--- type: "Bill" title: "Health care coverage: multiple employer welfare arrangements." 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: "20232024" identifier: "AB 2434" citation: "California AB 2434 (20232024)" classification: ["bill"] subjects: ["Health care coverage", "multiple employer welfare arrangements"] status: "enacted" primary_sponsors: ["Grayson"] version_count: 7 action_count: 26 vote_count: 8 first_action: "2024-02-13" last_action: "2024-09-22" source: "openstates" source_identifier: "ocd-bill/37cf4949-94b4-45e8-8a31-46d04aeb5896" source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB2434" source_hash: "55083b6715d8e0e3395a2c46f2b26c689cff330963b523e6550770d24cc3035b" 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 AB 2434 (20232024) — Health care coverage: multiple employer welfare arrangements. 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. **02/13/24 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2434&version=20230AB243499INT) 2. **03/11/24 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2434&version=20230AB243498AMD) 3. **04/18/24 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2434&version=20230AB243497AMD) 4. **07/03/24 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2434&version=20230AB243496AMD) 5. **09/22/24 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2434&version=20230AB243494CHP) 6. **AB2434** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB2434) 7. **09/03/24 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2434&version=20230AB243495ENR) ## Votes - Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] with the recommendation: To Consent Calendar — **11–0** (pass) · upper - AB 2434 Grayson Concurrence in Senate Amendments — **76–0** (pass) · lower - Placed on suspense file — **7–0** (pass) · upper - Do pass as amended, and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar — **16–0** (pass) · lower - Special Consent AB2434 Grayson et al. By Allen — **39–0** (pass) · upper - Do pass. To Consent Calendar. — **15–0** (pass) · lower - Do pass — **7–0** (pass) · upper - AB 2434 Grayson Consent Calendar Second Day — **71–0** (pass) · lower ## Sponsors - Grayson — primary (person) - Allen — coauthor (person) - Blanca Rubio — coauthor (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2024-02-13** Read first time. To print. `reading-1` - **2024-02-14** From printer. May be heard in committee March 15. - **2024-03-11** Referred to Com. on HEALTH. `referral-committee` - **2024-03-11** From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended. `amendment-introduction, amendment-passage, reading-1, reading-2` - **2024-03-12** Re-referred to Com. on HEALTH. `referral-committee` - **2024-04-17** From committee: Amend, and do pass as amended and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 16. Noes 0.) (April 16). `amendment-introduction, amendment-passage, committee-passage, referral-committee` - **2024-04-18** Read second time and amended. `amendment-passage, reading-1, reading-2` - **2024-04-22** Re-referred to Com. on APPR. `referral-committee` - **2024-05-08** From committee: Do pass. To Consent Calendar. (Ayes 15. Noes 0.) (May 8). `committee-passage, committee-passage-favorable` - **2024-05-09** Read second time. Ordered to Consent Calendar. `reading-1, reading-2` - **2024-05-16** Read third time. Passed. Ordered to the Senate. (Ayes 71. Noes 0.) `passage, reading-1, reading-3` - **2024-05-16** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1` - **2024-05-29** Referred to Com. on HEALTH. `referral-committee` - **2024-07-03** From committee: Amend, and do pass as amended and re-refer to Com. on APPR with recommendation: To Consent Calendar. (Ayes 11. Noes 0.) (July 3). `amendment-introduction, amendment-passage, committee-passage, referral-committee` - **2024-07-03** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee` - **2024-08-05** In committee: Referred to APPR suspense file. `referral-committee` - **2024-08-15** From committee: Do pass. (Ayes 7. Noes 0.) (August 15). `committee-passage, committee-passage-favorable` - **2024-08-19** Read second time. Ordered to third reading. `reading-1, reading-2` - **2024-08-23** Ordered to special consent calendar. - **2024-08-28** Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0.). `passage, reading-1, reading-3` - **2024-08-28** In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 30 pursuant to Assembly Rule 77. - **2024-08-29** Assembly Rule 77 suspended. - **2024-08-29** Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 76. Noes 0.). `amendment-passage, committee-passage-favorable` - **2024-09-11** Enrolled and presented to the Governor at 4 p.m. - **2024-09-22** Approved by the Governor. `executive-signature` - **2024-09-22** Chaptered by Secretary of State - Chapter 398, Statutes of 2024. `became-law` ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/37cf4949-94b4-45e8-8a31-46d04aeb5896`. Confidence: reported (aggregated from official California legislature records).