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California 20252026

AB 1887

Prescription drug coverage for rare diseases.

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Source: Open States / PluralUpdated 2026-09-12 13:12:55 UTC.

Official record

Measure details

Jurisdiction
California
Session
20252026
Chamber
lower
Classification
bill
Subjects
Prescriptiondrugcoverageforrarediseases
Introduced / first action
2026-02-12 00:00:00

Source-supplied abstracts

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 provides for the regulation of health insurers by the Department of Insurance. Existing law sets forth specified prior authorization and step therapy limitations for health care service plans and health insurers. This bill would require a health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2027, to require a health care service plan or health insurer to complete prior authorization within 30 days upon initial request, as specified, for a drug approved by the United States Food and Drug Administration (FDA) for the treatment of a rare disease if the drug is prescribed by a specialist with expertise in the condition or disease being treated, the specialist has determined the drug is medically necessary, and the drug is the only FDA-approved treatment for the rare disease. 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.

Sponsors

Source-supplied history

Actions

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

    executive-receipt

  2. Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 78. Noes 0.).

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

  3. In Assembly. Concurrence in Senate amendments pending.

  4. Read third time. Passed. Ordered to the Assembly. (Ayes 40. Noes 0.).

    passage, reading-1, reading-3

  5. Read second time. Ordered to third reading.

    reading-1, reading-2, reading-3

  6. Read third time and amended. Ordered to second reading.

    amendment-passage, reading-1, reading-2, reading-3

  7. Read second time. Ordered to third reading.

    reading-1, reading-2, reading-3

  8. Read second time and amended. Ordered returned to second reading.

    amendment-passage, reading-1, reading-2

  9. From committee: Amend, and do pass as amended. (Ayes 7. Noes 0.) (August 13).

    amendment-introduction, amendment-passage, committee-passage

  10. In committee: Referred to APPR. suspense file.

    referral-committee

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

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

  12. From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 10. Noes 0.) (July 1).

    amendment-introduction, amendment-passage, committee-passage, referral-committee

  13. Referred to Com. on HEALTH.

    referral-committee

  14. In Senate. Read first time. To Com. on RLS. for assignment.

    reading-1, referral-committee

  15. Read third time. Passed. Ordered to the Senate. (Ayes 77. Noes 0.)

    passage, reading-1, reading-3

  16. Read third time and amended. Ordered to third reading. (Page 5167.)

    amendment-passage, reading-1, reading-3

  17. Read second time. Ordered to third reading.

    reading-1, reading-2, reading-3

  18. From committee: Do pass. (Ayes 14. Noes 0.) (May 14).

    committee-passage, committee-passage-favorable

  19. Joint Rule 62(a), file notice suspended. (Page 5030.)

  20. In committee: Set, first hearing. Referred to APPR. suspense file.

    referral-committee

  21. From committee: Do pass and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (April 21). Re-referred to Com. on APPR.

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

  22. Coauthors revised.

  23. Re-referred to Com. on HEALTH.

    referral-committee

  24. From committee chair, with author's amendments: Amend, and re-refer to Com. on HEALTH. Read second time and amended.

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

  25. Referred to Com. on HEALTH.

    referral-committee

  26. From printer. May be heard in committee March 15.

  27. Read first time. To print.

    reading-1

Documents and versions

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Related measures

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