AB 2352

  • California Assembly Bill
  • 2021-2022 Regular Session
  • Introduced in Assembly
  • Passed Assembly May 23, 2022
  • Senate
  • Governor

Prescription drug coverage.

Abstract

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 requires a health care service plan contract or health insurance policy that provides coverage for outpatient prescription drugs to cover medically necessary prescription drugs and subjects those policies to certain limitations on cost sharing and the placement of drugs on formularies. Existing law limits the maximum amount an enrollee or insured may be required to pay at the point of sale for a covered prescription drug to the lesser of the applicable cost-sharing amount or the retail price, and requires that payment to apply to the applicable deductible. This bill would require a health care service plan or health insurer that provides prescription drug benefits and maintains one or more drug formularies to furnish specified information about a prescription drug upon request by an enrollee or insured, or their prescribing provider. The bill would require the plan or insurer to respond in real time to that request and ensure the information is current no later than one business day after a change is made. The bill would prohibit a health care service plan or health insurer from, among other things, restricting a prescribing provider from sharing the information furnished about the prescription drug or penalizing a provider for prescribing, administering, or ordering a lower cost or clinically appropriate alternative drug. Because a willful violation of these provisions 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.

Bill Sponsors (2)

Votes


Actions


Aug 15, 2022

Senate

Read second time. Ordered to third reading.

Aug 11, 2022

Senate

Read second time and amended. Ordered returned to second reading.

Senate

From committee: Amend, and do pass as amended. (Ayes 7. Noes 0.) (August 11).

Jun 27, 2022

Senate

In committee: Referred to suspense file.

  • Referral-Committee
suspense file.

Jun 20, 2022

Senate

Read second time and amended. Re-referred to Com. on APPR.

  • Amendment-Passage
  • Reading-1
  • Reading-2
  • Referral-Committee
Com. on APPR.

Jun 16, 2022

Senate

From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 9. Noes 0.) (June 15).

Jun 01, 2022

Senate

Referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

May 24, 2022

Senate

In Senate. Read first time. To Com. on RLS. for assignment.

May 23, 2022

Assembly

Read third time. Passed. Ordered to the Senate. (Ayes 70. Noes 1. Page 4842.)

May 19, 2022

Assembly

From committee: Do pass. (Ayes 15. Noes 1.) (May 19).

Assembly

Read second time. Ordered to third reading.

Apr 27, 2022

Assembly

In committee: Set, first hearing. Referred to suspense file.

  • Referral-Committee
suspense file.

Apr 07, 2022

Assembly

Re-referred to Com. on APPR.

  • Referral-Committee
Com. on APPR.

Apr 06, 2022

Assembly

Read second time and amended.

Apr 05, 2022

Assembly

From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 13. Noes 0.) (March 29).

Mar 03, 2022

Assembly

Referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Feb 17, 2022

Assembly

From printer. May be heard in committee March 19.

Feb 16, 2022

Assembly

Read first time. To print.

Bill Text

Bill Text Versions Format
AB2352 HTML
02/16/22 - Introduced PDF
04/06/22 - Amended Assembly PDF
06/20/22 - Amended Senate PDF
08/11/22 - Amended Senate PDF

Related Documents

Document Format
03/25/22- Assembly Health PDF
04/25/22- Assembly Appropriations PDF
05/20/22- ASSEMBLY FLOOR ANALYSIS PDF
06/13/22- Senate Health PDF
06/24/22- Senate Appropriations PDF
08/11/22- Senate Appropriations PDF
08/15/22- Sen. Floor Analyses PDF

Sources

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