SB 473

  • California Senate Bill
  • 2021-2022 Regular Session
  • Introduced in Senate Feb 17, 2021
  • Passed Senate Jan 24, 2022
  • Assembly
  • Governor

Health care coverage: insulin cost sharing.

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's requirements 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 issued, amended, delivered, or renewed on or after January 1, 2000, to include coverage for equipment, supplies, and, if the contract or policy covers prescription benefits, prescriptive medications for the management and treatment of insulin-using diabetes, non-insulin-using diabetes, and gestational diabetes, as medically necessary. This bill would require a health care service plan contract or a health insurance policy that is issued, amended, delivered, or renewed on or after January 1, 2023, to cover all available dosage forms and concentrations of at least one insulin product of each insulin type for a copayment not to exceed $35 for a monthly supply, or a multiple of $35 for a multimonth supply, and would prohibit a policy or contract from imposing other cost-sharing requirements. The bill would also prohibit a health care service plan contract or health insurance policy that is issued, amended, delivered, or renewed on or after January 1, 2023, from imposing a deductible requirement on benefits related to managing and treating diabetes, as specified. 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 11, 2022

Assembly

August 11 hearing: Held in committee and under submission.

Aug 03, 2022

Assembly

August 3 set for first hearing. Placed on suspense file.

Jun 16, 2022

Assembly

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

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

Jun 15, 2022

Assembly

From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 13. Noes 0.) (June 14).

May 05, 2022

Assembly

Referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Jan 24, 2022

Senate

Read third time. Passed. (Ayes 36. Noes 0. Page 2803.) Ordered to the Assembly.

Assembly

In Assembly. Read first time. Held at Desk.

Jan 19, 2022

Senate

Read second time. Ordered to third reading.

Jan 18, 2022

Senate

From committee: Be ordered to second reading pursuant to Senate Rule 28.8.

Jan 14, 2022

Senate

Set for hearing January 18.

Jan 13, 2022

Senate

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

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

Jan 12, 2022

Senate

From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 0. Page 2747.) (January 11).

Jan 04, 2022

Senate

Set for hearing January 11.

Jan 03, 2022

Senate

From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.

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

Apr 23, 2021

Senate

April 28 set for first hearing canceled at the request of author.

Apr 15, 2021

Senate

Set for hearing April 28.

Mar 10, 2021

Senate

From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.

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

Feb 25, 2021

Senate

Referred to Com. on HEALTH.

  • Referral-Committee
Com. on HEALTH.

Feb 22, 2021

Senate

(Ayes 32. Noes 4.)

Senate

Joint Rule 55 suspended. (Ayes 32. Noes 4. Page 272.)

Senate

Art. IV. Sec. 8(a) of the Constitution dispensed with.

Feb 18, 2021

Senate

From printer. May be acted upon on or after March 20.

Feb 17, 2021

Senate

Introduced. Read first time. To Com. on RLS. for assignment. To print.

Bill Text

Bill Text Versions Format
SB473 HTML
02/17/21 - Introduced PDF
03/10/21 - Amended Senate PDF
01/03/22 - Amended Senate PDF
01/13/22 - Amended Senate PDF
06/16/22 - Amended Assembly PDF

Related Documents

Document Format
01/07/22- Senate Health PDF
01/19/22- Sen. Floor Analyses PDF
06/10/22- Assembly Health PDF
08/01/22- Assembly Appropriations PDF

Sources

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