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---
type: "Bill"
title: "Air ambulance services."
description: "(1) 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 also provides for the regulation of health insurers by the Department of Insurance. Existing law requires that health care service plan contracts and health insurance policies provide coverage for certain services and treatments, including emergency medical transportation services."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20192020"
identifier: "AB 651"
citation: "California AB 651 (20192020)"
classification: ["bill"]
subjects: ["Air ambulance services."]
status: "enacted"
primary_sponsors: ["Grayson"]
version_count: 9
action_count: 30
vote_count: 8
first_action: "2019-02-15"
last_action: "2019-10-07"
source: "openstates"
source_identifier: "ocd-bill/9408b382-e2e9-450c-8905-73a99ab374e9"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200AB651"
source_hash: "57671f2b1e8b06fa15a98f8f30eb62570dc59ccabd1f48493bc4af0d4f0303e9"
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 651 (20192020) — Air ambulance services.
(1) 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 also provides for the regulation of health insurers by the Department of Insurance. Existing law requires that health care service plan contracts and health insurance policies provide coverage for certain services and treatments, including emergency medical transportation services.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **02/15/19 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200AB651&version=20190AB65199INT)
2. **04/08/19 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200AB651&version=20190AB65198AMD)
3. **07/01/19 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200AB651&version=20190AB65197AMD)
4. **08/30/19 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200AB651&version=20190AB65196AMD)
5. **09/06/19 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200AB651&version=20190AB65195AMD)
6. **09/09/19 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200AB651&version=20190AB65194AMD)
7. **10/07/19 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200AB651&version=20190AB65192CHP)
8. **AB651** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201920200AB651)
9. **09/19/19 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201920200AB651&version=20190AB65193ENR)
## Votes
- Do pass as amended — **70** (pass) · upper
- 3rd Reading AB651 Grayson et al. By Dodd — **400** (pass) · upper
- AB 651 Grayson Assembly Third Reading — **780** (pass) · lower
- AB 651 Grayson Concurrence in Senate Amendments — **790** (pass) · lower
- Placed on suspense file — **70** (pass) · upper
- Do pass, but first be re-referred to the Committee on [Appropriations] — **80** (pass) · upper
- Do pass. — **180** (pass) · lower
- Do pass and be re-referred to the Committee on [Appropriations] — **150** (pass) · lower
## Sponsors
- Grayson — primary (person)
- Aguiar-Curry — coauthor (person)
- Blanca Rubio — coauthor (person)
- Boerner Horvath — coauthor (person)
- Borgeas — coauthor (person)
- Brough — coauthor (person)
- Caballero — coauthor (person)
- Carrillo — coauthor (person)
- Choi — coauthor (person)
- Cooper — coauthor (person)
- Dahle — coauthor (person)
- Dodd — coauthor (person)
- Eduardo Garcia — coauthor (person)
- Flora — coauthor (person)
- Glazer — coauthor (person)
- Hurtado — coauthor (person)
- Jones — coauthor (person)
- Lackey — coauthor (person)
- Mathis — coauthor (person)
- Mayes — coauthor (person)
- McGuire — coauthor (person)
- Nielsen — coauthor (person)
- Patterson — coauthor (person)
- Rodriguez — coauthor (person)
- Stone — coauthor (person)
- Weber — coauthor (person)
- Wiener — coauthor (person)
- Wood — coauthor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2019-02-15** Read first time. To print. `reading-1`
- **2019-02-19** From printer. May be heard in committee March 21.
- **2019-02-25** Referred to Com. on HEALTH. `referral-committee`
- **2019-04-08** 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`
- **2019-04-09** Re-referred to Com. on HEALTH. `referral-committee`
- **2019-04-09** Coauthors revised.
- **2019-04-24** From committee: Do pass and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (April 23). Re-referred to Com. on APPR. `committee-passage-favorable, committee-passage, referral-committee`
- **2019-05-01** In committee: Set, first hearing. Referred to APPR. suspense file. `referral-committee`
- **2019-05-16** From committee: Do pass. (Ayes 18. Noes 0.) (May 16). `committee-passage-favorable, committee-passage`
- **2019-05-20** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2019-05-22** Read third time. Passed. Ordered to the Senate. (Ayes 78. Noes 0. Page 1812.) `passage, reading-3, reading-1`
- **2019-05-23** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2019-05-29** Referred to Com. on HEALTH. `referral-committee`
- **2019-07-01** From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH. `reading-1, reading-2, amendment-passage, referral-committee, amendment-introduction`
- **2019-07-10** From committee: Do pass and re-refer to Com. on APPR. (Ayes 8. Noes 0.) (July 10). Re-referred to Com. on APPR. `committee-passage-favorable, committee-passage, referral-committee`
- **2019-08-12** In committee: Referred to APPR. suspense file. `referral-committee`
- **2019-08-30** From committee: Amend, and do pass as amended. (Ayes 7. Noes 0.) (August 30). `amendment-passage, committee-passage, amendment-introduction`
- **2019-08-30** Read second time and amended. Ordered returned to second reading. `amendment-passage, reading-1, reading-2`
- **2019-09-03** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2019-09-06** Read third time and amended. Ordered to second reading. `amendment-passage, reading-3, reading-1`
- **2019-09-09** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2019-09-09** Joint Rule 61 suspended. (Ayes 29. Noes 7. Page 2690.)
- **2019-09-09** Read third time and amended. Ordered to second reading. `amendment-passage, reading-3, reading-1`
- **2019-09-10** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2019-09-13** Read third time. Passed. Ordered to the Assembly. (Ayes 40. Noes 0. Page 2927.). `passage, reading-3, reading-1`
- **2019-09-13** In Assembly. Concurrence in Senate amendments pending.
- **2019-09-13** Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 79. Noes 0. Page 3561.). `amendment-passage, committee-passage-favorable`
- **2019-09-25** Enrolled and presented to the Governor at 3:30 p.m.
- **2019-10-07** Approved by the Governor. `executive-signature`
- **2019-10-07** Chaptered by Secretary of State - Chapter 537, Statutes of 2019.
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/9408b382-e2e9-450c-8905-73a99ab374e9`. Confidence: reported (aggregated from official California legislature records).