---
type: "Bill"
title: "Health care service plans: physician to enrollee ratios."
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."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20172018"
identifier: "SB 997"
citation: "California SB 997 (20172018)"
classification: ["bill"]
subjects: ["Health care service plans: physician to enrollee ratios."]
status: "enacted"
primary_sponsors: ["Monning"]
version_count: 4
action_count: 19
vote_count: 5
first_action: "2018-02-05"
last_action: "2018-07-20"
source: "openstates"
source_identifier: "ocd-bill/ce6d9030-5b4c-412c-89c3-d8dc34100735"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB997"
source_hash: "9db4009bf8a9a7df4d68a08d8d66c38d4719fac6da49d1122748de9c9661d1fd"
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 997 (20172018) — Health care service plans: physician to enrollee ratios.

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.

## Version chain

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

1. **02/05/18 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB997&version=20170SB99799INT)
2. **07/20/18 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB997&version=20170SB99797CHP)
3. **SB997** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201720180SB997)
4. **07/09/18 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201720180SB997&version=20170SB99798ENR)

## Votes

- Do pass, but first be re-referred to the Committee on [Appropriations] with the recommendation: To Consent Calendar — **9–0** (pass) · upper
- Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar — **15–0** (pass) · lower
- Do pass. To Consent Calendar. — **16–0** (pass) · lower
- SB 997 Monning Consent Calendar Second Day — **69–0** (pass) · lower
- Consent Calendar SB997 — **38–0** (pass) · upper

## Sponsors

- Monning — primary (person)

## Timeline

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

- **2018-02-05** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1`
- **2018-02-06** From printer. May be acted upon on or after March 8.
- **2018-02-14** Referred to Com. on HEALTH. `referral-committee`
- **2018-02-28** Set for hearing March 14.
- **2018-03-14** From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 9. Noes 0. Page 4375.) (March 14). Re-referred to Com. on APPR. `committee-passage-favorable, committee-passage, referral-committee`
- **2018-05-04** Set for hearing May 14.
- **2018-05-14** From committee: Be ordered to second reading pursuant to Senate Rule 28.8 and ordered to consent calendar. `committee-passage, reading-2`
- **2018-05-15** Read second time. Ordered to consent calendar. `reading-2, reading-1`
- **2018-05-17** Read third time. Passed. (Ayes 38. Noes 0. Page 5089.) Ordered to the Assembly. `reading-3, passage, reading-1`
- **2018-05-17** In Assembly. Read first time. Held at Desk. `reading-1`
- **2018-05-25** Referred to Com. on HEALTH. `referral-committee`
- **2018-06-20** From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 15. Noes 0.) (June 19). Re-referred to Com. on APPR. `committee-passage-favorable, committee-passage, referral-committee`
- **2018-06-27** From committee: Do pass. Ordered to consent calendar. (Ayes 16. Noes 0.) (June 27). `committee-passage-favorable, committee-passage`
- **2018-06-28** Read second time. Ordered to consent calendar. `reading-2, reading-1`
- **2018-07-05** Read third time. Passed. (Ayes 69. Noes 0. Page 6108.) Ordered to the Senate. `reading-3, passage, reading-1`
- **2018-07-05** In Senate. Ordered to engrossing and enrolling.
- **2018-07-11** Enrolled and presented to the Governor at 4 p.m.
- **2018-07-20** Approved by the Governor. `executive-signature`
- **2018-07-20** Chaptered by Secretary of State. Chapter 152, Statutes of 2018.

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/ce6d9030-5b4c-412c-89c3-d8dc34100735`. Confidence: reported (aggregated from official California legislature records).