AB 2594 California Assembly · 2025-2026 Regular Session

Voluntary employees' beneficiary association pilot program.

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. Existing law authorizes the Director of the Department of Managed Health Care to authorize a pilot program in southern California under which approved providers may undertake risk-bearing arrangements with a voluntary employees' beneficiary association with enrollment of more than 100,000 lives, as specified, beginning no earlier than January 1, 2022, to December 31, 2027, inclusive, if certain criteria are met. Existing law requires the association and each participating health care provider to report to the department information regarding cost savings and clinical patient outcomes compared to a fee-for-service payment model. Existing law requires the department to report those findings to the Legislature after the termination of the pilot program and before January 1, 2027. Existing law repeals these provisions on January 1, 2030. This bill would extend that repeal date to January 1, 2031. The bill would extend the end date of the pilot program to December 31, 2030, but would authorize the department to terminate the pilot program for specified reasons and would require the department to terminate the pilot program prior to the pilot program's end date based on any significant negative findings in any report, including if the department identifies any serious deficiencies that could cause enrollee harm. The bill would, instead of requiring the department to report findings to the Legislature after the termination of the pilot program, require the department to submit an interim report of the findings described above and policy recommendations regarding the continuation of the pilot program to the Legislature before January 1, 2029.
Bill status passed both 4 of 5 stages cleared
Introduction
Feb 2026
Committee Review
Aug 2026
Assembly Passage
May 2026
Senate Passage
Aug 2026
Governor
Introduced Feb 20, 2026 Last action Aug 25, 2026
Maddy AI version diff · 4 comparisons

What changed between versions

08/27/26 - Enrolled AB2594 · 3 edits
MINOR
No substantive policy changes occurred between these two versions. The difference is purely presentational: the formal enrolled document (with page numbers, headers, and signature blocks) was converted into a web page rendering of the same bill text from the California Legislature website. All legislative content in Section 1343.3 remains identical.
TECHNICAL

Removed formal document formatting including page numbers, chapter headers, signature lines, and the Chief Clerk/Secretary/Governor attestation blocks.

Added website navigation elements (skip to content, home, accessibility, FAQ, feedback, sitemap, login, quick search, bill information links) and a status timeline showing introduction, amendment, passage, and enrollment dates.

Added a Digest Key section indicating Vote: MAJORITY, Appropriation: NO, Fiscal Committee: YES, Local Program: NO.

Floor votes · Senate Aug 24, 2026 · Assembly May 14, 2026

How they voted

400
Passed
Total votes 40
Aug 24, 2026
D Democratic30
30 Yea
100% Yea
R Republican10
10 Yea
100% Yea
Vote distribution
All Yea All Nay Mixed No data
Full legislative history

Actions timeline

Total actions
19
Key actions
9
Committee
7
Amendments
6
Aug 25, 2026
Lower · Passed
Senate amendments concurred in. To Engrossing and Enrolling. (Ayes 78. Noes 0.).
lower
Aug 24, 2026
Introduced
In Assembly. Concurrence in Senate amendments pending.
lower
Aug 24, 2026
Upper · Passed
Read third time. Passed. Ordered to the Assembly. (Ayes 40. Noes 0.).
upper
Aug 3, 2026
Upper · Passed
From committee: Be ordered to second reading pursuant to Senate Rule 28.8.
upper
Jun 29, 2026
Upper · Passed
Read second time and amended. Re-referred to Com. on APPR.
upper
Jun 25, 2026
Introduced
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. (Ayes 11. Noes 0.) (June 24).
upper
Jun 8, 2026
Upper · Passed
In committee: Hearing postponed by committee.
upper
May 27, 2026
Committee
Referred to Com. on HEALTH.
upper
May 14, 2026
Lower · Passed
Read third time. Passed. Ordered to the Senate. (Ayes 77. Noes 0. Page 5056.)
lower
May 6, 2026
Lower · Passed
From committee: Do pass. To Consent Calendar. (Ayes 14. Noes 0.) (May 6).
lower
Apr 27, 2026
Committee
Re-referred to Com. on APPR.
lower
Apr 23, 2026
Lower · Passed
Read second time and amended.
lower
Apr 22, 2026
Introduced
From committee: Amend, and do pass as amended and re-refer to Com. on APPR. with recommendation: To Consent Calendar. (Ayes 16. Noes 0.) (April 21).
lower
Mar 9, 2026
Committee
Referred to Com. on HEALTH.
lower
Feb 21, 2026
Lower · Passed
From printer. May be heard in committee March 23.
lower
1 primary · 0 co-sponsors

Sponsors

Role
Legislator
Party
State
District
P
Photo of Josh Lowenthal
Josh Lowenthal
DDemocratic
CA
69