Dave Cortese
- Democratic
- Senator
- District 15
Author
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 a health care service plan or disability insurer, as specified, to base medical necessity determinations and the utilization review criteria the plan or insurer, and any entity acting on the plan's or insurer's behalf, applies to determine the medical necessity of health care services and benefits for the diagnosis, prevention, and treatment of mental health and substance use disorders, on current generally accepted standards of mental health and substance use disorder care. This bill would require a health care service plan and a disability insurer, and an entity acting on a plan's or insurer's behalf, to ensure compliance with specific requirements for utilization review, including maintaining telephone access and other direct communication access during California business hours for a health care provider to request authorization for mental health and substance use disorder care and conducting peer-to-peer discussions regarding specific patient issues related to treatment. 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.
August 15 hearing: Held in committee and under submission.
August 7 set for first hearing. Placed on suspense file.
From committee: Do pass and re-refer to Com. on APPR. (Ayes 14. Noes 1.) (June 11). Re-referred to Com. on APPR.
In Assembly. Read first time. Held at Desk.
Read third time. Passed. (Ayes 31. Noes 7. Page 4062.) Ordered to the Assembly.
From committee: Do pass. (Ayes 5. Noes 2. Page 3967.) (May 16).
Read second time. Ordered to third reading.
Set for hearing May 16.
May 6 hearing: Placed on APPR suspense file.
Set for hearing May 6.
From committee: Do pass and re-refer to Com. on APPR. (Ayes 9. Noes 1. Page 3755.) (April 24). Re-referred to Com. on APPR.
From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
Set for hearing April 24.
March 20 hearing postponed by committee.
From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH.
Set for hearing March 20.
From printer. May be acted upon on or after March 3.
Introduced. Read first time. To Com. on RLS. for assignment. To print.
| Bill Text Versions | Format |
|---|---|
| SB999 | HTML |
| 02/01/24 - Introduced | |
| 03/07/24 - Amended Senate | |
| 04/08/24 - Amended Senate |
| Document | Format |
|---|---|
| 03/18/24- Senate Health | |
| 04/22/24- Senate Health | |
| 05/03/24- Senate Appropriations | |
| 05/17/24- Sen. Floor Analyses | |
| 06/07/24- Assembly Health | |
| 08/05/24- Assembly Appropriations |
Data on Open States is updated periodically throughout the day from the official website of the California State Legislature.
If you notice any inconsistencies with these official sources, feel free to file an issue.