Fabio
109 lines
8.0 KiB
Markdown
109 lines
8.0 KiB
Markdown
---
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type: "Bill"
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title: "Health care coverage: timely access to care."
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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. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires each department to develop and adopt regulations to ensure that enrollees and insureds have access to needed health care services in a timely manner. Under existing law, a Medi-Cal managed care plan is required to comply with timely access standards developed by the department."
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jurisdiction: "us/states/ca"
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legislature: "California Legislature"
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session: "20212022"
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identifier: "SB 221"
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citation: "California SB 221 (20212022)"
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classification: ["bill"]
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subjects: ["Health care coverage: timely access to care."]
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status: "enacted"
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primary_sponsors: ["Wiener"]
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version_count: 10
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action_count: 31
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vote_count: 8
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first_action: "2021-01-13"
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last_action: "2021-10-08"
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source: "openstates"
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source_identifier: "ocd-bill/1ad4b13c-1ddf-4e20-8c02-8544a8a9a58e"
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source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB221"
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source_hash: "7c83c6037731ad5a9df86bd9e3ccd29f24916069439477c74dc2e1293c9f10bd"
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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 221 (20212022) — Health care coverage: timely access to care.
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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. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires each department to develop and adopt regulations to ensure that enrollees and insureds have access to needed health care services in a timely manner. Under existing law, a Medi-Cal managed care plan is required to comply with timely access standards developed by the department.
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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. **01/13/21 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB221&version=20210SB22199INT)
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2. **03/09/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB221&version=20210SB22198AMD)
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3. **03/22/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB221&version=20210SB22197AMD)
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4. **05/20/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB221&version=20210SB22196AMD)
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5. **06/28/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB221&version=20210SB22195AMD)
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6. **09/01/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB221&version=20210SB22194AMD)
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7. **09/03/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB221&version=20210SB22193AMD)
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8. **10/08/21 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB221&version=20210SB22191CHP)
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9. **SB221** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB221)
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10. **09/13/21 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB221&version=20210SB22192ENR)
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## Votes
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- Do pass as amended — **5–2** (pass) · upper
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- Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — **9–0** (pass) · upper
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- Unfinished Business SB221 Wiener et al. Concurrence — **35–1** (pass) · upper
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- Do pass and be re-referred to the Committee on [Appropriations] — **15–0** (pass) · lower
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- SB 221 Wiener Senate Third Reading By Waldron — **76–0** (pass) · lower
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- Placed on suspense file — **6–0** (pass) · upper
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- Do pass. — **16–0** (pass) · lower
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- 3rd Reading SB221 Wiener et al. — **32–7** (pass) · upper
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## Sponsors
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- Wiener — primary (person)
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- Arambula — coauthor (person)
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- Kamlager — coauthor (person)
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- Leyva — coauthor (person)
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- Newman — coauthor (person)
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- Waldron — coauthor (person)
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## Timeline
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The legislative action history — every referral, reading, and vote.
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- **2021-01-13** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1`
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- **2021-01-14** From printer. May be acted upon on or after February 13.
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- **2021-01-28** Referred to Com. on HEALTH. `referral-committee`
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- **2021-03-03** Set for hearing March 17.
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- **2021-03-09** 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`
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- **2021-03-18** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 9. Noes 0. Page 532.) (March 17). `amendment-passage, committee-passage, committee-passage-favorable`
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- **2021-03-22** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee`
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- **2021-04-21** Set for hearing May 3.
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- **2021-05-04** May 3 hearing: Placed on APPR suspense file.
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- **2021-05-14** Set for hearing May 20.
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- **2021-05-20** From committee: Do pass as amended. (Ayes 5. Noes 2. Page 1183.) (May 20). `amendment-passage, committee-passage, committee-passage-favorable`
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- **2021-05-20** Read second time and amended. Ordered to second reading. `amendment-passage, reading-1, reading-2`
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- **2021-05-24** Read second time. Ordered to third reading. `reading-1, reading-2`
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- **2021-06-01** Read third time. Passed. (Ayes 32. Noes 7. Page 1318.) Ordered to the Assembly. `passage, reading-1, reading-3`
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- **2021-06-02** In Assembly. Read first time. Held at Desk. `reading-1`
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- **2021-06-10** Referred to Com. on HEALTH. `referral-committee`
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- **2021-06-28** 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`
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- **2021-07-07** From committee: Do pass and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (July 6). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
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- **2021-08-19** August 19 set for first hearing. Placed on suspense file.
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- **2021-08-26** From committee: Do pass. (Ayes 16. Noes 0.) (August 26). `committee-passage, committee-passage-favorable`
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- **2021-08-30** Read second time. Ordered to third reading. `reading-1, reading-2`
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- **2021-09-01** Read third time and amended. `amendment-passage, reading-1, reading-3`
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- **2021-09-01** Ordered to third reading.
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- **2021-09-03** Read third time and amended. `amendment-passage, reading-1, reading-3`
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- **2021-09-03** Ordered to third reading.
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- **2021-09-08** Read third time. Passed. (Ayes 76. Noes 0. Page 2884.) Ordered to the Senate. `passage, reading-1, reading-3`
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- **2021-09-08** In Senate. Concurrence in Assembly amendments pending.
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- **2021-09-09** Assembly amendments concurred in. (Ayes 35. Noes 1. Page 2546.) Ordered to engrossing and enrolling. `amendment-passage, committee-passage-favorable`
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- **2021-09-15** Enrolled and presented to the Governor at 2:30 p.m.
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- **2021-10-08** Approved by the Governor. `executive-signature`
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- **2021-10-08** Chaptered by Secretary of State. Chapter 724, Statutes of 2021. `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/1ad4b13c-1ddf-4e20-8c02-8544a8a9a58e`. Confidence: reported (aggregated from official California legislature records).
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