Includes all politicians who were in office at any point during the 2013-2014 Legislature.

AB 299 - An Act to Add Section 1367.245 to the Health and Safety Code, and to Add Section 10123.193 to the Insurance Code, Relating to Health Care Coverage.

Prescription drug benefits. 2013-2014 Legislature. View bill details
Author(s):
Summary:
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 that act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires every health care service plan that provides… More
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 that act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires every health care service plan that provides prescription drug benefits that maintains one or more drug formularies to provide to members of the public, upon request, a copy of the most current list of prescription drugs on the formulary.

This bill would prohibit a health care service plan or health insurer that provides prescription drug benefits from requiring an enrollee or insured to use mail order pharmacy services for covered prescription drugs that are available at an in-network retail pharmacy, and would prohibit the enrollee’s or insured’s exercise of choice with regard to obtaining those drugs from an in-network mail order pharmacy or an in-network retail pharmacy from requiring any authorization by the plan or insurer or the prescriber. The bill would specify that these requirements would not apply to drugs that are not available in retail pharmacies due to a manufacturer’s instructions or restrictions. Because a willful violation of these 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. Hide
 
Status:
The bill was voted on by an Assembly committee on April 30, 2013. 
There have been no votes on passage on this bill.
Other Votes:

An Act to Add Section 1367.245 to the Health and Safety Code, and to Add Section 10123.193 to the Insurance Code, Relating to Health Care Coverage.

AB 299 — 2013-2014 Legislature

Summary
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 that act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires every health care service plan that provides prescription drug benefits that maintains one or more drug formularies to provide to members of the public, upon request, a copy of the most current list of prescription drugs on the formulary.

This bill would prohibit a health care service plan or health insurer that provides prescription drug benefits from requiring an enrollee or insured to use mail order pharmacy services for covered prescription drugs that are available at an in-network retail pharmacy, and would prohibit the enrollee’s or insured’s exercise of choice with regard to obtaining those drugs from an in-network mail order pharmacy or an in-network retail pharmacy from requiring any authorization by the plan or insurer or the prescriber. The bill would specify that these requirements would not apply to… More
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 that act a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires every health care service plan that provides prescription drug benefits that maintains one or more drug formularies to provide to members of the public, upon request, a copy of the most current list of prescription drugs on the formulary.

This bill would prohibit a health care service plan or health insurer that provides prescription drug benefits from requiring an enrollee or insured to use mail order pharmacy services for covered prescription drugs that are available at an in-network retail pharmacy, and would prohibit the enrollee’s or insured’s exercise of choice with regard to obtaining those drugs from an in-network mail order pharmacy or an in-network retail pharmacy from requiring any authorization by the plan or insurer or the prescriber. The bill would specify that these requirements would not apply to drugs that are not available in retail pharmacies due to a manufacturer’s instructions or restrictions. Because a willful violation of these 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. Hide
Learn More
At LegInfo.ca.gov
Title
An Act to Add Section 1367.245 to the Health and Safety Code, and to Add Section 10123.193 to the Insurance Code, Relating to Health Care Coverage.
Author(s)
Chris R. Holden
Co-Authors
Subjects
  • Prescription drug benefits
Major Actions
Introduced2/12/2013
Referred to Committee
Passed Assembly Committee on Business, Professions and Consumer Protection4/23/2013
Passed Assembly Committee on Health4/30/2013
Bill History
Chamber/CommitteeMotionDateResult
select this voteAssembly Committee on Business, Professions and Consumer ProtectionDo pass and be re-referred to the Committee on Health.4/23/2013This motion PASSED the Assembly Committee on Business, Professions and Consumer Protection
8 voted YES 3 voted NO 2 voted present/not voting
select this voteAssembly Committee on HealthDo pass as amended and be re-referred to the Committee on Appropriations.4/30/2013This motion PASSED the Assembly Committee on Health
11 voted YES 6 voted NO 2 voted present/not voting
ActionDateDescription
Introduced2/12/2013
2/12/2013Read first time. To print.
2/13/2013From printer. May be heard in committee March 15.
2/28/2013Referred to Coms. on B.,P. & C.P. and HEALTH.
4/16/2013From committee chair, with author's amendments: Amend, and re-refer to Com. on B.,P. & C.P. Read second time and amended.
4/17/2013Re-referred to Com. on B.,P. & C.P.
select this voteVote4/23/2013Do pass and be re-referred to the Committee on Health.
4/24/2013From committee: Do pass and re-refer to Com. on HEALTH. (Ayes 8. Noes 3.) (April 23). Re-referred to Com. on HEALTH.
select this voteVote4/30/2013Do pass as amended and be re-referred to the Committee on Appropriations.
5/06/2013From committee: Do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 6.) (April 30).
5/07/2013Read second time and amended.
5/08/2013Re-referred to Com. on APPR.
5/14/2013From committee chair, with author's amendments: Amend, and re-refer to Com. on APPR. Read second time and amended.
5/15/2013Re-referred to Com. on APPR.
5/24/2013In committee: Set, first hearing. Referred to APPR. suspense file. In committee: Held under submission.

Total contributions given to Assemblymembers from interest groups that…

26 Organizations Supported and 8 Opposed; See Which Ones

Organizations that took a position on
An Act to Add Section 1367.245 to the Health and Safety Code, and to Add Section 10123.193 to the Insurance Code, Relating to Health Care Coverage.

26 organizations supported this bill

AARP
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Access
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
AIDS Healthcare Foundation
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
AIDS Services Foundation Orange County
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Biocom
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Black Women for Wellness
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
California Chronic Care Coalition
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
California Commission on Aging
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
California Healthcare Institute
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
California National Organization for Women
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
California Pharmacists Association
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
California Senior Legislature
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
City of West Hollywood
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Common Ground
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Disability Rights California
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
L.A. Gay & Lesbian Center
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
National Association of Chain Drug Stores
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
National Community Pharmacists Association
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
National Multiple Sclerosis Society
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Nclr / Csulb Center For Latino Community Health
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Orange County Hiv / Aids Advocacy Team
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Pharmacy Choice
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Project Inform
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Rite Aid
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Target
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Walgreens
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.

8 organizations opposed this bill

America's Health Insurance Plans
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Anthem
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Association of California Life & Health Insurance Companies
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
California Association of Health Plans
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
CVS Caremark
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Express Scripts
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Health Net
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.
Molina Healthcare
Assembly Committee on Health (2013, April 26). Assembly Committee Analysis. Retrieved May 28, 2013, from Leginfo: Bill Analysis.

Need proof?

View citations of support and opposition

Includes reported contributions to campaigns of Assemblymembers in office during the 2013-2014 California State Legislature, from interest groups invested in the vote according to MapLight, January 1, 2011 – December 31, 2012.
Contributions data source: FollowTheMoney.org

Contributions by Legislator

Namesort iconPartyDistrict$ From Interest Groups
That Supported
$ From Interest Groups
That Opposed
Katcho AchadjianRCA-35$1,000$10,950
Luis AlejoDCA-30$4,135$5,000
Travis AllenRCA-72$500$3,000
Tom AmmianoDCA-17$0$350
Toni G. AtkinsDCA-78$20,794$30,350
Frank BigelowRCA-5$6,400$600
Richard BloomDCA-50$3,900$5,900
Bob BlumenfieldDCA-45$2,250$17,749
Raul BocanegraDCA-39$30,850$43,589
Susan BonillaDCA-14$11,335$22,200
Rob BontaDCA-18$13,450$12,450
Steven BradfordDCA-62$3,000$10,500
Cheryl BrownDCA-47$9,500$1,175
Joan BuchananDCA-16$10,000$11,400
Ian C. CalderonDCA-57$12,300$34,905
Nora CamposDCA-27$0$3,500
Ed ChauDCA-49$7,800$2,064
Rocky J. ChavezRCA-76$7,800$0
Wesley ChesbroDCA-2$2,000$5,900
Connie ConwayRCA-26$28,100$61,431
Ken CooleyDCA-8$0$19,500
Brian DahleRCA-1$0$0
Tom DalyDCA-69$6,000$25,600
Roger DickinsonDCA-7$1,200$8,100
Tim DonnellyRCA-33$0$250
Susan Talamantes EggmanDCA-13$27,000$23,900
Paul FongDCA-28$3,500$750
Steve FoxDCA-36$0$0
Jim FrazierDCA-11$8,582$15,920
Beth GainesRCA-6$10,000$31,071
Cristina GarciaDCA-58$12,700$1,064
Mike GattoDCA-43$12,900$40,475
Jimmy GomezDCA-51$3,600$19,250
Rich GordonDCA-24$15,436$21,850
Jeff GorellRCA-44$9,822$12,900
Adam C. GrayDCA-21$18,000$46,262
Shannon GroveRCA-34$1,000$8,500
Curt HagmanRCA-55$5,000$18,400
Isadore HallDCA-64$18,200$23,803
Diane HarkeyRCA-73$6,000$16,200
Roger HernandezDCA-48$11,216$28,830
Chris R. HoldenDCA-41$6,500$10,750
Ben HuesoDCA-80$5,497$7,500
Brian JonesRCA-71$3,000$3,000
Reginald B. Jones-Sawyer, Sr.DCA-59$1,000$1,350
Marc LevineDCA-10$0$925
Eric LinderRCA-60$2,500$500
Dan LogueRCA-3$1,500$59,529
Bonnie LowenthalDCA-70$500$5,000
Brian MaienscheinRCA-77$1,150$7,900
Allan MansoorRCA-74$0$23,050
Jose MedinaDCA-61$5,900$12,800
Melissa A. MelendezRCA-67$1,750$7,400
Holly J. MitchellDCA-54$11,252$25,750
Mike MorrellRCA-40$1,500$15,550
Kevin MullinDCA-22$8,400$12,000
Al MuratsuchiDCA-66$10,550$10,564
Adrin NazarianDCA-46$1,000$5,264
Brian NestandeRCA-42$4,900$22,300
Kristin OlsenRCA-12$12,400$23,475
Richard PanDCA-9$27,663$65,999
Jim PattersonRCA-23$0$3,250
Henry PereaDCA-31$28,400$35,900
John PerezDCA-53$28,349$101,773
Manuel PerezDCA-56$12,100$18,300
Bill QuirkDCA-20$1,250$1,600
Sharon Quirk-SilvaDCA-65$22,850$8,171
Anthony RendonDCA-63$8,000$29,814
Rudy SalasDCA-32$15,200$13,200
Nancy SkinnerDCA-15$6,000$7,100
Mark StoneDCA-29$4,900$8,050
Philip Y. TingDCA-19$15,641$15,900
Norma TorresDCA-52$4,000$18,800
Don WagnerRCA-68$2,500$9,350
Marie WaldronRCA-75$1,000$0
Shirley N. WeberDCA-79$11,800$0
Bob WieckowskiDCA-25$3,000$4,750
Scott WilkRCA-38$1,000$5,700
Das WilliamsDCA-37$15,439$13,900
Mariko YamadaDCA-4$4,000$0

Add Data Filters:

Legislator Filters
Legislator Filters
NamePartyDistrict$ From Interest Groups
That Supported
$ From Interest Groups
That Opposed
Katcho AchadjianRCA-35$1,000$10,950
Luis AlejoDCA-30$4,135$5,000
Travis AllenRCA-72$500$3,000
Tom AmmianoDCA-17$0$350
Toni G. AtkinsDCA-78$20,794$30,350
Frank BigelowRCA-5$6,400$600
Richard BloomDCA-50$3,900$5,900
Bob BlumenfieldDCA-45$2,250$17,749
Raul BocanegraDCA-39$30,850$43,589
Susan BonillaDCA-14$11,335$22,200
Rob BontaDCA-18$13,450$12,450
Steven BradfordDCA-62$3,000$10,500
Cheryl BrownDCA-47$9,500$1,175
Joan BuchananDCA-16$10,000$11,400
Ian C. CalderonDCA-57$12,300$34,905
Nora CamposDCA-27$0$3,500
Ed ChauDCA-49$7,800$2,064
Rocky J. ChavezRCA-76$7,800$0
Wesley ChesbroDCA-2$2,000$5,900
Connie ConwayRCA-26$28,100$61,431
Ken CooleyDCA-8$0$19,500
Brian DahleRCA-1$0$0
Tom DalyDCA-69$6,000$25,600
Roger DickinsonDCA-7$1,200$8,100
Tim DonnellyRCA-33$0$250
Susan Talamantes EggmanDCA-13$27,000$23,900
Paul FongDCA-28$3,500$750
Steve FoxDCA-36$0$0
Jim FrazierDCA-11$8,582$15,920
Beth GainesRCA-6$10,000$31,071
Cristina GarciaDCA-58$12,700$1,064
Mike GattoDCA-43$12,900$40,475
Jimmy GomezDCA-51$3,600$19,250
Rich GordonDCA-24$15,436$21,850
Jeff GorellRCA-44$9,822$12,900
Adam C. GrayDCA-21$18,000$46,262
Shannon GroveRCA-34$1,000$8,500
Curt HagmanRCA-55$5,000$18,400
Isadore HallDCA-64$18,200$23,803
Diane HarkeyRCA-73$6,000$16,200
Roger HernandezDCA-48$11,216$28,830
Chris R. HoldenDCA-41$6,500$10,750
Ben HuesoDCA-80$5,497$7,500
Brian JonesRCA-71$3,000$3,000
Reginald B. Jones-Sawyer, Sr.DCA-59$1,000$1,350
Marc LevineDCA-10$0$925
Eric LinderRCA-60$2,500$500
Dan LogueRCA-3$1,500$59,529
Bonnie LowenthalDCA-70$500$5,000
Brian MaienscheinRCA-77$1,150$7,900
Allan MansoorRCA-74$0$23,050
Jose MedinaDCA-61$5,900$12,800
Melissa A. MelendezRCA-67$1,750$7,400
Holly J. MitchellDCA-54$11,252$25,750
Mike MorrellRCA-40$1,500$15,550
Kevin MullinDCA-22$8,400$12,000
Al MuratsuchiDCA-66$10,550$10,564
Adrin NazarianDCA-46$1,000$5,264
Brian NestandeRCA-42$4,900$22,300
Kristin OlsenRCA-12$12,400$23,475
Richard PanDCA-9$27,663$65,999
Jim PattersonRCA-23$0$3,250
Henry PereaDCA-31$28,400$35,900
John PerezDCA-53$28,349$101,773
Manuel PerezDCA-56$12,100$18,300
Bill QuirkDCA-20$1,250$1,600
Sharon Quirk-SilvaDCA-65$22,850$8,171
Anthony RendonDCA-63$8,000$29,814
Rudy SalasDCA-32$15,200$13,200
Nancy SkinnerDCA-15$6,000$7,100
Mark StoneDCA-29$4,900$8,050
Philip Y. TingDCA-19$15,641$15,900
Norma TorresDCA-52$4,000$18,800
Don WagnerRCA-68$2,500$9,350
Marie WaldronRCA-75$1,000$0
Shirley N. WeberDCA-79$11,800$0
Bob WieckowskiDCA-25$3,000$4,750
Scott WilkRCA-38$1,000$5,700
Das WilliamsDCA-37$15,439$13,900
Mariko YamadaDCA-4$4,000$0

Interest Groups that supported this bill

$ Donated
Drug stores$194,200
Biotech products & research$159,554
Department, variety & convenience stores$122,375
Health & welfare policy$120,641
Minority & ethnic groups$107,941
Women's issues$65,650
Municipal & county government organizations$32,600
Pharmacists$23,150
Gay & lesbian rights and issues$5,650
Elderly issues & Social Security$100
AIDS treatment & testing$0
Human rights$0
Consumer groups$0

Interest Groups that opposed this bill

$ Donated
Accident & health insurance$682,379
HMOs$350,069
Drug stores$194,200
Health care services$187,605
Insurance companies, general$41,750
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