Amended IN Senate August 23, 2023 Amended IN Assembly April 03, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1432Introduced by Assembly Member Wendy CarrilloFebruary 17, 2023An act to amend Section 1367.30 of the Health and Safety Code, and to amend Section 10112.5 of the Insurance Code, relating to health care coverage. LEGISLATIVE COUNSEL'S DIGESTAB 1432, as amended, Wendy Carrillo. Health care coverage.Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans and makes a willful violation of its provisions a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan and a health insurance policy to provide group coverage to the registered domestic partner of an employee, subscriber, insured, or policyholder that is equal to the coverage it provides to the spouse of those persons. Existing law provides that every group health care service plan contract and every a policy or certificate of group health insurance that is marketed, issued, or delivered to a California resident, regardless of the situs of the contract, subscriber, contract or master group policyholder, is subject to the requirements to provide equal coverage to domestic partners as is provided to spouses, notwithstanding any other provision of law.This bill additionally would subject a group health care service plan contract, policy, policy or certificate of group health insurance that is marketed, issued, or delivered to a California resident to all provisions of the Health and Safety Code and Insurance Code requiring coverage of abortion, abortion-related services, and gender-affirming care, regardless of the situs of the contract, subscriber, contract or master group policyholder. 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.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YESNO Bill TextThe people of the State of California do enact as follows:SECTION 1.Section 1367.30 of the Health and Safety Code is amended to read:1367.30.Notwithstanding any other law, every group health care service plan contract marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or the subscriber, shall be subject to both of the following:(a)Section 1374.58.(b)All provisions of this code requiring coverage of abortion, abortion-related services, and gender-affirming care.SEC. 2.SECTION 1. Section 10112.5 of the Insurance Code is amended to read:10112.5. (a) (1) Notwithstanding any other law, every policy or certificate of health insurance marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or master group policyholder, shall be subject to all provisions of this code.(2) (A) Paragraph (1) shall not apply to a policy or certificate of health insurance that is issued outside of California to an employer whose principal place of business and majority of employees are located outside of California.(B) Notwithstanding subparagraph (A), a policy or certificate of health insurance marketed, issued, or delivered to a resident of this state shall not discriminate in coverage between spouses or domestic partners of a different sex and spouses or domestic partners of the same sex.(3) Subparagraph (A) of paragraph (2) shall not be construed to limit the applicability of any other provision of this code to any policy or certificate of health insurance that is issued outside of California to an employer whose principal place of business and majority of employees are located outside of California.(b) Notwithstanding any other law, Subject to all other provisions of this code, a policy or certificate of group health insurance marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or master group policyholder, shall be subject to both of the following:(1) Section 10121.7.(2) All provisions of this code requiring coverage of abortion, abortion-related services, and gender-affirming care.SEC. 3.No reimbursement is required by this act pursuant to Section 6 of Article XIII B of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIII B of the California Constitution. Amended IN Senate August 23, 2023 Amended IN Assembly April 03, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1432Introduced by Assembly Member Wendy CarrilloFebruary 17, 2023An act to amend Section 1367.30 of the Health and Safety Code, and to amend Section 10112.5 of the Insurance Code, relating to health care coverage. LEGISLATIVE COUNSEL'S DIGESTAB 1432, as amended, Wendy Carrillo. Health care coverage.Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans and makes a willful violation of its provisions a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan and a health insurance policy to provide group coverage to the registered domestic partner of an employee, subscriber, insured, or policyholder that is equal to the coverage it provides to the spouse of those persons. Existing law provides that every group health care service plan contract and every a policy or certificate of group health insurance that is marketed, issued, or delivered to a California resident, regardless of the situs of the contract, subscriber, contract or master group policyholder, is subject to the requirements to provide equal coverage to domestic partners as is provided to spouses, notwithstanding any other provision of law.This bill additionally would subject a group health care service plan contract, policy, policy or certificate of group health insurance that is marketed, issued, or delivered to a California resident to all provisions of the Health and Safety Code and Insurance Code requiring coverage of abortion, abortion-related services, and gender-affirming care, regardless of the situs of the contract, subscriber, contract or master group policyholder. 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.Digest Key Vote: MAJORITY Appropriation: NO Fiscal Committee: YES Local Program: YESNO Amended IN Senate August 23, 2023 Amended IN Assembly April 03, 2023 Amended IN Senate August 23, 2023 Amended IN Assembly April 03, 2023 CALIFORNIA LEGISLATURE 20232024 REGULAR SESSION Assembly Bill No. 1432 Introduced by Assembly Member Wendy CarrilloFebruary 17, 2023 Introduced by Assembly Member Wendy Carrillo February 17, 2023 An act to amend Section 1367.30 of the Health and Safety Code, and to amend Section 10112.5 of the Insurance Code, relating to health care coverage. LEGISLATIVE COUNSEL'S DIGEST ## LEGISLATIVE COUNSEL'S DIGEST AB 1432, as amended, Wendy Carrillo. Health care coverage. Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans and makes a willful violation of its provisions a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan and a health insurance policy to provide group coverage to the registered domestic partner of an employee, subscriber, insured, or policyholder that is equal to the coverage it provides to the spouse of those persons. Existing law provides that every group health care service plan contract and every a policy or certificate of group health insurance that is marketed, issued, or delivered to a California resident, regardless of the situs of the contract, subscriber, contract or master group policyholder, is subject to the requirements to provide equal coverage to domestic partners as is provided to spouses, notwithstanding any other provision of law.This bill additionally would subject a group health care service plan contract, policy, policy or certificate of group health insurance that is marketed, issued, or delivered to a California resident to all provisions of the Health and Safety Code and Insurance Code requiring coverage of abortion, abortion-related services, and gender-affirming care, regardless of the situs of the contract, subscriber, contract or master group policyholder. 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. Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure and regulation of health care service plans and makes a willful violation of its provisions a crime. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan and a health insurance policy to provide group coverage to the registered domestic partner of an employee, subscriber, insured, or policyholder that is equal to the coverage it provides to the spouse of those persons. Existing law provides that every group health care service plan contract and every a policy or certificate of group health insurance that is marketed, issued, or delivered to a California resident, regardless of the situs of the contract, subscriber, contract or master group policyholder, is subject to the requirements to provide equal coverage to domestic partners as is provided to spouses, notwithstanding any other provision of law. This bill additionally would subject a group health care service plan contract, policy, policy or certificate of group health insurance that is marketed, issued, or delivered to a California resident to all provisions of the Health and Safety Code and Insurance Code requiring coverage of abortion, abortion-related services, and gender-affirming care, regardless of the situs of the contract, subscriber, contract or master group policyholder. 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. ## Digest Key ## Bill Text The people of the State of California do enact as follows:SECTION 1.Section 1367.30 of the Health and Safety Code is amended to read:1367.30.Notwithstanding any other law, every group health care service plan contract marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or the subscriber, shall be subject to both of the following:(a)Section 1374.58.(b)All provisions of this code requiring coverage of abortion, abortion-related services, and gender-affirming care.SEC. 2.SECTION 1. Section 10112.5 of the Insurance Code is amended to read:10112.5. (a) (1) Notwithstanding any other law, every policy or certificate of health insurance marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or master group policyholder, shall be subject to all provisions of this code.(2) (A) Paragraph (1) shall not apply to a policy or certificate of health insurance that is issued outside of California to an employer whose principal place of business and majority of employees are located outside of California.(B) Notwithstanding subparagraph (A), a policy or certificate of health insurance marketed, issued, or delivered to a resident of this state shall not discriminate in coverage between spouses or domestic partners of a different sex and spouses or domestic partners of the same sex.(3) Subparagraph (A) of paragraph (2) shall not be construed to limit the applicability of any other provision of this code to any policy or certificate of health insurance that is issued outside of California to an employer whose principal place of business and majority of employees are located outside of California.(b) Notwithstanding any other law, Subject to all other provisions of this code, a policy or certificate of group health insurance marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or master group policyholder, shall be subject to both of the following:(1) Section 10121.7.(2) All provisions of this code requiring coverage of abortion, abortion-related services, and gender-affirming care.SEC. 3.No reimbursement is required by this act pursuant to Section 6 of Article XIII B of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIII B of the California Constitution. The people of the State of California do enact as follows: ## The people of the State of California do enact as follows: Notwithstanding any other law, every group health care service plan contract marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or the subscriber, shall be subject to both of the following: (a)Section 1374.58. (b)All provisions of this code requiring coverage of abortion, abortion-related services, and gender-affirming care. SEC. 2.SECTION 1. Section 10112.5 of the Insurance Code is amended to read:10112.5. (a) (1) Notwithstanding any other law, every policy or certificate of health insurance marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or master group policyholder, shall be subject to all provisions of this code.(2) (A) Paragraph (1) shall not apply to a policy or certificate of health insurance that is issued outside of California to an employer whose principal place of business and majority of employees are located outside of California.(B) Notwithstanding subparagraph (A), a policy or certificate of health insurance marketed, issued, or delivered to a resident of this state shall not discriminate in coverage between spouses or domestic partners of a different sex and spouses or domestic partners of the same sex.(3) Subparagraph (A) of paragraph (2) shall not be construed to limit the applicability of any other provision of this code to any policy or certificate of health insurance that is issued outside of California to an employer whose principal place of business and majority of employees are located outside of California.(b) Notwithstanding any other law, Subject to all other provisions of this code, a policy or certificate of group health insurance marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or master group policyholder, shall be subject to both of the following:(1) Section 10121.7.(2) All provisions of this code requiring coverage of abortion, abortion-related services, and gender-affirming care. SEC. 2.SECTION 1. Section 10112.5 of the Insurance Code is amended to read: ### SEC. 2.SECTION 1. 10112.5. (a) (1) Notwithstanding any other law, every policy or certificate of health insurance marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or master group policyholder, shall be subject to all provisions of this code.(2) (A) Paragraph (1) shall not apply to a policy or certificate of health insurance that is issued outside of California to an employer whose principal place of business and majority of employees are located outside of California.(B) Notwithstanding subparagraph (A), a policy or certificate of health insurance marketed, issued, or delivered to a resident of this state shall not discriminate in coverage between spouses or domestic partners of a different sex and spouses or domestic partners of the same sex.(3) Subparagraph (A) of paragraph (2) shall not be construed to limit the applicability of any other provision of this code to any policy or certificate of health insurance that is issued outside of California to an employer whose principal place of business and majority of employees are located outside of California.(b) Notwithstanding any other law, Subject to all other provisions of this code, a policy or certificate of group health insurance marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or master group policyholder, shall be subject to both of the following:(1) Section 10121.7.(2) All provisions of this code requiring coverage of abortion, abortion-related services, and gender-affirming care. 10112.5. (a) (1) Notwithstanding any other law, every policy or certificate of health insurance marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or master group policyholder, shall be subject to all provisions of this code.(2) (A) Paragraph (1) shall not apply to a policy or certificate of health insurance that is issued outside of California to an employer whose principal place of business and majority of employees are located outside of California.(B) Notwithstanding subparagraph (A), a policy or certificate of health insurance marketed, issued, or delivered to a resident of this state shall not discriminate in coverage between spouses or domestic partners of a different sex and spouses or domestic partners of the same sex.(3) Subparagraph (A) of paragraph (2) shall not be construed to limit the applicability of any other provision of this code to any policy or certificate of health insurance that is issued outside of California to an employer whose principal place of business and majority of employees are located outside of California.(b) Notwithstanding any other law, Subject to all other provisions of this code, a policy or certificate of group health insurance marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or master group policyholder, shall be subject to both of the following:(1) Section 10121.7.(2) All provisions of this code requiring coverage of abortion, abortion-related services, and gender-affirming care. 10112.5. (a) (1) Notwithstanding any other law, every policy or certificate of health insurance marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or master group policyholder, shall be subject to all provisions of this code.(2) (A) Paragraph (1) shall not apply to a policy or certificate of health insurance that is issued outside of California to an employer whose principal place of business and majority of employees are located outside of California.(B) Notwithstanding subparagraph (A), a policy or certificate of health insurance marketed, issued, or delivered to a resident of this state shall not discriminate in coverage between spouses or domestic partners of a different sex and spouses or domestic partners of the same sex.(3) Subparagraph (A) of paragraph (2) shall not be construed to limit the applicability of any other provision of this code to any policy or certificate of health insurance that is issued outside of California to an employer whose principal place of business and majority of employees are located outside of California.(b) Notwithstanding any other law, Subject to all other provisions of this code, a policy or certificate of group health insurance marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or master group policyholder, shall be subject to both of the following:(1) Section 10121.7.(2) All provisions of this code requiring coverage of abortion, abortion-related services, and gender-affirming care. 10112.5. (a) (1) Notwithstanding any other law, every policy or certificate of health insurance marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or master group policyholder, shall be subject to all provisions of this code. (2) (A) Paragraph (1) shall not apply to a policy or certificate of health insurance that is issued outside of California to an employer whose principal place of business and majority of employees are located outside of California. (B) Notwithstanding subparagraph (A), a policy or certificate of health insurance marketed, issued, or delivered to a resident of this state shall not discriminate in coverage between spouses or domestic partners of a different sex and spouses or domestic partners of the same sex. (3) Subparagraph (A) of paragraph (2) shall not be construed to limit the applicability of any other provision of this code to any policy or certificate of health insurance that is issued outside of California to an employer whose principal place of business and majority of employees are located outside of California. (b) Notwithstanding any other law, Subject to all other provisions of this code, a policy or certificate of group health insurance marketed, issued, or delivered to a resident of this state, regardless of the situs of the contract or master group policyholder, shall be subject to both of the following: (1) Section 10121.7. (2) All provisions of this code requiring coverage of abortion, abortion-related services, and gender-affirming care. No reimbursement is required by this act pursuant to Section 6 of Article XIII B of the California Constitution because the only costs that may be incurred by a local agency or school district will be incurred because this act creates a new crime or infraction, eliminates a crime or infraction, or changes the penalty for a crime or infraction, within the meaning of Section 17556 of the Government Code, or changes the definition of a crime within the meaning of Section 6 of Article XIII B of the California Constitution.