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Updated:   2026-02-04

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Measure
Authors Ortega  
Principle Coauthors: Kalra  
Subject Health care coverage reporting.
Relating To relating to health care coverage.
Title An act to add Sections 1367.242 and 1371.33 to the Health and Safety Code, and to add Section 10123.133 and 10123.1915 to the Insurance Code, relating to health care coverage.
Last Action Dt 2025-09-12
State Enrolled
Status In Desk Process
Flags
Vote Req Approp Fiscal Cmte Local Prog Subs Chgs Urgency Tax Levy Active?
Majority No Yes Yes None No No Y
i
Leginfo Link  
Bill Actions
2026-01-22     Stricken from file.
2025-10-06     Consideration of Governor's veto pending.
2025-10-06     Vetoed by Governor.
2025-09-22     Enrolled and presented to the Governor at 3 p.m.
2025-09-10     Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 66. Noes 3. Page 3225.).
2025-09-09     Read third time. Passed. Ordered to the Assembly. (Ayes 31. Noes 3. Page 2665.).
2025-09-09     In Assembly. Concurrence in Senate amendments pending.
2025-09-08     Read second time. Ordered to third reading.
2025-09-04     Read third time and amended. Ordered to second reading.
2025-08-29     From committee: Do pass. (Ayes 6. Noes 0.) (August 29).
2025-08-29     Read second time. Ordered to third reading.
2025-08-18     In committee: Referred to suspense file.
2025-07-17     From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (July 16).
2025-07-17     Read second time and amended. Re-referred to Com. on APPR.
2025-06-23     From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.
2025-06-04     Referred to Com. on HEALTH.
2025-05-28     In Senate. Read first time. To Com. on RLS. for assignment.
2025-05-27     Read third time. Passed. Ordered to the Senate. (Ayes 76. Noes 0. Page 1739.)
2025-05-22     Read second time. Ordered to Consent Calendar.
2025-05-21     From committee: Do pass. To Consent Calendar. (Ayes 15. Noes 0.) (May 21).
2025-05-14     In committee: Hearing postponed by committee.
2025-04-30     From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 16. Noes 0.) (April 29). Re-referred to Com. on APPR.
2025-03-03     Referred to Com. on HEALTH.
2025-02-15     From printer. May be heard in committee March 17.
2025-02-14     Read first time. To print.
Versions
Enrolled     2025-09-12
Amended Senate     2025-09-04
Amended Senate     2025-07-17
Amended Senate     2025-06-23
Introduced     2025-02-14
Analyses TBD
Latest Text Bill Full Text
Latest Text Digest

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 authorizes a health care service plan or health insurer to use prior authorization and other utilization review or utilization management functions, under which a licensed physician or a licensed health care professional who is competent to evaluate specific clinical issues may approve, modify, delay, or deny requests for health care services based on medical necessity. Existing law requires a health care service plan or health insurer to file various reports with the relevant regulating department.