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---
type: "Bill"
title: "Health care coverage: deductibles and out-of-pocket expenses."
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. A willful violation of the act is a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law sets limits on the amount of the deductible and out-of-pocket expenses that may be included in specified health care service plan contracts and health insurance policies."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20212022"
identifier: "SB 368"
citation: "California SB 368 (20212022)"
classification: ["bill"]
subjects: ["Health care coverage: deductibles and out-of-pocket expenses."]
status: "enacted"
primary_sponsors: ["Limón"]
version_count: 6
action_count: 28
vote_count: 8
first_action: "2021-02-10"
last_action: "2021-10-06"
source: "openstates"
source_identifier: "ocd-bill/992c314a-94e6-4988-b6c4-601395862edb"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB368"
source_hash: "d98acf39ef85a69c00e93c2487db06a1976f34f5e64f2c827159aacf5874ec3c"
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 368 (20212022) — Health care coverage: deductibles and out-of-pocket expenses.
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. A willful violation of the act is a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law sets limits on the amount of the deductible and out-of-pocket expenses that may be included in specified health care service plan contracts and health insurance policies.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **02/10/21 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB368&version=20210SB36899INT)
2. **03/22/21 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB368&version=20210SB36898AMD)
3. **07/15/21 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB368&version=20210SB36897AMD)
4. **10/06/21 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB368&version=20210SB36895CHP)
5. **SB368** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202120220SB368)
6. **09/10/21 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202120220SB368&version=20210SB36896ENR)
## Votes
- Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] — **92** (pass) · upper
- SB 368 Limón Senate Third Reading By Arambula — **5914** (pass) · lower
- Placed on suspense file — **70** (pass) · upper
- Do pass — **52** (pass) · upper
- Do pass. — **133** (pass) · lower
- 3rd Reading — **319** (pass) · upper
- Do pass as amended and be re-referred to the Committee on [Appropriations] — **132** (pass) · lower
- Unfinished Business SB368 Limón Concurrence — **299** (pass) · upper
## Sponsors
- Limón — primary (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2021-02-10** Introduced. Read first time. To Com. on RLS. for assignment. To print. `introduction, reading-1`
- **2021-02-11** From printer. May be acted upon on or after March 13.
- **2021-02-17** Referred to Com. on HEALTH. `referral-committee`
- **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.)
- **2021-03-03** Set for hearing March 17.
- **2021-03-18** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 9. Noes 2. Page 533.) (March 17). `amendment-passage, committee-passage, committee-passage-favorable`
- **2021-03-22** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee`
- **2021-04-09** Set for hearing April 19.
- **2021-04-20** April 19 hearing: Placed on APPR suspense file.
- **2021-05-14** Set for hearing May 20.
- **2021-05-20** From committee: Do pass. (Ayes 5. Noes 2. Page 1189.) (May 20). `committee-passage, committee-passage-favorable`
- **2021-05-20** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2021-06-01** Read third time. Passed. (Ayes 31. Noes 9. Page 1331.) Ordered to the Assembly. `passage, reading-1, reading-3`
- **2021-06-02** In Assembly. Read first time. Held at Desk. `reading-1`
- **2021-06-10** Referred to Com. on HEALTH. `referral-committee`
- **2021-07-14** From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 13. Noes 2.) (July 6). `amendment-passage, committee-passage, committee-passage-favorable`
- **2021-07-15** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee`
- **2021-08-19** August 19 set for first hearing. Placed on suspense file.
- **2021-08-26** From committee: Do pass. (Ayes 13. Noes 3.) (August 26). `committee-passage, committee-passage-favorable`
- **2021-08-30** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2021-09-02** Read third time. Passed. (Ayes 59. Noes 14. Page 2689.) Ordered to the Senate. `passage, reading-1, reading-3`
- **2021-09-02** In Senate. Concurrence in Assembly amendments pending.
- **2021-09-08** Assembly amendments concurred in. (Ayes 29. Noes 9. Page 2517.) Ordered to engrossing and enrolling. `amendment-passage, committee-passage-favorable`
- **2021-09-13** Enrolled and presented to the Governor at 3:30 p.m.
- **2021-10-06** Approved by the Governor. `executive-signature`
- **2021-10-06** Chaptered by Secretary of State. Chapter 602, 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/992c314a-94e6-4988-b6c4-601395862edb`. Confidence: reported (aggregated from official California legislature records).