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CaliforniaSB 4392025-2026 Regular SessionSenateWALLET

California Health Benefit Review Program: extension.

Sponsored By: Akilah Weber Pierson (Democratic)

Signed by Governor

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Bill Overview

Analyzed Economic Effects

3 provisions identified: 1 benefits, 2 costs, 0 mixed.

Stronger reviews of health benefit bills

The law keeps the California Health Benefit Review Program at UC. It defines which bills get reviewed, including those that add or repeal coverage for services, providers, tests, drugs, or equipment. Reports must cover public health, medical, and financial impacts, essential health benefits, and effects on the state marketplace. UC must deliver reports within 60 days or an agreed timeline, post them online, and share them with the public. A certified actuary must estimate costs, and reviews also cover plan design, cost sharing, and premiums.

Health review program sunsets in 2033

The law makes the program inoperative on July 1, 2033. It repeals the chapter on January 1, 2034. After those dates, CHBRP’s statutory authority ends.

Higher annual fees on health plans

The law funds UC’s review work with an annual fee on most health plans and insurers. For fiscal years 2026–27 through 2032–33, regulators set each plan’s share, with a total cap of $3.2 million a year (up from $2.2 million). Plans get notice by June 15 and must pay by August 1. Money goes to the Health Care Benefits Fund. Medicare supplement, vision-only, dental-only, CHAMPUS supplement, and certain fixed‑benefit policies like hospital indemnity or accident‑only are excluded.

Sponsors & Cosponsors

Sponsor

  • Akilah Weber Pierson

    Democratic • Senate

Cosponsors

There are no cosponsors for this bill.

Roll Call Votes

All Roll Calls

Yes: 165 • No: 1

House vote • 9/3/2025

Item 254 — Assembly AFLOOR

Yes: 75 • No: 1

legislature vote • 8/29/2025

Vote in CX25

Yes: 13 • No: 0

legislature vote • 6/17/2025

Vote in CX08

Yes: 15 • No: 0

Senate vote • 6/2/2025

Item 108 — Senate SFLOOR

Yes: 38 • No: 0

legislature vote • 5/23/2025

Vote in CS61

Yes: 6 • No: 0

legislature vote • 4/28/2025

Vote in CS61

Yes: 7 • No: 0

legislature vote • 4/9/2025

Vote in CS60

Yes: 11 • No: 0

Actions Timeline

  1. Chaptered by Secretary of State. Chapter 318, Statutes of 2025.

    10/3/2025Senate

  2. Approved by the Governor.

    10/3/2025legislature

  3. Enrolled and presented to the Governor at 2 p.m.

    9/9/2025legislature

  4. In Senate. Ordered to engrossing and enrolling.

    9/4/2025Senate

  5. Read third time. Passed. (Ayes 75. Noes 1. Page 2868.) Ordered to the Senate.

    9/3/2025House

  6. Read second time. Ordered to third reading.

    9/2/2025House

  7. From committee: Do pass. (Ayes 13. Noes 0.) (August 29).

    8/29/2025House

  8. July 2 set for first hearing. Placed on APPR. suspense file.

    7/2/2025House

  9. From committee: Do pass and re-refer to Com. on APPR. (Ayes 15. Noes 0.) (June 17). Re-referred to Com. on APPR.

    6/17/2025House

  10. Referred to Com. on HEALTH.

    6/9/2025House

  11. In Assembly. Read first time. Held at Desk.

    6/3/2025House

  12. Read third time. Passed. (Ayes 38. Noes 0. Page 1393.) Ordered to the Assembly.

    6/2/2025Senate

  13. Read second time. Ordered to third reading.

    5/23/2025Senate

  14. From committee: Do pass. (Ayes 6. Noes 0. Page 1200.) (May 23).

    5/23/2025Senate

  15. Set for hearing May 23.

    5/16/2025Senate

  16. April 28 hearing: Placed on APPR. suspense file.

    4/28/2025Senate

  17. Set for hearing April 28.

    4/17/2025Senate

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

    4/10/2025Senate

  19. From committee: Do pass as amended and re-refer to Com. on APPR. with recommendation: To consent calendar. (Ayes 11. Noes 0. Page 737.) (April 9).

    4/10/2025Senate

  20. Set for hearing April 9.

    3/28/2025Senate

  21. Referred to Com. on HEALTH.

    2/26/2025Senate

  22. From printer. May be acted upon on or after March 21.

    2/19/2025Senate

  23. Introduced. Read first time. To Com. on RLS. for assignment. To print.

    2/18/2025Senate

Bill Text

  • Chaptered

    10/3/2025

    HTML

  • Enrolled

    9/5/2025

    HTML

  • Amended Senate

    4/10/2025

    HTML

  • Introduced

    2/18/2025

    HTML

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