--- type: "Bill" title: "Contraceptive Equity Act of 2022." description: "(1) 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 provides for the regulation of health insurers by the Department of Insurance. Existing law establishes health care coverage requirements for contraceptives, including, but not limited to, requiring a health care service plan, including a Medi-Cal managed care plan, or a health insurance policy issued, amended, renewed, or delivered on or after January 1, 2017, to cover up to a 12-month supply of federal Food and Drug Administration approved, self-administered hormonal contraceptives when dispensed at one time for an enrollee or insured by a provider or pharmacist, or at a location licensed or authorized to dispense drugs or supplies." jurisdiction: "us/states/ca" legislature: "California Legislature" session: "20212022" identifier: "SB 523" citation: "California SB 523 (20212022)" classification: ["bill"] subjects: ["Contraceptive Equity Act of 2022."] status: "enacted" primary_sponsors: ["Leyva"] version_count: 10 action_count: 46 vote_count: 11 first_action: "2021-02-17" last_action: "2022-09-27" source: "openstates" source_identifier: "ocd-bill/b366d9ad-740a-428e-af12-24bfbcf91988" source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB523" source_hash: "ce30e30a108f66d50827010b2a3165d25b37c8ac0d7025b2aa118cc6f97c841b" 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 523 (20212022) — Contraceptive Equity Act of 2022. (1) 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 provides for the regulation of health insurers by the Department of Insurance. Existing law establishes health care coverage requirements for contraceptives, including, but not limited to, requiring a health care service plan, including a Medi-Cal managed care plan, or a health insurance policy issued, amended, renewed, or delivered on or after January 1, 2017, to cover up to a 12-month supply of federal Food and Drug Administration approved, self-administered hormonal contraceptives when dispensed at one time for an enrollee or insured by a provider or pharmacist, or at a location licensed or authorized to dispense drugs or supplies. ## Version chain The bill's text revisions, in order — the diff chain from filing to enrollment. 1. **02/17/21 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB523&version=20210SB52399INT) 2. **03/16/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB523&version=20210SB52398AMD) 3. **04/19/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB523&version=20210SB52397AMD) 4. **05/03/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB523&version=20210SB52396AMD) 5. **07/08/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB523&version=20210SB52395AMD) 6. **08/15/22 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB523&version=20210SB52394AMD) 7. **08/25/22 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB523&version=20210SB52393AMD) 8. **09/27/22 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB523&version=20210SB52391CHP) 9. **SB523** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB523) 10. **09/06/22 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB523&version=20210SB52392ENR) ## Votes - Placed on suspense file — **7–0** (pass) · upper - Do pass as amended. — **13–3** (pass) · lower - Unfinished Business SB523 Leyva et al. Concurrence — **31–9** (pass) · upper - That the Assembly amendments be concurred in — **8–2** (pass) · upper - Do pass, but first be re-referred to the Committee on [Health] — **4–0** (pass) · upper - Do pass and be re-referred to the Committee on [Health] — **5–1** (pass) · lower - Do pass as amended and be re-referred to the Committee on [Appropriations] — **11–2** (pass) · lower - 3rd Reading SB523 Leyva et al. — **32–5** (pass) · upper - Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — **8–2** (pass) · upper - SB 523 Leyva Senate Third Reading By Cristina Garcia — **62–11** (pass) · lower - Do pass — **5–2** (pass) · upper ## Sponsors - Leyva — primary (person) - Chiu — coauthor (person) - Cristina Garcia — coauthor (person) - Gonzalez — coauthor (person) - Hueso — coauthor (person) - Levine — coauthor (person) - Newman — coauthor (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2021-02-17** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1` - **2021-02-18** From printer. May be acted upon on or after March 20. - **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.) - **2021-02-25** Referred to Coms. on HEALTH, L., P.E. & R., and JUD. `referral-committee` - **2021-02-25** Referral to Com. on JUD. rescinded because of the limitations placed on committee hearings due to ongoing health and safety risks of the COVID-19 virus. - **2021-03-16** From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. `amendment-passage, committee-passage, reading-1, reading-2, referral-committee` - **2021-03-18** Withdrawn from committee. - **2021-03-18** Re-referred to Coms. on L., P.E. & R. and HEALTH. `referral-committee` - **2021-03-23** Set for hearing April 5. - **2021-04-06** From committee: Do pass and re-refer to Com. on HEALTH. (Ayes 4. Noes 0. Page 671.) (April 5). Re-referred to Com. on HEALTH. `committee-passage, committee-passage-favorable, referral-committee` - **2021-04-12** Set for hearing April 21. - **2021-04-19** April 21 hearing postponed by committee. - **2021-04-19** From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. `amendment-passage, committee-passage, reading-1, reading-2, referral-committee` - **2021-04-20** Set for hearing April 28. - **2021-04-29** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 2. Page 955.) (April 28). `amendment-passage, committee-passage, committee-passage-favorable` - **2021-05-03** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee` - **2021-05-07** Set for hearing May 17. - **2021-05-17** May 17 hearing: Placed on APPR suspense file. - **2021-05-18** Set for hearing May 20. - **2021-05-20** From committee: Do pass. (Ayes 5. Noes 2. Page 1195.) (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 32. Noes 5. Page 1332.) 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 Coms. on HEALTH and L. & E. `referral-committee` - **2021-06-14** Re-referred to Coms. on L. & E. and HEALTH pursuant to Assembly Rule 96. `referral-committee` - **2021-06-23** From committee: Do pass and re-refer to Com. on HEALTH. (Ayes 5. Noes 1.) (June 22). Re-referred to Com. on HEALTH. `committee-passage, committee-passage-favorable, referral-committee` - **2021-07-07** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 2.) (July 6). `amendment-passage, committee-passage, committee-passage-favorable` - **2021-07-08** 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** August 26 hearing postponed by committee. - **2022-08-11** From committee: Do pass as amended. (Ayes 13. Noes 3.) (August 11). `amendment-passage, committee-passage, committee-passage-favorable` - **2022-08-15** Read second time and amended. Ordered to second reading. `amendment-passage, reading-1, reading-2` - **2022-08-16** Read second time. Ordered to third reading. `reading-1, reading-2` - **2022-08-25** Read third time and amended. `amendment-passage, reading-1, reading-3` - **2022-08-25** Ordered to third reading. - **2022-08-29** Read third time. Passed. Ordered to the Senate. `passage, reading-1, reading-3` - **2022-08-29** In Senate. Concurrence in Assembly amendments pending. - **2022-08-30** Re-referred to Com. on RLS pursuant to Senate Rule 29.10(d). `referral-committee` - **2022-08-30** From committee: Be re-referred to Com. on JUD. pursuant to Senate Rule 29.10(d). (Ayes 4. Noes 0. Page 5264.) Re-referred to Com. on JUD. `committee-passage, referral-committee` - **2022-08-30** From committee: That the Assembly amendments be concurred in. (Ayes 8. Noes 2. Page 5347.) `committee-passage` - **2022-08-31** Assembly amendments concurred in. (Ayes 31. Noes 9. Page 5377.) Ordered to engrossing and enrolling. `amendment-passage, committee-passage-favorable` - **2022-09-09** Enrolled and presented to the Governor at 3 p.m. - **2022-09-27** Approved by the Governor. `executive-signature` - **2022-09-27** Chaptered by Secretary of State. Chapter 630, Statutes of 2022. `became-law` ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/b366d9ad-740a-428e-af12-24bfbcf91988`. Confidence: reported (aggregated from official California legislature records).