---
type: "Bill"
title: "Health care coverage: continuity of care."
description: "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 also provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan and a health insurer that provides services at alternative rates of payment, at the request of an enrollee or insured, to provide the completion of services by a terminated provider if the enrollee or insured is undergoing a course of treatment for one of any specified conditions, including a serious chronic condition, as defined, at the time of the contract or policy termination. Existing law also requires a health care service plan to provide for the completion of covered services by a nonparticipating provider to a newly covered enrollee who, at the time his or her coverage became effective, was receiving services from that provider for one of any specified conditions. Existing law requires a health care service plan to provide a disclosure form regarding the benefits, services, and terms of a plan contract and requires the disclosure form to include a description of how an enrollee can request continuity of care under the provisions described above."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20172018"
identifier: "SB 133"
citation: "California SB 133 (20172018)"
classification: ["bill"]
subjects: ["Health care coverage: continuity of care."]
status: "enacted"
primary_sponsors: ["Hernandez"]
version_count: 7
action_count: 35
vote_count: 9
first_action: "2017-01-11"
last_action: "2017-10-04"
source: "openstates"
source_identifier: "ocd-bill/4ab4fa70-4405-458c-976c-82a40eec54b5"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB133"
source_hash: "1bff6a80ec9a1532bb9adac2078252106001e1273bcc0b4960c9d9219465588a"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ca"]
---

# California SB 133 (20172018) — Health care coverage: continuity of care.

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 also provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan and a health insurer that provides services at alternative rates of payment, at the request of an enrollee or insured, to provide the completion of services by a terminated provider if the enrollee or insured is undergoing a course of treatment for one of any specified conditions, including a serious chronic condition, as defined, at the time of the contract or policy termination. Existing law also requires a health care service plan to provide for the completion of covered services by a nonparticipating provider to a newly covered enrollee who, at the time his or her coverage became effective, was receiving services from that provider for one of any specified conditions. Existing law requires a health care service plan to provide a disclosure form regarding the benefits, services, and terms of a plan contract and requires the disclosure form to include a description of how an enrollee can request continuity of care under the provisions described above.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **01/11/17 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB133&version=20170SB13399INT)
2. **08/21/17 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB133&version=20170SB13398AMD)
3. **08/30/17 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB133&version=20170SB13397AMD)
4. **09/12/17 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB133&version=20170SB13396AMD)
5. **10/04/17 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB133&version=20170SB13394CHP)
6. **SB133** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB133)
7. **09/20/17 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB133&version=20170SB13395ENR)

## Votes

- Do pass as amended and be re-referred to the Committee on [Appropriations] — **10–0** (pass) · lower
- Do pass and be ordered to the Consent Calendar — **8–0** (pass) · upper
- SB 133 Hernandez Senate Third Reading By WOOD — **61–8** (pass) · lower
- SB 133 Hernandez Senate Third Reading By WOOD Amend By WOOD Set #1 — **53–18** (pass) · lower
- Consent Calendar 2nd SB133 — **39–0** (pass) · upper
- Do pass as amended. — **12–3** (pass) · lower
- That the Assembly amendments be concurred in — **9–0** (pass) · upper
- Unfinished Business SB133 Hernandez et al. Concurrence — **38–0** (pass) · upper
- Do pass. To Consent Calendar. — **15–0** (pass) · lower

## Sponsors

- Hernandez — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2017-01-11** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1`
- **2017-01-12** From printer. May be acted upon on or after February 11.
- **2017-01-19** Referred to Com. on HEALTH. `referral-committee`
- **2017-04-07** Set for hearing April 26.
- **2017-04-20** April 26 set for first hearing canceled at the request of author.
- **2017-04-21** Set for hearing May 3.
- **2017-05-03** From committee: Do pass. Ordered to consent calendar. (Ayes 8. Noes 0. Page 974.) (May 3). `committee-passage-favorable, committee-passage`
- **2017-05-04** Read second time. Ordered to consent calendar. `reading-2, reading-1`
- **2017-05-15** Read third time. Passed. (Ayes 39. Noes 0. Page 1072.) Ordered to the Assembly. `reading-3, passage, reading-1`
- **2017-05-16** In Assembly. Read first time. Held at Desk. `reading-1`
- **2017-05-26** Referred to Com. on HEALTH. `referral-committee`
- **2017-07-11** From committee: Do pass. Ordered to consent calendar. (Ayes 15. Noes 0.) (July 11). `committee-passage-favorable, committee-passage`
- **2017-07-12** Read second time. Ordered to consent calendar. `reading-2, reading-1`
- **2017-07-13** From consent calendar on motion of Assembly Member Bonta.
- **2017-07-13** Ordered to inactive file on request of Assembly Member Bonta.
- **2017-07-17** Notice of intention to remove from inactive file given by Assembly Member Calderon.
- **2017-07-18** From inactive file.
- **2017-07-18** Ordered to third reading.
- **2017-08-21** Read third time and amended. (Ayes 53. Noes 18. Page 2689.) `amendment-passage, reading-3, reading-1`
- **2017-08-21** Ordered to third reading.
- **2017-08-21** Re-referred to Coms. on HEALTH and APPR. pursuant to Assembly Rule 77.2. `referral-committee`
- **2017-08-29** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 10. Noes 0.) (August 29). `committee-passage-favorable, committee-passage, amendment-passage`
- **2017-08-30** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-2, referral-committee, reading-1`
- **2017-09-11** From committee: Do pass as amended. (Ayes 12. Noes 3.) (September 11). `committee-passage-favorable, committee-passage, amendment-passage`
- **2017-09-12** Read second time and amended. Ordered to second reading. `reading-1, amendment-passage, reading-2`
- **2017-09-13** Read second time. Ordered to third reading. `reading-2, reading-1`
- **2017-09-15** Read third time. Passed. (Ayes 61. Noes 8. Page 3488.) Ordered to the Senate. `reading-3, passage, reading-1`
- **2017-09-15** In Senate. Concurrence in Assembly amendments pending.
- **2017-09-15** Re-referred to Com. on RLS. pursuant to Senate Rule 29.10(d). `referral-committee`
- **2017-09-15** From committee: Be re-referred to Com. on HEALTH pursuant to Senate Rule 29.10(d). (Ayes 4. Noes 0. Page 2982.) Re-referred to Com. on HEALTH. `committee-passage, referral-committee`
- **2017-09-15** From committee: That the Assembly amendments be concurred in. (Ayes 9. Noes 0. Page 3026.) `committee-passage`
- **2017-09-15** Assembly amendments concurred in. (Ayes 38. Noes 0. Page 3004.) Ordered to engrossing and enrolling. `committee-passage-favorable, amendment-passage`
- **2017-09-22** Enrolled and presented to the Governor at 3 p.m.
- **2017-10-04** Approved by the Governor. `executive-signature`
- **2017-10-04** Chaptered by Secretary of State. Chapter 481, Statutes of 2017.

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/4ab4fa70-4405-458c-976c-82a40eec54b5`. Confidence: reported (aggregated from official California legislature records).