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---
type: "Bill"
title: "Health care coverage: federal health care reforms."
description: "(1) Existing federal law, the Patient Protection and Affordable Care Act (PPACA) , enacts various health care market reforms. Among other things, PPACA requires applicable individuals to maintain minimum essential coverage, and imposes a shared responsibility penalty on an applicable individual who does not maintain minimum essential coverage. This provision is referred to as the individual mandate. PPACA prohibits a nongrandfathered health benefit plan from imposing a preexisting condition provision on an individual and requires a nongrandfathered health benefit plan to include coverage for essential health benefits, as defined. PPACA also includes a coverage guarantee that requires each health insurance issuer that offers health insurance coverage in the individual or group market in a state to accept every employer and individual in the state that applies for coverage, and prohibits discriminatory premium rates, as specified."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20212022"
identifier: "SB 326"
citation: "California SB 326 (20212022)"
classification: ["bill"]
subjects: ["Health care coverage: federal health care reforms."]
status: "enacted"
primary_sponsors: ["Pan"]
version_count: 6
action_count: 27
vote_count: 6
first_action: "2021-02-05"
last_action: "2021-10-09"
source: "openstates"
source_identifier: "ocd-bill/61a39209-f8a3-430e-b6f8-3826a5dd852f"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB326"
source_hash: "ab2ced0ed54a3eecfc192e025a42a7496985aa342e5483c34efeec366ef9961e"
vintage: "2026-07-01"
source_snapshot: "https://data.openstates.org/daily/2026-07-01/public.pgdump"
retrieved_at: "2026-07-06"
confidence: "reported"
tags: ["legislation", "bill", "us-ca"]
---
# California SB 326 (20212022) — Health care coverage: federal health care reforms.
(1) Existing federal law, the Patient Protection and Affordable Care Act (PPACA) , enacts various health care market reforms. Among other things, PPACA requires applicable individuals to maintain minimum essential coverage, and imposes a shared responsibility penalty on an applicable individual who does not maintain minimum essential coverage. This provision is referred to as the individual mandate. PPACA prohibits a nongrandfathered health benefit plan from imposing a preexisting condition provision on an individual and requires a nongrandfathered health benefit plan to include coverage for essential health benefits, as defined. PPACA also includes a coverage guarantee that requires each health insurance issuer that offers health insurance coverage in the individual or group market in a state to accept every employer and individual in the state that applies for coverage, and prohibits discriminatory premium rates, as specified.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **02/05/21 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB326&version=20210SB32699INT)
2. **06/30/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB326&version=20210SB32698AMD)
3. **09/01/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB326&version=20210SB32697AMD)
4. **10/09/21 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB326&version=20210SB32695CHP)
5. **SB326** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB326)
6. **09/10/21 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB326&version=20210SB32696ENR)
## Votes
- Do pass, but first be re-referred to the Committee on [Appropriations] — **110** (pass) · upper
- Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar — **140** (pass) · lower
- Do pass. — **130** (pass) · lower
- SB 326 Pan Senate Third Reading By Wood — **620** (pass) · lower
- Unfinished Business SB326 Pan et al. Concurrence — **380** (pass) · upper
- 3rd Reading SB326 Pan et al. — **360** (pass) · upper
## Sponsors
- Pan — primary (person)
- Wood — coauthor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2021-02-05** Introduced. To Com. on RLS. for assignment. To print. `introduction`
- **2021-02-08** From printer. May be acted upon on or after March 10.
- **2021-02-08** Read first time. `reading-1`
- **2021-02-17** Referred to Com. on HEALTH. `referral-committee`
- **2021-02-22** Set for hearing March 10.
- **2021-02-22** Art. IV. Sec. 8(a) of the Constitution dispensed with.
- **2021-02-22** (Ayes 32. Noes 4.)
- **2021-02-22** Joint Rule 55 suspended. (Ayes 32. Noes 4. Page 272.)
- **2021-03-11** From committee: Do pass and re-refer to Com. on APPR. (Ayes 11. Noes 0. Page 457.) (March 10). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
- **2021-04-09** Set for hearing April 19.
- **2021-04-19** From committee: Be ordered to second reading pursuant to Senate Rule 28.8. `committee-passage, reading-2`
- **2021-04-20** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2021-05-06** Read third time. Passed. (Ayes 36. Noes 0. Page 1034.) Ordered to the Assembly. `passage, reading-1, reading-3`
- **2021-05-06** In Assembly. Read first time. Held at Desk. `reading-1`
- **2021-05-13** Referred to Com. on HEALTH. `referral-committee`
- **2021-06-30** 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`
- **2021-07-14** From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 14. Noes 0.) (July 13). Re-referred to Com. on APPR. `committee-passage, committee-passage-favorable, referral-committee`
- **2021-08-19** From committee: Do pass. (Ayes 13. Noes 0.) (August 19). `committee-passage, committee-passage-favorable`
- **2021-08-23** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2021-09-01** Read third time and amended. `amendment-passage, reading-1, reading-3`
- **2021-09-01** Ordered to third reading.
- **2021-09-07** Read third time. Passed. (Ayes 62. Noes 0. Page 2815.) Ordered to the Senate. `passage, reading-1, reading-3`
- **2021-09-07** In Senate. Concurrence in Assembly amendments pending.
- **2021-09-08** Assembly amendments concurred in. (Ayes 38. Noes 0. Page 2521.) Ordered to engrossing and enrolling. `amendment-passage, committee-passage-favorable`
- **2021-09-13** Enrolled and presented to the Governor at 3:30 p.m.
- **2021-10-09** Approved by the Governor. `executive-signature`
- **2021-10-09** Chaptered by Secretary of State. Chapter 764, Statutes of 2021. `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/61a39209-f8a3-430e-b6f8-3826a5dd852f`. Confidence: reported (aggregated from official California legislature records).