California Senate Bill 245
Session 20212022
Health care coverage: abortion services: cost sharing.
Became Law
Became Law on Mar 22, 2022
Sponsor
Gonzalez
First Action
Jan 22, 2021
Latest Action
Mar 22, 2022
Origin Chamber
Senate
Type
Bill
Bill Number
245
State
California
Session
20212022
Gonzalez
grade
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Motion Text
Unfinished Business SB245 Gonzalez et al. Concurrence
Senate Roll Call Votes
Yes
Yes
Dahle
No
Yes
Yes
Gonzalez
Yes
Other
Other
Yes
Yes
Yes
Other
Yes
Yes
Rubio
Yes
Other
Summary
Existing law, the Reproductive Privacy Act, prohibits the state from denying or interfering with a person's right to choose or obtain an abortion prior to viability of the fetus, or when the abortion is necessary to protect the life or health of the person. The act defines "abortion" as a medical treatment intended to induce the termination of a pregnancy except for the purpose of producing a live birth.
Existing law also establishes the Medi-Cal program, which is administered by the State Department of Health Care Services, under which qualified low-income individuals receive health care services through, among other things, managed care plans licensed under the act that contract with the State Department of Health Care Services.
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 also requires the Department of Insurance to regulate health insurers. Existing law requires group and individual health care service plan contracts and disability insurance policies to cover contraceptives, without cost sharing, as specified.
This bill would prohibit a health care service plan or an individual or group policy or certificate of health insurance or student blanket disability insurance that is issued, amended, renewed, or delivered on or after January 1, 2023, from imposing a deductible, coinsurance, copayment, or any other cost-sharing requirement on coverage for all abortion and abortion-related services, as specified. The bill would prohibit a health care service plan and an insurer subject to these requirements from imposing utilization management or utilization review on the coverage for outpatient abortion services. The bill would require that for a contract, certificate, or policy that is a high deductible health plan, the cost-sharing prohibition would apply once the enrollee's or insured's deductible has been satisfied for the benefit year. The bill would not require an individual or group contract or policy to cover an experimental or investigational treatment. The bill's requirements would also apply to Medi-Cal managed care plans and their providers, independent practice associations, preferred provider groups, and all delegated entities that provide physician services, utilization management, or utilization review. The bill would require the Department of Managed Health Care and the Department of Insurance to adopt related regulations on or before January 1, 2026.
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.
01/22/21 - Introduced
January 22, 2021
04/12/21 - Amended Senate
April 12, 2021
02/14/22 - Amended Assembly
February 14, 2022
03/21/22 - Enrolled
March 21, 2022
03/22/22 - Chaptered
March 22, 2022
04/05/21- Senate Health
April 5, 2021
04/30/21- Senate Appropriations
April 30, 2021
05/22/21- Sen. Floor Analyses
May 22, 2021
06/18/21- Assembly Health
June 18, 2021
07/05/21- Assembly Appropriations
July 5, 2021
01/24/22- ASSEMBLY FLOOR ANALYSIS
January 24, 2022
02/17/22- ASSEMBLY FLOOR ANALYSIS
February 17, 2022
03/18/22- Sen. Floor Analyses
March 18, 2022
Sort by most recent
03/22/2022
California State Legislature
Chaptered by Secretary of State. Chapter 11, Statutes of 2022.
03/22/2022
California State Legislature
Approved by the Governor.
03/22/2022
California State Legislature
Enrolled and presented to the Governor at 11 a.m.
03/21/2022
Senate
Assembly amendments concurred in. (Ayes 28. Noes 7. Page 3159.) Ordered to engrossing and enrolling.
03/17/2022
Senate
In Senate. Concurrence in Assembly amendments pending.
03/17/2022
Assembly
Read third time. Passed. (Ayes 52. Noes 17. Page 3878.) Ordered to the Senate.
02/14/2022
Assembly
Ordered to third reading.
02/14/2022
Assembly
Read third time and amended. (Ayes 50. Noes 17. Page 3542.)
01/24/2022
Assembly
Read second time. Ordered to third reading.
01/20/2022
Assembly
From committee: Do pass. (Ayes 12. Noes 3.) (January 20).
08/26/2021
Assembly
August 26 hearing postponed by committee.
07/07/2021
Assembly
July 7 set for first hearing. Placed on suspense file.
06/25/2021
Assembly
June 30 hearing postponed by committee.
06/23/2021
Assembly
From committee: Do pass and re-refer to Com. on APPR. (Ayes 11. Noes 3.) (June 22). Re-referred to Com. on APPR.
06/10/2021
Assembly
Referred to Com. on HEALTH.
06/02/2021
Assembly
In Assembly. Read first time. Held at Desk.
06/01/2021
Senate
Read third time. Passed. (Ayes 31. Noes 8. Page 1330.) Ordered to the Assembly.
05/20/2021
Senate
Read second time. Ordered to third reading.
05/20/2021
Senate
From committee: Do pass. (Ayes 5. Noes 2. Page 1184.) (May 20).
05/14/2021
Senate
Set for hearing May 20.
05/04/2021
Senate
May 3 hearing: Placed on APPR suspense file.
04/21/2021
Senate
Set for hearing May 3.
04/12/2021
Senate
Read second time and amended. Re-referred to Com. on APPR.
04/08/2021
Senate
From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 2. Page 703.) (April 7).
03/17/2021
Senate
Set for hearing April 7.
02/22/2021
Senate
Joint Rule 55 suspended. (Ayes 32. Noes 4. Page 272.)
02/22/2021
Senate
(Ayes 32. Noes 4.)
02/22/2021
Senate
Art. IV. Sec. 8(a) of the Constitution dispensed with.
02/03/2021
Senate
Referred to Com. on HEALTH.
01/25/2021
Senate
Read first time.
01/25/2021
Senate
From printer. May be acted upon on or after February 24.
01/22/2021
Senate
Introduced. To Com. on RLS. for assignment. To print.
Sources
Record Created
Jan 23, 2021 12:02:35 PM
Record Updated
Apr 22, 2022 12:16:18 AM