republic-os/legislation/us/states/ca/20112012-special-session-1/ab-21.md

---
type: "Bill"
title: "Public health: managed care plan taxes."
description: "(1) Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Under existing law, one of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed care plans. Existing law imposes various taxes, including a tax at a specified rate on the gross premiums of an insurer, as defined, and, until July 1, 2011, on the total operating revenue, as specified, of a Medi-Cal managed care plan, as defined. Existing law continuously appropriates the revenues derived from the tax on Medi-Cal managed care plans for specified purposes."
jurisdiction: "us/states/ca"
legislature: "California Legislature"
session: "20112012 Special Session 1"
identifier: "AB 21"
citation: "California AB 21 (20112012 Special Session 1)"
classification: ["bill", "appropriation"]
subjects: ["Public health: managed care plan taxes."]
status: "enacted"
primary_sponsors: ["Blumenfield"]
version_count: 6
action_count: 26
vote_count: 4
first_action: "2011-05-19"
last_action: "2011-09-16"
source: "openstates"
source_identifier: "ocd-bill/0513d637-d3a0-49ee-90e2-e10f627dca2d"
source_url: "http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201120121AB21"
source_hash: "8861fd4a7a1764243df84d9ed7a3d650432a8de780c7d1fdc17c207df733bef1"
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 21 (20112012 Special Session 1) — Public health: managed care plan taxes.

(1) Existing law establishes the Medi-Cal program, administered by the State Department of Health Care Services, under which health care services are provided to qualified, low-income persons. The Medi-Cal program is, in part, governed and funded by federal Medicaid Program provisions. Under existing law, one of the methods by which Medi-Cal services are provided is pursuant to contracts with various types of managed care plans. Existing law imposes various taxes, including a tax at a specified rate on the gross premiums of an insurer, as defined, and, until July 1, 2011, on the total operating revenue, as specified, of a Medi-Cal managed care plan, as defined. Existing law continuously appropriates the revenues derived from the tax on Medi-Cal managed care plans for specified purposes.

## Version chain

The bill's text revisions, in order — the diff chain from filing to enrollment.

1. **05/19/11 - Introduced** (filed) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120121AB21&version=20111AB2199INT)
2. **06/14/11 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120121AB21&version=20111AB2198AMD)
3. **08/31/11 - Amended Senate** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120121AB21&version=20111AB2197AMD)
4. **09/16/11 - Chaptered** (committee substitute) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120121AB21&version=20111AB2195CHP)
5. **AB21** (committee substitute) — [source](http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=201120121AB21)
6. **09/08/11 - Enrolled** (enrolled) — [source](https://leginfo.legislature.ca.gov/faces/billPdf.xhtml?bill_id=201120121AB21&version=20111AB2196ENR)

## Votes

- AB 21 BLUMENFIELD Assembly Third Reading — **49–21** (pass) · lower
- 3rd Reading AB21 Blumenfield By Leno Urgency Clause — **34–2** (pass) · upper
- AB 21 BLUMENFIELD Concurrence - Urgency Added — **53–0** (fail) · lower
- AB 21 BLUMENFIELD Concurrence - Urgency Added — **64–14** (pass) · lower

## Sponsors

- Blumenfield — primary (person)

## Timeline

The legislative action history — every referral, reading, and vote.

- **2011-05-19** Read first time. To print. `reading-1`
- **2011-05-20** From printer.
- **2011-06-02** Without reference to committee. `referral-committee`
- **2011-06-02** Ordered to second reading.
- **2011-06-02** (Page 171.)
- **2011-06-02** Read second time. Ordered to third reading. `reading-2, reading-1`
- **2011-06-03** Read third time. Passed. Ordered to the Senate. (Ayes 49. Noes 21. Page 178.) `reading-3, reading-1, passage`
- **2011-06-06** In Senate. Read first time. To Com. on RLS. for assignment. `reading-1`
- **2011-06-08** Referred to Com. on B. & F.R. `referral-committee`
- **2011-06-14** From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on B. & F.R. `reading-2, amendment-introduction, reading-1, amendment-passage, referral-committee`
- **2011-06-15** Pursuant to Joint Rule 33.1,
- **2011-06-15** Joint Rule 10.5 suspended. (Page 146.)
- **2011-06-15** Withdrawn from committee.
- **2011-06-15** Ordered to third reading.
- **2011-08-31** Read third time and amended. Ordered to second reading. `reading-3, reading-1, amendment-passage`
- **2011-09-01** Read second time. Ordered to third reading. `reading-2, reading-1`
- **2011-09-02** Read third time. Urgency clause adopted. Passed. Ordered to the Assembly. (Ayes 34. Noes 2.). `reading-3, reading-1, passage`
- **2011-09-02** In Assembly. Concurrence in Senate amendments pending. May be considered on or after September 7 pursuant to Assembly Rule 77.
- **2011-09-06** Assembly Rule 77 suspended. (Ayes 48. Noes 26. Page 296.)
- **2011-09-06** Assembly refused to concur in Senate amendments. (Ayes 53. Noes 0. Page 298.) `committee-failure`
- **2011-09-06** Motion to reconsider made by Assembly Member Blumenfield.
- **2011-09-08** Reconsideration granted. (Page 320.)
- **2011-09-08** Urgency clause adopted. Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 64. Noes 14. Page 320.). `committee-passage-favorable, amendment-passage`
- **2011-09-12** Enrolled and presented to the Governor at 11 a.m.
- **2011-09-16** Approved by the Governor. `executive-signature`
- **2011-09-16** Chaptered by Secretary of State. Chapter 11, Statutes of 2011-12 First Extraordinary Session.

## Source

OpenStates / OpenCivicData bulk snapshot [2026-07-01](https://data.openstates.org/daily/2026-07-01/public.pgdump); origin `ocd-bill/0513d637-d3a0-49ee-90e2-e10f627dca2d`. Confidence: reported (aggregated from official California legislature records).