California Codes
Cal. Health and Safety Code § 1340 (2026)
✓ current as of May 2026
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This chapter shall be known and may be cited as the Knox-Keene Health Care Service Plan Act of 1975.
Notes of Decisions
Cited in 20
cases (4 in the last 5 years), 1990–2023 · leading case: Pac. Bay Recovery, Inc. v. Cal. Physicians' Servs., Inc., 218 Cal. Rptr. 3d 562 (Cal. Ct. App. 5th 2017).
Pac. Bay Recovery, Inc. v. Cal. Physicians' Servs., Inc., 218 Cal. Rptr. 3d 562 (Cal. Ct. App. 5th 2017). “*203 California Physicians' Services dba Blue Shield of California (Blue Shield) is a health care service plan subject to the Knox-Keene Health Care Service Plan Act of 1975 (Knox-Keene Act), Health and Safety Code section 1340 et seq.”
Mount Diablo Med. Ctr. v. Health Net of California, Inc., 2002 Cal. Daily Op. Serv. 7972 (Cal. Ct. App. 2002). “2 Health Net is a health care service plan licensed under the Knox-Keene Health Care Service Plan Act of 1975, Health and Safety Code section 1340 et seq.”
Prospect Med. Grp., Inc. v. Northridge Emergency Med. Grp., 45 Cal. 4th 497 (Cal. 2009). “, engage in the practice called “balance billing”? Interpreting the applicable statutory scheme as a whole—primarily the Knox-Keene Health Care Service Plan Act of 1975, Health and Safety Code section 1340 et seq.”
Bell v. Blue Cross of California, 2005 Cal. Daily Op. Serv. 6416 (Cal. Ct. App. 2005). “— Blue Cross of California is a health care service plan within the meaning of the Knox-Keene Health Care Service Plan Act of 1975, Health and Safety Code section 1340 et seq.”
Stevens v. Workers' Comp. Appeals Bd., 80 Cal. Comp. Cases 1262 (Cal. Ct. App. 2015). “) Under the Knox-Keene Act, requests for medical care are reviewed under an IMR process codified in Health and Safety Code section 1374.30. (California Consumer, at p.”
Medeiros v. Superior Court, 2007 Cal. Daily Op. Serv. 609 (Cal. Ct. App. 2007). “18 Knox-Keene Health Care Service Plan Act of 1975, Health and Safety Code section 1340 et seq.”
Van De Kamp v. Gumbiner, 221 Cal. App. 3d 1260 (Cal. Ct. App. 1990). “138, was enacted as the KnoxKeene Health Care Service Plan Act of 1975 (the Knox-Keene Act), Health and Safety Code sections 1340 et seq.”
Regents of the Univ. of California Ex Rel. Hospitals Auxiliary of the Med. Ctr. v. Principal Fin. Grp., 412 F. Supp. 2d 1037 (N.D. Cal. 2006). “8 The Knox-Keene Health Care Service Plan Act of 1975 (“Knox-Keene Act”), California Health and Safety Code sections 1340 — 1399, was enacted to regulate health care service plans and specialized health care service plan contracts in California.”
Nat'l Ass'n of Optometrists & Opt. v. Brown, 567 F.3d 521 (9th Cir. 2009). “3d 669 (2006), specifically with regard to whether it is possible for an interstate optical chain like LensCrafters to provide "one-stop shopping" in California by forming a relationship with a health care service plan ("HMO") licensed under the Knox-Keene Act of 1975, Cal.…”
Nat'l Ass'n of Optometrists & Opticians Lenscrafters, Inc. v. Brown, 567 F.3d 521 (9th Cir. 2009). “3d 669 (2006), specifically with regard to whether it is possible for an interstate optical chain like LensCrafters to provide "one-stop shopping” in California by forming a relationship with a health care service plan ("HMO”) licensed under the KnoxKeene Act of 1975, Cal.…”
Myers v. Bd. of Equalization, 240 Cal. App. 4th 722 (Cal. Ct. App. 2015). “Real Parties in Interest contended, inter alia, they could not, as a matter of law, be regarded as “insurers” under the Constitution’s gross premium tax provision, because they are “health care service plans” under the Knox-Keene Health Care Service Plan Act of 1975, Health and…”
Zuniga v. Workers' Comp. Appeals Bd., 228 Cal. Rptr. 3d 294 (Cal. Ct. App. 5th 2018). “" Zuniga's characterization of the IMR process is flatly incorrect.”
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