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 provides for the regulation of disability insurers by the Department of Insurance. Existing law generally authorizes a health care service plan or disability insurer to use prior authorization and other utilization review or utilization management functions, under which a licensed physician or a licensed health care professional who is competent to evaluate specific clinical issues may approve, modify, delay, or deny requests for health care services based on medical necessity. Existing law requires a health care service plan or disability insurer, including those plans or insurers that delegate utilization review or utilization management functions to medical groups, independent practice associations, or to other contracting providers, to comply with specified requirements and limitations on their utilization review or utilization management functions. Existing law authorizes the Director of the Department of Managed Health Care or the Insurance Commissioner to assess an administrative penalty to a health care service plan or disability insurer, as applicable, for failure to comply with those requirements.
California SB 1120 (20232024) — Health care coverage: utilization review.
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 provides for the regulation of disability insurers by the Department of Insurance. Existing law generally authorizes a health care service plan or disability insurer to use prior authorization and other utilization review or utilization management functions, under which a licensed physician or a licensed health care professional who is competent to evaluate specific clinical issues may approve, modify, delay, or deny requests for health care services based on medical necessity. Existing law requires a health care service plan or disability insurer, including those plans or insurers that delegate utilization review or utilization management functions to medical groups, independent practice associations, or to other contracting providers, to comply with specified requirements and limitations on their utilization review or utilization management functions. Existing law authorizes the Director of the Department of Managed Health Care or the Insurance Commissioner to assess an administrative penalty to a health care service plan or disability insurer, as applicable, for failure to comply with those requirements.
Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
Do pass as amended and be re-referred to the Committee on [Privacy and Consumer Protection] — 16–0 (pass) · lower
Do pass as amended, and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar — 11–0 (pass) · lower
Placed on suspense file — 7–0 (pass) · upper
Unfinished Business SB1120 Becker et al. Concurrence — 40–0 (pass) · upper
Special Consent — 37–0 (pass) · upper
SB 1120 Becker Senate Third Reading By Reyes — 76–0 (pass) · lower
Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — 11–0 (pass) · upper
Do pass — 7–0 (pass) · upper
Do pass. — 14–0 (pass) · lower
Sponsors
Becker — primary (person)
Rubio — coauthor (person)
Timeline
The legislative action history — every referral, reading, and vote.
2024-02-13 Introduced. Read first time. To Com. on RLS. for assignment. To print. introduction, reading-1
2024-02-14 From printer. May be acted upon on or after March 15.
2024-02-21 Referred to Com. on HEALTH. referral-committee
2024-03-01 Set for hearing March 20.
2024-03-13 March 20 set for first hearing canceled at the request of author.
2024-03-14 Set for hearing April 3.
2024-03-26 April 3 set for second hearing canceled at the request of author.
2024-03-28 Set for hearing April 10.
2024-04-01 From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. amendment-passage, committee-passage, reading-1, reading-2, referral-committee
2024-04-11 From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 0. Page 3561.) (April 10). amendment-passage, committee-passage, committee-passage-favorable
2024-04-15 Read second time and amended. Re-referred to Com. on APPR. amendment-passage, reading-1, reading-2, referral-committee
2024-04-16 Set for hearing April 22.
2024-04-22 April 22 hearing: Placed on APPR suspense file.
2024-05-10 Set for hearing May 16.
2024-05-16 From committee: Do pass. (Ayes 7. Noes 0. Page 3972.) (May 16). committee-passage, committee-passage-favorable
2024-05-16 Read second time. Ordered to third reading. reading-1, reading-2
2024-05-20 Ordered to special consent calendar.
2024-05-23 Read third time. Passed. (Ayes 37. Noes 0. Page 4179.) Ordered to the Assembly. passage, reading-1, reading-3
2024-05-24 In Assembly. Read first time. Held at Desk. reading-1
2024-06-03 Referred to Coms. on HEALTH and P. & C.P. referral-committee
2024-06-10 From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. amendment-passage, committee-passage, reading-1, reading-2, referral-committee
2024-06-19 From committee: Do pass as amended and re-refer to Com. on P. & C.P. (Ayes 16. Noes 0.) (June 18). amendment-passage, committee-passage, committee-passage-favorable
2024-06-20 Read second time and amended. Re-referred to Com. on P. & C.P. amendment-passage, reading-1, reading-2, referral-committee
2024-07-08 From committee: Do pass as amended and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 11. Noes 0.) (July 2). amendment-passage, committee-passage, committee-passage-favorable
2024-07-08 Read second time and amended. Re-referred to Com. on APPR. amendment-passage, reading-1, reading-2, referral-committee
2024-08-07 August 7 set for first hearing. Placed on suspense file.
2024-08-15 From committee: Do pass. (Ayes 14. Noes 0.) (August 15). committee-passage, committee-passage-favorable
2024-08-19 Read second time. Ordered to third reading. reading-1, reading-2
2024-08-22 Read third time and amended. amendment-passage, reading-1, reading-3
2024-08-22 Ordered to third reading.
2024-08-23 Read third time and amended. amendment-passage, reading-1, reading-3
2024-08-23 Ordered to third reading.
2024-08-30 Read third time. Passed. (Ayes 76. Noes 0. Page 7004.) Ordered to the Senate. passage, reading-1, reading-3
2024-08-30 In Senate. Concurrence in Assembly amendments pending.
2024-08-31 Assembly amendments concurred in. (Ayes 40. Noes 0. Page 5770.) Ordered to engrossing and enrolling. amendment-passage, committee-passage-favorable
2024-09-11 Enrolled and presented to the Governor at 3 p.m.
2024-09-28 Approved by the Governor. executive-signature
2024-09-28 Chaptered by Secretary of State. Chapter 879, Statutes of 2024. became-law
Source
OpenStates / OpenCivicData bulk snapshot 2026-07-01; origin ocd-bill/4c76f1f1-ec5b-4f5f-8588-a6010928e9de. Confidence: reported (aggregated from official California legislature records).