CA SB 1199
in committeePrescription drug cost sharing.
California · 2025-2026 Regular Session · upper
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Quick answers
Did CA SB 1199 pass?
Not yet. CA SB 1199 is in committee and has not come to a final vote. Latest recorded action (2026-08-13): August 13 hearing: Held in committee and under submission.
What is CA SB 1199 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 also provides for the regulation of health insurers by the Department of Insurance. Existing law, except as provided and under certain circumstances, prohibits a person who manufactures a prescription drug from offering a discount, repayment, product voucher, or other reduction in an individual's out-of-pocket expenses associated with their health insurance or health care service plan. Existing law generally imposes specified cost sharing limits on covered prescription drugs. This bill would require a health care service plan or health insurer, when calculating an enrollee's or insured's overall contribution to an out-of-pocket maximum or cost sharing requirement under the plan contract or insurance policy, to count any amount paid by the enrollee or insured or on behalf of the enrollee or insured for a covered drug toward the enrollee's or insured's cost sharing, except as provided. The bill would prescribe an administrative penalty for each violation by a health insurer that is enforceable by the Insurance Commissioner after appropriate notice and opportunity for hearing. Because a willful violation of these provisions 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 SB 1199?
Weber Pierson is the primary sponsor of CA SB 1199.
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 also provides for the regulation of health insurers by the Department of Insurance. Existing law, except as provided and under certain circumstances, prohibits a person who manufactures a prescription drug from offering a discount, repayment, product voucher, or other reduction in an individual's out-of-pocket expenses associated with their health insurance or health care service plan. Existing law generally imposes specified cost sharing limits on covered prescription drugs. This bill would require a health care service plan or health insurer, when calculating an enrollee's or insured's overall contribution to an out-of-pocket maximum or cost sharing requirement under the plan contract or insurance policy, to count any amount paid by the enrollee or insured or on behalf of the enrollee or insured for a covered drug toward the enrollee's or insured's cost sharing, except as provided. The bill would prescribe an administrative penalty for each violation by a health insurer that is enforceable by the Insurance Commissioner after appropriate notice and opportunity for hearing. Because a willful violation of these provisions 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
- 2026-02-19
- Latest action
- 2026-08-13 — August 13 hearing: Held in committee and under submission.
- Bill type
- bill
- Last updated
- —
Subjects
Sponsors
- Weber Piersonauthor
Committees
Not provided by source.
Action timeline
Newest first
2026-08-13
August 13 hearing: Held in committee and under submission.
2026-08-05
August 5 set for first hearing. Placed on suspense file.
2026-07-02
Read second time and amended. Re-referred to Com. on APPR.
amendment-passage,reading-1,reading-2,referral-committee
2026-07-01
From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 13. Noes 0.) (June 30).
amendment-passage,committee-passage,committee-passage-favorable,referral-committee
2026-06-01
Referred to Com. on HEALTH.
referral-committee
2026-05-22
In Assembly. Read first time. Held at Desk.
reading-1
2026-05-22
Read third time. Passed. (Ayes 26. Noes 0. Page 4413.) Ordered to the Assembly.
passage,reading-1,reading-3
2026-05-14
Read second time. Ordered to third reading.
reading-1,reading-2,reading-3
2026-05-14
From committee: Do pass. (Ayes 5. Noes 0. Page 4268.) (May 14).
committee-passage,committee-passage-favorable
2026-05-08
Set for hearing May 14.
2026-05-04
May 4 hearing: Placed on APPR. suspense file.
2026-04-28
Set for hearing May 4.
2026-04-27
Read second time and amended. Re-referred to Com. on APPR.
amendment-passage,reading-1,reading-2,referral-committee
2026-04-23
From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 9. Noes 0. Page 4011.) (April 22).
amendment-passage,committee-passage,committee-passage-favorable,referral-committee
2026-04-13
Set for hearing April 22.
2026-03-04
Referred to Com. on HEALTH.
referral-committee
2026-02-20
From printer. May be acted upon on or after March 22.
2026-02-19
Introduced. Read first time. To Com. on RLS. for assignment. To print.
introduction,reading-1,referral-committee
Versions
Documents
- application/pdf
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Votes
Do pass as amended, but first amend, and re-refer to the Committee on [Appropriations]
2026-04-22 · pass · 9-0
Member-level votes (11)
- Gonzalez: yes
- Padilla: yes
- Weber Pierson: yes
- Smallwood-Cuevas: yes
- Rubio: yes
- Pérez: yes
- Durazo: yes
- Menjivar: yes
- Caballero: yes
- Grove: other
- Valladares: other
Placed on suspense file
2026-05-04 · pass · 7-0
Member-level votes (7)
- Dahle: yes
- Cervantes: yes
- Wahab: yes
- Richardson: yes
- Seyarto: yes
- Cabaldon: yes
- Grayson: yes
Do pass
2026-05-14 · pass · 5-0
Member-level votes (7)
- Wahab: yes
- Cervantes: yes
- Cabaldon: yes
- Richardson: yes
- Grayson: yes
- Dahle: other
- Seyarto: other
3rd Reading SB1199 Weber Pierson
2026-05-22 · pass · 26-0
Member-level votes (40)
- Rubio: yes
- Durazo: yes
- Cortese: yes
- McNerney: yes
- Pérez: yes
- Weber Pierson: yes
- Gonzalez: yes
- Cabaldon: yes
- Wiener: yes
- Cervantes: yes
- Umberg: yes
- Blakespear: yes
- Archuleta: yes
- Arreguín: yes
- Reyes: yes
- Ashby: yes
- Limón: yes
- Smallwood-Cuevas: yes
- Caballero: yes
- Choi: yes
- Richardson: yes
- McGuire: yes
- Laird: yes
- Wahab: yes
- Menjivar: yes
- Grayson: yes
- Becker: other
- Dahle: other
- Hurtado: other
- Padilla: other
- Alvarado-Gil: other
- Seyarto: other
- Stern: other
- Grove: other
- Niello: other
- Strickland: other
- Allen: other
- Valladares: other
- Ochoa Bogh: other
- Jones: other
Do pass as amended and be re-referred to the Committee on [Appropriations]
2026-06-30 · pass · 13-0
Member-level votes (16)
- Schiavo: yes
- Sharp-Collins: yes
- Ahrens: yes
- Stefani: yes
- Mark González: yes
- Addis: yes
- Jeff Gonzalez: yes
- Aguiar-Curry: yes
- Patel: yes
- Carrillo: yes
- Bonta: yes
- Caloza: yes
- Celeste Rodriguez: yes
- Sanchez: other
- Johnson: other
- Patterson: other
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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