Nonquantitative treatment limitations.
Summary
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 also provides for the regulation of health insurers by the Department of Insurance. Existing federal law, the federal Paul Wellstone and Pete Domenici Mental Health Parity and Addiction Equity Act of 2008 (MHPAEA) , requires group health plans and health insurance issuers that provide both medical and surgical benefits and mental health or substance use disorder benefits to ensure that financial requirements and treatment limitations applicable to mental health or substance use disorder benefits are no more restrictive than the predominant requirements or limitations applied to substantially all medical and surgical benefits. Existing state law requires an individual, small group, or large group health care service plan contract or health insurance policy to provide covered mental health and substance use disorder benefits in compliance with the MHPAEA and specified federal rules, regulations, and guidance. This bill would require the above-described contracts and policies to provide covered mental health and substance use disorder benefits in compliance with specified federal rules, regulations, and guidance as they existed on January 1, 2025. Because a violation of these requirements by a health care service plan would be a crime, the bill would impose a state-mandated local program. The bill would also require the departments to review provisions of the bill that conflict with or materially differ from federal regulations and collaborate with each other to issue guidance on compliance. 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.
Bill status
passed both
4 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Jun 2026
Assembly Passage
Apr 2026
Senate Passage
Aug 2026
Governor
Introduced Feb 17, 2026
Last action Aug 28, 2026
Maddy AI version diff · 4 comparisons
What changed between versions
08/26/26 - Enrolled
→
AB2011
·
1 edit
MINOR
This diff reflects a change in document format rather than a substantive policy change. The bill text moved from the formal enrolled legislative document (with chapter number, clerk signatures, page headers, and governor's receipt line) to a web-based presentation that includes navigation menus, search tools, and status tracking elements. The actual legal provisions - findings, declarations, and amendments to Health and Safety Code Section 1374.76 and Insurance Code Section 10144.4 - are identical in both versions.
TECHNICAL
The document was reformatted from a formal enrolled legislative bill (with chapter designation, clerk/governor signature blocks, page numbers, and official routing language) into a web-based presentation format that adds navigation elements (home, search, FAQ, sitemap, login), bill status tracking, version history links, and sharing options.
Floor votes · Senate Aug 20, 2026 · Assembly Apr 27, 2026
How they voted
28–10
Passed · 2 other
Total votes 40
Aug 20, 2026
D
Democratic30
93% Yea
R
Republican10
100% Nay
Vote distribution
All Yea
All Nay
Mixed
No data
Full legislative history
Actions timeline
Total actions
19
Key actions
8
Committee
6
Amendments
6
Aug 24, 2026
Lower · Passed
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 61. Noes 13.).
lower
Aug 20, 2026
Introduced
In Assembly. Concurrence in Senate amendments pending.
lower
Aug 20, 2026
Upper · Passed
Read third time. Passed. Ordered to the Assembly. (Ayes 28. Noes 10.).
upper
Aug 13, 2026
Upper · Passed
Read second time and amended. Ordered returned to second reading.
upper
Aug 13, 2026
Introduced
From committee: Amend, and do pass as amended. (Ayes 5. Noes 2.) (August 13).
upper
Jun 22, 2026
Committee
In committee: Referred to APPR. suspense file.
upper
Jun 15, 2026
Upper · Passed
Read second time and amended. Re-referred to Com. on APPR.
upper
Jun 11, 2026
Introduced
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 8. Noes 2.) (June 10).
upper
May 6, 2026
Committee
Referred to Com. on HEALTH.
upper
Apr 27, 2026
Lower · Passed
Read third time. Passed. Ordered to the Senate. (Ayes 54. Noes 10. Page 4834.)
lower
Apr 8, 2026
Lower · Passed
From committee: Do pass. (Ayes 10. Noes 4.) (April 8).
lower
Mar 25, 2026
Lower · Passed
From committee: Do pass and re-refer to Com. on APPR. (Ayes 13. Noes 2.) (March 24). Re-referred to Com. on APPR.
lower
Mar 2, 2026
Committee
Referred to Com. on HEALTH.
lower
Feb 18, 2026
Lower · Passed
From printer. May be heard in committee March 20.
lower
1 primary · 3 co-sponsors
Sponsors
Role
Legislator
Party
State
District
P
Gregg Hart
DDemocratic
Co
Darsh Patel
DDemocratic
Co
Gail Pellerin
DDemocratic
Co
Scott Wiener
DDemocratic
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