republic-os/legislation/us/states/ca/20212022/ab-347.md

type, title, description, jurisdiction, legislature, session, identifier, citation, classification, subjects, status, primary_sponsors, version_count, action_count, vote_count, first_action, last_action, source, source_identifier, source_url, source_hash, vintage, source_snapshot, retrieved_at, confidence, tags

type	title	description	jurisdiction	legislature	session	identifier	citation	classification	subjects	status	primary_sponsors	version_count	action_count	vote_count	first_action	last_action	source	source_identifier	source_url	source_hash	vintage	source_snapshot	retrieved_at	confidence	tags
Bill	Health care coverage: step therapy.	Existing law, the Knox-Keene Health Care Service Plan Act of 1975 (Knox-Keene) , 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 provides for the regulation of health insurers by the Department of Insurance. Existing law authorizes a health insurer to require step therapy if there is more than one drug that is appropriate for the treatment of a medical condition, and authorizes a health care service plan to utilize step therapy consistent with Knox-Keene. Under existing law, if a health care service plan, health insurer, or contracted physician group fails to respond to a completed prior authorization request from a prescribing provider within a specified timeframe, the prior authorization request is deemed to have been granted.	us/states/ca	California Legislature	20212022	AB 347	California AB 347 (20212022)	bill	Health care coverage: step therapy.	enacted	Arambula	10	29	8	2021-01-28	2021-10-09	openstates	ocd-bill/f216f451-b689-4c78-94f3-354846d7c416	http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220AB347	c285ba9b3600d7c468bbe9745d1a8e9ae256d5c9f66802df0b23f19b95a28138	2026-07-01	https://data.openstates.org/daily/2026-07-01/public.pgdump	2026-07-06	reported	legislation bill us-ca

California AB 347 (20212022) — Health care coverage: step therapy.

Existing law, the Knox-Keene Health Care Service Plan Act of 1975 (Knox-Keene) , 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 provides for the regulation of health insurers by the Department of Insurance. Existing law authorizes a health insurer to require step therapy if there is more than one drug that is appropriate for the treatment of a medical condition, and authorizes a health care service plan to utilize step therapy consistent with Knox-Keene. Under existing law, if a health care service plan, health insurer, or contracted physician group fails to respond to a completed prior authorization request from a prescribing provider within a specified timeframe, the prior authorization request is deemed to have been granted.

Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. 01/28/21 - Introduced (filed) — source
2. 04/08/21 - Amended Assembly (committee substitute) — source
3. 05/24/21 - Amended Assembly (committee substitute) — source
4. 06/29/21 - Amended Senate (committee substitute) — source
5. 07/13/21 - Amended Senate (committee substitute) — source
6. 08/26/21 - Amended Senate (committee substitute) — source
7. 09/03/21 - Amended Senate (committee substitute) — source
8. 10/09/21 - Chaptered (committee substitute) — source
9. AB347 (committee substitute) — source
10. 09/13/21 - Enrolled (enrolled) — source

Votes

• Do pass as amended. — 13–3 (pass) · lower
• Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — 8–0 (pass) · upper
• AB 347 Arambula Concurrence in Senate Amendments — 72–0 (pass) · lower
• AB 347 Arambula Assembly Third Reading — 69–1 (pass) · lower
• Do pass as amended and be re-referred to the Committee on [Appropriations] — 13–1 (pass) · lower
• 3rd Reading AB347 Arambula et al. By Wiener — 37–0 (pass) · upper
• Placed on suspense file — 7–0 (pass) · upper
• Do pass as amended — 5–1 (pass) · upper

Sponsors

• Arambula — primary (person)
• Nazarian — coauthor (person)
• Wiener — coauthor (person)

Timeline

The legislative action history — every referral, reading, and vote.

• 2021-01-28 Read first time. To print. reading-1
• 2021-01-29 From printer. May be heard in committee February 28.
• 2021-02-12 Referred to Com. on HEALTH. referral-committee
• 2021-04-07 From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 13. Noes 1.) (April 6). amendment-introduction, amendment-passage, committee-passage, referral-committee
• 2021-04-08 Read second time and amended. amendment-passage, reading-1, reading-2
• 2021-04-12 Re-referred to Com. on APPR. referral-committee
• 2021-04-28 In committee: Set, first hearing. Referred to APPR. suspense file. referral-committee
• 2021-05-20 From committee: Amend, and do pass as amended. (Ayes 13. Noes 3.) (May 20). amendment-introduction, amendment-passage, committee-passage
• 2021-05-24 Read second time and amended. Ordered returned to second reading. amendment-passage, reading-1, reading-2
• 2021-05-25 Read second time. Ordered to third reading. reading-1, reading-2
• 2021-06-02 Read third time. Passed. Ordered to the Senate. (Ayes 69. Noes 1. Page 1841.) passage, reading-1, reading-3
• 2021-06-03 In Senate. Read first time. To Com. on RLS. for assignment. reading-1
• 2021-06-16 Referred to Com. on HEALTH. referral-committee
• 2021-06-28 In committee: Hearing postponed by committee.
• 2021-06-29 From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH. amendment-introduction, amendment-passage, reading-1, reading-2, referral-committee
• 2021-07-12 From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 0.) (July 7). amendment-introduction, amendment-passage, committee-passage, referral-committee
• 2021-07-13 Read second time and amended. Re-referred to Com. on APPR. amendment-passage, reading-1, reading-2, referral-committee
• 2021-08-16 In committee: Referred to suspense file. referral-committee
• 2021-08-26 From committee: Amend, and do pass as amended. (Ayes 5. Noes 1.) (August 26). amendment-introduction, amendment-passage, committee-passage
• 2021-08-26 Read second time and amended. Ordered returned to second reading. amendment-passage, reading-1, reading-2
• 2021-08-30 Read second time. Ordered to third reading. reading-1, reading-2
• 2021-09-03 Read third time and amended. Ordered to second reading. amendment-passage, reading-1, reading-3
• 2021-09-07 Read second time. Ordered to third reading. reading-1, reading-2
• 2021-09-08 Read third time. Passed. Ordered to the Assembly. (Ayes 37. Noes 0. Page 2498.). passage, reading-1, reading-3
• 2021-09-08 In Assembly. Concurrence in Senate amendments pending.
• 2021-09-09 Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 72. Noes 0. Page 3026.). amendment-passage, committee-passage-favorable
• 2021-09-17 Enrolled and presented to the Governor at 3 p.m.
• 2021-10-09 Approved by the Governor. executive-signature
• 2021-10-09 Chaptered by Secretary of State - Chapter 742, Statutes of 2021. became-law

Source

OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/f216f451-b689-4c78-94f3-354846d7c416. Confidence: reported (aggregated from official California legislature records).