--- type: "Bill" title: "Health care coverage: doulas." 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's requirements a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan or health insurer to develop a maternal mental health program designed to promote quality and cost-effective outcomes. Existing law encourages a plan or insurer to include coverage for doulas." jurisdiction: "us/states/ca" legislature: "California Legislature" session: "20232024" identifier: "AB 904" citation: "California AB 904 (20232024)" classification: ["bill"] subjects: ["Health care coverage", "doulas"] status: "enacted" primary_sponsors: ["Calderon"] version_count: 7 action_count: 27 vote_count: 8 first_action: "2023-02-14" last_action: "2023-10-07" source: "openstates" source_identifier: "ocd-bill/605730ab-437b-47df-8de5-4882e6ee76da" source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB904" source_hash: "53854a6dee9284549dfe3e2b73f157dda95f78731a9b28ad627c1d75ce4061bd" 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 904 (20232024) — Health care coverage: doulas. 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's requirements a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan or health insurer to develop a maternal mental health program designed to promote quality and cost-effective outcomes. Existing law encourages a plan or insurer to include coverage for doulas. ## Version chain The bill's text revisions, in order — the diff chain from filing to enrollment. 1. **02/14/23 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB904&version=20230AB90499INT) 2. **03/29/23 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB904&version=20230AB90498AMD) 3. **06/26/23 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB904&version=20230AB90497AMD) 4. **09/07/23 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB904&version=20230AB90496AMD) 5. **10/07/23 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB904&version=20230AB90494CHP) 6. **AB904** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB904) 7. **09/18/23 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB904&version=20230AB90495ENR) ## Votes - Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — **11–0** (pass) · upper - Do pass. — **11–1** (pass) · lower - 3rd Reading AB904 Calderon et al. By Rubio — **34–2** (pass) · upper - Do pass — **5–2** (pass) · upper - Placed on suspense file — **7–0** (pass) · upper - AB 904 Calderon Concurrence in Senate Amendments — **69–0** (pass) · lower - AB 904 Calderon Assembly Third Reading — **67–2** (pass) · lower - Do pass and be re-referred to the Committee on [Appropriations] — **12–0** (pass) · lower ## Sponsors - Calderon — primary (person) - Berman — coauthor (person) - Cervantes — author (person) - Rubio — coauthor (person) ## Timeline The legislative action history — every referral, reading, and vote. - **2023-02-14** Read first time. To print. `reading-1` - **2023-02-15** From printer. May be heard in committee March 17. - **2023-02-23** Referred to Com. on HEALTH. `referral-committee` - **2023-03-29** 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` - **2023-03-30** Re-referred to Com. on HEALTH. `referral-committee` - **2023-04-12** Coauthors revised. - **2023-04-12** From committee: Do pass and re-refer to Com. on APPR. (Ayes 12. Noes 0.) (April 11). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee` - **2023-04-26** In committee: Hearing postponed by committee. - **2023-05-03** In committee: Set, first hearing. Referred to APPR. suspense file. `referral-committee` - **2023-05-18** From committee: Do pass. (Ayes 11. Noes 1.) (May 18). `committee-passage, committee-passage-favorable` - **2023-05-18** Read second time. Ordered to third reading. `reading-1, reading-2` - **2023-05-30** Read third time. Passed. Ordered to the Senate. (Ayes 67. Noes 2. Page 1881.) `passage, reading-1, reading-3` - **2023-05-31** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1` - **2023-06-07** Referred to Com. on HEALTH. `referral-committee` - **2023-06-22** From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 0.) (June 21). `amendment-introduction, amendment-passage, committee-passage, referral-committee` - **2023-06-26** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee` - **2023-07-03** In committee: Referred to APPR suspense file. `referral-committee` - **2023-09-01** From committee: Do pass. (Ayes 5. Noes 2.) (September 1). `committee-passage, committee-passage-favorable` - **2023-09-05** Read second time. Ordered to third reading. `reading-1, reading-2` - **2023-09-07** Read third time and amended. Ordered to second reading. `amendment-passage, reading-1, reading-3` - **2023-09-11** Read second time. Ordered to third reading. `reading-1, reading-2` - **2023-09-12** Read third time. Passed. Ordered to the Assembly. (Ayes 34. Noes 2. Page 2634.). `passage, reading-1, reading-3` - **2023-09-12** In Assembly. Concurrence in Senate amendments pending. - **2023-09-13** Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 69. Noes 0. Page 3336.). `amendment-passage, committee-passage-favorable` - **2023-09-21** Enrolled and presented to the Governor at 3:30 p.m. - **2023-10-07** Approved by the Governor. `executive-signature` - **2023-10-07** Chaptered by Secretary of State - Chapter 349, Statutes of 2023. `became-law` ## Source OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/605730ab-437b-47df-8de5-4882e6ee76da`. Confidence: reported (aggregated from official California legislature records).