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Existing law requires the Department of Insurance to regulate health insurers. Existing law requires an individual or small group health insurance policy issued, amended, or renewed on or after January 1, 2017, to include, at a minimum, coverage for essential health benefits pursuant to the federal Patient Protection and Affordable Care Act. Existing law requires a health insurance policy to cover the same health benefits that the benchmark plan, the Kaiser Foundation Health Plan Small Group HMO 30 plan, offered during the first quarter of 2014, as specified. This bill would express the intent of the Legislature to review California's essential health benefits benchmark plan and establish a new benchmark plan for the 2027 plan year for health insurers. The bill would require, commencing January 1, 2027, if the United States Department of Health and Human Services approves a new essential health benefits benchmark plan for the state, as specified, the benchmark plan for health insurers to include certain additional benefits, including coverage for specified fertility services and specified durable medical equipment.
Introduced
Jan 9, 2025
Last Action
Oct 13, 2025
Session
CA 20252026
Sponsors
1 primary · 1 co
Chaptered by Secretary of State - Chapter 680, Statutes of 2025.
Approved by the Governor.
Enrolled and presented to the Governor at 4:30 p.m.
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 71. Noes 0. Page 3013.).
Read third time. Passed. Ordered to the Assembly. (Ayes 40. Noes 0. Page 2464.).
In Assembly. Concurrence in Senate amendments pending.
From committee: Do pass. (Ayes 7. Noes 0.) (August 29).
Read second time. Ordered to third reading.
In committee: Referred to suspense file.
From committee: Do pass and re-refer to Com. on APPR. (Ayes 10. Noes 0.) (July 16). Re-referred to Com. on APPR.
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.
Referred to Com. on HEALTH.
Read third time. Passed. Ordered to the Senate. (Ayes 60. Noes 1. Page 1782.)
In Senate. Read first time. To Com. on RLS. for assignment.
Read second time. Ordered to third reading.
From committee: Do pass. (Ayes 11. Noes 0.) (May 23).
In committee: Set, first hearing. Referred to suspense file.
From committee: Do pass and re-refer to Com. on APPR. (Ayes 14. Noes 0.) (April 29). Re-referred to Com. on APPR.
Re-referred to Com. on HEALTH.
From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.
Referred to Com. on HEALTH.
From printer. May be heard in committee February 9.
Read first time. To print.