CaliforniaHealth care coverage: essential health benefits.
What it does
Existing law, the Knox-Keene Health Care Service Plan Act of 1975, requires the Department of Managed Health Care to license and regulate health care service plans and makes a willful violation of the act a crime. Existing law requires an individual or small group health care service plan contract issued, amended, or renewed on or after January 1, 2017, to include, at a minimum, coverage for essential health benefits pursuant to the federal Patient Protection and Affordable Care Act. Existing law requires a health care service plan contract to cover the same health benefits that the benchmark plan, the Kaiser Foundation Health Plan Small Group HMO 30 plan, offered during the first quarter of 2014, as specified.
More detail
This bill would express the intent of the Legislature to review California's essential health benefits benchmark plan and establish a new benchmark plan for the 2027 plan year for health care service plans. The bill would require, commencing January 1, 2027, if the United States Department of Health and Human Services approves a new essential health benefits benchmark plan for the state, as specified, the benchmark plan for health care service plans to include certain additional benefits, including coverage for specified fertility services and specified durable medical equipment. Because a violation of the bill 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.
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
- 2025
- Oct 13Chaptered by Secretary of State. Chapter 739, Statutes of 2025.Latest
- Oct 13Approved by the Governor Gavin Newsom.Became Law
- Sep 16Enrolled and presented to the Governor at 3 p.m.To Governor
- Sep 8Assembly amendments concurred in. (Ayes 39. Noes 0. Page 2604.) Ordered to engrossing and enrolling.Major
- Vote recorded Unfinished Business SB62 Menjivar et al. Concurrence. Result: pass.Upper
- Sep 3In Senate. Concurrence in Assembly amendments pending.
- Vote recorded SB 62 Menjivar Senate Third Reading By Bonta. Result: pass.Lower
- Sep 3Read third time. Passed. (Ayes 76. Noes 0. Page 2873.) Ordered to the Senate.Passed Assembly
- Aug 21Read second time. Ordered to third reading.Minor
- Aug 20From committee: Do pass. (Ayes 15. Noes 0.) (August 20).Minor
- Vote recorded Do pass. Result: pass.Lower
- Jul 16From committee: Do pass and re-refer to Com. on APPR. (Ayes 16. Noes 0.) (July 15). Re-referred to Com. on APPR.Minor
- Jul 15
- Vote recorded Do pass and be re-referred to the Committee on [Appropriations]. Result: pass.Lower
- Jul 1From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.Major
- Jun 5Referred to Com. on HEALTH.Minor
- May 28In Assembly. Read first time. Held at Desk.Minor
- May 27Read third time. Passed. (Ayes 39. Noes 0. Page 1251.) Ordered to the Assembly.Passed Senate
- Vote recorded 3rd Reading. Result: pass.Upper
- May 23Read second time. Ordered to third reading.Minor
- Vote recorded Do pass. Result: pass.Upper
- May 23From committee: Do pass. (Ayes 6. Noes 0. Page 1190.) (May 23).Minor
- May 16Set for hearing May 23.
- May 12May 12 hearing: Placed on APPR. suspense file.
- Vote recorded Placed on suspense file. Result: pass.Upper
- May 2Set for hearing May 12.
- May 1From committee: Do pass and re-refer to Com. on APPR. (Ayes 11. Noes 0. Page 965.) (April 30). Re-referred to Com. on APPR.Minor
- Apr 30
- Vote recorded Do pass, but first be re-referred to the Committee on [Appropriations]. Result: pass.Upper
- Apr 23From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.Major
- Apr 11Set for hearing April 30.
- Jan 29Referred to Com. on HEALTH.Minor
- Jan 10From printer. May be acted upon on or after February 9.
- Jan 9Introduced. Read first time. To Com. on RLS. for assignment. To print.Introduced