Fabio
93 lines
7.0 KiB
Markdown
93 lines
7.0 KiB
Markdown
---
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type: "Bill"
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title: "Health care coverage: cancer treatment."
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description: "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 health insurers by the Department of Insurance. Existing law prohibits, until January 1, 2024, an individual or group health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2015, that provides coverage for prescribed, orally administered anticancer medications used to kill or slow the growth of cancerous cells from requiring an enrollee or insured to pay a total amount of copayments and coinsurance that exceeds $250 for an individual prescription of up to a 30-day supply of a prescribed orally administered anticancer medication, as specified."
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jurisdiction: "us/states/ca"
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legislature: "California Legislature"
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session: "20232024"
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identifier: "SB 421"
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citation: "California SB 421 (20232024)"
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classification: ["bill"]
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subjects: ["Health care coverage", "cancer treatment"]
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status: "enacted"
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primary_sponsors: ["Limón"]
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version_count: 5
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action_count: 25
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vote_count: 7
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first_action: "2023-02-13"
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last_action: "2023-10-08"
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source: "openstates"
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source_identifier: "ocd-bill/3e972aab-7d06-446f-a4ca-8476d74a458f"
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source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB421"
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source_hash: "2d780bb8936909de89cc6a1d093d7e76bf6c695c8bac224ade266ad432cce1a8"
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vintage: "2026-07-01"
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source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
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retrieved_at: "2026-07-06"
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confidence: "reported"
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tags: ["legislation", "bill", "us-ca"]
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---
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# California SB 421 (20232024) — Health care coverage: cancer treatment.
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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 health insurers by the Department of Insurance. Existing law prohibits, until January 1, 2024, an individual or group health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2015, that provides coverage for prescribed, orally administered anticancer medications used to kill or slow the growth of cancerous cells from requiring an enrollee or insured to pay a total amount of copayments and coinsurance that exceeds $250 for an individual prescription of up to a 30-day supply of a prescribed orally administered anticancer medication, as specified.
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## Version chain
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The bill's text revisions, in order — the diff chain from filing to enrollment.
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1. **02/13/23 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240SB421&version=20230SB42199INT)
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2. **08/17/23 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240SB421&version=20230SB42198AMD)
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3. **10/08/23 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240SB421&version=20230SB42196CHP)
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4. **SB421** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240SB421)
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5. **09/05/23 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240SB421&version=20230SB42197ENR)
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## Votes
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- Special Consent SB421 Limón et al. — **37–0** (pass) · upper
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- Do pass, but first be re-referred to the Committee on [Appropriations] with the recommendation: To Consent Calendar — **12–0** (pass) · upper
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- Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar — **15–0** (pass) · lower
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- Consent Calendar — **36–0** (pass) · upper
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- SB 421 Limón Senate Third Reading By Pellerin — **75–0** (pass) · lower
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- Do pass. To Consent Calendar. — **13–0** (pass) · lower
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- SB 421 Limón Senate Third Reading By Pellerin Amendment Set #1 — **74–0** (pass) · lower
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## Sponsors
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- Limón — primary (person)
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- Rubio — coauthor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2023-02-13** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1`
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- **2023-02-14** From printer. May be acted upon on or after March 16.
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- **2023-02-22** Referred to Com. on HEALTH. `referral-committee`
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- **2023-03-16** Set for hearing March 29.
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- **2023-03-30** From committee: Do pass and re-refer to Com. on APPR with recommendation: To consent calendar. (Ayes 12. Noes 0. Page 575.) (March 29). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
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- **2023-04-03** Set for hearing April 10.
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- **2023-04-10** From committee: Be ordered to second reading pursuant to Senate Rule 28.8 and ordered to consent calendar. `committee-passage, reading-2`
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- **2023-04-11** Read second time. Ordered to consent calendar. `reading-1, reading-2`
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- **2023-04-13** Read third time. Passed. (Ayes 36. Noes 0. Page 700.) Ordered to the Assembly. `passage, reading-1, reading-3`
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- **2023-04-17** In Assembly. Read first time. Held at Desk. `reading-1`
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- **2023-05-04** Referred to Com. on HEALTH. `referral-committee`
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- **2023-06-13** From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 15. Noes 0.) (June 13). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
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- **2023-06-21** From committee: Do pass. Ordered to consent calendar. (Ayes 13. Noes 0.) (June 21). `committee-passage, committee-passage-favorable`
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- **2023-06-22** Read second time. Ordered to consent calendar. `reading-1, reading-2`
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- **2023-06-26** From consent calendar on motion of Assembly Member Reyes.
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- **2023-06-26** Ordered to third reading.
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- **2023-08-17** Read third time and amended. (Ayes 74. Noes 0. Page 2739.) `amendment-passage, reading-1, reading-3`
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- **2023-08-17** Ordered to third reading.
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- **2023-08-24** Read third time. Passed. (Ayes 75. Noes 0. Page 2793.) Ordered to the Senate. `passage, reading-1, reading-3`
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- **2023-08-24** In Senate. Concurrence in Assembly amendments pending.
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- **2023-08-29** Ordered to special consent calendar.
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- **2023-09-01** Assembly amendments concurred in. (Ayes 37. Noes 0. Page 2240.) Ordered to engrossing and enrolling. `amendment-passage, committee-passage-favorable`
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- **2023-09-07** Enrolled and presented to the Governor at 4 p.m.
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- **2023-10-08** Approved by the Governor. `executive-signature`
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- **2023-10-08** Chaptered by Secretary of State. Chapter 607, Statutes of 2023. `became-law`
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## Source
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OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/3e972aab-7d06-446f-a4ca-8476d74a458f`. Confidence: reported (aggregated from official California legislature records).
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