit, and if obtained under the plan or policy's drug benefit, would require the drug, device, or product to be dispensed and administered by a health care provider acting within the scope of their license. Because a willful violation of these provisions 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.
Where do you stand?
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Where it stands
- Introduced
- Passed Senate
- Passed Assembly
- To Governor
- Became Law
Looking ahead
No hearings or votes scheduled.
History
- 2026
- Sep 26Chaptered by Secretary of State. Chapter 470, Statutes of 2026.Latest
- Sep 26Approved by the Governor Gavin Newsom.Became Law
- Aug 30Enrolled and presented to the Governor at 6 p.m.To Governor
- Aug 25Assembly amendments concurred in. (Ayes 30. Noes 0. Page 5757.) Ordered to engrossing and enrolling.Major
- Vote recorded Unfinished Business SB1023 Laird et al. Concurrence. Result: pass.Upper
- Vote recorded Unfinished Business SB1023 Laird et al. Concurrence Reconsider. Result: pass.Upper
- Vote recorded Unfinished Business SB1023 Laird et al. Concurrence. Result: pass.Upper
- Aug 25Reconsideration granted. (Ayes 38. Noes 0. Page 5757.)
- Aug 25Motion to reconsider made by Senator Ashby.
- Aug 25Assembly amendments concurred in. (Ayes 31. Noes 1. Page 5755.) Ordered to engrossing and enrolling.Major
- Aug 24In Senate. Concurrence in Assembly amendments pending.
- Vote recorded SB 1023 Laird Senate Third Reading By Mark González. Result: pass.Lower
- Aug 24Read third time. Passed. (Ayes 62. Noes 3. Page 6392.) Ordered to the Senate.Passed Assembly
- Aug 18Ordered to third reading.Minor
- Aug 18Read third time and amended.Major
- Aug 13Read second time. Ordered to third reading.Minor
- Vote recorded Do pass. Result: pass.Lower
- Aug 13From committee: Do pass. (Ayes 11. Noes 1.) (August 13).Minor
- Aug 13Assembly Rule 63 suspended.
- Jul 1July 1 set for first hearing. Placed on suspense file.
- Jun 10From committee: Do pass and re-refer to Com. on APPR. (Ayes 11. Noes 0.) (June 9). Re-referred to Com. on APPR.Minor
- Jun 9
- Vote recorded Do pass and be re-referred to the Committee on [Appropriations]. Result: pass.Lower
- May 26Referred to Com. on HEALTH.Minor
- May 19In Assembly. Read first time. Held at Desk.Minor
- May 18Read third time. Passed. (Ayes 29. Noes 0. Page 4312.) Ordered to the Assembly.Passed Senate
- Vote recorded 3rd Reading SB1023 Laird et al. Result: pass.Upper
- May 14Read second time. Ordered to third reading.Minor
- Vote recorded Do pass. Result: pass.Upper
- May 14From committee: Do pass. (Ayes 5. Noes 0. Page 4261.) (May 14).Minor
- May 8Set for hearing May 14.
- Apr 20April 20 hearing: Placed on APPR. suspense file.
- Vote recorded Placed on suspense file. Result: pass.Upper
- Apr 10Set for hearing April 20.
- Apr 9From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 0. Page 3793.) (April 8). Re-referred to Com. on APPR.Minor
- Apr 8
- Vote recorded Do pass, but first be re-referred to the Committee on [Appropriations]. Result: pass.Upper
- Mar 26Set for hearing April 8.
- Mar 25Re-referred to Com. on HEALTH.Minor
- Mar 16From committee with author's amendments. Read second time and amended. Re-referred to Com. on RLS.Major
- Feb 18Referred to Com. on RLS.Minor
- Feb 11From printer. May be acted upon on or after March 13.
- Feb 10Introduced. Read first time. To Com. on RLS. for assignment. To print.Introduced