The CAHU Monday Morning Report

	AB 591	(De La Torre)  Insurance: referral fees: health plans and insurance: filings: identification cards.
		Introduced: 2/25/2009
		Status: 8/27/2009-In committee: Held under submission.
		Location: 8/27/2009-S. APPR. SUSPENSE FILE
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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. This bill would require health care service plans to annually file with the Department of Managed Health Care a copy of each of their plan contracts issued or outstanding in this state as of the end of the previous calendar year and a list of the marketing names used for those contracts, if any. The bill would require health insurers to annually file with the Insurance Commissioner a list of their health insurance policies issued or outstanding in this state in the previous calendar year with more than 50,000 insureds, including the form number and marketing name for those policies. The bill would require the Department of Insurance to use those form numbers and marketing names when tracking the associated insurers and policies. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Watch		Steve Snitchler

	AB 786	(Jones)  Individual health care coverage: coverage choice categories.
		Introduced: 2/26/2009
		Status: 9/8/2009-To inactive file on motion of Senator Romero.
		Location: 9/8/2009-S. INACTIVE FILE
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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 establishes the Office of Patient Advocate within the department to represent the interests of plan enrollees. Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law requires health care service plans and health insurers that offer contracts or policies to individuals to comply with specified requirements. This bill would require individual health care service plan contracts and individual health insurance policies issued, amended, or renewed on or after January 1, 2011, to contain a maximum limit on out-of-pocket costs for covered benefits provided by in-network providers and for covered emergency services , as specified. The bill would require, by July 1, 2012, the Department of Managed Health Care and the Department of Insurance to jointly, by regulation, develop standard definitions and terminology for benefits and cost-sharing provisions applicable to individual contracts and policies, as specified, and to develop a system to categorize those contracts and policies into coverage choice categories that meet specified requirements. The bill would require plans and insurers to submit certain information to the departments by a specified date and would require the Director of the Department of Managed Health Care and the Insurance Commissioner to categorize the contracts and policies into the appropriate coverage choice category by a specified date . The bill would require the Office of Patient Advocate to develop and maintain on its Internet Web site a uniform benefits matrix of those contracts and policies arranged by coverage choice category along with other specified information. The bill would require health care service plans, health insurers, solicitors, solicitor firms, brokers, and agents to make prospective enrollees or insureds aware of the availability and contents of the benefits matrix when marketing or selling a contract or policy in the individual market. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Oppose

	AB 1449	(De Leon)  Health care coverage: solicitation.
		Introduced: 2/27/2009
		Status: 8/27/2009-In committee: Held under submission.
		Location: 8/27/2009-S. APPR. SUSPENSE FILE
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law, the Knox-Keene Health Care Service Plan Act of 1975 (Knox-Keene Act) , provides for the licensure and regulation of health care service plans by the Department of Managed Health Care . Existing law also provides for the regulation of health insurers by the Department of Insurance. Existing law specifies that certain persons who assist applicants in submitting an application to a health care service plan or health insurer have a duty to assist those applicants in providing answers to health questions accurately and completely and requires those persons to make a specified attestation on the written application. This bill would instead impose that requirement on certain persons who assist applicants in completing an application for an individual health care service plan contract or individual health insurance policy. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Watch

	AB 1521	(Jones)  Health care coverage: solicitation.
		Introduced: 2/27/2009
		Status: 8/27/2009-In committee: Held under submission.
		Location: 8/27/2009-S. APPR. SUSPENSE FILE
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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 law regulates the solicitation of health care service plan products and health insurance. Existing law prohibits a plan or insurer from entering into an agreement with an agent, broker, or solicitor that provides for or results in the compensation paid to the agent, broker, or solicitor for the sale of a health care service plan contract or health insurance policy to a small employer or an individual to be varied because of specified characteristics of the small employer or individual. This bill would prohibit a plan or insurer from entering into an agreement with a solicitor, among others , that provides for or results in the compensation paid to the solicitor for the sale or offer of, or application for, an individual health care service plan contract or individual health insurance policy to be varied because of the health status, claims experience, industry, or occupation of the individual , but would authoriz e the plan or insurer to establish standardized or tiered compensation for a solicitor, as specified. The bill would also specify the compensation rate for a solicitor at the time of renewal of an individual contract or policy or transfer to another individual contract or policy with the same plan or insurer . The bill would require a plan or insurer, or person or entity representing a plan or insurer, at the time of an individual's application to change to a different individual health care service plan contract or individual health insurance policy, to notify the individual that application for a different contract or policy may result in an offer, an offer for a higher premium, or denial of coverage for that different contract or policy. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Watch		Steve Snitchler

	AB 1595	(Jones)  Health care reform.
		Introduced: 1/4/2010
		Status: 1/5/2010-From printer. May be heard in committee February 4.
		Location: 1/4/2010-A. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law does not provide a system of universal health care coverage for California residents. Existing law provides for the creation of various programs to provide health care services to persons who have limited incomes and meet various eligibility requirements. These programs include the Healthy Families Program administered by the Managed Risk Medical Insurance Board, and the Medi-Cal program administered by the State Department of Health Care Services. Existing law provides for the regulation of health care service plans by the Department of Managed Health Care and health insurers by the Department of Insurance. This bill would state the intent of the Legislature to enact legislation that would implement federal health care reform in this state.

		Organization	Position		Assigned
		CAHU	Watch		Paula Wilson

	AB 1600	(Beall)  Health care coverage: mental health services.
		Introduced: 1/4/2010
		Status: 1/14/2010-Referred to Com. on HEALTH.
		Location: 1/14/2010-A. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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. Under existing law, a health care service plan contract and a health insurance policy are required to provide coverage for the diagnosis and treatment of severe mental illnesses of a person of any age. Existing law does not define "severe mental illnesses" for this purpose but describes it as including several conditions. This bill would expand this coverage requirement for certain health care service plan contracts and health insurance policies issued, amended, or renewed on or after January 1, 2011, to include the diagnosis and treatment of a mental illness of a person of any age and would define mental illness for this purpose as a mental disorder defined in the Diagnostic and Statistical Manual IV, subject to regulatory revision, as specified. The bill would specify that this requirement does not apply to a health care benefit plan, contract, or health insurance policy with the Board of Administration of the Public Employees' Retirement System unless the board elects to purchase a plan, contract, or policy that provides mental health coverage. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Oppose		Craig Gussin

	AB 1602	(Bass)  Health care coverage.
		Introduced: 1/4/2010
		Status: 1/14/2010-Referred to Com. on HEALTH.
		Location: 1/14/2010-A. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary:  Existing law provides various programs to provide health care coverage to persons with limited financial resources, including the Medi-Cal program and the Healthy Families Program. This bill would enact the California Patient Protection and Affordable Health Choices Act. It would create the California Cooperative Health Insurance Purchasing Exchange (Cal-CHIPE) in state government to be governed by an executive board appointed, in an unspecified manner, by the Governor and the Legislature. The bill would specify the powers and duties of the board relative to determining eligibility for enrollment in Cal-CHIPE and arranging for coverage with participating health, dental, and vision coverage. The bill would create the California Health Trust Fund and enact other related provisions. All of these provisions would become operative at an unspecified date. The bill would also state the intent of the Legislature to enact the necessary statutory changes relative to federal health care reforms. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Watch		Harry Thal

	AB 1759	(Blumenfield)  Health care coverage: premium rates.
		Introduced: 2/8/2010
		Status: 3/10/2010-Re-referred to Com. on HEALTH.
		Location: 3/10/2010-A. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law, the Knox-Keene Health Care Service Plan Act of 1975 (Knox-Keene Act) , provides for the licensure and regulation of health care service plans by the Department of Managed Health Care, and makes a willful violation of its provisions a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law prohibits, except as specified, a health care service plan or a health insurer from changing its premium rates or applicable copayments or coinsurances or deductibles for group health care service plan contracts or group health insurance policies after the group contractholder or group policyholder has delivered written acceptance of the contract or policy, after the start of the open enrollment period, or after receipt of the premium payment for the first month of coverage. This bill would prohibit a health care service plan or health insurer from using a change in demographics or enrollment as the basis for a premium rate change during the length of the contract. The bill would provide that a violation of that prohibition would not be subject to the crime provision that applies to the Knox-Keene Act.

		Organization	Position		Assigned
		CAHU			Robert Donin

	AB 1825	(De La Torre)  Maternity services.
		Introduced: 2/11/2010
		Status: 2/25/2010-Referred to Com. on HEALTH.
		Location: 2/25/2010-A. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law provides for the regulation of health insurers by the Department of Insurance. Under existing law, a health insurer that provides maternity coverage may not restrict inpatient hospital benefits, as specified, and is required to provide notice of the maternity services coverage. This bill would require new forms for health insurance policies submitted to the department after January 1, 2011, to provide coverage for maternity services, as defined. With respect to policy forms on file with the department as of January 1, 2011, the bill would require health insurers to submit to the department, on or before March 1, 2011, revised policy forms that provide coverage for maternity services and would require insurers to include that coverage in the corresponding policies that are issued, amended, or renewed following the department's approval of the revised forms, as specified.

		Organization	Position		Assigned
		CAHU	Oppose		Steve Snitchler

	AB 1826	(Huffman)  Health care coverage: prescriptions.
		Introduced: 2/11/2010
		Status: 2/25/2010-Referred to Com. on HEALTH.
		Location: 2/25/2010-A. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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's requirements a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law requires a health care service plan contract or a health insurance policy that covers prescription drug benefits to provide specified coverage to subscribers, enrollees, and insureds. This bill would prohibit a health care service plan or a health insurer covering prescription drug benefits from requiring a subscriber, enrollee, or insured who has been prescribed a product for the treatment of pain by his or her health care provider to use a different specified product prior to authorizing coverage of the product prescribed by the health care provider. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Oppose		Paula Wilson

	AB 1868	(Jones)  Insurance: life: disability: discretionary clauses.
		Introduced: 2/12/2010
		Status: 2/25/2010-Referred to Com. on INS.
		Location: 2/25/2010-A. INS.
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law generally regulates life and disability insurance policies, and requires the Insurance Commissioner to disapprove any disability policy for issuance or delivery in this state in specified circumstances. This bill would prohibit a policy, contract, certificate, or agreement offered or issued in this state providing for life insurance, disability insurance, or disability income protection coverage from containing a provision purporting to reserve discretionary authority to the insurer, or an agent of the insurer, to interpret the terms of the policy contract, certificate, or agreement, or providing standards of interpretation or review that are inconsistent with the laws of this state. The bill would require the commissioner to disapprove any disability policy that contains a provision of this type.

		Organization	Position		Assigned
		CAHU	Oppose		Craig Gussin

	AB 1887	(Villines)  California Major Risk Medical Insurance Program.
		Introduced: 2/16/2010
		Status: 2/25/2010-Referred to Com. on HEALTH.
		Location: 2/25/2010-A. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law establishes the California Major Risk Medical Insurance Program, which is administered by the Managed Risk Medical Insurance Board (MRMIB), to provide major risk medical coverage to persons who, among other matters, have been rejected for coverage by at least one private health plan. Existing law authorizes MRMIB to, among other things, determine the eligibility of applicants, determine the major risk medical coverage to be provided to program subscribers, and authorize expenditures from the Major Risk Medical Insurance Fund to pay program expenses that exceed subscriber contributions. This bill would also authorize MRMIB to apply for any federal funding it determines to be cost effective for purposes of extending major risk medical coverage to more applicants.

		Organization	Position		Assigned
		CAHU	Support		Harry Thal

	AB 1904	(Villines)  Out-of-state carriers.
		Introduced: 2/16/2010
		Status: 3/4/2010-Referred to Com. on HEALTH.
		Location: 3/4/2010-A. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law, the Knox-Keene Health Care Service Plan Act of 1975, requires, subject to specified exceptions, that a health care service plan be licensed by the Department of Managed Health Care and provide basic health care services, as defined, unless exempted from that requirement by the director of the department. Existing law also requires, subject to specified exceptions, that an insurer obtain a certificate of authority from the Insurance Commissioner in order to transact business in this state and that the insurer operate in accordance with specified requirements. This bill would allow a carrier domiciled in another state to offer, sell, or renew a health care service plan or a health insurance policy in this state without holding a license issued by the department or a certificate of authority issued by the commissioner and would exempt the carrier's plan or policy from requirements otherwise applicable to plans and insurers providing health care coverage in this state if the plan or policy complies with the domiciliary state's requirements, and the carrier is lawfully authorized to issue the plan or policy in that state and to transact business there.

		Organization	Position		Assigned
		CAHU	Watch		Steve Snitchler

	AB 1976	(Cook)  Health care coverage: report of claim information.
		Introduced: 2/17/2010
		Status: 3/4/2010-Referred to Coms. on HEALTH and JUD.
		Location: 3/4/2010-A. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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 provides for the regulation of health insurers by the Department of Insurance. This bill would, on and after July 1, 2011, require a health care service plan or health insurer that receives a written request for a written report of claim information from the group subscriber or group policyholder of a group health care service plan contract or health insurance policy issued by the plan or insurer, as specified, to provide that report to the subscriber or policyholder no later than 30 days after receipt of the request. The bill would require the report to be provided in a specified manner and to include specified information after removing any individually identifiable information, as defined. The bill would prohibit the health care service plan or health insurer from disclosing any information protected under federal or state law. The bill would make a plan or insurer that fails to comply with these requirements subject to administrative penalties assessed by the departments. This bill contains other existing laws.

		Organization	Position		Assigned
		CAHU	Support		Steve Snitchler

	AB 2035	(Coto)  Self-funded dental benefit plans: administrators.
		Introduced: 2/17/2010
		Status: 3/4/2010-Referred to Com. on HEALTH.
		Location: 3/4/2010-A. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law provides for the regulation of insurers by the Department of Insurance. Existing law requires administrators who perform certain acts in connection with life or health insurance coverage or annuities to be registered with the Insurance Commissioner and to comply with certain other requirements. This bill would require an administrator providing administrative services for a self-funded dental benefit plan to include certain language in explanation of benefits documents and in forms sent to claimants in response to claims for benefits.

		Organization	Position		Assigned
		CAHU	Watch		Robert Donin

	AB 2041	(Villines)  Income tax: health savings accounts.
		Introduced: 2/17/2010
		Status: 3/10/2010-From committee chair, with author's amendments: Amend, and re-refer to Com. on REV. & TAX. Read second time and amended.
		Location: 3/10/2010-A. REV. & TAX
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: The Personal Income Tax Law authorizes various deductions in computing income that is subject to tax under that law. This bill would, for taxable years beginning on and after January 1, 2010, allow a deduction in connection with health savings accounts in conformity with federal law. In general, the deduction would be an amount equal to the aggregate amount paid in cash during the taxable year by, or on behalf of, an eligible individual, as defined, to a health savings account of that individual, as provided. This bill would, for taxable years beginning on and after January 1, 2010, also provide related conformity to that federal law with respect to treatment of the account as a tax-exempt trust and the allowance of rollovers from Archer Medical Savings Accounts, health flexible spending arrangements, or health reimbursement accounts to a health savings account . This bill contains other related provisions.

		Organization	Position		Assigned
		CAHU	Support		Paula Wilson

	AB 2042	(Feuer)  Personal health care: catastrophic health insurance.
		Introduced: 2/17/2010
		Status: 3/4/2010-Referred to Com. on HEALTH.
		Location: 3/4/2010-A. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law requires the State Public Health Officer, in consultation with, and approval of, the Department of Insurance, to contract with an insurer or insurers to provide any California resident, as defined, catastrophic health insurance. Existing law provides that a contract for catastrophic health insurance shall not be required to cover a preexisting medical condition of a resident during the first 10 months of coverage and that charges for a preexisting medical condition shall not apply toward the deductible during the first 10 months of coverage. This bill would, instead, provide that the contract shall not be required to cover a preexisting medical condition of a resident during the first 6 months of coverage and that charges for a preexisting medical condition shall not apply toward the deductible during the first 6 months of coverage.

		Organization	Position		Assigned
		CAHU	Watch		Heinz Schuelmisler

	AB 2066	(Jones)  Annuity sales: seniors.
		Introduced: 2/18/2010
		Status: 2/21/2010-From printer. May be heard in committee March 23.
		Location: 2/18/2010-A. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law generally regulates insurance, including annuity products. Existing law requires a life insurance agent to provide specified disclosures to seniors 65 years of age or older in certain circumstances. Existing law also prohibits the sale of an annuity to a senior in specified circumstances. This bill would require all insurers, brokers, agents, and others engaged in the transaction of insurance who offer to sell an annuity to a senior to disclose to the senior, as defined, all material facts and features of the annuity that he or she knows or reasonably should know are likely to affect the decision of the senior to purchase the annuity. This bill contains other related provisions.

		Organization	Position		Assigned
		CAHU	Oppose		Dan White

	AB 2110	(De La Torre)  Disability insurance: premium payments: grace periods.
		Introduced: 2/18/2010
		Status: 3/4/2010-Referred to Com. on INS.
		Location: 3/4/2010-A. INS.
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law provides for the regulation of disability insurers by the Department of Insurance and requires disability insurance policies to include a provision setting forth a grace period for making premium payments. Under existing law, the grace period must equal no less than 7 days for weekly premium policies, no less than 10 days for monthly premium policies, and no less than 31 days for all other policies. Existing law prohibits the Insurance Commissioner from approving a policy for issuance or delivery, and authorizes the commissioner to withdraw approval of the policy, if it fails to meet these requirements. This bill would extend the minimum grace period for policies, other than weekly premium policies, to 50 days.

		Organization	Position		Assigned
		CAHU	Oppose		Robert Donin

	AB 2170	(Lowenthal, Bonnie)  Health care coverage: prescriptions: formularies.
		Introduced: 2/18/2010
		Status: 3/4/2010-Referred to Com. on HEALTH.
		Location: 3/4/2010-A. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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's requirements a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law prohibits a group health care service plan or health insurer, with regard to a group contract, except as specified, from changing the premium rates or applicable copayments or coinsurances or deductibles during certain time periods. This bill would prohibit a health care service plan or a health insurer covering prescription drug benefits and using a formulary from changing the applicable copayments or deductibles or coinsurances for prescription drug benefits for the length of the contract or policy. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Watch		Paula Wilson

	AB 2259	(Galgiani)  Health care coverage: nonprofit charitable organizations.
		Introduced: 2/18/2010
		Status: 2/21/2010-From printer. May be heard in committee March 23.
		Location: 2/18/2010-A. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law, the Knox-Keene Health Care Service Plan Act of 1975 (Knox-Keene Act), provides for the licensure and regulation of health care service plans, as defined, by the Department of Managed Health Care. Existing law also provides for the regulation of health insurers by the Department of Insurance and requires insurers to obtain a certificate of authority from the Insurance Commissioner. Existing law provides an exemption from those licensure and certification requirements for plans operated by a public entity or joint labor management trust if, among other requirements, the plan maintains a fiscally sound operation and makes adequate provision against the risk of insolvency, as evidenced by financial statements submitted to the Director of the Department of Managed Health Care, as specified. This bill would exempt a plan operated by a joint venture formed by 2 or more nonprofit charitable organizations, as defined, from the licensure and certification requirements if the plan satisfies certain criteria, including maintaining a fiscally sound operation and making adequate provision against the risk of insolvency, as evidenced by financial statements submitted to the Director of the Department of Managed Health Care, as specified, and submitting a declaration under penalty of perjury stating the plan's compliance with those criteria. The bill would also authorize a joint venture formed between 2 or more nonprofit charitable organizations to contract with a health care service plan or health insurer for the purpose of providing health care coverage to the employees and retirees, and dependents thereof, of the participating nonprofit charitable organizations. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU			Heinz Schuelmisler

	AB 2345	(De La Torre)  Individual health care coverage: health insurers.
		Introduced: 2/19/2010
		Status: 2/22/2010-Read first time.
		Location: 2/19/2010-A. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law provides for the regulation of health insurers by the Department of Insurance and requires a health insurer to have written policies, procedures, and underwriting guidelines establishing the criteria and process whereby the insurer makes its decision to provide or to deny coverage to individuals who apply for coverage and sets the rate for that coverage. Existing law requires an insurer to annually file with the commissioner a general description of the criteria, policies, procedures, or guidelines that the insurer uses for rating and underwriting decisions related to individual health insurance policies, as specified, and requires the commissioner to make specified information available on its Internet Web site regarding rating, underwriting criteria, and practices in the individual market. This bill would make technical, nonsubstantive changes to those provisions.

		Organization	Position		Assigned
		CAHU			Craig Gussin

	AB 2362	(Skinner)  Insurance: agents and brokers.
		Introduced: 2/19/2010
		Status: 2/22/2010-Read first time.
		Location: 2/19/2010-A. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law provides that the obligation of an insurer to furnish any notice to its insured, as required by law, may be carried out by the insurer's general agent; however, the delegation of this obligation does not limit or negate the insurer's responsibility or liability if the general agent fails to provide the required notice. This bill would make technical, nonsubstantive changes to that provision.

		Organization	Position		Assigned
		CAHU	Watch		Steven Lindsay

	AB 2395	(Anderson)  Insurance: commissioner: powers and duties: complaints.
		Introduced: 2/19/2010
		Status: 2/22/2010-Read first time.
		Location: 2/19/2010-A. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law requires the Insurance Commissioner, in person or through employees of the Department of Insurance, to receive complaints and inquiries, investigate complaints, prosecute insurers or production agencies when appropriate, and respond to complaints and inquiries by members of the public concerning the handling of insurance claims. This bill would require the commissioner, when investigating complaints, to limit the investigation to those allegations specified in the complaint.

		Organization	Position		Assigned
		CAHU			Steve Snitchler

	AB 2404	(Hill)  Insurance.
		Introduced: 2/19/2010
		Status: 2/22/2010-Read first time.
		Location: 2/19/2010-A. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary:  Existing law requires that unless the insurance contract provides otherwise, an insured person is entitled to a return of his or her premium if the policy is canceled, rejected, surrendered, or rescinded, as provided. This bill would require that any insurance policy that includes a provision to refund a premium other than on a pro rata basis, including the assessment of cancellation fees, separately disclose that fact in writing, including a description of the cancellation process and the actual fees or penalties applied. The disclosure would be required to be made prior to, or concurrent with, the application and prior to each renewal, as provided. If an application is made by telephone, the disclosure would be required to be mailed to the applicant or insured within 3 business days. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU			David Benson

	AB 2440	(Berryhill, Tom)  Public health: health care benefits.
		Introduced: 2/19/2010
		Status: 2/22/2010-Read first time.
		Location: 2/19/2010-A. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law requests the University of California to establish the California Health Benefit Review Program to assess legislation proposing to mandate a benefit or service, as defined, and legislation proposing to repeal a mandated service or benefit, as defined, that, if enacted, becomes effective on or after January 1, 2008, and to prepare a written analysis in accordance with specified criteria. Existing law also requests the University of California to submit a report to the Governor and the Legislature by January 1, 2010, regarding the implementation of the program. This bill would additionally request the University of California to submit to the Governor and the Legislature by July 1, 2011, an evaluation of the accuracy of the medical, public health, and cost projections and estimates found in the reports it has issued pursuant to the program prior to December 31, 2009.

		Organization	Position		Assigned
		CAHU			Steve Snitchler

	AB 2470	(De La Torre)  Individual health care coverage.
		Introduced: 2/19/2010
		Status: 2/22/2010-Read first time.
		Location: 2/19/2010-A. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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 its provisions a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law prohibits the Director of the Department of Managed Health Care and the Insurance Commissioner from approving a health care service plan contract or health insurance policy without a finding that the application for the contract or policy conforms to specified requirements. Existing law prohibits the cancellation or nonrenewal of an enrollment or subscription by a health care service plan except in specified circumstances, including failure to pay the charge for the coverage, fraud or deception in the use of services or facilities, or other good cause as agreed upon in the contract. Existing law prohibits the nonrenewal of individual health benefit plans by a health insurer except in specified circumstances, including for nonpayment of premiums or for fraud or intentional misrepresentation of material fact. This bill would require the director and the commissioner to jointly, by regulation, establish standard information and health history questions to be used by health care service plans and health insurers for their individual health care coverage application forms, as specified, and, on and after January 1, 2012, would require all individual health care service plan and health insurance applications to be reviewed and approved by the director or the commissioner, respectively, before use by a health care service plan or health insurer. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Watch		Harry Thal

	AB 2533	(Fuentes)  Health care coverage: quality rating.
		Introduced: 2/19/2010
		Status: 2/22/2010-Read first time.
		Location: 2/19/2010-A. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for the licensure regulation of health care service plans by the Department of Managed Health Care. Existing law makes a willful violation of the act's requirements a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. This bill would require those filings to be made with the respective departments on or before July 1, 2011. The bill would also expand these provisions to apply to quality rating, as defined, utilized by the plan or insurer with respect to individual or group performance of physicians. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU			Heinz Schuelmisler

	AB 2539	(Smyth)  Income tax: health savings account.
		Introduced: 2/19/2010
		Status: 2/22/2010-Read first time.
		Location: 2/19/2010-A. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: The Personal Income Tax Law authorizes various deductions in computing income that is subject to tax under that law. This bill would state the intent of the Legislature to enact legislation to allow a deduction in connection with health savings accounts in conformity with federal law, and to provide related conformity to federal law with respect to treatment of the account as a tax-exempt trust, the allowance of rollovers from Archer Medical Savings Accounts to a health savings account, and penalties in connection therewith.

		Organization	Position		Assigned
		CAHU	Support		Paula Wilson

	AB 2578	(Jones)  Health care coverage: rate approval.
		Introduced: 2/19/2010
		Status: 2/22/2010-Read first time.
		Location: 2/19/2010-A. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law, the Knox-Keene Health Care Service Plan Act of 1975 (Knox-Keene Act), 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. Under existing law, no change in premium rates or coverage in a health care service plan or a health insurance policy may become effective without prior written notification of the change to the contract holder or policyholder. Existing law prohibits a plan and an insurer during the term of a plan contract or policy from changing the rate of the premium, copayment, coinsurance, or deductible during specified time periods. This bill would require approval by the Department of Managed Health Care or the Department of Insurance of an increase in the amount of the premium, copayment, coinsurance obligation, deductible, and other charges under a health care service plan or health insurance policy. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Oppose		Robert Donin

	AB 2586	(Chesbro)  Health care coverage: network modification: contracting providers.
		Introduced: 2/19/2010
		Status: 2/22/2010-Read first time.
		Location: 2/19/2010-A. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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 law requires a plan to obtain department approval prior to a material modification of its plan or operations and requires a plan to take specified actions prior to terminating a contract with a provider group or a general acute care hospital. Existing law imposes specified requirements with respect to the accessibility of services provided by both plans and insurers. This bill would require a plan or an insurer that contracts with providers to obtain approval from its regulating department prior to implementing a network modification, as defined, and would require the plan or insurer, in order to obtain approval, to demonstrate that the modified network would meet certain access requirements. The bill would require plans and insurers to notify affected providers and enrollees or insureds of the modification, as specified. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Watch		Steve Snitchler

	AB 2587	(Berryhill, Tom)  Health care coverage: benefit mandates.
		Introduced: 2/19/2010
		Status: 2/22/2010-Read first time.
		Location: 2/19/2010-A. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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 also provides for regulation of health insurers by the Department of Insurance. Existing law imposes certain benefit mandates on health care service plan contracts and health insurance policies. This bill would exempt a health care service plan contract or health insurance policy issued, amended, or renewed on or after January 1, 2011, from complying with those benefit mandates, as specified, until the Department of Managed Health Care or the Department of Insurance, as applicable, issues a declaration finding that the state unemployment rate has been no more than 5.5% for 4 consecutive quarters.

		Organization	Position		Assigned
		CAHU	Watch		Craig Gussin

	AB 2626	(Jones)  Insurance: commissioner: filings: reporting.
		Introduced: 2/19/2010
		Status: 2/22/2010-Read first time.
		Location: 2/19/2010-A. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law requires the Insurance Commissioner to approve or disapprove certain insurance rates and insurance policies. Existing law requires the commissioner to make certain reports annually to the Governor and the Legislature. This bill would require the commissioner, within 45 days of insurance rate change applications or policy filings for specified insurance types, to notify the insurer of any known defects in its filings. The bill would require that, beginning January 1, 2012, and annually thereafter, the commissioner report specified information concerning insurance rate change applications and policy filings to the Department of Finance.

		Organization	Position		Assigned
		CAHU	Watch		David Benson

	SB 56	(Alquist)  Health plans: joint ventures.
		Introduced: 1/20/2009
		Status: 2/11/2010-To Com. on HEALTH.
		Location: 2/11/2010-A. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law creates various health benefits programs administered by the State Department of Health Care Services. Existing law, the Knox-Keene Health Care Services Plan Act of 1975, administered by the Managed Risk Medical Insurance Board, provides for the licensure and regulation of health care service plans. This bill would authorize certain county-organized health plans and various other health benefits programs to form joint ventures to create integrated networks of public health plans that pool risk and share networks or to provide for the joint or coordinated offering of health plans to individuals and groups. The bill would require all joint ventures and health care networks established pursuant to the aforementioned provisions to meet all of the requirements of the Knox-Keene Health Care Service Plan Act of 1975.

		Organization	Position		Assigned
		CAHU	Watch		Paula Wilson

	SB 227	(Alquist)  Health care coverage.
		Introduced: 2/23/2009
		Status: 8/20/2009-Hearing postponed by committee. (Refers to 8/19/2009 hearing)
		Location: 7/13/2009-A. APPR.
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary:  Existing law establishes the California Major Risk Medical Insurance Program (MRMIP) that is administered by the Managed Risk Medical Insurance Board (MRMIB) to provide major risk medical coverage to persons who, among other matters, have been rejected for coverage by at least one private health plan. 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 law requires a health care service plan and a health insurer to continue to provide coverage to certain individuals who were members of a pilot program that ended on December 31, 2007, and requires MRMIB to make payments from the Major Risk Medical Insurance Fund, a continuously appropriated fund, to health care service plans and insurers for the provision of health care services to those individuals. This bill would require a health care service plan and a health insurer to elect either to accept for coverage at rates set by MRMIB and under specified conditions persons eligible for MRMIP that have been assigned to the plan or insurer by MRMIB regardless of health status or previous health care claims experience, or alternatively to pay a fee set by MRMIB based on its market share, as specified. Because the fee would be deposited in the fund, the bill would make an appropriation by increasing the amount of revenue in a continuously appropriated fund. The bill would authorize MRMIB, with the approval of the Department of Finance, to obtain loans from the General Fund for expenses related to administration of the fund. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Support If Amended		Craig Gussin

	SB 270	(Alquist)  Health care providers: medical information.
		Introduced: 2/24/2009
		Status: 2/11/2010-To Com. on HEALTH.
		Location: 2/11/2010-A. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary:  Existing law provides for the licensing and regulation of clinics, health facilities, home health agencies, and hospices by the State Department of Public Health. Existing law requires these entities to prevent unlawful or unauthorized access to, and use or disclosure of, a patient's medical information. A violation of these provisions is a crime. Existing law requires these entities to report an instance of unlawful or unauthorized access to, and use or disclosure of, a patient's medical information to the department and to the affected patient or patient's representative, as prescribed, within 5 business days of its detection, except that an entity is required to delay compliance with this reporting requirement beyond this 5 business day period if a law enforcement agency or official provides the entity with a written or oral statement that compliance with the reporting requirement would impede the law enforcement agency's activities that relate to the unlawful or unauthorized access to, and use or disclosure of, a patient's medical information and specifies the date upon which the delay shall end, as prescribed. This bill would, instead, apply the provision requiring a delay in compliance with the reporting requirement only to a statement that compliance with that requirement would impede the law enforcement agency's investigations, rather than activities. By expanding circumstances to which a crime would apply, the bill would create a state-mandated local program. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Support		Paula Wilson

	SB 316	(Alquist)  Health care coverage: disclosures.
		Introduced: 2/25/2009
		Status: 2/11/2010-To Com. on HEALTH.
		Location: 2/11/2010-A. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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 disability insurers by the Department of Insurance. Existing law requires health care service plans and disability insurers, and their employees or agents, when presenting a p lan contract or policy for examination or sale to an individual purchaser or to the representative of a group consisting of 25 or fewer individuals, to make a written disclosure of the ratio of premium costs to health services paid, in the case of health care service plans, or of incurred claims to earned premiums, in the case of disability insurers, for the preceding year, as specified. This bill would instead require that this disclosure be made when presenting a plan contract or policy for examination or sale to an individual purchaser or to the representative of a group consisting of 50 or fewer individuals. The bill would make other technical, nonsubstantive changes. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Watch		Craig Gussin

	SB 810	(Leno)  Single-payer health care coverage.
		Introduced: 2/27/2009
		Status: 1/28/2010-In Assembly. Read first time. Held at Desk.
		Location: 1/28/2010-A. DESK
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law does not provide a system of universal health care coverage for California residents. Existing law provides for the creation of various programs to provide health care services to persons who have limited incomes and meet various eligibility requirements. These programs include the Healthy Families Program administered by the Managed Risk Medical Insurance Board, and the Medi-Cal program administered by the State Department of Health Care Services. Existing law provides for the regulation of health care service plans by the Department of Managed Health Care and health insurers by the Department of Insurance. This bill would establish the California Healthcare System to be administered by the newly created California Healthcare Agency under the control of a Healthcare Commissioner appointed by the Governor and subject to confirmation by the Senate. The bill would make all California residents eligible for specified health care benefits under the California Healthcare System, which would, on a single-payer basis, negotiate for or set fees for health care services provided through the system and pay claims for those services. The bill would provide that a resident of the state with a household income, as specified, at or below 200% of the federal poverty level would be eligible for the type of benefits provided under the Medi-Cal program. The bill would require the commissioner to seek all necessary waivers, exemptions, agreements, or legislation to allow various existing federal, state, and local health care payments to be paid to the California Healthcare System, which would then assume responsibility for all benefits and services previously paid for with those funds. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Oppose

	SB 890	(Alquist)  Health care coverage.
		Introduced: 1/21/2010
		Status: 2/4/2010-To Com. on RLS.
		Location: 2/4/2010-S. RLS.
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law provides for licensing and regulation of health care service plans by the Department of Managed Health Care. Existing law provides for licensing and regulation of health insurers by the Department of Insurance. Existing law creates various programs to provide health care services to persons of limited incomes, including the Medi-Cal program and the Healthy Families Program. This bill would state the intent of the Legislature to implement federal health care reforms by enacting specified legislation in that regard.

		Organization	Position		Assigned
		CAHU	Watch		Robert Donin

	SB 900	(Alquist)  California Health Insurance Exchange.
		Introduced: 1/26/2010
		Status: 2/11/2010-To Com. on HEALTH.
		Location: 2/11/2010-S. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law does not provide a system of health care coverage for all California residents. Existing law provides for the creation of various programs to provide health care coverage to persons who have limited incomes and meet various eligibility requirements. These programs include the Healthy Families Program, administered by the Managed Risk Medical Insurance Board, and the Medi-Cal program, administered by the State Department of Health Care Services and county welfare departments. Existing law provides for the licensure and regulation of health care service plans by the Department of Managed Health Care and for the regulation of health insurers by the Department of Insurance. Existing law creates the California Health and Human Services Agency, which consists of various departments. This bill would establish the California Health Insurance Exchange within the California Health and Human Services Agency. The bill would require the exchange to, among other things, provide, or make available, health care coverage through participating health plans, determine eligibility, enrollment, and disenrollment criteria and processes, authorize expenditures from the California Health Insurance Exchange Fund, which the bill would create in the State Treasury, and be governed by an unspecified board whose members would be appointed by the Legislature.

		Organization	Position		Assigned
		CAHU	Oppose		Paula Wilson

	SB 961	(Wright)  Health care coverage: cancer treatment.
		Introduced: 2/5/2010
		Status: 3/9/2010-From committee with author's amendments. Read second time. Amended. Re-referred to Com. on HEALTH.
		Location: 3/9/2010-S. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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 law requires health care service plan contracts and health insurance policies to provide coverage for all generally medically accepted cancer screening tests and requires those plans and policies to also provide coverage for the treatment of breast cancer. Existing law imposes various requirements on contracts and policies that cover prescription drug benefits. This bill would prohibit health care service plan contracts and health insurance policies that provide coverage for orally administered cancer medications from charging a copay ment for the medications in excess of 200% of the lowest copayment required by the plan or policy for brand name medications in the formulary of the plan or policy, as specified. The bill would specify that its provisions do not apply to a health care benefit plan, contract, or health insurance policy with the Board of Administration of the Public Employees' Retirement System . This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Watch		Steve Snitchler

	SB 1063	(Cox)  Healthy Families Program.
		Introduced: 2/16/2010
		Status: 2/25/2010-To Com. on HEALTH.
		Location: 2/25/2010-S. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law creates the Healthy Families Program, administered by the Managed Risk Medical Insurance Board, to arrange for the provision of health care services to children less than 19 years of age who meet certain criteria, including having a limited gross household income. Existing law requires the board to establish the required copayment levels for specific benefits, as specified, and prohibits the total annual copayments charged to subscribers from exceeding $250 per family. Existing law also prohibits copayments from exceeding the copayment level established for state employees through the Public Employees' Retirement System. This bill would prohibit the total annual copayments from exceeding $350 per family and would delete the provision prohibiting copayments from exceeding the copayment level established for state employees through the Public Employees' Retirement System. The bill would also require the board to structure copayments for prescription drugs and emergency health care services in a specified manner.

		Organization	Position		Assigned
		CAHU	Watch		Robert Donin

	SB 1088	(Price)  Health care coverage.
		Introduced: 2/17/2010
		Status: 2/25/2010-To Com. on HEALTH.
		Location: 2/25/2010-S. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law, the Knox-Keene Health Care Service Plan Act of 1975 (Knox-Keene Act), 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 law requires that every health care service plan contract or group health insurance policy that provides for termination of coverage of a dependent child upon attainment of the limiting age for dependent children shall also provide that attainment of the limiting age shall not terminate the coverage of a child under certain conditions. This bill would prohibit, with a specified exception, the limiting age for dependent children covered by these health care service plan contracts and group health insurance policies from being less than 27 years of age. The bill would also provide that no employer is required to pay the cost of coverage for dependents who are at least 23 years of age, but less than 27 years of age. The bill instead would authorize subscribers and insureds to elect to provide coverage to those dependents by contributing the premium for that coverage. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Watch		Harry Thal

	SB 1095	(Aanestad)  California Major Risk Medical Insurance Program.
		Introduced: 2/17/2010
		Status: 2/25/2010-To Com. on HEALTH.
		Location: 2/25/2010-S. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law establishes the California Major Risk Medical Insurance Program (MRMIP) that is administered by the Managed Risk Medical Insurance Board (MRMIB) to provide major risk medical coverage to residents, as defined, who, among other matters, have been rejected for coverage by at least one private health plan. Existing law requires MRMIB to provide that coverage through participating health plans, except as specified, and authorizes MRMIB to provide or purchase stop-loss coverage under which MRMIP and participating health plans share the risk for health plan expenses that exceed plan rates. Existing law requires that benefits under the program be subject to copayments and deductibles authorized by the board and sets forth certain maximum amounts for deductibles and copayments. The bill would require MRMIB to offer at least 4 different options for major risk medical coverage with varying deductibles and out-of-pocket maximums, as specified. The bill would require those options to include at least one Health Savings Account-compatible option and would authorize MRMIB to subsidize that option, as specified. The bill would also authorize MRMIB, until a specified date and if sufficient funds are available, to participate in deductible and out-of-pocket maximum reinsurance using specified products. The bill would require MRMIB to release all program actuarial data for 2004 to 2007, inclusive, to the Legislative Analyst's Office, as requested by that office.

		Organization	Position		Assigned
		CAHU	Support		Dan White

	SB 1104	(Cedillo)  Health care coverage: diabetes-related complications.
		Introduced: 2/17/2010
		Status: 2/25/2010-To Com. on HEALTH.
		Location: 2/25/2010-S. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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 law requires specified health care service plan contracts and health insurance policies to provide coverage for certain equipment, supplies, and medications for the treatment of diabetes, including podiatric devices to prevent or treat diabetes-related complications. Existing law also requires a plan or insurer to provide coverage for diabetes outpatient self-management training, education, and medical nutrition therapy necessary to enable an enrollee or insured to properly use the equipment, supplies, and medications. This bill would require health care service plan contracts and health insurance policies to also provide coverage for the diagnosis and treatment of diabetes-related complications, as specified. Because a willful violation of this requirement by a health care service plan would be a crime, the bill would impose a state-mandated local program. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU			Craig Gussin

	SB 1163	(Leno)  Health care coverage: denials: premium rates.
		Introduced: 2/18/2010
		Status: 3/4/2010-To Com. on HEALTH.
		Location: 3/4/2010-S. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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. This bill would require a health insurer that offers health care coverage in the individual market to provide an individual to whom it denies coverage or enrollment or offers coverage at a rate higher than the standard rate with the specific reason or reasons for that decision in writing. With respect to both health insurers and health care service plans issuing individual policies or contracts, the bill would require that the reasons for a denial or a higher than standard rate be stated in clear, easily understandable language. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU			Harry Thal

	SB 1166	(Simitian)  Personal information: privacy.
		Introduced: 2/18/2010
		Status: 3/4/2010-To Com. on JUD.
		Location: 3/4/2010-S. JUD.
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law requires any agency, and any person or business conducting business in California, that owns or licenses computerized data that includes personal information, as defined, to disclose in specified ways, any breach of the security of the system or data, as defined, following discovery or notification of the security breach, to any California resident whose unencrypted personal information was, or is reasonably believed to have been, acquired by an unauthorized person. This bill would require any agency, person, or business that is required to issue a security breach notification pursuant to existing law to fulfill certain additional requirements pertaining to the security breach notification, as specified. This bill contains other related provisions.

		Organization	Position		Assigned
		CAHU	Watch		Dan White

	SB 1169	(Lowenthal)  Health care coverage: claims: prior authorization: mental health.
		Introduced: 2/18/2010
		Status: 3/4/2010-To Com. on HEALTH.
		Location: 3/4/2010-S. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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 provides for the regulation of health insurers by the Department of Insurance. Existing law requires health care service plans and health insurers to have written policies and procedures establishing the process by which the plans or insurers prospectively, retrospectively, or concurrently review and approve, modify, delay, or deny, based in whole or in part on medical necessity, requests by providers of health care services for enrollees or insureds. Existing law requires health care service plans and health insurers to reimburse uncontested claims within 30 or 45 working days and specifies that a claim is contested if the plan or insurer has not received a completed claim and all information necessary to determine payer liability. This bill would require plans and insurers to assign a tracking number to a claim or provider request for authorization, upon receipt thereof, and to provide acknowledgment of receipt thereof, including identification of the tracking number, to both the provider and the enrollee or insured, as specified. With respect to claims that are contested on the basis that the plan or insurer has not received all information necessary to determine payer liability for the claim, the bill would require the plan or insurer to provide acknowledgment of receipt of any of that information within 3 working days, as specified. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Watch		Craig Gussin

	SB 1262	(Aanestad)  High deductible health plans: health savings accounts.
		Introduced: 2/19/2010
		Status: 3/4/2010-To Coms. on P.E. & R. and REV. & TAX.
		Location: 3/4/2010-S. P.E. & R.
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Under the Public Employees' Medical and Hospital Care Act, the Board of Administration of the Public Employees' Retirement System contracts for and administers health care benefit plans for public employees and annuitants. Existing state and federal income tax laws allow a deduction for contributions to a qualifying medical savings account by a taxpayer who is covered under a high deductible health plan, as defined. Money within this type of account may be used to pay for qualified medical expenses, as defined. This bill would require the board to offer a high deductible health plan, as defined in the federal tax law, and a Health Savings Account option to public employees and annuitants, as specified. The bill would establish the Public Employees' Health Savings Fund, a continuously appropriated trust fund within the State Treasury, for payment of qualified medical expenses of eligible employees and annuitants who elect to enroll in the high deductible health plan and participate in the Health Savings Account option, and would require those employees and annuitants, and their employers, to make specified contributions to that fund, thereby making an appropriation. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Watch		Harry Thal

	SB 1283	(Steinberg)  Health care coverage: autism.
		Introduced: 2/19/2010
		Status: 3/4/2010-To Com. on RLS.
		Location: 3/4/2010-S. RLS.
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		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. A willful violation of the act constitutes a crime. Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law requires health care service plan contracts and health insurance policies to provide coverage for the diagnosis and medically necessary treatment of severe mental illnesses, including, but not limited to, pervasive developmental disorder or autism, under the same terms and conditions applied to other medical conditions, as specified. This bill would state the intent of the Legislature to enact legislation to provide clarification on the duties imposed upon health care service plans and health insurers, under the existing mental health parity law, to provide medically necessary services for the diagnosis and treatment of autism spectrum disorders.

		Organization	Position		Assigned
		CAHU			Robert Donin

	SB 1379	(Strickland)  Health care service plans.
		Introduced: 2/19/2010
		Status: 3/4/2010-To Com. on RLS.
		Location: 3/4/2010-S. RLS.
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law, the Knox-Keene Health Care Service Plan Act of 1975, provides for licensure and regulation of health care service plans by the Department of Managed Health Care. Existing law, among other things, requires a health care service plan to fairly and affirmatively offer, market, and sell to all small employers all of the plan's contracts that are sold to small employers in the same service area. This bill would make a technical, nonsubstantive change to these provisions.

		Organization	Position		Assigned
		CAHU	Watch		David Benson

	SB 1471	(Padilla)  Insurers: orthotic and prosthetic devices and services.
		Introduced: 2/19/2010
		Status: 2/21/2010-From print. May be acted upon on or after March 23.
		Location: 2/19/2010-S. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law provides for the regulation of health insurers by the Department of Insurance. Existing law requires health insurers to provide coverage for orthotic and prosthetic devices and services under terms and conditions that may be agreed upon between the policyholder and insurer, and requires that the device be prescribed by a physician and surgeon or doctor of podiatric medicine acting within the scope of his or her license or ordered by a licensed health care provider acting within the scope of his or her license. This bill would make a technical, nonsubstantive change to the above-described provisions.

		Organization	Position		Assigned
		CAHU			David Benson

	SBX8 47	(Dutton)  Income tax: health savings account.
		Introduced: 2/12/2010
		Status: 2/12/2010-Introduced. Read first time. To Com. on RLS.
		Location: 2/12/2010-S. RLS.
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: The Personal Income Tax Law authorizes various deductions in computing income that is subject to tax under that law. This bill would allow a deduction in connection with health savings accounts in conformity with federal law for each tax year beginning on or after January 1, 2010. In general, the deduction would be an amount equal to the aggregate amount paid in cash during the taxable year by, or on behalf of, an eligible individual, as defined, to a health savings account of that individual, as provided. This bill would also provide related conformity to that federal law for each tax year beginning on or after January 1, 2010, with respect to treatment of the account as a tax-exempt trust, the allowance of rollovers from Archer Medical Savings Accounts, health flexible spending arrangements, or health reimbursement accounts to a health savings account, and penalties in connection therewith. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Support		Craig Gussin

	SBX8 65	(Huff)  Out-of-state carriers.
		Introduced: 2/16/2010
		Status: 2/24/2010-Set, first hearing. Failed passage in committee.
		Location: 2/23/2010-S. HEALTH
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law, the Knox-Keene Health Care Service Plan Act of 1975, requires, subject to specified exceptions, that a health care service plan be licensed by the Department of Managed Health Care and provide basic health care services, as defined, unless exempted from that requirement by the director of the department. Existing law also requires, subject to specified exceptions, that an insurer obtain a certificate of authority from the Insurance Commissioner in order to transact business in this state and that the insurer operate in accordance with specified requirements. This bill would allow a carrier domiciled in another state to offer, sell, or renew a health care service plan contract or a health insurance policy in this state without holding a license issued by the department or a certificate of authority issued by the commissioner. The bill would exempt the carrier's plan contract or policy from requirements otherwise applicable to plans and insurers providing health care coverage in this state if the plan contract or policy complies with the domiciliary state's requirements, and the carrier is lawfully authorized to issue the plan or policy in that state and to transact business there. This bill contains other related provisions and other existing laws.

		Organization	Position		Assigned
		CAHU	Watch		Paula Wilson

	SCA 29	(Strickland)  Health care coverage.
		Introduced: 2/19/2010
		Status: 2/21/2010-From print. May be acted upon on or after March 23.
		Location: 2/19/2010-S. PRINT
		2Year Dead Desk Policy Fiscal Floor Desk Policy Fiscal Floor Conf. Conc. Enrolled Vetoed Chaptered 1st House 2nd House
		Summary: Existing law does not provide a system of health care coverage for all California residents. Existing law does not require employers to provide health care coverage for employees and dependents, other than coverage provided as part of the workers' compensation system for work-related employee injuries, and does not require individuals to maintain health care coverage. Existing law provides for the creation of various programs to provide health care coverage to persons who have limited incomes and meet various eligibility requirements. Existing law provides for the licensure and regulation of health care service plans by the Department of Managed Health Care and for the regulation of health insurers by the Department of Insurance. This measure would prohibit the effectiveness or enforcement of a state or federal program that (1) requires individuals to obtain health care coverage, (2) requires health care service plans or health insurers to guarantee issue contracts and policies to all applicants, (3) requires employers to either provide health care coverage to their employees or pay a fee or tax to the state or the federal government in lieu thereof, (4) allows an entity created, operated, or subsidized by the government to compete with health care service plans and health insurers in the private sector, or (5) creates a single-payer health care system, unless the program is approved by the electorate by ballot measure.

		Organization	Position		Assigned
		CAHU			Paula Wilson

Total Measures: 55

Total Tracking Forms: 55