BILL ANALYSIS                                                                                                                                                                                                    



                                                                       



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                                 THIRD READING


          Bill No:  AB 1586
          Author:   Koretz (D), et al
          Amended:  7/1/05 in Senate
          Vote:     21

           
           SENATE BANKING, FINANCE, AND INS. COMMITTEE  :  8-2, 6/29/05
          AYES:  Speier, Cox, Figueroa, Lowenthal, Machado, Murray,  
            Ortiz, Scott
          NOES:  Denham, Hollingsworth
          NO VOTE RECORDED:  Maldonado

           ASSEMBLY FLOOR  :  41-27, 5/16/05 - See last page for vote


           SUBJECT  :    Insurers: health care service plans:  
          discrimination

           SOURCE  :     Equality California


           DIGEST  :    This bill adds additional language to existing  
          anti-discrimination provisions under the Health and Safety  
          Code and the Insurance Code to clarify that state law  
          prohibits insurance companies and health care service plans  
          from discriminating on the basis of gender in the creation  
          or maintenance of service contracts or the provision of  
          benefits or coverage.

           ANALYSIS  :    In 2003, the Legislature clarified that the  
          existing prohibition on discrimination based on sex in the  
          Fair Employment and Housing Act (FEHA) protects transgender  
          people.  
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          This bill clarifies that transgender people are protected  
          under the existing prohibition on discrimination based on  
          sex in the Insurance and Health and Safety Codes.

          By clarifying that the definition of sex is the same as  
          that found in FEHA and other provisions of the California  
          codes, this bill insures that insurance companies and  
          health care service plans understand their legal obligation  
          to refrain from discriminating against transgender people  
          in the creation and maintenance of contracts and the  
          provision of services and benefits.

          Specifically, this bill adds the following definition which  
          is the same as that used in FEHA, the Education Code and  
          the Penal Code:

            "Gender" means sex, and includes a person's gender  
            identity and gender related appearance and behavior  
            whether or not stereotypically associated with the  
            person's assigned sex at birth.

          This bill includes language which clarifies that this act  
          is not intended to "prohibit sound underwriting practices  
          or criteria based on objective, valid, and up-to-date  
          statistical and actuarial data."

           FISCAL EFFECT  :    Appropriation:  No   Fiscal Com.:  Yes    
          Local:  No

           SUPPORT  :   (Verified  8/31/05)

          Equality California (source)
          Access Institute of Research
          AIDS Legal Referral Panel
          American Federation of State, County and Municipal  
          Employees
          Asian and Pacific Islander American Health Forum
          Asian and Pacific Islander Wellness Center
          Being Alive - South Bay
          Bienestar Human Services, Inc.
          California Commission on the Status of Women
          California Medical Association
          California National Organization for Women







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          California Psychological Association
          California State Employees Association
          The Center - San Diego
          City and County of San Francisco
          CSU Northridge Employees Union SEIU - Local 25798
          Dimensions Collaboration 
          Filipino Task Force on AIDS
          Harvey Milk LGBT Democratic Club
          Gay and Lesbian Adolescent Social Services, Inc.
          Gay and Lesbian Community Services Center of Orange County
          Gay and Lesbian Medical Association
          Gay-Straight Alliance Network
          Gender Education and Advocacy, Inc.
          Gray Panthers
          Lambda Legal Defense and Education Fund
          Lambda Letters Project
          Lavender Youth Recreation and Information Center
          Lutheran Church -
              Holy Redeemer, San Jose
              Shepherd of the Hills, Berkeley
              University Lutheran, Berkeley
          Metropolitan Community Church -
              Los Angeles
              San Diego
              New Hope Santa Rosa
          Ministry in Action Commission -
              St. Mark's United Methodist Church
          National Center for Lesbian Rights
          New Community Faith - San Jose
          Orange County Trangender Coalition
          Parents, Families and Friends of Lesbians and Gays, Central  
          Coast Chapter
          Parents, Families and Friends of Lesbians and Gays,  Los  
          Angeles
          Planned Parenthood Affiliates of California
          Presbyterian Church - West Hollywood
          San Francisco Democratic party
          San Francisco Labor Council, AFL-CIO
          San Francisco Lesbian Gay Bisexual Transgender Community  
          Center
          San Francisco Lesbian Gay Bisexual Transgender Pride  
            Celebration Committee
          Service Employees International Union (SEIU)
          Stonewall Democratic Club -- Sacramento







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          Southern California Nevada Conference of the United Church  
          of Christ
          Stop AIDS Project
          Transgender Law Center
          Trinity Episcopal Cathederal - Sacramento
          Tri-City Health Center
          UCSF Center for AIDS Prevention Studies
          United Here!  Local 11 AFL-CIO, CLC
          United Church of Christ -
              First Congregational, Long Beach
              First Congregational, Oakland
              Fremont Congregational
              Mt. Hollywood Congregational
              Northern CA/NV Conference
              Pioneer Congregational - Sacramento
              Southern CA/NV Conference
          UPDATE Newspaper - San Diego

           OPPOSITION  :    (Verified  8/31/05)

          Traditional Values Coalition

           ARGUMENTS IN SUPPORT  :    According to the sponsor of the  
          bill, Equality California, despite existing  
          anti-discrimination statutes, many people in California  
          continue to experience discrimination by insurance  
          companies and health plans on the basis of gender,  
          particularly members of the transgender community.   
          Equality California, the Grey Panthers, Stop AIDS Project,  
          Transgender Resources and Neighborhood Space, Asian and  
          Pacific Islander American Health Forum, AIDS Legal Referral  
          Panel, the Gay and Lesbian Adolescent Social Services,  
          Inc., the Asian and Pacific Islander Wellness Center, the  
          Filipino Task Force on AIDS, Lambda Letters Project, the  
          San Francisco Labor Council, AFL-CIO, and numerous other  
          organizations write that by clarifying that the definition  
          of sex is the same as that found in FEHA and other  
          provisions of California law, this bill will insure that  
          insurance companies and health plans understand their legal  
          obligation to refrain from discriminating against  
          transgender people in the creation and maintenance of  
          contracts and the provision of services and benefits.  The  
          California Psychological Association supports this bill and  
          its aim to discourage discrimination of enrollees and  







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          insureds, thus increasing individuals gaining access to  
          necessary mental and health services.  Planned Parenthood  
          Affiliates of California writes that this bill is in  
          keeping with the Planned Parenthood's mission to preserve  
          and protect the essential privacy and rights of each  
          individual and to provide programs which enhance  
          understanding of individual and societal implications of  
          human sexuality.


           ASSEMBLY FLOOR  : 
          AYES:  Baca, Bass, Berg, Bermudez, Calderon, Canciamilla,  
            Chan, Chavez, Chu, Cohn, Coto, De La Torre, Dymally,  
            Evans, Goldberg, Hancock, Jerome Horton, Jones, Karnette,  
            Klehs, Koretz, Laird, Leno, Levine, Lieber, Matthews,  
            Montanez, Mullin, Nation, Nava, Negrete McLeod, Pavley,  
            Ridley-Thomas, Ruskin, Saldana, Salinas, Torrico, Vargas,  
            Wolk, Yee, Nunez
          NOES:  Aghazarian, Benoit, Blakeslee, Bogh, Cogdill,  
            Daucher, DeVore, Harman, Haynes, Houston, Huff, Keene, La  
            Malfa, La Suer, Leslie, Maze, McCarthy, Mountjoy, Niello,  
            Parra, Plescia, Sharon Runner, Spitzer, Strickland,  
            Villines, Walters, Wyland
          NO VOTE RECORDED:  Arambula, Emmerson, Frommer, Garcia,  
            Gordon, Shirley Horton, Liu, Nakanishi, Oropeza, Richman,  
            Tran, Umberg


          DLW:cm  8/31/05   Senate Floor Analyses 

                         SUPPORT/OPPOSITION:  SEE ABOVE

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