Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the 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. Commonly referred to as utilization review, existing law governs the procedures that apply to every health care service plan and health insurer that prospectively, retrospectively, or concurrently reviews and approves, modifies, delays, or denies, based on medical necessity, requests by providers prior to, retrospectively, or concurrent with, the provision of health care services to enrollees or insureds, as specified.
California SB 866 (20112012) — Health care coverage: prescription drugs.
Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the 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. Commonly referred to as utilization review, existing law governs the procedures that apply to every health care service plan and health insurer that prospectively, retrospectively, or concurrently reviews and approves, modifies, delays, or denies, based on medical necessity, requests by providers prior to, retrospectively, or concurrent with, the provision of health care services to enrollees or insureds, as specified.
Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
Placed on Appropriations Suspense file. — 9–0 (pass) · upper
Do pass as amended and be re-referred to the Committee on Appropriations. — 15–0 (pass) · lower
Unfinished Business SB866 Hernandez Concurrence — 28–11 (pass) · upper
Do pass, but re-refer to the Committee on Appropriations. — 7–0 (pass) · upper
3rd Reading — 27–10 (pass) · upper
SB 866 Hernandez Senate Third Reading By PAN — 57–21 (pass) · lower
Do pass as amended. — 6–2 (pass) · upper
Sponsors
Hernandez — primary (person)
Timeline
The legislative action history — every referral, reading, and vote.
2011-02-18 Introduced. Read first time. To Com. on RLS. for assignment. To print. introduction, reading-1
2011-02-19 From printer. May be acted upon on or after March 21.
2011-03-10 Referred to Com. on HEALTH. referral-committee
2011-03-23 Set for hearing April 13.
2011-04-11 From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. reading-2, reading-1, committee-passage, amendment-passage, referral-committee
2011-04-14 From committee: Do pass and re-refer to Com. on APPR. (Ayes 7. Noes 0. Page 676.) (April 13). Re-referred to Com. on APPR. referral-committee, committee-passage, committee-passage-favorable
2011-04-21 Set for hearing May 2.
2011-05-02 Placed on APPR. suspense file.
2011-05-20 Set for hearing May 26.
2011-05-27 From committee: Do pass as amended. (Ayes 6. Noes 2. Page 1123.) (May 26). amendment-passage, committee-passage, committee-passage-favorable
2011-05-31 Read second time and amended. Ordered to third reading. reading-2, reading-1, amendment-passage
2011-06-02 Read third time. Passed. (Ayes 27. Noes 10. Page 1265.) Ordered to the Assembly. reading-3, reading-1, passage
2011-06-02 In Assembly. Read first time. Held at Desk. reading-1
2011-06-13 Referred to Com. on HEALTH. referral-committee
2011-06-22 From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (June 21). amendment-passage, committee-passage, committee-passage-favorable
2011-06-23 Read second time and amended. Re-referred to Com. on APPR. reading-2, reading-1, amendment-passage, referral-committee
2011-08-17 Set, first hearing. Referred to APPR. suspense file. referral-committee
2011-08-26 From committee: Do pass as amended. (Ayes 12. Noes 5.) (August 25). amendment-passage, committee-passage, committee-passage-favorable
2011-08-26 Read second time and amended. Ordered to second reading. reading-2, reading-1, amendment-passage
2011-08-29 Read second time. Ordered to third reading. reading-2, reading-1
2011-09-08 Read third time. Passed. (Ayes 57. Noes 21. Page 3045.) Ordered to the Senate. reading-3, reading-1, passage
2011-09-08 In Senate. Concurrence in Assembly amendments pending.
2011-09-09 Assembly amendments concurred in. (Ayes 28. Noes 11. Page 2452.) Ordered to engrossing and enrolling. committee-passage-favorable, amendment-passage
2011-09-16 Enrolled and presented to the Governor at 10:30 a.m.
2011-10-09 Approved by the Governor. executive-signature
2011-10-09 Chaptered by Secretary of State. Chapter 648, Statutes of 2011.
Source
OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/d49f00ec-cde8-451a-be3c-69c917454854. Confidence: reported (aggregated from official California legislature records).