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 requires a health care service plan, including a specialized health care service plan, to reimburse a claim or portion of a claim no later than 30 working days after receipt of the claim, unless the plan contests or denies the claim, in which case the plan is required to notify the claimant within 30 working days that the claim is contested or denied. Existing law extends these timelines to 45 working days for a health maintenance organization. Existing law specifies that the obligation of a specialized health care service plan to comply with these provisions is not waived if the plan requires its medical groups, independent practice associations, or other contracting entities to pay claims for covered services.
California AB 1802 (20192020) — Health care service plans.
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 requires a health care service plan, including a specialized health care service plan, to reimburse a claim or portion of a claim no later than 30 working days after receipt of the claim, unless the plan contests or denies the claim, in which case the plan is required to notify the claimant within 30 working days that the claim is contested or denied. Existing law extends these timelines to 45 working days for a health maintenance organization. Existing law specifies that the obligation of a specialized health care service plan to comply with these provisions is not waived if the plan requires its medical groups, independent practice associations, or other contracting entities to pay claims for covered services.
Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar — 15–0 (pass) · lower
Consent Calendar AB1802 HEALTH — 39–0 (pass) · upper
Do pass. To Consent Calendar. — 18–0 (pass) · lower
AB 1802 HEALTH Consent Calendar Second Day — 74–0 (pass) · lower
Do pass, but first be re-referred to the Committee on [Appropriations] with the recommendation: To Consent Calendar — 9–0 (pass) · upper
Sponsors
Committee on Health — primary (person)
Timeline
The legislative action history — every referral, reading, and vote.
2019-02-28 Read first time. To print. reading-1
2019-03-01 From printer. May be heard in committee March 31.
2019-03-21 Referred to Com. on HEALTH. referral-committee
2019-04-11 From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended. reading-1, reading-2, amendment-passage, amendment-introduction
2019-04-22 Re-referred to Com. on HEALTH. referral-committee
2019-04-24 From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 15. Noes 0.) (April 23). Re-referred to Com. on APPR. committee-passage-favorable, committee-passage, referral-committee
2019-05-08 From committee: Do pass. To Consent Calendar. (Ayes 18. Noes 0.) (May 8). committee-passage-favorable, committee-passage
2019-05-09 Read second time. Ordered to Consent Calendar. reading-1, reading-2
2019-05-16 Read third time. Passed. Ordered to the Senate. (Ayes 74. Noes 0. Page 1773.) passage, reading-3, reading-1
2019-05-16 In Senate. Read first time. To Com. on RLS. for assignment. reading-1
2019-05-29 Referred to Com. on HEALTH. referral-committee
2019-06-12 From committee: Do pass and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 9. Noes 0.) (June 12). Re-referred to Com. on APPR. committee-passage-favorable, committee-passage, referral-committee
2019-06-24 From committee: Be ordered to second reading file pursuant to Senate Rule 28.8 and ordered to Consent Calendar. committee-passage, reading-2
2019-06-25 Read second time. Ordered to Consent Calendar. reading-1, reading-2
2019-07-01 Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0. Page 1879.). passage, reading-3, reading-1
2019-07-01 In Assembly. Ordered to Engrossing and Enrolling. committee-passage
2019-07-08 Enrolled and presented to the Governor at 3:30 p.m.
2019-07-12 Approved by the Governor. executive-signature
2019-07-12 Chaptered by Secretary of State - Chapter 113, Statutes of 2019.
Source
OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/4345099f-5bc2-4dd5-b96f-f3b9b18d4087. Confidence: reported (aggregated from official California legislature records).
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