Fabio
97 lines
7.4 KiB
Markdown
97 lines
7.4 KiB
Markdown
---
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type: "Bill"
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title: "Health care coverage: prescription drugs."
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description: "Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the 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. Commonly referred to as utilization review, existing law governs the procedures that apply to every health care service plan and health insurer that prospectively, retrospectively, or concurrently reviews and approves, modifies, delays, or denies, based on medical necessity, requests by providers prior to, retrospectively, or concurrent with, the provision of health care services to enrollees or insureds, as specified."
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jurisdiction: "us/states/ca"
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legislature: "California Legislature"
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session: "20112012"
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identifier: "SB 866"
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citation: "California SB 866 (20112012)"
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classification: ["bill"]
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subjects: ["Health care coverage: prescription drugs."]
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status: "enacted"
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primary_sponsors: ["Hernandez"]
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version_count: 8
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action_count: 26
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vote_count: 8
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first_action: "2011-02-18"
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last_action: "2011-10-09"
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source: "openstates"
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source_identifier: "ocd-bill/d49f00ec-cde8-451a-be3c-69c917454854"
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source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201120120SB866"
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source_hash: "3a08130c992517d905121178aa477e5267da0898fd11ac7adbe2452bd1870d84"
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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 866 (20112012) — Health care coverage: prescription drugs.
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Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the 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. Commonly referred to as utilization review, existing law governs the procedures that apply to every health care service plan and health insurer that prospectively, retrospectively, or concurrently reviews and approves, modifies, delays, or denies, based on medical necessity, requests by providers prior to, retrospectively, or concurrent with, the provision of health care services to enrollees or insureds, 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. **02/18/11 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120120SB866&version=20110SB86699INT)
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2. **04/11/11 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120120SB866&version=20110SB86698AMD)
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3. **05/31/11 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120120SB866&version=20110SB86697AMD)
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4. **06/23/11 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120120SB866&version=20110SB86696AMD)
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5. **08/26/11 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120120SB866&version=20110SB86695AMD)
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6. **10/09/11 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120120SB866&version=20110SB86693CHP)
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7. **SB866** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201120120SB866)
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8. **09/13/11 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120120SB866&version=20110SB86694ENR)
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## Votes
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- Do pass as amended. — **12–5** (pass) · lower
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- Placed on Appropriations Suspense file. — **9–0** (pass) · upper
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- Do pass as amended and be re-referred to the Committee on Appropriations. — **15–0** (pass) · lower
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- Unfinished Business SB866 Hernandez Concurrence — **28–11** (pass) · upper
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- Do pass, but re-refer to the Committee on Appropriations. — **7–0** (pass) · upper
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- 3rd Reading — **27–10** (pass) · upper
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- SB 866 Hernandez Senate Third Reading By PAN — **57–21** (pass) · lower
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- Do pass as amended. — **6–2** (pass) · upper
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## Sponsors
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- Hernandez — primary (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2011-02-18** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1`
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- **2011-02-19** From printer. May be acted upon on or after March 21.
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- **2011-03-10** Referred to Com. on HEALTH. `referral-committee`
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- **2011-03-23** Set for hearing April 13.
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- **2011-04-11** From committee with author's amendments. Read second time and amended. Re-referred to Com. on HEALTH. `reading-2, reading-1, committee-passage, amendment-passage, referral-committee`
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- **2011-04-14** From committee: Do pass and re-refer to Com. on APPR. (Ayes 7. Noes 0. Page 676.) (April 13). Re-referred to Com. on APPR. `referral-committee, committee-passage, committee-passage-favorable`
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- **2011-04-21** Set for hearing May 2.
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- **2011-05-02** Placed on APPR. suspense file.
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- **2011-05-20** Set for hearing May 26.
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- **2011-05-27** From committee: Do pass as amended. (Ayes 6. Noes 2. Page 1123.) (May 26). `amendment-passage, committee-passage, committee-passage-favorable`
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- **2011-05-31** Read second time and amended. Ordered to third reading. `reading-2, reading-1, amendment-passage`
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- **2011-06-02** Read third time. Passed. (Ayes 27. Noes 10. Page 1265.) Ordered to the Assembly. `reading-3, reading-1, passage`
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- **2011-06-02** In Assembly. Read first time. Held at Desk. `reading-1`
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- **2011-06-13** Referred to Com. on HEALTH. `referral-committee`
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- **2011-06-22** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (June 21). `amendment-passage, committee-passage, committee-passage-favorable`
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- **2011-06-23** Read second time and amended. Re-referred to Com. on APPR. `reading-2, reading-1, amendment-passage, referral-committee`
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- **2011-08-17** Set, first hearing. Referred to APPR. suspense file. `referral-committee`
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- **2011-08-26** From committee: Do pass as amended. (Ayes 12. Noes 5.) (August 25). `amendment-passage, committee-passage, committee-passage-favorable`
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- **2011-08-26** Read second time and amended. Ordered to second reading. `reading-2, reading-1, amendment-passage`
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- **2011-08-29** Read second time. Ordered to third reading. `reading-2, reading-1`
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- **2011-09-08** Read third time. Passed. (Ayes 57. Noes 21. Page 3045.) Ordered to the Senate. `reading-3, reading-1, passage`
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- **2011-09-08** In Senate. Concurrence in Assembly amendments pending.
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- **2011-09-09** Assembly amendments concurred in. (Ayes 28. Noes 11. Page 2452.) Ordered to engrossing and enrolling. `committee-passage-favorable, amendment-passage`
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- **2011-09-16** Enrolled and presented to the Governor at 10:30 a.m.
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- **2011-10-09** Approved by the Governor. `executive-signature`
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- **2011-10-09** Chaptered by Secretary of State. Chapter 648, Statutes of 2011.
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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/d49f00ec-cde8-451a-be3c-69c917454854`. Confidence: reported (aggregated from official California legislature records).
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