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---
type: "Bill"
title: "Health care coverage."
description: "(1) Existing federal law, the federal Patient Protection and Affordable Care Act (PPACA) , enacts various health care coverage market reforms that take effect January 1, 2014. Among other things, PPACA requires each state to, by January 1, 2014, establish an American Health Benefit Exchange that facilitates the purchase of qualified health plans by qualified individuals and qualified small employers. PPACA requires a health insurance issuer to consider all enrollees in its individual market plans to be part of a single risk pool and to consider all enrollees in its small group market plans to be part of a single risk pool. PPACA also requires an issuer to establish an index rate for each of those markets based on the total combined claim costs for providing essential health benefits within the single risk pool for that market and authorizes the issuer to vary premium rates from the index rate based only on specified factors. PPACA requires that the index rate be adjusted based on Exchange user fees and expected payments and charges under certain risk adjustment and reinsurance programs."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20132014"
identifier: "SB 959"
citation: "California SB 959 (20132014)"
classification: ["bill"]
subjects: ["Health care coverage."]
status: "enacted"
primary_sponsors: ["Hernandez"]
version_count: 7
action_count: 30
vote_count: 8
first_action: "2014-02-06"
last_action: "2014-09-25"
source: "openstates"
source_identifier: "ocd-bill/07a099d8-2628-459b-a259-f4c320ec07be"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140SB959"
source_hash: "91ac3d5b956aba6f3f5ec96ccefc7a6ec52c6bbcfb67704624eced8d18075fb0"
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 959 (20132014) — Health care coverage.
(1) Existing federal law, the federal Patient Protection and Affordable Care Act (PPACA) , enacts various health care coverage market reforms that take effect January 1, 2014. Among other things, PPACA requires each state to, by January 1, 2014, establish an American Health Benefit Exchange that facilitates the purchase of qualified health plans by qualified individuals and qualified small employers. PPACA requires a health insurance issuer to consider all enrollees in its individual market plans to be part of a single risk pool and to consider all enrollees in its small group market plans to be part of a single risk pool. PPACA also requires an issuer to establish an index rate for each of those markets based on the total combined claim costs for providing essential health benefits within the single risk pool for that market and authorizes the issuer to vary premium rates from the index rate based only on specified factors. PPACA requires that the index rate be adjusted based on Exchange user fees and expected payments and charges under certain risk adjustment and reinsurance programs.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **02/06/14 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201320140SB959&version=20130SB95999INT)
2. **03/17/14 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201320140SB959&version=20130SB95998AMD)
3. **06/10/14 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201320140SB959&version=20130SB95997AMD)
4. **08/04/14 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201320140SB959&version=20130SB95996AMD)
5. **09/25/14 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201320140SB959&version=20130SB95994CHP)
6. **SB959** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201320140SB959)
7. **08/25/14 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201320140SB959&version=20130SB95995ENR)
## Votes
- Do pass. — **52** (pass) · upper
- Placed on Appropriations Suspense file. — **60** (pass) · upper
- Do pass, to Consent Calendar. — **170** (pass) · lower
- SB 959 Hernandez Senate Third Reading By GORDON — **790** (pass) · lower
- 3rd Reading — **247** (pass) · upper
- Unfinished Business SB959 Hernandez Concurrence — **330** (pass) · upper
- Do pass and be re-referred to the Committee on Appropriations. — **190** (pass) · lower
- Do pass, but re-refer to the Committee on Appropriations. — **70** (pass) · upper
## Sponsors
- Hernandez — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2014-02-06** Introduced. Read first time. To Com. on RLS. for assignment. To print. `reading-1, introduction`
- **2014-02-07** From printer. May be acted upon on or after March 9.
- **2014-02-20** Referred to Com. on HEALTH. `referral-committee`
- **2014-03-14** Set for hearing March 26.
- **2014-03-17** From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. `committee-passage, amendment-passage, reading-2, reading-1, referral-committee`
- **2014-03-27** From committee: Do pass and re-refer to Com. on APPR. (Ayes 7. Noes 0. Page 2991.) (March 26). Re-referred to Com. on APPR. `committee-passage-favorable, referral-committee, committee-passage`
- **2014-03-28** Set for hearing April 7.
- **2014-04-02** Hearing postponed by committee.
- **2014-04-11** Set for hearing April 28.
- **2014-04-28** Placed on APPR. suspense file.
- **2014-05-16** Set for hearing May 23.
- **2014-05-23** From committee: Do pass. (Ayes 5. Noes 2. Page 3705.) (May 23). `committee-passage-favorable, committee-passage`
- **2014-05-23** Read second time. Ordered to third reading. `reading-2, reading-1`
- **2014-05-27** Read third time. Passed. (Ayes 24. Noes 7. Page 3597.) Ordered to the Assembly. `reading-3, reading-1, passage`
- **2014-05-28** In Assembly. Read first time. Held at Desk. `reading-1`
- **2014-06-02** Referred to Com. on HEALTH. `referral-committee`
- **2014-06-10** From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. `committee-passage, amendment-passage, reading-2, reading-1, referral-committee`
- **2014-06-18** From committee: Do pass and re-refer to Com. on APPR. (Ayes 19. Noes 0.) (June 17). Re-referred to Com. on APPR. `committee-passage-favorable, referral-committee, committee-passage`
- **2014-07-02** Hearing postponed by committee.
- **2014-08-04** From committee with author's amendments. Read second time and amended. Re-referred to Com. on APPR. `committee-passage, amendment-passage, reading-2, reading-1, referral-committee`
- **2014-08-07** From committee: Do pass. Ordered to consent calendar. (Ayes 17. Noes 0.) (August 6). `committee-passage-favorable, committee-passage`
- **2014-08-11** Read second time. Ordered to consent calendar. `reading-2, reading-1`
- **2014-08-14** From consent calendar.
- **2014-08-14** Ordered to third reading.
- **2014-08-21** Read third time. Passed. (Ayes 79. Noes 0. Page 6300.) Ordered to the Senate. `reading-3, reading-1, passage`
- **2014-08-21** In Senate. Concurrence in Assembly amendments pending.
- **2014-08-22** Assembly amendments concurred in. (Ayes 33. Noes 0. Page 4756.) Ordered to engrossing and enrolling. `committee-passage-favorable, amendment-passage`
- **2014-08-28** Enrolled and presented to the Governor at 10 a.m.
- **2014-09-25** Approved by the Governor. `executive-signature`
- **2014-09-25** Chaptered by Secretary of State. Chapter 572, Statutes of 2014.
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/07a099d8-2628-459b-a259-f4c320ec07be`. Confidence: reported (aggregated from official California legislature records).