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California 20252026

AB 2613

Health care service plans: provider contract termination: notice.

Open original source Back to bills
Source: Open States / PluralUpdated 2026-09-12 13:12:55 UTC.

Official record

Measure details

Jurisdiction
California
Session
20252026
Chamber
lower
Classification
bill
Subjects
Healthcareserviceplans, notice, providercontracttermination
Introduced / first action
2026-02-20 00:00:00

Alternate titles

  • Health care service plans: notice.
  • Health care service plans: provider network transitions.

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's requirements a crime. Existing law requires a health care service plan to notify an enrollee by United States mail at least 60 days before the termination date of a contract between a health care service plan and a provider group or a general acute care hospital to which the enrollee is assigned. If the plan reaches an agreement with a terminated provider after sending that notice, existing law requires the plan to offer each affected enrollee the option to return to that provider and to reassign the enrollee to another provider if the enrollee does not exercise that option. This bill would additionally require a health care service plan to notify an enrollee by email or text message, as specified and only if the enrollee has opted in and provided their contact information, at least 60 days before the termination date of a contract between a health care service plan and a provider group or a general acute care hospital to which the enrollee is assigned. If the plan reaches an agreement with a terminating or terminated provider after sending the notice of termination, the bill would require the health care service plan to send written notice by United States mail and by email or text message, as specified and only if the enrollee has opted in and provided their contact information, to affected enrollees no later than 10 business days after department approval of the notice. If the agreement is to renew, enter into a new contract, or to not terminate their contract before the termination date in the notice of termination, the bill would require the health care service plan to notify enrollees that they will remain assigned to the provider. If the agreement is to renew, enter into a new contract, or to not terminate their contract after the termination date in the notice of termination, the bill would require the health care service plan to notify and offer each affected enrollee the option to return to that provider. The bill would require a health care service plan to submit these notices to the department for approval within 5 business days of reaching an agreement. Because a willful violation of these provisions would be a crime, this 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 4 p.m.

    executive-receipt

  2. Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 77. 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. From committee: Be ordered to second reading pursuant to Senate Rule 28.8.

    committee-passage, reading-1, reading-2

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

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

  10. From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 0.) (June 24).

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

  11. Referred to Com. on HEALTH.

    referral-committee

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

    reading-1, referral-committee

  13. Read third time. Passed. Ordered to the Senate. (Ayes 74. Noes 0. Page 5184.)

    passage, reading-1, reading-3

  14. Read second time. Ordered to third reading.

    reading-1, reading-2, reading-3

  15. From committee: Do pass. (Ayes 15. Noes 0.) (May 13).

    committee-passage, committee-passage-favorable

  16. Re-referred to Com. on APPR.

    referral-committee

  17. Read second time and amended.

    amendment-passage, reading-1, reading-2

  18. From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 16. Noes 0.) (April 21).

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

  19. Re-referred to Com. on HEALTH.

    referral-committee

  20. 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

  21. Referred to Com. on HEALTH.

    referral-committee

  22. From printer. May be heard in committee March 23.

  23. Read first time. To print.

    reading-1

When supplied by the API

Related measures

No resolvable related measure is supplied.