CA AB 280
enactedHealth care coverage: provider directories.
California · 2025-2026 Regular Session · lower
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Quick answers
Did CA AB 280 pass?
Yes. CA AB 280 has been enacted into law. Latest recorded action (2026-09-27): Chaptered by Secretary of State - Chapter 499, Statutes of 2026.
What is CA AB 280 about?
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. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan and a health insurer that contracts with providers for alternative rates of payment to publish and maintain a provider directory or directories with information on contracting providers that deliver health care services enrollees or insureds, and requires a health care service plan and health insurer to regularly update its printed and online provider directory or directories, as specified. Existing law authorizes the departments to require a plan or insurer to provide coverage for all covered health care services provided to an enrollee or insured who reasonably relied on materially inaccurate, incomplete, or misleading information contained in a plan's or insurer's provider directory or directories. This bill would require the Department of Managed Health Care to select a central utility and develop uniform provider directory standards requiring a health care service plan to use the designated central utility to collect, manage, and verify the consistency and completeness of their provider directories. The bill would also require health insurers to use the designated central utility and follow the uniform provider directory standards. The bill would require plans and health insurers to submit their provider directories to the central utility for analysis, and would require the central utility to create a consistency report for each directory. This bill would require a plan or insurer to provide coverage for all covered benefits provided to an enrollee or insured who reasonably relied on inaccurate, incomplete, or misleading information contained in the plan's or insurer's provider directory or directories and to reimburse the provider the agreed upon amount, or, if none, a reasonable and customary amount, as specified, for those services. The bill would prohibit a provider from collecting an additional amount from an enrollee or insured other than the applicable in-network cost sharing, which would count toward the in-network deductible and out-of-pocket maximum. The bill would require the health care service plan or the insurer, as applicable, to ensure the accuracy of a request to add back a provider who was previously removed from a directory and approve the request within 10 business days of receipt, if accurate. The bill would authorize a health care service plan or insurer to include a specified statement in the provider listing before removing the provider from the directory if the provider does not respond within 5 calendar days of the plan's or insurer's annual notification. The bill would require a plan or insurer to comply with its provisions on and after July 1, 2027. 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.
Who sponsors CA AB 280?
Aguiar-Curry is the primary sponsor of CA AB 280, joined by 1 cosponsor.
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. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan and a health insurer that contracts with providers for alternative rates of payment to publish and maintain a provider directory or directories with information on contracting providers that deliver health care services enrollees or insureds, and requires a health care service plan and health insurer to regularly update its printed and online provider directory or directories, as specified. Existing law authorizes the departments to require a plan or insurer to provide coverage for all covered health care services provided to an enrollee or insured who reasonably relied on materially inaccurate, incomplete, or misleading information contained in a plan's or insurer's provider directory or directories. This bill would require the Department of Managed Health Care to select a central utility and develop uniform provider directory standards requiring a health care service plan to use the designated central utility to collect, manage, and verify the consistency and completeness of their provider directories. The bill would also require health insurers to use the designated central utility and follow the uniform provider directory standards. The bill would require plans and health insurers to submit their provider directories to the central utility for analysis, and would require the central utility to create a consistency report for each directory. This bill would require a plan or insurer to provide coverage for all covered benefits provided to an enrollee or insured who reasonably relied on inaccurate, incomplete, or misleading information contained in the plan's or insurer's provider directory or directories and to reimburse the provider the agreed upon amount, or, if none, a reasonable and customary amount, as specified, for those services. The bill would prohibit a provider from collecting an additional amount from an enrollee or insured other than the applicable in-network cost sharing, which would count toward the in-network deductible and out-of-pocket maximum. The bill would require the health care service plan or the insurer, as applicable, to ensure the accuracy of a request to add back a provider who was previously removed from a directory and approve the request within 10 business days of receipt, if accurate. The bill would authorize a health care service plan or insurer to include a specified statement in the provider listing before removing the provider from the directory if the provider does not respond within 5 calendar days of the plan's or insurer's annual notification. The bill would require a plan or insurer to comply with its provisions on and after July 1, 2027. 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
- 2025-05-23
- Latest action
- 2026-09-27 — Chaptered by Secretary of State - Chapter 499, Statutes of 2026.
- Bill type
- bill
- Last updated
- —
Subjects
Sponsors
- Aguiar-Curryauthor
- Papanauthor
Committees
Not provided by source.
Action timeline
Newest first
2026-09-27
Chaptered by Secretary of State - Chapter 499, Statutes of 2026.
became-law
2026-09-27
Approved by the Governor.
executive-signature
2026-09-04
Enrolled and presented to the Governor at 4 p.m.
executive-receipt
2026-08-27
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 64. Noes 2.).
amendment-passage,committee-passage,committee-passage-favorable
2026-08-27
In Assembly. Concurrence in Senate amendments pending.
2026-08-27
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 64. Noes 2. Page 6696.).
amendment-passage,committee-passage,committee-passage-favorable
2026-08-26
Read third time. Passed. Ordered to the Assembly. (Ayes 31. Noes 3.).
passage,reading-1,reading-3
2026-08-24
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2026-08-21
From inactive file.
2026-08-21
Ordered to second reading.
reading-1,reading-2
2026-08-21
Read second time and amended. Ordered returned to second reading.
amendment-passage,reading-1,reading-2
2025-09-08
Ordered to inactive file at the request of Senator Durazo.
2025-08-29
From committee: Do pass. (Ayes 5. Noes 0.) (August 29).
committee-passage,committee-passage-favorable
2025-08-29
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2025-08-18
In committee: Referred to suspense file.
referral-committee
2025-07-15
Read second time and amended. Re-referred to Com. on APPR.
amendment-passage,reading-1,reading-2,referral-committee
2025-07-14
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 0.) (July 9).
amendment-introduction,amendment-passage,committee-passage,referral-committee
2025-06-30
From committee chair, with author's amendments: Amend, and re-refer to committee. Read second time, amended, and re-referred to Com. on HEALTH.
amendment-introduction,amendment-passage,committee-passage,reading-1,reading-2,referral-committee
2025-06-11
Referred to Com. on HEALTH.
referral-committee
2025-06-03
In Senate. Read first time. To Com. on RLS. for assignment.
reading-1,referral-committee
2025-06-02
Read third time. Passed. Ordered to the Senate. (Ayes 61. Noes 7. Page 1926.)
passage,reading-1,reading-3
2025-05-27
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2025-05-23
From committee: Amend, and do pass as amended. (Ayes 11. Noes 1.) (May 23).
amendment-introduction,amendment-passage,committee-passage
2025-05-23
Read second time and amended. Ordered returned to second reading.
amendment-passage,reading-1,reading-2
2025-05-23
Assembly Rule 63 suspended. (Ayes 51. Noes 16. Page 1644.)
2025-04-23
In committee: Set, first hearing. Referred to suspense file.
referral-committee
2025-04-02
From committee: Do pass and re-refer to Com. on APPR. (Ayes 11. Noes 0.) (April 1). Re-referred to Com. on APPR.
committee-passage,committee-passage-favorable,referral-committee
2025-02-10
Referred to Com. on HEALTH.
referral-committee
2025-01-22
From printer. May be heard in committee February 21.
2025-01-21
Read first time. To print.
reading-1
Versions
- 01/21/25 - Introduced — 2025-01-21Compare
- 05/23/25 - Amended Assembly — 2025-05-23Compare
- 06/30/25 - Amended Senate — 2025-06-30Compare
- 07/15/25 - Amended Senate — 2025-07-15Compare
- 08/21/26 - Amended Senate — 2026-08-21Compare
- 09/01/26 - Enrolled — 2026-09-01Compare
- 09/27/26 - Chaptered — 2026-09-27Compare
- (document, no version)Compare
- AB280Compare
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Votes
Do pass and be re-referred to the Committee on [Appropriations]
2025-04-01 · pass · 11-0
Member-level votes (15)
- Patel: yes
- Addis: yes
- Krell: yes
- Stefani: yes
- Carrillo: yes
- Arambula: yes
- Schiavo: yes
- Bonta: yes
- Mark González: yes
- Aguiar-Curry: yes
- Celeste Rodriguez: yes
- Chen: other
- Sanchez: other
- Sharp-Collins: other
- Flora: other
Do pass as amended.
2025-05-23 · pass · 11-1
Member-level votes (15)
- Calderon: yes
- Elhawary: yes
- Hart: yes
- Mark González: yes
- Arambula: yes
- Pacheco: yes
- Solache: yes
- Caloza: yes
- Wicks: yes
- Pellerin: yes
- Fong: yes
- Dixon: no
- Ta: other
- Sanchez: other
- Tangipa: other
AB 280 Aguiar-Curry Assembly Third Reading
2025-06-03 · pass · 61-7
Member-level votes (79)
- Addis: yes
- Garcia: yes
- Lee: yes
- Rivas: yes
- Petrie-Norris: yes
- Bryan: yes
- Michelle Rodriguez: yes
- Rogers: yes
- Gallagher: yes
- Irwin: yes
- Wicks: yes
- Arambula: yes
- Caloza: yes
- Ahrens: yes
- Krell: yes
- Stefani: yes
- Harabedian: yes
- Mark González: yes
- Calderon: yes
- Nguyen: yes
- Ward: yes
- Carrillo: yes
- Blanca Rubio: yes
- Muratsuchi: yes
- Patel: yes
- Solache: yes
- Chen: yes
- Bonta: yes
- Lowenthal: yes
- McKinnor: yes
- Papan: yes
- Schiavo: yes
- Gabriel: yes
- Pacheco: yes
- Ávila Farías: yes
- Aguiar-Curry: yes
- Ransom: yes
- Connolly: yes
- Celeste Rodriguez: yes
- Fong: yes
- Quirk-Silva: yes
- Ramos: yes
- Soria: yes
- Pellerin: yes
- Elhawary: yes
- Kalra: yes
- Haney: yes
- Gipson: yes
- Hart: yes
- Boerner: yes
- Alvarez: yes
- Bauer-Kahan: yes
- Schultz: yes
- Sharp-Collins: yes
- Berman: yes
- Jackson: yes
- Wilson: yes
- Zbur: yes
- Ortega: yes
- Bains: yes
- Valencia: yes
- Hoover: no
- Wallis: no
- Tangipa: no
- Davies: no
- Alanis: no
- Dixon: no
- DeMaio: no
- Lackey: other
- Ta: other
- Ellis: other
- Flora: other
- Jeff Gonzalez: other
- Bennett: other
- Hadwick: other
- Macedo: other
- Castillo: other
- Patterson: other
- Sanchez: other
Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations]
2025-07-09 · pass · 8-0
Member-level votes (11)
- Wiener: yes
- Durazo: yes
- Menjivar: yes
- Limón: yes
- Padilla: yes
- Rubio: yes
- Richardson: yes
- Gonzalez: yes
- Weber Pierson: other
- Valladares: other
- Grove: other
Placed on suspense file
2025-08-18 · pass · 7-0
Member-level votes (7)
- Richardson: yes
- Seyarto: yes
- Caballero: yes
- Cabaldon: yes
- Dahle: yes
- Wahab: yes
- Grayson: yes
Do pass
2025-08-29 · pass · 5-0
Member-level votes (7)
- Richardson: yes
- Grayson: yes
- Wahab: yes
- Caballero: yes
- Cabaldon: yes
- Dahle: other
- Seyarto: other
Related bills
No related bills recorded for this bill.
Official source
Attribution
Data from openstates_api_sync, retrieved 2026-09-30T07:35:46.414591Z
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