--- type: "Bill" title: "Health care coverage: deductibles and out-of-pocket expenses." 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. A willful violation of the act is a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law sets limits on the amount of the deductible and out-of-pocket expenses that may be included in specified health care service plan contracts and health insurance policies." jurisdiction: "us/states/ca" legislature: "California Legislature" session: "20212022" identifier: "SB 368" citation: "California SB 368 (20212022)" classification: ["bill"] subjects: ["Health care coverage: deductibles and out-of-pocket expenses."] status: "enacted" primary_sponsors: ["Limón"] version_count: 6 action_count: 28 vote_count: 8 first_action: "2021-02-10" last_action: "2021-10-06" source: "openstates" source_identifier: "ocd-bill/992c314a-94e6-4988-b6c4-601395862edb" source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB368" source_hash: "d98acf39ef85a69c00e93c2487db06a1976f34f5e64f2c827159aacf5874ec3c" 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 368 (20212022) — Health care coverage: deductibles and out-of-pocket expenses. 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. A willful violation of the act is a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law sets limits on the amount of the deductible and out-of-pocket expenses that may be included in specified health care service plan contracts and health insurance policies. ## Version chain The bill's text revisions, in order — the diff chain from filing to enrollment. 1. **02/10/21 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB368&version=20210SB36899INT) 2. **03/22/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB368&version=20210SB36898AMD) 3. **07/15/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB368&version=20210SB36897AMD) 4. **10/06/21 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB368&version=20210SB36895CHP) 5. **SB368** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB368) 6. **09/10/21 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB368&version=20210SB36896ENR) ## Votes - Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — **9–2** (pass) · upper - SB 368 Limón Senate Third Reading By Arambula — **59–14** (pass) · lower - Placed on suspense file — **7–0** (pass) · upper - Do pass — **5–2** (pass) · upper - Do pass. — **13–3** (pass) · lower - 3rd Reading — **31–9** (pass) · upper - Do pass as amended and be re-referred to the Committee on [Appropriations] — **13–2** (pass) · lower - Unfinished Business SB368 Limón Concurrence — **29–9** (pass) · upper ## Sponsors - Limón — primary (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2021-02-10** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1` - **2021-02-11** From printer. May be acted upon on or after March 13. - **2021-02-17** Referred to Com. on HEALTH. `referral-committee` - **2021-02-22** Art. IV. Sec. 8(a) of the Constitution dispensed with. - **2021-02-22** (Ayes 32. Noes 4.) - **2021-02-22** Joint Rule 55 suspended. (Ayes 32. Noes 4. Page 272.) - **2021-03-03** Set for hearing March 17. - **2021-03-18** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 9. Noes 2. Page 533.) (March 17). `amendment-passage, committee-passage, committee-passage-favorable` - **2021-03-22** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee` - **2021-04-09** Set for hearing April 19. - **2021-04-20** April 19 hearing: Placed on APPR suspense file. - **2021-05-14** Set for hearing May 20. - **2021-05-20** From committee: Do pass. (Ayes 5. Noes 2. Page 1189.) (May 20). `committee-passage, committee-passage-favorable` - **2021-05-20** Read second time. Ordered to third reading. `reading-1, reading-2` - **2021-06-01** Read third time. Passed. (Ayes 31. Noes 9. Page 1331.) Ordered to the Assembly. `passage, reading-1, reading-3` - **2021-06-02** In Assembly. Read first time. Held at Desk. `reading-1` - **2021-06-10** Referred to Com. on HEALTH. `referral-committee` - **2021-07-14** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 13. Noes 2.) (July 6). `amendment-passage, committee-passage, committee-passage-favorable` - **2021-07-15** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee` - **2021-08-19** August 19 set for first hearing. Placed on suspense file. - **2021-08-26** From committee: Do pass. (Ayes 13. Noes 3.) (August 26). `committee-passage, committee-passage-favorable` - **2021-08-30** Read second time. Ordered to third reading. `reading-1, reading-2` - **2021-09-02** Read third time. Passed. (Ayes 59. Noes 14. Page 2689.) Ordered to the Senate. `passage, reading-1, reading-3` - **2021-09-02** In Senate. Concurrence in Assembly amendments pending. - **2021-09-08** Assembly amendments concurred in. (Ayes 29. Noes 9. Page 2517.) Ordered to engrossing and enrolling. `amendment-passage, committee-passage-favorable` - **2021-09-13** Enrolled and presented to the Governor at 3:30 p.m. - **2021-10-06** Approved by the Governor. `executive-signature` - **2021-10-06** Chaptered by Secretary of State. Chapter 602, Statutes of 2021. `became-law` ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/992c314a-94e6-4988-b6c4-601395862edb`. Confidence: reported (aggregated from official California legislature records).