CA SB 386
enactedDental providers: fee-based payments.
California · 2025-2026 Regular Session · upper
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's requirements a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law imposes specified coverage and disclosure requirements on health care service plans and health insurers, including specialized plans and insurers, that cover dental services. This bill would require a health care service plan or health insurer that provides payment directly or through a contracted vendor to a dental provider to have a non-fee-based default method of payment, as specified. The bill would require a health care service plan, health insurer, or contracted vendor to obtain affirmative consent from a dental provider who opts in to a fee-based payment method before the plan or vendor provides a fee-based payment method to the provider. The bill would authorize a dental provider to opt out of a fee-based payment method at any time by providing affirmative consent to the health care service plan, health insurer, or contracted vendor. The bill would require a health care service plan, health insurer, or contracted vendor that obtains affirmative consent to opt in or opt out of fee-based payment to apply the decision to include both the dental provider's entire practice and all products or services covered pursuant to a contract with the dental provider, as specified. The bill would specify that its provisions do not apply if a health care service plan or health insurer has a direct contract with a provider that allows the provider to choose payment methods, including a non-fee-based payment method for services rendered. The bill would make its provisions operative on April 1, 2026, and apply to health care service plan contracts and health insurance policies issued, amended, or renewed on or after that date. Because a violation of the bill's requirements by a health care service plan would be a crime, the bill would impose a state-mandated local program. The California Constitution requires the state to reimburse local agencies and school districts for certain costs mandated by the state. Statutory provisions establish procedures for making that reimbursement. This bill would provide that no reimbursement is required by this act for a specified reason.
- Introduced
- 2025-02-14
- Status date
- —
- Latest action
- 2025-10-01 — Chaptered by Secretary of State. Chapter 219, Statutes of 2025.
- Bill type
- bill
- Last updated
- —
Subjects
Sponsors
- Limónauthor
Committees
Not provided by source.
Action timeline
2025-02-14
Introduced. Read first time. To Com. on RLS. for assignment. To print.
introduction,reading-1,referral-committee
2025-02-18
From printer. May be acted upon on or after March 17.
2025-02-26
Referred to Com. on HEALTH.
referral-committee
2025-03-18
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
2025-03-25
Set for hearing April 2.
2025-04-03
From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 0. Page 636.) (April 2).
amendment-passage,committee-passage,committee-passage-favorable,referral-committee
2025-04-07
Read second time and amended. Re-referred to Com. on APPR.
amendment-passage,reading-1,reading-2,referral-committee
2025-04-08
Set for hearing April 21.
2025-04-21
From committee: Be ordered to second reading pursuant to Senate Rule 28.8.
committee-passage,reading-1,reading-2
2025-04-22
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2025-06-02
Read third time. Passed. (Ayes 38. Noes 0. Page 1384.) Ordered to the Assembly.
passage,reading-1,reading-3
2025-06-03
In Assembly. Read first time. Held at Desk.
reading-1
2025-06-09
Referred to Com. on HEALTH.
referral-committee
2025-06-17
From committee: Do pass and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 15. Noes 0.) (June 17). Re-referred to Com. on APPR.
committee-passage,committee-passage-favorable,referral-committee
2025-07-02
From committee: Do pass. Ordered to consent calendar. (Ayes 14. Noes 0.) (July 2).
committee-passage,committee-passage-favorable
2025-07-03
Read second time. Ordered to consent calendar.
reading-1,reading-2
2025-07-07
From consent calendar on motion of Assembly Member Garcia.
2025-07-07
Ordered to third reading.
reading-1,reading-3
2025-08-21
Read third time and amended.
amendment-passage,reading-1,reading-3
2025-08-21
Ordered to third reading.
reading-1,reading-3
2025-09-08
Read third time. Passed. (Ayes 79. Noes 0. Page 2978.) Ordered to the Senate.
passage,reading-1,reading-3
2025-09-08
In Senate. Concurrence in Assembly amendments pending.
2025-09-09
Assembly amendments concurred in. (Ayes 40. Noes 0. Page 2714.) Ordered to engrossing and enrolling.
amendment-passage,committee-passage,committee-passage-favorable
2025-09-16
Enrolled and presented to the Governor at 3 p.m.
executive-receipt
2025-10-01
Approved by the Governor.
executive-signature
2025-10-01
Chaptered by Secretary of State. Chapter 219, Statutes of 2025.
became-law
Versions
Documents
Votes
Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations]
2025-04-02 · pass · 11-0
Member-level votes (11)
- Gonzalez: yes
- Valladares: yes
- Weber Pierson: yes
- Rubio: yes
- Durazo: yes
- Grove: yes
- Menjivar: yes
- Padilla: yes
- Wiener: yes
- Limón: yes
- Richardson: yes
3rd Reading
2025-06-02 · pass · 38-0
Member-level votes (40)
- Menjivar: yes
- Niello: yes
- Pérez: yes
- Rubio: yes
- Padilla: yes
- Alvarado-Gil: yes
- Cervantes: yes
- Wahab: yes
- Choi: yes
- Smallwood-Cuevas: yes
- Wiener: yes
- Jones: yes
- Grayson: yes
- Cortese: yes
- Seyarto: yes
- Ashby: yes
- Gonzalez: yes
- Arreguín: yes
- Archuleta: yes
- Umberg: yes
- Becker: yes
- Laird: yes
- Durazo: yes
- McGuire: yes
- Ochoa Bogh: yes
- Dahle: yes
- Blakespear: yes
- McNerney: yes
- Allen: yes
- Limón: yes
- Valladares: yes
- Caballero: yes
- Grove: yes
- Strickland: yes
- Stern: yes
- Weber Pierson: yes
- Cabaldon: yes
- Richardson: yes
- Hurtado: other
- Reyes: other
Do pass and be re-referred to the Committee on [Appropriations] with recommendation: To Consent Calendar
2025-06-17 · pass · 15-0
Member-level votes (16)
- Patterson: yes
- Celeste Rodriguez: yes
- Chen: yes
- Bonta: yes
- Patel: yes
- Krell: yes
- Caloza: yes
- Schiavo: yes
- Carrillo: yes
- Sanchez: yes
- Mark González: yes
- Addis: yes
- Sharp-Collins: yes
- Flora: yes
- Aguiar-Curry: yes
- Stefani: other
Do pass. To Consent Calendar.
2025-07-02 · pass · 14-0
Member-level votes (15)
- Sanchez: yes
- Aguiar-Curry: yes
- Nguyen: yes
- Tangipa: yes
- Elhawary: yes
- Pacheco: yes
- Calderon: yes
- Dixon: yes
- Hart: yes
- Ta: yes
- Pellerin: yes
- Wicks: yes
- Arambula: yes
- Solache: yes
- Mark González: other
SB 386 Limón Senate Third Reading By Sharp-Collins
2025-09-08 · pass · 79-0
Member-level votes (80)
- Addis: yes
- Haney: yes
- Elhawary: yes
- Carrillo: yes
- Ransom: yes
- Berman: yes
- Bauer-Kahan: yes
- Schiavo: yes
- Alvarez: yes
- Caloza: yes
- Hoover: yes
- Ortega: yes
- Solache: yes
- Lowenthal: yes
- Petrie-Norris: yes
- Gabriel: yes
- Zbur: yes
- DeMaio: yes
- Hadwick: yes
- Irwin: yes
- Tangipa: yes
- Patel: yes
- Kalra: yes
- Sanchez: yes
- Johnson: yes
- Mark González: yes
- Gipson: yes
- Hart: yes
- Calderon: yes
- Wilson: yes
- Soria: yes
- Valencia: yes
- Celeste Rodriguez: yes
- Connolly: yes
- Papan: yes
- Bonta: yes
- Jeff Gonzalez: yes
- Alanis: yes
- Patterson: yes
- Jackson: yes
- Davies: yes
- Pellerin: yes
- Muratsuchi: yes
- Krell: yes
- Chen: yes
- Quirk-Silva: yes
- Bains: yes
- Michelle Rodriguez: yes
- Arambula: yes
- Bennett: yes
- Ávila Farías: yes
- Aguiar-Curry: yes
- Lee: yes
- Castillo: yes
- Wallis: yes
- Stefani: yes
- Ta: yes
- Blanca Rubio: yes
- Gallagher: yes
- Ellis: yes
- Macedo: yes
- McKinnor: yes
- Ramos: yes
- Rivas: yes
- Ahrens: yes
- Dixon: yes
- Rogers: yes
- Ward: yes
- Fong: yes
- Wicks: yes
- Schultz: yes
- Pacheco: yes
- Boerner: yes
- Sharp-Collins: yes
- Bryan: yes
- Harabedian: yes
- Lackey: yes
- Flora: yes
- Garcia: yes
- Nguyen: other
Unfinished Business SB386 Limón Concurrence
2025-09-09 · pass · 40-0
Member-level votes (40)
- Richardson: yes
- Menjivar: yes
- Cortese: yes
- Jones: yes
- Weber Pierson: yes
- McNerney: yes
- Seyarto: yes
- Stern: yes
- Smallwood-Cuevas: yes
- Becker: yes
- Alvarado-Gil: yes
- McGuire: yes
- Valladares: yes
- Cervantes: yes
- Grove: yes
- Hurtado: yes
- Cabaldon: yes
- Rubio: yes
- Durazo: yes
- Laird: yes
- Padilla: yes
- Dahle: yes
- Limón: yes
- Strickland: yes
- Pérez: yes
- Reyes: yes
- Archuleta: yes
- Niello: yes
- Ochoa Bogh: yes
- Wiener: yes
- Ashby: yes
- Arreguín: yes
- Grayson: yes
- Allen: yes
- Gonzalez: yes
- Caballero: yes
- Choi: yes
- Wahab: yes
- Umberg: yes
- Blakespear: yes
Related bills
No related bills recorded for this bill.
Official source
Attribution
Data from openstates_bulk_csv, retrieved 2026-07-24T01:34:27.960412Z
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