Bill Commons

CA SB 40

enacted

Health care coverage: insulin.

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 requires a health care service plan contract or disability insurance policy issued, amended, delivered, or renewed on or after January 1, 2000, that covers prescription benefits to include coverage for insulin if it is determined to be medically necessary. This bill would prohibit a large group health care service plan contract or health insurance policy issued, amended, delivered, or renewed on or after January 1, 2026, or an individual or small group health care service plan contract or health insurance policy on or after January 1, 2027, from imposing a copayment, coinsurance, deductible, or other cost sharing of more than $35 for a 30-day supply of an insulin prescription drug, except as specified. On and after January 1, 2026, the bill would prohibit a health care service plan or health insurer from imposing step therapy as a prerequisite to authorizing coverage of insulin, and, for a large group health care service plan contract or health insurance policy, would require at least one insulin for a given drug type in all forms and concentrations to be on the prescription drug formulary. The bill would limit the $35 cap for an individual or small group health care service plan contract or health insurance policy to only Tier 1 and Tier 2 insulin if the drug formulary is grouped into tiers, except as provided. 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
2024-12-03
Status date
—
Latest action
2025-10-13 — Chaptered by Secretary of State. Chapter 737, Statutes of 2025.
Bill type
bill
Last updated
—

Subjects

Sponsors

  • Wienerauthor
  • Wahabauthor
  • Rubioprincipal coauthor
  • Weber Piersonprincipal coauthor
  • Arambulacoauthor
  • Bainscoauthor

Committees

Not provided by source.

Action timeline

  1. 2024-12-03

    Introduced. To Com. on RLS. for assignment. To print.

    introduction,referral-committee

  2. 2024-12-04

    From printer. May be acted upon on or after January 3.

  3. 2025-01-06

    Read first time.

    reading-1

  4. 2025-01-29

    Referred to Com. on HEALTH.

    referral-committee

  5. 2025-03-17

    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

  6. 2025-03-25

    Set for hearing April 2.

  7. 2025-04-03

    From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 0. Page 635.) (April 2).

    amendment-passage,committee-passage,committee-passage-favorable,referral-committee

  8. 2025-04-07

    Read second time and amended. Re-referred to Com. on APPR.

    amendment-passage,reading-1,reading-2,referral-committee

  9. 2025-04-08

    Set for hearing April 21.

  10. 2025-04-21

    April 21 hearing: Placed on APPR. suspense file.

  11. 2025-05-16

    Set for hearing May 23.

  12. 2025-05-23

    From committee: Do pass as amended. (Ayes 6. Noes 0. Page 1189.) (May 23).

    amendment-passage,committee-passage,committee-passage-favorable

  13. 2025-05-23

    Read second time and amended. Ordered to second reading.

    amendment-passage,reading-1,reading-2

  14. 2025-05-27

    Read second time. Ordered to third reading.

    reading-1,reading-2,reading-3

  15. 2025-05-28

    Read third time. Passed. (Ayes 37. Noes 0. Page 1280.) Ordered to the Assembly.

    passage,reading-1,reading-3

  16. 2025-05-28

    In Assembly. Read first time. Held at Desk.

    reading-1

  17. 2025-06-05

    Referred to Com. on HEALTH.

    referral-committee

  18. 2025-06-18

    June 24 hearing postponed by committee.

  19. 2025-06-27

    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

  20. 2025-07-16

    From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 16. Noes 0.) (July 15).

    amendment-passage,committee-passage,committee-passage-favorable,referral-committee

  21. 2025-07-17

    Read second time and amended. Re-referred to Com. on APPR.

    amendment-passage,reading-1,reading-2,referral-committee

  22. 2025-08-20

    From committee: Do pass. (Ayes 15. Noes 0.) (August 20).

    committee-passage,committee-passage-favorable

  23. 2025-08-21

    Read second time. Ordered to third reading.

    reading-1,reading-2,reading-3

  24. 2025-08-29

    Read third time and amended.

    amendment-passage,reading-1,reading-3

  25. 2025-08-29

    Ordered to third reading.

    reading-1,reading-3

  26. 2025-09-03

    Read third time. Passed. (Ayes 79. Noes 0. Page 2865.) Ordered to the Senate.

    passage,reading-1,reading-3

  27. 2025-09-03

    In Senate. Concurrence in Assembly amendments pending.

  28. 2025-09-09

    Assembly amendments concurred in. (Ayes 40. Noes 0. Page 2709.) Ordered to engrossing and enrolling.

    amendment-passage,committee-passage,committee-passage-favorable

  29. 2025-09-16

    Enrolled and presented to the Governor at 3 p.m.

    executive-receipt

  30. 2025-10-13

    Approved by the Governor.

    executive-signature

  31. 2025-10-13

    Chaptered by Secretary of State. Chapter 737, Statutes of 2025.

    became-law

Versions

  • 12/03/24 - Introduced — 2024-12-03Compare
  • 03/17/25 - Amended Senate — 2025-03-17Compare
  • 04/07/25 - Amended Senate — 2025-04-07Compare
  • 05/23/25 - Amended Senate — 2025-05-23Compare
  • 06/27/25 - Amended Assembly — 2025-06-27Compare
  • 07/17/25 - Amended Assembly — 2025-07-17Compare
  • 08/29/25 - Amended Assembly — 2025-08-29Compare
  • 09/12/25 - Enrolled — 2025-09-12Compare
  • 10/13/25 - Chaptered — 2025-10-13Compare
  • SB40Compare
  • (document, no version)Compare

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

  • Placed on suspense file

    2025-04-21 · pass · 6-0

    Member-level votes (7)
    • Grayson: yes
    • Wahab: yes
    • Richardson: yes
    • Cabaldon: yes
    • Caballero: yes
    • Seyarto: yes
    • Dahle: other

  • Do pass as amended

    2025-05-23 · pass · 6-0

    Member-level votes (7)
    • Caballero: yes
    • Seyarto: yes
    • Wahab: yes
    • Cabaldon: yes
    • Richardson: yes
    • Grayson: yes
    • Dahle: other

  • 3rd Reading SB40 Wiener et al.

    2025-05-28 · pass · 37-0

    Member-level votes (40)
    • McNerney: yes
    • Cabaldon: yes
    • Allen: yes
    • Padilla: yes
    • Gonzalez: yes
    • Smallwood-Cuevas: yes
    • Laird: yes
    • Becker: yes
    • Ochoa Bogh: yes
    • Rubio: yes
    • Strickland: yes
    • Umberg: yes
    • Caballero: yes
    • Arreguín: yes
    • Wahab: yes
    • Weber Pierson: yes
    • Archuleta: yes
    • McGuire: yes
    • Richardson: yes
    • Blakespear: yes
    • Choi: yes
    • Cortese: yes
    • Hurtado: yes
    • Valladares: yes
    • Jones: yes
    • Alvarado-Gil: yes
    • Grove: yes
    • Dahle: yes
    • Durazo: yes
    • Niello: yes
    • Ashby: yes
    • Grayson: yes
    • Wiener: yes
    • Stern: yes
    • Pérez: yes
    • Seyarto: yes
    • Menjivar: yes
    • Limón: other
    • Reyes: other
    • Cervantes: other

  • Do pass as amended and be re-referred to the Committee on [Appropriations]

    2025-07-15 · pass · 16-0

    Member-level votes (16)
    • Bonta: yes
    • Caloza: yes
    • Stefani: yes
    • Sharp-Collins: yes
    • Krell: yes
    • Patterson: yes
    • Celeste Rodriguez: yes
    • Flora: yes
    • Carrillo: yes
    • Addis: yes
    • Chen: yes
    • Sanchez: yes
    • Mark González: yes
    • Aguiar-Curry: yes
    • Schiavo: yes
    • Patel: yes

  • Do pass.

    2025-08-20 · pass · 15-0

    Member-level votes (15)
    • Fong: yes
    • Arambula: yes
    • Tangipa: yes
    • Ta: yes
    • Solache: yes
    • Wicks: yes
    • Caloza: yes
    • Dixon: yes
    • Pellerin: yes
    • Jeff Gonzalez: yes
    • Calderon: yes
    • Pacheco: yes
    • Elhawary: yes
    • Hart: yes
    • Mark González: yes

  • SB 40 Wiener Senate Third Reading By Bains

    2025-09-03 · pass · 79-0

    Member-level votes (79)
    • Pacheco: yes
    • Flora: yes
    • Schultz: yes
    • Patterson: yes
    • Ellis: yes
    • Gabriel: yes
    • Valencia: yes
    • Petrie-Norris: yes
    • Caloza: yes
    • Gipson: yes
    • Bauer-Kahan: yes
    • Lee: yes
    • Muratsuchi: yes
    • Alanis: yes
    • Elhawary: yes
    • Zbur: yes
    • Schiavo: yes
    • Michelle Rodriguez: yes
    • Macedo: yes
    • Kalra: yes
    • Rivas: yes
    • Ortega: yes
    • Berman: yes
    • Davies: yes
    • Connolly: yes
    • Bains: yes
    • Nguyen: yes
    • Arambula: yes
    • Garcia: yes
    • Krell: yes
    • Chen: yes
    • Wilson: yes
    • Mark González: yes
    • Carrillo: yes
    • Hadwick: yes
    • Stefani: yes
    • Blanca Rubio: yes
    • Wicks: yes
    • Gallagher: yes
    • Jackson: yes
    • Jeff Gonzalez: yes
    • Ramos: yes
    • Wallis: yes
    • Alvarez: yes
    • Addis: yes
    • Ransom: yes
    • Haney: yes
    • Harabedian: yes
    • Irwin: yes
    • Solache: yes
    • DeMaio: yes
    • McKinnor: yes
    • Patel: yes
    • Quirk-Silva: yes
    • Aguiar-Curry: yes
    • Bennett: yes
    • Hart: yes
    • Castillo: yes
    • Ward: yes
    • Rogers: yes
    • Ahrens: yes
    • Dixon: yes
    • Bryan: yes
    • Sanchez: yes
    • Calderon: yes
    • Sharp-Collins: yes
    • Lowenthal: yes
    • Ávila Farías: yes
    • Soria: yes
    • Boerner: yes
    • Pellerin: yes
    • Ta: yes
    • Hoover: yes
    • Papan: yes
    • Tangipa: yes
    • Celeste Rodriguez: yes
    • Lackey: yes
    • Bonta: yes
    • Fong: yes

  • Unfinished Business SB40 Wiener et al. 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

http://leginfo.legislature.ca.gov/faces/billNavClient.xhtml?bill_id=202520260SB40

Attribution

Data from openstates_bulk_csv, retrieved 2026-07-24T01:34:27.960412Z

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