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---
type: "Bill"
title: "Health care coverage: multiple employer welfare arrangements."
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."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20232024"
identifier: "AB 2434"
citation: "California AB 2434 (20232024)"
classification: ["bill"]
subjects: ["Health care coverage", "multiple employer welfare arrangements"]
status: "enacted"
primary_sponsors: ["Grayson"]
version_count: 7
action_count: 26
vote_count: 8
first_action: "2024-02-13"
last_action: "2024-09-22"
source: "openstates"
source_identifier: "ocd-bill/37cf4949-94b4-45e8-8a31-46d04aeb5896"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB2434"
source_hash: "55083b6715d8e0e3395a2c46f2b26c689cff330963b523e6550770d24cc3035b"
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 AB 2434 (20232024) — Health care coverage: multiple employer welfare arrangements.
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.
## Version chain
The bill's text revisions, in order — the diff chain from filing to enrollment.
1. **02/13/24 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2434&version=20230AB243499INT)
2. **03/11/24 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2434&version=20230AB243498AMD)
3. **04/18/24 - Amended Assembly** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2434&version=20230AB243497AMD)
4. **07/03/24 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2434&version=20230AB243496AMD)
5. **09/22/24 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2434&version=20230AB243494CHP)
6. **AB2434** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202320240AB2434)
7. **09/03/24 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=202320240AB2434&version=20230AB243495ENR)
## Votes
- Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations] with the recommendation: To Consent Calendar — **110** (pass) · upper
- AB 2434 Grayson Concurrence in Senate Amendments — **760** (pass) · lower
- Placed on suspense file — **70** (pass) · upper
- Do pass as amended, and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar — **160** (pass) · lower
- Special Consent AB2434 Grayson et al. By Allen — **390** (pass) · upper
- Do pass. To Consent Calendar. — **150** (pass) · lower
- Do pass — **70** (pass) · upper
- AB 2434 Grayson Consent Calendar Second Day — **710** (pass) · lower
## Sponsors
- Grayson — primary (person)
- Allen — coauthor (person)
- Blanca Rubio — coauthor (person)
## Timeline
The legislative action history — every referral, reading, and vote.
- **2024-02-13** Read first time. To print. `reading-1`
- **2024-02-14** From printer. May be heard in committee March 15.
- **2024-03-11** Referred to Com. on HEALTH. `referral-committee`
- **2024-03-11** From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended. `amendment-introduction, amendment-passage, reading-1, reading-2`
- **2024-03-12** Re-referred to Com. on HEALTH. `referral-committee`
- **2024-04-17** From committee: Amend, and do pass as amended and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 16. Noes 0.) (April 16). `amendment-introduction, amendment-passage, committee-passage, referral-committee`
- **2024-04-18** Read second time and amended. `amendment-passage, reading-1, reading-2`
- **2024-04-22** Re-referred to Com. on APPR. `referral-committee`
- **2024-05-08** From committee: Do pass. To Consent Calendar. (Ayes 15. Noes 0.) (May 8). `committee-passage, committee-passage-favorable`
- **2024-05-09** Read second time. Ordered to Consent Calendar. `reading-1, reading-2`
- **2024-05-16** Read third time. Passed. Ordered to the Senate. (Ayes 71. Noes 0.) `passage, reading-1, reading-3`
- **2024-05-16** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2024-05-29** Referred to Com. on HEALTH. `referral-committee`
- **2024-07-03** From committee: Amend, and do pass as amended and re-refer to Com. on APPR with recommendation: To Consent Calendar. (Ayes 11. Noes 0.) (July 3). `amendment-introduction, amendment-passage, committee-passage, referral-committee`
- **2024-07-03** Read second time and amended. Re-referred to Com. on APPR. `amendment-passage, reading-1, reading-2, referral-committee`
- **2024-08-05** In committee: Referred to APPR suspense file. `referral-committee`
- **2024-08-15** From committee: Do pass. (Ayes 7. Noes 0.) (August 15). `committee-passage, committee-passage-favorable`
- **2024-08-19** Read second time. Ordered to third reading. `reading-1, reading-2`
- **2024-08-23** Ordered to special consent calendar.
- **2024-08-28** Read third time. Passed. Ordered to the Assembly. (Ayes 39. Noes 0.). `passage, reading-1, reading-3`
- **2024-08-28** In Assembly. Concurrence in Senate amendments pending. May be considered on or after August 30 pursuant to Assembly Rule 77.
- **2024-08-29** Assembly Rule 77 suspended.
- **2024-08-29** Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 76. Noes 0.). `amendment-passage, committee-passage-favorable`
- **2024-09-11** Enrolled and presented to the Governor at 4 p.m.
- **2024-09-22** Approved by the Governor. `executive-signature`
- **2024-09-22** Chaptered by Secretary of State - Chapter 398, Statutes of 2024. `became-law`
## Source
OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/37cf4949-94b4-45e8-8a31-46d04aeb5896`. Confidence: reported (aggregated from official California legislature records).