SB 810 - An Act to Add Division 114 (Commencing with Section 140000) to the Health and Safety Code, Relating to Health Care Coverage.

Single‑payer health care coverage. 2009-2010 Legislature. View bill details
Author(s):
Summary:
Existing law does not provide a system of universal health care coverage for California residents. Existing law provides for the creation of various programs to provide health care services to persons who have limited incomes and meet various eligibility requirements. These programs include the Healthy Families Program administered by the Managed Risk Medical Insurance Board, and the Medi‑Cal… More
Existing law does not provide a system of universal health care coverage for California residents. Existing law provides for the creation of various programs to provide health care services to persons who have limited incomes and meet various eligibility requirements. These programs include the Healthy Families Program administered by the Managed Risk Medical Insurance Board, and the Medi‑Cal program administered by the State Department of Health Care Services. Existing law provides for the regulation of health care service plans by the Department of Managed Health Care and health insurers by the Department of Insurance.

This bill would establish the California Healthcare System to be administered by the newly created California Healthcare Agency under the control of a Healthcare Commissioner appointed by the Governor and subject to confirmation by the Senate. The bill would make all California residents eligible for specified health care benefits under the California Healthcare System, which would, on a single-payer basis, negotiate for or set fees for health care services provided through the system and pay claims for those services. The bill would provide that a resident of the state with a household income, as specified, at or below 200% of the federal poverty level would be eligible for the type of benefits provided under the Medi-Cal program. The bill would require the commissioner to seek all necessary waivers, exemptions, agreements, or legislation to allow various existing federal, state, and local health care payments to be paid to the California Healthcare System, which would then assume responsibility for all benefits and services previously paid for with those funds.

The bill would create the Healthcare Policy Board to establish policy on medical issues and various other matters relating to the system. The bill would create the Office of Patient Advocacy within the agency to represent the interests of health care consumers relative to the system. The bill would create within the agency the Office of Health Planning to plan for the health care needs of the population, and the Office of Health Care Quality, headed by a chief medical officer, to support the delivery of high quality care and promote provider and patient satisfaction. The bill would create the Office of Inspector General for the California Healthcare System within the Attorney General’s office, which would have various oversight powers. The bill would prohibit health care service plan contracts or health insurance policies from being issued for services covered by the California Healthcare System. The bill would create the Healthcare Fund and the Payments Board to administer the finances of the California Healthcare System. The bill would create the California Healthcare Premium Commission (Premium Commission) to determine the cost of the California Healthcare System and to develop a premium structure for the system that complies with specified standards. The bill would require the Premium Commission to recommend a premium structure to the Governor and the Legislature on or before January 1, 2013, and to make a draft recommendation to the Governor, the Legislature, and the public 90 days before submitting its final premium structure recommendation. The bill would specify that only its provisions relating to the Premium Commission would become operative on January 1, 2011, with its remaining provisions becoming operative on the date the Secretary of California Health and Human Services notifies the Legislature, as specified, that sufficient funding exists to implement the California Healthcare System. The bill would require that system to be operative within 2 years of that date and would provide for various transition processes for that period.

The bill would extend the application of certain insurance fraud laws to providers of services and products under the system, thereby imposing a state-mandated local program by revising the definition of a crime. The bill would enact other related provisions relative to budgeting, regional entities, federal preemption, subrogation, collective bargaining agreements, compensation of health care providers, conflict of interest, patient grievances, independent medical review, and associated matters.

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 the Assembly on August 20, 2010. 
Assembly Vote: On Passage

PASSED on August 20, 2010.

voted YES: 45 voted NO: 26
8 voted present/not voting

An Act to Add Division 114 (Commencing with Section 140000) to the Health and Safety Code, Relating to Health Care Coverage.

SB 810 — 2009-2010 Legislature

Summary
Existing law does not provide a system of universal health care coverage for California residents. Existing law provides for the creation of various programs to provide health care services to persons who have limited incomes and meet various eligibility requirements. These programs include the Healthy Families Program administered by the Managed Risk Medical Insurance Board, and the Medi‑Cal program administered by the State Department of Health Care Services. Existing law provides for the regulation of health care service plans by the Department of Managed Health Care and health insurers by the Department of Insurance.

This bill would establish the California Healthcare System to be administered by the newly created California Healthcare Agency under the control of a Healthcare Commissioner appointed by the Governor and subject to confirmation by the Senate. The bill would make all California residents eligible for specified health care benefits under the California Healthcare System, which would, on a single-payer basis, negotiate for or set fees for health care services provided through the system and pay claims for those services. The bill would provide that a… More
Existing law does not provide a system of universal health care coverage for California residents. Existing law provides for the creation of various programs to provide health care services to persons who have limited incomes and meet various eligibility requirements. These programs include the Healthy Families Program administered by the Managed Risk Medical Insurance Board, and the Medi‑Cal program administered by the State Department of Health Care Services. Existing law provides for the regulation of health care service plans by the Department of Managed Health Care and health insurers by the Department of Insurance.

This bill would establish the California Healthcare System to be administered by the newly created California Healthcare Agency under the control of a Healthcare Commissioner appointed by the Governor and subject to confirmation by the Senate. The bill would make all California residents eligible for specified health care benefits under the California Healthcare System, which would, on a single-payer basis, negotiate for or set fees for health care services provided through the system and pay claims for those services. The bill would provide that a resident of the state with a household income, as specified, at or below 200% of the federal poverty level would be eligible for the type of benefits provided under the Medi-Cal program. The bill would require the commissioner to seek all necessary waivers, exemptions, agreements, or legislation to allow various existing federal, state, and local health care payments to be paid to the California Healthcare System, which would then assume responsibility for all benefits and services previously paid for with those funds.

The bill would create the Healthcare Policy Board to establish policy on medical issues and various other matters relating to the system. The bill would create the Office of Patient Advocacy within the agency to represent the interests of health care consumers relative to the system. The bill would create within the agency the Office of Health Planning to plan for the health care needs of the population, and the Office of Health Care Quality, headed by a chief medical officer, to support the delivery of high quality care and promote provider and patient satisfaction. The bill would create the Office of Inspector General for the California Healthcare System within the Attorney General’s office, which would have various oversight powers. The bill would prohibit health care service plan contracts or health insurance policies from being issued for services covered by the California Healthcare System. The bill would create the Healthcare Fund and the Payments Board to administer the finances of the California Healthcare System. The bill would create the California Healthcare Premium Commission (Premium Commission) to determine the cost of the California Healthcare System and to develop a premium structure for the system that complies with specified standards. The bill would require the Premium Commission to recommend a premium structure to the Governor and the Legislature on or before January 1, 2013, and to make a draft recommendation to the Governor, the Legislature, and the public 90 days before submitting its final premium structure recommendation. The bill would specify that only its provisions relating to the Premium Commission would become operative on January 1, 2011, with its remaining provisions becoming operative on the date the Secretary of California Health and Human Services notifies the Legislature, as specified, that sufficient funding exists to implement the California Healthcare System. The bill would require that system to be operative within 2 years of that date and would provide for various transition processes for that period.

The bill would extend the application of certain insurance fraud laws to providers of services and products under the system, thereby imposing a state-mandated local program by revising the definition of a crime. The bill would enact other related provisions relative to budgeting, regional entities, federal preemption, subrogation, collective bargaining agreements, compensation of health care providers, conflict of interest, patient grievances, independent medical review, and associated matters.

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 Division 114 (Commencing with Section 140000) to the Health and Safety Code, Relating to Health Care Coverage.
Author(s)
Mark Leno
Co-Authors
Subjects
  • Single‑payer health care coverage
Major Actions
Introduced2/27/2009
Referred to Committee
Passed Senate Committee on Health4/15/2009
Passed Senate Committee on Appropriations5/04/2009
Passed Senate Committee on Appropriations1/21/2010
Passed Senate1/28/2010
Passed Assembly Committee on Health6/29/2010
Passed Assembly Committee on Appropriations8/12/2010
Passed Assembly8/20/2010
Bill History
Chamber/CommitteeMotionDateResult
select this voteSenate Committee on HealthDo pass as amended, and re-refer to the Committee on Appropriations.4/15/2009This motion PASSED the Senate Committee on Health
7 voted YES 4 voted NO 0 voted present/not voting
select this voteSenate Committee on AppropriationsPlaced on Appropriations Suspense file.5/04/2009This motion PASSED the Senate Committee on Appropriations
11 voted YES 0 voted NO 2 voted present/not voting
select this voteSenate Committee on AppropriationsDo pass.1/21/2010This motion PASSED the Senate Committee on Appropriations
6 voted YES 3 voted NO 2 voted present/not voting
select this voteSenateSENATE 3RD READING SB810 LENO1/28/2010This bill PASSED the Senate
22 voted YES 14 voted NO 3 voted present/not voting
select this voteAssembly Committee on HealthDo pass and be re-referred to the Committee on Appropriations.6/29/2010This motion PASSED the Assembly Committee on Health
13 voted YES 6 voted NO 0 voted present/not voting
select this voteAssembly Committee on AppropriationsDo pass.8/12/2010This motion PASSED the Assembly Committee on Appropriations
12 voted YES 5 voted NO 0 voted present/not voting
currently selectedAssemblySB 810 Leno Senate Third Reading Amend By HAGMAN Set #1 Motion to Lay on the Table By CALDERON8/20/2010This bill PASSED the Assembly
45 voted YES 26 voted NO 8 voted present/not voting
ActionDateDescription
Introduced2/27/2009
2/27/2009Introduced. To Com. on RLS. for assignment. To print.
2/28/2009From print. May be acted upon on or after March 30.
3/02/2009Read first time.
3/19/2009To Com. on HEALTH. Set for hearing April 15.
select this voteVote4/15/2009Do pass as amended, and re-refer to the Committee on Appropriations.
4/22/2009From committee: Do pass as amended, but first amend, and re-refer to Com. on APPR. (Ayes 7. Noes 4. Page 557.)
4/23/2009Read second time. Amended. Re-referred to Com. on APPR.
4/28/2009Set for hearing May 4.
select this voteVote5/04/2009Placed on Appropriations Suspense file.
5/04/2009Placed on APPR suspense file.
5/22/2009Set for hearing May 28. (Suspense - for vote only.)
5/28/2009Set, first hearing. Held in committee and under submission.
1/13/2010From committee with author's amendments. Read second time. Amended. Re-referred to Com. on APPR.
1/20/2010Set for hearing January 21. (Suspense - for vote only.)
select this voteVote1/21/2010Do pass.
1/21/2010From committee: Do pass. (Ayes 6. Noes 3. Page 2694.)
1/25/2010Read second time. To third reading.
1/28/2010Read third time. Passed. (Ayes 22. Noes 14. Page 2729.) To Assembly.
1/28/2010In Assembly. Read first time. Held at Desk.
select this voteSenate Vote on Passage1/28/2010SENATE 3RD READING SB810 LENO
6/10/2010To Com. on HEALTH.
select this voteVote6/29/2010Do pass and be re-referred to the Committee on Appropriations.
6/30/2010From committee: Do pass, but first be re-referred to Com. on APPR. (Ayes 13. Noes 6.) Re-referred to Com. on APPR. (Heard in committee on June 29.)
8/05/2010Set, first hearing. Referred to APPR. suspense file.
select this voteVote8/12/2010Do pass.
8/13/2010From committee: Do pass. (Ayes 12. Noes 5.) (Heard in committee on August 12.)
8/16/2010Read second time. To third reading.
currently selectedAssembly Vote on Passage8/20/2010SB 810 Leno Senate Third Reading Amend By HAGMAN Set #1 Motion to Lay on the Table By CALDERON
8/23/2010Assembly Rule 69(d) suspended. (Ayes 49. Noes 27. Page 6491.)
11/30/2010From Assembly without further action.

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0 Organizations Supported and 0 Opposed

Organizations that took a position on
An Act to Add Division 114 (Commencing with Section 140000) to the Health and Safety Code, Relating to Health Care Coverage.: SB 810 Leno Senate Third Reading Amend By HAGMAN Set #1 Motion to Lay on the Table By CALDERON

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0 organizations opposed this bill

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Includes reported contributions to campaigns of Assemblymembers in office on day of vote, from interest groups invested in the vote according to MapLight, January 1, 2009 – December 31, 2010.
Contributions data source: FollowTheMoney.org

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NamePartyDistrict$ From Interest Groups
That Supported
$ From Interest Groups
That Opposed
Vote
Anthony AdamsRCA-59$0$0No
Tom AmmianoDCA-13$0$0Yes
Joel AndersonRCA-77$0$0No
Juan ArambulaICA-31$0$0Not Voting
Karen BassDCA-47$0$0Yes
Jim BeallDCA-24$0$0Yes
Bill BerryhillRCA-26$0$0No
Tom BerryhillRCA-25$0$0No
Sam BlakesleeRCA-33$0$0No
Marty BlockDCA-78$0$0Yes
Bob BlumenfieldDCA-40$0$0Yes
Steven BradfordDCA-51$0$0Yes
Julia BrownleyDCA-41$0$0Yes
Joan BuchananDCA-15$0$0Not Voting
Anna CaballeroDCA-28$0$0Not Voting
Charles CalderonDCA-58$0$0Yes
Wilmer Amina CarterDCA-62$0$0Yes
Wesley ChesbroDCA-1$0$0Yes
Connie ConwayRCA-34$0$0No
Paul CookRCA-65$0$0No
Joe CotoDCA-23$0$0Yes
Mike DavisDCA-48$0$0Yes
Hector De La TorreDCA-50$0$0Yes
Kevin De LeonDCA-45$0$0Yes
Chuck DeVoreRCA-70$0$0No
Mike EngDCA-49$0$0Yes
Noreen EvansDCA-7$0$0Yes
Mike FeuerDCA-42$0$0Yes
Nathan FletcherRCA-75$0$0No
Paul FongDCA-22$0$0Yes
Felipe FuentesDCA-39$0$0Yes
Jean FullerRCA-32$0$0No
Warren FurutaniDCA-55$0$0Yes
Ted GainesRCA-4$0$0No
Cathleen GalgianiDCA-17$0$0Yes
Martin GarrickRCA-74$0$0No
Mike GattoDCA-43$0$0Yes
Danny GilmoreRCA-30$0$0No
Curt HagmanRCA-60$0$0No
Isadore HallDCA-52$0$0Yes
Diane HarkeyRCA-73$0$0No
Mary HayashiDCA-18$0$0Yes
Ed HernandezDCA-57$0$0Yes
Jerry HillDCA-19$0$0Yes
Alyson HuberDCA-10$0$0No
Jared HuffmanDCA-6$0$0Yes
Kevin JeffriesRCA-66$0$0No
Dave JonesDCA-9$0$0Yes
Steve KnightRCA-36$0$0No
Ted LieuDCA-53$0$0Yes
Dan LogueRCA-3$0$0No
Bonnie LowenthalDCA-54$0$0Yes
Fiona MaDCA-12$0$0Yes
Tony MendozaDCA-56$0$0Yes
Jeff MillerRCA-71$0$0No
Bill MonningDCA-27$0$0Yes
Pedro NavaDCA-35$0$0Yes
Brian NestandeRCA-64$0$0No
Roger NielloRCA-5$0$0No
Jim NielsenRCA-2$0$0No
Chris NorbyRCA-72$0$0No
John PerezDCA-46$0$0Yes
Manuel PerezDCA-80$0$0Not Voting
Anthony PortantinoDCA-44$0$0Yes
Ira RuskinDCA-21$0$0Yes
Mary SalasDCA-79$0$0Yes
Lori SaldanaDCA-76$0$0Yes
Jim SilvaRCA-67$0$0No
Nancy SkinnerDCA-14$0$0Yes
Cameron SmythRCA-38$0$0Not Voting
Jose SolorioDCA-69$0$0Yes
Audra StricklandRCA-37$0$0Not Voting
Sandre SwansonDCA-16$0$0Yes
Tom TorlaksonDCA-11$0$0Yes
Norma TorresDCA-61$0$0Not Voting
Alberto TorricoDCA-20$0$0Yes
Van TranRCA-68$0$0No
Mike VillinesRCA-29$0$0Not Voting
Mariko YamadaDCA-8$0$0Yes

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