Anna Caballero
- Democratic
- Senator
- District 14
Author
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. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law authorizes a health care service plan or health insurer that provides coverage for prescription drugs to require step therapy if there is more than one drug that is clinically appropriate for the treatment of a medical condition, but requires a plan or insurer to expeditiously grant a step therapy exception request if specified criteria are met. Existing law does not prohibit a plan, insurer, or utilization review organization from requiring an enrollee or insured to try an AB-rated generic equivalent or interchangeable biological product before providing coverage for the equivalent branded prescription drug. This bill would specify that a plan, insurer, or utilization review organization is also not prohibited from requiring an enrollee or insured to try a biosimilar before providing coverage for the equivalent branded prescription drug, but that the requirement to try biosimilar, generic, and interchangeable drugs does not prohibit or supersede a step therapy exception request.
Approved by the Governor.
Chaptered by Secretary of State. Chapter 495, Statutes of 2023.
Enrolled and presented to the Governor at 4 p.m.
In Senate. Ordered to engrossing and enrolling.
Read third time. Passed. (Ayes 79. Noes 0. Page 2865.) Ordered to the Senate.
Read second time. Ordered to consent calendar.
From committee: Do pass. Ordered to consent calendar. (Ayes 15. Noes 0.) (August 23).
From committee: Do pass and re-refer to Com. on APPR. (Ayes 14. Noes 0.) (June 20). Re-referred to Com. on APPR.
In Assembly. Read first time. Held at Desk.
Read third time. Passed. (Ayes 40. Noes 0. Page 1269.) Ordered to the Assembly.
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 7. Noes 0. Page 1082.) (May 15).
Set for hearing May 15.
Read second time and amended. Re-referred to Com. on APPR.
From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 0. Page 941.) (April 26).
Set for hearing April 26.
From printer. May be acted upon on or after March 18.
Introduced. Read first time. To Com. on RLS. for assignment. To print.
| Bill Text Versions | Format |
|---|---|
| SB621 | HTML |
| 02/15/23 - Introduced | |
| 05/02/23 - Amended Senate | |
| 09/01/23 - Enrolled | |
| 10/08/23 - Chaptered |
| Document | Format |
|---|---|
| 04/24/23- Senate Health | |
| 05/12/23- Senate Appropriations | |
| 05/19/23- Sen. Floor Analyses | |
| 06/16/23- Assembly Health | |
| 08/21/23- Assembly Appropriations |
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